Jobs in Santa Ana, CA

Job Title: Quality Improvement Coordinator

Target Compensation Range: $23.00-$25.00/hour, depending on relevant qualifications and experience

About Us:

Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.

Summary:

The Quality Improvement Coordinator will be responsible for coordinating and implementing quality improvement initiatives related to HEDIS measures and risk adjustments/HCC. This individual will work with internal and external stakeholders to ensure compliance with HEDIS specifications, data collection, reporting, and improvement strategies.

ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following. Other duties may be assigned.

• Regular and consistent attendance. In office attendance is requested 5 days a week.
• Coordinate and partner with IPA/MSO delegates for HEDIS and risk adjustment data reporting
• Identify gaps and opportunities for improvement
• Collaborate with internal departments to review and implement projects and interventions to improve delivery of services and quality of care.
• Assist with audits and reviews to ensure data accuracy and validity
• Review and summarize collected data with trend analysis for additional provider educational opportunities.
• Attend health plan meetings as requested by department leadership.
• Stay updated on HEDIS and risk adjustment specifications, guidelines, and industry trends

EDUATION and/or EXPERIENCE:

• 3+ years of quality improvement or healthcare related experience
• Familiarity of HEDIS measures, specifications, and reporting requirements
• Proficient in data analysis, Excel, and quality improvement methodologies
• Excellent communication, presentation, and interpersonal skills
• Ability to work independently and collaboratively in a fast-paced environment.
• Detail-orientated, organized, and problem-solving skills.

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Free lunches on site

Position: Construction Operations Manager

Compensation: $90,000 per year

Responsibilities:

- Oversee and manage construction projects from start to finish

- Develop project plans, including timelines, budgets, and resource allocation

- Coordinate with architects, engineers, and subcontractors to ensure project specifications are met

- Monitor project progress and make adjustments as necessary to ensure timely completion

- Conduct regular site visits to inspect work quality and adherence to safety standards

- Prepare and submit progress reports to stakeholders

- Resolve any issues or conflicts that may arise during construction

- Ensure compliance with building codes, regulations, and permits

- Ensure that program supplies are consistently and accurately ordered

- Ensure that all maintenance of automobiles and fleet is managed

Requirements:

- Proven experience as a Construction Manager or similar role

- Strong knowledge of construction processes, materials, and methods

- Proficient in project management software

- Familiarity with construction estimating and cost control techniques

- Excellent communication and leadership skills

- Ability to effectively manage multiple projects simultaneously

- Strong problem-solving and decision-making abilities

- Bachelor's degree in Construction Management or related field (preferred)

Job Type: Full-time

Benefits:

• Dental insurance
• Paid time off
• Vision insurance

Application Question(s):

• Do you have experience managing handymen/construction workers?
• Do you have a background in construction project management?
• Do you have experience ordering business supplies in large volumes?

• Work Location: In person

Summary

The Senior Manager of Marketing will play a critical role in shaping and executing the company’s marketing strategy during its next growth phase. This leader will drive the next phase of BladderCARE growth while refining and executing the marketing strategy for the company’s laboratory services aimed at clinical laboratories and biopharma partners.

This position requires a strategic, hands-on and data driven marketer who can design and implement plans, build foundational marketing infrastructure, and work effectively across Sales, Clinical, and R&D. Although initially an individual contributor role, with some agency support, the ideal candidate has prior experience managing marketing teams and/or agencies and is comfortable operating in a fast-paced, roll-up-the-sleeves startup environment.

Essential Duties and Responsibilities

• Strategy & Execution: Develop and execute marketing plans and campaigns for LDTs and services to different target audiences including patients, providers, pharma, and other laboratories.
• Strategy & Execution: Own both strategic planning and day-to-day execution of marketing initiatives aligned with company priorities.
• Marketing Infrastructure & Operations: Build and maintain core marketing infrastructure, including: a) Performance dashboards and reporting systems, b) Defined KPIs and analytics framework, c) Regular review processes and continuous improvement cadence.
• Brand & Positioning: Refine and strengthen company and product positioning through VOC and data
• Brand & Positioning: Ensure consistent messaging across all channels, materials, and stakeholders.
• Product Marketing: Develop clear value propositions for Bladder CARE and laboratory services for each audience
• Product Marketing: Partner closely with Sales and Clinical teams to align messaging with market needs.
• Digital & Content: Oversee website and digital presence in collaboration with the external agency.
• Digital & Content: Guide content strategy to support brand, product, and demand objectives.
• PR & Communications: Support internal and external communications, announcements, and thought leadership initiatives.
• PR & Communications: Assist in developing clear, compelling external messaging that supports credibility and growth.
• Demand Generation: Support lead generation and pipeline development initiatives.
• Demand Generation: Collaborate with Sales to align marketing efforts with revenue goals.
• Field Marketing & Partnerships: Support select conferences, industry events, and key partnership initiatives.
• Field Marketing & Partnerships: Coordinate marketing support for strategic collaborations.

Education and Experience

• Bachelor's degree in Marketing, Communications, Business Administration or Management, or related field.
• 5+ years of marketing experience at a life sciences company (Laboratory or Pharma ideal). Diagnostics/Laboratory experience strongly preferred.
• Oncology experience preferred. Experience with urologic oncology products or urologists ideal.
• Target audience experience mix of clinicians and patients.
• Demonstrated experience managing marketing teams and/or agencies, even if this role begins as an individual contributor.
• Strong copywriting skills.

Compensation

The estimated base compensation range for this position is $110,000-$135,000 annually at the time of posting. Actual compensation details will be provided in writing at the time of offer, if applicable, and is based on several factors we believe fairly and accurately impact compensation, including geographic location, experience, knowledge, skills, abilities, and other job permitted factors.

Hoag Health, the top-ranked health system in Orange County, CA is seeking a Medical Director to lead our growing movement disorders program. The Medical Director is pivotal in steering the Hoag Movement Disorders Program, dedicated to elevating care standards and community service. As a Hoag medical staff member, the role will span from performing outpatient clinical care in an office-based setting to spearheading the program’s strategic development, management, and visionary planning. Moreover, the position entails active involvement in clinical and translational research, along with philanthropical efforts, aiming to pioneer advancements in movement disorders care. This commitment aims to enhance patient outcomes while positioning Hoag as a regional leader in movement disorders healthcare and innovation.

Hoag’s Movement Disorders Program focuses on providing clinical excellence, compassionate care and a commitment to the community through the provision of many available supportive services. Hoag’s Movement Disorders program has four fellowship trained neurologists and two neurosurgeons who specialize in movement disorders. Hoag also offers a multidisciplinary approach in the care of our patients through our services and treatment options.

Position Details & Qualifications:

• Full-Time Opportunity in Newport Beach, CA. The candidate will be expected to practice clinical neurology up to 90% of the time and remaining administrative time developing and managing the program.
• Must have or be eligible for California State Medical licensure
• American Board Certified/ Eligible in Neurology
• Must be interested in participating in clinical program research and development
• A passion for providing excellent clinical care and excellent communication skills and interest in working in a collaborative / team-oriented environment are a must.
• Ability to achieve full and unrestricted hospital privileges at Hoag Hospital

Compensation & Benefits:

• Competitive Compensation Package inclusive of base salary plus production/quality bonuses
• Medical Benefits (Health, Dental, Vision)
• 401K Retirement Plan with matching
• Malpractice and tail coverage provided
• CME stipend
• Reimbursement for CA medical license, DEA fees and other applicable renewal fees
• Generous PTO policy

Contact:

Steven Yi

Physician Consultant

Hoag Health, the top-ranked health system in Orange County, CA is seeking a full-time Nurse Practitioner or Physician Assistant to join our growing pain management program! This is a great opportunity to join an established and reputable organization and contribute to providing high-quality care to the Orange County community! Our multidisciplinary Team of pain specialists put patients first with pain care that begins with non-invasive therapies and, when needed, includes targeted procedures like injections or ablations to reduce pain, restore function, and enhance quality of life. We are accepting applications for both Nurse Practitioners and Physician Assistants who possess pain management experience.

Position Details:

• Schedule: Full-Time Position, Monday – Friday, Clinic Hours 8am – 5pm.
• Setting: Outpatient, Clinic setting
• Location: Newport Beach, CA
• Team: 3 Pain Medicine Physicians, 3 Pain Management APP’s, 1 Nurse Navigator
• EMR: Epic
• Conditions Treated: Arthritis, Autoimmune, Cancer Pain, Chronic Pain, IBD, Lumbar Disc, Migraines, Sciatica, Shoulder Pain
• Modalities: Medication management and procedures

Compensation and Benefits:

• Competitive compensation package
• Base guaranteed salary
• Comprehensive benefit package: medical, dental vision, life insurance
• Malpractice coverage provided
• Retirement plan: 401k plan with employer matching contribution
• Generous Paid time off policy
• CME Stipend

Requirements:

• Graduate of a Nurse Practitioner or Physician Assistant Program
• Adult Pain Management experience working as a Nurse Practitioner Physician Assistant or equivalent combination of relevant education and/or experience.
• Minimum 1 to 3 years of experience within Pain/PMR or Neurology/ Neurosurgery focus is required for consideration
• Previous experience with join injections, trigger point injections and suturing preferred
• Furnishing license issued by the State of California and personal DEA number.
• Current ACLS and BLS

Contact:

Steven Yi

Physician Consultant

Hoag Health, the top-ranked health system in Orange County, CA is seeking a Cardiology/Cardiovascular Surgery Advanced Practice Provider (Physician Assistant or Nurse Practitioner) to join our to join our multidisciplinary team in the Matranga Aortic Center in Newport Beach/Irvine, California! This is a wonderful opportunity to join a reputable organization and contribute towards providing high-quality care to the community. This position presents a unique opportunity to work alongside nationally recognized physicians and genetic counsellors in the diagnosis, treatment, and research of complex aortic conditions. As a key member of our program, you will support patients across the continuum of care with outpatient consultations, long-term surveillance management, and postoperative follow-ups. You will develop long-lasting relationships with the hundreds of patients who are being managed at the Matranga Aortic Center on an annual basis. There will be regular opportunities for education and continued learning.

Jeffrey M. Carlton Heart & Vascular Institute has achieved international and national accreditation for many of its programs. Our physicians take a personal approach to taking care of patients and treat them as family. Seeing the progress of Hoag patients after their surgeries reminds the staff why they went into medicine. Jeffrey M. Carlton Heart and Vascular Institute has earned the highest distinction possible, a three-star out of three stars rating, from the Society of Thoracic Surgeons (STS) for three categories of surgery – isolated aortic valve replacement (AVR), isolated mitral valve replacement and repair (MVRR) and isolated coronary artery bypass grafting (CABG).

Highlights:

• Competitive compensation package
• Guaranteed base annual salary
• Comprehensive benefit package: Medical, dental, vision, retirement (with a match)
• Malpractice and tail coverage provided
• Generous Paid time off and sick time policy
• CME Stipend
• Seasoned support staff (clinical and administrative)
• Strong mentorship from reputable and renowned Cardiovascular Surgeons
• Strong support from executive leadership team
• Collegial group that welcomes fresh, innovative approaches and ideas

Qualifications:

• Graduate of an accredited Nurse Practitioner (NP) or Physician Assistant (PA) program
• Current California NP or PA license
• DEA Controlled Substance Registration Certificate (CSRC)
• Current BLS certification
• Current ACLS certification
• Additional certifications as required by department
• New graduates with a strong interest in complex cardiovascular care or specialized training are encouraged to apply

Responsibilities:

• As a key member of our program, you will support patients across the continuum of care with outpatient consultations, long-term surveillance management, and postoperative follow-ups
• You will develop long-lasting relationships with the hundreds of patients who are being managed at the Matranga Aortic Center on an annual basis
• Coordination of aortic procedures and perioperative care, imaging, diagnostics, and surgical planning
• Participate in multidisciplinary case conferences and collaborate with Cardiovascular surgery, Vascular surgery, and Cardiology teams
• Conduct telehealth visits and manage patient communications via the Epic platform
• Facilitate continuity of care through coordination with referring providers and subspecialists
• Educate patients and families on aortic disease, treatment options, and long-term management
• Support clinical quality, safety, and patient experience initiatives
• Engage in opportunities for clinical research and program development

Contact:

Steven Yi

Physician Consultant

Please find below the details:

Position: Registered Nurse/RN

Department: BHI - BH Utilization Management

Location: Onsite – Orange, CA 92868

Duration: 6 months (Possibilities of extensions/conversion)

Shift: Day 5x8-Hour (40-hours)

Schedule : Monday to Friday, 7:00 a.m. - 3:30 p.m

Work Arrangement: Full Office

Position Summary:

This role focuses primarily on Utilization Management Services (85%), with additional administrative and project responsibilities. The Medical Case Manager will review medical requests for appropriateness and medical necessity using established clinical protocols while ensuring compliance, accuracy, and timely communication.

Key Responsibilities:

Utilization Management (85%)

• Review requests for medical necessity using established clinical guidelines.
• Screen inpatient and outpatient cases for Medical Director review.
• Gather pertinent medical documentation and communicate determinations.
• Mail rendered decision notifications to providers and members.
• Document all activity in the utilization management system.
• Complete authorization updates and required data entry.
• Review ICD-10, CPT-4, and HCPCS codes for accuracy and coverage.
• Participate in Transition Care Management (TCM) activities.
• Identify and report complaints or utilization concerns.
• Collaborate with internal teams to support departmental goals.

Administrative Support (10%)

• Assist with staff training needs.
• Maintain current data resources.
• Comply with tracking and reporting protocols.

Other Duties (5%)

• Complete additional projects and assignments as needed.

Minimum Qualifications:

• Current unrestricted California license (LCSW, LPCC, LMFT, or RN).
• Minimum 3 years of clinical experience.
• Utilization Management reviewer experience required.
• Equivalent combination of education and experience may be considered.

Preferred Qualifications:

• Managed care experience.
• Behavioral health clinical experience.

Required Skills & Abilities:

• Strong clinical judgment and independent decision-making skills.
• Excellent verbal and written communication skills.
• Ability to work in a fast-paced environment and manage multiple priorities.
• Analytical and problem-solving skills.
• Proficiency in Microsoft Office (Word, Excel, Outlook, PowerPoint) and relevant systems.
• Ability to build rapport with diverse internal and external stakeholders.

Our mission at Interface Billing Solutions is to empower healthcare organizations through the art and science of Revenue Cycle Management. We believe in a future where financial stability and patient care excellence coexist seamlessly. With unwavering dedication, innovative solutions, and a relentless commitment to integrity, we inspire our clients and employees to thrive, driving positive change in the healthcare industry. Together, we reimagine possibilities, ensuring that every patient's journey is met with financial clarity, and every organization's vision becomes a reality.

Job Summary:

We are seeking a dedicated and passionate individual to join our team as a Jr. Account Manager, focusing in serving our clients in the mental health and substance abuse industry. This is an excellent opportunity for someone looking to further their career in healthcare finance and revenue cycle management with a focus on these specialized areas.

Responsibilities:

·     Client Relationship Management: Build and maintain strong relationships with clients, ensuring client satisfaction and addressing any concerns promptly.

·     Account Coordination: Work closely with senior Account Managers to coordinate and execute account plans, assist in overseeing the revenue cycle process, and ensuring seamless communication between the client and internal teams.

·     Problem Resolution: Identify and resolve client issues in a timely manner, collaborating with cross-functional teams to deliver effective solutions.

·     Revenue Optimization: Support the analysis of financial data and performance metrics to assist in identifying opportunities to optimize revenue cycles for clients, supporting their financial success.

·     Learner Mindset: Stay updated on industry regulations and compliance requirements relevant to the mental health and rehabilitation sector.

Qualifications:

Bachelor’s degree required. ∙Excellent interpersonal skills and strong communication.

∙Results-oriented with a focus on meeting deadlines.

∙Ability to work independently and collaboratively in a team-oriented environment. ∙Proficient in working in a digital environment and using multiple software for productivity, communication, and documentation.

∙Excellent organizational and time-management skills.

∙Works with a sense of duty – values strong attention to detail. ∙Works with a sense of urgency and prioritizes time-sensitive deadlines.

∙Ability to multitask, prioritize, and remain organized.

∙Interest in healthcare finance and revenue cycle management, with a specific focus on the mental health and rehabilitation industry.

∙Excellent analytical, communication, and problem-solving skills. ∙Ability to work in a fast-paced environment and willingness to learn and adapt.

What We Offer:

·     Competitive pay and performance-based incentives with accelerated opportunities for growth based on meritocracy with less focus on seniority.

·     Comprehensive benefits package, including health/dental/vision insurances, and 401(K).

·     Ongoing professional development opportunities.

·     A positive and collaborative work environment focused on making a difference.

About Us: Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.

SUMMARY: The Junior Quality Improvement Coder is responsible for providing director support to all departmental QI initiatives. In this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA’s to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

• Analyze data from contracted IPA network providers that allows for proper review of data to evaluate HEDIS and Risk Adjustment Factor.
• Conduct internal reviews of documentation and billing on a timely basis.
• Identify coding and billing risk areas, conduct focused reviews. Ensure accurate coding by utilizing official coding resources, Medicare manual and policies.
• Collaborate and educate provider practices on CMS guidelines for Star Measures (Part C & D). Review and advise on appropriate documentation and coding for HEDIS and RAF reporting.
• Prepare summary reporting of the coding review results as requested.
• Participate in ongoing discussions concerning data collection and analysis for HEDIS gaps in care. Re-educate providers as needed.
• Apply official CPT/HCPCS and ICD10 coding guidelines, internal guidelines, and state specific Medicare/Medicaid coding instructions to review and analyze professionally coded services and coding queries.
• Collaborate with internal departments and external partners to review and implement projects to improve delivery of services and quality of care.
• Participate in provider and interdepartmental conference calls and meetings that support exceptional customer service.
• Attend health plan meetings as requested by department leadership.
• Regular and consistent attendance.
• Other duties as assigned.

EDUCATION and/or EXPERIENCE:

• 0 - 1 year of prior experience as a coder in a quality improvement role within a health plan, IPA or medical group.
• Certified Coding certificate required.
• Strong understanding of coding principals including, HEDIS, Medicare Star ratings and Risk Adjustment.
• Strong understanding of the principals of HIPAA and able to maintain confidentiality.
• Able to build rapport with external providers and partners and internal teams.
• Professionally present data and findings that support internal goals and objectives.

BENEFITS:

• 401(k)
• Dental Insurance
• Health Insurance
• Life Insurance
• Vision Insurance
• Paid Time Off
• Free catered lunches

Hoag Health, the top-ranked health system in Orange County, CA is seeking a Medical Director to lead our Addiction Medicine and Mental Health Services program in Newport Beach, CA! Hoag is a renown Integrated Hospital System that provides a full-spectrum of care from detox to inpatient, PHP, IOP, and outpatient recovery—patients receive consistent, connected treatment. Hoag is ranked #2 nationally in addiction medicine patient outcomes. Hoag offers an environment that supports innovative & evidence-based medicine. Our programs are rooted in the latest research, with personalized care plans. Patient outcomes are out top priority. This role involve clinical care and also the opportunity to lead strategic growth initiatives. Hoag is positioned for expansion, with leadership committed to unifying services and elevating care standards.

Duties:

• The Medical Director for Addition Medicine and Mental Health Services is responsible, in collaboration with the Executive Director for establishing Hoag Memorial Hospital Presbyterian as a center of excellence in addition medicine and mental health care. The role oversees the strategic development, integration, and delivery of service across inpatient, outpatient, residential, and community-based settings.
• Designing and implementing comprehensive, evidence-based programs that support individuals across the continuum of care for substance abuse and mental health conditions.
• Enhancing access to integrated behavioral health services, including education, prevention, treatment, recovery, support, and crisis intervention.
• Expanding and improving clinical services for patients and families with a focus on quality, safety, and outcomes.
• Clinical oversight over direct medical services and multidisciplinary teams including supervision of clinical protocols, coordination of integrated care pathways, compliance with regulatory standards and promoting continuous quality improvement.
• Provide professional leadership, mentorship, and development of providers through clinical guidance, performance coaching and fostering a culture of continuous learning, collaboration and excellence in addiction medicine and mental health care.
• Leading education and outreach initiatives to raise awareness and reduce stigma around addictions and mental health targeting both the community and mental healthcare professional.
• Clinical coverage will be required as part of the team and leadership role.

Highlights:

• Competitive compensation package inclusive of: Base guaranteed salary and performance incentives
• Comprehensive benefit package inclusive of: Medical, dental, vision, retirement plan (with employer match), PTO, CME stipend
• Opportunity to join the top-ranked health system in Orange County, CA
• Opportunity to build the premiere addiction medicine and mental health program in Southern California
• Opportunity to interface with key stakeholders and community leaders
• Excellent opportunity for an individual poised to take the next step in their professional career

Requirements:

• Ideal candidate would possess a minimum 10 years administrative and clinical experience in addiction medicine and health services
• Proven leadership in addiction within a treatment center, department, division or hospital
• Experience designing and implementing performance management systems in complex operational environments
• Strong problem-solving, analytical, communication and interpersonal skills.
• Knowledge and experience with insurance reimbursement, coding and laws and regulation affecting the provision of substance use and mental health in California
• Knowledge of DHCS licensing and certification
• Preferred: Advanced training or degree in medical leadership and management (MPH, MBA, MMM, fellowship in leadership, etc.)
• CA Medical License
• Board Certified Psychiatrist
• Fellowship Trained in Addiction Medicine & Board Certified in Preventative Medicine (Addiction Medicine) preferred.

Contact:

Steven Yi

Physician Consultant