Gap Remote Careers Jobs in Usa

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Summary:

An LVN/ LPN plays a crucial role in managing patient care and ensuring continuity of services. The Care Coordinator is responsible for making telephonic outreaches to members attributed to our value-based contacts. They support the ACO and CIN network providers and practices in successfully meeting quality improvement initiatives, monitoring standards of care and managing high risk multi morbidity patient populations across CHRISTUS Health ministries. The role focuses on improving quality care gaps, promoting preventive care, and improving patient outcomes.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Mentor, train and support the team of care coordinators, ensuring high-quality care and adherence to best practices. Assist with work assignments and development of new work processes as needed. Coordinate and assist with associate onboarding. Create education material for training.
• Monitor and ensure compliance with all regulatory requirements, organizational policies, standing delegated orders and protocols.
• Identify quality gaps and risk adjustment gaps. Participate in Quality Improvement Programs as indicated. Attend learning sessions and share information learned with team members. Assist in the development of tools, education, and workflow processes to assist the network in meeting CMS, ACO, documentation, and payor quality initiatives.
• Conducts internal review audits to facilitate feedback for documentation and efficiency of the care coordination team.
• Support Primary Care Providers and assist patients in scheduling preventative screenings and appropriate appointments. Maintain ongoing communication with healthcare providers through various tools and meetings.
• Monitor value-based care quality performance and pulls reports to identify open care gaps. Conducts telephonic outreach on behalf of providers to close care gaps & address medication adherence to facilitate star rating and quality performance.
• Providing counseling and health education to patients and families, using appropriate materials and standardized protocols. Serve as a subject matter expert in care transitions & quality metrics. Assist in educating practice staff on quality, payor, and government program requirements.
• Communicate resources and services available to patients through the continuum of care.
• Escalate health concerns to Primary Care providers and place referrals to appropriate care team members, i.e., Nurse Navigation, CHW, etc. Develop professional working relationships with ACO and CIN network providers, practice managers, and their staff to collaboratively manage follow-up care and improve overall health and wellness. Conduct in-person and virtual meetings with practice managers, staff, providers and managers to communicate program goals, results, and provide education.
• Document relevant, comprehensive information and data using standard assessment tools. Maintain patient chart compliance through proper documentation and updated: preventative screenings, medical history, medication, and immunizations.
• Unburden primary care providers by placing approved orders for labs and other screenings as per the Standing Delegated orders.
• Perform Transition of Care calls on patients transitioning from an inpatient stay to home, or emergency department encounter to identify the need for a follow-up appointment, community resource needs, scheduling follow-up appointments, reviewing discharge instructions, and medications. Utilizing clinical judgment and problem-solving skills to coordinate appropriate care with physicians and Nurse Navigation.
• Prepare and maintain Transitions of Care and Care Management reports and provide periodic updates to network leaders.
• Must have strong leadership, exceptional oral communication skills, strong organizational and analytical skills, ability to adapt to change and motivate a team.
• Must have a strong ability to multi-task and coordinate multiple projects.
• Perform other duties as assigned.

Job Requirements:

Education/Skills
• High School Diploma required.

Experience
• Minimum of 3 years of clinical or home health experience required.
• 5 years supporting value-based care programs, accountable care organizations, or HEDIS
• Knowledge of government programs (CMS), accountable care organizations (ACOs), HEDIS, and experience with payor cost sharing initiatives preferred.
• Knowledge of physician office practice operations and 3 years of experience in a physician practice is preferred.
• Proficiency in keyboarding and EHR systems, primarily Epic.

Licenses, Registrations, or Certifications
• LVN/ LPN in the state of employment and/or compact licensure required.

In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time

Company Description

San Diego Community Health Center is a Federally Qualified Health Center (FQHC) and an Indian Health Service (IHS) funded nonprofit organization. Since 1979, the center has provided comprehensive medical, dental, behavioral health, and wellness services to the community. As a 501(c)(3) nonprofit organization, it is dedicated to delivering high-quality healthcare for all people. Learn more about the center’s mission and services by visiting .

Role Description

The Quality Manager is responsible for leading the organization’s quality improvement activities to ensure measurable improvement in clinical quality, preventive care, and grant-required performance measures. This role oversees performance monitoring and improvement initiatives related to HEDIS, GPRA, HRSA, and grant-specific measures, and is accountable for driving sustained improvement through workflow redesign, data analysis, patient outreach strategies, and cross-functional collaboration.

The Quality Manager works closely with clinical, operational, care management, outreach, and grants teams to identify gaps in performance, implement corrective actions, and ensure improvement is documented, measurable, and sustainable.

This position focuses on systems improvement and performance outcomes, not direct clinical care.

Must be able to demonstrate knowledge and skills necessary to perform all job-related activities as outlined below. In addition, must perform other duties as assigned.

Essential Duties and Responsibilities:

Primary Functions:

Quality Measurement & Performance Oversight

1.    Oversees tracking, monitoring, and reporting of quality measures, including but not limited to:

a.    HEDIS measures.

b.    GPRA measures.

c.    HRSA clinical quality measures.

d.    Grant-specific performance indicators.

2.    Reviews performance data regularly to identify gaps, trends, and improvement opportunities.

1. Ensures quality measures are calculated, validated, and reported accurately and timely.
2. Maintains dashboards and reports for leadership, clinical teams, and grant stakeholders.

Workflow Analysis & Process Improvement

1.    Leads analysis of clinical and operational workflows impacting quality outcomes.

2.    Identifies breakdowns in processes related to screening, follow-up, documentation, and patient engagement.

3.    Designs and implements workflow changes to improve performance and close care gaps.

4.    Ensures workflow changes are standardized, documented, and scalable across sites or departments.

5.    Monitors post-implementation results to ensure improvements are sustained and measurable.

Patient Outreach & Gap Closure Strategies

1.    Partners with non-clinical patient outreach efforts to improve quality measure performance, including:

a.    Outreach calls, reminders, and follow-up coordination.

b.    Appointment scheduling support.

c.    Referral follow-up tracking.

2.    Develop protocols for patient contact when outreach is needed to close care gaps.

1. Works with PSRs, care coordinators, CHWs, and other teams to ensure outreach activities align with quality goals.
2. Monitors outreach effectiveness and adjust strategies based on results.

Cross-Department Collaboration & Accountability

1.    Partners with clinical leadership, care management, PSR, referrals, IT, and grants teams to drive quality improvement.

2.    Aligns quality initiatives with grant requirements and funding objectives.

3.    Coordinates with Grants and Finance teams to ensure quality performance supports grant sustainability.

4.    Brings data-driven recommendations to leadership to address underperforming measures.

5.    Ensures accountability across teams contributing to quality outcomes.

Gant & Program Quality Support

1.    Supports grant-funded programs by aligning workflows and activities with required performance measures.

2.    Monitors quality-related grant deliverables and timelines.

3.    Provides documentation and evidence of improvement for grant reporting, audits, and site visits.

4.    Works with program managers to remediate underperforming measures that may impact funding.

Training, Guidance & Change Management

1.    Provides training and guidance to staff on quality workflows, documentation standards, and measure requirements.

2.    Translates complex measure definitions into practical operational steps for staff.

3.    Supports change management efforts to ensure adoption of new workflows.

4.    Reinforces the importance of quality improvement as a shared organizational responsibility.

Compliance, Documentation & Audit Readiness

1.    Ensures quality improvement activities are well-documented and audit ready.

2.    Maintains policies, procedures, and QI plans related to quality management.

3.    Supports internal and external audits, site visits, and monitoring activities.

4.    Ensures quality improvement efforts align with regulatory and grant requirements. Quality and patient safety to adopt best practices.

Qualifications:

Minimum Qualifications:

1.    Bachelor's degree from an accredited college or university in Nursing, Quality, Social Work, or other health related field preferred.

2.    Minimum 3–5 years’ experience in healthcare quality improvement, population health, or performance management.

3.    Some knowledge of Clinical Compliance, Best Practices, Medical Record Review, Legal Aspects of Documentation, or medical coding and billing preferred.

Preferred:

1.    Experience in Compliance, Risk Management, Quality Management, Documentation Standards, Billing, and Coding knowledge.

2.    Experience serving a multinational, multicultural population.

3.    FQHC background.

1. Familiarity with Community Health Clinics and/or Indian Health Clinics.

5.    ECW EHR.

Quality Management:

1.    Contribute to the success of the organization by participating in quality improvement activities.

2.    Complies with all SDAIHC policies and procedures and proactively participates in the implementation of new initiatives.

3.    Participate and ensures continuous quality improvement process as directed by clinic leadership.  

Safety:

1.    Ensures regulatory compliance and adherence with policies and procedures related to safe work practices.

2.    Participate in infection prevention through appropriate use of infection control measures during patient treatment and patient interactions.

3.    Ensure compliance with regulatory requirements for maintaining physical spaces, equipment, and supplies.  

4.    Uses all appropriate equipment and/or tools to ensure workplace safety. 

5.    Immediately reports unsafe working conditions.  

Privacy/Compliance:

1.    Maintains privacy and security of all patients, employee, and volunteer information and access to such information. Such information is accessed on a need-to-know basis for business purposes only. 

2.    Complies with all regulations regarding corporate integrity and security obligations. Reports unethical, fraudulent, or unlawful behavior or activity.

3.    Upholds strict ethical standards.

Disclaimer

Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. This description reflects management’s assignment of essential functions. It does not prescribe or restrict the tasks that may be assigned. This job description is subject to change at any time.

Preference is given to qualified American Indian/Alaskan Natives in accordance with the American Indian Preference Act (Title 25, U.S. Code Section 472, 473 and 473a). In other than the above, the San Diego American Indian Health Center, is an equal opportunity employer.

Company Overview

The Newtron Group is one of the largest privately held specialty industrial construction companies in the United States and a recognized leader in industrial and mission critical electrical industry.

We provide integrated solutions including electrical construction, automation, analytical systems, heat tracing, and design-build services across a wide range of industrial and manufacturing sectors.

With a nationwide presence and long-standing relationships with manufacturers, suppliers, and vendors, The Newtron Group delivers innovative, turnkey solutions from concept through construction that help clients reduce cost, improve reliability, and accelerate project delivery.

Position Overview

The Newtron Group is expanding our Preconstruction Team with emphasis on expanding our Design-Build capabilities.

The Electrical Engineer – Design Build / Preconstruction will support estimating, preconstruction, and project teams by identifying design gaps, constructability issues, and code compliance concerns within issued drawing packages and progressed BIM models.

This role plays a critical part in:

• Improving bid accuracy
• Reducing execution risk
• Temporary power design assistance
• Supporting field teams with timely engineering analysis
• Strengthening our design-build capabilities

This position reports directly to the Director of Preconstruction and collaborates closely with estimating, BIM/VDC, procurement, scheduling, and construction teams across the organization.

This role does not serve as Engineer of Record and does not assume design liability for final stamped drawings.

Key Responsibilities

1. Preconstruction & Estimating Support

• Perform technical reviews of issued drawing packages, specifications, and owner standards
• Identify design gaps, ambiguities, conflicts, and code compliance concerns
• Validate raceway sizing, conductor counts, and fill assumptions
• Review voltage drop impacts on feeder and branch circuits
• Assist estimators with scope validation and risk identification
• Develop technical narratives, clarifications, and proposal assumptions
• Participate in constructability reviews to ensure systems are practical, code compliant, and aligned with field installation methods
• Support the development and evolution of internal preconstruction tools, systems, and processes

2. Design Gap Resolution & Technical Analysis

• Raceway fill calculations
• Voltage drop calculations
• Equipment sizing validation
• Short-circuit and coordination review support (as required)
• Arc flash study review support
• Temporary power design including load and lighting calculations
• Additional responsibilities include:
• Reviewing vendor submittals for electrical scope gaps
• Reviewing shop drawings and prefabrication details
• Identifying design deficiencies early and assisting teams with RFIs and change documentation
• Helping prevent field rework and schedule impacts through early design validation

3. Field & Execution Team Support

• Provide technical support to project managers, superintendents, and field leadership
• Assist with interpretation of drawings, specifications, and electrical code requirements
• Support resolution of unforeseen site conditions or design conflicts
• Review proposed field modifications for compliance and risk
• Participate in project kickoff meetings, constructability reviews, and coordination meetings
• Contribute to post-project look-back meetings for continuous improvement

4. Code Compliance & Risk Mitigation

• National Electrical Code (NEC) interpretation and application
• Owner standards and project-specific electrical criteria
• Applicable Authority Having Jurisdiction (AHJ) requirements
• This role ensures proposed solutions remain compliant while protecting the company from assuming unintended design liability.

5. Collaboration & Communication

• Estimating and Preconstruction Teams
• Project Management and Field Supervision
• BIM / VDC Teams
• Prefabrication and QA/QC Teams
• Coordinate with external design professionals when necessary to clarify design intent and resolve discrepancies.

6. Position Boundaries

This position:

• Does not serve as Engineer of Record (EOR)
• Does not stamp or seal drawings
• Provides engineering support in a design-assist and validation capacity
• All final design responsibility remains with the project's designated design professional.

7. Desired Outcomes & Value to the Company

This role is designed to strengthen the company's technical capabilities and support successful project delivery by:

• Improving bid accuracy
• Identifying design gaps early in the project lifecycle
• Reducing field rework and schedule impacts
• Strengthening technical credibility with owners and contractors
• Providing engineering support to field teams without assuming design liability

Requirements

• Bachelor’s Degree in Electrical Engineering
• Electrical Engineering and Design experience
• Ability to run electrical calculations to ensure NEC code compliance
• Ability to use engineering software for calculations and verifications
• Advanced user of Bluebeam Revu
• Experience with client technical submittals
• Experience in communicating directly with clients, vendors and subcontractors
• Extreme attention to detail
• Persistent work ethic
• After hours work, social activities and training
• Team building skills
• Proficient written and oral communication skills
• Ability to read material and comprehend content
• Excellent note taking skills
• Knowledge of the BIM/VDC process
• Personable and outgoing
• Commitment to research and development for continuous improvement of our preconstruction processes

Why join The Newtron Group?

• Work on large-scale industrial and mission-critical projects
• Collaborate directly with senior leadership and preconstruction teams
• Help expand design-build capabilities at a national electrical contractor
• Gain exposure to estimating, engineering, BIM/VDC, and field execution
• Contribute to projects from concept through construction
• Opportunity for professional growth within a nationally recognized contractor

At Community Financial System, Inc. (CFSI), we are dedicated to providing our customers with friendly, personalized, high-quality financial services and products. Our retail division, Community Bank, N.A., operates more than 200 customer facilities across Upstate New York, Northeastern Pennsylvania, Vermont and Western Massachusetts. Beyond retail banking, we also offer commercial banking, wealth management, investment management, insurance and risk management, and benefit plan administration.

Just as our employees are committed to helping our customers manage their finances, we're committed to our employees. After all, they make it happen for our customers every day.

To ensure our people can enjoy long and successful careers here at CFSI, we offer competitive compensation, great benefits, and professional development and advancement opportunities. As an equal-opportunity workplace and affirmative-action employer, we celebrate and support a diverse workplace for the benefit of all: our employees, customers and communities.

The major responsibility for an Insurance Claims Representative is assisting the department with manners regarding the company's credit insurance programs and claims.

Essential Responsibilities

• Process Life and Disability Insurance claims
• Process Life and Disability Insurance proceeds received from an internal or external insurance carrier
• Perform next day verification of Life and Disability payments to ensure they were keyed to the customer's account correctly
• Process Total Loss claims
• Verify GAP coverage after a Total Loss and file the GAP claim. Process GAP refunds/issue checks
• Process Total Loss proceeds issued by auto insurance companies Process collision/repair checks issued by auto insurance companies
• Perform next day verification of Total Loss and/or collision repair payments to ensure they were keyed to the customer's account correctly
• Process cancellations on Total Losses for back-end products (i.e. Dealer Warranties)
• Prepare and send Customer Balance Letters
• Coordinate and process loan payoff requests
• Process the necessary lien and/or title releases
• Handle account researches, credit disputes, and/or assist with customer complaints. Cut and issue checks to applicable parties
• Correspond to and provide necessary documentation to third party companies including customers, physician offices, auto insurance companies, GAP insurance carriers, and dealership representatives to ensure all available monies or refunds are requested and paid in a timely manner
• Add and remove insurance codes on accounts accordingly to reflect the current account/claim status
• Perform next day verification of the addition or removal of insurance codes
• Assist with collection efforts on delinquent accounts with pending/active insurance claims Effectively communicate and cooperate with other Bank departments and personnel regarding accounts with insurance claims
• Thoroughly document accounts detailing the action taken, information needed, and/or next steps Perform daily and monthly balancing and reconciliation of general ledger accounts
• Continuously cross train on other functions as needed or requested Assist the Direct Lending Manager with tasks, reports, or projects Assist the Direct Operations Supervisor with tasks, reports, or project.
• Perform multiple queue verifications within the Consumer Loan platform to ensure all loans with open/active insurance claims are worked in a timely and regulatory manner
• Assist with updating procedures as needed
• Assist with and absorb additional insurance claim related functions resulting from a merger/acquisition
• Provide quality service to coworkers, customers, third party vendors, insurance companies, etc.
• Other duties as assigned or directed

• Maintain proficient knowledge of, and demonstrate ongoing compliance with all laws and regulations applicable to this position, ensure ongoing adherence to policies, procedures, and internal controls, and meet all training requirements in a timely manner

Ancillary Duties:

As an integral member of the Indirect/Direct Consumer Loan Departments, this position I s also responsible to provide assistance wherever necessary to help the Department and the Bank in achieving their annual goals.

Education, Training and Requirements:

• High School Diploma or GED required
• Associates Degree in related field of study or two (2) years' experience in a related field preferred
• Valid driver's license
• All applicants must be 18 years of age or older

Skills:

• Keen attention to detail
• Proficient reading, writing, grammar and mathematics skills
• Proficient and professional interpersonal relations and communicative skills
• Adaptable
• Flexible and understanding of change
• Positive attitude with a level-headed approach
• Creative thinker
• Collaborative team player
• Dedicated work ethic and ability to manage responsibilities well
• Ability to work with high volumes at a fast pace while maintaining quality
• Able to maintain focus within an open floor plan office setting consisting of simultaneous professional conversations

Experience:

• Minimum of two (2) years of experience in related field strongly preferred

Hours: 40hours/week

Compensation: Commensurate with experience plus potential for annual merit increase. In addition to your competitive salary, you will be rewarded benefits including: 11 paid holidays, paid vacation, Medical, Vision & Dental insurance, 401K with generous match, Pension, Tuition Reimbursement, Banking discounts and the list goes on!

Physical Requirements:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee may be required to stand, walk or sit. Use hands and fingers, handle or feel, reach with hands or arms, and speak and hear. The employee may occasionally be required to lift and or move up to 25 pounds. Specific vision abilities required by this job include close vision, and the ability to focus.

The Company is an Affirmative Action, Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation and gender identity), national origin, citizenship status, age, disability, genetic information, veteran status, or any other characteristic protected by applicable federal, state or local law.

The Company will make reasonable accommodations for qualified individuals with a disability. If you have a physical or mental impairment and would like to request an accommodation with respect to the application process, please contact the Human Resources Department.