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POSITION SUMMARY/RESPONSIBILITIES
The RN Service Coordinator-RN (RN-SC) contributes to the Long Term Services and Supports (LTSS) service coordination process by performing activities within the scope of licensure; provides supervision and direction to staff participating in Member's cases following applicable state law and contract; develops, monitors, evaluates, and revises the Members' care plans to meet Member's needs, to optimize health care across the care continuum to enhance the Member's well-being, independence, integration in the community, and potential for productivity. The RN-SC conducts a holistic assessment of the Member's dynamics, needs, and preferences while providing education and health-related information to the Member, the Member's Legal Authorized Representative (LAR), and the Member's Support Network. Responsible for the coordination of STAR+PLUS Members' covered and non-capitated services, including acute and LTSS, while meeting the Member's physical, behavioral, functional, and psychosocial needs. Complies with policies, procedures, and protocols for establishing and maintaining good working relationships with co-workers, employees, patients, and guests.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing or social work is required. BSN is preferred. Four (4) recent years of clinical experience preferred, which may include service coordination, case management, quality management, or managed care experience. Working knowledge of HMO standards, LTSS, and NCQA standards is preferred. Knowledge of Medicare and Medicaid HMO experience is preferred. Experience in meeting the needs of vulnerable populations who have chronic or complex conditions is required. Bilingual, English/Spanish, is preferred.
LICENSURE/ CERTIFICATION
A current, unrestricted license to practice professional nursing issued by the State of Texas is required. RUG Certification is required and must be obtained within 30 days of employment for all RN candidates.
Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values โ honesty, integrity, loyalty and service โ define how we treat each other and our members. Be part of what truly makes us special and impactful.
The Opportunity
We are looking for a SIU Investigator (mid-level). This is a Desk position. Within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures. The selected candidate will have a strong multi-line SIU investigation background.
This position is remote eligible. However, you must currently live in California.
What you'll do:
Applies knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or third part claims.
Participates in the development of fraud prevention strategies.
Applies knowledge of P&C insurance industry products, services, and processes in investigating claims to include P&C insurance policy contracts, coverages and internal claims handling process and procedures.
Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims.
Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools.
Makes recommendations within defined authority guidelines.
Prepares and presents detailed and comprehensive verbal and written investigative reports summarizing the results of the investigation and recommended outcome.
Develops and maintains external relationships with industry, law enforcement and other contacts involved in fraud investigation, detection, and prevention.
May serve as a resource team member on specific matters through demonstrated skill or training.
Assists with the delivery of fraud awareness training initiatives in a defined environment.
Handles CAT duty responsibilities as business requires.
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
Minimum High School Diploma or General Equivalency Diploma (GED).
2+ years claims adjusting experience, or P&C SIU/Fraud Investigation experience OR 4+ years prior investigative law enforcement (to include military) or relevant fraud industry investigation experience.
Proven investigatory skills.
Experience obtaining statements from various parties to incidents, witnesses, and suspects.
Ability to gather broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud.
Demonstrated ability to organize and prioritize workload, performing multiple tasks and devising solutions to problems.
Familiarity with using computers and various software packages to enter and extract data for analysis from relevant data sources and systems.
Knowledge of city, state and local regulations, legal concepts, understanding of contracts, case law, medical treatment, and medical terminology.
SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and Law Enforcement Investigations OR Military Investigative experience.
Strong multi-line SIU experience
ย Designations such as CFE, CIFI, SCLA, ACLS, FCLS, LPCS, AIC, CPCU, CCLS, or other.
US military experience through military service or a military spouse/domestic partner
Compensation range: The annualized range for this position is: $77,120 - $147,390. However, this is an hourly position.
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
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Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
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The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
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For more details on our outstanding benefits, visit our benefits page on
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
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USAA is 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, or status as a protected veteran.
Remote working/work at home options are available for this role.
Title: ASIC/RTL Design Engineer - Senior (US)
Location: San Jose, CA - Onsite
Duration: 12 Months (Possible to extension)
Type: On W2 Contract (๐ก๐ผ ๐๐ฎ๐ / ๐ญ๐ฌ๐ต๐ต).
Job Description:
Top Must Have Skills:
- Experience in Designing RTL block for an SOC.
- Must have proven track record of ASIC design on several production tape-outs.
- Experience with Lint, CDC, RDC.
Key Responsibilities:
โข Write micro-architecture documentation and own major portions of the design and implementation of blocks to meet functional, timing, area, and power requirements.
โข Collaborate with architecture and hardware teams to understand the requirements.
โข Work with verification and physical design teams to achieve high quality design and successful tape out.
โข Design and implement logic functions that enable efficient test and debug.
โข Participate in silicon bring-up for features owned.
Required:
โข 5-6+ years' experience required
โข Must have proven track record of ASIC design on several production tape-outs.
โข Experience in Designing RTL block for an SOC.
โข Experience in integrating ASIC IP into an SOC.
โข Experience with synthesis, static timing analysis & optimizations.
Nice-to-have:
โข Experience writing timing constraints and exceptions.
โข Experience with automation using scripting techniques such as PERL, Python or Tcl
โข Experience in Power-saving techniques.
โข Experience with Arm architecture and APB, AXI, CHI protocols.
โข Experience with design involving Interconnects.
Education: Bachelor's degree required
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 Sr. Manufacturing Engineer (Aircraft Integration) at Reliable Robotics, you'll play a critical role in developing and continuously improving our manufacturing, installation, and maintenance processes to meet design, regulatory, and business requirements (including safety, quality, cost, and on-time delivery). This is a growing team of highly motivated people who are passionate about delivering quality products and services on time, with unquestionable value. You will be responsible for our automation system's installation and maintenance, including hands-on installations, procedure development, documentation, conducting design for excellence (DFx) reviews, and developing the processes and infrastructure to help the business scale. The projects you work on will set the foundation for how the business operates for years to come. This is a fantastic opportunity to work in a safety-critical environment that takes our products from prototype to production, in a hands-on environment.
Responsibilities
Responsible for installation, inspection, maintenance, repair, modification, testing, and fabrication of the Reliable-designed mechanical, electromechanical, and electrical/avionics assemblies, harnessing, interconnects, and other commercial-off-the-shelf (COTS) products
Conduct design for excellence (DFx) reviews to evaluate designs for cost, producibility, inspectability, consistency, adequacy, accuracy, and conformance to requirements
Collaborate with design, quality, and certification teams to embed manufacturability, compliance, and risk mitigation in all phases of product development (e.g., prototype, R&D, certification, and production)
Develop and ensure compliance with all policies, procedures, quality management systems, technical bulletins, engineering orders, service bulletins, and airworthiness directives
Develop processes to ensure accurate, current, and complete documentation (installation and inspection records, logbook entries, etc.) is utilized and maintained
Lead root-cause analysis and implement timely corrective actions to maintain schedule, quality, and reliability
Ensure an adequate supply of tools, serviceable parts, components, and consumables necessary for aircraft servicing and maintenance is maintained
Basic Success Criteria
Bachelor's Degree in Mechanical, Electrical, Aerospace, Systems Engineering, or 7+ years of relevant experience leading aircraft maintenance/modification operations
7+ years of aircraft design, manufacturing, inspection, and/or testing experience
2+ years of experience leading complex projects or programs in aerospace, autonomy, or robotics
2+ years of experience with computer-aided design (CAD) and Product Lifecycle Management (PLM) software, such as Altium, NX, and Teamcenter
Preferred Success Criteria
Holder of an FAA-accredited Airframe & Powerplant (A&P) Certificate
Prototype/R&D development or New Product Introduction (NPI) experience
Experience with industry or regulatory requirements such as AS9100, CFR 14 CFR 21.137, and/or 14 CFR Part 145
Knowledge of highly complex medium to heavy turbine-powered aircraft, their powerplants, flight and stabilization controls, pneumatic, fuel systems, electronic engine, hydraulic, and navigation systems
Maintenance and rigging experience on P&W PT6A Engines/Airframes
Previous leadership or management experience
Our team is passionate about delivering on our commitments, solving hard problems, continuously improving, and helping the business succeed. We are constantly reevaluating our technologies, products, and capabilities. If you are a lifelong learner, you will love this environment. Get in on the ground floor and help us build the company.
The position will be located at our facility in Albuquerque, NM, but will require frequent travel to San Martin, California.
Must be willing to travel 30% of the time (primarily training in San Martin, CA).
The estimated salary range for this position is $135,000 to $190,000. At Reliable Robotics, we strive to provide competitive and rewarding compensation based on experience and expertise, as well as market conditions, location, and pay equity.
In addition to base compensation, Reliable Robotics offers stock options, employee medical, 401k contribution, great co-workers, and a casual work environment.
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: $135K - $190K
Apply for this JobAbout the Role
What you will do
- Own the process for building payer relationships, identifying payer requirements for connection, translating requirements into user stories for the development team, coordinating implementation and testing, and ensuring the payer connection is successful in production.
- Fill the role of subject matter expert in relation to prior authorizations and notice of admission both in terms of payer requirements and overall business requirements to successfully manage prior authorizations between providers and payers.
- Identify and document the correct method of submission and status for prior authorizations to payers based on the payer requirement for specific service or CPT code including EDI 278 215/217, UMO payer portal, or Fax.
- Document payer portal prior authorization workflows for robotic process automation and work with the RPA development team to build and test new payer portal prior auth automations.
- Define and monitor key metrics for prior authorization connectivity, including transaction turnaround time, error rates, and customer satisfaction
- Maintain up-to-date knowledge of regulatory requirements impacting prior authorization processes and ensure compliance in all payer connections
- Become an expert in the upcoming Da Vinci FHIR prior authorization standards and work with development and business teams to ensure successful transition to FHIR
- Work with payers and providers to establish FHIR connections for Prior Auth
- Collaborate with the development team and clearinghouse team to establish EDI connections to payers
- Collaborate closely with development, QA, UX, and other cross-functional teams to ensure deliverables meet customer and business expectations.
- Engage directly with customers and internal stakeholders to elicit and understand business needs, pain points, and desired outcomes.
- Triage errors and issues that arise and work and collaborate with other teams to resolve as needed to resolve the issues.
- Prioritize the payer connection backlog based on business value, customer impact, and development capacity, ensuring alignment with strategic goals.
- Apply critical thinking to streamline processes and work towards continual improvement and efficiency
- Maintain and prioritize the user story backlog and work with development and stakeholder teams to refine user stories to meet the Definition of Ready for development
- Work with the scrum team to ensure all tasks are completed and the committed objectives are achieved
What you will bring
- Subject matter expert knowledge of healthcare prior authorizations and notice of admission processes on the provider, payer, and UMO sides.
- 2+ years of experience working with prior authorization submissions and status to payers and UMOs
- Knowledge of Da Vinci FHIR and ability to become a Da Vinci FHIR subject matter expert
- Strong skills in creating detailed requirements, user stories, and acceptance criteria.
- Strong analytical and critical thinking skills to solve complex business problems.
- Provide guidance and direction to the technology teams during the development cycle and participate in all scrum ceremonies. Be available and ready to make quick, well-informed team-level decisions on behalf of stakeholders and the business
- Ability to train others and share knowledge across teams
- Excellent written and verbal communication skills, excellent inter-personal skills with the ability to bridge business and technical environments, and ability to build professional relationships
- Ability to quickly learn complex systems and understand product architecture and development frameworks.
What we would like to see
- Bachelor's degree in a related field
- Experience working directly with healthcare providers, payers, or RCM vendors.
- Experience in Agile Scrum and SAFe development methodologies
- Healthcare revenue cycle management knowledge specifically related to prior authorizations
- Knowledge of healthcare EDI transactions including 278 215/216/217, 837, 835, 276/277, 270/271, and 275 EDI transactions
About FinThrive
FinThrive is advancing the healthcare economy.
For the most recent information on FinThrive's vision for healthcare revenue management visit /why-finthrive.
Award-winning Culture of Customer-centricity and Reliability
At FinThrive we're proud of our agile and committed culture, which makes FinThrive an exceptional place to work. Explore our latest workplace recognitions at careers#culture.
Our Perks and Benefits
FinThrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits. For the most up-to-date offerings visit /careers-benefits.
FinThrive's Core Values and Expectations
- Demonstrate integrity and ethics in day-to-day tasks and decision making, adhere to FinThrive's core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the FinThrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities
- Support FinThrive's Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, GLBA and other laws applicable to FinThrive's business practices; this includes becoming familiar with FinThrive's Code of Ethics, attending training as required, notifying management or FinThrive's Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations
Physical Demands
The physical demands and work environment characteristics described here are representative of those that a colleague must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Statement of EEO
FinThrive values diversity and belonging and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're committed to providing reasonable accommodation for qualified applicants with disabilities in our job application and recruitment process.
FinThrive Privacy Notice for California Resident Job Candidates
Know Your Rights
Pay Transparency Notice
FinThrive is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations.
2024 FinThrive. All rights reserved. The FinThrive name, products, associated trademarks and logos are owned by FinThrive or related entities. RV092724TJO
| FinThrive Careers | FinThrive Benefits & Perks | Physical Demands
Overview
A rapidly growing, vertically integrated commercial real estate investment firm with a premier portfolio of retail, multifamily, and mixed-use assets is seeking aย VP, Assistant General Counsel โ Retail Leasingย to join its in-house legal team. This role will serve as a key legal partner to leasing, asset management, and operations teams, supporting a high-volume and sophisticated retail platform.
This is an excellent opportunity for a business-minded real estate attorney who enjoys working closely with deal teams and advising on complex leasing matters within a collaborative, fast-paced environment.
Key Responsibilities
- Lead negotiation, drafting, and review of commercial retail leases, amendments, renewals, SNDAs, and related documentation
- Provide day-to-day legal support to leasing, asset management, development, and property operations teams
- Advise on lease interpretation, compliance, disputes, defaults, and risk mitigation strategies
- Partner with internal stakeholders to structure lease transactions and resolve business issues
- Support portfolio management initiatives across a diverse national retail platform
- Coordinate with outside counsel on leasing disputes or specialized matters as needed
- Contribute to process improvements and best practices as the platform continues to grow
Qualifications
- JD from an accredited law school and active bar membership
- 7+ years of experience focused on commercial real estate leasing, with retail experience strongly preferred
- Law firm or in-house experience supporting institutional real estate owners, developers, or operators
- Strong drafting and negotiation skills with a practical, solutions-oriented mindset
- Ability to manage multiple priorities in a high-volume environment
- Excellent communication skills and a collaborative approach
For additional information contact:
Peter French
VP & Executive Recruiter, Legal Practice Lead
(443) 691-1494
Hi ,
Position : GPU Lab / Datacenter Integration Engineer (Linux & Network)
Location: San Jose, CA(Hybrid)
Duration: 12+ Months Contract
Open only for Contract.
Need USC & GC Holders only.
15 Minute short video discussion is mandated for Submission.
Job Summary:
- We are seeking a Lab Support Engineer to support networking test lab operations in San Jose. The ideal candidate will have strong hands-on experience with networking hardware setup, test topology creation, and lab equipment management. This role involves working closely with engineering teams to deploy, maintain, and troubleshoot lab infrastructure while automating routine workflows using Python.
Must Have Skills:
- Hands-on experience with routers and switches setup and configuration.
- Experience using network traffic generators (Ixia, Spirent).
- Ability to design and build network test topologies.
- Experience working with terminal servers and optical switches in lab environments.
- Strong troubleshooting and problem-solving skills.
- Basic Python scripting for workflow automation.
- Experience with lab hardware ordering, receiving, and inventory management.
- Excellent verbal and written communication skills.
As a member of the C&S Wholesale Grocers family of companies, SpartanNash is a food solutions company that delivers the ingredients for a better life. A distributor, wholesaler and retailer with a global supply chain network, SpartanNash distributes grocery and household goods, including fresh produce and the Our Familyยฎ portfolio of products, to locations in all 50 states.
Our braggingly happy team members โ ranging from bakery managers to order selectors; from IT developers to vice presidents of finance; from HR Business Partners to export specialists โ create braggingly happy customers spanning national accounts, independent and chain grocers, e-commerce retailers, U.S. military commissaries and exchanges, and the Companyโs own brick-and-mortar grocery stores, pharmacies and fuel centers.
Ready to contribute to the success of our food solutions company? Apply now!
Location:
2301 Silver - Ashland, Nebraska 68003ย
Position Summary:
This role is responsible for data entry, process, retrieval and filing of any reports or store/company procedures and maintaining scanning information at store level; reviewing/executing proper host batch maintenance as scheduled; ensuring all sale items are entered into computer and taken off at end of sale, ensuring all shelf tags are accurate and maintained; price checks completed and prices marked in the store are accurate to ensure that the work shifts of all department associates contribute to the financial best interest of the store. Complete all other duties as assigned in a timely manner.
Here's what youโll do:
Execute changes for all prices marked in the store in strict accordance with specified procedures; Regularly shelf checks the entire store.
Order shelf tags for missing and/or new items on a regular basis; put tags up as soon as received on store level, and then verify system.
Verify for accuracy each UPC marked item in the store as compared to the file.
Notify Store Management if products/supplies need to be ordered.
Train others to perform all department activities and functions.
Handle spoiled/damaged products per established guidelines.
Have familiarity with all products carried in each department.
Maintain records on price verification for internal audits
Maintain a clean, attractive, and well stocked department.
Item location
Follow all PPE and Safety Guidelines
Follow all Food Safety and Cleaning Expectations
Follow guest experience guidelinesย
May be assigned tasks in other departments based on customer experience need
Additional responsibilities may be assigned as needed
Hereโs what youโll need:
High School Diploma (GED)
Proficient Computer (email, spreadsheets, etc.)
Ability to read, write, comprehend, and interpret documents
Suggestive Selling/Knowledge of Products preferred.
Detail Oriented
Delegate/Direct/Implement
Physical Requirements:
The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. May be required to lift and/or move up to 30 pounds frequently, and up to 50 pounds occasionally. The associate is required to stand and walk for extended periods of time and may bend, stoop, twist and turn frequently. While performing the duties of this position, the employee is subject to a typical retail store environment (varied temperatures) and is exposed to outside weather conditions. The noise level in the work environment is usually low to moderate. Travel requirements vary by assignment.
As part of our People First culture, SpartanNash is proud to offer a robust and competitive Total Rewards benefits package.
SpartanNash is an Equal Opportunity Employer that invests in Associate development, recognizes and celebrates success, fosters two-way communication, and promotes a sense of belonging. We are committed to providing equal employment opportunities to all individuals, including those with disabilities and Veterans.ย
We are not able to sponsor work visas for this position.
This position will support ongoing software application development in Dayton, OH.
Our team is working to create next-generation autonomy technology that spans a significant range, including UI development, architecture design and implementation, and algorithm design and development.
DCSโs role in autonomy development is broad and includes opportunities to work in one or more areas that apply to autonomous systems.
Essential Job Functions: Write code to implement designs constructed by human factors experts.
Review, revise, and update legacy code.
Perform code base maintenance including, but not limited to, deleting dead code branches, checking and updating build scripts, and other tasks as needed.
Develop tools and applications at an entry level.
Required Skills: Due to the sensitivity of customer related requirements, U.S.
Citizenship is required.
Must be able to pass a National Agency Background Check.
At least acceptance into a BS degree program at an accredited institution in a STEM-related discipline.
Some experience, classroom acceptable, with an object-oriented software programming language (such as C++, C#, Java, Python, Visual Basic).
Strong interest in programming and software development.
Ability to work well in team-oriented environments.
Highly motivated problem solver.
This role ensures that Care Management services are delivered in alignment with DHCS requirements, managed care plan contracts, and organizational standards.
The Supervisor provides clinical-adjacent and operational guidance, supports staff in managing complex cases, monitors quality and compliance, and promotes best practices in engagement, care coordination, documentation, and outcomes.
Key Responsibilities Staff Supervision & Development Supervise, coach, and support Care Managers to ensure high-quality, person-centered service delivery.
Provide onboarding, training, and ongoing professional development related to Care Management program requirements, workflows, documentation standards, and engagement strategies.
Conduct regular individual supervision, team meetings, and case conferences to review member progress, address barriers, and support complex case management.
Complete 90-day, annual, and corrective performance evaluations; address performance concerns through coaching and performance improvement plans as needed.
Review and approve staff timecards, paid time off requests, and schedules in alignment with program needs.
Promote staff safety, and retention in a field-based, high-acuity work environment.
Program Oversight & Quality Assurance Ensure Care Managers are meeting DHCS and managed care plan requirements related to outreach, engagement, assessments, care planning, service coordination, and follow-up.
Monitor caseloads, acuity levels, and workload distribution to ensure timely and appropriate service delivery.
Review documentation for accuracy, timeliness, and compliance, including assessments, care plans, case notes, and service logs.
Track and support compliance with required engagement, visit, and contact frequency benchmarks.
Identify trends, gaps, or barriers in service delivery and collaborate with leadership to implement quality improvement strategies.
Care Coordination & Member Support (Escalated / Complex Cases) Provide guidance and consultation on high-acuity, complex, or high-risk member cases, including those involving homelessness, behavioral health needs, medical complexity, or system fragmentation.
Support Care Managers in crisis response, safety planning, hospital discharge coordination, and transitions of care.
Assist with problem-solving related to member engagement challenges, missed appointments, or difficulty accessing services.
Model best practices in motivational interviewing, trauma-informed care, and culturally responsive service delivery.
Collaboration & Stakeholder Engagement Serve as a liaison between Care Managers, internal departments, managed care plans, healthcare providers, behavioral health partners, housing providers, and community-based organizations.
Participate in interdisciplinary meetings, case reviews, and partner coordination meetings as needed.
Support communication and coordination with health plans to address member needs, referrals, and program expectations.
Data, Reporting & Compliance Support accurate data tracking and reporting related to caseloads, engagement, outcomes, and service delivery.
Ensure staff adherence to confidentiality, HIPAA, and organizational policies and procedures.
Assist with audits, chart reviews, and monitoring activities conducted by internal teams or external entities.
Qualifications Required Bachelorโs degree in Social Work, Psychology, Public Health, Human Services, Sociology, Gerontology, or a related field.
Minimum of two (2) years of experience working with underserved populations, including individuals with complex medical, behavioral health, housing instability, or social needs.
At least two (2) years of supervisory or lead experience in care coordination, case management, social services, or a related field.
Experience working in community-based, field-oriented programs and collaborating with multidisciplinary teams.
Knowledge of Medi-Cal, safety-net healthcare systems, and social service navigation.
Preferred Masterโs degree in a related field.
Experience supervising care management or similar Medicare/DSNP or Medi-Cal managed care programs.
Bilingual and bicultural skills reflective of the communities served.
Skills & Competencies Strong leadership, coaching, and team development skills.
Ability to support staff working with high-acuity and complex member needs.
Knowledge of community resources, housing systems, behavioral health services, and care coordination best practices.
Excellent written and verbal communication skills.
Strong organizational skills and ability to manage competing priorities.
Proficiency with electronic health records, data systems, and mobile work tools.
Work Environment Hybrid role with a combination of remote work, field-based activities, and in-person meetings.
May include occasional joint field visits or community-based meetings to support staff and program needs.
Reliable transportation required including proof of required California auto liability insurance meeting state minimum limits.
Must be able to perform essential job functions such as lifting 5-10 pounds.
Partners in Care Foundation is an equal opportunity employer.
We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations.
It is our intent to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race (including hair texture and protective hairstyles, such as braids, locks, and twists), color, national origin, ancestry, religion, sex, sexual orientation, pregnancy (including childbirth, lactation/breastfeeding, and related medical conditions), physical or mental disability, genetic information (including testing and characteristics, as well as those of family members), veteran status, uniformed service member status, gender, gender identity, gender expression, transgender status, arrest or conviction record, domestic violence victim status, credit history, unemployment status, caregiver status, sexual and reproductive health decisions, salary history or any other status protected by federal, state, or local laws.
All qualified applicants will receive consideration for employment and reasonable accommodations may be made to enable qualified individuals to perform the essential functions of the position.
Remote working/work at home options are available for this role.