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Financial Analyst IV (Decision Support) CalOptima CalOptima Health is seeking a highly motivated Financial Analyst IV (Decision Support) to join our team. The Financial Analyst IV (Decision Support) will be responsible for providing analysis, guidance and expert knowledge on health care finance for various departments within CalOptima Health. Working independently, the incumbent will lead large-scale analytical initiatives and develop report suites and financial models used to forecast medical cost trends. The incumbent will provide support for provider contract negotiations, assess actuarial rate development studies, participate in annual budgeting functions, provide ad-hoc analytic support as needed and act as a resource to staff and other consultants within the department. The incumbent will evaluate various complex issues, perform detailed analysis and communicate well reasoned solutions to all levels of management within CalOptima Health. The incumbent will work with large amounts of claims, enrollment and provider data. Position Information: 
<ul>
<li>Department: Financial Analysis </li>
<li>Salary Grade: 314 - $99,902 - $159,843 ($48.03 - $76.8476) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<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>Researches, assesses and develops advanced tools, models, reports and approaches to increase the accuracy and timeliness of data-driven work projects.</li>
<li>Develops medical expense, revenue and enrollment projections to support the budget process.</li>
<li>Develops financial models and reports to support provider contract negotiations.</li>
<li>Develops return on investment and business case analyses for program initiatives under consideration by management.</li>
<li>Provides clinical and utilization analysis to assist Medical Management with improving outcomes and quality of care for CalOptima Health members.</li>
<li>Collaborates with the Data Warehouse team to design and recommend improvements to the data warehouse.</li>
<li>Provides support and analyses around risk adjustment.</li>
<li>Mentors, trains and serves as a lead for analytical staff.</li>
<li>Designs, develops, implements and maintains report suites and dashboards for all levels of CalOptima Health management.</li>
<li>Serves as a subject matter expert around one or more of the following areas: Medi-Cal provider rate methodology, Medicare provider rate methodology, Department of Health Care Services (DHCS) revenue, Centers for Medicare &amp; Medicaid Services-Medicare Advantage (CMS-MA) revenue, population health member cohort identification, industry standard approaches to health care cost service categorization and metrics. </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 business administration, finance, economics, actuarial sciences or related field PLUS 6 years of experience working with health care finance reporting and analytics in a medical group, hospital or health plan setting 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>3 years of experience in Provider Contract Modeling required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Experience working with commercial, Medi-Cal and Medicare large payer data sets and related pricing information that is publicly available. </li>
<li>Experience developing annual organizational budgets, forecasts and financial modeling. </li>
<li>Experience using Tableau and/or Microsoft SQL Server.</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=6299502&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 June 26, 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/6299502" target="_blank">https://jobs.caloptima.org/jobs/financial-analyst-iv-decision-support-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-f3569a1ca984034796c2553e8b161065

Financial Analyst IV (Decision Support)

Program/Policy Analyst Sr (Medi-Cal Compliance) CalOptima CalOptima Health is seeking a highly motivated Program/Policy Analyst Sr (Medi-Cal Compliance) to join our team. The Program/Policy Analyst Sr (Medi-Cal Compliance) will coordinate and maintain CalOptima Health's relationship with regulatory agencies and ensure CalOptima Health and its First Tier, Downstream and Related Entities (FDRs) comply with all appropriate standards, regulations, contractual provisions, federal waivers and laws. Specifically, the incumbent works to enhance and strengthen CalOptima Health's policy infrastructure, platform and strategies at the state level, including contract compliance, statutory and regulatory obligations with the Department of Health Care Services (DHCS). The incumbent requires the ability to complete a variety of independent detailed analyses, including the development, review and response to corrective action plans. The incumbent will be responsible implementing Corrective Action Plans (CAPs), supporting regulatory audits, validating regulatory guidance and developing regulatory communications for CalOptima Health stakeholders. The incumbent will interact with CalOptima Health's executives and department management, FDR's management, legal counsel and state and federal regulatory agencies. The incumbent will also support other key CalOptima Health staff on related projects. Position Information: 
<ul>
<li>Department: OOC - MediCal Regulatory Affairs &amp; Compliance </li>
<li>Salary Grade: 311 - $77,863 - $124,581 ($37.43 - $59.8947) </li>
<li>Work Arrangement: Full Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<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>Works with all of CalOptima Health's departments in response to inquiries, problem-solving and promoting CalOptima Health's mission and message.</li>
<li>Assists in the management of CalOptima Health's daily relationship with the DHCS for CalOptima Health's Medi-Cal program.</li>
<li>Maintains open lines of communication to ensure the ongoing trust and confidence of regulators in the program and management.</li>
<li>Researches, analyzes and makes recommendations regarding the policy implications of major initiatives for CalOptima Health's Medi-Cal program, e.g., integration of new benefits and populations.</li>
<li>Works with business areas at all levels of leadership to validate regulatory communications from regulators impacting CalOptima Health's Medi-Cal program.</li>
<li>Supports process improvements for the Office of Compliance department.</li>
<li>Serves as a Medi-Cal regulatory subject matter expert and lead for CalOptima Health's compliance issues and investigations.</li>
<li>Supports management in the readiness, coordination, oversight and remediation of regulatory audits, including but not limited to validating business area submissions, additional audit requests and written daily reports.</li>
<li>Researches and responds in a professional manner to questions pertaining to the Medi-Cal program.</li>
<li>Works with the director and manager with interactions and responses to regulatory representatives on compliance-related issues as needed.</li>
<li>Reviews and retains working knowledge of Medi-Cal policies and procedures related to assigned programs and projects.</li>
<li>Assists in the creation of communications and strategic alliances with regulators.</li>
<li>Researches and keeps current on the local, state and federal health care environment and health policy, identifying issues that may impact CalOptima Health's Medi-Cal program.</li>
<li>Coordinates the maintenance of public program benefit updates for accurate and consistent application by CalOptima Health and its provider community.</li>
<li>Participates and represents CalOptima Health in meetings and calls with regulators and associations and summarizes key points and impact to CalOptima Health's Medi-Cal program as needed. </li>
<li>10% - Administrative Support</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>Initiates, facilitates and promotes activities to foster compliance awareness and encourages the reporting of compliance issues within the organization and related entities. </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 health services administration, public health, public policy or a related field PLUS 4 years of experience in government, public or government affairs role in health care compliance or health plan requirements 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>Master's degree. </li>
<li>Experience working with regulatory agencies in California. </li>
<li>Experience with Medi-Cal regulatory requirements and/or compliance in the areas of Customer Service, Grievance &amp; Appeals, Quality Improvement, Case Management, Claims Administration and/or Utilization Management. </li>
<li>Certification in Healthcare Compliance (CHC) or other compliance related certifications such as Certified Compliance and Ethics Professional.</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=6296744&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 June 25, 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/6296744" target="_blank">https://jobs.caloptima.org/jobs/program-policy-analyst-sr-medi-cal-compliance-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-c10c0223e159b943b7243c210753f920

Program/Policy Analyst Sr (Medi-Cal Compliance)

The Juilliard School is seeking a full-time Executive Legal Administrator in the Office of the General Counsel. The Executive Legal Administrator will report to the Vice President and General Counsel.&nbsp;
The salary for this role is $58,500-$60,000.
Working at Juilliard
Founded in 1905, The Juilliard School is a world leader in performing arts education. The school’s mission is to provide the highest caliber of artistic education for gifted musicians, dancers, and actors from around the world so that they may achieve their fullest potential as artists, leaders, and global citizens.
Excellence and professionalism are important guides in how we go about our work, but we also connect to the mission as individuals in the workplace. We thrive because of our variety of backgrounds and our ability to be open and honest, and we also thrive because we enjoy each other’s company. We believe that each employee has the responsibility to help shape the Juilliard organizational culture, and we provide opportunities to participate in team-building throughout the year. Our organizational values focus on excellence, creative enterprise, and equity, diversity, inclusion, and belonging.
We encourage you to read more about how we achieve our mission on our website, juilliard.edu.&nbsp;
Role Responsibilities:
Provide executive support to the Vice President and General Counsel and the Associate General Counsel on matters relating to the chief obligations and mandates of the Office of Legal Counsel.&nbsp;Such duties include:&nbsp;
<ul>
<li>Assisting with the prioritization of tasks and strategies&nbsp;</li>
<li>Identifying and providing recommendations on legal and compliance operations</li>
<li>Managing the contracts process including submitting contracts for the General Counsel’s review, ensuring final execution by the proper signatories, obtaining proper certificates of insurance from vendors, issuing new vendor packages and tax exemption certificates, tracking the opening and expiration dates of contracts, and managing the integration of the contracts in the school’s operations&nbsp;</li>
<li>Managing special projects related to business operations</li>
<li>Interfacing with clientele, outside counsel, courts, and government agencies</li>
<li>Building and maintaining databases and files; organize and track cases and other matters; arrange for service of process; prepare, edit, and disseminate written communication to handle applications, agreements, licenses, and permits&nbsp;</li>
<li>Carrying out major assignments related to legal and factual research; prepare written reports as requested; prepare correspondence and court documents for filing</li>
<li>Managing office operations including daily management of workflow; streamlining work, and&nbsp;identifying and resolving workflow problems; using technology to improve office functions</li>
<li>Coordinating and prioritizing schedules and internal and outside obligations; arranging meetings and conferences, handling communication and travel arrangements, and processing related documentation</li>
<li>Responding to inquiries on behalf of the General Counsel and following up on communications originating from the executives’ offices or department</li>
<li>Performing other functions as assigned&nbsp;</li>
</ul>
Minimum Requirements:
<ul>
<li>Bachelor’s Degree&nbsp;</li>
<li>2-4 years of relevant experience in a university, government agency, nonprofit,&nbsp;or law office, or equivalent combination of education and experience.&nbsp;</li>
<li>Experience working independently and exercising discretion in carrying out duties.&nbsp;</li>
<li>Ability to establish and develop relationships with clientele, outside counsel, government agencies, and other entities.&nbsp;</li>
<li>Experience in handling confidential information. Highly proficient communication, writing, editing, research, and analysis skills necessary.&nbsp;</li>
<li>Ability to organize, prioritize, and carry out detailed procedures in a fast-paced work environment with shifting priorities.&nbsp;</li>
<li>Knowledge and experience in managing an office.&nbsp;</li>
<li>Relevant computer knowledge and experience, including proficiency with Microsoft Word, Excel, and Power Point software.&nbsp;Must be willing to learn and work with new computer programs and electronic technology.&nbsp;</li>
</ul>
Why Work for Juilliard?
<ul>
<li>All Juilliard performances are free to Juilliard employees</li>
<li>We’re part of the Lincoln Center campus, with significant discounts on day-of tickets to many of our partner organizations</li>
<li>Contribution to your 403(b) after 2 years of eligible employment</li>
<li>Generous days-off policy, plus winter break and summer Fridays</li>
<li>A culture of excellence, best practice, and employee engagement with like-minded colleagues</li>
</ul>
Nondiscrimination Policy:
The Juilliard School is committed to a policy of equal treatment and opportunity in every aspect of its relations with its faculty, staff, students, and other members of the Juilliard community, and does not discriminate on the basis of actual or perceived race, color, religion, creed, age, sex, national origin, alienage, ancestry, citizenship, sexual orientation or preference, gender identity, physical or mental disability, medical condition, predisposing genetic characteristics, marital status, partnership status, or any other basis prohibited by applicable local, state, or federal law. This nondiscrimination policy covers, but is not limited to, recruitment, hiring, training, benefits, rates of pay and other forms of compensation as well as student admission, access, and treatment in school programs and activities.

Executive Legal Administrator

Job Title:&nbsp; VP of MissionAdvancement&nbsp;&nbsp;
Department:&nbsp; Fundraising andDevelopment
Classification:&nbsp; Full time, Exempt
Job Grade:&nbsp; 15
Reports to: CEO &nbsp; 
APPLICATION INSTRUCTIONS:&nbsp; Apply on the <a href="https://www.eugeneymca.org/jobs" target="_blank">Eugene Family YMCA Jobs page</a>,and include a cover letter and resume.
Our Culture&nbsp;&nbsp;
Our mission and core values are brought to life by our culture.In the Y, we strive to live our cause of strengthening communitieswith purpose and intentionality every day.&nbsp; We are welcoming:we are open to all. We are a place where you can belong andbecome.&nbsp;We are genuine: we value you and embrace yourindividuality.&nbsp;We are hopeful: we believe in you and yourpotential to become a catalyst in the world.&nbsp;We are nurturing:we support you in your journey to develop your fullpotential.&nbsp;We are determined: above all else, we are on arelentless quest to make our community stronger beginning withyou.&nbsp;&nbsp;
Position Summary&nbsp;&nbsp;
This position supports the work of the Y, a leading nonprofit,charitable organization committed to strengthening communitythrough youth development, healthy living and socialresponsibility. The VP of Mission Advancement at the Eugene FamilyYMCA intentionally fosters a cause-centered culture that iswelcoming, genuine, hopeful, nurturing, and determined while alsoproviding daily engagement, advancement, and progression of the Y’sstrategic philanthropic goals.&nbsp;
Essential Functions&nbsp;&nbsp;
<ul>
<li>
Work with the CEO and Y leaders to drive the continuousimprovement process in the association using data, analysis, andkey performance indicators.&nbsp;
</li>
</ul>
<ul>
<li>
Supervise the Philanthropy department to ensure soundoperations.&nbsp; Address the root cause of systemic issues ratherthan symptoms.&nbsp;
</li>
</ul>
<ul>
<li>
Work closely with the CEO to build upon YUSA and industry bestpractices in ways that expand the Y’s relationships and engagementwith donors and funders.&nbsp;
</li>
</ul>
<ul>
<li>
Models relationship-building skills in all interactions withstaff, volunteers, donors, partners, members, and thecommunity.&nbsp;
</li>
</ul>
<ul>
<li>
Directs and administers the total operation of the Philanthropydepartment including the interpretation and execution ofestablished policies, the development of procedures and methods,staffing, evaluation of the effectiveness of the programs andoperation.&nbsp;
</li>
</ul>
<ul>
<li>
Regularly, and frequently, is working out of the office tocultivate and steward relationships with major donors.&nbsp;
</li>
</ul>
<ul>
<li>
Ensures that major donors are connected with the Y’s cause,impact, Board volunteers, and CEO.&nbsp;
</li>
</ul>
<ul>
<li>
Supports the CEO in their direct fundraising goals associatedwith donor cultivation and stewardship.&nbsp;
</li>
</ul>
<ul>
<li>
Develops and maintains key long-term relationships with donorsand prospects&nbsp;
</li>
</ul>
<ul>
<li>
Develops organizational goals and strategic plans forfundraising, balancing long-term direction and short-termrequirements; develops systems and manages resources, including thefinancial development budget, needed to carry out the fundraisingplans; develops appropriate fundraising policies and procedures forthe association.&nbsp;
</li>
</ul>
<ul>
<li>
Develops processes and is actively involved in identifying,cultivating and soliciting major gift prospects; maintains databaseresource file on top community leaders.&nbsp;
</li>
</ul>
<ul>
<li>
Directs and coordinates association capital development, annualcampaign, sponsorship and endowment programs.&nbsp;
</li>
</ul>
<ul>
<li>
Prepares and coordinates proposals for grants from governmentsources and private foundations.&nbsp;
</li>
</ul>
<ul>
<li>
Accountable for grant monitoring, compliance, andreporting.&nbsp;
</li>
</ul>
<ul>
<li>
Actively engages the board in challenging conversations anddecision making to advance the Y's impact; develops strategies toincrease volunteer involvement at all levels of financialdevelopment.&nbsp;
</li>
</ul>
<ul>
<li>
Tracks all gifts and pledges by source and purpose and providesreports as needed; ensures that gifts are used for theirdonor-intended purpose.&nbsp;
</li>
</ul>
<ul>
<li>
Provides training in fundraising; educates, motivates andprovides feedback to individuals related to best practices in thefundraising process.&nbsp;
</li>
</ul>
<ul>
<li>
Creates and implements effective communication strategies withcompelling messages that inspire others to accomplish the missionand cause with maximum impact; develops communication plans toensure members, participants, and the community understand the casefor support.&nbsp;
</li>
</ul>
<ul>
<li>
Develops systems and manages resources needed to carry out thefundraising plans; establishes and monitors the financialdevelopment department budget for the YMCA.&nbsp;
</li>
</ul>
<ul>
<li>
Develops communication plans to insure members, participants andthe community understand the case for support; works closely withthe marketing and communication team.&nbsp;
</li>
</ul>
<ul>
<li>
Works closely with the CEO and Accounting Director to developbudgets and key financial goals.&nbsp;
</li>
</ul>
<ul>
<li>
Works closely with the CEO to track key performance indicatorsand budget outcomes in ways that support the Y’s financial strengthand stability.&nbsp;
</li>
</ul>
<ul>
<li>
Vigilantly stewards the Y’s resources and financial goals bymonitoring budgets, striving to identify operationalinefficiencies, and providing recommendations to the CEO on areasto allocate resources.&nbsp;
</li>
</ul>
<ul>
<li>
Closely monitors key performance indicators and financialoutcomes and provides recommendations to the CEO when variancesversus expectations are identified.&nbsp;
</li>
</ul>
<ul>
<li>
Helps create organizational best practices and systems thatremove barriers and foster equity and inclusion for all.&nbsp;
</li>
</ul>
<ul>
<li>
Handles and resolves concerns or questions in an empathetic andprofessional manner; informs supervisor of unusual situations orunresolved issues.&nbsp;
</li>
</ul>
<ul>
<li>
Participates in various standing committees and temporary taskforces as needed.&nbsp;&nbsp;&nbsp;
</li>
</ul>
<ul>
<li>
Within 90 days of hire, completion of the following mandatorytrainings): First Aid, CPR/AED, Blood Borne Pathogen, WorkplaceDiscrimination and Harassment Prevention, and Child AbusePrevention.&nbsp;&nbsp;&nbsp;
</li>
</ul>
<ul>
<li>
Must maintain a current, valid Oregon driver’s license, a DMVdriving record that meets YMCA standards, and evidence ofinsurability throughout entire term ofemployment.&nbsp;&nbsp;&nbsp;
</li>
</ul>
<ul>
<li>
Protects organization's value by keeping informationconfidential always.&nbsp;&nbsp;
</li>
</ul>
<ul>
<li>
Performs other duties as assigned by the CEO.&nbsp;
</li>
</ul>
Minimum Qualifications&nbsp;&nbsp;
<ul>
<li>
Requires four years of training in relevant areas and relatedfields beyond high school&nbsp;
</li>
</ul>
<ul>
<li>
At least 4.5 years of directly relevant experience&nbsp;
</li>
</ul>
Preferred Qualifications&nbsp;&nbsp;
<ul>
<li>
YMCA Multi-Team Leader certification preferred for hire andrequired within 3 years of acceptance in the position if notachieved prior to hire&nbsp;
</li>
</ul>
<ul>
<li>
Experience leading annual campaigns in excess of$500,000&nbsp;
</li>
</ul>
<ul>
<li>
Experience leading capital campaigns in excess of$10,000,000&nbsp;
</li>
</ul>
<ul>
<li>
Verbal and written fluency in Spanish&nbsp;
</li>
</ul>
Work Environment &amp; PhysicalDemands&nbsp;&nbsp;
The physical demands described here are representative of thosethat must be met by an employee to successfully perform theessential functions of this job. Reasonable accommodations may bemade to enable individuals with disabilities to perform theessential functions.&nbsp;
<ul>
<li>
The physical demands described here are representative of thosethat must be met by an employee to successfully perform theessential functions of this job.&nbsp; Reasonable accommodationsmay be made to enable individuals with disabilities to perform theessential functions.&nbsp;&nbsp;
</li>
</ul>
<ul>
<li>
While performing the duties of this job, the employee isregularly required to use a computer for extended periods of timeand be able to communicate using a computer and phone/smartdevice.&nbsp;&nbsp;
</li>
</ul>
<ul>
<li>
The employee must pay frequent, and precise, attention topressing deadlines and details.&nbsp;&nbsp;
</li>
</ul>
<ul>
<li>
The employee frequently is required to sit and reach, and mustbe able to move around the work environment.&nbsp;&nbsp;&nbsp;
</li>
</ul>
<ul>
<li>
The employee must intermittently lift and/or move up to 25pounds.&nbsp;&nbsp;&nbsp;&nbsp;
</li>
</ul>
<ul>
<li>
Specific vision abilities required by this job include closevision, distance vision, and the ability to adjust.&nbsp;&nbsp;
</li>
</ul>
<ul>
<li>
The noise level in the work environment is usuallymoderate.&nbsp;&nbsp;&nbsp;&nbsp;
</li>
</ul>
Full-time Employee Benefits &amp;Discounts&nbsp;&nbsp;
<ul>
<li>
<a href="https://www.eugeneymca.org/careers" target="_blank">Careers |Eugene Family YMCA (eugeneymca.org)</a>&nbsp;&nbsp;
</li>
</ul>
The Eugene Family YMCA is an Equal EmploymentOpportunity Employer.&nbsp;&nbsp;&nbsp;
The Eugene Family YMCA is committed to creating an environmentof mutual recognition where equal employment opportunities areavailable to all applicants and teammates without regard to race,color, religion, sex, pregnancy (including childbirth, lactationand related medical conditions), national origin, age, physical andmental disability, marital status, sexual orientation, genderidentity, gender expression, genetic information (includingcharacteristics and testing), military and veteran status, and anyother characteristic protected by applicable law. The Y believesthat diversity, inclusion, and a sense of purpose and belonging inthe workplace are critical to the achievement of our mission. Weseek to recruit, develop, and retain the most talented people froma diverse candidate pool.&nbsp;&nbsp;
If you need assistance or an accommodation due to a disability,you may complete the <a>ADA Accommodation Request Form</a>; or contact us at <a href="mailto:hr@eugeneymca.org" target="_blank">hr@eugeneymca.org</a> or 541-686-9622,ext. 246.&nbsp;&nbsp;
The Y: We're for youth development, healthy living, andsocial responsibility.&nbsp;

VP of Mission Advancement

<h3>Job Description</h3>
Job DescriptionSalary: $30 - $45 per hour, DOE 
Job Title: Medical Case Manager Department: Medical Reports To: Clinic Director Status: Full-time, Non-Exempt
Position Summary
The Medical Case Manager provides comprehensive care coordination and support services to patients with complex medical needs. This role focuses on patient advocacy, resource linkage, chronic disease management, and integrated care planning to ensure improved health outcomes. The Medical Case Manager works closely with medical providers, behavioral health professionals, and community partners to address barriers to care and promote holistic wellness in alignment with The NATIVE Projects mission and values.
Essential Duties &amp; Responsibilities
<ul>
<li>Conduct initial and ongoing assessments of patients medical, psychosocial, and environmental needs.</li>
<li>Develop individualized care plans in coordination with medical providers and other interdisciplinary team members.</li>
<li>Monitor patient progress toward care plan goals and adjust interventions as needed.</li>
<li>Support patients in accessing healthcare services, medication adherence, diagnostic testing, specialty referrals, and preventive care.</li>
<li>Provide education to patients and families on chronic conditions, treatment plans, and community resources.</li>
<li>Coordinate referrals to internal services (Behavioral Health, Dental, Wellness/Prevention) and external agencies.</li>
<li>Collaborate with hospital discharge planners, home health agencies, and other case managers to ensure continuity of care.</li>
<li>Participate in quality improvement initiatives and case reviews to enhance patient care.</li>
<li>Document all case management activities accurately and timely in the electronic health record (EHR).</li>
<li>Monitor outcomes and collaborate with the Quality Improvement (QI) team to ensure program effectiveness and compliance with national standards, such as GPRA, UDS, and NCQA.</li>
</ul>
Qualifications
<ul>
<li>Education &amp; Certification: Bachelors degree in Nursing, Social Work, Public Health, or a related field required. RN, LPN, or L/MSW preferred.</li>
<li>Experience: Minimum of 2 years experience in case management, care coordination, or medical social work. Experience in a community health or tribal health setting preferred.</li>
<li>Skills &amp; Competencies:
<ul>
<li>Strong understanding of health disparities and barriers to care in underserved populations.</li>
<li>Knowledge of chronic disease management, social determinants of health, and trauma-informed care.</li>
<li>Excellent interpersonal, communication, and documentation skills.</li>
<li>Proficient in EHR systems and Microsoft Office Suite.</li>
<li>Ability to work independently and as part of a multidisciplinary team.</li>
<li>Cultural competency and sensitivity to Native American values, traditions, and community needs.</li>
</ul>
</li>
</ul>
Working Conditions
<ul>
<li>Standard clinical office environment with occasional home visits or community-based outreach.</li>
<li>Must be able to lift 20 pounds, sit or stand for extended periods, and use a computer for documentation.</li>
<li>May require flexible hours depending on patient and program needs.</li>
</ul>
Equal Employment Opportunity (EEO) Statement
The NATIVE Project is an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Medical Case Manager

<h3>Job Description</h3>
Job DescriptionJob Title: Medical Case Manager – Trauma Patients Location: Emeryville, CA Employment Type: Direct Hire Salary: $80,000 – $95,000 annually (DOE) Overview: We are seeking a compassionate and experienced Medical Case Manager to join a clients dedicated healthcare team in Emeryville, CA. This role focuses on managing and monitoring trauma patients throughout their recovery journey, ensuring they receive coordinated, high-quality care. Key Responsibilities: Manage a caseload of trauma patients, coordinating care plans and follow-up services Monitor patient progress and advocate for necessary medical and support services Collaborate with physicians, nurses, social workers, and insurance providers Maintain accurate documentation and ensure compliance with healthcare regulations Provide emotional support and guidance to patients and families Qualifications: Bachelor’s degree in Phycology, Nursing, Social Work, Health Administration, or a related field (required) Minimum 3 years of recent, stable experience in case management or trauma care Strong understanding of medical terminology, care coordination, and patient advocacy Excellent communication, organizational, and problem-solving skills Passion for helping patients navigate complex medical systems Great benefits. Apply for this great position as a medical case manager today! send resume to Yarely Villalpando Bakersfield AppleOne yvillalpando(@)appleone.com Equal Opportunity Employer / Disabled / Protected Veterans The Know Your Rights poster is available here: <a href="https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf" target="_blank">https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRi…</a> The pay transparency policy is available here: <a href="https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf" target="_blank">https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_…</a> For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required. We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team. AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program. <a href="https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf" target="_blank">https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Partici…</a> We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. #1087 Company DescriptionThis company offers growth and a great group of people to work with. 
<h3>Company Description</h3>
This company offers growth and a great group of people to work with.

<h3>Job Description</h3>
Job DescriptionSalary: $25 - $26 per hour DOE 
RESPONSIBILITIES:
<ul>
<li>Complete Initial assessments of service needs and develop a comprehensive, individualized care plan and collect and update eligibility documents for clients, annually.</li>
</ul>
<ul>
<li>Schedule appropriate follow-up appointments with clients to monitor care plan progression and provide linkages to health and support services to maintain continuity of care.</li>
</ul>
<ul>
<li>Provide ongoing assessment of clients needs and personal support system through re-evaluation of the care plan at least every 6 months with adaptations as necessary. Discharge as appropriate.</li>
<li>Participate in regularly scheduled case conferences and multidisciplinary team meetings, and present as assigned. </li>
</ul>
<ul>
<li>Maintain current documentation in EMR of all client and collateral contacts</li>
</ul>
<ul>
<li>Provide treatment adherence support through appointment reminders, referral management, and patient assistance programs.</li>
</ul>
<ul>
<li>Keep abreast of new information related to the effectiveness of case management for persons living with HIV through in-service and external trainings, supervision, and the RW Subcommittee meetings.</li>
</ul>
<ul>
<li>Aid with the completion of medical documents to ensure benefits, support services, medical equipment, or other needs are met.</li>
</ul>
<ul>
<li>Any other duties as assigned.</li>
</ul>
Office Hours: Monday through Friday, 8:30am 5:30pm Telework Eligibility: Up to 50% following successful completion of initial employment period 
Qualifications: Associates/Bachelors degree in health or human services related field preferred. High School diploma or GED required. A minimum of 2 years of experience working with persons living with HIV or at high risk of HIV acquisition preferred.

Non-Medical Case Manager

<h3>Job Description</h3>
Job DescriptionJob Title: Medical Case Manager – Trauma Patients Location: Emeryville, CA Employment Type: Direct Hire Salary: $80,000 – $95,000 annually (DOE) Overview: We are seeking a compassionate and experienced Medical Case Manager to join a clients dedicated healthcare team in Emeryville, CA. This role focuses on managing and monitoring trauma patients throughout their recovery journey, ensuring they receive coordinated, high-quality care. Key Responsibilities: Manage a caseload of trauma patients, coordinating care plans and follow-up services Monitor patient progress and advocate for necessary medical and support services Collaborate with physicians, nurses, social workers, and insurance providers Maintain accurate documentation and ensure compliance with healthcare regulations Provide emotional support and guidance to patients and families Qualifications: Bachelor’s degree in Phycology, Nursing, Social Work, Health Administration, or a related field (required) Minimum 3 years of recent, stable experience in case management or trauma care Strong understanding of medical terminology, care coordination, and patient advocacy Excellent communication, organizational, and problem-solving skills Passion for helping patients navigate complex medical systems Great benefits. Apply for this great position as a medical case manager today! send resume to Yarely Villalpando Bakersfield AppleOne yvillalpando(@)appleone.com Equal Opportunity Employer / Disabled / Protected Veterans The Know Your Rights poster is available here: <a href="https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf" target="_blank">https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRi…</a> The pay transparency policy is available here: <a href="https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf" target="_blank">https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_…</a> For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required. We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team. AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program. <a href="https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf" target="_blank">https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Partici…</a> We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. #1087 Company DescriptionThis company offers growth and a great group of people to work with.

<h3>Job Description</h3>
Job Description
CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Atlanta, GA. 
Work from home, and on the road. Monday – Friday, regular business hours. 
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others.</li>
<li>Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans.</li>
<li>Evaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness.</li>
<li>Provides assessment, planning, implementation and evaluation of patient’s progress. </li>
<li>Attends doctors, other providers, home and in some cases, attorney’s visits. </li>
<li>Attends hospital and/or long-term facility discharge planning conferences, et cetera for the purpose of determining appropriateness of care and developing an effective long-term care strategy. Initial home visit for initial evaluation.</li>
<li>Implements care such as negotiation the delivery of durable medical equipment and nursing services. </li>
<li>This role requires regular travel, dependent on the injured worker’s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month </li>
<li>This role may require overnight travel.</li>
</ul>
KNOWLEDGE &amp; SKILLS:
<ul>
<li>Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment.</li>
<li>Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred.</li>
<li>Ability to meet with the patient, their physicians, other healthcare providers, attorneys, and advisors/clients and coworkers.</li>
<li>A cost containment background, such as utilization review or managed care is helpful.</li>
<li>Strong interpersonal, time management and organizational skills.</li>
<li>Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets.</li>
<li>Ability to work both independently and within a team environment.</li>
</ul>
EDUCATION &amp; EXPERIENCE:
<ul>
<li>Graduate of accredited school of nursing.</li>
<li>Current RN Licensure in state of operation.</li>
<li>Must have national certification, CCM, COHN, CDMS, CRRN</li>
<li>A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required. </li>
</ul>
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $62,306 – $93,123
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
About CorVel – Medical Case Managers
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). 
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Hybrid

Medical Case Manager I

<h3>Job Description</h3>
Job Description
CorVel Corporation is hiring a full time caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Baton Rouge, LA area.
Work from home, and on the road. 
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. Responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
<ul>
<li>Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others.</li>
<li>Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans.</li>
<li>Evaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness.</li>
<li>Provides assessment, planning, implementation and evaluation of patient’s progress.</li>
<li>Attends doctors, other providers, home and in some cases, attorney’s visits.</li>
<li>Attends hospital and/or long-term facility discharge planning conferences, et cetera for the purpose of determining appropriateness of care and developing an effective long-term care strategy. Initial home visit for initial evaluation.</li>
<li>Implements care such as negotiation the delivery of durable medical equipment and nursing services.</li>
<li>This role requires regular travel, dependent on the injured worker’s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month</li>
<li>This role may require overnight travel</li>
</ul>
KNOWLEDGE &amp; EXPERIENCE:
<ul>
<li>Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment.</li>
<li>Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred.</li>
<li>Ability to meet with the patient, their physicians, other healthcare providers, attorneys, and advisors/clients and coworkers.</li>
<li>A cost containment background, such as utilization review or managed care is helpful.</li>
<li>Strong interpersonal, time management and organizational skills.</li>
<li>Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets.</li>
<li>Ability to work both independently and within a team environments.</li>
</ul>
EDUCATION:
<ul>
<li>Graduate of accredited school of nursing.</li>
<li>Current RN Licensure in state of operation.</li>
<li>Certification as a CCM, CIRS, or other Case Management certifications are preferred.</li>
<li>A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required.</li>
</ul>
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $62,306 – $93,120
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
About CorVel – Medical Case Managers CorVel, a certified Great Place to Work® company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publically traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 3500 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Hybrid

16,255 medical-case-manager Jobs