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<p><b>Salary Range:&nbsp;</b>&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&nbsp;(Max.)</p><p>Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.<br><br>Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.<br></p><h4>Job Summary</h4><p>The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for receiving/reviewing admission requests and higher level of care (HLOC) transfer requests from inpatient facilities within regular timelines. Reviews clinical data in real-time and post admission to issue a determination based on clinical criteria for medical necessity. Assures timely, accurate determination and notification of admission and inter-facility transfer requests. Generates approval, modification, and denial communications for inpatient admission requests. Actively monitors for appropriate level of care (inpatient vs. observation) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director, on requests where determination requires extended review. Collaborates with the inpatient care team for facilitation/coordination of patient transfers between acute care facilities. Acts as a department resource for medical service requests/referral management and processes. Actively participates in the discharge planning process, including providing clinical review and authorization for alternate levels of care, home health, durable medical equipment, and other discharge needs. Provides support to the inpatient review team as necessary to ensure timely processing of concurrent reviews.</p><h4>Duties</h4><p><br>Provides the primary clinical point of contact for inpatient acute care hospitals requesting Inpatient care/post-stabilization admission requests, Higher level of care transfers and other emergent transfers or needs. Ensures appropriate determination for admission requests/HLOC transfers based on clinical data presented and established criteria/guidelines, escalating to the medical director if needed. &nbsp;Triages and assesses members for admission needs, including, but not limited to, bed and accepting physician availability. (40%)</p><p>Establishes and maintains ongoing communication with internal stakeholders and external customers while securing the L.A. Care member's admission or inter-facility transfer. &nbsp;Interfaces with physicians, house supervisors, and other hospital delegates to ensure that telephone triage results in appropriate patient placement. (10%)</p><p>Applies clinical expertise and the nursing process to triage and prioritize admission acuity, servicing as an expert clinical resource for patient placement while utilizing medical knowledge and experience to facilitate consensus-building and development of satisfactory outcomes (10%)</p><p>Continually seeks new ways to improve processes and increase efficiencies. Takes the initiative to communicate recommendations to UM Leadership. (5%)</p><p>Completes all inpatient and discharge planning requests appropriately and timely including, but not limited to: &nbsp;Skilled nursing facility, outpatient needs (home health, physical therapy, infusion), and case management referrals (5%)</p><p><br>Performs prospective, concurrent, post-service, and retrospective claim medical review processes. Utilizes clinical judgement, independent analysis, critical-thinking skills, detailed knowledge of medical policies, clinical guidelines and benefit plans to complete reviews and determinations within required turnaround times specific to the case type. Identifies requests needing medical director review or input and presents for second level review (20%)</p><p>Performs other duties as assigned. (10%)</p><h4>Duties Continued</h4><h4>Education Required</h4>Associate's Degree in Nursing<h4>Education Preferred</h4>Bachelor's Degree in Nursing<h4>Experience</h4><p><b>Required:</b><br>Minimum of 7 years of clinical experience in an acute hospital setting.&nbsp;</p><p>Previous experience to have a strong understanding of Utilization Management/Case Management practices including, but not limited to, placement (with level of care) criteria (MCG, InterQual), concurrent review, and discharge planning.</p><p><b>Preferred:</b><br>Consistent Critical Care experience (Emergency Department, Intensive Care, Labor &amp; Delivery) background highly desirable.</p><p>Experience in bed placement decision-making highly desirable.</p><h4>Skills</h4><p><b>Required:</b><br>Must be computer literate, with expertise in Outlook, Word, Excel, PowerPoint. &nbsp;</p><p>Provision of excellent customer service required due to frequent communication with providers and other members of the interdisciplinary team &nbsp;</p><p>Knowledge of personal computer, keyboarding, and appropriate software to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Prepare clear, comprehensive written and oral reports and materials.&nbsp;</p><p>Excellent time management and priority-setting skills.</p><p>Maintains strict member confidentiality and complies with all HIPAA requirements.</p><p>Strong verbal and written communication skills. &nbsp; &nbsp;</p><p><b>Preferred:</b><br>Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or CM.&nbsp;</p><p>Knowledge of Department of Health Care Services (DHCS) or Centers for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM or CM.</p><h4>Licenses/Certifications Required</h4>Registered Nurse (RN) - Active, current and unrestricted California License<h4>Licenses/Certifications Preferred</h4>Certified Case Manager (CCM)American Case Management Association (ACM)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p><b>Required:</b><br>Attend mandatory department trainings as scheduled</p><p>Financial Impact: Management of all medical services has a tremendous potential impact on the cost of health care and budget. This position manages determinations to ensure services requested are medically appropriate and provided in the most cost effective manner without compromising quality healthcare delivery.</p><p>Types of Shift: &nbsp;Day (7:00am - 3:30pm), Evening (3:00pm -11:30 pm), Night (11:00pm -7:30am).&nbsp;<br>Float (Varies)*<br>*All possible shifts.</p><p><b>Salary Range Disclaimer:</b> The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.</p><p><b>L.A. Care offers&nbsp;a wide range of benefits including</b></p><ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Nursing, Registered Nurse, ICU, Emergency Medicine, Physical Therapy, Healthcare                                                    </p>

L.A. Care Health Plan

Utilization Management Admissions Liaison RN II

<p><strong>Join the Clean Energy Revolution</strong></p><p>Become a <strong>Demand Side Management Engineer 3</strong>at Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll play a key role in helping SCE deliver successful Energy Efficiency (EE), Demand Response (DR), Codes &amp; Standards (C&amp;S), Building Electrification (BE), and Income Qualified Program (IQP) technology projects and incentive programs to our utility residential &amp; commercial/industrial customers. Your skills will help us evaluate emerging technologies and to assist us in upgrading and operating our world class technology applied research laboratory. Your contributions will help us to reduce our customer’s energy costs, and to meet SCE’s long-term Pathway 2045 goals to help California achieve carbon neutrality. As a&nbsp;<strong>Demand Side Management Engineer 3</strong>, your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future?</p><h4><b>Responsibilities</b></h4><ul><li>Ensures technical issues and problems are resolved in a timely, efficient and cost-effective manner utilizing available resources</li><li>Supervises, leads, and coordinates work with full time and contract employees in the execution of new technical strategies, equipment or standards.</li><li>Conducts life cycle assessments for utility infrastructure materials and processes; improves preventive maintenance procedures to decrease overall downtime</li><li>Conducts risk assessments and implements risk mitigation strategies to ensure the safety and reliability of engineering projects</li><li>Supports audits and inspections; ensures compliance with relevant environmental, health, and safety regulations</li><li>Provides engineering and technical expertise and guidance for the identification, analysis and resolution of high impact, complex and/or cross-functional problems in engineering</li><li>Ensures the engineering facility design basis is controlled and design basis documentation is maintained</li><li>Conducts engineering and related studies with full technical responsibility for planning and coordinating high-impact complex projects</li><li>Provides support and technical training to junior engineering levels</li><li>A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.</li></ul><h4><b>Minimum Qualifications</b></h4><ul><li>Bachelor's Degree in Engineering or Bachelor's Degree in a scientific/technical/math field.</li><li>Five or more years of experience performing engineering work in operations, production, construction or maintenance environments.</li><li>Possess a valid Class C Driver's License.</li></ul><p><strong>Preferred Qualifications</strong></p><ul><li>Bachelor’s or Master’s degree in Engineering (Mechanical, Electrical, Energy Systems, Environmental Science, Energy Engineering or related discipline); Professional Engineer (PE) license or advanced certifications (e.g., CEM, LEED AP) strongly preferred</li><li>PMP certified or relevant work experience project managing corporate initiatives</li><li>Demonstrated expertise in project engineering, including technical evaluation of emerging technologies, contract oversight, and quality assurance</li><li>Progressive engineering experience, with a strong track record in energy efficiency, demand response, building electrification, or related DSM programs</li><li>Broad knowledge of California energy policy, regulatory compliance (e.g., CPUC rules), and utility incentive program structures</li><li>Proven ability to lead complex market assessments, analyze cost-benefit scenarios, and align findings with strategic DSM and grid modernization goals</li><li>Advanced skills in reviewing and validating energy savings and demand reduction calculations using industry-standard methodologies and tools</li><li>Experience designing, installing, and operating laboratory test setups for evaluating innovative energy technologies; familiarity with lab safety and instrumentation best practices</li><li>Strong technical writing and communication skills, with experience publishing test reports and presenting findings to executive, regulatory, and external stakeholder audiences</li><li>Demonstrated leadership in mentoring junior engineers and providing technical guidance to cross-functional teams and third-party implementers</li><li>Track record of driving process improvements and developing tools, checklists, or procedures to enhance program delivery and customer experience</li><li>Proficiency with data analysis and modeling tools such as Excel, Python, MATLAB, or energy simulation software (e.g., EnergyPlus, eQUEST)</li></ul><p><strong>Additional Information</strong></p><ul><li>This position’s work mode is&nbsp;<strong>hybrid.&nbsp;</strong>The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days.  Unless otherwise noted, employees are required to work and&nbsp;reside in the state of California.  Further details of this work mode will be discussed at the interview stage.&nbsp;The work mode can be changed based on business needs.</li><li>Visit our&nbsp;Candidate Resource&nbsp;page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>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;25%&nbsp;traveling and being out in the field throughout the&nbsp;SCE service territory.&nbsp;</li><li>Relocation does not apply to this position.</li></ul><p><strong>About Southern California Edison</strong></p><p>The people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.</p><p>Southern California Edison is a proud Equal Opportunity Employer, including disability and protected veteran status. We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.</p>

Southern California Edison

Demand Side Management Engineer 3

<p><strong>Join the Clean Energy Revolution</strong></p><p>Become a <strong>Construction Material Coordinator</strong> at Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll coordinate SCE or contract construction, maintenance, and material expediting, supporting operations by monitoring tasks, costs, and maintaining records. Responsibilities include managing budgets, reconciling invoices, and ensuring compliance. Additionally, the position establishes equipment and material logistics, serves as the company contact for contract crews, and handles routine activities like budget reporting and resource scheduling to ensure projects are completed on time and accurately. </p><p>As a&nbsp;<strong>Construction Material Coordinator</strong>, your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future?</p><h4><b>Responsibilities</b></h4><ul><li>Supports and promotes energy safety programs, including monitoring public safety around energy delivery facilities.</li><li>Monitors the performance and quality of work based on analysis and performance metrics.</li><li>Performs data modeling studies, develops detailed data models and maintains data model and entity relationship diagrams.</li><li>Reports and corrects large data and transaction details within company policies and procedures, translating data analysis into actionable insights for stakeholders and senior leadership.</li><li>Ensures that equipment systems meet organization and industry standards and maintains appropriate project documentation.</li><li>Schedules maintenance, trouble operations / service restoration, metering operations or operations planning work.</li><li>Monitors and confirms the accuracy of work orders for completeness and verifies necessary documents are present to ensure compliance with the company and regulatory standards and policies.</li><li>A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.</li></ul><h4><b>Minimum Qualifications</b></h4><ul><li>Three years of experience in energy delivery/distribution.</li><li>Possess a valid Class C Driver's License.</li></ul><p><strong>Preferred Qualifications</strong></p><ul><li>One year of experience with planning and/or basic construction</li><li>Experience with project management and operational policies, practices, and procedures.</li><li>Experience with construction related standards, and industry practices.</li><li>Experience with ordering construction tools and materials.</li></ul><p><strong>Additional Information</strong></p><ul><li>This position’s work mode is <strong>on-site</strong>. 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></ul><ul><li>Visit our Candidate Resource page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.&nbsp;</li></ul><ul><li>Position will require up to 25% traveling and being out in the field throughout the SCE service territory.&nbsp;</li></ul><ul><li>Relocation does not apply to this position.</li></ul><p><strong>About Southern California Edison</strong></p><p>The people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.</p><p>Southern California Edison is a proud Equal Opportunity Employer, including disability and protected veteran status.</p><p>We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.</p>

Construction Material Coordinator

<p><strong>Join the Clean Energy Revolution</strong></p><p>Become a <strong>Manager of Demand Side Management Operations Support</strong>at Southern California Edison (SCE) and build a better tomorrow. In this job, you will </p><p>assume responsibility for the staff who support SCE’s portfolio of Demand Response (DR) programs through program processing, reporting, and customer care activities. You will ensure adequate customer and program support coverage during grid emergencies and work with fellow staff via emergency teams, leadership and others to provide support as needed.&nbsp;&nbsp;</p><p>SCE’s DR portfolio is evolving, which will require leadership and creativity to innovate on existing programs to ensure SCE’s DR portfolio is meeting the needs of customers, the grid, and environmental goals in California. SCE’s DR programs provide customers the option to receive incentives in exchange for agreeing to reduce their energy demand upon request by SCE. These programs support SCE’s ability to mitigate high energy prices, respond to grid emergencies, and reduce the long-term demand for new power generation resources.&nbsp;</p><p>As a&nbsp;<strong>Manager of Demand Side Management Operations Support</strong>, your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future?</p><h4><b>Responsibilities</b></h4><ul><li>Influences the strategic direction and short-term vision for the energy efficiency and demand response program with the overall program goals aligned to SCE objectives</li><li>Partners with  stakeholders to ensure program success and compliance with regulatory requirements</li><li>Manages budgets and allocate resources effectively to support program initiatives, including funding for customer incentives, technology investments, marketing campaigns, and program evaluation activities</li><li>Establishes performance metrics, key performance indicators (KPIs), and reporting mechanisms to monitor the performance and effectiveness of programs</li><li>Ensures compliance with applicable regulatory frameworks, rules, and reporting requirements related to programs. Stay informed about regulatory changes and proactively adapt the program to meet evolving compliance standards.</li><li>Leads a team responsible for the day-to-day operations of program. Provide guidance, coaching, and performance management to team members, fostering a collaborative and high-performing work environment</li><li>A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.</li></ul><h4><b>Minimum Qualifications</b></h4><ul><li>Five or more years combined experience performing or supervising demand response principles, customer programs, or conservation/efficiency initiatives.</li></ul><p><strong>Preferred Qualifications</strong></p><ul><li>Bachelor’s Degree</li><li>Experience in the field of electric utility Customer Programs such as Demand Response, grid operations, CAISO energy markets, reliability planning, regulatory, and/or customer side demand program management.</li><li>Demonstrated ability to build collaborative relationships with cross-functional teams and external parties and work through conflicts constructively.&nbsp;</li><li>Knowledge of the California wholesale energy markets and regulatory environment including government agencies such as the CPUC, CAISO, and others.&nbsp;</li><li>Experience conducting thorough research and analysis to ensure compliance with policies, procedures, and CPUC directives.&nbsp;</li><li>Experience developing and implementing strategic business plans that have a large impact on the organization and prioritize strategic initiatives.&nbsp;</li><li>Strong leadership, communication, presentation, and negotiating skills to build consensus with stakeholders to develop and maintain partnerships with support organizations and senior management.&nbsp;&nbsp;&nbsp;&nbsp;</li><li>Broad knowledge of Company and department policies, objectives, strategies, goals, applicable governmental and regulatory laws and requirements, and accounting and budgeting practices.&nbsp;&nbsp;</li><li>Ability to take initiative and accountability for results.&nbsp;</li><li>Ability to follow Edison safety protocols and safe work practices.&nbsp;</li><li>Ability to integrate work across relevant areas, and manage risks and safety appropriately.&nbsp;</li></ul><p><strong>Additional Information</strong></p><ul><li>This position’s work mode is&nbsp;<strong>hybrid.&nbsp;</strong>The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days.  Unless otherwise noted, employees are required to work and&nbsp;reside in the state of California.  Further details of this work mode will be discussed at the interview stage.&nbsp;The work mode can be changed based on business needs.</li><li>Visit our&nbsp;Candidate Resource&nbsp;page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.</li><li>Relocation does not apply to this position.</li></ul><p><strong>About Southern California Edison</strong></p><p>The people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.</p><p>Southern California Edison is a proud Equal Opportunity Employer, including disability and protected veteran status. We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.</p>

Manager of Demand Side Management Operations Support

<p><strong>Join the Clean Energy Revolution</strong></p><p>Become a&nbsp;<strong>Specialist, Central Support Account Management</strong> at Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll support Account Management in the Customer Solutions Division, who are responsible for serving assigned Business Customer accounts. The position assists Account Managers and Customers resolve a broad range of customer care issues that include Billing, Credit, data in SAP, Electric Transportation and special project work in support of account management activities and SCE’s strategic goals.&nbsp;</p><p>As a Specialist, Central Support Account 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?&nbsp;</p><h4><b>Responsibilities</b></h4><ul><li>Acts as one of point of contact for resolving customer issues, monitor customer claims, and facilitate customer negotiations</li><li>Contributes to the development of sales strategies by providing the customer's current business and long-term plans</li><li>Assists in building and maintaining strong relationships between the company and many of its largest industrial, governmental, and commercial customers</li><li>Provides service excellence by interfacing directly with Customers and internal resources to handle customer inquiries and routine issues on a regular basis</li><li>Identifies and resolves customer issues, often without an established precedent, typically having a potential for minor impact to the company</li><li>Supports the creation and maintenance of records, logs, documents, and files for use in communications to key customers, tracking, and monitoring customer care activities</li><li>Gathers, documents, researches and analyzes data and information using a variety of sources</li><li>Supports the preparation of proposals with key customers</li><li>A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.</li></ul><h4><b>Minimum Qualifications</b></h4><ul><li>Three or more years of experience in account management.</li></ul><p><strong>Preferred Qualifications</strong></p><ul><li>Three years of experience providing customer care or customer support services. </li><li>Three years of experience analyzing data, with the ability to accurately analyze information and make sound decisions. </li><li>Energy industry experience: preferably in the areas of project management, operational policies, procedures, and practices. </li><li>Experience in SCE’s Billing.</li><li>Experience using SAP or similar enterprise software. </li><li>Experience in a fast-paced customer service-oriented environment. </li><li>Experience in creating and editing reports. </li><li>Experience in the utility industry or other regulated industries. </li><li>Strong oral and written communication skills; be customer-centric to understand and appropriately respond to internal and external client’s business needs, and interface effectively and/or collaborate with others. </li><li>Ability to take initiative and accountability for accuracy of information and for achieving results. </li><li>Ability to effectively multitask and meet set service levels.</li></ul><p><strong>Additional Information </strong></p><ul><li>This position’s work mode is hybrid. The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days.  Unless otherwise noted, employees are required to work and reside in the state of California.  Further details of this work mode will be discussed at the interview stage.The work mode can be changed based on business needs</li><li>Visit our&nbsp;Candidate Resource page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!&nbsp;</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>The primary work location for this position is Irwindale. However, the successful candidate may also be asked to work for an extended amount of time in the field.</li><li>Relocation does not apply to this position.</li></ul><p><strong>About Southern California Edison</strong></p><p>The people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world. </p><p>Southern California Edison is a proud Equal Opportunity Employer, including disability and protected veteran status.&nbsp;</p><p>We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.&nbsp;</p>

Specialist, Central Support Account Management

<p><strong>Pay Range:</strong>&nbsp;$201,300.00&nbsp;-$302,000.00&nbsp;</p><p><strong>Join the Clean Energy Revolution</strong></p><p>Become aProject Management, Principal Managerat Southern California Edison (SCE) and build a better tomorrow.&nbsp;As the Principal Manager of Governance &amp; Performance (G&amp;P), you’ll manage a high-performing team enabling the success of SCE’s goal to update and transform its systems and processes. The G&amp;P Team is responsible for overseeing risk, project management, performance reporting, program &amp; schedule governance, as well as executive reporting. This position offers an exciting opportunity to work cross functionally on a large-scale program with positive impacts across the enterprise. . As a Project Management, Principal 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?</p><h4><b>Responsibilities</b></h4><ul><li>Establishes and communicates enterprise-wide project management vision, policies, and objectives</li><li>Advises senior leaders on project investments, strategic initiatives, and benefits realization</li><li>Collaborates with executive leadership to align project portfolio to corporate strategy</li><li>Leads project management community of practice to share knowledge and enhance capabilities</li><li>Owns, maintains, and drives improved project performance metrics to ensure delivery of key business objectives</li><li>Ensures proper change control processes are understood and used by the project team</li><li>Oversees, motivates and monitors the performance of the team, ensuring quality and timeliness of assignments and roles, and addresses any performance gaps; Manages and coordinates all activities leading to the successful completion of large-scale, major strategic projects including project scoping, timelines, cost estimates and design</li><li>Establishes and leads project teams with agreed-upon roles and responsibilities; Manages all project activities and resources across the organization in a manner that maximizes efficiency and minimizes conflicts</li><li>Develops and defines project scope and objectives; Shapes project management strategy, goal setting and execution, ensuring clear visibility across key stakeholder groups including executive leadership</li><li>Creates budget forecasts and performs budget analysis to manage workflow and stay within budget planning; Champions the delivery of SCE's most critical projects on time, on budget and to scope, ensuring its aligned to the business objectives</li><li>A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.</li></ul><h4><b>Minimum Qualifications</b></h4><ul><li>Seven or more years of experience supervising a team of direct reports and/or project management.</li><li>Experience establishing enterprise-wide project management vision, policies, and objectives.</li></ul><p><strong>Preferred Qualifications</strong></p><ul><li>Experience leading a team through large-scale transformation</li><li>Experience overseeing teams that manage multiple and concurrent projects with significant organizational unit or enterprise impacts</li><li>Demonstrated ability to communicate and present frequently to executive leadership</li><li>Demonstrated ability to influence and closely collaborate with senior leaders</li><li>Experience leading a team that thoroughly documents, controls, and maintains important information</li></ul><p><strong>Additional Information</strong></p><ul><li>This position’s work mode is&nbsp;<strong>hybrid.&nbsp;</strong>The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days.  Unless otherwise noted, employees are required to work and&nbsp;reside in the state of California.  Further details of this work mode will be discussed at the interview stage.&nbsp;The work mode can be changed based on business needs.</li><li>Visit our&nbsp;Candidate Resource&nbsp;page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.&nbsp;</li><li>Relocation may apply to this position.</li></ul><p><strong>About Southern California Edison</strong></p><p>The people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.</p><p>Southern California Edison is a proud Equal Opportunity Employer, including disability and protected veteran status.</p><p>We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.</p>

Project Management, Principal Manager

<p><b>Salary Range:&nbsp;&nbsp;<b><b><b><b>$46,800.00</b></b></b></b>&nbsp;(Min.) -&nbsp;<b><b><b><b>$52,597.00</b></b></b></b>&nbsp;(Mid.) -&nbsp;<b><b><b><b>$62,270.00</b></b></b></b>&nbsp;(Max.)</b></p><p>Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.<br><br>Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.<br></p><h4>Job Summary</h4><p>The Quality and Population Health Coordinator I (QPHC) is responsible for outreaching to members to close care gaps. The QPHC also outreaches to providers for medical record pursuit and retrieval.&nbsp; This position supports the L.A. Care medical groups by assisting with scheduling member appointments. While this role is a combination of remote and in office work, this role is intended to support L.A. Care medical groups by being embedded in the provider offices and providing direct outreach to L.A. Care members. The QPHC is an important member of L.A. Care’s quality improvement team, helping to drive improvement in health outcomes, population health, and health equity, as well as member and provider experience.</p><h4>Duties</h4><h4>Make outbound calls to members to assist with scheduling and coordinating services (e.g. appointments, lab tests, health screenings, other diagnostic studies, transportation, etc.). (25%)</h4><h4>Educate members on missing gaps in care. Encourage them to close care gaps and pursue preventative health and health promotion activities such as health fairs. (25%) </h4><h4>Outreach to providers to request medical reports by fax, electronic medical records, or on-site visits if needed. (15%) </h4><h4>Review medical records, claims, and encounter data to identify key information to help close gaps in care. (15%)</h4><h4>Provide support as needed for care gap closure campaigns and other quality improvement programs. (15%)</h4><p>Perform other duties as assigned. (5%)</p><h4>Duties Continued</h4><h4>Education Required</h4>High School Diploma/or High School Equivalency Certificate<h4>Education Preferred</h4>Associate's Degree<h4>Experience</h4><p><b>Required:</b></p><p>At least 3 months of experience following basic workflows, procedures, and standards related to patient or provider communication and outreach.</p><p>Previous experience working in an office setting with basic office equipment such as telephones, fax machines, computers, etc.</p><p><b>Preferred:</b></p><p>Health Plan, provider practice, or health education experience. </p><h4>Skills</h4><p><b>Required:</b></p><p>Demonstrates deep compassion and sensitivity towards patient needs and community well-being. </p><p>Driven by strong motivation to positively impact people’s lives.</p><p>Excellent verbal and written communication skills.</p><p>Excellent interpersonal skills.</p><p>Proficient with Microsoft Word, Excel, PowerPoint, and Outlook.</p><p>Skills in utilizing various online platforms and search engines to efficiently gather accurate and relevant information. </p><p>Highly organized with ability to maintain accurate notes and records.</p><p>Demonstrates high efficiency in managing tasks and consistently delivering projects to successful and reliable completion. </p><p>Ability to communicate effectively with patients and health care providers. </p><p><b>Preferred:</b></p><p>Some knowledge of HEDIS and other quality measures.</p><p>Some knowledge of quality improvement processes.</p><p>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&nbsp;&nbsp; </p><h4>Licenses/Certifications Required</h4>Active &amp; Current Driver's License, with a clean record and Auto Insurance Required<h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p><b>Required:</b></p><p>Travel to offsite locations for work.</p><p><b>Salary Range Disclaimer:</b> The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.</p><p>This position is a limited duration position. The term of this position is a minimum one year and maximum of two years from the start date unless terminated earlier by either party. Limited duration positions are full-time positions and are eligible to receive full benefits.</p><p><br><b>L.A. Care offers&nbsp;a wide range of benefits including</b></p><ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    EMR, Claims, Medical, Equity, Healthcare, Insurance, Finance                                                    </p>

Quality and Population Health Coordinator I (ALD)

<p><strong>Join the Clean Energy Revolution</strong></p><p>Become an <strong>Outage Request Coordinator (Power System Operations Specialist 3) </strong>at Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll provide critical support to the Grid Control Center, perform technical studies to ensure reliability, collaborate with the California ISO, assist in coordinating outages for capital projects, and maintain a safety-conscious work environment. As an <strong>Outage Request Coordinator</strong>, your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future?</p><h4><b>Responsibilities</b></h4><ul><li>Develops comprehensive outage coordination plans, coordinating with other departments and keeping them updated on any upcoming scheduled outages</li><li>Consults on complex system reliability issues, developing strategic solutions to substation issues</li><li>Partners with operations leadership to evaluate outage requests to ensure compliance with applicable budgets</li><li>Collaborates with protection engineering on system protection schemes, maintaining a safety conscious work environment at all times</li><li>Maintains and updates documentation and data policies in line with NERC/WECC compliance standards, staying up to date on any relevant regulatory changes</li><li>Prepares and updates firm load shedding programs by season</li><li>Mentors grid operators on new and existing computer applications and participates in required training to maintain job knowledge</li><li>A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.</li></ul><h4><b>Minimum Qualifications</b></h4><ul><li>Seven or more years of experience in electric system operations.</li></ul><p><strong>Preferred Qualifications</strong></p><ul><li>Bachelor’s degree in engineering or related technical field.</li><li>Knowledge and experience with ISO operations and control of the generation and transmission system.</li><li>NERC Certified System Operator.</li><li>Knowledge of NERC standards, WECC policies, and CAISO procedures.</li><li>Ability to integrate work across relevant areas, develop the business and services to improve customer satisfaction and productivity, manage risks appropriately, handle information, and provide exceptional service to internal and external customers.</li><li>Effective resource and project planning, decision making, results delivery, team building, and the ability to know the latest relevant technology and innovation.</li><li>Strong ethics, influence and negotiation, leadership, people skills, communication, and able to effectively manage stress and engage in continuous learning.</li></ul><p><strong>Additional Information</strong></p><ul><li>This position’s work mode is <strong>hybrid. </strong>The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days.  Unless otherwise noted, employees are required to work and 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></ul><ul><li>Visit our Candidate Resource page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.&nbsp;</li></ul><ul><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>The primary work location for this position is Alhambra. However, the successful candidate may have the option to work at our second Grid Control Center facility in Irvine.</li><li>Relocation does not apply to this position.</li></ul><p><strong>About Southern California Edison</strong></p><p>The people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.</p><p>Southern California Edison is a proud Equal Opportunity Employer, including disability and protected veteran status.</p><p>We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.</p>

Outage Request Coordinator

<p><strong>Join the Clean Energy Revolution</strong></p><p>Become a <strong>Business Performance Management – T&amp;D Operations, Sr Advisor</strong> &nbsp;at Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll be supporting Business Performance Management and Operations, you will be the lead in the performance management and oversight of T&amp;D Operations. The role will include evaluation of existing performance against targets, trend analysis, and development of key performance indicators (KPIs) to improve strategic guidance for T&amp;D senior leadership. This will include identification of risks, strategies for mitigating those risks, cross functional collaboration, and providing guidance for corrective action. Serve as the primary point of contact for operations interfacing with the Performance &amp; Support organization. This role will lead performance meetings taking requisite follow-up actions to ensure successful coordination between the business performance and operations functions. As a <strong>Business Performance Management – T&amp;D Operations, Sr Advisor</strong> , your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future?</p><h4><b>Responsibilities</b></h4><ul><li>Define key performance indicators (KPIs) and metrics that align with the organization’s strategic goals; establish benchmarks and targets to measure and evaluate performance across different areas such as financial, operational, and customer satisfaction and employee productivity.</li><li>Lead the gathering and reporting of company performance metrics, including financial, operational, and customer metrics (KPIs); provide insights on the impact of changes on performance metrics and help stakeholders adapt to new processes.</li><li>Oversee the creation of performance reports and dashboards that clearly and concisely present key metrics and trend; share these reports with stakeholders to provide a comprehensive view of the organization’s performance and track progress towards strategic goals.</li><li>Work with stakeholders to translate strategic objectives into actionable initiatives and project; ensure that performance measures are aligned with the organization's strategy.</li><li>Integrate performance management systems, such as balanced scorecards or OKRs (Objectives and Key Results).</li><li>Identify areas for performance improvement based on data analysis and insights.</li><li>Collaborate with cross-functional teams to develop and implement strategies, initiatives, and process improvements that drive efficiency, productivity, and cost savings.</li><li>Assess and monitor risks that may impact business performance. Identify potential risks, develop risk mitigation strategies, and establish monitoring mechanisms to ensure that risks are effectively managed.</li><li>Collaborate with stakeholders across the organization, including executives, department heads, and operational teams. Facilitate discussions, workshops, and presentations to communicate performance results, share insights, and gain buy-in for performance improvement initiatives.</li><li>Continuously evaluate and refine performance management processes and methodologies.</li><li>A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.</li></ul><h4><b>Minimum Qualifications</b></h4><ul><li>Ten or more years of experience preparing or supporting performance data analysis/reporting.</li></ul><p><strong>Preferred Qualifications</strong></p><ul><li>Bachelor's degree in business administration, engineering, construction management, STEM, or related disciplines.</li><li>Five years of experience with SCE’s Transmission &amp; Distribution field operations, Scheduling, Construction Project Management.</li><li>Project Management Professional Certification.</li><li>Ten years of experience with project or program management.</li><li>Three years of experience within a Utility.</li><li>Experience using Microsoft Office tools with the ability to develop and deliver effective presentations using MS PowerPoint.</li><li>Ability to collaborate effectively, influence outcomes, and demonstrate strong facilitative skills.</li><li>Ability to speak effectively and present to executive audiences with clarity and confidence.</li></ul><p><strong>Additional Information</strong></p><ul><li>The position’s work mode is&nbsp;<strong>remote</strong>.&nbsp;Employee is&nbsp;able to work primarily at home or remote however, the employee may be expected to come to an SCE facility on occasion. Unless otherwise noted, employees are required to work and&nbsp;reside in the state of California. Hiring organizations can add further requirements related to specific jobs. 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>The primary work location for this position is remote.&nbsp; However, the successful candidate may also be asked to work at various work locations across SCE territory to support the T&amp;D Operations organizations.</li><li>Position will require up to&nbsp;60% traveling and being out in the field throughout the SCE service territory.</li><li>Relocation does not apply to this position.</li></ul><p><strong>About Southern California Edison</strong></p><p>The people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.</p><p>Southern California Edison is a proud Equal Opportunity Employer, including disability and protected veteran status.</p><p>We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.</p>

Business Performance Management - T&D Operations, Sr Advisor

<p><b>Salary Range:&nbsp;</b>&nbsp;$47,840.00&nbsp;(Min.) -&nbsp;$57,062.00&nbsp;(Mid.) -&nbsp;$68,474.00&nbsp;(Max.)</p><p>Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.<br><br>Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.<br></p><h4>Job Summary</h4><p>The Customer Solution Center Appeals and Grievances Coordinator I supports the Customer Solution Center Appeals &amp; Grievance Specialists by handling the administrative functions of the care management/continuity of care process including intake, logging, tracking and status follow-up.</p><p>This position collects information required by clinical staff to render decisions, assists the Customer Solution Center Appeals &amp; Grievance Manager and Director in meeting regulatory timelines by maintaining an accurate database inventory of care management and continuity of care cases, and preparing monthly activity reports.</p><p>In addition, the position performs data entry and processing of health risk assessments in the system, maintains confidentiality when communicating member information, and assists with the communication and coordination between programs. Prepares template determination/education letters for members and providers.</p><h4>Duties</h4><p><br>Provide non-clinical support to the Customer Solution Center Appeals and Grievance Specialists for L. A. Care's Medicare Advantage program. This includes the technical aspects of the time sensitive processes for initiating cases, managing referral documentation, entering &nbsp;pre-certification/continued authorizations, identifying and &nbsp;responding to urgency of &nbsp;the request, appropriate documentation, case routing &amp; tracking, routing of &nbsp;information, performing computer data input, faxing, filing of &nbsp;confidential member information, and maintaining logs of activity, etc.). &nbsp;(40%)</p><p>Assist in the telephonic outreach calls to members identified during health risk assessments as in needed of care coordination assistance. Consist of follow up calls to members to administer screening or obtaining clarification on initial responses. &nbsp;(25%)</p><p>Under the supervision of the Appeals and Grievance Manager, assist with soliciting non-clinical information from Participating Physical Group (PPG) and specialist concerning follow care related to care management. (15%)</p><p>Maintain the monthly reporting responsibilities, Appeals and Grievance reporting to Department Director, ongoing referrals and authorizations &nbsp;for members in complex care management. (5%)</p><p>Accurately maintain an updated log of L.A. Care &nbsp;members identified as SPD or eligible with CCS cases. If members become ineligible with L.A Care or a specific program &nbsp;members are referred to Member Services for transition to other applicable &nbsp;programs". &nbsp;(5%)</p><p>Perform other duties as assigned. (10%)</p><h4>Duties Continued</h4><h4>Education Required</h4>High School Diploma/or High School Equivalency Certificate<h4>Education Preferred</h4><h4>Experience</h4><p><b>Required:</b></p><p>At least 6 months of experience in Medi-Cal managed care authorization processes and/or as a Medical Assistant.</p><h4>Skills</h4><p><b>Required:</b><br>Knowledge of medical terminology and ICD-10 and CPT codes.&nbsp;</p><p>Strong verbal and written communication skills.</p><p>Proficiency with Microsoft Word, Excel, and Access.</p><p>Excellent organizational, interpersonal and time management skills.&nbsp;</p><p>Must be detail-oriented and an enthusiastic team player.&nbsp;</p><p>Knowledge of MHC computer system a plus.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Certified Medical Assistant (CMA)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>This position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical situations and work on-call.</p><p>This position requires handling various caseloads and flexibility to adapt to changing priorities which may include but not limited to redistributed work assignments, team projects, and other priorities as assigned</p><p><b>Salary Range Disclaimer:</b> The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.</p><p><b>L.A. Care offers&nbsp;a wide range of benefits including</b></p><ul><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Paid Sick Leave</li></ul><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Data Entry, Medicare, Medical Assistant, Administrative, Healthcare                                                    </p>

44 Project Management / Professional Services Jobs in Irwindale, CA, USA