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This position is responsible for the entire admission process for a designated patient population. The Registered Nurse (Level I, II, III or IV) is responsible for coordinating and delivering patient care utilizing the nursing process. The Registered Nurse, after appropriate educational preparation, is capable of expanding the scope of practice in general or specialty areas of nursing. The criteria and specific job duties of the three levels are defined by each department area specific criteria.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
This position is responsible for the entire admission process for a designated patient population. The Registered Nurse (Level I, II, III or IV) is responsible for coordinating and delivering patient care utilizing the nursing process. The Registered Nurse, after appropriate educational preparation, is capable of expanding the scope of practice in general or specialty areas of nursing. The criteria and specific job duties of the three levels are defined by each department area specific criteria.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Job Category: Stores
Requisition Number: FULLT006043
Posted: May 30, 2025
Location: PS Shops At Mission Viejo, Mission Viejo, CA 92691, USA
Job DetailsDescriptionJoin the Pacsun Community. Pacsun is dedicated to delivering an exclusive collection of the most relevant brands and styles to a community of inspired youth. Through partnerships with brands such as adidas, Brandy Melville, Essentials Fear Of God, our own brands, and many more.
Our Pacsun community believes in and understands the importance of using our voice, platform, and resources to inspire and bring about positive development. Our program PacCares supports and partners with organizations that align with our internal and external initiatives surrounding mental health, diversity, and equality. Join the Pacsun Community.
Learn more here:
About the Job: The Assistant Store Manager assists the Store Manager in leading a customer focused, top-line sales driven, profitable and productive store location. The Assistant Store Manager must also inspire and motivate others by exhibiting core value behaviors-including a customer focused selling culture, and ensuring the execution of the Store's KPl's. Assistant Managers also must hold store employees accountable to following all policies and procedures.
A day in the life, what you'll be doing:
- Displays a customer-focused mindset at all times and ensures all team members deliver an engaging, positive and authentic customer experience
- Handles customer situations in compliance with policy and procedures, attempts to \"solve for yes\" and escalates issues as appropriate
- Maintains a clean and well organized store, promoting a safe working and shopping environment to maximize the customer experience
- Shares feedback from customers with the leadership team to improve the overall customer experience
- Performs as the floor supervisor role as needed to cover non-peak periods (breaks etc.)
- Delivers an engaging, positive and authentic customer experience with all customers
- Displays a customer-focused mindset at all times and ensures all team members deliver an engaging, positive and authentic customer experience
- Holds self and others responsible for the accomplishment of all operational tasks
- Coaches and provides feedback on Sales Associate's performance
- Supports associate engagement by recognizing and rewarding outstanding performance
- Provides direction to associates to ensure understanding of company directives and standards
- Prioritizes and delegates tasks to meet all operational needs
- Supports and executes visual directives and maintains visual standards set by the company
- Drives efficiency in all operational store processes
- Maintains merchandise flow, filling and presentation standards throughout the store and stockroom
- Maintains a clean and well organized stockroom and store, promoting a safe working and shopping environment to maximize the customer experience
- Ensures all store associates follow all policies, procedures and all Safety Program practices
- Reflects the PacSun brand by demonstrating passion and affinity for product, brands, fashion and trends
- Inspires and motivates others by consistently exhibiting core value behaviors
- Demonstrates willingness, aptitude, and initiative to learn what is unknown about product, brands, fashion and trends
What it takes to Join:
- Passion for product, brands, fashion and trends
- High School Diploma or equivalent preferred
- Effective written, verbal and presentation skills
- Strong communications skills
- Excellent time management skills
- Proficient in math and possesses strong computer skills
Developing the Community/Leadership Qualities:
- Operate with the highest level of conduct, integrity, and confidentiality; setting the example for leaders and associates.
- Develop and nurture strong cross functional partnerships; driving business results and inspiring a culture of transparency, collaboration, and accountability.
- Serve as a Pacsun advocate in the industry and marketplace.
- Recruit, identify, develop, and retain talent that delivers performance excellence.
- As a manager, serve as a leader of company culture, norms, and conduct.
- Ability to balance a strong management presence with a high level of approachability, encouraging and eliciting associate feedback and interaction.
Physical Requirements:
The physical demands described here are representative of those that are required by an associate to successfully perform the essential functions of this job.
- The associate must frequently lift and/or move up to 20 pounds and occasionally lift and/or move up to 35 pounds.
- The associate must frequently sit/stand for long periods of time and climb ladders as needed.
- While performing the duties of this job, the associate is regularly required to talk or hear. The associate is frequently required to sit; stand; walk; use hands to finger, handle or feel; as well as reach, twist or squat.
- Ability to maneuver around sales floor, stockroom and office areas.
- Specific vision abilities required by this job include close vision, distance vision, depth perception and ability to adjust focus.
- Ability to work in open environment with fluctuating temperatures and standard lighting.
- Hotel, Airplane, and Car Travel may be required SM and above roles only.
Position Type/Expected Hours of Work:
This is a full-time position. Ability to work 32-40 hours a week is required. As a National Retailer, flexibility with work schedule (able to work weekends, nights, peak holiday periods) is required.
Other Considerations:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the associate for this job. Duties, responsibilities and activities may change at any time with or without notice. Reasonable accommodations may be made to qualified individuals with disabilities to enable them to perform the essential functions of the role.
Equal Opportunity Employer. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Located in Hershey, PA, Milton Hershey School (MHS) is a top-notch home and school where over 2,200 pre-K through 12th grade students from disadvantaged backgrounds are provided an extraordinary, cost-free, career-focused education. This is made possible by the generosity of Milton and Catherine Hershey, who established the school in 1909 and ensured it was fully endowed. Thanks to their foresight and generosity, the school has over 12,000 graduates and continues to expand to serve more students.
MHS is hiring married couples to serve as Full-time Flex Houseparents. In this unique and life-changing career, couples reside in on-campus student homes and provide care, guidance, supervision, and support for a group of approximately 8–13 students living in the home. Flex Houseparents play a vital role in creating a structured, family-like environment that fosters students’ academic, emotional, and social development so they can reach their full potential.
Responsibilities include:
Providing daily supervision and mentorship
Managing household routines and student schedules
Administering medications and ensuring student wellness
Driving students to activities, as well as planning and actively engaging in developmental and recreational activities with students
Leading daily devotions and accompanying students to Sunday Chapel
Overseeing budgeting and household reporting
Upon hire, Flex Houseparents initially support various student homes and follow a working schedule of nine consecutive days on duty, followed by three days off. On weekdays, houseparents have unscheduled time while students are in school. Flex Houseparents eventually transition into a Placed Houseparent role, where they live and work with the same group of students in their own student home.
Benefits include:
Salary: $44,768.00 per person (approximately $168,000 total compensation per couple, including free housing, meals while on duty, utilities, and more)
Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance; disability options; retirement savings
Relocation assistance and paid training provided
~ Paid time off provided at designated times throughout the year
Qualifications:
Qualifications include:
Experience working or volunteering with youth
This is a two-person role for couples legally married for at least two years
Both spouses must be age 27 or older
No more than three dependent children may reside in the student home
Commitment to a smoke-free and weapon-free campus; no alcohol permitted while on duty
Pet limitations: only fish and one dog of approved breeds allowed
Valid U.S. driver’s license and ability to become certified to drive student home vans
Comfort leading students in daily devotions and accompanying them to Judeo-Christian Sunday Chapel services (proselytizing prohibited)
High school diploma or GED required
Ability to lift to 50 lbs.
Demonstrated integrity and professionalism; MHS staff serve as role models for students
This is a unique, challenging, and rewarding career and life choice that requires a high level of commitment to student success from both spouses. For consideration, both spouses must complete individual employment applications. To learn more and apply, visit .
Located in Hershey, PA, Milton Hershey School (MHS) is a top-notch home and school where over 2,200 pre-K through 12th grade students from disadvantaged backgrounds are provided an extraordinary, cost-free, career-focused education. This is made possible by the generosity of Milton and Catherine Hershey, who established the school in 1909 and ensured it was fully endowed. Thanks to their foresight and generosity, the school has over 12,000 graduates and continues to expand to serve more students.
MHS is hiring married couples to serve as Full-time Flex Houseparents. In this unique and life-changing career, couples reside in on-campus student homes and provide care, guidance, supervision, and support for a group of approximately 8–13 students living in the home. Flex Houseparents play a vital role in creating a structured, family-like environment that fosters students’ academic, emotional, and social development so they can reach their full potential.
Responsibilities include:
Providing daily supervision and mentorship
Managing household routines and student schedules
Administering medications and ensuring student wellness
Driving students to activities, as well as planning and actively engaging in developmental and recreational activities with students
Leading daily devotions and accompanying students to Sunday Chapel
Overseeing budgeting and household reporting
Upon hire, Flex Houseparents initially support various student homes and follow a working schedule of nine consecutive days on duty, followed by three days off. On weekdays, houseparents have unscheduled time while students are in school. Flex Houseparents eventually transition into a Placed Houseparent role, where they live and work with the same group of students in their own student home.
Benefits include:
Salary: $44,768.00 per person (approximately $168,000 total compensation per couple, including free housing, meals while on duty, utilities, and more)
Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance; disability options; retirement savings
Relocation assistance and paid training provided
~ Paid time off provided at designated times throughout the year
Qualifications:
Qualifications include:
Experience working or volunteering with youth
This is a two-person role for couples legally married for at least two years
Both spouses must be age 27 or older
No more than three dependent children may reside in the student home
Commitment to a smoke-free and weapon-free campus; no alcohol permitted while on duty
Pet limitations: only fish and one dog of approved breeds allowed
Valid U.S. driver’s license and ability to become certified to drive student home vans
Comfort leading students in daily devotions and accompanying them to Judeo-Christian Sunday Chapel services (proselytizing prohibited)
High school diploma or GED required
Ability to lift to 50 lbs.
Demonstrated integrity and professionalism; MHS staff serve as role models for students
This is a unique, challenging, and rewarding career and life choice that requires a high level of commitment to student success from both spouses. For consideration, both spouses must complete individual employment applications. To learn more and apply, visit
.
As the full-time Sales Leader, you support the Store Leadership Team by rocking out strong LOD (Leader on Duty) shifts and ensuring a stellar guest experience. You hold down the daily operations of the store as needed. You train, motivate and celebrate associates and you have a passion for driving killer sales results. Most importantly, you represent our company values and bring your REAL self to work every day.
Your ResponsibilitiesYou have a passion for driving sales: As a key LOD (Leader on Duty), you're an expert at driving sales by maximizing Fitting Room and Salesfloor productivity and building guest loyalty through a best-in-class, in-store guest experience. You support Store Leadership in doing what it takes to maximize business opportunities to drive KPI results.
You're a people leader: You're all about motivating and inspiring the team through AEO's core values. You're a role-model leader and you always hold associates accountable to rocking AEO's service standards, especially on the Salesfloor and in the Fitting Room.
You've got an eye for talent and a love of training: You make it a top priority to recruit and hire strong talent to ensure the store is always staffed to meet business needs. You take pride in training and developing associates to ensure they continue to provide outstanding service and represent a Guest First culture.
You know that teamwork makes the dream work: You challenge Sales and Stock Associates with clear, attainable goals and consistently provide ongoing performance feedback through real-time coaching. You motivate associates and drive engagement by celebrating outstanding performance - #winning!
You're a visual & operational innovator: You're a natural at executing and innovating daily visual and operational procedures including shipment processing, merchandising moves and visual standards. Most importantly, you ensure the Fitting Rooms are always guest-ready and rocking AEO Brand Standards.
Integrity is your middle name: You ensure store safety standards are maintained, you're committed to Asset Protection standards, you always adhere to AEO's policies and procedures, and you do the right thing - always.
You'd Be Great For This Role IfYou love AE and Aerie products!
You've led teams in a retail management role previously - #practicemakesperfect!
You can multi-task and have attention to detail; priority-setting and time management are your strong suits.
Business acumen? You've got it!
You have flexible availability - you're available to work when the guest shops!
Our Associates Love AEO BecauseThey work with REAL people - there's nothing like your #AEOFamily.
They're given opportunities for development, the chance to learn new skills, and are offered great potential for career advancement.
They receive 40% off product at both AE & Aerie year-round (plus additional seasonal discounts with new Floorsets!)
They participate in store contests for the chance to win FREE merchandise and other exclusive prizes.
As Beauty Lead Advisor, you will drive sales through an authentic passion for beauty and engage clients by identifying their needs with a consultative approach. You will maintain expert knowledge of top beauty brands, execute merchandise sets, replenishment and visual standards according to Sephora at Kohl's standards and ensure an excellent overall client experience.
What You'll Do
- Build strong client loyalty and influence clients by identifying their needs and suggesting products to drive sales, including the opportunity to upsell products
- Develop and expand knowledge of the beauty industry
- Provide credibility to the client through knowledge of products and beauty trends
- Inspire clients through demonstrating products and application of products
- Understand and execute the sales plans to support and meet goals
- Execute and maintain all Sephora visual merchandising and operational standards, including merchandise sets, tester maintenance and department cleanliness and hygiene standards
- Ensure timely and consistent sales floor replenishment to drive sales and enhance the customer experience
- Actively engage and complete all required training to expand knowledge
- Support omni-processing within the department
- Support inventory management from receipt to sale, including freight processing, back stocking, inventory counts and price changes
All associates are responsible for:
- Acting with integrity and honesty and fostering teamwork in an engaged and inclusive culture
- Exercising good judgment and discernment when making decisions; taking appropriate partners as needed
- Supporting and executing safety and shortage reduction programs following company guidelines
- Accomplishing multiple tasks within established timeframes
- Following company policies, procedures, standards and guidelines
- Maintaining adherence to company safety policies for the safety of all associates and customers
- Receiving, understanding and proactively responding to direction from leaders and other company personnel
- Other responsibilities as assigned
What Skills You Have
- Authentic passion for beauty
- Client-facing retail or service industry experience
- Excellent written and verbal communication skills with the ability to influence in a clear and concise manner
- Availability to work days, nights, weekends and holidays
Essential Functions
- Ability to perform the accountabilities listed in the \"What You'll Do\" Section.
- Ability to satisfactorily complete company training programs.
- Ability to comply with dress code requirements.
- Basic math and reading skills, legible handwriting, and basic computer operation.
- Ability to operate and communicate on multiple frequency devices, handheld scanners, and other technology equipment as directed.
- Ability to maintain prompt and regular attendance and meet scheduling requirements as set by the company.
- Perform work in accordance with the Physical Requirements section.
Physical Requirements
- Must be able to lift up to 50 lbs. frequently and occasionally over 50 lbs. with a two person lift.
- Ability to climb, squat, stoop, kneel, crouch, bend, twist, reach, lift, grasp, push and pull on a frequent basis.
- Ability to stand/walk for the duration of a scheduled shift (at least 8 hours).
- Ability to visually verify information and locate and inspect merchandise.
- Ability to comply with health and safety standards.
Pay Range: $19.60 - $27.45
Kohl's offers a variety of benefits to associates depending on full-time/part-time status and work hours, including: WORK LIFE BALANCE (PTO, Vacation Buy Program, Parental Leave), HEALTH & WELLNESS (Medical, Dental, Vision and other short and long term disability programs, Emergency health and wellness programs such as Accident Protection Plans, Critical Illness Plans and more), SAVINGS & RETIREMENT BENEFITS (401k, Flexible Spending Accounts and associate discount programs with Kohl's partners), INSURANCE PROGRAMS (Life Insurance for you, your family or your pet, as well as other protection programs), and LIFE EVENTS (Legal and adoption assistance benefits).
We're building safety-enhancing technology for aviation that will save lives. Automated aviation systems will enable a future where air transportation is safer, more convenient and fundamentally transformative to the way goods - and eventually people - move around the planet. We are a team of mission-driven engineers with experience across aerospace, robotics and self-driving cars working to make this future a reality.
As a Senior Software Engineer - Engineering Productivity at Reliable Robotics, you will design, and implement software to support the development, analysis, and certification of automated aircraft systems. You will work closely with product owners and end users to develop solutions that enable and optimize engineering development workflows. The software you produce will be critical to the development and certification of the first fully autonomous aircraft.
Responsibilities
In your role as an internal tool developer, you will develop applications, infrastructure, and tools used by engineering to capture product requirements and interface definitions, model the product architecture and design, and reduce and analyze flight and lab test data. You will supercharge the engineering organization's efficiency and effectiveness by streamlining tools and processes. You will work with other teams and stakeholders to establish technical and UX design requirements for these projects and own the "plan, code, build, test, release, deploy" lifecycle of these applications and services.
Basic Success Criteria
Bachelor's degree in Computer Science, Computer Engineering, or equivalent experience
5+ years experience with professional full stack web development in a team setting
Professional experience with core browser technologies (JavaScript, HTML, CSS) and TypeScript
Experience structuring dynamic, model-driven data and determining data relationships
Experience working with SQL, NoSQL, and time series databases
Experience designing software architecture for both new and existing projects
Preferred Criteria
Experience using Python and libraries such as pandas, matplotlib, and django
Experience integrating with cloud platforms and infrastructure tools such as AWS, Terraform, and Docker
Experience designing and implementing ingestion pipelines for high-throughput streams of real-time telemetry
Experience integrating business intelligence and data visualization tools such as Tableau, Power BI, Superset, Metabase
Experience developing React components and reusable libraries/tools for developers
At Reliable Robotics, we believe that our internal tools are key ingredients to our success. Aircraft design, integration, and certification are highly complex processes requiring diligent management of data and their relationships. Traditionally a paper process, our tools enable our system designers to move faster, conduct more thorough and comprehensive analyses, and design safer aircraft systems. Come be a part of taking our products to the next level.
This position requires access to information that is subject to U.S. export controls. An offer of employment will be contingent upon the applicant's capacity to perform in compliance with U.S. export control laws.
All applicants are asked to provide documentation that legally establishes status as a U.S. person or non-U.S. person (and nationalities in the case of a non-U.S. person). Where the applicant is not a U.S. person, meaning not a (i) U.S. citizen or national, (ii) U.S. lawful permanent resident, (iii) refugee under 8 U.S.C. * 1157, or (iv) asylee under 8 U.S.C. * 1158, or not otherwise permitted to access the export-controlled technology without U.S. government authorization, the Company reserves the right not to apply for an export license for such applicants whose access to export-controlled technology or software source code requires authorization and may decline to proceed with the application process and any offer of employment on that basis.
At Reliable Robotics, our goal is to be a diverse and inclusive workforce. As an Equal Opportunity Employer, we do not discriminate on the basis of race, religion, color, creed, ancestry, sex, gender (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender identity, gender expression, sexual orientation, age, non-disqualifying physical or mental disability or medical conditions, national origin, military or veteran status, genetic information, marital status, or any other basis covered by applicable law. All employment and promotion is decided on the basis of qualifications, merit, and business need.
If you require reasonable accommodation in completing an application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to
Compensation Range: $215K - $300K
Apply for this JobLocum Neuro California Long-term needDetails:Location: near Anaheim, CADuration: November
- ongoingSchedule: Full-timeShift: Monday-Friday, 8a-5pCall: Monday-Sunday 5p-8a, very low volume Scope of Practice: Neurology
- 100% neuro related conditions caused by cancer treatment.
All patients are currently or previously undergone cancer treatment.
Neuropathology, EEG (absolutely required), Epilepsy, Seizures, Neurophysiology, Headache, neuro diagnostics (option for EMG).Scope of IP: Inpatient (IP) consults primarily seizures and altered mental status.
Provide neurologic consults and urgent follow-ups; ideally read EEGs; and optionally (rarely) perform inpatient EMG.
STAT consults Volume: 8-10 new patients per day in clinic.
IP volume: 0-2 consults per day EMR: EPICHospital: stand-alone cancer center with evaluation treatment center: 60-63 beds to start (73 bed capability); 8 bed ICU (20 bed capacity); 8 ETC bedsGroup: MA and Nurses help put in the order.
EEG techs to run the studies.
3.5 other Neurologists in the group that work at other clinics.
No NP/PA.
PMR support for pain if need be.
Will be solo neurologist in the office.Credentialing: 60-90 daysRequire: BC Neuro, Active California License/DEABenefits:1099 Independent ContractA+ Malpractice CoverageFull Travel/lodging providedHighly Competitive Pay Rates
Shift Start Time:
Variable
Shift End Time:
Variable
AWS Hours Requirement:
8/40 - 8 Hour Shift
Additional Shift Information:
Weekend Requirements:
As Needed
On-Call Required:
Yes
Hourly Pay Range (Minimum - Midpoint - Maximum):
$124.640 - $160.830 - $197.020
The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
What You Will Do
Working with the Chief Medical Officer, oversees medical care for Sharp Health Plan (SHP) products and services and oversees the health care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is accountable for and provides professional leadership and direction to the utilization/cost management and clinical quality management functions. Works collaboratively with other plan functions that interface with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan Chief Medical Officer) in short and long range program planning, total quality management (quality improvement), and external relationships. Works with all departments of Health Services to support, provide assistance and direction in overall medical management effectiveness. Reports all issues of clinical quality management to the health plan Chief Medical Officer. To ensure that policies and systems are followed until agreed upon change is implemented. Works toward SHP strategic goals and objectives of ensuring a high quality of medical care for Plan members, staff empowerment, customer satisfaction, cost-effectiveness, and market competitiveness. As a member of the management team, assists in identifying and establishing strategic goals and objectives for the Plan.
Required Qualifications
- Doctor of Medicine (MD)
- Previous experience in the clinical practice of medicine.
- Previous experience as a physician executive in a managed care environment, preferably as an HMO Medical Director.
- California Physicians and Surgeons License - Medical Board of CA -REQUIRED
Other Qualification Requirements
- Board certified in a medical discipline (internal medicine or family practice preferred).
Essential Functions
- Responsible and accountable to the Chief Medical Officer for helping to manage health plan medical costs and assuring appropriate health care delivery for SHP's products and services. Reports organizationally to the Chief Medical Officer.
- Plans, organizes, and directs the professional medical services program, consisting of all primary and Specialty services for in-patient, out-patient, preventive and wellness programs.
- Implements health plan medical policies, goals and objectives.
- Provides professional leadership and direction to the functions within the Medical Management
- Department (Utilization/Cost Management and Quality Management)
- Responsible for and assists with the development of staffing plans and assuring the adequate allocation of resources to the medical management functions.
- Responsible and accountable for implementing the Utilization/Cost Management Program and Quality Improvement Program, in conjunction with the Manager Medical Management and Quality Improvement Manager.
- Assists the Chief Medical Officer with activities to promote positive community relations.
- Assures plan conformance with legal and regulatory requirements
- Assists the Chief Medical Officer and the Quality Improvement Manager in creating and maintaining a system that gives feedback to providers individually and collectively regarding managed care effectiveness of individual providers and networks.
- Assists the Chief Medical Officer in designing and implementing corrective action plans to address issues and improve plan and network managed care performance.
- Collaborates with Chief Medical Officer in creating and maintaining programs that incentivize providers to achieve selected utilization/cost and quality outcomes.
- Participates in policy review, performs analysis and makes recommendations.
- Participates in the retrospective review and analysis of Plan performance from summary data of paid claims, encounters, authorization logs, complaint and grievance logs and other sources.
- Achieves and maintains benchmarked utilization and cost management (UM) goals and clinical quality improvement (QI) objectives, in conjunction with the Manager Medical Management and Quality Improvement Manager.
- Provides periodic written and verbal reports and updates as required in program descriptions, Annual Work Plans and policy and procedures to various plan committees, and the SHP Chief Medical Officer.
- Supports NCQA qualification activities. Prepares for site visits and responds to accrediting and regulatory agency feedback.
- Supports pre-admission review, utilization management, and concurrent and retrospective rev1ew process.
- Participates in risk management, pharmacy utilization management, catastrophic case review, outreach programs, HEDIS reporting, site visit review coordination, triage, provider orientation, credentialing, profiling, etc.
- Conducts quality improvement and outcomes studies as directed by the Quality Management Committee, Peer Review Committee and Chief Medical Officer and reports findings in conjunction with the Quality Improvement Manager.
- Participates in the grievance process with the Chief Medical Officer, insuring a fair outcome for all members.
- Monitors member and provider satisfaction survey results and implements changes as needed to increase satisfaction and assure that satisfactory relationships are maintained between network and plan participants.
- Participates in SHP Advisory Committees which include (but are not limited to) the Peer Review Committee and the Quality Management Committee.
- Participates in key marketing activities and presentations, as requested.
- Promotes wellness and ensures programs of prevention, education and outreach to members and providers are consistent with SHP's mission, vision and values.
- Maintains up-to-date knowledge of new information and technologies m medicine and their application to SHP.
- Performs and oversees in-service staff training and education of professional staff.
- Represents SHP at medical group meetings, conferences, etc.
- Participates in the development of strategic planning for existing and expanding business. Recommends changes in program content in concurrence with changing markets and technologies.
- Participates in key marketing activities and presentations, as necessary, to assist the marketing effort, as requested.
- Ensures that the Utilization Management staff is available on a 24 hour basis to respond to authorization requests for emergency and urgent services and is available, at a minimum, during normal working hours for inquiries and authorization requests for non-urgent health care services..
- Performs other duties as requested or assigned.
- Collaborates with the Manager, Medical Management to guide and direct staff in relation to medical issues and departmental responsibilities. Assists in monitoring, reviewing, and evaluating the quality of health care services provided and the appropriateness of health care resources utilized, and communicates with PMGs and Plan providers as needed. Addresses physicians' issues and educates providers with regard to Plan policy as needed.
- Completes and/or supervises the completion of all clinical appeals and grievances. Collaborates with Customer Care Manager to identify trends in grievances. Supervises the process for identifying Potential Quality Issues.
- Supervises Physician Reviewer(s)
- Shares after-hours coverage responsibilities with other physicians
- Assists the CMO, as needed, to oversee the credentialing process.
- Assists in the development and interpretation of the covered benefit provisions of member materials and Plan contracts. Assists in the development and implementation of new benefits packages.
- Maintains appropriate contacts with membership in community and professional organizations.
Knowledge, Skills, and Abilities
- Strong clinical background and skills.
- Solid understanding of utilization management and quality assurance activities and concepts.
- Excellent communication skills, both verbal and written.
- Strong interpersonal skills, including the ability to interface effectively with employees, members, physicians, senior management, and the public at large.
- Management skills to meet the organizational goals.
- Knowledge of regulatory and accreditation agencies and requirements.
- Able to manage multiple priorities and deadlines in an expedient and decisive manner.
- Able to manage difficult peer situations arising from medical care review.
- Appreciation of cultural diversity and sensitivity towards target population.
Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
California Physicians and Surgeons License - Medical Board of CA; Doctor of Medicine (MD)
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Remote working/work at home options are available for this role.
