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Member Liaison Specialist (Customer Service) - Bilingual CalOptima CalOptima Health is seeking a highly motivated Member Liaison Specialist (Customer Service) - Bilingual to join our team. The Member Liaison Specialist (Customer Service) will provide member service to seniors, persons with disabilities or chronic conditions, persons without housing and persons under the age of twenty-one (21) who participate in the Whole-Child Model program. The incumbent will serve as a liaison between members, health networks, providers and community-based organizations to facilitate access to services and help resolve health care and psychosocial issues. Position Information: 
<ul>
<li>Department: CS - Member Liaison </li>
<li>Salary Grade: 302 - $49,754 - $69,655 ($23.92 - $33.4880) </li>
<li>Work Arrangement: Full Office </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>85% - Member 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>Assesses members' concerns to identify psychosocial or health care issues and facilitate an appropriate resolution.</li>
<li>Intakes information from members, both over the phone and/or in person, to complete requests for assistance cases, grievances and appeals, per departmental guidelines.</li>
<li>Coordinates members' health care and social service needs within and outside the health network and CalOptima Health during the original interaction.</li>
<li>Addresses member and provider inquiries, questions and concerns in all areas, including enrollment, claims, benefit interpretation, coordination of care and referrals/authorizations for medical care related to services covered under the Whole-Child Model program.</li>
<li>Guides members in understanding and accessing the benefits under the Whole-Child Model program.</li>
<li>Maintains documentation of member cases within the FACETS system.</li>
<li>Initiates referrals to internal and external care management departments and government agencies.</li>
<li>Communicates with community-based organizations, health networks, providers and vendors on behalf of members to resolve disputes, helps coordinate access to care and investigates issues preventing members from receiving medical benefits and services. </li>
</ul>
</li>
<li>10% - Administrative Support
<ul>
<li>Collaborates with interdepartmental staff in call resolution as needed.</li>
<li>Identifies calls needing case management or escalation to a supervisor, manager or director and routes them according to established guidelines.</li>
<li>Meets all regulatory key performance indicators, first call resolution requirements and business objectives of CalOptima Health. </li>
</ul>
</li>
<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 2 years of experience as a call center agent or customer/member services representative in health care 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>Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese) required. </li>
</ul>
 Preferred Qualifications: 
<ul>
<li>2 years of experience working with the needs of persons with disabilities and chronic medical conditions in a customer/member service capacity. </li>
<li>Health maintenance organization (HMO), Medi-Cal/Medicaid and health services 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=6544028&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 September 16, 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/6544028" target="_blank">https://jobs.caloptima.org/jobs/member-liaison-specialist-customer-service-bilingual-505-city-parkway-west-california-united-states-9f95a945-0116-4567-930e-6074edfaa122</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-09a2096a660c754c9d2f61883f649344

Member Liaison Specialist (Customer Service) - Bilingual

Community Relations Specialist (Bilingual Spanish Required) CalOptima CalOptima Health is seeking a highly motivated Community Relations Specialist (Bilingual Spanish Required) to join our team. The Community Relations Specialist will represent CalOptima Health in the community and to community-based organizations. The incumbent will support in planning and coordinating community outreach activities, including quarterly networking forums, community town hall meetings, stakeholder meetings, educational seminars and health fairs. The incumbent will provide resources about CalOptima Health's programs and services, offering timely solutions for members and stakeholders. Position Information: 
<ul>
<li>Department: Community Relations </li>
<li>Salary Grade: 306 - $58,205 - $90,217 ($27.98 - $43.3736) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<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>Serves as a CalOptima Health representative for community organizations.</li>
<li>Plans, coordinates and evaluates community relations projects, activities and events. Specific activities include scheduling and facilitating planning meetings and coordinating logistics.</li>
<li>Participates as a representative of CalOptima Health in assigned community meetings, collaborative committees and coalitions to develop and enhance community partnerships.</li>
<li>Attends health and community fairs and health promotion events.</li>
<li>Assists in organizing and planning workshops and presentations and supports large/special events.</li>
<li>Collaborates with Strategic Development, Communications, Government Affairs and other internal departments to maintain positive stakeholder relationships.</li>
<li>Cultivates support for CalOptima Health's programs and generates leads for outreach and enrollment staff.</li>
<li>Ensures key messages related to CalOptima Health's programs and policy issues are clearly communicated to external stakeholders.</li>
<li>Conducts presentations for community-based organizations to raise awareness about CalOptima Health's programs and services.</li>
<li>Engenders cultural sensitivity and knowledge regarding the diversity of the populations CalOptima Health serves. </li>
</ul>
</li>
</ul>
<ul>
<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>Communicates major community developments and issues to leadership and other internal departments. </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>Bachelor's degree in community health, public affairs, communications, public health or related field PLUS 3 years of experience in community health, public relations and/or community-based organizations, including supporting and organizing large-scale public events 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>Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese) required. </li>
<li>Valid driver's license and vehicle, an acceptable driving record and current auto insurance or other approved means of transportation will be required for work away from the primary office 30% of the time or more.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Master's degree in public affairs, community health or related field.</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=6518101&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 September 9, 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/6518101" target="_blank">https://jobs.caloptima.org/jobs/community-relations-specialist-bilingual-spanish-required-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-7fc27cef3708054b82563fcee017a882

Community Relations Specialist (Bilingual Spanish Required)

Communications Specialist, Sr. CalOptima CalOptima Health is seeking a highly motivated Communications Specialist Sr to join our team. The Communications Specialist Sr will write, create, edit and produce materials to ensure effective internal and external communication for CalOptima Health's programs and activities. Position Information: 
<ul>
<li>Department: Communications </li>
<li>Salary Grade: 307 - $60,533 - $93,826 ($29.10 - $45.1087) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>95% - Communications Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a 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>Develops written materials for internal and external audiences, including members, employees and community stakeholders.</li>
<li>Reviews member-facing materials for correct grammar, readability and specific styles, including Associated Press (AP) and CalOptima Health.</li>
<li>Provides support on the member materials review process.</li>
<li>Researches and writes member profiles.</li>
<li>Works with internal clients to provide counsel and document review to ensure accuracy, consistent messages and appropriate writing style.</li>
<li>Produces communication tools on behalf of CalOptima Health's leadership, including but not limited to talking points, presentations and correspondence.</li>
<li>Facilitates and coordinates monthly CalTeam meetings (all hands), including facilitating leader participation on the panel, arranging room set-up with facilities, monitoring the Zoom live-stream and ensuring Q&amp;A follow-up.</li>
<li>Coordinates weekly Better. Together. Moment internal videos in conjunction with video staff; coordinates leader/staff participation and topics, writes talking points and supports filming/editing.</li>
<li>Contributes to weekly and monthly employee e-newsletters.</li>
<li>Writes content for biweekly community-facing e-newsletters.</li>
<li>Interacts directly with internal clients and graphic design staff throughout the document review and/or design project lifecycle to ensure materials meet client needs and content/graphic standards.</li>
<li>Develops metrics and captures performance data related to communications.</li>
<li>Maintains a thorough understanding of the most current industry technology, tools and trends to implement CalOptima Health's communications strategy.</li>
<li>Provides excellent customer service. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in communications, public relations, journalism, English, health care administration or related field PLUS 3 years of professional writing 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>
</ul>
 Preferred Qualifications: 
<ul>
<li>Professional experience in the health care or human services industries. </li>
<li>Proficient with Adobe Creative Suite (i.e., Photoshop, Illustrator, InDesign), web programs and video development software. </li>
<li>Experience with taking photographs.</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=6544038&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 September 16, 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/6544038" target="_blank">https://jobs.caloptima.org/jobs/communications-specialist-sr-505-city-parkway-west-california-united-states-ac929325-7832-48ef-891b-9f8d040d2701</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-f744420b2b19fc40aa28079311d458aa

Communications Specialist, Sr.

Program Specialist, Customer Service 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 Program Specialist, Customer Service and help shape the future of healthcare where you'll be an integral part of our Customer Service 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 conducting routine internal quality audits to ensure compliance with departmental policies and procedures. You will also will conduct routine audits of member interactions within CS to ensure compliance with state, federal and accreditation standards. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>95% - 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>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>Conducts validation audits for CS of identified deficiencies to ensure all remediation efforts are effective and sustained.</li>
<li>Evaluates recorded CS calls, documentation and workflow results to provide department quality scores and ensure staff follow regulatory compliance requirements, accreditation standards and business objectives.</li>
<li>Reviews and reports audit quality and discrepancies to CS leadership.</li>
<li>Provides results and collaborates with CS leadership and training team to develop training materials.</li>
<li>Assists with implementing audit procedure changes.</li>
<li>Provides guidance on customer service processes, procedures, workflows and documentation.</li>
<li>Supports CS staff in identifying and analyzing individual trends and areas for quality improvement.</li>
<li>Partners with CS training team to identify focus areas for future training initiatives.</li>
<li>Compiles, analyzes and audits trend data and prepares reports (e.g., incorrect case subject and/or category, misrouted cases, incomplete case resolution). </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 business administration or related field PLUS 1 year of experience as a Customer Service Representative within a health care plan 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>
 You'll Stand Out More If You Possess the Following: 
<ul>
<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>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: 305 - $55,966 - $83,949 ($26.91 - $40.3601). 
<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=6578554&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 September 30, 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/6578554" target="_blank">https://jobs.caloptima.org/jobs/program-specialist-customer-service-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-f6a098e97191154aa7929801a01843a7

Program Specialist, Customer Service

Assistant/Associate/Full Professor, World Trade Center Health Program, Internal Medicine (166215) Location: Commack, New York Open Date: Jul 31, 2025 Deadline: Sep 30, 2025 at 11:59 PM Eastern Time Description This position requires clinical participation at the World Trade Center Health Program's clinical sites in Commack and Westbury. Approximately 80% of the work effort will be devoted to patient care and administrative duties while 20% will be devoted to clinical education. Administrative duties include general oversight of various aspects of the World Trade Center Health Program. Clinical activities are directed toward the clinical manifestations of the toxic exposure at the World Trade Center disaster. Participation in clinical programs involving both the identification, treatment and monitoring of WTC responder related problems is necessary. No evenings or on-call hours required. Qualifications Required Qualifications: MD (or foreign equivalent). Board certified/eligible in Internal Medicine, Family Medicine, Preventative Medicine or Occupational Medicine. Preferred Qualifications: Strong internal medicine background with experience working in a research academic center. Experience with clinical or laboratory research is desirable. Application Instructions To apply, visit <a href="https://apptrkr.com/6435392" target="_blank">http://apply.interfolio.com/171100</a>. All application materials must be submitted online. Please use the Apply Now button to begin your application. For technical support, please visit Interfolio's Support Site (<a href="https://support.interfolio.com/" target="_blank">https://support.interfolio.com/</a>) or reach out to their Scholar Service Team at <a href="mailto:help@interfolio.com" target="_blank">help@interfolio.com</a> or (877) 997-8807. For questions regarding this position, please contact Dr. Benjamin Luft at 631-638-0285. Special Notes Non-Tenure Track position. FLSA Exempt position, not eligible for the overtime provisions of the FLSA. To qualify for a senior faculty appointment, the candidate must meet the criteria established by the School of Medicine (<a href="https://renaissance.stonybrookmedicine.edu/facultysenate/committees/apt" target="_blank">School of Medicine's Criteria for Appointment, Promotion and Tenure</a>). Anticipated Start Date: As soon as possible. Campus Description Long Island's premier academic medical center, Stony Brook Medicine, represents Stony Brook University's entire medical enterprise and integrates all of Stony Brook's health-related initiatives: education, research and patient care. It encompasses Stony Brook University Hospital, Stony Brook Children's Hospital, the five Health Sciences schools -- Dental Medicine, Health Professions, Medicine, Nursing and Social Welfare -- as well as the major centers and institutes, programs and more than 50 community-based healthcare settings throughout Suffolk County. With 624 beds, Stony Brook University Hospital serves as Suffolk County's only tertiary care center and Regional Trauma Center. Stony Brook Children's, with more than 180 pediatric specialists in 30 specialties, offers the most advanced pediatric specialty care in the region. In the Medical and Research Translation (MART) building, two floors are occupied by Stony Brook University Cancer Center's outpatient services, and four floors are devoted to cancer research. Diversity, equity and inclusion are essential core values at Stony Brook Medicine. We believe we do our best and most impactful work when we leverage our diverse, equitable and inclusive perspectives. We are proud to recruit and hire talented people from a wide variety of backgrounds and experiences. The selected candidate must successfully clear a background investigation. In accordance with the Title II Crime Awareness and Security Act, a copy of our crime statistics is available upon request . It can also be viewed online at the University Police website at <a href="http://www.stonybrook.edu/police" target="_blank">http://www.stonybrook.edu/police</a>. Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information,veteran status and all other protected classes under federal or state laws. 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-9446dd65b074a64aafebac3e0701976d

Assistant/Associate/Full Professor, World Trade Center Health Program, Internal Medicine (166215)

PHI’s Senior Workforce Intervention Specialist works to improve job quality for direct care workers by contributing to the development, implementation, and evaluation of PHI’s practice-based employment and training models. As a part of PHI’s Workforce Innovations Team (WIT), they will specialize in leading engagements related to operationalizing and evaluating meaningful advancement opportunities that expand the direct care career ladder; additionally, they may support programs aimed at strengthening recruitment and retention practices, creating a coaching culture, developing adult-learner centered training, and assessing direct care job quality. Outstanding skills in critical thinking, proactive leadership, written and verbal communication, relationship building, and workforce and organizational development are essential for success in this role. &nbsp;
POSITION RESPONSIBILITIES
<ul>
<li>Lead the implementation of PHI practice-based job quality interventions, including creating and maintaining work plans and timelines, managing partner relationships, executing project activities, and reporting progress to PHI’s Vice President of Workforce Innovations through verbal and written communication.</li>
<li>Build and manage relationships with numerous strategic workforce partners – including long-term care employers, payors, advocates, and others - to support collaboration and the successful integration of job quality practices.</li>
<li>Provide technical assistance and consulting to project-based partners to support program design, implementation, and evaluation; this will include intensive, hands-on support to project partners to assess and modify organizational practices in support of implementing and maintaining workplace environments conducive to high-quality direct care jobs.</li>
<li>Routinely meet programmatic deadlines and proactively communicate impediments to the Vice President of Workforce Innovations.</li>
<li>Produce high-quality project deliverables in line with PHI and WIT acceptance criteria including PowerPoint slide deck presentations, external and internal reports, project worksheets, assessment tools, workflows, and other items as needed to meet project goals.</li>
<li>Plan, facilitate, and document meetings, informational sessions, webinars and other interactions with external partners; this could include coordinating planning with WIT and other PHI staff members, sending meeting invitations and conferencing information to attendees, creating and disseminating agendas, facilitation, documenting and archiving associated notes, and establishing next steps.</li>
<li>Collaborate with WIT staff to coordinate team roles, optimize efficiency, and meet project goals.</li>
<li>Work with WIT staff to support the development of PHI’s online and in-person workforce training curricula; act as a subject matter expert to inform the creation of contextualized content that reflects the lived experiences of workers within a PHI intervention.</li>
<li>Work with WIT to apply principles of diversity, equity, and inclusion to PHI’s job quality models; contribute to the development of new workforce training and practice strategies aimed at improving job quality for a diverse direct care workforce.</li>
<li>Collaborate with PHI’s Vice President of Research and Evaluation and Vice President of Workforce Innovations to develop and implement evaluation efforts that build the evidence base for sustained investment in direct care job quality interventions.</li>
<li>Collaborate with PHI’s Director of Philanthropy to provide project data and information as needed to support funder reporting and communication efforts.</li>
<li>Serve as a resource to PHI’s Policy Team on workforce and organizational development practices as needed.</li>
<li>Promote PHI’s school of thought and the dissemination of effective practice models through speaking at conferences, contributing to PHI’s blog, and cultivating external relationships to bring in new business. QUALIFICATIONS</li>
<li>Minimum five years’ experience in workforce and organizational development, preferably within the long-term care, aging, and/or disability sectors.</li>
<li>Proven experience successfully designing, leading, and evaluating complex interventions from inception to completion in alignment with organizational strategic impact aims.</li>
<li>Advanced ability to show proactive, independent leadership while maintaining communication and connection to team members.</li>
<li>Experience working within an Agile framework preferred, though not required.</li>
<li>Experience with adult-learner centered curriculum development and facilitation preferred though not required.</li>
<li>Experience with facilitating interactive adult-learner centered training in-person and online preferred but not required.</li>
<li>Experience working effectively with and facilitating collaboration among diverse individuals and groups.</li>
<li>Ability to manage several complex projects simultaneously, often under tight deadlines.</li>
<li>Excellent writing skills, including the ability to write in a variety of formats for a range of audiences.</li>
<li>Outstanding public speaking skills across a range of audiences.</li>
<li>Strong computer skills, including Microsoft Office Suite.</li>
<li>Commitment to – and experience with – racial, gender, and economic justice.</li>
<li>Moderate travel required.</li>
<li>Bachelor’s degree required, Master’s degree or equivalent experience preferred.</li>
</ul>
REPORTING RELATIONSHIP
The Senior Workforce Intervention Specialist reports to PHI’s Vice President of Workforce Innovations.
LOCATION
PHI’s national headquarters are at 261 Madison Avenue, Suite 913, New York, NY, 10016. This position is remote with a preference for candidates in the NYC area.
ABOUT PHI
PHI is a national organization committed to strengthening the direct care workforce by producing reliable research and analysis, leading federal and state advocacy initiatives, and designing groundbreaking workforce interventions and models. For 30 years, we have brought a 360-degree perspective on the long-term care sector to our evidence-informed strategies throughout the country.
SALARY AND BENEFITS
This is a full-time, salaried position with a base salary range of $90,000 - $105,000 per year, commensurate with skills and experience.
PHI provides a comprehensive benefits package effective on the date of hire. Health benefits include: a sponsored medical plan, an employer-paid dental plan, and an optional vision insurance plan. In addition, PHI offers basic life insurance, an EAP, a 401(k), flexible spending plans for medical, dependent care, and commuter expenses; 27 days of earned leave, paid holidays, a holiday break at the end of December, family leave, parental leave, professional development, and cell phone reimbursement.
TO APPLY
To apply, email a cover letter with your resumé to <a href="mailto:info@PHInational.org" target="_blank">info@PHInational.org</a>. Please indicate “Senior Workforce Intervention Specialist” in the subject line.
Application deadline: August 6, 2023

Senior Workforce Intervention Specialist

<h3>Job Description</h3>
Job Description
PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.
Position Summary:
This position is located within the Tohono O'odham Nation Health Care (TONHC) Hospital and Clinics. The work involves developing new or improved solutions to complex technical problems; establishing criteria; formulating projects; assessing program effectiveness; investigating and analyzing unusual conditions, concerns, or questions for Health Information Management Services (HIMS).
Scope of Work: This is the senior Health Information Management Services position for TONHC Hospital and Clinics. Under the Director's general direction, the incumbent functions as the Health Information Management Services (HIMS) and has full program responsibility to set and carry out the strategic direction, mission, and vision for TONHC Hospital and Clinics Health Information Management Services.
Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below): 
<ul>
<li>Interpret national health record policies and standards for application at the Hospital and Health Centers level. At local and national meetings, the incumbent represents Tohono O'odham Nation Health Care (TONHC) Hospital and Clinics.</li>
<li>Formulates health record policies specific to the Tohono O'odham Nation Health Care (TONHC) Hospital and Clinics and directs their application; writes policy and procedures for medical records and coding for electronic health records and paper records as applicable.</li>
<li>Evaluate Health Center level of compliance with the Joint Commission (TJC) applicable continuous quality improvement standards and monitors operation of Health Center record centers under HIPAA (Health Insurance Portability and Accountability Act), Privacy Act, and Freedom of Information Act.</li>
<li>Directs the overall operations of the HIMS program and provides leadership and guidance to the other TONHC Hospital and Clinics facilities; and ensures TONHC Hospital and Clinics has an integrated, consistent, and comprehensive patient health records system.</li>
<li>The incumbent develops, analyzes, and implements procedures for assuring proper inter-departmental and intra-departmental workflow. </li>
<li>Continually evaluates and reviews procedure adequacy; and, if necessary, modifies to meet latest technical requirements and techniques; evaluates statistical data identifying program adequacy to management.</li>
<li>Ensures departmental goals and objectives are consistent with the TONHC strategic plan and provides advice and assistance in health information requirements and medicolegal aspects to the Sells Hospital and Health Centers.</li>
<li>Serve as an advisor to management on all phases of health information management. Serve as the CO-Chair (with Medical Staff) of the TONHC Hospital and Clinics Health Information Management Committee (HIMC), composed of medical and professional services members. </li>
<li>Advise on the adequacy of health records and medicolegal aspects of health record operations at Health Centers. Responsible for medical statistical reports to assist hospital management and accrediting agencies in evaluating the quality of clinical care.</li>
<li>Assist Compliance Officer to train and educate staff on the key requirements of Privacy Standards, including limits on use and disclosure of protected health information, individual rights under regulations, and administrative requirements.</li>
<li>Accepts subpoena duces tecum, as custodian of the health record, reviews subpoenaed records for completeness with medicolegal requirements. Confers with TON attorney, when necessary, appears in court to fulfill legal requirements. Prepare records in tort claims.</li>
<li>Utilizing Electronic Health Record template approval criteria ensures that EHR templates are acceptable for use.</li>
<li>The incumbent is responsible for the administration and management of the TONHC Hospital and Clinics Medical Coding Program. Coordinates, manages, monitors, and performs all functions necessary to ensure coding complies with internal control standards.</li>
<li>Incumbent utilizes and implements various auditing mechanisms to ensure coding compliance. Develops and implements a comprehensive internal quality control system within the HIMS program. Determine the effectiveness of such controls and their impact on the program.</li>
<li>Responsible for the RPMS software packages managed by the HIMS discipline: Discharge and Transfer (ADT), Patient Care Component (PCC), Release of Infom1ation (ROI); Sensitive Patient Tracking (SPT), Text Integration Utility (TIU) of EHR, and other HIM package developed by TONHC. </li>
<li>Responsible for the review, analysis, and technical evaluation of clinical records concerning the Standards of the Joint Commission (TJC) and state and federal reporting requirements for vital statistics.</li>
<li>Assures that diagnoses are written in the language of Standard Terminology of Diseases and Operation, and coding of diseases and operations are in the proper grouping of International Classification of Diseases and Operations for research and administrative evaluation.</li>
<li>Aids in projects by advising on procedures to efficiently collect data and assisting staff in defining their objectives in terms of the available information. Collection of data may consist of searching files or recommending special computer reports.</li>
<li>Designs and administers the health information program, including managing work processes, personnel, and planning for transition to the EHR.</li>
<li>Responsible for conducting and submitting (to CEO) specific assessments related to Third Party Internal Controls self-assessment and audits.</li>
<li>The incumbent supervises a staff engaged in administrative and technical work. Ensure the timely performance of satisfactory quality and quantity of work through the following supervisory tasks.</li>
<li>Plans work to be done by subordinates; sets priorities and establishes schedules and deadlines. Assign work based on anticipated difficulty and the capabilities of available employees. Advises, counsels, and instructs employees on technical and administrative matters.</li>
<li>Ensures HR (competency) files are in place and up-to-date, meeting all TONHC Joint Commission requirements.</li>
<li>Recommends personnel actions such as promotion, reassignment, or termination. Recommends awards and disciplinary actions.</li>
<li>Submit requests for personnel action timely. Interviews applicants and recommends selections.</li>
<li>Hears and resolves employee complaints (or refers the complaint to the level of resolve.</li>
<li>Determines individual training and development needs and seeks out ways to satisfy them.</li>
<li>The incumbent is responsible for furthering the goals of Equal Employment Opportunity (EEO) by taking positive steps to ensure adherence to non-discriminatory employee practices regarding race, color, sex, religion, national origin, age, or handicap. </li>
<li>Contribute to a team effort.</li>
<li>Performs other job-related duties as assigned.</li>
</ul>
Knowledge, Skills, and Abilities:
<ul>
<li>Knowledge of the Tohono O'odham culture, customs, and traditions.</li>
<li>Thorough knowledge of medical records administration and management to apply established principles, concepts, and techniques of hospital operations.</li>
<li>Thorough knowledge of policies, procedures, applicable Federal statutes on legislation governing health records. </li>
<li>Advanced knowledge and understanding of health information management: including coding, medical terminology, documentation standards, electronic health record (EHR), and medicolegal issues of the health record.</li>
<li>Advanced analytic skills to be able to solve problems covering the diverse issues that are involved in the health records management field. </li>
<li>Advanced knowledge of medical terminology, understanding the standard practices of the clinical medical field and communicating effectively with the clinical .staff in interpreting and comprehending medical documentation in health records. Practical knowledge of anatomy, physiology, and medical procedures and diagnosis.</li>
<li>Ability to plan, organize and cope with complex management issues. Ability to handle technical problems analytically and systematically, especially in times of medical or administrative emergencies.</li>
<li>Ability to communicate effectively, orally, and in writing to all levels of personnel. Effective communication is needed to coordinate with various department personnel, patients, agency personnel, and outside entities requesting or requiring information related to health records.</li>
<li>Expert knowledge in developing procedures, planning, organizing, and monitoring studies involving data analysis and preparing reports. </li>
<li>Thorough knowledge of Public Law 94-437, Title IV of the Indian Health Care Improvement Act, PL 99-272, Federal Medical Care Cost Recovery Act, the Drug Abuse Office and Treatment Act of 1972; hospital policies and procedures governing the recovery of the cost of medical care provided to specific individuals.</li>
<li>Knowledge of reimbursable insurance procedures and requirements, including interpreting provisions of individual health plans and group plans.</li>
<li>Knowledge of proper coding procedures, ICD-10 and CPT.</li>
<li>Thorough knowledge of the Resource Patient Management System (RPMS). </li>
<li>Expert knowledge of regulatory, licensing, accrediting agency requirements, and medical/legal responsibilities of medical records (including electronic health records).</li>
<li>Expert knowledge of the interrelationships between medical records programs and other medical care services to evaluate and modify/adapt new procedures to meet changing regulatory requirements and health care practices.</li>
<li>Knowledge of supervisory personnel management responsibilities, including recruitment and staffing, training, incentive awards, discipline, position classification, pay administration. </li>
</ul>
Minimum Qualifications:
<ul>
<li>Associates in Medical Billing and Coding or closely related field, and</li>
<li>Three years of supervisory experience in Health Information Management Services (HIMS). </li>
</ul>
Licenses, Certifications, Special Requirements:
<ul>
<li>Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) is desirable.</li>
<li>Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. </li>
<li>May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). </li>
<li>If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.</li>
<li>Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.</li>
</ul>

Supervisory Medical Records Administration Specialist

Description
For 0.5 to 1.0 FTE (20 hours - 40 hours per week ) $10,000 Hiring Bonus for eligible candidates who met all conditions for payment - this is in addition to the fantastic benefits and compensation package offered by Providence.
The Clinical Nurse Specialist (CNS) is an expert clinician who may practice in a specialty area with expertise in teaching, mentoring, consulting, research, management and systems improvement. The clinical nurse specialist influences outcomes by providing expert consultation to all care providers and by implementing improvements in health care delivery systems.
Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Regional Medical Center Everett and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Providence Regional Medical Center Everett received the HealthGrades Distinguished Hospital Award for Clinical Excellence four years in a row.
Required Qualifications:
<ul>
<li>Master's Degree from a clinical nurse specialist program accredited by the Commission on the Collegiate of Nursing Education (CCNE) or the National League for Nursing Accreditation Commission (NLNAC) or</li>
<li>Ph.D. from a clinical nurse specialist program accredited by the Commission on the Collegiate of Nursing Education (CCNE) or the National League for Nursing Accreditation Commission (NLNAC) or Doctor of Nursing Practice (DNP) or</li>
<li>Coursework/Training: Currently enrolled in a Master's, DNP, or Ph.D. clinical nurse specialist program accredited by the Commission on the Collegiate of Nursing Education (CCNE) or the National League for Nursing Accreditation Commission (NLNAC) or</li>
<li>Coursework/Training: Equivalent coursework and experience will be considered (Example: Masters in Nursing or Doctoral degree in Nursing that did not major in the CNS role, such as those that are in Nursing Administration or Nursing Education)</li>
<li>Washington Registered Nurse License upon hire</li>
<li>National Provider BLS - American Heart Association upon hire</li>
<li>3 years of registered nursing experience in area of specialty</li>
</ul>
Preferred Qualifications:
<ul>
<li>Current certification as a CNS upon hire</li>
<li>Current certification in area of specialty upon hire</li>
<li>2 years of clinical leadership responsibility</li>
</ul>
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act."
About the Team
Providence has been serving the Pacific Northwest since 1856 when Mother Joseph and four other Sisters of Providence arrived in Vancouver, Washington Territory. Today, Providence is the largest health care provider in Washington located in communities large and small across the state. In western Washington, Providence provides care throughout the greater Puget Sound from Snohomish County to Lewis County.
Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
For any concerns with this posting relating to the posting requirements in RCW 49.58.110(1), please click here where you can access an email link to submit your concern.
 Requsition ID: 385327 
Company: Providence Jobs 
Job Category: Nursing-Patient Facing 
Job Function: Nursing 
Job Schedule: Full time 
Job Shift: Day 
Career Track: Nursing 
Department: 3002 NRSG EDUC WA PRMCE COLBY 
Address: WA Everett 916 Pacific Ave 
Work Location: Everett Medical Ctr Pacific-Everett 
Workplace Type: On-site 
Pay Range: $61.91 - $97.72 
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
PandoLogic. Keywords: Clinical Nurse Specialist (CNS), Location: Everett, WA - 98207

Clinical Nurse Specialist - Education - Neonatal ICU

<h3>Job Description</h3>
Job Description
Who We Are:
Bennett &amp; Pless is a growing Structural Engineering Consulting firm with a 61-year track record of being one of the leading firms in the Southeast in the niche markets we practice. We have been nominated 8 consecutive years in a row as a best firm to work for and have offices in Atlanta, Sarasota, Charlotte, Chattanooga, Dallas Knoxville, Nashville, Orlando, Loudoun and Raleigh. Our projects range in scope from simple site inspections to the design of a new facility, and we work at each stage – feasibility studies, conceptual design, detailed design, and construction administration. Together, our 10 offices have created an energized engineering powerhouse offering enhanced capabilities to our ever-growing client base. 
 
What You Will Do:
We have an exciting opportunity for a Senior Structural Engineer to join our growing team out of our Nashville, TN office. This role is primarily responsible for leading a team to perform the design and analysis of structural elements and systems for a variety of project types, in different industries such as manufacturing, distribution, data centers, commercial, historical, adaptive reuse, and renovations. The Senior Engineer serves as the technical specialist and also mentors and trains junior and mid-level team members. The growth path for this role could consist of a Specialist or a Leadership route.
Responsibilities:
<ul>
<li>Interacts with clients attending client, architect, and contractor meetings, reviewing structural documentation, and supervising/mentoring junior staff.</li>
<li>Oversight of design calculations, preparation of the construction documents, reviewing shop drawings and submittals, site reviews, and RFI responses.</li>
<li>Coordinates information across all disciplines to ensure deliverables are compliant with client expectations and Bennett &amp; Pless quality levels.</li>
<li>Performs QA/QC of work performed by others.</li>
<li>Mentors and provides oversight to engineering team. Responsible for the learning, professional development, and growth of the assigned team, as well as training and career development.</li>
</ul>
 
What We Are Looking For:
Qualifications:
<ul>
<li>Bachelor’s degree in Engineering required, Master’s degree preferred.</li>
<li>Active Professional Engineer license and/or SE.</li>
<li>8+ years’ experience required in structural engineering, specifically in building design.</li>
<li>People management experience is preferred</li>
<li>Experience with industry standard software, including but not limited to Tekla Structural Designer (TSD), ETABS, SAFE, SAP, Microsoft products, Bentley (RAM) products, RISA, EnerCalc, Adapt, etc.</li>
<li>Project management experience/ability is required.</li>
<li>Structural design experience utilizing different construction materials and structural systems; including but not limited to steel, concrete, and masonry design in low to mid-rise structures.</li>
<li>Working knowledge of Revit is preferred.</li>
<li>Client management experience is preferred.</li>
</ul>
Skills and Competencies:
<ul>
<li>Ability to work in a fast-paced team environment, manage multiple projects, tasks, and deadlines, and bring each to completion.</li>
<li>Must be a self-starter and always willing to listen, learn, and improve.</li>
<li>Strong communication skills, both verbal and written are required.</li>
<li>Must demonstrate team leadership ability, and ability to train and mentor younger engineers.</li>
<li>Be self motivated and able to work within a team structure and independently.</li>
<li>Be willing to take ownership of all work performed.</li>
</ul>
 
What We Offer:
At Bennett &amp; Pless, our vision is to be a place where employees thrive. We’re a growing firm committed to empowering employees without sacrificing work/life balance. Our culture is the center of making us who we are and it’s our priority to make employees feel accepted and valued.
As a firm, we are highly supportive of the development of our employees. Every year, we kick off Career Development Planning where employees create tailored development goals. Goals are regularly assessed throughout the year to allow employees to advance towards their career growth objectives. We also have monthly Bennett and Pless learning sessions where our senior Engineers and Specialists share their knowledge on a broad variety of subjects.
We have an employee-focused benefits package that includes:
<ul>
<li>Company-paid medical, dental and vision coverage for the employee</li>
<li>Health savings and flex spending accounts </li>
<li>Group short-term &amp; long-term disability; life and a&amp;d insurance</li>
<li>Paid parental leave </li>
<li>Tuition reimbursement program</li>
<li>401(k) matching</li>
<li>Monthly wellness allowance</li>
<li>Paid time off &amp; paid holidays</li>
<li>Flexible schedules, including summer hours</li>
<li>Company retreat</li>
</ul>
If you are interested in a place where you can thrive and make a career at Bennett &amp; Pless, come join our unique culture! 
Bennett &amp; Pless is an Equal Employment Opportunity employer. All applicants will be considered for employment and we prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by federal, state or local laws.

Senior Structural Engineer

<h3>Job Description</h3>
Job Description
Our mission is to create the Experience of a Lifetime for our employees, so they can, in turn, create the Experience of a Lifetime for our guests. We own and operate the most renowned destination resorts in the world as well as regional and local ski areas outside major cities, and connect them all through one unrivaled network. We are looking for ambitious leaders, innovators and creators to join our talented team. If you’re ready to pursue your fullest potential, we want to get to know you!
Candidates for year-round positions are reviewed on a rolling basis. Applications will be accepted up to 90 days after the posting date, or until the position is filled (whichever is first).
Job Summary: This role is responsible for resolving complex HR issues with a balanced approach of technical expertise, process insight, and empathetic service. As a subject matter expert, the T3 Specialist provides advanced troubleshooting, clear guidance on best practices, and ensures timely, accurate resolutions that enhance the employee experience across all levels of the organization—from GSS to resort Senior Leadership Teams (SLTs). 
In addition to issue resolution, the T3 Specialist proactively identifies knowledge gaps, streamlines workflows, and contributes to the development of scalable solutions that improves HR services from Genpact to the resorts. This role requires strong analytical thinking, cross-functional collaboration, and a commitment to continuous improvement in HR operations. 
Job Specifications:
<ul>
<li>Starting Wage:&nbsp;$22.00/hr - $28.05/hr </li>
<li>Employment Type:&nbsp;Winter Seasonal 2025/2026 </li>
<li>Shift Type:&nbsp;Full Time</li>
<li>Minimum Age:&nbsp;At least 18 years of age </li>
<li>Housing Availability:&nbsp;No&nbsp;</li>
</ul>
Job Responsibilities:
<ul>
<li>Participate in cross-functional projects and initiatives</li>
<li>Contribute to the development and refinement of self-service tools and resources</li>
<li>Resolve complex Tier 3 HR Request with accuracy and empathy</li>
<li>Create and update standard operating procedures and training materials as needed</li>
<li>Partner with COEs to ensure alignment and consistency across HR services</li>
<li>Analyze service trends to identify opportunities for process enhancements</li>
<li>Provide coaching and support to Tier 1 and Tier 2 teams on complex requests</li>
<li>Escalate unresolved issues to appropriate COEs and follow through to resolution</li>
<li>Lead training initiatives for Shared Services team members</li>
</ul>
Job Requirements:
<ul>
<li>Bachelor’s degree in Human Resources, Business Administration, or similar years of working experience preferred</li>
<li>3-5 years in a high-volume HR Shared Services environment</li>
<li>Supervisory experience preferred, but not required. </li>
<li>Experience with HRIS platforms such as Workday, PeopleSoft, and ServiceNow </li>
<li>Ability to maintain confidentiality and exercise professional discretion</li>
<li>Flexibility to adapt to changing priorities and business needs</li>
<li>Comfortable working in a fast-paced, collaborative environment</li>
<li>Strong analytical, facilitation, and communication skills</li>
<li>Ability to work independently and manage escalations effectively</li>
<li>Previous experience with Outlook, Microsoft Office, Teams&nbsp;</li>
</ul>
The expected Total Compensation for this role is&nbsp;$22.00/hr - $28.05/hr. Individual compensation decisions are based on a variety of factors. &nbsp;
Job Benefits
<ul>
<li>Ski/Mountain Perks! Free passes for employees, employee discounted lift tickets for friends and family AND free ski lessons </li>
<li>MORE employee discounts on lodging, food, gear, and mountain shuttles</li>
<li>401(k) Retirement Plan </li>
<li>Employee Assistance Program</li>
<li>Excellent training and professional development</li>
</ul>
Full Time roles are eligible for the above, plus:
<ul>
<li>Health Insurance; Medical Insurance, Dental Insurance, and Vision Insurance plans (for eligible seasonal employees after working 500 hours)</li>
<li>Free ski passes for dependents</li>
<li>Critical Illness and Accident plans</li>
</ul>
Employees can work remotely from British Columbia, Washington D.C., and the 16 U.S. states* in which we currently operate. This includes: California, Colorado, Indiana, Michigan, Minnesota, Missouri, New Hampshire, New York, Nevada, Ohio, Pennsylvania, Utah, Vermont, Washington State, Wisconsin, and Wyoming.
Please note that the ability to work in person or off-site, and the particulars related to such work, are subject to change at any time; and, accordingly, the Company reserves the right to change its policies and/or require in-person/in-office work or off-site work at any time in its sole discretion.&nbsp; 
In completing this application, and when submitting related documentation, applicants may redact information that identifies their age, date of birth, and/or dates of attendance at or graduation from an educational institution.&nbsp;
We follow all federal, state, and local laws including restrictions on child/minor labor. Minors hired into this position will not be asked or permitted to engage in any activities restricted to adult workers.
Vail Resorts is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, protected veteran status or any other status protected by applicable law.
Requisition ID &nbsp;511715 Reference Date:&nbsp;09/18/2025&nbsp; Job Code Function:&nbsp;HR Services&nbsp;

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