field_job_employment_type

field_job_occupational_field_parents_all

job_organization_name

city

state

Social Worker (PACE) CalOptima CalOptima Health is seeking a highly motivated Social Worker (PACE) to join our team. The Social Worker for the Program for All-Inclusive Care for the Elderly (PACE) will be responsible for direct social work care management services, such as participant screening, case management, counseling and referrals of participants to PACE. Position Information: 
<ul>
<li>Department: PACEC - Social Work </li>
<li>Salary Grade: 309 - $68,015 - $108,824 ($32.70 - $52.3192) </li>
<li>Work Arrangement: Full Office </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>70% - Care Management
<ul>
<li>Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Participates in the Interdisciplinary Team's (IDT) initial, six (6) month and annual assessments, as well as care planning of the participant's case in accordance with industry and departmental standards.</li>
<li>Documents participant changes appropriately in the medical record in accordance with industry and departmental standards.</li>
<li>Communicates effectively and openly with other IDT members on participant status and needs.</li>
<li>Assesses patients for high-risk situations such as suicidal/homicidal ideation and abuse. Reports appropriately in accordance with legal and ethical standards of practice and engages in safety planning with participants and/or family.</li>
<li>Develops and leads group counseling and participant support group activities.</li>
<li>Refers participants and families to appropriate community agencies or facilities, serves as a liaison with such organizations and as an advocate for participants.</li>
<li>Assists in the completion of advance directives, mortuary arrangements, funeral planning and/or facility placement.</li>
<li>Aids patients/representatives in ascertaining third-party and financial resources and planning for financial coverage for services as necessary.</li>
<li>Addresses any psychosocial needs that may require social work support and intervention (e.g., anxiety, depression and other behaviors), both at the center and at home.</li>
<li>Works with PACE participants and the IDT to develop an appropriate discharge plan for disenrolling from PACE services.</li>
<li>May be required to perform home visits to private homes of CalOptima Health's PACE participants; frequent travel in Orange County.</li>
<li>Support PACE participants with care coordination needs, such as transportation, family communication, scheduling visits to the center, supporting with warm handoff process to our community partners.</li>
<li>Represents and supports the participant's care management needs by being an advocate for their care, supporting clinical needs such as supportive counseling, developing care plans to manage all psychosocial needs (i.e., establishing support systems, coping mechanisms, assessing depression, anxiety, cognition) and developing interventions. </li>
</ul>
</li>
</ul>
<ul>
<li>25% - Support Services
<ul>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department.</li>
<li>Consults with and advises staff members regarding the relationship of social, emotional and cultural factors to health and medical care and the availability of social services in the community.</li>
<li>Attends and participates in in-services, staff meetings and case conferences.</li>
<li>Helps support the new enrollee process of enrollment into the PACE program (e.g., communicates to IDT and ensures all service gaps are covered prior to enrollment).</li>
<li>Participates in program improvement for the Social Work department.</li>
<li>Works with the Quality Improvement (QI) department to support grievances, appeals and advocacy consistent with participant's rights.</li>
</ul>
</li>
</ul>
<ul>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Master's degree in social work from an accredited college or university PLUS 2 years of experience in a health-related field required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>1 year of experience working with the elderly population with relevant experience within the last 3 years required. </li>
<li>CPR and First-Aid Certification required or must be obtained within six (6) months of the date of hire. </li>
<li>Valid driver's license and vehicle or other approved means of transportation, an acceptable driving record and current auto insurance will be required for work away from the primary office 30% of the time or more.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>1 year of case management experience with the elderly population. </li>
<li>Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Russian, Spanish, Vietnamese).</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6652797&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is October 28, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6652797" target="_blank">https://jobs.caloptima.org/jobs/social-worker-pace-pace-garden-grove-california-united-states-58da0142-6a85-4436-b766-3262bc0eebfd</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-a11aa92bce284647bad31fc069921fed

Social Worker (PACE)

Program Assistant (Quality Initiatives) CalOptima CalOptima Health is seeking a highly motivated Program Assistant (Quality Initiatives) to join our team. The Program Assistant (Quality Initiatives) will be responsible for providing administrative support for projects and department leadership. The incumbent will coordinate department meetings, take minutes and coordinate internal and external communication. The incumbent will organize and prepare materials for committee meetings, such as the Stars Steering Committee and several monthly meetings with external delegates. The incumbent will also interact with other departments and external stakeholders. Additionally, the incumbent will coordinate work and processes with other administrative staff within CalOptima Health. Position Information: 
<ul>
<li>Department: Quality Analytics </li>
<li>Salary Grade: 302 - $49,754 - $69,655 ($23.92 - $33.4880) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>95% - Administrative Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Provides support to staff, including preparing meeting materials, maintaining minutes, routing documents, conducting data entry and handling incoming and outgoing correspondence per administrative policy.</li>
<li>Provides administrative support for specific and/or ongoing department projects, such as generating reports, logs, calendars and mailings, applying general business practices and CalOptima Health policies and procedures.</li>
<li>Serves as a liaison between directors and departmental staff and follows up on the progress of projects and activities assigned to the director's subordinates or other staff.</li>
<li>Assists with department expenses and budgeting, including processing requisitions for payment.</li>
<li>Coordinates approved travel arrangements in accordance with CalOptima Health's travel policy for the department.</li>
<li>Handles all incoming invoices and expense reports for the director and other management staff as appropriate.</li>
<li>Coordinates work with other administrative staff and supports the coordination of staff efforts within the department.</li>
<li>Coordinates the calendar and schedule of the department director, including scheduling appointments, meetings and events. Exercises discretion in committing time, evaluating needs and making meeting arrangements.</li>
<li>Determines priority of matters of attention for the director, redirects matters to staff or handles matters personally, as appropriate.</li>
<li>Maintains confidential and sensitive information and files regarding management projects, policy and personnel, ensuring appropriate follow-up.</li>
<li>Maintains department directory, organization chart, SharePoint and paid time off calendar.</li>
<li>Collects data, identifies pertinent information and assists with preparing reports and presentations. </li>
</ul>
</li>
</ul>
<ul>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>High school diploma or equivalent PLUS 1 year of experience in a previous administrative support role required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Associate's degree in health care management, health care administration or related field.</li>
<li>Health care experience. </li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6639342&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is July 29, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6639342" target="_blank">https://jobs.caloptima.org/jobs/program-assistant-quality-initiatives-505-city-parkway-west-california-united-states-bbca2d4d-7202-4456-a151-be62a3b755fb</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-bff749b3549afa43abf246d29a53a9e4

Program Assistant (Quality Initiatives)

Grievance &amp; Appeals Nurse Specialist CalOptima Join Us - Where Your Talent Meets Opportunity. We're Better Together The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Grievance &amp; Appeals Nurse Specialist and help shape the future of healthcare where you'll be an integral part of our Grievance &amp; Appeals team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. You will participate in managing CalOptima Health's medical appeals and state hearing reviews for all lines of business, including handling expedited and standard requests. You will ensure appeals and state hearing requests are processed in accordance with regulations, compliance standards and policies and procedures. You will investigate and prepare case narratives and statements of position based on clinical information, benefits and applicable regulations related to member or provider disputes of decisions. You will clearly articulate the facts and CalOptima Health's position regarding disputes to the Administrative Law Judge hearing the case and also be responsible for creating and reviewing resolution letters for appropriateness of clinical criteria and regulatory requirements. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>80% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Prepares clinical reviews based on clinical guidelines and provides monitoring of cases involving medical decisions and quality of care or service decisions.</li>
<li>Ensures all cases are completed in accordance with state and federal regulatory requirements including timelines.</li>
<li>Presents recommendations based on clinical review, criteria and organizational policies to CalOptima Health's physician reviewers for final determination.</li>
<li>Resolves complex and sensitive member issues within established timelines.</li>
<li>Maintains departmental database and the integrity of records by accurately entering case actions to assigned cases.</li>
<li>Analyzes and reports cases through GARS' subcommittee.</li>
<li>Oversees state hearing cases.</li>
<li>Assists with the notification process to members or providers on the clinical decision issued.</li>
<li>Discusses appeal process, medical decisions and hearing rights with members.</li>
<li>Assists members in coordinating their services with providers and communicates the status and outcome to members.</li>
<li>Assigns position statements and represents CalOptima Health at state hearings. </li>
</ul>
</li>
<li>15% - Administrative Support
<ul>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Participates in departmental meetings, trainings and audits as requested. </li>
</ul>
</li>
<li>5% - </li>
<li> Completes other projects and duties as assigned. </li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>High school diploma required PLUS 5 years of health care/managed care experience required, preferably in the following related areas of responsibility: grievances and appeals, utilization management and/or quality management; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Current unrestricted Registered Nurse (RN) license to practice in the state of California. </li>
<li>Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese).</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>Current unrestricted Licensed Vocational Nurse (LVN) license to practice in the state of California.</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul>
<li>Our current hiring range is: Pay Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615). 
<ul>
<li>The base pay offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, and experience among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Full Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6597009&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is October 6, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6597009" target="_blank">https://jobs.caloptima.org/jobs/grievance-appeals-nurse-specialist-505-city-parkway-west-california-united-states-9d1237b8-175a-4bf1-9fed-1dfa415b11fe</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-5e7349407a6cb246a4d50d3f94d7a473

Grievance & Appeals Nurse Specialist

Sr. Program Manager, Behavioral Health (Program Manager Sr.) CalOptima Join Us - Where Your Talent Meets Opportunity. We're Better Together The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Sr. Program Manager, Behavioral Health (Program Manager Sr.) and help shape the future of healthcare where you'll be an integral part of our Behavioral Health Integration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. You will be responsible for the management of new program development and integration, which includes coordination, implementation and successful execution of multiple behavioral health (BH) programs and initiatives. You will work under the direction of the Sr Manager, Behavioral Health and other Behavioral Health Integration (BHI) department leadership to support new BH initiatives and regulatory requirements for CalOptima Health. You will also participate in cross-functional workgroups, projects and other assignments in the BHI department including those relating to department efficiency to ensure department strategic objectives and initiatives are met. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>90% - Program Management
<ul>
<li>Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department.</li>
<li>Leads program and project development activities for various BH programs and initiatives.</li>
<li>Identifies and leads implementation of BH process improvements.</li>
<li>Creates and updates project plans, develops and maintains process flows, maintains project related materials (e.g., action plans, intervention logs, tracking and trending) and other project related tasks as necessary.</li>
<li>Assists with the collection, monitoring and analysis of BH program implementation, quality indicators and activities.</li>
<li>Collaborates within the team and larger BH business department in the review and development of workflows, procedures and policies and recommends or changes to ensure timely, efficient and effective outputs.</li>
<li>Analyzes metrics for trends and variables and identifies areas for improvement.</li>
<li>Collaborates with department analyst or other identified BH team member/s in the development of outcome reports for programs/projects supported by the department.</li>
<li>Coordinates with external stakeholders related to projects and/or programs.</li>
<li>Maintains current knowledge of applicable regulations or clinical guidelines related to program and project development. </li>
</ul>
</li>
<li>10% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in behavioral health or a related field PLUS 4 years of experience in new program and/or project development for vulnerable populations, including strategic planning for a start-up program and implementing the program required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>2 years of experience and aptitude for working in a highly matrixed, mission-driven organization required.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Master's degree in health administration, social work, marriage and family therapy, public health or related field. </li>
<li>Project Management Professional (PMP) certification. </li>
<li>4 years of experience working in a managed care environment with specific experience in BH program and project management. </li>
<li>Experience in a government or public environment.</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>N/A</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul>
<li>Our current hiring range is: Pay Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615). 
<ul>
<li>The base pay offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, and experience among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Full Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6596898&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is October 6, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6596898" target="_blank">https://jobs.caloptima.org/jobs/sr-program-manager-behavioral-health-program-manager-sr-505-city-parkway-west-california-united-states</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-9eb414f99368a74ea65bcc502ce6569b

Sr. Program Manager, Behavioral Health (Program Manager Sr.)

Sr. Program Manager, Strategic Initiatives CalOptima Join Us - Where Your Talent Meets Opportunity. We're Better Together The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Sr. Program Manager, Strategic Initiatives and help shape the future of healthcare where you'll be an integral part of our Strategic Development team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. You will play a vital role in the program design, development, implementation and overall support of strategic initiatives, pilots and programs related to the department's priorities. You will also be responsible for leading the coordination, implementation, execution and completion of tasks supporting new program development. In addition, you will lead the overall day-to-day activities, cross-functional projects and other assignments in the department related to strategic initiatives. Lastly, you will also track, develop and maintain reporting tools for executive leaders and the Board of Directors. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>85% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Manages program design and implementation for assigned strategic initiatives under the purview of the Strategic Development department.</li>
<li>Tracks and evaluates concurrent initiatives, including developing and maintaining reports, monitoring of outcomes, financial tracking and reconciliation and program performance reporting.</li>
<li>Develops initial workplan for assigned projects and assignments and manages the scope, schedule, budget and quality of the project.</li>
<li>Develops workflows, key performance indicator (KPI) dashboards, procedures and/or policies and recommends changes to ensure timely, efficient and effective outputs.</li>
<li>Develops specifications and/or scopes of work for request for proposal (RFP), request for quotes (RFQ) or request for inquiry (RFIs) to support new program development.</li>
<li>Tracks program spending and outcomes related to Intergovernmental Transfer-funded initiatives in partnership with initiative owners and Finance.</li>
<li>Plans and implements multiple and complex projects/programs spanning across business areas.</li>
<li>Ensures the strategic direction of projects/programs aligns with department goals and CalOptima Health's strategic priorities.</li>
<li>Provides subject matter expertise, guides and mentors CalOptima Health staff regarding standards, organizational understanding and relationship building to promote successful delivery of projects.</li>
<li>Makes moderate to significant improvements in processes, systems or products to enhance the performance of the job area.</li>
<li>Conducts analysis and assesses information from different sources focused on health care initiatives, new programs or focus areas as assigned.</li>
<li>Partners with CalOptima Health departments (Information Technology, Enterprise Analytics, Finance, Government Affairs, Operations Management, Provider Data Operations, etc.) and subject matter experts to review data sources, evaluate new health care initiatives, develop summary reports, formulate conclusions and recommendations for leadership consideration.</li>
<li>Creates detailed reports for internal departments, external stakeholders, state agencies and community-based organizations.</li>
<li>Supports strategic and business planning, including workgroup participation and presentations.</li>
</ul>
</li>
<li>10% - Administrative Support
<ul>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Assists management with vendor support and purchasing activities related to strategic programs and pilots for the department.</li>
<li>Drafts presentations, board reports and memos to support senior management.</li>
<li> Leads the day-to-day administrative activities specific to assigned strategic programs and initiatives and related projects. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in public health, business, health care administration or related field PLUS 4 years of experience in program and project management and implementation or related experience required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>Experience at a health plan, health system, health provider, public agency, hospital setting or other health care related field required.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Master's degree in healthcare administration, health policy or related field. </li>
<li>2 years of experience and aptitude for working in a highly matrixed, mission-driven organization. </li>
<li>Client service or management consultant experience.</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>N/A</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul>
<li>Our current hiring range is: Pay Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615). 
<ul>
<li>The base pay offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, and experience among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Partial Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6581553&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is October 1, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6581553" target="_blank">https://jobs.caloptima.org/jobs/sr-program-manager-strategic-initiatives-505-city-parkway-west-california-united-states</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-54d0f0dcf79eeb4c99cfa94af7374d71

Sr. Program Manager, Strategic Initiatives

<h3>Job Description</h3>
Job DescriptionThe Company Renewal by Andersen is the replacement division of the 120 year old Andersen Corporation. Andersen is the oldest and largest window and door manufacture in North America. We focus on doing one thing, and doing it well, building the best products in the industry. We build the only unique window offering available in the market, and have a controlled territory to distribute our product. At Renewal by Andersen we exceed our product superiority goal, by having every product installed by employee installers. We use no sub-contractors in our product installation, and provide the best labor warranty on the market. Our process is designed to be the highest quality construction experience, backed by the oldest brand in the business. At Renewal by Andersen of Oregon and SW Washington, we are committed to delivering an expectational home improvement experience - start to finish. Our Customer Care Coordinators play a critical role in upholding that standard by serving as the primary point of contact for our customers. This position ensures clear communication, prompt responses, and thorough support throughout the customer journey. As a Customer Care Coordinator, you'll engage directly with homeowners, internal teams, and field operations to help move projects forward smoothly and efficiently. You'll be part of a supportive, in-office team environment where collaboration, accountability, and professionalism are key. What's in it for You?
<ul>
<li>Competitive pay: $20-$23 per hour based on experience, with performance-based bonus eligibility (including NPS bonus). </li>
<li>Comprehensive Benefits Package: Health, dental, and vision insurance, along with long-term disability.</li>
<li>401(k) with Company Match: Competitive company contributions to help build your future. </li>
<li>Paid Time Off and Company Paid Holidays: Generous PTO and 6 Paid Holidays to support work-life balance.</li>
<li>Career Growth: Training and development opportunities, with room to grown within our Customer Care department. </li>
</ul>
Responsibilities
<ul>
<li>Customer Communication: Respond to inbound calls, emails, and texts from customers and internal contacts in a timely, professional manner.</li>
<li>Project Updates: Provide clear, proactive updates to homeowners regarding their installation status.</li>
<li>Issue Resolution: Research and follow through on customer inquiries; escalate issues to the appropriate team as needed. </li>
<li>Internal Coordination: Collaborate with departments across the organization to ensure accurate and timely communication on customer needs.</li>
<li>Problem Solving: Support homeowners with logistical changes, reschedules, and service-related questions. </li>
<li>Documentation: Maintain detailed records in Salesforce and other internal platforms. </li>
<li>Team Support: Contribute to a positive team environment through excellent communication and reliability. </li>
<li>Product &amp; Inventory Support: Conduct basic quality checks and assist with pulling products from the warehouse as needed.</li>
<li>Field Exposure: Participate in occasional job site visits for hands-on learning and training opportunities. </li>
<li>Policy Knowledge: Stay informed on current Renewal by Andersen warranty policies to support customer needs. </li>
<li>Team Collaboration: Take on other duties as assigned by Customer Care Leadership to support department goals. </li>
</ul>
Qualifications
<ul>
<li>Experience: 2-5+ years in a customer service or support role. </li>
<li>Communication: Strong written and verbal communication skills.</li>
<li>Organization: High attention to detail, follow-through, and time management. </li>
<li>Independence: Proven ability to work independently and take initiative. </li>
<li>Problem Solving: Ability to assess issues quickly and propose effective solutions. </li>
<li>Customer Focused: A clear understanding of the customer journey and the importance of experience at every stage.</li>
<li>Preferred experience: Prior experience in a home improvement or customer success environment, project coordination or scheduling experience and familiarity with product ordering and inventory processes.</li>
</ul>
Technical Skills and Physical Requirements
<ul>
<li>Software Proficiency: Skilled in Microsoft Office Suite and various texting/chat communication platforms.</li>
<li>CRM Experience: Hands-on experience with Salesforce and the use of Salesforce Reports for tracking and communication.</li>
<li>Telephony Systems: Familiarity with VoIP systems such as Five9 for efficient call handling. </li>
<li>Quick Learner: Ability to rapidly absorb and apply knowledge of product offerings and company policies. </li>
<li>Work Environment: This is a full-time, in-office role based in Portland, OR. Ability to sit or stand for extended periods and perform repetitive hand tasks. </li>
<li>Lifting &amp; Movement: Occasional bending and lifting of items up to 50 lbs. </li>
</ul>
Join Us:Joining Renewal by Andersen of Oregon as a Customer Care Coordinator means being part of a team that values clear communication, strong collaboration, and an exceptional customer experience. If you are a proactive professional who thrives in a fast-paced environment, we invite you to apply and help us deliver on our promise to homeowners across the Pacific Northwest! Renewal by Andersen Corporation is the full-service window-replacement division of the Andersen Corporation with over 100 locations across North America.&nbsp;&nbsp;Tiffee Companies is an Equal Opportunity Employer committed to fair hiring practices. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. We conduct background checks and drug screens in order to create a welcoming and safe environment for all team members. Additional information? Feel free to visit our career page at <a href="https://www.tiffee.com/" target="_blank">https://www.tiffee.com/</a>
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Customer Care Coordinator

<h3>Job Description</h3>
Job Description
* * * Apply only through this ad.&nbsp; Do not call and do not pop by.
 
* * *&nbsp;This is an in-office&nbsp;position.&nbsp; Not possible for remote work. 
 Hello!&nbsp; Please read all our details, then&nbsp;send your resume if your skill set matches our needs. PAY + BENEFITS :&nbsp; $26 per hour, plus benefits after 60 days, which is healthcare 80%, dental and vision 50%, life insurance, 401K after 6 months, and 2 weeks vacation time. We're a great company to stay with and grow with – could be a "forever home" for the right candidate. HOURS :&nbsp;&nbsp;7:30 AM to 4:00 PM, Full Time, Monday thru Friday, with half hour lunch breaks. ABOUT US :&nbsp;&nbsp;Kindness rules, and we’re good to our people...great to our customers! They’re the reason we stay busy and have been in business for decades, so clients get our full attention. We’re a pleasant office/warehouse combo right off the 5 freeway near the Burbank Airport. We provide job security for those who consistently bring their A-game, so this position can be a career. Our product line is surprisingly fun, and we sincerely care about quality, so if a customer needs assistance, we are ON it. We need a like-minded, authentic individual with the best work ethic. Our ideal candidate is...
 
• Mindful. Present. Reliable! Has integrity. • Always down to help, friendly and chill. • Can type FAST, yet also ACCURATE. • Self starter, does not like being idle. • Can hustle – understands sense of urgency. • Calm demeanor – grace under pressure. • Know how to re-prioritize as plans change. • Great at problem solving and communicating efficiently. • Quick learner. • Positive attitude.
 TASK LIST :
 
– 5-star customer service – only the best! – Phone and email sales. We need a hustler who knows how to talk to customers. – Heavy Order Entry: up to 30 or more orders in one day. – Amazon + Walmart customer service and order processing. – Quotes for smaller orders (other reps here deal with bulk). – Arrange shipping for orders. – Take payments from customers over the phone. – Handle freight quotes and freight set up. – Respond to emails from customers and always give prompt answers. – Eye for detail, proofread, proof images and avoid mistakes. – Organized, good follow-up and will not drop tasks. – Able to re-prioritize as needs change + can go with the flow. – Move swiftly through customer service emails – good decision maker. – Know how to ask for help. – Good at problem solving and trouble shooting. – Assist with phones and other tasks to fill the time. – Good at handling different tasks on different days, and cover co-workers when they’re out. TO APPLY :
 
Through this ad only, send your resume, plus if you share something unique and memorable about yourself in a cover letter, we love that. Thanks and good luck!
 
Company DescriptionIn 2001, Alight Promos (AP) set out to make every client stand out with branded light-up promotional products. 24 years later, and after selling millions of re-useable quality novelties like blinky pins, LED drinkware, light up cheer sticks, party jewelry, toys and more, we are the leading supplier of LED promotional products. We work closely with distributors and we print logos on light up products. With over 1,000 brilliant items to choose from, our variety keeps people coming back, we change with the times, and we are consistently busy. AP is always growing and looking for a career-minded office superstar who would like to be a part of our fam and play a key role in our continued, shared success. 
<h3>Company Description</h3>
In 2001, Alight Promos (AP) set out to make every client stand out with branded light-up promotional products. 24 years later, and after selling millions of re-useable quality novelties like blinky pins, LED drinkware, light up cheer sticks, party jewelry, toys and more, we are the leading supplier of LED promotional products. We work closely with distributors and we print logos on light up products. With over 1,000 brilliant items to choose from, our variety keeps people coming back, we change with the times, and we are consistently busy. AP is always growing and looking for a career-minded office superstar who would like to be a part of our fam and play a key role in our continued, shared success.

<h3>Job Description</h3>
Job Description
Are you someone who thrives on organization, enjoys helping others, and loves being the go-to person who keeps things running smoothly? At Revere Electric Supply, we’re looking for a Customer Care Coordinator who can bring a positive, professional, and customer-focused attitude to our team. In this role, you’ll be the backbone of our customer care operations supporting both our customers and teammates with accuracy, efficiency, and a friendly approach. If you’re ready to grow with a company that has been family-owned for over 100 years and values its people as much as its customers, we’d love to meet you! 
Revere Electric Supply is a fourth generation, family-owned electrical distributor, that's been around for 100 years! We believe the secret to success is the employment of industry leading professionals. If you are seeking employment in a dynamic, growing organization, then you may be the perfect fit for Revere!
We have an opening for a Customer Care Coordinator at our Buffalo Grove or Mokena locations. This is a hybrid position (3 days in-office, 2 days work-from-home), designed for individuals seeking a long-term career with growth potential. As a key member of our Customer Care team, you’ll support order processing, vendor communication, reporting, and daily office operations while delivering excellent service to both customers and colleagues. This is more than just a job it’s an opportunity to build your career with a company that has been family-owned for over 100 years.
What do we offer:
<ul>
<li>A hybrid schedule (3 days in-office, 2 days’ work-from-home) after training period</li>
<li>Monday - Friday 8 am - 5 pm</li>
<li>Comprehensive benefits package and PTO plan</li>
<li>Paid holidays</li>
<li>401(k) retirement savings plan with company match</li>
<li>Local candidates only. No relocation will be provided.</li>
<li>Career development and growth opportunities</li>
</ul>
What will you do:
<ul>
<li>Serve as the first point of contact by answering and directing phone calls, greeting visitors, and providing front desk support</li>
<li>Maintain office supply levels and manage incoming/outgoing mail, including interoffice deliveries and fax distribution</li>
<li>Support your team’s overflow on quotes, services and orders, ensuring accuracy and timely completion</li>
<li>Run open order reports for Customer Care and process direct/vendor procurements</li>
<li>Expedite backorders through vendor portals and email communication</li>
<li>Collaborate with internal teams to ensure seamless service for customers</li>
<li>Uphold company procedures, rules, and quality standards while maintaining a professional presence</li>
<li>Perform additional administrative or support duties as assigned</li>
</ul>
Requirements/Qualifications
<ul>
<li>High School Diploma required; some college coursework preferred</li>
<li>Proficiency in Microsoft Office Suite (Outlook, Word, Excel)</li>
<li>Familiarity with office equipment (printers, scanners, fax, etc.)</li>
<li>Strong organizational and time management skills with the ability to handle multiple tasks at once</li>
<li>Excellent oral and written communication skills</li>
<li>High attention to detail and problem-solving ability</li>
<li>Professional, dependable, and team-oriented mindset</li>
<li>Prior administrative, customer service, or office coordination experience a plus</li>
</ul>
Revere Electric Supply is an equal opportunity employer.
Pay range: $17.00 - 20.00/hr. based on experience
This amount is what we reasonably believe we will pay for the position; however, offer amounts may vary based on factors such as geographic location, relevant education, experience, qualifications, and skills.
 For eligible positions, compensation may include participation in an incentive or sales compensation plan paid according to achievement against sales targets and/or business objectives. In addition, Revere offers a full range of benefits such as paid time off, medical/dental/vision insurance, and retirement savings plans for eligible employees. More information about benefits is available here.

<h3>Job Description</h3>
Job DescriptionDescription:
Position Overview:
The Customer Care Coordinator will be responsible for providing front-line support to all of our referral sources and customers. The position requires you to provide exceptional customer service while handling a high volume of customer orders/calls. The Customer Care Representative will need to have the ability to multi-task, be detail oriented, and well-organized, as the position requires a lot of follow-ups to be able to complete the orders/calls.
Essential Job Functions:
<ul>
<li>Receive incoming orders/communication via fax, email, or other platforms from referral sources and customers</li>
<li>Answer high volume of incoming telephone calls from referral sources and customers</li>
<li>Utilize technology initiatives and platforms, such as (but not limited to) HIPAA-compliant text, chat features, and other communication avenues as established by the company</li>
<li>Verify insurance eligibility and coverage</li>
<li>Provide exceptional customer service while speaking on the phone</li>
<li>Complete member intake, create and schedule orders accurately based on established quality assurance standards</li>
<li>Ensure data is entered accurately and in a time-sensitive manner</li>
<li>Inform patients of applicable copays, financial obligations, purchase vs rental options</li>
<li>Completely document patients’ account with proper notes and account updates</li>
<li>Follow up on all open tasks in a timely manner</li>
<li>Maintains working knowledge of current home care products and services offered by SG Homecare and all applicable insurance guidelines regarding eligibility for coverage and reimbursement</li>
<li>Adhere to all applicable guidelines, including HIPAA, OSHA requirements, and account sensitivity</li>
<li>Work with patients, insurance companies, payors, and physicians to ensure all documentation is received</li>
<li>Adhere to the policies and procedures of the company and processes set forth by the Customer Care leadership</li>
<li>Reports to work daily, on time, and ready to work</li>
<li>Must participate in mandatory on-call and call-back program to respond to emergencies</li>
</ul>
Requirements:
Minimum Qualifications:
<ul>
<li>High school diploma or equivalent required</li>
<li>Minimum two years experience in a customer service</li>
<li>At least one year of Call Center or medical / healthcare environment experience</li>
<li>Excellent listening skills and communicate in an empathetic manner</li>
<li>Able to operate office equipment including computers and supporting word processing, spreadsheet, and database applications. Working knowledge of Microsoft Office (i.e. Word, Excel, Outlook)</li>
<li>Ability to communicate professionally and tactfully, both orally and in writing.</li>
<li>Knowledge of major insurance carrier reimbursement guidelines and eligibility coverage is a plus</li>
<li>Ability to work in a fast-paced environment, multitasking while keeping the focus on the customer</li>
<li>Must be available to work evenings, weekends, and holidays if needed</li>
</ul>

CUSTOMER CARE COORDINATOR

<h3>Job Description</h3>
Job Description
Overview
We are seeking a reliable and organized Remote Customer Care Coordinator to serve as a key point of contact for our customers. In this role, you’ll provide direct support via phone, email, and chat, while also coordinating with internal teams to ensure that customer needs are met efficiently and professionally.
Responsibilities
<ul>
<li>Respond to customer inquiries across phone, email, and chat channels</li>
<li>Coordinate with internal teams to resolve customer concerns promptly</li>
<li>Maintain accurate records and case updates in the CRM system</li>
<li>Follow up with customers to ensure satisfaction and issue resolution</li>
<li>Assist with documentation and form completion as needed</li>
<li>Ensure a smooth, consistent experience throughout the customer journey</li>
</ul>
Qualifications
<ul>
<li>Prior customer service or coordination experience preferred but not required</li>
<li>Excellent communication and organizational skills</li>
<li>Proficient with Google Workspace, CRM platforms, and Adobe PDF tools</li>
<li>Detail-oriented with strong multitasking abilities</li>
<li>Dependable with a reliable internet connection and quiet remote setup</li>
</ul>
Top Attributes
<ul>
<li>Empathetic and customer-focused</li>
<li>Organized and proactive</li>
<li>Comfortable using technology and learning new tools</li>
</ul>
Benefits
<ul>
<li>$24 per hour</li>
<li>Health insurance (for full-time employees)</li>
<li>Company-provided equipment</li>
<li>Comprehensive training and supportive team environment</li>
</ul>

14,449 customer-care-coordinator Jobs