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DescriptionAt ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job Summary<ul><li>Responsible for personnel, management, and coordination of nursing service activities for the scheduled working shift, in accordance with established philosophy, objectives, and policies of the hospital to ensure safe, efficient, and therapeutic patient care. Relates effectively with other shifts for continuity of care and, in the absence of the Director of Nursing Services, takes charge.</li></ul>Essential Functions<ul><li>Assists in interpreting hospital policy and state law as related to the nursing service</li><li>Assists in evaluating and formulating the policies, procedures, decisions, and solutions related to the nursing service</li><li>Participates in hospital safety procedures and programs</li><li>Manages guidance and counseling activities for personnel of the designated shift</li><li>Evaluates and recommends changes in nursing service records</li><li>Responsible for all activities, nursing care, and the execution of nursing and hospital policies of scheduled shift</li><li>Responsible for informing the Director of Nursing Services of nursing activities, needs, problems, and unusual events</li><li>Recommends the purchase of supplies and equipment required for the nursing service</li><li>Coordinates activities of the nursing service through charge nurses</li><li>Continuously reviews nursing staffing patterns, checks attendance, and revises the daily staff schedule as necessary</li><li>Evaluates and reviews employees’ performance against written standards for each position; approves or rejects salary change recommendations</li><li>Makes recommendations to the Director of Nursing Services to hire, promote, suspend, and terminate nursing service employees</li><li>Maintains and assists in orientation programs for new employees</li><li>Assists in supervising the in-service education program and follows up to evaluate effectiveness and to determine the need for revision of methods and materials</li><li>Investigates and reports complaints</li><li>Makes routine nursing service checks on personnel, time cards, equipment, materials, supplies, etc.</li><li>Initiates and approves orders for repairs</li><li>Responsible for environmental control, including infection control</li><li>Exercises independent judgment and initiative</li></ul>Knowledge/Skills/Abilities/Expectations<ul><li>Ability to function independently, and as part of a team</li><li>Empathy for the needs of patients</li><li>Effective oral and written communication skills</li><li>Ability to communicate through spoken and written English</li><li>Detail oriented, with ability to prioritize and multitask</li><li>Ability to apply sound judgment with clinical skills for optimal patient care</li><li>Demonstrates flexibility by accepting and supporting changes in work assignments as related to department and patient needs</li><li>Strong interpersonal communication and customer service skills</li><li>Proficient in working with all ages and patient populations</li><li>Knowledge of appropriate equipment, policies, procedures, and strategies to promote effective patient outcomes</li></ul> QualificationsEducation<ul><li>High school diploma or GED required</li><li>Bachelor’s degree in nursing (BSN) preferred</li></ul>Licenses/Certifications<ul><li>Registered Nurse</li><li>Current State RN license required</li></ul>Experience<ul><li>Minimum two years post-graduate acute care hospital experience preferred</li><li>Minimum two years medical-surgical nursing experience preferred</li><li>Experience preferred in appropriate clinical care areas</li></ul>

St. Francis-Emory Healthcare

House Supervisor The Bradley Center, PRN

<h3>Job Description:</h3>The RoleUnder limited direction, the Senior Administrator, Defined Benefit will be responsible for the accurate and timely processing of various types of calculations of moderate to high complexity within a multi- client environment. Additionally, they will be involved in specialized processing for custom requests from the client. As an experienced processor, in addition to normal responsibilities, this individual will be charged with the following:<ul><li>Providing job coaching and mentoring to junior level processors on the intricacies of their specific business unit.</li><li>Monitoring their respective work queues and providing direction to ensure that all aging work items and calculations are resolved in conjunction with the service level agreement timeframes.</li><li>Validating and updating User Procedure Documentation (UPD).</li></ul>Note: Fidelity is not providing immigration sponsorship for this position.The Expertise and Skills You Bring<ul><li>Bachelor’s Degree (Mathematics, Finance of Business) or equivalent work experience</li><li>Defined Benefit knowledge and experience or related transaction processing experience preferred</li><li>Strong analytical and intuitive skills</li><li>Motivation and commitment to excellence; positive demeanor and 'can do' work ethic</li><li>Ability to work as a standout colleague while meeting individual timeliness, accuracy goals and quality standards</li><li>Ability to adapt to a constantly evolving environment</li><li>Strong interpersonal skills and attention to detail</li><li>High integrity and discretion to ensure the confidentiality of private client and participant data</li><li>Strong written and verbal communication skills</li><li>Ability to coach and instruct others</li><li>Strong PC Software skills (i.e. Excel, Outlook, and Word)</li></ul>The Team<ul><li>The Senior Administrator, Defined Benefit processes various types of calculations, meeting timeliness and accuracy standards while interpreting plan rules to ensure compliance with the plan document. The role provides support to internal Client Service Functional teams while serving as the subject matter expert on assigned clients.</li><li>Manually calculate and review pension benefits for plan participants</li><li>Contact participants to explain calculations or resolve participant/client related issues regarding pension benefits</li><li>Support monthly testing of various systems upgrades and releases</li><li>Participate in special departmental projects</li><li>Provide back-up coverage for other transaction processors and team Managers as needed</li><li>Document updates to User Procedure Documentation</li></ul><h3>Certifications:</h3><h3>Category:</h3>Transaction ProcessingMost roles at Fidelity are Hybrid, requiring associates to work onsite every other week (all business days, M-F) in a Fidelity office. This does not apply to Remote or fully Onsite roles.Please be advised that Fidelity’s business is governed by the provisions of the Securities Exchange Act of 1934, the Investment Advisers Act of 1940, the Investment Company Act of 1940, ERISA, numerous state laws governing securities, investment and retirement-related financial activities and the rules and regulations of numerous self-regulatory organizations, including FINRA, among others. Those laws and regulations may restrict Fidelity from hiring and/or associating with individuals with certain Criminal Histories.

Fidelity Investments

Senior Pension Administrator - Defined Benefit

The&nbsp;Experienced Automotive Service Technician at Toyota Spokane Valley 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;The compensation range for this position is $26 to $37+ per flat rate hour that is based on experience, trainings and certifications. It and also has a bonus component on longevity and overrides.Join our team of passionate Automotive Service Technicians at Toyota Spokane Valley, WA where your skills are not only valued, but also cultivated for long-term growth and success. Work with tenured service technicians and advisors at our busy and temperature-controlled shop! Here's why AutoNation is the ultimate destination for automotive professionals:<ul><li>Paid Training Opportunities: Elevate your expertise with paid OEM training, unlocking new levels of success and earning potential on our technician wage grid.</li><li>Longevity and Productivity Bonus and Incentives&nbsp;</li><li>Generous PTO/Vacation Policy: Enjoy a comprehensive paid time off policy for a healthy work-life balance.</li><li>Defined Career Paths: Experience a workplace with structured career paths, offering clear milestones and opportunities for advancement across sales, service, management, and corporate&nbsp;</li><li>Benefits On Day One: AutoNation prioritizes your well-being with robust health insurance options for you and your loved ones.</li><li>Drive a Strong Customer Pay Business: Join a team focused on driving a strong customer pay business where your expertise contributes to exceptional customer experiences.</li><li>Generous Employee/Technicians Referral Programs (based on position)</li><li>Employee Discounts on purchases, parts, and service&nbsp;</li></ul>Position OverviewAt AutoNation, getting customers back on the road is what drives us. We’re looking for an Auto Technician or Auto Mechanic to join our team, and we’re interested in talking to candidates at an experienced level. As an Auto Technician, you’ll perform vehicle repairs as assigned in accordance with dealer and factory standards. Your attention to detail make you a valuable asset to the team as you ensure repairs are completed on time, and deliver top-notch work to delight our customers. In this role, you’ll interact daily with Customers, Service Advisors, other Technicians, Parts Associates, Cashiers, Sales Associates and Managers. <h2>Who Would I Interact With? This position interacts daily with Customers, Service Advisors, other Technicians, Parts Associates, Cashiers, Sales Associates and Managers, just to name a few.&nbsp;</h2><h2>What are the day-to-day responsibilities?</h2><ul><li>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.</li><li>Communicating with Parts Department and Service Advisors regularly to effectively manage production and Customer communication.&nbsp;</li><li>Diagnosing the cause of any malfunction and perform repair, if authorized by the Customer.</li><li>Conducting multi-point inspections to make appropriate recommendations to ensure safety and reliability of Customer vehicles.</li><li>Documenting work performed on each vehicle on the repair order.</li><li>Maintaining an inventory of normal Technician’s tools not normally inventoried by the Service department as “special tools.”&nbsp;</li><li>Keeping abreast of factory technical bulletins and participating in factory-sponsored training classes as appropriate.</li><li>Providing an exceptional customer experience to drive loyalty</li></ul><h2> How will I know if I am successful?</h2><ul><li>The performance of a Senior Technician is measured by achieving:</li><li>Targeted production</li><li>Targeted sales</li><li>Targeted Customer Satisfaction Index</li></ul><h2> What are the requirements for this job</h2><ul><li>High School diploma or equivalent</li><li>2+ years experience as an automotive technician</li><li>Automotive technical training (varies based on store needs)</li><li>Attention to detail</li><li>Organization and follow-up skills</li><li>Valid in-state driver’s license and have and maintain an acceptable, safe driving record</li></ul><h2> What are the opportunities for career growth?</h2><ul><li>Our Associates have many choices for career growth and development after success in a Service Technician role. &nbsp;Opportunities may include:</li><li>Master-Certified Technician</li><li>Service Advisor</li><li>Service Management</li></ul>AutoNation offers toolbox relocation assistance of up to $400 if a technician is required to supply their own toolbox. We understand the time and care that is needed to properly relocate your toolbox and this assistance program is designed to speed your journey to a new career with AutoNation.<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

Experienced/ Certified Automotive Technician - Toyota Spokane Valley

Commitment to MissionThis job carries with it the obligation to uphold the Mission of Lone Star College (LSC) in carrying out the duties of the position. A commitment to positive interpersonal behaviors, professional communication, integrity, leadership, stewardship, respect and accountability to LSC students and employees is essential.Cultural Beliefs<ul><li>One LSC</li><li>Student Focused</li><li>Own It</li><li>Foster Belonging</li><li>Cultivate Community</li><li>Choose Learning</li></ul>The Chronicle of Higher Education's "Great Colleges to Work For®" is designed to recognize colleges that have been successful in creating great workplaces and to further research and understanding of the factors, dynamics and influences that have the most impact on organizational culture at higher education institutions.Lone Star College has been recognized in multiple categories.Campus Marketing StatementLone Star College-University Center at The WoodlandsLone Star College offers high-quality, low-cost academic transfer and career training education to 80,000+ students each semester. LSC has been named a 2023 Great Colleges to Work For® institution by the Chronicle of Higher Education. LSC consists of eight colleges, seven centers, eight Workforce Centers of Excellence and Lone Star Corporate College.Lone Star College-University Center, located in The Woodlands, is a partnership with several leading universities to provide unduplicated bachelor's degrees, master's degrees and continuing professional studies. Utilizing partnerships, seamless credit transfer programs, collaborative governance, shared facilities, interactive telecommunications, and "first stop" student services, we serve as the critical link for community development and individual opportunities.Location address is 3232 College Park Drive, The Woodlands, TX 77384.Job DescriptionPURPOSE AND SCOPE:The Part-time Clerk, Academic Initiatives and Partnerships Operations supports other staff by performing task-oriented duties within the department providing clerical, analytical, administrative, and operational support. ESSENTIAL JOB FUNCTIONS:<ul><li>Provides administrative support and assistance in preparing documents</li><li>Provides administrative support in managing digital databases, including scanning existing files into database </li><li>Ensures compliance with record retention policies </li><li>Practices discretion with confidential information </li><li>Provides support with contract compliance </li><li>Responsible for all file management within the Academic Initiatives and Partnerships </li><li>Responsible for other reasonable, related duties as assigned</li></ul>KNOWLEDGE, SKILLS, AND ABILITIES:<ul><li>Knowledge of general office practices and procedures</li><li>Proficiency with common office software (i.e. Microsoft Word, Excel and Access)</li><li>Must be computer literate</li><li>Excellent customer service skills</li><li>Strong attention to detail with the ability to communicate the detailed information in a concise and understandable format</li><li>Ability to work on multiple projects</li><li>Ability to multi-task and prioritize work assignments</li><li>Ability to maintain confidentiality</li></ul>PHYSICAL DEMANDS:The work is sedentary. Typically, the employee sits comfortably to do the work. However, there may be some walking; standing; bending; carrying of light items, such as papers, books, or small parts; or driving an automobile. No special physical demands are required to perform the work.WORK ENVIRONMENT:<ul><li>Equipment used includes, PC workstation running on a LAN in a Microsoft Windows environment, calculator, phone and other general office equipment</li><li>Interface with internal and external contacts as needed to carry out the functions of the position</li><li>Work is performed in a climate-controlled office with minimal exposure to safety hazards</li></ul>REQUIRED QUALIFICATIONS:<ul><li>High School Diploma </li></ul>PREFERRED QUALIFICATIONS:<ul><li>Current Lone Star College Student</li></ul>SalaryHourly Pay Rate is $16.33Benefits Marketing StatementBy joining our top-notch institution, you will enjoy being a part of an organization that offers a supportive, collegial work environment, excellent work/life balance, tuition waiver, participation in a tax deferred retirement plan and more.Special InstructionsGo to the Job Search page, click on ‘My Activities’ at the top of the page. Under My Cover Letters and Attachments you will click on ‘Add Attachment.’ Please be sure to put the Job ID# in the title once you name your file for cover letters only, unless you attached your cover letter with your resume.If you are applying for an Instructional position (i.e. Faculty, Adjunct Faculty, Instructor), please ensure you include the following to be considered: Resume/CV, Cover Letter, Teaching Philosophy, and unofficial transcripts. You must limit your file name for any attachment to 40 characters or less.How to ApplyALL APPLICANTS MUST APPLY ONLINE ONLYWe will not accept application material received via fax, email, mail, or hand delivered.Postings for part-time and adjunct positions are active for the academic year. By selecting the option to receive notifications on your profile, you will begin receiving electronic communication regarding new opportunities with Lone Star College (LSC).If selected for an interview, a recruiter will contact you by phone, or email to schedule an interview.Lone Star College participates in the E-Verify program, under which Lone Star College provides the federal government with information from each new employee's Form I-9 to confirm that the employee is authorized to work in the United States.More information on the E-Verify program is available at <a href="http://www.dhs.gov/E-Verify" target="_blank">www.dhs.gov/E-Verify</a>.Lone Star College is an EEO Employer. All positions are subject to a criminal background check.

Part-Time Clerk, Academic Initiatives & Partnerships Operations

DescriptionAt ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job Summary<ul><li>The Supervisor - Plant Operations is responsible for overseeing the daily operations of the central plant, including maintenance, repairs, and operational support for boilers, chillers, and life safety systems. The role includes managing maintenance staff, coordinating preventive maintenance schedules, ensuring regulatory compliance, and maintaining operational readiness of essential utility systems. This position requires the ability to work independently, provide technical guidance to staff, and effectively manage resources to ensure safe and efficient facility operations.</li></ul>Essential Functions<ul><li>Supervises maintenance staff, including assigning tasks, monitoring work quality, and providing training</li><li>Oversees preventive maintenance schedules for boilers, chillers, and other critical plant equipment</li><li>Monitors and maintains the Energy Management System, ensuring optimal performance</li><li>Coordinates the inspection, testing, and repair of life safety systems, including fire doors and smoke barriers</li><li>Maintains equipment logs, work orders, and documentation for regulatory compliance</li><li>Assists in the preparation of budgets, capital projects, and resource allocation</li><li>Provides technical guidance on complex mechanical, electrical, and plumbing systems</li><li>Ensures compliance with NFPA, OSHA, and other regulatory standards</li><li>Participates in emergency response planning and drills</li><li>Collaborates with other departments to address facility needs and maintain operational continuity</li></ul>Knowledge/Skills/Abilities/Expectations<ul><li>Strong knowledge of HVAC, plumbing, electrical systems, and central plant operations</li><li>Proficient in reading blueprints, schematics, and technical manuals</li><li>Excellent problem-solving and critical thinking skills</li><li>Ability to work independently and prioritize tasks effectively</li><li>Proficiency in Microsoft Office Suite and facility management software</li><li>Ability to communicate effectively with staff, vendors, and regulatory agencies</li><li>Strong organizational skills and attention to detail</li><li>Ability to lift up to 75 lbs and perform physical tasks such as climbing, kneeling, and carrying equipment</li></ul> QualificationsEducation<ul><li>High school diploma or equivalent required</li><li>Completion of a two-year certificate program in maintenance or a skilled trade preferred</li></ul>License/Certifications<ul><li>4th Class Engineer License may be required per facility policy</li><li>Journeyman or State License in HVAC, Electrical, or Plumbing may be required per facility policy</li><li>UST Fuel Certification may be required per facility policy</li></ul>Experience<ul><li>Minimum of ten (10) years of experience in central plant operations, mechanical systems, or maintenance required</li><li>Supervisory experience in a healthcare or industrial setting preferred</li></ul>

Central Energy Plant Supervisor

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. So what do you say? Are you ready to be part of something big?The Collision Repair Production Coordinator is responsible for writing body shop damage estimates, negotiating with insurance adjusters, completing billing and other shop related activities in the absence of the Body Shop Manager. &nbsp;<h2>What are the day-to-day responsibilities?</h2><ul><li>Break down estimates into labor and parts before job is started so technicians are aware of time allowances</li><li>Follow up with Parts Department to ensure availability of ordered parts</li><li>Revise and approve time allowances of each job</li><li>Assist with quality check of completed jobs</li><li>Prepare final billing for completed repair orders.</li><li>Assist Body Shop Manager with the daily activities of the center including: communications with technicians, painters, insurance company representatives, parts wholesalers, other departments with-in the dealership and customers</li><li>Estimate writing, repair selling, job scheduling, completion date notification, repair order billing, filing, answering phones, supplement authorization and follow-up, weekly payroll and quality control maintenance</li><li>Assume the responsibilities of manager, should the manager be unable to perform their duties</li><li>Follow federal, state and local regulations governing the disposal of hazardous wastes</li></ul><h2>&nbsp; What are the requirements for this job?</h2><ul><li>High School diploma or equivalent</li><li>Ability to read and comprehend instructions and information</li><li>Two years of experience in a dealership position (preferred)</li><li>General knowledge of vehicle mechanical operations</li><li>ICAR Certification (preferred)</li><li>ASE certification (preferred)</li><li>Sales experience (preferred)</li><li>Excellent oral and written communication skills</li><li>Must have a valid drivers license</li><li>Ability to operate an automobile</li></ul><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 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.

Production Coordinator

Salary Range:&nbsp;&nbsp;$117,509.00&nbsp;(Min.) -&nbsp;$152,762.00&nbsp;(Mid.) -&nbsp;$188,015.00&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 Manager, Appeals &amp; Grievances (A&amp;G) &amp; General Operations (Clinical) is responsible for the daily oversight of clinical appeals and grievances functions within the Appeals &amp; Grievances Department to ensure clinical grievances, complaints, appeals and complex issues are investigated and resolved using regulatory guidance across all lines of business. Provides direct supervision to the A&amp;G clinical team and the unit that supports them in order to assure operational effectiveness which includes the implementation and adherence to L.A. Care's Policies &amp; Procedures that meet Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care Services (DHCS), the California Department of Managed Health Care (DMHC), the Managed Risk Medical Insurance Board (MRMIB), National Committee for Quality Assurance (NCQA) and other rules/ regulations/ standards. The Manager is responsible for establishing and monitoring processes to oversee and coordinate the identification, documentation, reporting, investigation and resolution of all member appeals and grievances in a timely and culturally-appropriate manner. Coordinates, tracks, and resolves internal and external appeal and grievance complaints for L.A. Care Plan Partners, including identifying opportunities for improvement.This position will be a role model for integrity and will establish and maintain effective professional work relationships, working collaboratively with all levels of management and business owners to help guide the discipline of planning, organizing, securing, managing, leading, and controlling resources to achieve specific goals.Manages all aspects of running an efficient &nbsp;team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports.&nbsp;<h4>Duties</h4>Manage and oversee the handling of clinical grievances and appeals, for L.A. Care and Plan Partner members. Establishes and oversees processes and all relevant member correspondence for accuracy, clarity, and cultural appropriateness and sensitivity. Review and monitor procedures for identifying quality of care issues and work collaboratively with cross-functional departments to appropriately address and resolve member grievances. Serve as the Key Contact for State Fair Hearings, internal and external audits, DMHC and DHCS inquiries. Review and monitor procedures for identifying quality of care issues and work collaboratively with cross-functional departments to appropriately address and resolve member and provider grievances.Responsible for timely daily operations in the A&amp;G Clinical Services Unit and other general operations units. &nbsp;Ensures timely appeal and grievance reporting to regulatory agencies, internal Regulatory Affairs and Compliance Department, internal Quality Oversight Committee, etc. Collaborates with cross-functional departments &nbsp;to ensure the use of appropriate appeal and grievance issue codes, timely resolution, and refers to community partners as appropriate. &nbsp;Lead, participate and provide representation of the A&amp;G Team at Internal and External meetings/ workgroups and acts as the point person for A&amp;G Programs especially the Clinical Programs.Develop and execute on strategic opportunities to improve the overall appeals &amp; grievance process. Create a best in clinical appeals process that is efficient and effective in managing member appeals.Work cross functionally and collaboratively within Appeals and Grievances with key internal partners to build a high functioning, results oriented environment and organization.&nbsp;<h4>Duties Continued</h4>Partner with internal and external stakeholders to build and maintain collaborative relationships and partnerships. Identify areas of connection to leverage and create added value for L.A. Care.Provide input into the development of automation to guide the team to process efficiencies for all lines of business while maintaining compliance and manageable workloads for staff.Responsible for maintaining and updating on an annual basis, or as necessary, appeal and grievance policies and procedures, member correspondence, etc., consistent with regulatory changes. &nbsp;Develop and maintain inventory reports for the appeals process ensuring appropriate productivity, compliance, and inventory management. &nbsp;Identify and implement continuous business process improvement recommendations to leverage organizational added value to the Appeals and Grievances Department. &nbsp;Develop and implement short and long-term strategies to improve team results, reducing administrative expenses.Manage staff , including, but not limited to: monitoring of day to day activities of staff, monitoring of staff performance, mentoring, training, and cross-training of staff, handling of questions or issues, etc. raised by staff, encourage staff to provide recommendations for relevant process and systems enhancements, among others. Supervision of the Clinical Services unit and general operations within Appeals and Grievances. Maintain a team of top talent, providing a culture of teamwork and collaboration.&nbsp;Perform other duties as assigned<h4>Education Required</h4>Bachelor's Degree in Nursing<h4>Education Preferred</h4><h4>Experience</h4>Required:6 years of clinical acute care experience with at least 3 years of experience with health care grievance and/or appeals issues, preferably in a managed care or Medicaid Health Plan environment and/or public services or public benefits programs.At least 3 years of management level operations leadership experience.Experience working with firm deadlines, regulators, detail oriented with the ability to interpret and apply regulationsExperience building relationships with organizations and business partners.Equivalency:&nbsp; Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.Preferred:&nbsp; Managed care experience.<h4>Skills</h4>Required: Excellent analytical, problem solving, planning and implementation skills.Demonstrated strong writing and communication skills.Demonstrates excellent leadership, communication, and negotiation skills with the ability to interact and influence all levels of the organization including executive management and key decision -makers.Demonstrates professional judgement, and critical thinking, to promote the delivery of quality, cost-effective care.Time management and priority setting skills.Excellent understanding of NCQA, DMHC, DOI, DHCS, and CMS regulatory requirements.Knowledge of Coordination of Care, Medicare and Medi-Cal regulations, prior authorization, level of care and length of stay criteria sets.Able to work effectively with various internal departments/service areas, L.A. Care's plan partners, participating provider groups, and other external agencies.Able to operate PC-based software programs including proficiency in Word, Excel and PowerPoint presentations.Excellent verbal, written communication and presentation skills.<h4>Licenses/Certifications Required</h4>Registered Nurse (RN) - Active, current and unrestricted California License<h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4>This position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical situations and work on-call.This position requires handling various caseloads and flexibility to adapt to changing priorities which may include but not limited to redistributed work assignments, team projects, and other priorities as assignedSalary 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, Nurse Management, Medicaid, Medicare, Healthcare

L.A. Care Health Plan

Registered Nurse (RN) Manager, Appeals and Grievances General Operations (Clinical)

Job Requirements This specific restaurant is independently owned and operated by a Whataburger franchise.&nbsp;Please click on the apply button below to be redirected to this franchisee’s website. Once there, you will be able to learn more about this position information and their application process.

1,219 Procurement / Operations Jobs