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Join the Clean Energy RevolutionBecome a&nbsp;Powerline Trainer Senior Specialist at Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll teach courses on power line principles, set clear objectives for every course in the classroom and in pole yard. Have an opportunity to mentor and mold our powerline work force. As a&nbsp;Powerline Trainer Senior 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? <h4>Responsibilities</h4><ul><li>Facilitates training such as new hire, new to role, refresher, just-in time performance based training, continuous education and/or performance support, to students within T&amp;D (such as electrical construction, maintenance and operations) in a classroom or field training environment</li><li>Participates as a subject matter expert to develop and maintain training curriculum, materials, performance support tools and assessments using the Systematic Approach to</li><li>Training (SAT), focusing on safety protocols, work processes, new technologies, and procedures</li><li>Collaborates with internal stakeholders and subject matter experts to identify training needs, gaps, and opportunities for improvement in T&amp;D Training delivery (such as safety and compliance, new technology and equipment, and grid operations)</li><li>Serves as a subject matter expert to provide guidance and support to trainees focusing on safety protocols, work processes, new technologies, and procedures related to transmission, distribution, and substation operations</li><li>Administers and proctors classroom training tests and field assessments, determining pass/fail criteria and partnering with stakeholders to provide feedback to students in T&amp;D training technical skills programs (such as lineman apprenticeship, substation operations, etc.)</li><li>Partners with front-line employees and stakeholders to resolve training issues and ensure compliance with regulatory requirements, including annual safety and compliance training</li><li>Participates in the development and execution of the technical training roadmap, strategic planning, and operational excellence initiatives, incorporating the latest industry trends and best practices. Organizes and oversees hands-on demonstrations and lab exercises to reinforce learning objectives and provide practical experience with electrical equipment and tools</li><li>Supports training delivery logistics and resources across multiple training locations, programs and systems on topics such as distribution construction and maintenance and electrical systems</li><li>Partners with and supports front-line leaders with employee performance management activities. Serves as a mentor to help students navigate their education and career paths in their technical field</li><li>Stays abreast of industry trends, emerging technologies, and best practices in T&amp;D to incorporate relevant updates into training programs. Ensure compliance with safety regulations, industry standards, approved work methods and company policies in all training activities, maintaining a safe and conducive learning environment for all participants</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>Minimum Qualifications</h4><ul><li>Five or more years of experience in electric utility line work, training and/or instructional design.</li><li>Possess a valid Class C Driver's License.</li></ul>Preferred Qualifications<ul><li>Experience as a Journeyman Lineman&nbsp;</li></ul>Additional Information<ul><li>This position’s work mode is&nbsp;on-site. The employee will report to an SCE facility or in the field location.&nbsp; Further details of this work mode will be discussed at the interview stage. The work mode can be changed based on business needs.</li><li>Visit our Candidate Resource page to get meaningful information related to benefits, perks, resources, testing information, 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>The primary work location for this position is Chino.&nbsp; However, the successful candidate may also be asked to occasionally work in Tulare.</li><li>Relocation does not apply to this position.</li></ul>About Southern California EdisonThe 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.Southern California Edison is a proud Equal Opportunity Employer, including disability and protected veteran status.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.

Southern California Edison

Powerline Trainer Senior Specialist

Join the Clean Energy RevolutionBecome an&nbsp;HRIS Senior Advisorat Southern California Edison (SCE) and build a better tomorrow. In this job,&nbsp;you’ll play a pivotal role in configuring and optimizing HR systems, while maintaining data integrity. This role offers the opportunity to lead HR Information Systems for Compensation and Employee Central Configuration and Management, while contributing to a culture of innovation and operational excellence.As an&nbsp;HRIS Senior Advisor, 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?<h4>Responsibilities</h4><ul><li>Automates and streamlines system analysis, data integration, and reporting capabilities; maintains security controls for and ensures uninterrupted service for end users</li><li>Optimizes all technology systems to meet workforce growth requirements, creating opportunities to deliver operational excellence and automation and streamline any process pain paints</li><li>Provides data/system guidance and support for organizational restructuring, implementing data governance processes and procedures to maintain data integrity and security</li><li>Maintains key relationships with key stakeholders on future platform and functionality requirements and keeps them informed on technology or process changes when relevant</li><li>Serves as technical point of contact for assigned functions, leads technology implementations and enhancements, and assists functional leads to ensure data integrity, test system changes, and analyze data flows for process improvement opportunities</li><li>Manages internal and external reporting for information related to work events, position management, and reorganizations</li><li>Identifies and initiates improvement opportunities around system, process, data and user experience, and recommends options to leaders with justification, potential impacts and supporting data for the approach</li><li>Creates process documentation standards and work with functional experts to ensure that all HR processes are properly documented and updated as needed</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>Minimum Qualifications</h4><ul><li>Ten or more years of experience researching, analyzing, designing and maintaining HR Information Systems in support of human resource administration and projects.</li></ul>Preferred Qualifications<ul><li>Mastery of end‑to‑end Compensation module design and configuration, including complex global merit, bonus, and stock programs, with deep hands‑on expertise in templates, business rules, guidelines, and EC integration.</li><li>Ability to act as a strategic advisor to senior HR and Compensation leadership, translating business strategy into system design, driving governance, and leading annual compensation cycles with minimal oversight.</li><li>Hands-on experience, with SuccessFactors configuration&nbsp; reporting, specifically for Compensation and EC modules</li><li>Strong collaboration skills in cross-functional collaboration, vendor oversight, and stakeholder engagement across HR and IT</li><li>Strong understanding of HR processes and data management practices.</li><li>Proven ability to analyze data, troubleshoot issues and communicate findings clearly.</li><li>Experience supporting HR Technology in large, complex and heavily regulated organizations.</li></ul>Additional Information<ul><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 work and 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.</li><li>Visit our Candidate Resource page to get meaningful information related to benefits, perks, resources, testing information, 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.&nbsp;</li><li>Relocation does not apply to this position.</li></ul>About Southern California EdisonThe 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.Southern California Edison is a proud Equal Opportunity Employer, including disability and protected veteran status.

HRIS Senior Advisor

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!Teaching Med/Surg classesYou will make an impact by: &nbsp;<ul><li>Serving as a mentor, role model and facilitator who provides guidance and academic support for students.</li><li>Demonstrating enthusiasm for teaching, the teaching/learning process and for individual students.</li><li>Applying your skills and experience to your assigned teaching schedule.</li><li>Participating in and contributing to assessment activities of courses/curriculum and programs via a continuous improvement plan set forth by the University.</li><li>Regularly contributing to improvement of class materials and syllabi within prescribed shared governance culture.</li><li>Utilizing a variety of teaching methodologies to instruct students, always with intent to facilitate observable evidence of student fulfillment of prescribed learning outcomes.</li><li>Maintaining scholarly activities.</li><li>Participating in professional growth and service in accordance with university policies.</li><li>Advancing our commitment and focus on the students we serve, and their success as healthcare professionals.</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 to patients.</li><li>Utilize pre- and post- conference to allow students an opportunity to share learned experiences, ensuring clarity of the correlation between &nbsp;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.</li></ul></li></ul>Your Experience Includes: &nbsp;<ul><li>Working knowledge of Microsoft Office Suite Products, especially Outlook, Word, PowerPoint and other MS office products as needed.</li><li>Working with online learning management systems to further engage the student learning process.</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 a minimum of two (2) year’s prior experience as a registered nurse providing direct patient care and have a minimum of one year experience in the field in which they teach.</li><li>Experience with ATI preferred.</li></ul>Education:&nbsp;Education and experience must align with state regulations and comply with the rules and regulations of state authorization agencies.<ul><li>Master’s degree in nursing</li><li>Professional nurse licensure required.</li></ul>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.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.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.

West Coast University

Adjunct Nursing Didactic Instructor - Med/Surg

Come care with us at American Career College! As a RAD 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 American Career College 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!You will make an impact by:<ul><li>Delivering class and/or clinical instruction according to an approved course syllabus using accepted and effective teaching methods.</li><li>Developing daily lesson plans; advises and tutors students; maintains current and accurate attendance and grade records.</li><li>Remaining current in applicable program teaching field.</li><li>Participating in faculty meetings, professional growth activities in the respective field and two (2) in-service training sessions annually.</li><li>Participating in college activities such as in-services, faculty meetings, student functions, graduation exercises, open houses, new student orientations, and advisory board meetings.</li><li>Striving for student success by providing quality instruction that results in students’ achievement of course and program objectives, retention of students, and prepares students for entry-level positions in the healthcare field.</li></ul>Your Experience Includes:<ul><li>Must have a minimum of three (3) years of occupational experience in the subject field or closely related field. Of those three (3) years, two (2) years must be full-time clinical experience in diagnostic radiography.</li><li>Must have a minimum of one (1) year of teaching experience in the subject areas taught or demonstrate prior training in instructional methodology and teaching skills from a formal teacher educational program or any comparable training program or formal in-house training program.</li></ul>Education:<ul><li>Baccalaureate degree.</li><li>Current American Registry of Radiologic Technologists (ARRT) certification in Radiography.</li><li>Current CRT permit (State of California certification).</li><li>Current CPR Card.</li></ul>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 American Career College. For more than 40 years American Career College has had the privilege of educating students seeking careers in healthcare—guiding 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. American Career College is proud to be an equal opportunity employer. We embrace diversity and are dedicated to creating an inclusive environment for all associates.

American Career College

Radiologic Technologist Instructor **$5,000 Sign On Bonus**

The Service Porter is responsible for performing a variety of duties as it relate to the maintenance and service of vehicles. &nbsp; &nbsp;<h2>What are the day-to-day responsibilities?</h2><ul><li>Assist with service write-ups and tagging of customer cars and trucks&nbsp;</li><li>Remove vehicle protective coverings and ID tags prior to returning completed vehicle to customer&nbsp;</li><li>Inspect vehicles for stains, debris and damages before returning the vehicle to the customer, and report any damage immediately&nbsp;</li><li>Transport customers and dealership personnel as needed&nbsp;</li><li>Perform deliveries as required&nbsp;</li><li>Clean interior and exterior of new and used vehicles&nbsp;</li><li>Keep vehicle lot neat and orderly, moving units as directed and in accordance with dealership display standards&nbsp;</li><li>Return vehicle keys to the appropriate service consultant &nbsp;</li><li>Pick up vehicles from and deliver vehicles to storage&nbsp;</li><li>Pick up parts from the Parts Department &nbsp;</li><li>Test batteries of customer vehicles in service drive&nbsp;</li><li>Maintains building and ground as needed&nbsp;</li><li>Assist with shop clean-up and deliveries when needed&nbsp;</li></ul><h2>&nbsp; What are the requirements for this job?</h2><ul><li>High School Diploma or equivalent</li><li>6-12 months of previous work experience (preferred)&nbsp;</li><li>Ability to read and comprehend written instructions and information&nbsp;</li><li>Demonstrated effective communication and interpersonal skills&nbsp;</li><li>Ability to handle machinery safely &nbsp;</li><li>Ability to drive manual transmission vehicles&nbsp;</li><li>Demonstrated customer service skills&nbsp;</li><li>Must have a valid drivers license</li><li>Ability to operate an automobile&nbsp;</li></ul>This positions starting pay is $18 an hr.<h2>Exciting Benefits and Perks Await You:</h2><ul><li>Competitive compensation and 401k matching</li><li>Enjoy a healthy work-life balance with insurance plans (health, dental, vision) and maternity benefits.</li><li>Associate purchase and discount programs for new and pre-owned vehicles, services, parts, collision, accessories, and AutoGear</li><li>Access amazing deals and discounts through YouDecide, a website with offers from top providers and retailers</li><li>Join our DRVPNK mission to raise and donate millions of dollars to cancer research and treatment, partnering with cancer charities nationwide</li></ul>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. &nbsp;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.

AutoNation

Service Porter - AutoNation Toyota Cerritos

Salary Range:&nbsp;&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&nbsp;(Max.)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. 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. <h4>Job Summary</h4> 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.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;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;<h4>Duties</h4>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.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; 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.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.<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> Required: 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;Experience providing care management with complex/catastrophic conditions.<h4>Skills</h4> Required: Current knowledge of clinical standards of care and disease processes.Critical thinking skill.&nbsp;Excellent customer service skills.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.Ability to triage immediate member health and safety risks.Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping.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;Ability to use a personal computer, and knowledge of medical information systems.Knowledge of and ability to comply with HIPAA compliance.Ability to interview, assess and coordinate care. Ability to prioritize caseload.Knowledge of community resources.Knowledge of Medi-Cal and Medicare regulations.Ability to work as a part of a diverse team and gain consensus and resolution of problems.Preferred: 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.<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>Required:&nbsp; Travel to offsite locations for work.Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.L.A. Care offers&nbsp;a wide range of benefits including<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> Nearest Major Market: Los Angeles Job Segment: Social Worker, Travel Nurse, Nursing, Registered Nurse, Claims, Service, Healthcare, Insurance

L.A. Care Health Plan

Care Management Specialist II

Salary Range:&nbsp;&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&nbsp;(Max.)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. 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. <h4>Job Summary</h4>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.<h4>Duties</h4>Promote and support team engagements, programs and activities to create and ensure a positive and productive workplace environment.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. Generate appropriate member and provider communication for all determinations within the required timelines as defined by the most current department policy.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.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. 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.<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>Required: At least 5 years of varied RN clinical experience in an acute hospital setting.At least 2 years of Utilization Management/Case Management experience in a hospital or HMO setting .&nbsp;Preferred: Managed Care experience performing UM and CM at a medical group or management services organization.Experience with Managed Medi-Cal, Medicare, and commercial lines of business.<h4>Skills</h4>Required: 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;Provision of excellent customer service required due to frequent communication with providers and other members of the interdisciplinary team &nbsp; Excellent time management and priority-setting skills.Maintains strict member confidentiality and complies with all HIPAA requirements.Strong verbal and written communication skills. &nbsp; &nbsp;Preferred: Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM).&nbsp;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.<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>May work on occasional weekends and some holidays depending on business needs.Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.L.A. Care offers&nbsp;a wide range of benefits including<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> Nearest Major Market: Los Angeles Job Segment: Nursing, Registered Nurse, Medicare, Medicaid, Claims, Healthcare, Insurance

Utilization Management Nurse Specialist RN II

At American Express, our culture is built on a 175-year history of innovation, shared values and Leadership Behaviors, and an unwavering commitment to back our customers, communities, and colleagues. As part of Team Amex, you'll experience this powerful backing with comprehensive support for your holistic well-being and many opportunities to learn new skills, develop as a leader, and grow your career.Here, your voice and ideas matter, your work makes an impact, and together, you will help us define the future of American Express.How will you make an impact in this role?The Account Development &nbsp;Manager sits within a geographical territory and is responsible for the retention and continuous growth of our existing US Small &amp; Medium Enterprise key client relationships, through face-to-face interactions. This entails having overall management of a defined portfolio of key existing accounts, identifying the evolving needs of our clients, ensuring we continue to serve those needs with our array of cash flow and payment solutions, to deepen our relationship with these clients. The key measurements of success for this Manager will be portfolio level account retention and volume growth. This is a field-based role in which in person engagement with the client base through face-to-face interactions is required.Candidates must reside within 150 miles of the Los Feliz, Burbank, or Hollywood, CA territory.Job ResponsibilitiesPlanning (10 – 20% of time)&nbsp;▪ Identify accounts that are not utilizing the full terms and benefits of their AXP commercial products and prioritize those clients, identify top client information and track opportunity development in CRM database&nbsp;Relationship management (10 – 20% of time)&nbsp;▪ Proactively reach out to customers to uncover opportunities, treat the customer until there’s a change in customer spend in alignment with growth or retention conversations&nbsp;▪ Develop client specific value proposition, identify key steps (strategy and tactics) to meet short and long-term client objectives&nbsp;▪ Business travel, occasionally overnight, is required with the expectation of 50-80% of time spent in-market with clientsClient solution (20 – 30% of time)&nbsp;▪ Use consultative skills to maintain and develop the existing customer relationship and substantially grow charge volume (e.g., onboarding new vendors, expanding existing vendors, adding supplemental cards)&nbsp;▪ Maintain a high level of knowledge about American Express products, processes (Underwriting, Line Increase, Customer Financials, Pricing, Contract), key internal partners (Risk, UWA, PPI) and tools (ONE.force, C360)&nbsp;Negotiate and close (20 – 30% of time)&nbsp;▪ Seek opportunities to up-sell and cross-sell commensurate with the needs of the client▪ Answer customer inquiries and bring in leadership, internal business partners and product specialists as appropriate to support growth opportunities and customers’ needs&nbsp;Compliance (100% of time)&nbsp;▪ Ensure all aspects of the American Express Code of Conduct, and our Sales Practices policies, standard, and procedures, are adhered to so that we uphold the highest standards in our interactions with our customers and compliantly meet all regulatory requirementsKnowledge, Skills, Attributes, and ExperienceKnowledge and Skills&nbsp;Relationship management&nbsp;▪ Strong customer relationship building skills to follow through and motivate clients to act&nbsp;Consultative selling&nbsp;▪ Effectively identifies client needs to configure solutions that address client requirements and deliver value&nbsp;Closing&nbsp;▪ Overcomes objections and resistance to proposed solutions with key client decision makers&nbsp;Influence &amp; persuasion&nbsp;▪ Uses appropriate interpersonal styles and communication methods to gain acceptance for products and/or services&nbsp;Demonstrating value&nbsp;▪ Proactively and consistently demonstrates the value of partnering with American Express&nbsp;Results focus&nbsp;▪ Demonstrates a competitive, positive attitude, quickly adapts to different situations, and recovers from setbacks&nbsp;Market, industry, &amp; product knowledge&nbsp;▪ Understands at a tactical level market/industry key competitors, challenges, terminology, technology, trends, and regulation&nbsp;Attributes&nbsp;▪ High learning agility&nbsp;▪ Intellectually curious&nbsp;▪ Collaborative and growth mindset&nbsp;▪ Personal accountability&nbsp;▪ Compliance focused&nbsp;Experience&nbsp;▪ Bachelor's degree preferred&nbsp;▪ Excellent sales experience, 3 - 5 years minimum&nbsp;▪ Experience partnering with clients across various markets / industries&nbsp;▪ Experience in a highly-regulated industrySalary Range: $69,750.00 to $128,000.00 annually + sales incentive + benefitsThe above represents the expected salary range for this job requisition. Ultimately, in determining your pay, we’ll consider your location, experience, and other job-related factors.We back you with benefits that support your holistic well-being so you can be and deliver your best. This means caring for you and your loved ones' physical, financial, and mental health, as well as providing the flexibility you need to thrive personally and professionally:<ul><li>Competitive base salaries&nbsp;</li><li>Bonus incentives&nbsp;</li><li>6% Company Match on retirement savings plan&nbsp;</li><li>Free financial coaching and financial well-being support&nbsp;</li><li>Comprehensive medical, dental, vision, life insurance, and disability benefits&nbsp;</li><li>Flexible working model with hybrid, onsite or virtual arrangements depending on role and business need&nbsp;</li><li>20+ weeks paid parental leave for all parents, regardless of gender, offered for pregnancy, adoption or surrogacy&nbsp;</li><li>Free access to global on-site wellness centers staffed with nurses and doctors (depending on location)&nbsp;</li><li>Free and confidential counseling support through our Healthy Minds program&nbsp;</li><li>Career development and training opportunities</li></ul>For a full list of Team Amex benefits, visit our Colleague Benefits Site.American Express is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law. American Express will consider for employment all qualified applicants, including those with arrest or conviction records, in accordance with the requirements of applicable state and local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance for Employers, and the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. For positions covered by federal and/or state banking regulations, American Express will comply with such regulations as it relates to the consideration of applicants with criminal convictions.We back our colleagues with the support they need to thrive, professionally and personally. That's why we have Amex Flex, our enterprise working model that provides greater flexibility to colleagues while ensuring we preserve the important aspects of our unique in-person culture. Depending on role and business needs, colleagues will either work onsite, in a hybrid model (combination of in-office and virtual days) or fully virtually.US Job Seekers - Click to view the “Know Your Rights” poster. If the link does not work, you may access the poster by copying and pasting the following URL in a new browser window: <a href="https://www.eeoc.gov/poster" target="_blank">https://www.eeoc.gov/poster</a>Employment eligibility to work with American Express in the U.S. is required as the company will not pursue visa sponsorship for these positions.&nbsp;

483 Jobs in Monrovia, CA, USA