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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

L.A. Care Health Plan

Utilization Management Nurse Specialist RN II

Join the Clean Energy RevolutionBecome a Supply Chain Inventory Management, Senior Specialistat Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll execute and maintain the operational duties within the supply chain. You will primarily operate in the company’s system(s) of record, possessing advanced in-depth knowledge of SAP/EWM, Ariba, IGAM, SharePoint, Samsara, Web EOC, Microsoft Excel, etc. The Supply Chain Inventory Management, Senior Specialist supports the overseeing of Vendor/inventory performance, identifying risk to the supply chain, maintaining accurate supply forecast. The Supply Chain Inventory Management, Senior Specialist will also support program components that affect warehouse performance, business processes, and metrics to maximize value from Supply Chain managed inventory. Possesses strong analytical skills, customer service, and understands the end-to-end Supply Chain process including Inventory Management, Warehousing and Transportation. In addition, the Supply Chain Inventory Management, Senior Specialistwill have knowledge of inventory management KPI’s, supply chain site capacity, inventory planning, and multi-level MRP/ERP logic. As a&nbsp;Supply Chain Inventory Management, 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>Monitors and reports on supply chain project requirements, including material supply, transportation, and discrepancies, and field laydown yards, to support operational performance and decision-making</li><li>Collaborates with key supply chain and procurement stakeholders to support material planning and prioritization activities, working closely with teams to source and expedite critical materials</li><li>Maintains data integrity and reporting for key metrics (e.g., materials movement and handling time/efficiency, loss reporting, stock levels, and safety incident performance) to track operational performance and evaluate potential risk</li><li>Conducts root cause analysis of performance issues and proposes initiatives to optimize operational activities, driving continuous improvement and cost savings</li><li>Provides strategic recommendations and reports to management throughout the supply chain and procurement teams to support informed decision-making and align with organizational goals</li><li>Leverages expertise in data and cost analysis to monitor and track the performance of operations, identifying trends, opportunities, and risks, and developing actionable insights to drive operational excellence</li><li>Works directly with various suppliers at tactical levels to maintain effective supplier relationships, fostering open communication, collaboration, and mutual success</li><li>Identifies and implements supplier performance goals related leveraging data-driven insights to drive improvements</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 supply chain sourcing, supplier relationship management, and process optimization.</li></ul>Preferred Qualifications<ul><li>Bachelor Degree in Supply Chain, Production &amp; Inventory Control or related field or an equivalent combination of education, training, and experience. </li><li>Five or more years of experience in an analytical position using MS Excel to develop reports, presentations, and analyses.&nbsp;</li><li>Three or more years of experience in project management tools and methodology.&nbsp; </li><li>Three or more years of experience participating on cross-discipline teams. </li><li>Five or more years of experience mining and compiling data from various sources.&nbsp; </li><li>Three or more years of experience scheduling and organizing data within multiple assignments, tasks, projects, and adjusting to changing priorities.&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>Position will require up to 20% traveling and being out in the field throughout the SCE service territory. &nbsp;</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

Supply Chain Inventory Management, Senior Specialist

Join the Clean Energy RevolutionBecome a&nbsp;Fire Management Advisor&nbsp;at Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll&nbsp;focus on incident response, coordination with first responders, reporting and informing company operations, and enhancing first responder safety through presentations. You will utilize your specialized expertise, technical knowledge, and operational experience to analyze complex and dynamic situations with serious public safety consequences and make recommendations that drive decision-making and operations. Additionally, you will represent SCE during all hazard incidents, embedding in the incident management structure and serving as the SCE Agency Representative. Your role will involve coordinating SCE’s response to incidents by providing for the safety of first responders, the public and employees, providing information to manage the bulk power system, and safely gain access approvals for SCE crews to begin restoration work, You will maintain close working relationships with fire and emergency management agencies throughout the service territory and serve as a consultant and subject matter expert on wildfire risk management.&nbsp;As a&nbsp;Fire Management 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>Monitors and responds to, mapping and reporting on all fires affecting or having the potential to affect SCE electric infrastructure and non-electric facilities.</li><li>Represents SCE during fire and other emergency incidents, typically by serving as a cooperator within the responding agency’s incident command system.</li><li>Coordinates SCE’s response to incidents such as providing information to manage the bulk power system, threat and damage assessment, system restoration, and providing for safe access for SCE personnel and equipment to conduct work.</li><li>Develops and maintains close working relationships with fire and emergency management agencies throughout the service territory.</li><li>Provides actionable and timely incident information to SCE leadership and organizations, including Grid Operations, Transmission, Distribution, Generation, Telecom, Air Operations, Real Properties, Claims, and the SCE Watch Office.</li><li>Enhances first responder safety by effectively delivering “Electrical Safety for First Responders” awareness presentations to first responders and SCE employees throughout the SCE territory.</li><li>Provides support to the Business Resiliency organization by assisting/leading projects or programs such as EOC coverage, Public Safety Power Shutoff (PSPS) program support and others as assigned.</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>Seven or more years of experience responding to emergencies/incidents for a public agency, utility, or first responder organization.</li><li>Four years of experience as a journeyman lineman/apprentice lineman in the powerline trade.</li><li>One year of experience as a paid or volunteer firefighter.</li><li>Valid Class C California driver’s license. </li></ul>Preferred Qualifications<ul><li>Bachelor’s Degree or equivalent</li><li>Experience serving as an Agency Representative (AREP) interacting with emergency response agencies</li><li>Demonstrated experience training employees, first responders, and/or the public in electrical system operations and safety</li><li>Experience and education/knowledge in wildland firefighting</li><li>Incident Command System (ICS) Certifications (e.g., IC, OSC, PSC, LOFR, SOF, and Agency Representative)</li><li>ESRI ArcGIS mapping experience</li><li>Experience in Aircraft Operations</li></ul>Additional Information<ul><li>This position’s work mode is&nbsp;hybrid.&nbsp;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&nbsp;Candidate Resource&nbsp;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>Position will require up to&nbsp;40%&nbsp;traveling and being out in the field throughout the SCE service territory.&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.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.

Fire Management Advisor

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)<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, Nursing, Registered Nurse, Behavioral Health, Substance Abuse, Service, Healthcare

Care Management Specialist II (D-SNP)

Care Management Specialist II (MCLA)

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, Care Management is directly responsible for the oversight and monitoring of care management functions, organization, direction and staffing of L.A. Care's Case Management function(s) including but not limited to Complex Case Management/Case Management, Care Coordination and Special Programs Outreach. Responsibility includes regulatory compliance, accreditation compliance, oversight of Plan Partners' and Delegated Provider Groups related operations, oversight of&nbsp; care management related delegated functions, operations for direct lines of business and/or management services agreement functions, and interfacing with external agencies including other Local Initiatives, Plan Partners and external organizations. The Manager, Case Management is further responsible to assure all functions are operating in accordance with the organization's mission, values and strategic goals and are provided in a manner that is responsive and sensitive to the needs of L.A. Care's culturally diverse membership. This position manages all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports.<h4>Duties</h4>General Essential functions: Responsible for the ensuring overall staff management and operational functions &nbsp;associated with the Care Management department. Functions include Complex Case Management, Case Management, Care Coordination, and Special Programs (i.e. CCS, Regional Center) functions. Assures departmental compliance with: &nbsp;All contracts (i.e. CMS, DHCS, Covered California, PASC-SEIU, First 5LA, etc.), DMHC regulations, applicable state and federal regulations, Management Services Agreements &amp; Other Contracts. Oversees and monitors operational compliance with organizational standards, policies and procedures and regulatory requirements. Assures department meets all regulatory time frames on CM. Develops and implements departmental policies and procedures. Develops and maintains departmental statistical and performance reports. Develops, implements and monitors performance standards. Develops and maintains effective communication mechanisms at various levels of the organization and with external organizations. Develop and maintain departmental budgets in line with organizational goals. Ensuring the maintenance of positive relationships between Plan Partners and PPGs. Identifies and implements, with approval, programs that improve the provision of services to members. Directs measurement and analysis of Plan Partner and delegated PPG functions. &nbsp;Assures completion of ongoing monitoring, audits, corrective action plan and necessary follow-up. Facilitates communication to and involvement of Plan Partners. Assures appropriate communication and coordination with CBOs and other external agencies. Facilitates data flow, analyzes, reports, design formats, interprets data and recommends alternatives/solutions internally and externally. Requests assistance from Director as needed to accomplish goals.Maintains confidentiality in compliance with all HIPAA requirements. Communicates to supervisors any barriers to completing assignments or daily work in an efficient and effective manner. Demonstrates reliability and good attendance and punctuality standards.Human Resource Management: Daily staff supervision and oversight. Develops and maintains a culturally sensitive work environment that promotes staff growth and education. Completes performance appraisals in accordance with established policies and based upon achievement of the L.A. Care mission, value, objectives and management expectations. Assures staff have access to appropriate training and educational opportunities. Recruits appropriately qualified candidates, with approval of Director. Counsels and coaches staff in consultation with Director and in conjunction with HR. Participates in the hiring and termination of staff with Director and in conjunction with HR. In conjunction with Director of CM, responsible for oversight and adequate performance of direct line of business PPG delegated activities. Develops and sustains active communications with PPGs. Identifies performance issues or opportunities for improvement within PPG UM operations that impact compliance. Collaborates with Oversight Staff on identifying topics and agenda items for the PPG trainings/JOMs.Performs other duties as assigned.<h4>Duties Continued</h4><h4>Education Required</h4>Master's Degree in Social WorkOr Associate's Degree in Nursing<h4>Education Preferred</h4>Bachelor's Degree in Nursing<h4>Experience</h4>Required:&nbsp; At least 4 years of recent care management experience in a hospital or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments.At least 3 years of management/supervisory experience and relevant health plan experience.Experience with Medi-Cal and Medicare populations and regulatory requirements.Equivalency:&nbsp; Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.Preferred:&nbsp; Experience with Medi-Cal, under-served and culturally diverse populations.Experience with state Medi-Cal regulations.Audit/oversight experience.<h4>Skills</h4>Required:&nbsp; Excellent verbal and written communication skills.Strong problem solving, planning, and organizational skills.<h4>Licenses/Certifications Required</h4>Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse (RN); current and unrestrited California License.<h4>Licenses/Certifications Preferred</h4>Certified Case Manager (CCM)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4> Please note that a Licensed Clinical Social Worker is only required when Master's Degree in Social Work. Licensed Clinical Social Worker not required with Associate's or Bachelor's Degree in Nursing.&nbsp;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, Registered Nurse, Nursing, Palliative, Medicare, Service, Healthcare

Manager, Care Management (Transitional Care Services)

Join the Clean Energy RevolutionBecome&nbsp;a&nbsp;Senior Manager Project Management&nbsp;at Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll ead a team of professional project managers within Customer Service’s Revenue Services Organization. This role is critical to the successful execution and implementation of meter to cash projects that encompass retail energy billing, payment processing channels, and revenue collections processes. Successful project outcomes include ensuring compliance with regulatory requirements, improving customer experience, and improving operational effectiveness. As a&nbsp;Senior Manager Project Management, 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>Develops long-term vision and strategic roadmap for the project management competency</li><li>Cultivates relationships with business partners and vendors to achieve operational excellence</li><li>Drive adoption of innovative project management methodologies and approaches </li><li>Directs project portfolio planning and ongoing optimization of resources to advance key initiatives</li><li>Develops and maintains a productive working relationship with project sponsors, vendors and key clients</li><li>Manages the integration of vendor tasks and tracks and reviews vendor deliverables</li><li>Manages related workforce planning, budget analysis, and budget forecasts; Develops and manages department expense budget, regularly monitors expenses against forecast, providing explanation or justification for budget items and variances</li><li>Manages projects and monitors progress in an ordered, accurate way and provides accurate and timely information; Drives regular project reviews, monitoring the progress and results of all ongoing projects and acts upon action points to achieve Key Performance Indicators (KPIs)</li><li>Develops, monitors, and updates the project cash flow and financial forecasts; Manages project portfolio delivery and ensures the quality of delivery across a range of enterprise programs specified by function</li><li>Builds business cases and project justifications for stakeholders; Drives SCE's project planning and scenario development, aligning project assumptions with operational plans, project timelines, budgets and related resources allocations</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 supervising a team of direct reports and/or project management.</li><li>Experience developing long-term vision and strategic roadmaps of projects.</li><li>Experience in project portfolio planning and ongoing optimization of resources.</li></ul>Preferred Qualifications<ul><li>PMP or other relevant project management certification</li><li>Experience in revenue services processes, including retail energy billing, payment processing, and revenue collections</li><li>Proven experience leading technology project implementations</li><li>Experience working in a regulated company</li></ul>Additional Information&nbsp;<ul><li>This position’s work mode is&nbsp;hybrid.&nbsp;The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days.  Unless otherwise noted, employees are required to work and&nbsp;reside in the state of California.  Further details of this work mode will be discussed at the interview stage.&nbsp;The work mode can be changed based on business needs.</li><li>Visit our&nbsp;Candidate Resource&nbsp;page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>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>This position has been identified as a NERC/CIP impacted position - Prior to being hired, the successful candidate must pass a Personnel Risk Assessment (PRA) or Background Investigation.&nbsp; Once hired, the candidate must complete specified training prior to gaining un-escorted access to assigned work location and performing necessary job duties.</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&nbsp;(833) 343-0727.

Senior Manager Project Management

Title Senior Coordinator, Communications&nbsp; Description Department: CommunicationsReports to: Director, CommunicationsJob Type: Full-time - RegularJob Classification: Hourly (Non-exempt)Workplace Location: Los Angeles - Academy MuseumSummary/Objective: The Senior Coordinator, Communications supports the Academy Museum's communications team in executing its goals and initiatives. This position will juggle multiple projects and absorb additional tasks as required and support and execute press related campaigns and strategies. The candidate must be well organized, detail oriented, and able to anticipate the needs of a fast-paced office.This position is represented by a union.Essential Functions of the Job: <ul><li>Oversee the press email inbox and reply to general/press-related phone and email requests.</li><li>Maintain management tracking software with daily updates to keep the team on track.</li><li>Draft, proofread, and edit a variety of documents for accuracy, proper formatting, grammar, and spelling to ensure consistent professional output, including but not limited to press releases, newsletters, spokesperson talking points, media alerts, and digital posts.</li><li>Distribute communications via Salesforce Marketing Cloud and manage contact lists within the platform.</li><li>Media monitoring, tracking coverage metrics, compiling press reports, and press clip distribution.</li><li>Organize and maintain press kit materials, ensuring they are up-to-date, easily accessible, and ready for distribution.</li><li>Assist with pitching stories to domestic and international press to generate media coverage.?</li><li>Assist with special projects as assigned, including but not limited to coordinating press logistics and communication, managing RSVPs, and working on museum-related events.</li><li>Manage logistics for press events, onsite media shoots, and coordinate interviews with spokespeople.</li><li>Directly communicate - in person, by phone, and by email-with domestic and international press, internal staff, and Academy leadership.</li><li>Support the needs of the communications team, including coordinating and scheduling meetings and administrative work as needed.</li></ul>Required Competencies: <ul><li>A bachelor's degree with a career interest in public relations.</li><li>2-3 years of professional experience working in publicity and/or public relations.</li></ul><ul><li>Ability to work discreetly and professionally with the press in high-pressure and public appearance situations.</li><li>Excellent organizational and administrative skills, detail-oriented, organized, and with demonstrated computer expertise and experience.</li><li>Outstanding communication skills are a must; professional verbal and written communication with special attention to detail and accuracy.</li><li>Ability to take directions from numerous parties, manage multiple projects simultaneously, and meet deadlines.</li><li>An enthusiastic person with a willingness to take initiative and approach all tasks, both small and large, with a positive outlook.</li><li>Some night and weekend work may be required and may be assigned on short notice.</li></ul>Preferred Qualifications: <ul><li>Experience with Sales Force, Marketing Cloud, Air Table, Critical Mention, and CisionPoint.</li></ul>Physical Demands: <ul><li>Remain in a stationary position for periods of time.</li><li>Bending and moving.</li></ul>Work Environment: <ul><li>In office and on-site at the Academy Museum.</li></ul>Travel: The percentage of travel time expected for the position is less than 5%. This includes driving to other Academy locations.Required Vaccination: Full vaccination against COVID-19 is required, including any booster vaccinations as applicable. Exception:Medical and religious accommodations approved by the Office of People &amp; Culture.Hybrid Requirement: All Academy positions require a minimum of 2-days per week of in-person work at an Academy Location. Exceptions: Positions requiring daily in person presence (ex. Front-line staff, staff who need to deal with materials on-site, etc.) and medical and religious accommodations approved by the Office of People &amp; Culture.Compensation: The expected base salary for this role is $25.00 per hour. The actual base pay offered will be determined by factors such as experience, skills, training, location, certifications, education, and other factors permitted by law. Decisions will be made on a case-by-case basis.)Benefits:<ul><li>Comprehensive medical, dental, and vision coverage.</li><li>15 days of PTO, plus company-paid holidays.</li><li>Additional time off including summer hours, winter hours, and a cultural floating holiday.</li><li>Paid sick leave.</li><li>Paid parental leave.</li><li>401k retirement plan with a company match</li><li>Clean Air Commuter Program</li><li>Employee Assistance Program through CompPsych Guidance Resources.</li><li>Wellness benefits through Cigna Healthcare.</li><li>Free access to 16,000+ online courses through LinkedIn Learning</li><li>Free Academy membership screenings</li><li>Free tickets and screenings at the Academy Museum</li><li>Employee discounts through LifeMart and Working Advantage</li></ul>@museumLI&nbsp; Position Requirements &nbsp; Full-Time/Part-Time Full-Time&nbsp; Position Senior Coordinator, Communications&nbsp; Location Los Angeles &nbsp; About the Organization The Academy of Motion Picture Arts and Sciences is a global community of more than 10,000 of the most accomplished artists, filmmakers and executives working in film. In addition to celebrating and recognizing excellence in filmmaking through the Oscars, the Academy supports a wide range of initiatives to promote the art and science of the movies, including public programming, educational outreach and the Academy Museum of Motion Pictures. &nbsp; EOE Statement The Academy is committed to equal opportunity in employment and to creating and valuing diversity in its workforce. Maintaining a diverse workforce is important to the Academy. The Academy enforces a strict policy that prohibits discrimination in hiring, training, compensation, promotion, transfer, or termination, whether on the basis of race, color, national origin, religion, sex, disability, age, veteran status, sexual orientation or genetic information. This includes a workplace that is free of all forms of harassment. Also, to help foster diversity, the Academy uses programs that ensure fairness of opportunity, pay, and growth to all applicants and employees. Every employee of the Academy is required to follow this policy and to preserve the Academy’s commitment to diversity.&nbsp; This position is currently accepting applications. Apply Now

Academy Of Motion Picture Arts and Sciences

Academy Of Motion Pictures

Senior Coordinator, Communications

Title Senior Coordinator, Academy Theaters&nbsp; Description Department: Academy TheatersReports to: Vice President, Academy TheatersJob Type: Part-time – RegularJob Classification: Hourly (Non-exempt)Workplace Location: Los Angeles – Academy Museum, 8949 Wilshire, andPickford Center Summary/Objective: The Senior Coordinator is responsible for organizing and maintaining a high volume of administrative tasks to support the operations of the Academy Theaters department. This includes assisting the Vice President with scheduling, preparing documentation, processing invoices, and conducting project research to support the success of all screenings and events across the Academy’s four theaters. Essential Functions of the Job: <ul><li>Coordinate the Vice President's calendar and event schedules across venues.</li><li>Manage and organize all documentation, paperwork, and online resources.</li><li>Help prepare invoices, reimbursements, and billing materials for the VP’s review.</li><li>Conduct necessary research on behalf of the VP to support immediate and long-term projects.</li><li>Manage guest lists for Academy Membership screenings.</li><li>Troubleshoot and maintain equipment necessary for department staff operations.</li><li>Communicate with internal departments on logistical details for Academy Theater events.</li><li>Attend site walkthroughs and meetings, and document necessary information for internal departmental needs.</li><li>Occasionally assist other Academy Theater leaders on important departmental projects.</li><li>When necessary, supervise theater staff during Academy Membership or Film Program screenings.</li></ul> Required Competencies: <ul><li>A high school diploma or equivalent certificate of completion is required.</li><li>Minimum of 3 years of administrative or coordination experience.</li><li>Experience communicating and cooperating with guests, supervisors, peers, vendors, or partners.</li><li>Experience with scheduling software and administrative software (e.g., Microsoft Office, Air Table, Dropbox, Outlook, When I Work).</li><li>Experience in maintaining a high level of professionalism.</li><li>Ability to communicate clearly and professionally via email.</li><li>Proven ability to work independently and anticipate the administrative needs of daily and weekly projects and events.</li><li>A commitment to diversity, equity, accessibility, and inclusion.</li><li>Availability to work evenings, weekends, and on short notice.</li></ul> Preferred Qualifications: <ul><li>A passion for cinema and cinema history.</li><li>Experience working in film exhibition or live theatrical presentation.</li><li>Experience working at arts non-profits, museums, theaters, or cultural attractions.</li></ul> Physical Demands (if applicable): <ul><li>Ability to drive and park throughout Los Angeles as needed</li></ul><ul><li>Ability to remail in a stationary position for extended periods, with accommodation if necessary.</li></ul> Work Environment:<ul><li>Shared office and conference room settings.</li><li>Crowded, noisy, and darkened theater environments.</li></ul> Travel: The percentage of travel time expected for the position is 15%. Required Vaccination: Full vaccination against COVID-19 is required, including any booster vaccinations as applicable. Exception:Medical and religious accommodations approved by the Office of People &amp; Culture. Hybrid Requirement: All Academy positions require a minimum of 2 days per week of in-person work at an Academy Location. Exceptions: Positions requiring daily in-person presence (ex., Front-line staff, staff who need to deal with materials on-site, etc.) and medical and religious accommodations approved by the Office of People &amp; Culture. Compensation: The expected salary for this role is $25.00 per hour. The actual base pay offered will be determined by factors such as experience, skills, training, location, certifications, education, and other factors permitted by law. Decisions will be made on a case-by-case basis. #LI-DNI&nbsp; Position Requirements &nbsp; Full-Time/Part-Time Part-Time&nbsp; Position Senior Coordinator, Academy Theaters&nbsp; Location Los Angeles &nbsp; About the Organization The Academy of Motion Picture Arts and Sciences is a global community of more than 10,000 of the most accomplished artists, filmmakers and executives working in film. In addition to celebrating and recognizing excellence in filmmaking through the Oscars, the Academy supports a wide range of initiatives to promote the art and science of the movies, including public programming, educational outreach and the Academy Museum of Motion Pictures. &nbsp; EOE Statement The Academy is committed to equal opportunity in employment and to creating and valuing diversity in its workforce. Maintaining a diverse workforce is important to the Academy. The Academy enforces a strict policy that prohibits discrimination in hiring, training, compensation, promotion, transfer, or termination, whether on the basis of race, color, national origin, religion, sex, disability, age, veteran status, sexual orientation or genetic information. This includes a workplace that is free of all forms of harassment. Also, to help foster diversity, the Academy uses programs that ensure fairness of opportunity, pay, and growth to all applicants and employees. Every employee of the Academy is required to follow this policy and to preserve the Academy’s commitment to diversity.&nbsp; This position is currently accepting applications. Apply Now

Senior Coordinator, Academy Theaters

Hiring Manager:&nbsp;Matthew John Johnston&nbsp;Job Abbreviation:&nbsp;BOP935_M2_E&nbsp;Pay Grade:&nbsp;&nbsp;Exempt - 35&nbsp;Pay Range:&nbsp;$140,400.00&nbsp;-$210,500.00&nbsp;Join the Clean Energy RevolutionBecome a&nbsp;Safety Data Management Managerat Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll be responsible for handling the incident management system and data lifecycle for Safety Data. This is part of the analytics portfolio in the Safety Data &amp; Insights department within Edison Safety, with direct responsibility for safety analytics, data visualization and reporting, and data classification. You will work with the safety organization and business units to understand data and analytics needs and develop technical requirements. You'll make decisions daily to support a team of analysts who enter, classify, and visualize data to make business decisions. You will be accountable for coordinating with corporate reporting, monitoring safety performance, and developing plans to address safety risks/issues. You will be working with safety advisors and leadership in high hazard organizations to incorporate analytics and data solutions into processes and business processes, promoting citizen development in reporting / automation, and facilitating process improvement. You will use data visualization programs, tools and techniques to generate dashboards, reports and presentations that aid in data storytelling, understanding and interpretation of trends and patterns of business importance. Additionally, you will also be supporting the creation of long-term strategic roadmaps to enhance our safety journey.&nbsp;As a&nbsp;Safety Data Management Manager, 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>Manages a team delivering solutions to complex business cases and problems using a variety of data analytics technologies and techniques including but not limited to predictive models, feature extraction, data-driven analysis, application of machine learning algorithms and decision support.</li><li>Leads the development of the Data Analytics strategy and solutions portfolio through keeping up to date on the evolving technology and industry trends in the data analytics landscape</li><li>Empowers the organization through data-driven insights and recommendations to leadership, and other relevant stakeholders, through clear visualizations, data storytelling and well-crafted presentations</li><li>Manages the audit and quality assurance reviews of work within the Data Analytics function</li><li>Ensures best practice standards are followed by the Data Analytics team for business intelligence applications, promoting standardization and re-usability of reporting solutions across the organization group</li><li>Builds and maintains partnerships with functional heads across the organization group to determine data analytics requirements, including those that require deep data science capabilities, plan and deliver solutions to meet objectives and identify actionable insights and recommendations</li><li>Leads the development of data visualizations, including reports, dashboards, and analyses to distribute data insights in an easily digestible manner to all relevant stakeholders</li><li>Oversees and monitors the lifecycle of Data Analytics technologies and platforms, from creation to upgrade through to retirement</li><li>Leads the educational development of the Data Analytics user community, ensuring the community is fully equipped with the knowledge to allow utilization of the Data Analytics solutions effectively and efficiently</li><li>Champions organizational standards on data quality and integrity, ensuring that robust validation techniques and proactive measures to identify and rectify data inconsistencies are implemented</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 combined experience performing or supervising financial reporting and analysis, reporting, or business data analysis and visualization.</li></ul>Preferred Qualifications<ul><li>Experience with Safety related programs or data management, or relevant Safety Management System experience(SMS)</li><li>Knowledge of relational databases and power apps</li><li>Experience in leading initiatives to manage and transform data</li><li>Experience presenting to Senior Leadership</li></ul>Additional Information<ul><li>This position’s work mode is&nbsp;hybrid.&nbsp;The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days.  Unless otherwise noted, employees are required to work and&nbsp;reside in the state of California.  Further details of this work mode will be discussed at the interview stage.&nbsp;The work mode can be changed based on business needs.</li><li>Visit our&nbsp;Candidate Resource&nbsp;page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>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>This position has been identified as a NERC/CIP impacted position - Prior to being hired, the successful candidate must pass a Personnel Risk Assessment (PRA) or Background Investigation.&nbsp; Once hired, the candidate must complete specified training prior to gaining un-escorted access to assigned work location and performing necessary job duties.</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.

47 Project Management / Professional Services Jobs in Anaheim, CA, USA