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<h3>Job Description:</h3><h3>Wealth Planner</h3><p>Are you passionate about helping clients with comprehensive wealth strategies? Do you love to spend time building deeper positive relationships? Are you interested in helping families dedicatedly navigate life stages? The new Wealth Planner role may be for you.</p><p>The Wealth Planner focuses on driving deeper and meaningful relationships with families by co-creating ongoing, personalized, and comprehensive planning and investment strategies that help achieve their financial goals today, tomorrow, and generations to come.</p><h3>The Expertise We’re Looking For</h3><ul><li>Bachelor’s Degree highly preferred</li><li>CFP highly preferred</li><li>Series 7, 63, 65, 66 and insurance licenses required prior to hire</li><li>Required: 5+ years industry experience in financial services or a related field, 10+ years preferred.</li><li>Required: 3-5 years of financial planning experience, 5+ years preferred</li><li>Proven track record of high client happiness and dedication (e.g. high NPS, retention, etc.)Proven track record of financial planning engagements and implementing solutions (e.g. financial plans / mentorship delivered, handled money, asset consolidation and retention, etc.)</li></ul><h3>The Purpose of Your Role</h3><p>As a Wealth Planner, you will be responsible for the effective implementation of wealth management for clients to achieve a high level of client loyalty and deeper long term relationships. The Wealth Planner will do this by providing a personalized and dedicated relationship and financial planning that is integrated with investment management to our valued clients.</p><h3>The Skills You Bring</h3><ul><li>Demonstrated and extraordinary EQ skills with the ability to build trust and relationships with clients and their families</li><li>Experience with and/or knowledge of behavioral economics and family psychology</li><li>Consistent record building wealth management plans and strategies with new and existing clients and prospects through fee-based services (including both discretionary and non-discretionary investment management)</li><li>Deep experience in effectively executing and integrated the key elements of the wealth planning process including Cash Flow Analysis, Investment Strategy, Retirement Planning, Income Protection, Asset Protection, Tax Strategies, and Family Assistance</li><li>Demonstrated experience guiding and encouraging implementation of financial plans into appropriate solutions based on client goals</li><li>Established knowledge of investment and portfolio management theory, accounting and financial principles, associated investment strategies and instruments, characteristics of world markets, and full range of investment products (including solutions like equity and fixed income portfolios and separately handled accounts)</li><li>Experience communicating factors impacting the markets and the ability to present regular investment updates to clients and associates.</li><li>Successful sales history in the fiduciary planning and asset management business and confirmed ability to handle and thrive in a high volume business and challenging priority environment</li><li>Ambitious spirit and the ability to work collaboratively across an organization to achieve results</li><li>Tech savvy, embraces and integrates technology to run a planning practice</li><li>Excellent team member and leadership skills</li></ul><h3>The Value You Deliver</h3><p>You are helping families grow, manage, and protect their assets by:</p><ul><li>Serving as the primary trusted adviser, counselor, and coach to clients with significant wealth and complexity</li><li>Providing unbiased wealth planning and investment expertise, strategies and advice across a range of financial planning needs</li><li>Using sophisticated planning software to build, analyze, and deliver personalized plans for clients</li><li>Guiding and implementing financial plans into the appropriate solutions based on client goals</li><li>Building a Relationship Based Practice: fostering deep, trusted, and long-term relationships across generations to help families dedicatedly navigate situations and decisions related to life stages and wealth transfer</li><li>Driving loyalty, share of wallet, and referrals from existing customers</li><li>Collaborating with peers and demonstrating teamwork through standard methodology sharing that helps foster a culture of planning</li></ul><h3>How Your Work Impacts the Organization</h3><p>As a Wealth Planner, your passion, expertise, and commitment to long-standing relationships and personalized financial planning will attract, serve, and retain clients that are looking for more personalize and dedicated financial planning.</p>The base salary range for this position is $115,000 - $200,000 per year. <p>Placement in the range will vary based on job responsibilities and scope, geographic location, candidate’s relevant experience, and other factors.</p><p>Base salary is only part of the total compensation package. Depending on the position and eligibility requirements, the offer package may also include bonus or other variable compensation. </p><p><br>We offer a wide range of <a href="https://jobs.fidelity.com/benefits/" target="_blank">benefits</a> to meet your evolving needs and help you live your best life at work and at home. These benefits include comprehensive health care coverage and emotional well-being support, market-leading retirement, generous paid time off and parental leave, charitable giving employee match program, and educational assistance including student loan repayment, tuition reimbursement, and learning resources to develop your career. Note, the application window closes when the position is filled or unposted.</p><p>Most roles at Fidelity are Hybrid, requiring associates to work onsite every other week (all business days, M-F) in a Fidelity office. This does not apply to Remote or fully Onsite roles.</p><p>Please be advised that Fidelity’s business is governed by the provisions of the Securities Exchange Act of 1934, the Investment Advisers Act of 1940, the Investment Company Act of 1940, ERISA, numerous state laws governing securities, investment and retirement-related financial activities and the rules and regulations of numerous self-regulatory organizations, including FINRA, among others. Those laws and regulations may restrict Fidelity from hiring and/or associating with individuals with certain Criminal Histories.</p><h3>Certifications:</h3>Series 07 - FINRA, Series 63 - FINRA, Series 66 - FINRA<h3>Category:</h3>Sales

Fidelity Investments

Vice President, Wealth Planner - Marin, CA

<h3>Job Description:</h3><h3>Investment Consultant</h3><p>You joined the financial services industry to make a difference in the lives of your clients. At Fidelity, we have a relentless commitment to our clients. Come join a firm that is a stable industry leader where we focus on the importance of communicating to connect and not just communicating to transact. We empower professional flexibility, growth, and support thus enabling long-term success for you and our clients.</p><h3>The Purpose of Your Role</h3><p>Working in our Investor Center, you will develop customized financial plans through a wide range of products and services using your sound judgment, keen knowledge of products, and Fidelity‘s planning tools. Instead of spending your time sourcing new customers, you will engage with existing clients and warm leads, which will allow your focus to remain where it matters most: providing investment solutions and growing relationships with a dedicated local advisor.</p><h3>The Expertise We’re Looking For</h3><ul><li><p>Effectively utilizing Fidelity’s guidance tools, you engage in financial planning discussions by presenting solutions and service offerings that best meet client needs</p></li><li><p>Leveraging technology, you can prepare for and conduct efficient one-on-one appointments to make the best use of the client’s time, as well as plan for post-appointment follow-up</p></li><li><p>Growing relationships through proactive outreach, you seek to understand clients’ goals and objectives and refer them to a wealth management partner based on needs and financial complexity</p></li><li><p>Series 7 &amp; 63 licensed; Series 65 or 66 and appropriate state registrations preferred, OR ability to acquire quickly upon hire</p></li><li><p>Degree and/or other professional certifications such as a CFP are helpful; if you don’t already have a CFP or degree, our Tuition Reimbursement program can help you obtain one!</p></li></ul><h3>The Skills You Bring</h3><ul><li><p>You have a comprehensive understanding of various investment solutions, and can educate customers on the values and differences of each</p></li><li><p>Your interpersonal skills and ability to grow relationships are exemplary; you take initiative and exceed expectations</p></li><li><p>You have outstanding communication and consultative skills, and you thrive in a fast-paced work environment</p></li></ul><h3>Our Investments in You</h3><p>Fidelity’s greatest advantage is our people, and we believe it is important to approach life holistically. We offer a competitive total rewards package, including a stable base salary, to recognize associate achievements. And our benefit programs are designed to help you and your family strike the right balance. We offer training in-branch, regionally, nationally, and virtually to help you with all aspects of your business. You will not fail due to a lack of training or onboarding!</p><h3>The Value You Deliver</h3><p>In this role you will work directly with clients to help them make investment decisions that are in their best interest. By effectively navigating Fidelity’s planning and guidance tools, presenting and implementing solutions that best meet the client’s needs, you will have a lasting impact on the client’s financial future.<br><br>Please note this role requires in-person attendance in the assigned Branch location.</p>The base salary range for this position is $56,000 - $72,000 per year. <p>Placement in the range will vary based on job responsibilities and scope, geographic location, candidate’s relevant experience, and other factors.</p><p>Base salary is only part of the total compensation package. Depending on the position and eligibility requirements, the offer package may also include bonus or other variable compensation. </p><p><br>We offer a wide range of <a href="https://jobs.fidelity.com/benefits/" target="_blank">benefits</a> to meet your evolving needs and help you live your best life at work and at home. These benefits include comprehensive health care coverage and emotional well-being support, market-leading retirement, generous paid time off and parental leave, charitable giving employee match program, and educational assistance including student loan repayment, tuition reimbursement, and learning resources to develop your career. Note, the application window closes when the position is filled or unposted.</p><p>Most roles at Fidelity are Hybrid, requiring associates to work onsite every other week (all business days, M-F) in a Fidelity office. This does not apply to Remote or fully Onsite roles.</p><p>Please be advised that Fidelity’s business is governed by the provisions of the Securities Exchange Act of 1934, the Investment Advisers Act of 1940, the Investment Company Act of 1940, ERISA, numerous state laws governing securities, investment and retirement-related financial activities and the rules and regulations of numerous self-regulatory organizations, including FINRA, among others. Those laws and regulations may restrict Fidelity from hiring and/or associating with individuals with certain Criminal Histories.</p><h3>Certifications:</h3>Series 07 - FINRA, Series 66 - FINRA<h3>Category:</h3>Sales

Investment Consultant - San Diego, CA

<p><strong>Join the Clean Energy Revolution</strong></p><p>This position is part of Southern California Edison’s (SCE) Law Clerk Experience Program.&nbsp;Law clerks are expected to work forty hours per week during a 12-week period during the summer and an average of 15 hours per week for the rest of the school year. Hours in the school year will be somewhat flexible to accommodate academic commitments.&nbsp;You'll gain hands on experience with meaningful work while developing essential skills and building your professional network. We’re big believers that diversity leads to innovation, creativity, and collaboration. Your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future?&nbsp;</p><p><strong>Responsibilities</strong></p><p>The successful candidate will perform research on a variety of legal issues, and engage in writing memos, briefs, draft pleadings, and contract provisions at the direction of the supervising attorney; may attend departmental and client meetings, and other relevant meetings with supervising attorney(s).&nbsp; In addition, the successful candidate may assist in the representation of the Company on various matters, including in state and federal court, and advising client organizations in identifying and resolving legal, business and strategic issues related to general business issues, claims and liability.&nbsp; The successful candidate is also expected to maintain a safety conscious work environment by following Edison safety protocols and safe work practices and performing other responsibilities/duties as assigned.&nbsp;</p><p><strong>Minimum qualifications </strong></p><ul><li>Must be a law student entering their third year of law school, pursuing a Juris Doctorate (JD) in Law at an ABA accredited institution</li><li>Must have a cumulative GPA of 3.25/4.00 or higher</li></ul><p><strong>The preferred</strong></p><ul><li>Excellent oral and written communication skills</li><li>Experience conducting efficient electronic and traditional research</li><li>Experience using Microsoft Word, Excel, and PowerPoint</li></ul><p><strong>You should know</strong></p><ul><li>Applicants must provide a cover letter, unofficial transcript, resume, and recent writing sample (research memo, journal article, or pleading) on which they are the sole author.</li><li>There are at least 2 open positions for this requisition.</li><li>Official transcripts will be verified during the on-boarding process</li><li>We require you to be legally authorized to work directly as employees for any employer in the United States without visa sponsorship</li><li>Visit our Candidate Resource page to get meaningful information related to resources, testing information, the hiring process, and more! </li><li>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.</li><li>This position’s work mode is hybrid. The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days.  Unless otherwise noted, employees are required to reside in the state of California.  Further details of this work mode will be discussed at the interview stage. The work mode can be changed based on business needs.&nbsp;</li></ul><p><strong>Relocation </strong></p><ul><li>Relocation or housing does not apply to this position</li></ul><p><strong>About Southern California Edison</strong></p><p>The people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.</p><p>At SCE, we celebrate our differences. We are a proud Equal Opportunity Employer and will not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected status.</p><p>We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.</p><h4><b>Responsibilities</b></h4><h4><b>Minimum Qualifications</b></h4><br>

Southern California Edison

Year-Round Law Clerk - Law Students

<p><strong>Join the Clean Energy Revolution</strong></p><p>Become a Design/Drafting, Associate Specialist at Southern California Edison (SCE) and build a better tomorrow. In this job, you will collaborate with our New Business planning team to design, estimate, and finalize work orders that drive field construction projects forward. As a Design/Drafting, Associate Specialist, your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future?</p><h4><b>Responsibilities</b></h4><ul><li>Creates accurate and detailed design drawings, diagrams, maps, and plans for utility distribution and telecommunication systems using Computer Aided Design (CAD) software for routine/simple designs using correct mapping symbols, callouts, decals, and proper tie downs, using CAD, AUD, etc.</li><li>Assists with creating visualization deliverables including detailed plans, profiles, schematics, renderings, animations, and documentation to support design review and construction</li><li>Leverages specifics from geographic surveys, photogrammetry, and geospatial data into drawings and models</li><li>Completes load flow, short circuit, and power quality analyses to validate electrical system designs</li><li>Assist with work order costing, labor estimates and supplemental form completion. Update online service requests</li><li>Checks planners redlines for accuracy and completeness</li><li>Prepares and revises design sketches for proposals and authorizations based on field information</li><li>Evaluates electrical clearance requirements and ensure designs adhere to all applicable standards and regulations</li><li>Complete engineering functions and calculations in AUD(i.e.,cable pulling, voltage drop, flicker, etc.)</li><li>Supports design efforts on smaller scale projects such as residential or small commercial design</li><li>A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.</li></ul><h4><b>Minimum Qualifications</b></h4><ul><li>Experience with computer-aided design software.</li></ul><p><strong>Preferred Qualifications</strong></p><ul><li>AutoCAD Certification.</li><li>Experience with electric utility design.</li></ul><p><strong>Additional Information</strong></p><ul><li>This position’s work mode is&nbsp;<strong>hybrid.&nbsp;</strong>The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days.  Unless otherwise noted, employees are required to work and&nbsp;reside in the state of California.  Further details of this work mode will be discussed at the interview stage.&nbsp;The work mode can be changed based on business needs.</li><li>Visit our&nbsp;Candidate Resource&nbsp;page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>This position has an option for a 9/80 Alternate Work Schedule or 40hrs/5 days a week. </li><li>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. </li><li>Relocation does not apply to this position.</li></ul><p><strong>About Southern California Edison</strong></p><p>The people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.</p><p>Southern California Edison is a proud Equal Opportunity Employer, including disability and protected veteran status.</p><p>We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.</p>

Design/Drafting, Associate Specialist

<p><b>Salary Range:&nbsp;</b>&nbsp;$47,840.00&nbsp;(Min.) -&nbsp;$57,062.00&nbsp;(Mid.) -&nbsp;$68,474.00&nbsp;(Max.)</p><p>Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.<br><br>Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.<br></p><h4>Job Summary</h4><p>The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the authorization process including intake, logging, tracking and status follow-up.</p><p>The Authorization Technician II collects information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory time lines by maintaining an accurate database inventory of referral authorizations, retrospective reviews, concurrent reviews and grievance/appeal requests, and prepares UM Activity and Weekly Compliance Reports.</p><p>In addition, the position performs data entry and processing of referrals/authorizations in the system, &nbsp;authorizes request consistent with auto authorization criteria, maintains confidentiality when communicating member information, and assists with the communication of determinations by preparing template letters for members/ providers, with other duties as assigned.</p><h4>Duties</h4><h4>Functional Elements: Technical Support to UM Specialist: Processing of time sensitive authorization and pre-certification requests to meet department timeframes and regulatory requirements; Computer Input: Accurately and completely processing referrals/authorizations and distribute a complete file to UM Specialist within 2 hours of receipt; identify duplicate requests using the claims and verify existing authorization. Independently identifying and appropriately returning to claims or member services any file that is a duplicate to one already processed in the system; appropriately documenting what information was used in making this determination within 4 hours of receipt. Appropriate identification and timely notification of time sensitive requests; appropriately identifying for the staff which you support, request that are priority based on date of receipt and established Turnaround Time criteria for compliance. Accurate filing/maintenance of confidential member information. Creating secure, complete, files. Interface with members, medical personnel and other internal and external agencies; ensure&nbsp; all comply with L.A. Care requirements such as submitting requested information in a timely manner and using the approved Authorization Request form with complete medical information i.e.: ICD 10 codes, CPT, HCPC codes. (35%)</h4><h4>Assist in the preparation of communication for authorization determinations, including, but not limited to preparing template letters for members and providers (authorization approval, denial, deferral, modification and pay/education). (30%)</h4><h4>Assist in the technical aspects of the retrospective review process for authorizations and Member or Provider Appeals, including, but not limited to computer data entry, logging, copying, preparing of template letters for communication of appeal determinations to members, providers and partners (appeal uphold or overturn) and filing: Set up GNA files for review, log and keep track all due dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist.; submit all Grievances and Appeals response letters to Grievances Specialist on daily basis. (20%)</h4><h4>Support UM Committee and Audit activity via Department performance reporting. Assure the accuracy of reports concerning inventory and department proficiency in maintaining regulatory standards and time frames. (5%)</h4><p>Perform other duties as assigned. (10%)</p><h4>Duties Continued</h4><h4>Education Required</h4>High School Diploma/or High School Equivalency Certificate<h4>Education Preferred</h4><h4>Experience</h4><p><b>Required:</b></p><p>At least 6 months of health care experience.</p><p>Experience working in a cross functional work environment.</p><p><b>Preferred:</b></p><p>Experience in Medi-Cal managed care.</p><p>1 year of experience in UM/Prior Authorization.</p><h4>Skills</h4><p><b>Required:</b></p><p>Demonstrated proficiency in Medical Terminology required.</p><p>Strong verbal and written office communication skills.</p><p>Proficient with Microsoft Office Suite and Adobe PDF. and </p><p>Excellent organizational, interpersonal and time management skills. </p><p>Must be detail-oriented and an enthusiastic team player.</p><p><b>Preferred:</b></p><p>Knowledge of QNXT computer systems a plus.</p><p>Knowledge of the UM patient referral process.</p><p>Knowledge of member’s health plan eligibility.</p><p>Knowledge of member’s benefits coverage. </p><p>Knowledge of Health Plan regulations.</p><p>Knowledge of HMO/UM functions.</p><p>Knowledge of ICD-10/CPT coding. </p><p>Proficient utilizing electronic medical records and documentation programs.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Medical Coding Certification<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p><b>Required:</b></p><p>Weekends and holidays hours may be required, as well as OT based on a business need.</p><p><b>Salary Range Disclaimer:</b> The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.</p><p><b>L.A. Care offers&nbsp;a wide range of benefits including</b></p><ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    EMR, Data Entry, Medical Coding, Claims, Healthcare, Administrative, Insurance                                                    </p>

L.A. Care Health Plan

Authorization Technician II

<p><b>Salary Range:&nbsp;</b>&nbsp;$67,186.00&nbsp;(Min.) -&nbsp;$87,342.00&nbsp;(Mid.) -&nbsp;$107,498.00&nbsp;(Max.)</p><p>Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.<br><br>Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.<br></p><h4>Job Summary</h4><p><br>The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II is responsible for assisting the Appeal and Grievances Compliance, Training and QA Manager to develop a successful and cohesive unit with a high level of productivity and focus on implementing, executing, tracking, and assessing targeted and random audits for non-clinical grievance and appeal case documentation. Ensure A&amp;G Non-Clinical staff is following all Regulatory guidelines, internal P&amp;Ps, Desktop Procedures, in a consistent and accurate manner.</p><p>This position will focus on quality review of non-clinical grievance and appeals cases for all line of business (LOB) to identify areas of improvement to assist the department in increasing positive audit outcomes and improved Customer Service to L.A. Care’s membership. This position is responsible for monitoring Appeal and Grievances Specialists, Lead Intake, and Senior Appeal and Grievances Specialists, performance against key performance indicators and recognizes trends that require individual or group retraining. The position conducts/reviews audits and analyzes the data and documentation and provides their input to management for review. In addition, is responsible for review and approval of all member letters prior to issuance.</p><p>This position facilitates recommendations for the development, review, and revision, as appropriate, of organizational and departmental process flows to ensure compliance with relevant regulatory, organizational and departmental guidelines. Generates results of findings, enhances and analyzes various standard reports related to, but not limited to: quality and accuracy of case documentation. This position will work with department Supervisors, Managers and Director for all problems related to quality improvements as needed to increase staff knowledge of L.A. Care, regulations, and departmental requirements. Compiles and presents quality report cards to measure quality enhancements and disseminates to appropriate parties as needed. This position will keep the QA Manager aware of trends, deficiencies and any potential issues that arise for review and evaluation by the Management Team.</p><h4>Duties</h4><p>Focus on quality review of grievance and appeals cases for all LOB to identify areas of improvement to assist the department in increasing positive audit outcomes and improved Customer Service to L.A. Care’s membership. Complete and accurate cases logged into the system. Thorough documentation of case investigation and resolution. Ensure that all appropriate correspondence is used for each LOB. Assists in document preparation for regulatory and internal audits.&nbsp;</p><p>Execute targeted and random audits to ensure that all regulatory guidelines, departmental policies, procedures and standards are being met, as well as the organization’s mission. Identify and report deviations in performance in advance and recommend process changes to redirect performance to acceptable levels.</p><p>Track and trend QA reviews, analyze results from scorecards and recommend quality improvements for the Appeal and Grievances Department.&nbsp;</p><p>Consistently participate in quality initiatives and special project task forces as deemed necessary.</p><p>Perform other duties as assigned.</p><h4>Duties Continued</h4><h4>Education Required</h4>Associate's DegreeIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Bachelor's Degree<h4>Experience</h4><p><br><b>Required:</b><br>At least 4 years of experience in auditing Appeals &amp; Grievances in a healthcare environment required.</p><h4>Skills</h4><p><br><b>Required:</b><br>Excellent verbal/written communication skills.</p><p>Advanced computer proficiency, Word, Excel; and Access.</p><p>Strong analytical and team building skills.&nbsp;</p><p>Ability to work effectively with diverse team members.&nbsp;</p><p>Ability to troubleshoot problem areas, formulate recommendations to improve quality and service delivery, and develop effective system and process improvements.</p><p>Ability to multi-task and streamline day-to-day operations.</p><p>Strong interpersonal and organization skills and is expected to work independently within the department's established guidelines, policies and procedures.&nbsp;</p><p><b>Preferred:</b><br>Health Plan auditing skills.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>This position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical situations and work on-call.</p><p>This position requires handling various caseloads and flexibility to adapt to changing priorities which may include but not limited to redistributed work assignments, team projects, and other priorities as assigned</p><p><b>Salary Range Disclaimer:</b> The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.</p><p><b>L.A. Care offers&nbsp;a wide range of benefits including</b></p><ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Audit, Finance                                                    </p>

Customer Solution Center Appeals and Grievances Quality Auditing Specialist II

<p>Reporting directly to the Program Director, PA and working closely with the Associate Dean, this role is responsible for maintaining clinical sites, student placements and contractual agreements and assisting the Manager, Clinical Relations with securing new clinical affiliations for the Nursing program. Provides professional leadership and support for clinical teaching faculty; serves as a mentor and facilitator for faculty assigned; and enables an environment which fosters creativity, responsiveness, and self-responsibility. Oversees, supervises and manages faculty and students assigned to clinical sites, makes phone or on site visits, mediates conflicts, establishes specific learning objectives, records attendance, and supervises clinical affiliations to ensure that the experience is adequate and achieves a satisfactory level of performance.&nbsp;Remains current in applicable program field, participates in faculty meetings, instructional seminars, and in-service training sessions.&nbsp;Participates in campus activities such as faculty meetings, student functions, graduation exercises, open houses, new student orientations, and advisory board meetings.</p><p><strong>Essential Functions &amp; Responsibilities:</strong></p><ul><li>Responsible for developing and maintaining student clinical placements with identified facilities. Requests clinical placements, online and manually, and confirms.</li><li>Advises the Campus Dean, Nursing of the general effectiveness of the clinical education portion of the program. Assesses and evaluates clinical sites to ensure that clinical objectives are met.</li><li>Plans, coordinates, and manages faculty and students assigned to clinical facilities.</li><li>Collects evaluation feedbacks from students, staff and Clinical sites. Ensures clinical faculty provides periodic feedback of clinical performance immediately after observation event and/or of overall student performance at midterm and end of semester.</li><li>Orients students to clinical packets, health and safety requirements.</li><li>Assists Campus Dean, Nursing with strategic planning for clinical relationships and placements.</li><li>Works with Registrar for student's clinical placement release in campus.</li><li>Validates with clinical affiliate staff the effectiveness of student placement and progress in meeting mutually established objectives.</li><li>Implements faculty feedback from clinical rotations. Evaluates the effectiveness of clinical experience. Disseminates information.</li><li>Coordinates and provides orientation to new faculty regarding clinical facilities.</li><li>Strives to develop strategic, enduring relationships with facilities that lead to outstanding placement opportunities to West Coast University graduates.</li><li>Provides clinical instructors with training related to the program.</li><li>Performs the on-site evaluation of Clinical Faculty and submits completed evaluation to Campus Dean, Nursing on time and with required level of quality.</li><li>Coordinates a plan to best observe, instruct, and evaluate student's learning and clinical practical skills and faculty performance which includes a direct observation clinical assessment of skills in applicable setting for related area of instruction.</li><li>Ascertains projections placements, staffing, student assignments for upcoming terms. Proactively leads development of sites to meet current and future placement needs.</li><li>Identifies specialties; OB, PEDs. Psych., Adv., MS, Public Health.</li><li>Identifies clinical sites and creates schedules which support the student clinical requirements.</li><li>Creates reports for facilities.</li><li>Strengthens relationships with facilities.</li><li>Changes clinical placements (i.e. failing classes, last minute decisions, etc.) during the term.</li><li>Establishes and maintains communication lines between the clinical facilities and staff as well as ACC where both institutions utilize sites.</li><li>Supervises faculty and students completing clinical rotations, including phone or on site visits.</li><li>Resolves conflicts / problems in the clinical setting with faculty.</li><li>Creates budget projections for clinical maintenance.</li><li>Collects and maintains appropriate documentation related to clinical education, such as health forms, CPR certification, student evaluations and site evaluations.</li><li>Completes agency preapproval required forms to meet BRN and other regulatory needs.</li><li>Works toward a consistent approach towards the management and development of clinical relationship vis-�- vis other West Coast University campuses.</li><li>Maintains accurate clinical site information database, including contact information and specific contractual agreement termination and expiration dates, and initiates renewal process timely.</li><li>Works with clinical affiliate staff to clarify policies and procedures specific to facility. Apprises clinical affiliate staff of student objectives in each clinical area.</li><li>Attends Advisory meetings to network and derive solutions to mutual concerns.</li><li>Participates in professional development and organizations in order to maintain an understanding of current ideas, research and practices, attends meetings, workshops and seminars to enrich personal growth, knowledge and skill in management development.</li><li>Assists with Identifying and developing new professional and nursing relationships for additional/new clinical sites.</li><li>Develops and maintains professional working relationships with hospital, medical office, and clinical site directors under current contract to the schools.</li><li>Evaluates insurance and liability issues related to clinical sites, and provides appropriate documentation.</li><li>Inputs faculty payroll hours (as back-up).</li><li>Participates in providing schedule for Sim / Skills Lab.</li><li>Finds back up coverage for faculty absences / vacation.</li><li>Apprises clinical affiliate staff of student objectives in each clinical area.</li><li>General Scope of Responsibilities: Participates in professional development and organizations in order to maintain an understanding of current ideas, research and practices, attends meetings, workshops and seminars to enrich personal growth, knowledge and skill in management development.</li></ul><p><strong>Required Education, Certifications &amp; Licensures:</strong></p><ul><li>Master's or higher degree from an accredited college or university which includes course work in nursing, education or administration required.</li><li>A current unencumbered Registered Nurse License required.</li><li>Must have approval by the Board of Registered Nursing before assuming the role of Nursing Instructor.</li><li>Current CPR Card.</li></ul><p><strong>Required Experience &amp; Skills:</strong></p><ul><li>Leadership knowledge in the program field to cultivate a learner-centered environment and to foster excellence.</li><li>Knowledge in technological support and delivery of program area and services.</li><li>Knowledge and evidence of strong supervisory and management skills as applicable to specialized program area.</li><li>Knowledge of state, federal and local laws/regulations relating to programs, governmental compliance and other regulatory standards such as Board of Registered Nursing (BRN) or other nursing accrediting agencies, WASC, and other accreditation standards.</li><li>Knowledgeable of the medical community and established relationships with its professional members preferred.</li><li>One to two years prior experience working with or in clinical sites, placing students, and coordinating related documents preferred.</li><li>The ability to demonstrate bilingual skills is a plus but not mandatory.</li><li>Experience with MS Office.</li><li>Knowledge of applicable databases and computer application systems to supply the most accurate information, reports and projections.</li><li>Program Specific Requirements: Must have at least one year's experience, within the previous five years, as a registered nurse providing direct patient care or equivalent experience and/or education, as determined by the Board of Registered Nursing.</li><li>Completion of at least one year's experience teaching courses related to nursing or a course that includes practice in teaching nursing.</li><li>Ability to demonstrate clear criminal background history.</li><li>Ability to demonstrate clinical competency.</li><li>Ability to maintain academic standards.</li><li>Ability to demonstrate a thorough, accurate and practical knowledge of their field or discipline.</li><li>Ability to interpret and evaluate the theories of their field or discipline.</li><li>Ability to effectively operate related equipment and machines for instructional purposes.</li><li>Ability to operate various office equipment and machines such as computer terminals, calculators and copiers.</li><li>Ability to manage and work effectively in a highly ethnic and culturally diverse student and associate community.</li><li>Ability to use effective communication skills, both oral and written, including presentations and effective listening skills.</li><li>Ability to speak before public groups, committees and meetings.</li><li>Ability to effectively use interpersonal skills, follow through with duties, provide attention to detail, and demonstrate the ability to motivate others.</li><li>Ability to use creative facilitation and conflict resolution skills to resolve difficult and sensitive issues.</li><li>Ability to demonstrate excellent analytical and organizational skills.</li><li>Ability to self-direct, self-pace, multi-task and function well under pressure of deadlines and conflicting priorities.</li><li>Ability to work with individuals at all levels of the organization.</li><li>Ability to exercise good judgment.</li><li>Ability to interpret rules, regulations, policies and procedures and assure compliance.</li><li>Ability to demonstrate excellent customer service skills and maintain cooperative and effective working relationships with others.</li><li>Willingness to work a flexible schedule.</li><li>Ability to travel/drive locally on a weekly, daily and/or on an as-needed basis.</li></ul><p>#LI-CM1</p><p><strong>Do you want a career that allows you to make a difference in other people’s lives? Discover what it means to truly believe in the work that you do at West Coast University.</strong></p><p>At West Coast University, we have the privilege of educating students seeking careers in healthcare and guide them through their transformational journey from student to caregiver. Our associates are united behind that purpose and share a deep commitment to our values of teamwork, collegiality, transparency, and a student-centric approach to all we do. This focus creates an aligned, nimble, and consensus-driven culture that is solution-oriented and supports our associates’ professional growth.</p><p><em>West Coast University is proud to be an equal opportunity employer. We embrace diversity and are dedicated to creating an inclusive environment for all associates.</em></p>

West Coast University

Manager, Clinical Education PA

<p>Under general supervision, the <strong>Benefits Specialist</strong> is responsible for the accurate administration and support of employee benefits programs, ensuring compliance with regulatory requirements, and supporting system configuration and testing within HCM. This role requires strong analytical and technical skills, with a focus on data integrity, process improvement, and service orientation.</p><p><strong>Essential Functions &amp; Responsibilities:</strong></p><ul><li><strong>Data Auditing &amp; Integrity</strong><ul><li>Perform regular audits of benefits enrollment, payroll deductions, and vendor data to ensure accuracy and consistency across systems.</li><li>Reconcile benefit records between Workday and third-party carriers; identify and resolve discrepancies.</li><li>Maintain clean and accurate data in the HRIS by partnering with HR and payroll teams to correct errors and ensure compliance with benefit plan rules.</li></ul></li><li><strong>Compliance Reporting</strong><ul><li>Manage the preparation and filing of compliance documents such as 1095-Cs (ACA), Form 5500s, Summary Annual Reports, COBRA notices, and other federally mandated disclosures.</li><li>Partner with internal and external partners to monitor benefit program compliance with ERISA, HIPAA, ACA, COBRA, and other applicable laws and regulations.</li><li>Support internal and external audits by preparing reports, gathering documentation, and responding to audit inquiries.</li></ul></li><li><strong>HR System Configuration &amp; Testing</strong><ul><li>Lead the testing and validation of benefit plan configurations and business processes in HR System (Oracle or Workday), with special attention during annual open enrollment or system updates.</li><li>Assist in building test cases and executing testing scenarios to ensure accurate system functionality.</li><li>Collaborate with HRIS to troubleshoot system issues and implement process improvements.</li><li>Partner with brokers and external partners to validate benefit plan set up at year end.</li></ul></li><li><strong>Plan Administration &amp; Support</strong><ul><li>Support the day-to-day administration of benefit programs including health, dental, vision, life insurance, disability, FSA, HSA, and retirement plans.</li><li>Serve as a secondary resource for associates regarding plan options, eligibility, and enrollment.</li><li>Liaise with vendors to resolve employee issues and ensure timely delivery of services and information.</li></ul></li><li><strong>Analysis &amp; Process Improvement</strong><ul><li>Partner with brokers to analyze benefits-related data and trends to support budgeting, forecasting, and program evaluation.</li><li>Identify process inefficiencies and contribute to the development of streamlined, scalable workflows.</li><li>Assist in the development and delivery of communications, guides, and employee education materials</li></ul></li></ul><p><strong>Education &amp; Licenses/Certifications:</strong></p><ul><li>Bachelor’s in Human Resources, Business Administration, Information Systems, or a related field, or equivalent experience required.</li><li>3 years of experience in benefits administration with an emphasis on data analysis required; experience in higher education or a multi-state employer environment preferred.</li><li>Experience working with Workday or similar HRIS platforms is highly preferred.</li><li>Certified Employee Benefits Specialist (CEBS), Certified Benefits Professional (CBP), or similar certification preferred but not required.</li></ul><p><strong>Knowledge &amp; Experience:</strong></p><ul><li>Proficient knowledge of employee benefits laws and compliance requirements, including ACA, ERISA, HIPAA, and COBRA.</li><li>Proficient knowledge of Microsoft Office Suite, specifically Outlook, Excel, PowerPoint, and Word.</li><li>Proficient use of Microsoft Excel (pivot tables, VLOOKUPs, data analysis required.</li><li>Proficient knowledge of HRIS platforms such as Workday, ADP, or similar; Workday preferred.</li></ul><p><strong>Qualifications/Skills:</strong></p><ul><li>Ability to use effective communication skills, both oral and written, including presentations and effective listening skills.</li><li>Ability to exercise a high level of discretion and confidentiality.</li><li>Ability to work effectively in a highly ethnic and culturally diverse student and associate community.</li><li>Ability to demonstrate excellent analytical and organizational skills. </li><li>Ability to self-direct, self-pace, multi-task and function well under pressure of deadlines and conflicting priorities.</li><li>Ability to exercise good judgment. </li><li>Ability to interpret rules, regulations, policies and procedures and assure compliance.</li><li>Ability to demonstrate excellent customer service skills and maintain cooperative and effective working relationships with others.</li></ul><p><strong>Schedule:</strong></p><ul><li>This is an onsite position where you will work on a daily basis at our Administrative office in Irvine.</li></ul><p>#LI-CM1</p><p><strong>Do you want a career that allows you to make a difference in other people’s lives? Discover what it means to truly believe in the work that you do at West Coast University.</strong></p><p>At West Coast University, we have the privilege of educating students seeking careers in healthcare and guide them through their transformational journey from student to caregiver. Our associates are united behind that purpose and share a deep commitment to our values of teamwork, collegiality, transparency, and a student-centric approach to all we do. This focus creates an aligned, nimble, and consensus-driven culture that is solution-oriented and supports our associates’ professional growth.</p><p><em>West Coast University is proud to be an equal opportunity employer. We embrace diversity and are dedicated to creating an inclusive environment for all associates.</em></p>

Benefits Specialist

<p>Come care with us at West Coast University where you will meet with students and prospective students to provide information on financial aid and options that can help them develop a financial plan for achieving their healthcare career goals. In addition, you will put your technical financial aid skills to work ensuring proper eligibility and processing in accordance with federal, state, and institutional rules and regulations. What better way to be a part of a student’s educational journey! We are over 110 years in education, still growing, and a recognized “Great Place to Work”. Come work and grow with us!</p><p><strong>You will make an impact by:&nbsp;</strong></p><ul><li>Meeting with students and prospective students to provide information regarding costs of attendance, available financial aid options, and student loan counseling.</li><li>Reviewing documentation, forms and other information provided by students to ensure accuracy and completeness, update electronic student file appropriately based on information received, and scan documents into Image Now.</li><li>Reviewing student records to ensure any discrepant or conflicting information is appropriately resolved, and documents same.</li><li>Reviewing ISIR data to ensure c-codes are appropriately resolved and required verification items are requested, and document actions or resolutions are fully in the student electronic file.</li><li>Assisting students and parents with directions for requesting FSA User IDs, and online completion of FAFSAs (Free Application for Federal Student Aid), MPNs (Master Promissory Notes), and online student loan entrance and exist counseling.</li><li>Providing in-person student loan counseling for those who are unable to complete online counseling.</li></ul><p><strong>Your Experience Includes:</strong></p><ul><li>Minimum of 1 year’s experience as a customer service provider in a professional environment.</li><li>Financial aid experience is preferred.</li><li>Ability to demonstrate the highest levels of integrity and professional ethics in all aspects of the job function.</li><li>Ability to demonstrate excellent communication skills through active listening and delivery of information clearly and effectively.</li><li>Ability to demonstrate excellent customer service skills, with a professional, helpful, and positive demeanor.</li></ul><p><strong>Education:</strong></p><ul><li>Bachelor’s Degree from an accredited College or University.</li></ul><p><strong>Licenses/Certifications:</strong></p><ul><li>May not be in default on a federal student loan or owe repayment on a federal grant.</li></ul><p><strong>Schedule:</strong></p><ul><li>This is an onsite position where you will work daily at the Ontario campus.</li><li>Hours are as follows:<ul><li>Monday-Thursday from either 8:30am-5:30pm OR 9am-6pm</li><li>Friday from 8am-5pm</li></ul></li></ul><p>#LI-CM1</p><p><strong>Do you want a career that allows you to make a difference in other people’s lives? Discover what it means to truly believe in the work that you do at West Coast University.</strong></p><p>At West Coast University, we have the privilege of educating students seeking careers in healthcare and guide them through their transformational journey from student to caregiver. Our associates are united behind that purpose and share a deep commitment to our values of teamwork, collegiality, transparency, and a student-centric approach to all we do. This focus creates an aligned, nimble, and consensus-driven culture that is solution-oriented and supports our associates’ professional growth.</p><p><em>West Coast University is proud to be an equal opportunity employer. We embrace diversity and are dedicated to creating an inclusive environment for all associates.</em></p>

Financial Aid Advisor

<p>Come care with us at West Coast University! As a Nursing Faculty member for a certified Great Place to Work, you will guide nursing students to do more than change their own lives – you will help change the lives of every patient they treat throughout their career in healthcare.&nbsp; At West Coast University you will have the opportunity to share your success story with the next generation of nurses as a key member of our student-centered, innovative community!</p><p><strong>You will make an impact by:&nbsp;&nbsp;</strong></p><ul><li>Serving as a mentor, role model and facilitator who provides guidance and academic support for students.&nbsp;&nbsp;</li><li>Demonstrating enthusiasm for teaching, the teaching/learning process and for individual students.&nbsp;</li><li>Applying your skills and experience to your assigned teaching schedule.&nbsp;</li><li>Participating in and contributing to assessment activities of courses/curriculum and programs via a continuous improvement plan set forth by the University.&nbsp;</li><li>Regularly contributing to improvement of class materials and syllabi within prescribed shared governance culture.&nbsp;Utilizing a variety of teaching methodologies to instruct students, always with intent to facilitate observable evidence of student fulfillment of prescribed learning outcomes.&nbsp;</li><li>Maintaining scholarly activities.&nbsp;</li><li>Participating in professional growth and service in accordance with university policies.&nbsp;</li><li>Advancing our commitment and focus on the students we serve, and their success as healthcare professionals.&nbsp;</li><li>Fully leveraging our innovative technologies and resources, such as our Simulation and Innovation Labs.</li><li>*If working with students in a Clinical setting you will:<ul><li>Assume complete responsibility for students in clinical facilities.</li><li>Clarify clinical expectations with students.</li><li>Clarify student placement and expectations with clinical facility staff.</li><li>Utilize care planning time to direct students to available resources needed for clinical preparation.</li><li>Assess student knowledge and skill level to ensure safety and optimal care for patients.</li><li>Utilize pre- and post- conference to allow students an opportunity to share learned experiences, ensuring clarity of the correlation between weekly theory content with clinical objectives and experiences.</li><li>Provide feedback of clinical performance immediately after observation of event and of overall performance at midterm and end of semester.&nbsp;</li></ul></li></ul><p><strong>Your Experience Includes:&nbsp;&nbsp;</strong></p><ul><li>Working knowledge of Microsoft Office Suite Products, especially Outlook, Word, PowerPoint and other MS office products as needed.&nbsp;</li><li>Experience with online learning management systems to further engage the student learning process.&nbsp;</li><li>Compliance with state, federal and local laws/regulations relating to programs, governmental compliance, and other regulatory standards such as state Board of Nursing.</li><li>Clinical RN – Must have at least two (2) years’ experience as a registered nurse within the last five (5) years providing direct patient care and at least one year’s experience in the field they teach in.</li></ul><p><strong>Education:</strong></p><ul><li>Bachelor’s degree in specialty field required.</li><li>Professional nurse licensure required.&nbsp;</li></ul><p><strong>Do you want a career that allows you to make a difference in other people’s lives? Discover what it means to truly believe in the work that you do at West Coast University.</strong></p><p>At West Coast University, we have the privilege of educating students seeking careers in healthcare and guide them through their transformational journey from student to caregiver. Our associates are united behind that purpose and share a deep commitment to our values of teamwork, collegiality, transparency, and a student-centric approach to all we do. This focus creates an aligned, nimble, and consensus-driven culture that is solution-oriented and supports our associates’ professional growth.</p><p><em>West Coast University is proud to be an equal opportunity employer. We embrace diversity and are dedicated to creating an inclusive environment for all associates.</em></p>

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