Kpg Provider Services Jobs in Usa
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Assignment Duration: 6 months with possibility of extension
Work Location: NC - 2 openings in Rocky Mount and Jacksonville/Wilmington (Candidates must be willing to travel up to 2.5-2.75 hours one way for in-person member visits; mileage and lodging (if required) will be reimbursed)
Job Description:-
Day to Day Responsibilities of this Position and Description of Project:
- Managing a case load for healthcare members with LTSS (Long Term Support/Services) needs. Monthly and quarterly member contact and will include 80% travel.
- Will require a driver's license.
- Member assessments and notes. Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development.
- Monitor delivery of services and follow-up with members, caregivers, or provider s through in person visits and telephonic contact Authorize and coordinate referral for services.
- Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care. Assist in coordinating the development of informal or voluntary services to integrate into the member care plan.
Candidate Requirements
Education/Certification
Required: Bachelor's
Preferred:
Licensure
Required: RN and/or LCSW/LCSW-A/BSN/ADN
Preferred:
Years of experience required: 2-4+ years of physical health care management experience, 4-6+ years of physical health care management experience preferred. Hospital CM, Home health, discharge planning, or long-term care experience preferred. Case management and care planning experience.
Preferred - Home health experience, community health/member facing, discharge planning
Disqualifiers: No Psych experience such as counseling (must have bedside case management hospital physical as well) no Right out of nursing school. No Nursing homes. No rehab.
Additional qualities to look for: Virtual, All Microsoft office, Experience with electronic medical health records
- Top 3 must-have hard skills stack-ranked by importance
1
Physical hospital Health, Care Management, Utilization Mgt, Home Health - all and/or background
2
Microsoft office - Tech savvy
3
Bedside care management
Position Title: LTSS Service Care Manager
Work Location: Candidates must reside within the state of Florida - Specifically Region 11 (Miami-Dade/Monroe would be amazing) northern Miami (Hialeah) 33012, 33013, 33147 (Miami) 33130, N, Miami 33180 is also okay
Assignment Duration: 3 months, contract to hire
Work Schedule: 8 am - 5 pm EST Mon - Fri
Responsibilities:
Remote Training - 30 days
Involves field-based training where the case managers will get to shadow on their last week (week 5) - hands on experience
- Working with members in a face-to-face environment
- This position does have the intent to convert based on performance and eligibility
- 8-5 Mon-Fri; Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver's license.
- Managing a case load for healthcare members with long-term care needs.
- Geriatric long-term care
- Member assessments and notes.
- Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development.
- Monitor delivery of services and follow-up with members, caregivers, or provider s through in-person visits and telephonic contact
- Authorize and coordinate referral for services.
- Ensure provider services are delivered without gaps and identify functional deficiencies in care plans.
- Assist in coordinating the development of informal or voluntary services to integrate into the member care plan Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long-term care services!
Assist members with filing and resolving complaints and appeals
Candidate Requirements
Education/Certification
Required: Requires a Bachelor's degree and 2 - 4 years of related experience
Preferred: n/a
Licensure
Required: n/a
Preferred: n/a
- Years of experience required
- Disqualifiers
- Best vs. average
- Performance indicators
Must have:
Case management (2 years)
Strong Microsoft skills
Nice to have
Bi-lingual or Tri-lingual would be great but must be able to communicate (verbal and written) in English as well. The members will have intakes in English, but should there be any language barriers that is why the team is seeking someone Bi-Lingual.
- Previous LTC or Hospice experience
- Bilingual - Spanish preferred with strong English skills
- Hialeah to North Miami - preferred. Also 33133, 33130, 33129, 33147
Previous interview feedback from HM on a general level:
- candidates are lacking in answering questions from the team during the interview
- Even though the team is seeking bi-lingual candidates - they are noticing that if English is not their first language, they may not be understanding the ask / question
- The team needs to ensure the CW can provide adequate and sufficient feedback
Assessments to members will be completed in English - but with that they are looking to ensure comprehension
Best vs. average:
Someone with great time management and great communication and written skills to the hiring manager it is very important for this person to be a team player
Someone who is adaptable to change
Training is completed virtually and not everyone is a virtual learner - this person should know and be comfortable with that
- Top 3 must-have hard skills
- Level of experience with each
- Stack-ranked by importance
- Candidate Review & Selection
1
targeted case management is a good background to have
2
Case management is a great background to have
3
Strong Microsoft skills
Position is offered by a no fee agency.
Facility Location
NATIONAL EEO SVC FACILITY
5405 CYPRESS CENTER DR STE 330
TAMPA, FL 33609-1026
This is NOT a remote position.
Position Information
NON-SCHEDULED DAYS: SAT/SUN
HOURS: 08:00 AM to 05:00 PM EST
BENEFIT INFORMATION: The salary will be based on previous experience, salary history, and current Postal pay policies. We offer excellent benefits including health insurance and annual leave.
Functional Purpose
Reviews and analyzes Equal Employment Opportunity (EEO) complaint files; serves as Contracting Officer's Representative for outsourcing services.
DUTIES AND RESPONSIBILITIES
1. Assigns cases to and coordinates the activities of independent contractors who provide pre-complaint counseling and/or mediation services. Reviews reports for legal sufficiency and authority settlement agreements reached at the pre-complaint counseling stage and monitors compliance with those agreements.
2. Reviews DRS (Dispute Resolution Specialist) Inquiry Report to determine sufficiency for acceptance and dismissal. Processes formal complaints of employment discrimination and related amendments and consolidations for acceptance and dismissal through application of Equal Employment Opportunity Commission regulations and case law. Responds to appeals of final agency decisions dismissing complaints.
3. Assigns cases to and coordinates the activities of independent contractor EEO investigators. Reviews investigative plans, and draft and completed EEO investigations to ensure compliance wtih national quality standards and regulatory timelines.
4. Coordinates and reviews the work of independent contractors preparing draft final Agency decisions on the merits of EEO complaints. Issues final agency decisions on the merits of EEO complaints on behalf of the Postal Service and responds to appeals of these final agency decisions. Reviews decisions issued by EEOC Administrative Judges on the merits of EEO complaints and issues Notices of Final Action, either implementing or appealing those decisions. Assists in responding to appeals of Notices of Final Action.
5. Develops and provides EEO training to EEO service providers, Area, and District personnel. Assists in the development and delivery of training or skills development sessions for newly selected Investigative Services Office) Analysts.
6. Provides guidance and technical advice concerning the EEO complaints process and Postal Service regulations, policies, programs and procedures to independent contractors. Provides guidance concerning EEO issues to Area and District personnel.
7. Interacts as necessary with EEO Compliance and Appeals, the Law Department, postal management, EEOC District and Field Offices, and the EEOC's Office of Federal Operations with respect to the procedures for processing pending EEO complaints.
The United States Postal Service has the following excellent and challenging employment opportunity for highly motivated and innovative individuals. Successful candidates must demonstrate through a combination of education, training, and experience the following requirements:
Requirements
- Knowledge of contracting procedures is sufficient to function as a Contracting Officer Representative.
- Ability to develop and provide EEO training.
- Ability to provide technical advice and assistance to independent contractor Equal Employment Opportunity (EEO) investigators, district, area, and headquarters personnel.
- Ability to analyze data related to EEO complaint processing including trend analysis on case processing time frames, utilizing a computerized database and spreadsheet software.
- Ability to coordinate and oversee the work of EEO service providers including independent contractor EEO counselors, mediators, investigators and final agency decision writers.
- Knowledge of the statutes, regulations, case law, administrative procedures and Postal Service policy pertaining to equal employment opportunity (EEO) complaints sufficient to manage and process informal and formal complaints.
Reimbursement of relocation expenses will NOT be authorized
Qualified applicants must successfully pass a pre-employment drug screening to meet the U.S. Postal Service's requirement to be drug free.
Applicants must also be a U.S. citizen or have permanent resident alien status.
Psychiatric Services Lead RN
We are helping people overcome. Join us.
The Psychiatric Services Lead Registered Nurse at Hope Network provides essential nursing services across multiple programs, ensuring alignment with program needs and model fidelity. This role combines strong psychiatric assessment and intervention skills with a Recovery-Based approach to support individuals in achieving wellness and independence.
Working collaboratively with psychiatrists and other providers, the Lead RN coordinates psychiatric and medical care, manages medication monitoring and supplies, and promotes trauma-informed, person-centered, and culturally competent practices. In addition to clinical duties, the Lead RN oversees nurse scheduling, manages UKG and Compass systems, and conducts annual evaluations for assigned nursing staff.
Why Join Our Team?
- Medical, Vision, & Dental Care
- 403(b) Retirement Plan
- Educational Reimbursement
- Career-Pathing
- Paid Training
- Employee Referral Bonus
- Generous Paid Time Off
What You'll Do:
- Provide on-call nursing services 24/7 and respond to emergencies in Residential and Crisis Residential settings.
- Deliver exceptional customer service to both internal and external stakeholders.
- Oversee each person's individualized recovery process by supporting health management and clinical treatment.
- Document all care, contacts, and services provided within required timeframes.
- Provide or assist with medical and nursing care across various settings, including community-based environments.
- Participate in developing Treatment Plans and assist persons served in setting and achieving health-related goals.
- Identify and respond to medical or psychiatric crises using appropriate clinical interventions.
- Manage and monitor pharmaceuticals and medical supplies within the program.
- Conduct health screenings, perform health assessments, and oversee medication administration and monitoring.
- Prepare reports and support internal and external audits as required.
Anticipated Work Schedule:
Monday-Friday: 9AM-5PM
Qualifications:
- Registered Nurse or Bachelor Science in Nursing
- State of Michigan RN Licensure
- Maintain a valid motor vehicle operator license with driving records acceptable according to Hope Network policy.
- Preferred four or more years of psychiatric nursing experience.
Our Commitment to Inclusion
Our strength lies in our diversity-empowering us to meet the unique needs of over 34,000 individuals we serve each year. We are proud to be an Equal Opportunity Employer and value the diverse perspectives that each team member brings to our mission.
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.
Location: Nashville, TN (Onsite) Shift: 1st Shift (Standard hours) Pay Rate:$34/hr Need to Speak French Job Responsibilities Ensures the resolution of complex and high-priority customer issues, coordinating with internal teams to deliver comprehensive and timely solutions.
Utilizes advanced analytics to monitor and evaluate agent performance, preparing detailed reports to drive data-informed decision-making and coaching.
Possesses the ability to remove entitlement roadblocks when the quotes team is not available and assists customer service manager with agent feedback and coaching.
Coordinates with workforce management on agent tardies and absences and uses knowledge, tools, and applications simultaneously to quickly connect care providers with solutions.
Analyzes and interprets customer feedback to identify systemic issues, recommending strategic improvements to enhance overall service quality, working under limited supervision.
Develops and implements advanced troubleshooting procedures for challenging technical problems, ensuring effective and efficient resolutions.
Provides support to customers on a range of sophisticated product and service inquiries, leveraging in-depth knowledge and experience.
Utilizes advanced analytics to monitor and evaluate service metrics, preparing detailed reports to drive data-informed decision-making.
Executes training programs for both customers and internal teams, focusing on complex service issues and advanced product features.
Reviews and validates high-impact service requests and orders, ensuring precision and accuracy in processing and execution.
Executes customer experience initiatives by proactively identifying and addressing potential service gaps and areas for improvement.
Guides junior team members, providing advanced training and support to develop their skills and improve their handling of complex issues.
Drives continuous improvement efforts by leading initiatives to refine service protocols, integrate new technologies, and enhance customer interactions.
Requirements Minimum required Education: High School Diploma, Vocational Education Minimum required Experience: Minimum 2 years of experience in Customer Success, Customer Service, Customer Support or equivalent.
Preferred Skills Preferred Education: Bachelor's Degree or equivalent Preferred Experience: 3-5 years of Customer Service experience Skills: Data Analysis & Interpretation, Root Cause Analysis (RCA), Troubleshooting, Customer Relationship Management (CRM) Software, Microsoft Office, Data Entry, Documentation & Reporting, Administrative Support, Escalation Management, Customer Response Management, Customer Satisfaction Techniques, Customer Service Software, Technical Support
Utilizes advanced analytics to monitor and evaluate agent performance, preparing detailed reports to drive data-informed decision-making and coaching.
Possesses the ability to remove entitlement roadblocks when the quotes team is not available and assists customer service manager with agent feedback and coaching.
Coordinates with workforce management on agent tardies and absences and uses knowledge, tools, and applications simultaneously to quickly connect care providers with solutions.
Analyzes and interprets customer feedback to identify systemic issues, recommending strategic improvements to enhance overall service quality, working under limited supervision.
Develops and implements advanced troubleshooting procedures for challenging technical problems, ensuring effective and efficient resolutions.
Provides support to customers on a range of sophisticated product and service inquiries, leveraging in-depth knowledge and experience.
Utilizes advanced analytics to monitor and evaluate service metrics, preparing detailed reports to drive data-informed decision-making.
Executes training programs for both customers and internal teams, focusing on complex service issues and advanced product features.
Reviews and validates high-impact service requests and orders, ensuring precision and accuracy in processing and execution.
Executes customer experience initiatives by proactively identifying and addressing potential service gaps and areas for improvement.
Guides junior team members, providing advanced training and support to develop their skills and improve their handling of complex issues.
Drives continuous improvement efforts by leading initiatives to refine service protocols, integrate new technologies, and enhance customer interactions.
Requirements: Minimum required Education: High School Diploma, Vocational Education Minimum required Experience: Minimum 2 years of experience in Customer Success, Customer Service, Customer Support or equivalent.
Minimum required Certification: N/A Preferred Skills: Preferred Education: Bachelor's Degree or equivalent Preferred Experience: 3-5 years of Customer Service experience Preferred Certification: N/A Skills: Data Analysis & Interpretation, Root Cause Analysis (RCA), Troubleshooting, Customer Relationship Management (CRM) Software, Microsoft Office, Data Entry, Documentation & Reporting, Administrative Support, Escalation Management, Customer Response Management, Customer Satisfaction Techniques, Customer Service Software, Technical Support
This position is onsite, 5 days a week, daylight position (1st shift) Desired Skills: SAP experience gives the candidate an advantage over candidates without Job Description: Plans and executes expedient and efficient processing of customer orders in the SAP system to ensure products are delivered to Client customers on time and without problems.
This includes maintenance of customer messages and contact information in Customer Master Data records, notifying plants of special customer requests and shipping arrangements verifying price and incoterms on purchase orders.
Coordinates shipping and delivery between customers and plants.
This requires knowledge of Client logistics procedures, transportation methods, and regulations.
Reviews requests for special pricing for consistency, alignment with current freight and payments terms, and proper approvals.
Submits price requests with zero errors.
Investigates and resolves customer deductions; identifies and corrects contributing factors to avoid future deductions.
Reports inventory shortages or issues to the Regional Supply Chain Manager and Inventory Planner.
Timely assignment of available inventory to comply with Client transportation/warehousing lead times and meet with customers delivery requirements.
May include discussions with management and/or sales to review changes in customers demands or deviations of requirements.
Registers customer complaints in the April Star database and provides corrective actions for problems encountered in shipping, billing and inventory.
Enters SCAR/CAR as required for internal and external supplier non-compliance issues.
Develops strong working relationships with external customers Skills/Experience: BS degree in Business, Logistics, or Supply Chain with 5 years related experience preferred.
Equivalent business or industry experience will be considered.
Proficient working knowledge of SAP (or similar ERP) in a manufacturing environment.
Functional knowledge of MS Excel and Power Point to provide support to the Regional Manager/sales team/customer is desirable.
The position requires strong organizational, communication and time management skills.
Excellent problem solving, persuasion, negotiation and conflict resolution skills are critical.
Ability to quickly grasp general business and market information as well as related technical information regarding Client products to serve as a department resource.
International logistics operations experience and knowledge of export compliance regulations are a plus.
Job Description
Limon's Road Service is currently accepting applications for a Qualified, Dependable Service Writer Advisor with Heavy Duty, Medium Duty, Light Duty Truck and Trailer service experience for our {Buda Texas location}.
Requirements :
- 3+ year's experience
- Assist in the day to day shop operations
- Assist with invoicing and purchase orders
- Inventory control
- Customer communication skills Company Description
Family owned Commercial Fleet repair company.
Company Description
Family owned Commercial Fleet repair company.
What You’ll Do As a vital part of our team, you'll support 3-4 association clients, ensuring seamless coordination and support of members and conferences and events.
You'll be the go-to person for managing our member databases, assisting with client communications, and handling various on-going projects.
2-3 onsite days per week at 1855 Folsom St in San Francisco.
Responsibilities: Manage daily operation of the Payment Plus virtual pay program.
Conduct analysis and reporting to ensure the program is performing optimally and identify areas for improvement.
Assist with Payment Plus and Card Programs campaigns.
Maintain accurate financial records related to disbursements, including payment receipts, invoices, and other relevant documentation.
Research invoices/vouchers to resolve payment issues.
Support and collaborate with internal departments and external customers, communicate payment status, resolve issues, and provide guidance on disbursement-related inquiries.
Administer Corporate and Procurement Card programs, including processing new card applications, maintenance, and ghost card reconciliation.
Reconcile and audit all Corporate and Procurement Card transactions to ensure policy compliance and prevent misuse and abuse.
Work with end users to determine needed system changes and translate them into coherent timing solutions.
Provide continual training to end users on Corporate Card and Procurement Card programs and system features.
Troubleshoot and provide solutions for any system problems or bugs.
Provide excellent customer service to departmental users and vendors.
Ensure work queues are managed within Service Level Agreements (SLA).
Create and run departmental reports for operational monitoring and ad-hoc analysis.
Perform other AP and Card Programs related duties as assigned.
Requirements: At least 5-10 years of experience in the Accounting and Finance field.
Fluency in written and spoken English.
Strong Excel and data analysis skills.
Proficiency in online Accounts Payable systems (e.g., PeopleSoft or other large ERP systems).
Required Skills: Excellent written and verbal communication.
Strong attention to detail.
Strong analytical and reporting skills.
Good reading comprehension skills.
Ability to handle sensitive situations with tact.
Bright, quick learner.
Preferred Skills: College degree preferred.