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<p><b>About Us:</b></p><p><br>Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp;</p><p><br>We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;</p><p><b>JOB SUMMARY:</b></p>CorroHealth is the partner of choice to healthcare providers in support of their Revenue Cycle challenges. We solve problems through a customized mix of services, consulting and technology that can change over time to meet any client’s evolving needs.<br>We are currently seeking full-time, remote Jr. Denial Coordinators. The Jr. Denial Coordinator role is an entry level role and an excellent way to start your career at a growing company in a fast-paced industry. Learn the ins and outs of healthcare Revenue Cycle Services, with a specialty in Denials Management.<p><b>ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp;</b><br><b>Note: </b>The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.</p><p>Responsibilities include, but are not limited:</p><ul><li>Scanning, faxing and filing highly confidential documents</li><li>Downloading and printing medical records</li><li>Generating appeal letter templates</li><li>Packaging certified mail</li><li>Logging events on accounts in workflow system</li><li>Adding notes to accounts in hospital patient accounting systems</li></ul><p>Minimum Qualification</p><ul><li>HS diploma required (Healthcare degree or certificate preferred)</li><li>Healthcare experience a plus.</li><li>Strong multi-tasking skills.</li><li>MUST possess strong computer skills.</li><li>Proficiency with MS Office including TEAMS</li><li>Excellent oral and written communication skills.&nbsp;</li></ul><p><b>PHYSICAL DEMANDS:</b><br><b>Note:</b> Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.<br>A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.</p>

CorroHealth

Jr Coordinator, Denials Management

<br><h4>Our Culture</h4><p>EDP is a rapidly growing company — with deep experience in retail and commercial propane sales, operations and finance. We provide safe, reliable propane service to residential, commercial, industrial, and agricultural customers from Connecticut to California.</p><p>We service more than&nbsp;<strong>200,000</strong>&nbsp;customers in&nbsp;<strong>24</strong>&nbsp;states, with a presence in rural America as well as in major metropolitan areas. We have become a significant player in the propane industry, recognized in 2022, 2023 and 2024 as one of the Top Ten Propane Marketers by&nbsp;<em>LP Gas Magazine</em>. Since our inception in 2012, EDP has helped more than 44 owners of well-run propane businesses transition to their own “next chapter” while benefiting everyone involved.</p><p><strong>Responsibilities:</strong></p><ul><li>Install tanks adhering to all state and local requirements including NFPA 58 and 54.</li><li>&nbsp;If applicable, complete training and testing for all required state licenses and certifications.</li><li>&nbsp;Immediately report all incidents and accidents to the General Manager.</li><li>Maintain a Class B CDL with Tanker and Hazmat endorsements as required.</li><li>Seasonal Support: Assist with deliveries by driving a delivery vehicle, as necessary.</li><li>&nbsp;Accurately complete and submit service orders daily.</li><li>Perform daily inspections (DVIR) of the truck, maintaining it in excellent working condition.</li><li>Accurately document and bill for all parts used, following sales proposals for pricing.</li><li>Frequent bending, squatting, lifting, and carrying heavy equipment or materials (up to 75 pounds).</li><li>This role includes on-call responsibilities, as the needs of the company require that you work past your regular departure time or otherwise outside of your regular work hours</li></ul><p><strong>Minimum Education:</strong></p><ul><li>High school diploma, GED, or equivalent training and experience.</li></ul><p><strong>Minimum Work Experience:</strong></p><ul><li>Basic understanding of computer concepts and usage</li><li>2-3 years of experience in propane, HVAC, or a related field preferred</li><li>Familiarity with propane systems, regulations, and industry standards.</li><li>Strong technical aptitude and ability to learn propane systems and installation practices.</li><li>Excellent communication skills, customer service orientation, and professional appearance.</li><li>Ability to work independently and as part of a team in various environments and weather conditions.</li><li>Basic computer skills for completing service orders and maintaining documentation.</li></ul><p><strong>Required Licenses, Certifications, Registrations:</strong></p><ul><li>Class B CDL License</li><li>Tanker/ Hazmat Endorsement (Preferred)</li></ul><br><h4>We Offer Amazing Benefits!</h4><p>In addition to competitive wages, we are proud to offer a comprehensive benefits package to help support the physical and financial health of our employees and their families.</p><p>Our benefits program allows you to customize your coverage, to select the best plans to meet your family’s needs while taking advantage of tax savings. Eligible employees have the option to enroll in any of the following options with many of them offering pre-tax premium deductions to lower your taxable income, thereby reducing your income taxes.</p><ul><li>Medical Insurance – multiple options to choose from</li><li>Dental Insurance</li><li>Voluntary Vision Insurance</li><li>Health Savings Account</li><li>Flexible Spending Account</li><li>Confidential Employee Assistance Program (EAP)</li><li>Voluntary Supplemental Life and AD&amp;D Insurance</li><li>Voluntary Short-Term Disability</li><li>401(K) with Company Match</li><li>Tuition Reimbursement</li><li>Propane discount</li></ul><p>As part of your comprehensive compensation package, we provide eligible employees with the following benefits at no cost:</p><ul><li>Paid Holidays &amp; Time Off</li><li>$50,000 Basic Life/AD&amp;D benefit</li><li>Long Term Disability</li></ul><p>Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled</p><p><em>This job posting does not state or imply that these are the only duties to be performed by this employee. The employee will be required to follow any other instructions and to perform any other duties requested by their leader.</em></p>

Service Technician

<br><h4>Our Culture</h4><p>EDP is a rapidly growing company — with deep experience in retail and commercial propane sales, operations and finance. We provide safe, reliable propane service to residential, commercial, industrial, and agricultural customers from Connecticut to California.</p><p>We service more than&nbsp;<strong>200,000</strong>&nbsp;customers in&nbsp;<strong>24</strong>&nbsp;states, with a presence in rural America as well as in major metropolitan areas. We have become a significant player in the propane industry, recognized in 2022, 2023 and 2024 as one of the Top Ten Propane Marketers by&nbsp;<em>LP Gas Magazine</em>. Since our inception in 2012, EDP has helped more than 44 owners of well-run propane businesses transition to their own “next chapter” while benefiting everyone involved.</p><p><strong>Responsibilities:</strong></p><ul><li>Loads, secures, transport, delivers, and unloads products to and from specified destinations</li><li>&nbsp;Provides exceptional customer service</li><li>&nbsp;Participates and promotes growth incentives</li><li>&nbsp;Perform daily inspections (DDVIR) of the truck, maintaining it in excellent working condition.</li><li>&nbsp;Must be willing to be a significant member of the service team</li><li>&nbsp;Inspects vehicle and notifies supervisor of needed equipment, supplies, or routine maintenance</li><li>&nbsp;Maintains compliance with all federal, state, DOT and company safety requirements</li><li>This role includes on-call responsibilities, as the needs of the company require that you work past your regular departure time or otherwise outside of your regular work hours</li></ul><p><strong>Minimum Education:</strong></p><ul><li>High school diploma, GED or equivalent training and experience.</li></ul><p><strong>Minimum Work Experience:</strong></p><ul><li>Previous truck driving experience preferred</li><li>Basic understanding of computer concepts and usage</li><li>Physically able to lift 75 pounds and pull objects up to 125 pounds in all weather conditions</li><li>Must possess a current and valid driver license with a driving record that meets the insurability guidelines set forth by the company’s insurance carrier.</li></ul><p><strong>Required Licenses, Certifications, Registrations:</strong></p><ul><li>Class A or B CDL, Hazmat and Tanker Endorsement</li></ul><br><h4>We Offer Amazing Benefits!</h4><p>In addition to competitive wages, we are proud to offer a comprehensive benefits package to help support the physical and financial health of our employees and their families.</p><p>Our benefits program allows you to customize your coverage, to select the best plans to meet your family’s needs while taking advantage of tax savings. Eligible employees have the option to enroll in any of the following options with many of them offering pre-tax premium deductions to lower your taxable income, thereby reducing your income taxes.</p><ul><li>Medical Insurance – multiple options to choose from</li><li>Dental Insurance</li><li>Voluntary Vision Insurance</li><li>Health Savings Account</li><li>Flexible Spending Account</li><li>Confidential Employee Assistance Program (EAP)</li><li>Voluntary Supplemental Life and AD&amp;D Insurance</li><li>Voluntary Short-Term Disability</li><li>401(K) with Company Match</li><li>Tuition Reimbursement</li><li>Propane discount</li></ul><p>As part of your comprehensive compensation package, we provide eligible employees with the following benefits at no cost:</p><ul><li>Paid Holidays &amp; Time Off</li><li>$50,000 Basic Life/AD&amp;D benefit</li><li>Long Term Disability</li></ul><p>Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled</p><p><em>This job posting does not state or imply that these are the only duties to be performed by this employee. The employee will be required to follow any other instructions and to perform any other duties requested by their leader.</em></p>

Delivery Driver

The Retail&nbsp;Parts Stockperson receives and verifies incoming orders and ensures that they are stocked and recorded according to dealership standards.&nbsp; &nbsp;<h2>What are the day-to-day responsibilities?</h2><ul><li>Receive shipments and verify both the order and the quantities</li><li>Fill “will call” orders</li><li>Pick parts for counter salesmen</li><li>Maintain receiving and shipping records</li><li>Break out and organize shipments, ready for stocking</li><li>Assist in putting up stock</li><li>Assist in maintenance of bins and equipment</li><li>Assist in arrangement of department, including movement of bins as needed</li><li>Supervise returned parts and maintain separate storage area for such parts</li><li>Keep all bins, aisles and storage areas clean and clearly labeled</li></ul><h2>&nbsp;<br>What are the requirements for this job?</h2><ul><li>High School diploma or equivalent</li><li>Must meet Company's requirements for employment</li><li>Ability to read and comprehend instructions and information</li><li>One year of experience in a dealership position</li><li>Ability to interpret vendor catalogs</li><li>Ability to use parts department computer system and calculator</li><li>Excellent oral and in written communication skills</li></ul><h2>Exciting Benefits and Perks Await You:</h2><ul><li><p>Competitive compensation and 401k matching</p></li><li><p>Enjoy a healthy work-life balance with insurance plans (health, dental, vision) and maternity benefits.</p></li><li><p>Associate purchase and discount programs for new and pre-owned vehicles, services, parts, collision, accessories, and AutoGear</p></li><li><p>Access amazing deals and discounts through YouDecide, a website with offers from top providers and retailers</p></li><li><p>Join our DRVPNK mission to raise and donate millions of dollars to cancer research and treatment, partnering with cancer charities nationwide</p></li></ul><p>AutoNation is one of the largest automotive retailers in the United States, offering innovative products, exceptional services, and comprehensive solutions, empowering our customers to make the best decisions for their needs. With a network of dealerships nationwide strengthened by a recognized brand, we offer a wide variety of new and used vehicles, customer financing, parts, and provide expert maintenance and repair services. Through DRV PNK, we have raised over $40 million for cancer-related causes, demonstrating our commitment to making a positive difference in the lives of our Associates, Customers, and the communities we serve.<br>&nbsp;</p><p>AutoNation is committed to creating a diverse, equitable, and inclusive environment in our workplace and the services we provide. We welcome candidates from all backgrounds who are passionate about making a positive impact. Even if you do not meet every requirement, we encourage you to apply. Join our team and help us foster a culture of belonging while contributing to our revolutionary work in the automotive industry. We value innovation, teamwork, and a commitment to making a positive impact in the world.</p>

AutoNation

PARTS STOCK PERSON

As a Service Advisor, you’ll be part of a nationwide team servicing 20,000 cars a day&nbsp;and building customer loyalty that spans generations. Along with your communication skills and automotive knowledge, you’ll utilize&nbsp;leading-edge technology to uncover selling opportunities that keep drivers safe in their vehicles.<h2>Position Overview</h2><p><br>Working in our state of the art service departments, the Service Advisor acts as the go-between for Service Technicians and customers. In this position, you’ll be able to get out from behind the desk and play an active role in the service lane. AutoNation will look to you to explain the Service Technician’s recommendations to the customer in easy-to-understand language – and suggest up-sell opportunities to keep the customer’s vehicle safe.</p><h2><br>What Will I Do Every Day?</h2><ul><li><p>Set, confirm and prepare for appointments with customers so they can have a great service experience</p></li><li><p>Meet or exceed targeted sales goals &amp; the targeted customer satisfaction index</p></li><li><p>Greet customers in a friendly manner when they arrive</p></li><li><p>Determine vehicle needs based on customer information and a vehicle walk-around, inspections and test drives</p></li><li><p>Use a consultative selling process to assist customers in planning for ongoing required maintenance of their vehicle</p></li><li><p>Produce repair orders for customers, including cost and time estimates, with full transparency</p></li><li><p>Communicate frequently with technicians and parts associates to ensure timely completion of work</p></li><li><p>Follow up with customers on the status of their vehicle, based on how the customer wants to be informed</p></li><li><p>Follow up with customers to ensure satisfaction</p></li><li><p>Gain superior product knowledge to effectively help customers</p></li><li><p>Provide an exceptional customer experience to drive loyalty</p></li></ul><h2>&nbsp;<br>What are the requirements for this job?</h2><ul><li><p>High school diploma or equivalent</p></li><li><p>Proven ability to provide an exceptional customer experience</p></li><li><p>Ability to set and achieve targeted goals</p></li><li><p>Prior sales experience preferred but not required</p></li><li><p>Demonstrated communication, consultative, interpersonal and organizational skills</p></li><li><p>The willingness to follow up with customers</p></li><li><p>Experience and desire to work with technology</p></li><li><p>Valid in-state driver’s license and an acceptable, safe driving record</p></li></ul><h2>Exciting Benefits and Perks Await You:</h2><ul><li><p>Competitive compensation and 401k matching</p></li><li><p>Enjoy a healthy work-life balance with insurance plans (health, dental, vision) and maternity benefits.</p></li><li><p>Associate purchase and discount programs for new and pre-owned vehicles, services, parts, collision, accessories, and AutoGear</p></li><li><p>Access amazing deals and discounts through YouDecide, a website with offers from top providers and retailers</p></li><li><p>Join our DRVPNK mission to raise and donate millions of dollars to cancer research and treatment, partnering with cancer charities nationwide</p></li></ul><p>AutoNation is one of the largest automotive retailers in the United States, offering innovative products, exceptional services, and comprehensive solutions, empowering our customers to make the best decisions for their needs. With a network of dealerships nationwide strengthened by a recognized brand, we offer a wide variety of new and used vehicles, customer financing, parts, and provide expert maintenance and repair services. Through DRV PNK, we have raised over $40 million for cancer-related causes, demonstrating our commitment to making a positive difference in the lives of our Associates, Customers, and the communities we serve.<br>&nbsp;</p><p>AutoNation is committed to creating a diverse, equitable, and inclusive environment in our workplace and the services we provide. We welcome candidates from all backgrounds who are passionate about making a positive impact. Even if you do not meet every requirement, we encourage you to apply. Join our team and help us foster a culture of belonging while contributing to our revolutionary work in the automotive industry. We value innovation, teamwork, and a commitment to making a positive impact in the world.</p>

Service Advisor - Laurel Audi of Westmont

The Porter-New/Used&nbsp;is responsible for performing a variety of duties as they relate to the sale and upkeep of vehicles and the dealership property. &nbsp; &nbsp;<h2>What are the day-to-day responsibilities?</h2><ul><li><p>Keeping vehicle lot neat and orderly, moving units as directed by the sales managers and in accordance with dealership display standards</p></li><li><p>Transporting customers and dealership personnel, as needed</p></li><li><p>Assisting with customer deliveries</p></li><li><p>Ensuring all vehicles are clean and in good repair on the lot and showroom</p></li><li><p>Ensuring all window stickers are properly placed on newly arrived vehicles for display on the sales floor or lot</p></li><li><p>Picking up vehicles from storage and deliver vehicles to storage and other dealerships</p></li><li><p>Assisting with weather related clean up when necessary</p></li><li><p>Building and grounds maintenance as needed</p></li><li><p>Other functions and special projects may be assigned</p></li></ul><h2>&nbsp;<br>What are the requirements for this job?</h2><ul><li><p>High school diploma or equivalent</p></li><li><p>Knowledge of basic automotive repair and maintenance</p></li><li><p>Ability to handle machinery safely</p></li><li><p>Ability to drive across surrounding states to transport vehicles</p></li><li><p>Ability to drive manual transmission</p></li><li><p>Valid state driver's license&nbsp;</p></li><li><p>Ability to operate an automobile</p></li><li><p>Ability to use hand and power tools</p></li></ul><p>The compensation for this position is $14.50 - $19.88 per hour.</p><h2>Exciting Benefits and Perks Await You:</h2><ul><li><p>Competitive compensation and 401k matching</p></li><li><p>Enjoy a healthy work-life balance with insurance plans (health, dental, vision) and maternity benefits.</p></li><li><p>Associate purchase and discount programs for new and pre-owned vehicles, services, parts, collision, accessories, and AutoGear</p></li><li><p>Access amazing deals and discounts through YouDecide, a website with offers from top providers and retailers</p></li><li><p>Join our DRVPNK mission to raise and donate millions of dollars to cancer research and treatment, partnering with cancer charities nationwide</p></li></ul><p>AutoNation is one of the largest automotive retailers in the United States, offering innovative products, exceptional services, and comprehensive solutions, empowering our customers to make the best decisions for their needs. With a network of dealerships nationwide strengthened by a recognized brand, we offer a wide variety of new and used vehicles, customer financing, parts, and provide expert maintenance and repair services. Through DRV PNK, we have raised over $40 million for cancer-related causes, demonstrating our commitment to making a positive difference in the lives of our Associates, Customers, and the communities we serve.<br>&nbsp;</p><p>AutoNation is committed to creating a diverse, equitable, and inclusive environment in our workplace and the services we provide. We welcome candidates from all backgrounds who are passionate about making a positive impact. Even if you do not meet every requirement, we encourage you to apply. Join our team and help us foster a culture of belonging while contributing to our revolutionary work in the automotive industry. We value innovation, teamwork, and a commitment to making a positive impact in the world.</p>

Sales Porter - AutoNation Ford Littleton

The&nbsp;Skilled Technician performs vehicle repair and maintenance as assigned in accordance with dealer and factory standards and builds Customer loyalty by developing trust and ensuring confidence in AutoNation as a care-giver for their vehicle safety and reliability.&nbsp; &nbsp;<h1>Keep America Moving. Drive your Technician Career with AutoNation.</h1><p>At AutoNation, we don’t just service vehicles, we support the people who keep them running. As America’s most admired automotive retailer, we offer factory training, cutting-edge tools, and a clear path to advancement.</p><h1>Why You’ll Love Working Here:</h1><ul><li><p>Competitive pay and benefits</p></li><li><p>Paid training and OEM certification support</p></li><li><p>Opportunities to grow into Service, Sales, Management, Regional and Executive roles</p></li><li><p>Career options coast to coast through our nationwide footprint of locations</p></li></ul><h1>What We’re Looking For:</h1><ul><li><p>Valid driver’s license</p></li><li><p>A passion for cars and customer service</p></li></ul><p>Apply today and join a team that values your skills and invests in your future.</p><h1>What are the day-to-day responsibilities?</h1><ul><li><p>Performing vehicle repair and/or maintenance work as outlined on repair order with efficiency and accuracy, in accordance with dealership and factory standards to drive Customer loyalty.</p></li><li><p>Communicating with Parts Department and Service Advisors regularly to effectively manage production and Customer communication.&nbsp;</p></li><li><p>Diagnosing the cause of any malfunction and perform repair, if authorized by the Customer.</p></li><li><p>Conducting multi-point inspections to make appropriate recommendations to ensure safety and reliability of Customer vehicles.</p></li><li><p>Documenting work performed on each vehicle on the repair order.</p></li><li><p>Maintaining an inventory of normal Technician’s tools not normally inventoried by the Service department as “special tools.”&nbsp;</p></li><li><p>Keeping abreast of factory technical bulletins and participating in factory-sponsored training classes as appropriate.</p></li><li><p>Providing an exceptional customer experience to drive loyalty</p></li></ul><h1>How will I know if I am successful?</h1><ul><li><p>The performance of a Skilled Technician is measured by achieving:</p></li><li><p>Targeted production</p></li><li><p>Targeted sales</p></li><li><p>Targeted Customer Satisfaction Index</p></li></ul><h1>What are the requirements for this job</h1><ul><li><p>High School diploma or equivalent</p></li><li><p>2+ years experience as an automotive technician</p></li><li><p>Automotive technical training (varies based on store needs)</p></li><li><p>Attention to detail</p></li><li><p>Organization and follow-up skills</p></li><li><p>Valid in-state driver’s license and have and maintain an acceptable, safe driving record</p></li></ul><h1>What are the opportunities for career growth?</h1><ul><li><p>Our Associates have many choices for career growth and development after success in a Service Technician role. &nbsp;Opportunities may include:</p></li><li><p>Master-Certified Technician</p></li><li><p>Service Advisor</p></li><li><p>Service Management</p></li></ul><h2>Exciting Benefits and Perks Await You:</h2><ul><li><p>Competitive compensation and 401k matching</p></li><li><p>Enjoy a healthy work-life balance with insurance plans (health, dental, vision) and maternity benefits.</p></li><li><p>Associate purchase and discount programs for new and pre-owned vehicles, services, parts, collision, accessories, and AutoGear</p></li><li><p>Access amazing deals and discounts through YouDecide, a website with offers from top providers and retailers</p></li><li><p>Join our DRVPNK mission to raise and donate millions of dollars to cancer research and treatment, partnering with cancer charities nationwide</p></li></ul><p>AutoNation is one of the largest automotive retailers in the United States, offering innovative products, exceptional services, and comprehensive solutions, empowering our customers to make the best decisions for their needs. With a network of dealerships nationwide strengthened by a recognized brand, we offer a wide variety of new and used vehicles, customer financing, parts, and provide expert maintenance and repair services. Through DRV PNK, we have raised over $40 million for cancer-related causes, demonstrating our commitment to making a positive difference in the lives of our Associates, Customers, and the communities we serve.<br>&nbsp;</p><p>AutoNation is committed to creating a diverse, equitable, and inclusive environment in our workplace and the services we provide. We welcome candidates from all backgrounds who are passionate about making a positive impact. Even if you do not meet every requirement, we encourage you to apply. Join our team and help us foster a culture of belonging while contributing to our revolutionary work in the automotive industry. We value innovation, teamwork, and a commitment to making a positive impact in the world.</p>

Automotive Technician - Hyundai Hardeeville

<p><b>Salary Range:&nbsp;</b>&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&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 Care Management Specialist II utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines.</p><p>Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases, which are those with the severest acuities or care needs and requiring the highest clinical skills and judgement. &nbsp;Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner.&nbsp;</p><p>Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit: Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team. Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member information, document contacts, and track member progress.&nbsp;</p><h4>Duties</h4><p>Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs.</p><p>Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives; reviewing member claims histories and identifies intervention opportunities through the professional standards of practice; contacting and interviewing members to conduct a baseline assessment, assess self-care ability, assess knowledge and adherence deficits; conducting comprehensive clinical assessments as indicated; developing a member centric plan of care. Maintains assigned care management caseload for with a focus on the most complex, highest-risk members particularly those with advanced chronic conditions, co-occurring mental and/or substance abuse and complex social issues (e.g. homelessness, domestic violence).&nbsp; </p><p>Collaborates with primary care physician and other treating professionals as appropriate. Authorizes initiation of care management services and specialized program services for members and specific populations, and develops interventions designed to meet member or population desired outcomes. Provides comprehensive education and resources to members about accessing services, in-network use, national guidelines for care, community resources, and self-management skills and strategies.</p><p>Employs engagement techniques to build relationships with members and their authorized representatives. Encourages participants to participate in their health care decisions and assists member with researching treatment options in order to communicate effectively with providers and to make informed decisions.</p><h4>Notifies Care Coordinators and CHWs of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines.</h4><h4>Performs field assessment and care coordination functions in community settings with members, such as at the L.A. Care Community Resource Centers, medical clinics, and member homes.</h4><h4>Duties Continued</h4><h4>Meets and assesses members at L.A. Care Community Resource Centers, as needed.</h4><h4>Provides effective care management for Individualized Care Plan summary and interventions during the Interdisciplinary Care Team meetings based on department guidelines.</h4><h4>Facilitates appropriate use of resources and coordinates necessary services to improve health status and impact the cost of care. Identifies member needs for and refers to appropriate internal and external programs, as appropriate.</h4><h4>Encourages member and family empowerment through education and use of reliable resources.</h4><h4>Monitors and evaluates member progress: evaluates member response to interventions and refines action plan to produce desired outcomes. Identifies complex care management issues and discusses possible solutions with management. Assesses effectiveness of care plan’s goals and interventions on a regular basis.</h4><h4>Uses claims and care management software to document interactions and interventions with members, vendors, and providers. Maintains case information in the member's clinical records to promote care coordination. </h4><h4>Provides ongoing direction and support to internal customers regarding Care Management programs, processes, and benefit coverage.</h4><h4>Responsible for staying current with best practices, identifying areas for personal growth opportunities and works with management to develop a plan for obtaining the necessary training.</h4><h4>Performs other duties as assigned.</h4><h4>Education Required</h4>Associate's Degree in Nursing for Registered NursesMaster's Degree in Social Work for Licensed Clinical Social Workers<h4>Education Preferred</h4>Bachelor's Degree in Nursing for Registered Nurses<h4>Experience</h4><p><br><strong>Required:</strong><br>Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments. &nbsp;</p><p>Experience providing care management with complex/catastrophic conditions.</p><h4>Skills</h4><p><br><b>Required:</b><br>Current knowledge of clinical standards of care and disease processes.</p><p>Critical thinking skill.&nbsp;</p><p>Excellent customer service skills.</p><p>Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions.</p><p>Ability to triage immediate member health and safety risks.</p><p>Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping.</p><p>Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders. &nbsp;</p><p>Ability to use a personal computer, and knowledge of medical information systems.</p><p>Knowledge of and ability to comply with HIPAA compliance.</p><p>Ability to interview, assess and coordinate care. Ability to prioritize caseload.</p><p>Knowledge of community resources.</p><p>Knowledge of Medi-Cal and Medicare regulations.</p><p>Ability to work as a part of a diverse team and gain consensus and resolution of problems.</p><p><b>Preferred:</b><br>Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.</p><h4>Licenses/Certifications Required</h4>Registered Nurse (RN);current and unrestricted California License OR Licensed Clinical Social Worker; current and unrestricted California License.<h4>Licenses/Certifications Preferred</h4>Certified Case Manager (CCM)Accredited Case Manager (ACM) CertificationCase Management Nurse – Board Certified (CMGT-BC)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p><b>Required:&nbsp;</b><br>Travel to offsite locations for work.</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>                    Social Worker, Travel Nurse, Nursing, Registered Nurse, Claims, Service, Healthcare, Insurance                                                    </p>

L.A. Care Health Plan

Care Management Specialist II

<p><b>Salary Range:&nbsp;</b>&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&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 Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that meet established criteria. Assures timely and accurate determination and notification of referrals and reconsiderations based on the referral determination status. Generates approval, modification and denial communications, to include member and provider notification of referral determination. Actively monitors for admissions in any inpatient setting. Performs telephonic and/or onsite admission and concurrent review, and collaborates with onsite staff, physicians, providers, member/family interaction to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and retrospective claims medical review. Monitors and oversees the collection and transfer of data (medical records) and referral requests by Providers. Acts as a department resource for medical service requests /referral management and processes. Receives incoming calls from providers, professionally handles complex calls, researches to identify timely and accurate resolution steps. Follows up with caller to provide response or resolution steps. Answers all inquiries in a professional and courteous manner.</p><h4>Duties</h4><p>Promote and support team engagements, programs and activities to create and ensure a positive and productive workplace environment.</p><p>Perform telephonic and/or onsite admission and concurrent review, and collaborates with onsite staff, physicians, providers, the member and significant others to develop and implement a successful discharge plan. Process, finalize and facilitate inbound requests that are received from providers. </p><p>Generate appropriate member and provider communication for all determinations within the required timelines as defined by the most current department policy.</p><p>Facilitate/review requests for Higher level of care or skilled nursing/discharge planning needs. Research for appropriate facilities, specialty providers and ancillary providers to utilize for all lines of business. Identification of potential areas of improvement within the provider network.</p><p>Identify and initiate referrals for appropriate members to the various L.A. Care programs/processes and external community based programs or Linked and Carve Out Services (e.g. DDS/CCS/MH). Potential quality of care/potential fraud issues are identified and documented per L.A. Care policy. High risk/high cost cases and reports are maintained and referred to the Physician Advisor/UM Director. Document in platform/system of record. Utilize designated software system to document reviews and/or notes. </p><p>Receive incoming calls from providers, professionally handle complex calls, research to identify timely and accurate resolution steps. Follow up with caller to provide response or resolution steps. Answer all inquiries in a professional and courteous manner.</p><h4>Perform other duties as assigned. </h4><h4>Duties Continued</h4><h4>Education Required</h4>Associate's Degree in Nursing<h4>Education Preferred</h4>Bachelor's Degree in Nursing<h4>Experience</h4><p><b>Required:</b><br>At least 5 years of varied RN clinical experience in an acute hospital setting.</p><p>At least 2 years of Utilization Management/Case Management experience in a hospital or HMO setting .&nbsp;</p><p><b>Preferred:</b><br>Managed Care experience performing UM and CM at a medical group or management services organization.</p><p>Experience with Managed Medi-Cal, Medicare, and commercial lines of business.</p><h4>Skills</h4><p><b>Required:</b><br>Must be computer literate, with expertise in Outlook, Word, Excel, PowerPoint. &nbsp;Effectively utilizes computer and appropriate software and interacts as needed with L.A. Care Information System. Knowledge of personal computer, keyboarding, and appropriate &nbsp;software to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Prepare clear, comprehensive written and oral reports and materials.&nbsp;</p><p>Provision of excellent customer service required due to frequent communication with providers and other members of the interdisciplinary team &nbsp;<br><br>Excellent time management and priority-setting skills.</p><p>Maintains strict member confidentiality and complies with all HIPAA requirements.</p><p>Strong verbal and written communication skills. &nbsp; &nbsp;</p><p><b>Preferred:</b><br>Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM).&nbsp;</p><p>Knowledge of Department of Health Care Services (DHCS) or Centers for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM or CM.</p><h4>Licenses/Certifications Required</h4>Registered Nurse (RN) - Active, current and unrestricted California License<h4>Licenses/Certifications Preferred</h4>Certified Case Manager (CCM)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>May work on occasional weekends and some holidays depending on business needs.</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>                    Nursing, Registered Nurse, Medicare, Medicaid, Claims, Healthcare, Insurance                                                    </p>

Utilization Management Nurse Specialist RN II

<p>Sprague is passionate about delivering the diverse products and programs that warm, power, and move the world. We keep homes warm through Northeastern winters and hospitals cool through summer. We help small businesses focus on serving their communities, and our renewable fuels keep our country’s infrastructure running. From importing wind energy components to deploying leading-edge solar technology to help power terminal facilities, we are committed to continually evolving to meet our customers’ changing energy needs.</p><p>Sprague is seeking a <strong>Truck Driver</strong> to join the Lawrence Operations team to deliver petroleum products to our customers via heavy commercial vehicle in the tri-state area (New York, New Jersey and Connecticut).</p><p></p><p><strong>Your responsibilities will include: </strong></p><ul><li>Deliver petroleum products from location to location via heavy commercial vehicle</li><li>Load petroleum products onto the vehicle which will involve climbing ladders, walking on top of vehicle and moving oil chutes.</li><li>Determine safe tank fill level by converting measurements from stick, veeder root or gauge and convert into gallons with use of tank chart.</li><li>Off load petroleum products at customer locations which may require climbing ladders, walking on top of vehicle and/or carrying/pulling a hose.</li><li>Reconcile truck shipping and loading documents including DOT documents (i.e timesheets and pre-trip inspection sheets, computing gallons loaded and unloaded and balances on the unit).</li><li>Perform pre-trip/post-trip inspections on truck/tractor and on trailer before operation.</li><li>Responsible for daily maintenance of vehicle to remain in proper and safe working order.</li></ul><p><strong>Qualified candidates for this role will have the following:</strong></p><ul><li>Valid Class A CDL with Hazmat and Tanker Endorsements</li><li>Ability to pass DOT physical exam.</li><li>5 years’ experience driving and delivering petroleum products.</li><li>Valid TWIC Card</li><li>High School Diploma or general education degree (GED) preferred.</li><li>Ability to use basic mathematics including addition and subtraction.</li><li>Must be able to understand work directions and communicate effectively with customers and fellow employees.</li><li>Excellent customer service skills</li><li>Flexibility to work in in a 24/7 - 365 day a year operation that includes day and night shifts</li></ul><p><strong>We want to hear from you!</strong></p><p>Do you like to solve problems and consider yourself forward thinking? If you are looking for a place where you can learn a lot about the energy industry while constantly challenging yourself, then Sprague is your place. Sprague employees are dedicated and driven, and we constantly strive to be the best in the industry. We work best as a team, knowing that collaboration leads to innovation and the best customer experience. As a company that has continued to evolve with the energy industry for the last 150 years, we are looking for hardworking employees to join us as we remain at the forefront of the industry.</p><p>Sprague values innovation, safety, integrity, and people. We know that our people are what set us apart from our competition, and we work hard to make sure each employee across our 20+ locations know how important they are to our organization.&nbsp; We recently surveyed our employees to ask them their favorite part of the job. Unanimously, they answered, "The people I work with." You are part of a team and a family at Sprague, and everyone works together to ensure both the success of the company and of the individual.</p><p><strong>&nbsp;What we offer:</strong></p><p>In addition to great coworkers, you’ll enjoy medical/dental benefits and a retirement plan with contributions that start on your first day.&nbsp; Sprague also provides tuition reimbursement for any employee that would like to further their education.&nbsp; Do you like to get involved where you work?&nbsp; Is giving back important to you? It’s important to us, too! Sprague donates back to the communities in which we live and work every year and provides opportunities for employees to support the charity of the week. In addition, Sprague offers paid volunteer time to allow employees to support charities which are meaningful to them. Sprague has a range of committees to support varying initiatives (Sustainability, Charitable, Scholarship, Innovation, etc.). Sprague is a place that cares about its employees, its community, and about creating a place where people want to come to work every day.</p><p><strong>&nbsp;Plus, we have some great benefits!</strong></p><p>Health and Dental Plan</p><p>Retirement Plan - Traditional and Roth plans with employer match of 100% of the first 4% of the employee’s contribution</p><p>Flexible Spending Accounts</p><p>Company paid life insurance and long/short term disability</p><p>Paid Time Off</p><p>Pay range: $35.89 to $39.25 per hour based on experience.</p><p><strong>Come join us to learn why we are consistently celebrating 20-, 30-, and even 40-year anniversaries here at Sprague!</strong></p><p>Sprague is an EEO/AA employer.&nbsp; We strongly encourage minorities, females, Vets and individuals with disabilities to apply.</p><p>As a federal contractor we adhere to OFCCP employment regulations. &nbsp;Click here for OFCCP compliance information</p>

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