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Posting Number: A01065 Campus: Patient Care Center-Pomona, CA Department: 1415-University Medical Center - UMC Classification Pay Scale In compliance with SB 1162, Western University of Health Sciences is providing a pay scale for this position. The pay scale reflects the minimum and maximum target for new hire salaries for this position. Within this range, the individual pay is determined by a variety of factors, including but not limited to job-related skills, experience, relevant education or training, and work location. Please note that the compensation details listed reflects the base salary only. Expected Pay Scale Minimum: $110,000.00 Annually Maximum $122,500.00 Annually Job Summary A full time Advanced Practice Profession, Physician Assistant or Nurse Practitioner to join WesternU Health and be involved with both patient care and student instruction. Knowledge, Skills And Abilities Individuals must possess knowledge, as well as the following skills and abilities or be able to perform the essential functions of the job, with or without reasonable accommodation, using some other combination of skills and abilities. Good verbal and written communication skills. Must be able to effectively interact with health care professionals and patients. Must have working knowledge of common desktop computer software, including basic familiarity with Electronic Medical Record and tablet based health record systems and have a general knowledge of audio-video recording systems. Must be able to function independently, make sound judgment calls, and be able to practice within the full scope of the Physician Assistant or Nurse Practitioner License Demonstrate a commitment to working in an organization that values and promotes humanism. Must possess a valid, active driver's license and have the ability to drive to local Renal Replacement Therapy (Dialysis) centers as required to perform the essential functions of the position. Education Required Qualifications (Physician Assistant) Completion of an accredited Physician Assistant program or(Nurse Practitioner) FNP and National Certification required Experience Minimum of 2 years of experience in healthcare deliver. Licensure (Physician Assistant) California Physician Assistant License and NCCPA Certification required or (Nurse Practitioner) FNP and National Certification required Health Clearance Must submit all required health related documents prior to employment. May be required to maintain annual records for items such as TB clearance. Preferred Qualifications Bilingual (English/Spanish) candidates will be given strong preference. Posting Date: 09/23/2026 Closing Date: 09/23/2027 Essential Job Duties Quality Care: Provides quality patient care within scope of the license as an integral part of the healthcare team. Collaborates with other healthcare professionals to provide efficient quality patient care. Assesses and monitors patient response to procedures and treatments. Reports patient condition and reaction to tests, drugs, treatments, and any significant incidents to the attending physician. Document patient encounters in a clear and timely manner in the patient's electronic health record. Provides care coordination for the patients in-between visits including returning patient calls, medication refills, interacting with other members of the healthcare team etc. with the goal of optimizing patient health outcomes. Travels to local Renal Replacement Therapy (Dialysis) centers as needed to support patient care. Plan Of Care Establishes and implements the plan of care for patients by evaluating all pertinent information and collaborating with healthcare team. Orders diagnostic tests and procedures, medication, consultations, work-ups, etc within scope of practice. Patient Education Provides educational information to patients, family, etc. Teaching Oversees teaching of students during rotations in the Medical Center. Performs various duties as needed to successfully fulfill the function of the position and future growth of the practice and/or University. To apply, visit https://jobs.westernu.edu/postings/37542 Copyright ©2025 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency je-4e6f3a546a2845838038fba8f13dff0e

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet. The University of Miami/UHealth Department of Pediatrics has an exciting opportunity for a full time Licensed Practical Nurse to work in Miami, FL. We are seeking a dedicated and skilled LPN to provide practical nursing care in school health clinics. Key responsibilities include administering first aid, performing follow-up health assessments, managing student health records, and coordinating care plans for students with medical conditions. You will assist with medical supplies, ensure compliance with vaccination standards, and communicate regularly with parents, guardians, and school staff. Core responsibilities: Collects patient assessment data and notifies appropriate nurse of actual or potential problems and needs on an ongoing basis. Records patient information concisely, accurately, and completely. Administers medications and performs treatments and procedures for all patients as assigned. Assists with preparation of patient materials or correspondence that RNs, ARNPs, or MDs utilize to communicate with organizations within or outside the University. Assists in preoperative and postoperative health teaching for patients and families. Shares responsibility for the planning, implementation, and evaluation of nursing care plans. Participates in team conferences, sharing knowledge, information, and ideas with team members. Performs more-complex nursing activities as competence increases. Communicates frequently with team leader regarding patients' physical and mental conditions. Adheres to University and unit-level policies and procedures and safeguards University assets. Department Specific Functions: Provide first aid, follow-up assessments, and direct practical nursing care to students according to established clinic protocols. Respond to students' health emergencies and perform care following standing orders within the confines of Florida Statute for LPNs. Manage and update student health records and emergency information, inputting necessary documents into the appropriate databases. Administer medications, and treatments, and coordinate care plans for students with medical needs, documenting in clinic databases as necessary. Ensure vaccination compliance and make appropriate communication with parents/guardians on required health matters. Maintain clinic inventory, assist with medical supply preparation and orders, discarding expired supplies, adhering to infection control standards. Coordinate mandated health screenings and inform caregivers of results. Consistently collaborate with school staff and team leaders to promote health, safety, and effective care delivery. Ensure a clean and organized clinic environment and report any equipment or facility issues to the appropriate department, ensuring communication with leadership. Participate in school events and/or team conferences, with some taking place after school and/or on weekends. Assists with the preparation of medical supplies, documentation, and communication needed in collaboration with student RNs, APRNs, or MDs. Adheres to University policies and procedures and safeguards University assets. Current LPN licensure. Strong communication and organizational skills. Ability to work independently and as part of a team in a school setting. This position offers the opportunity to make a positive impact on student health and well-being in a supportive school environment. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary, within the scope of practice of practical nursing. Core Qualifications: High School diploma or equivalent required Minimum one year of experience preferred. Valid State of Florida LPN license required BLS from American Heart Association only. Bilingual English/Spanish preferred. Ability to work during school hours. Must be available to participate in school-related events and team conferences, including those that may be scheduled outside of regular school hours, such as evenings and weekends. Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands. Teamwork: Ability to work collaboratively with others and contribute to a team environment. Technical Proficiency: Skilled in using office software, technology, and relevant computer applications. Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders. The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Full time Employee Type: Staff

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Shasta Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Shasta Regional Medical Center is a 226-bed acute care facility serving Northern California. The hospital offers a comprehensive range of services. Shasta Regional Medical Center is one of the nation's 50 Top Cardiovascular Hospitals recognized by Watson Health and holds an 'A' Grade from Leapfrog Group, the nation's premier advocate of transparency in health care. The hospital is Joint Commission Certified for Stroke, Hip/Knee and Diabetes. They are a Five Star recipient for treatment of heart failure, respiratory failure and is named among the top 5% in the nation for patient safety. Shasta Regional Medical Center delivers patient-centered healthcare with compassion, dignity and respect for every patient and their family. For more information, visit www.shastaregional.com. Responsibilities The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patient's clinical condition including results of the diagnostic studies and sypmtomatology. Is able to respond quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality. Qualifications EDUCATION, EXPERIENCE, TRAINING Current and valid state RN License. Current BLS (AHA) certificate upon hire and maintain current. Current ACLS (AHA) certificate 30 days upon hire and maintain current. Current PALS (AHA) certificate and/or ENPC 90 days upon hire and maintain current. Basic Arrythmia Interpretation within 30 days of hire. Minimum of one year experience as a staff nurse RN in an acute care hospital setting; E.R. setting preferred. Certified Emergency Nurse (CEN) preferred. Bachelor of Science in Nursing (BSN) preferred. Facility Specific Requirements (facility May Require Items Listed Below) In Paramedic Base Station ED: MICN within 12 months of hire and maintain current. EDAP certified facilities: Completion of emergency pediatric course 1 and 2 within 6 months of hire. Non OB facilities: NRP (AHA) certificate 90 days upon hire and maintain current. Trauma Nurse Core Course (TNNC) within 12 months of hire required. Pay Transparency Shasta Regional Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. The current compensation range for this role is $43.28 to $71.14. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Nights Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

Overview Job Summary Coordinates and provides care utilizing the critical thinking framework known as the nursing process. The nursing process forms the foundation of the nurse's decision making to help partner with patients/families to attain, maintain and restore health whenever possible. Blends caring, compassion, knowledge and integrity to provide safe quality care that preserves patient autonomy, dignity and rights. Performs other duties as assigned. Responsibilities Assesses the patient Develops the plan of care. Implements the plan of care. Evaluates the plan of care. Administers medications as prescribed. Provides patient, family, and/or significant other health teaching/education. Participates in activities designed to improve health care delivery. Communicates/collaborates with others in providing patient care. Provides clinical leadership Supports life long learning Completes assigned goals Specifications Experience #N/A Preferred/Desired Minimum Required Education Preferred/Desired Training Preferred/Desired Special Skills Minimum Required Computer literacy Preferred/Desired Licensure Minimum Required RN;BLS CERTIFICATION WITHIN 14 DAYS OF HIRE

Position Summary The Specialty Training Registered Nurse collaborates with interdisciplinary teams to develop and implement a plan of care for a specific group of assigned patients, ensuring the coordination of care between other disciplines, physicians, and support staff. Performs professional nursing duties that incorporate the psychosocial, psychomotor and age appropriate cognitive skills of the patient/family/significant other to assess, plan, intervene and advocate for the patient on an ongoing basis throughout the continuum of care. Will reevaluate patient response and outcomes, effectiveness of plan of care, and readiness for discharge and revise plan or make referrals as necessary. Required Qualifications Active, current, and unencumbered Licensure as a Registered Nurse in the State of California Graduate of an Accredited School of Nursing AHA Basic Life Support Six months of nursing experience in an acute care setting and acceptance into a unit specific hospital training program Ability to read, write and communicate effectively in English Ability to work variable shifts including evenings, nights, weekends, and holidays Ability to maintain flexibility and composure in a constantly changing environment Hospital Fire and Life Safety Card (Los Angeles City Employees only) Preferred Qualifications Bachelor of Science in Nursing Bilingual skills to communicate effectively with patients and families Physical Requirements These are requirements normally expected to perform regular job duties. Reasonable accommodations may be made in compliance with the Americans with Disabilities Act of 1990, and applicable, state and local law, to enable individuals with disabilities to perform the essential functions. Incumbent must be able to successfully perform all of the essential functions of the job with or without reasonable accommodation. Walking - Constantly Standing - Constantly Sitting - Occasionally Reaching with Hands and Arms - Constantly Climb or Balance - Frequently Stooping, Kneeling, Crouching, or Crawling - Occasionally Talking - Frequently Hearing - Constantly Seeing - Constantly Performing repetitive motions with arms or hands - Constantly Lifting, carrying, pushing or pulling up to 10 lbs - Constantly Lifting, carrying, pushing or pulling up to 25 lbs - Frequently Lifting, carrying, pushing or pulling up to 50 lbs - Frequently Lifting, carrying, pushing, or pulling greater than 50 lbs - Frequently Driving - None Essential Job Functions / Major Areas Of Responsibility The essential functions below are not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to this position if such duties reasonably relate to the position. PROFESSIONAL CLINICAL PRACTICE: Provides patient care, reviews and administers patient medications, treatments and procedures in a safe, effective and age appropriate manner that meets scope of practice and standards of nursing practice. Recognizes change in patient's clinical conditions, taking appropriate action and documenting intervention. Effectively collaborates with the health care team to intervene, and advocate as necessary. Intervenes appropriately in instances of abuse, assault or neglect, or when adequate financial or social resources are not available. Makes appropriate referrals to resolve patient issues effectively. PLAN OF CARE: Develops long and short-term goals consistent with treatment plans, standards of practice, and the plan of care, incorporating patient preference and discussing plan of care with patient. Appropriately utilizes pain management resources and other interventions to provide pain relief. Provides ongoing assessments and documents the patient's physical and psychosocial condition, as well as response to care. Reviews patient test results, identifies critical results, and communicates in a timely manner consistent with the condition of the patient and correlates information into the plan of care. Consistently ensures nursing practice is evidence based, within scope of licensure and compliant with hospital wide standards of nursing care, including core measures. Ensures Infection Control procedures and HIPPA compliance. COLLABORATION: Collaborates with staff, physicians and members of the healthcare team, ensuring the coordination of care between other disciplines and support staff. Supervises, monitors and delegates patient care activities to appropriate members of the health care team, provides effective leadership and ensures that care is safe and of high quality. Acts as a source of information and articulately responds to questions, providing resources, guidance, and education about treatment plan, plan of care, and medications. Develops and implements accurate teaching and ongoing discharge plans. COMMUNICATION: Empathizes with patient and patient support systems, expresses compassion and understanding for the situation and demonstrates care which is appropriate for the age, and cultural, religious, gender identity, or ethnic background. Engages in caring behaviors, taking conscious ownership for work and takes deliberate/thoughtful actions regarding how to best carry out interactions with the patient, families, physicians, and co-workers. Base Pay Rate: Min - $43.96 l Max - $67.88 12HR Pay Rate: Min - $51.29 | Max - $79.20 Note: These rates are referred to as 12-hour rates; the rate is calculated by averaging 8-hours at the base rate of pay, and 4-hours of overtime . These 12-hour rates will not show up on your paystub as base rates Job Listing ID: 1868780 Click Here for Pay Information - https://cdn.appdocs.com/files/client-files/isolved%20Hire%20Orgs/NOR%20Culver%20City%20LLC%20dba%20Southern%20California%20Hospital%20at%20Culver%20City/SCHCC-RN%20Union-12hr.pdf Salary: $51.29 - $79.20 per hour

Req #: 0000262491 Category: Nurses Status: Full-Time Shift: Night Facility: Newark Beth Israel Medical Center Department: Neonatal ICU Pay Range: $49.28 - $67.04 per hour Location: 201 LYONS AVENUE, NEWARK, NJ 07112-2027 Job Title: Transport/Special Proc Nurse Location: Newark Beth Israel Medical Ctr Department Name: Neonatal ICU Req #: 0000262491 Status: Hourly Shift: Night Pay Range: $49.28 - $67.04 per hour Pay Transparency The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview First established in 1901, Newark Beth Israel Medical Center is a 665-bed quaternary care, teaching hospital that provides comprehensive health care for the region. Staffed with more than 800 physicians, 3200 employees, and 150 volunteers, our hospital is ready to provide you and your family with the quality care you need. "Our Children's Hospital of New Jersey (CHoNJ) serves pediatric patients exclusively. We understand that children have unique needs when it comes to medical care, requiring more than just clinical intervention. Our patients receive treatment in a calming and compassionate atmosphere in nearly 30 pediatric subspecialties including a full-service Children's Heart Center pediatric cardiac surgery program. Experienced surgical and medical specialists include a Pediatric Intensive Care Unit, a Pediatric Emergency Department, and the only Neonatal Intensive Care Unit in New Jersey with an ECMO unit to assist infants in severe respiratory distress. Children's Hospital also offers a Valerie Fund Children's Center for Cancer and Blood Disorders and a specialized pediatric anesthesia and sedation program for children undergoing surgical procedures." At Newark Beth Israel Medical Center, we are committed to quality and excellence in patient care. Registered Nurse (RN) –NICU Transport/Special Procedures RWJBarnabas Health At RWJBarnabas Health, Registered Nurses become part of a purpose driven environment where teamwork, belonging, and clinical excellence shape meaningful patient experiences. This RN role offers growth, supportive teamwork, and a culture committed to safety and continuous improvement. As a Registered Nurse, you will help advance patient care and strengthen the experience of individuals and families across our organization. Joining RWJBarnabas Health means joining a community where every RN is encouraged to grow, innovate, and lead with purpose. As a Registered Nurse (RN), a typical day may include: Conducting comprehensive patient assessments and recognize subtle clinical changes, using your judgment to intervene early and advocate for your patients Providing safe, evidence-based medications, treatments, and hands on care grounded in strong clinical judgment Serving as a clinical partner to physicians and advanced providers, offering insight that supports timely, well-coordinated care decisions Providing clear, compassionate education to patients and families so they feel informed, supported, and prepared for the next phase of care Ensuring accurate and timely documentation within the electronic medical record to promote continuity and patient safety Contributing your voice during interdisciplinary rounds, helping drive seamless communication and smooth transitions of care Taking an active role in a highly collaborative team environment where shared accountability and teamwork directly impact outcomes Pursuing continued professional growth through access to continuing education, clinical ladder opportunities, and organizational resources that support long term career progression This role might be for you if: Clear, compassionate communication defines how you interact with patients, families, and colleagues Strong clinical judgment guides your decisions, even as priorities shifts Thriving in a fast paced environment energizes you, especially where teamwork drives outcomes A commitment to evidence-based practice shapes your daily work Empathy and professionalism are central to your approach Continuous learning and professional growth matter to you A collaborative team culture is something you actively help strengthen To be considered for this RN opportunity, you must hold an active New Jersey Registered Nurse license in good standing and a current American Heart Association BLS Certification, NRP Certification and S.T.A.B.L.E Certification. A Bachelor's degree in Nursing is strongly preferred, as is prior or current patient care experience in a level III or level IV NICU with transport experience and strong critical care assessment skills, along with comfort with electronic medical record systems (EMR) like EPIC. In this role, you will work 7p-7:30a and every other weekend and rotating holidays. The work week is 36 hours per week. Benefits And Perks At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health. Paid Time Off (PTO) Medical and Prescription Drug Insurance Dental and Vision Insurance Retirement Plans Short & Long Term Disability Life & Accidental Death Insurance Tuition Reimbursement Health Care/Dependent Care Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more! Choosing RWJBarnabas Health! RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey—whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education. Equal Opportunity Employer RWJBarnabas Health is an Equal Opportunity Employer

Position Overview Provides direct and indirect patient care in a Med/Surg Surgical setting, collaborating with physicians, leadership, and multidisciplinary teams to improve patient outcomes. Utilizes critical thinking, nursing processes, compassion, and integrity to deliver high-quality care that respects patient autonomy, dignity, and rights. Performs general nursing duties, patient education, and prioritizes care effectively. Key Responsibilities Assess patients accurately based on their medical condition. Administer prescribed medications safely. Provide age-appropriate care and support basic self-care activities. Develop and evaluate patient and family teaching plans. Utilize nursing knowledge to perform treatments and procedures. Collaborate with multidisciplinary teams in care delivery. Assist physicians with procedures and perform technical skills. Address psychosocial needs and communicate with social services for discharge planning. Practice cost-effective resource management. Prioritize patient safety and minimize risks. Commit to lifelong learning in nursing. Qualifications & Skills Graduate of an accredited nursing program. Computer literacy. RN licensure and BLS certification within 14 days of hire. Preferred certifications include ACLS/PALS.

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet. The Intermediate Care Unit Intermediate Care Unit Department has an exciting opportunity for a Full Time Registered Nurse to work in UTower. The Staff Nurse Registered Nurse is a registered professional nurse who prescribes, coordinates, evaluates and delivers patient care through collaborative efforts with members of the interdisciplinary team in accordance with the nursing process and standards of care and practices. The Registered Nurse also directs and guides patient and family teaching. Minimum Qualifications: Education: Graduate from an accredited school of nursing, Bachelor's degree (BSN) preferred. RNs hired with an Associates (ASN) degree have 2 years to complete the BSN degree. Certification and Licensing: Valid Florida Registered Nurse License, BLS/ACLS certification required Experience: Minimum one year of acute care nursing experience, step down services preferred. The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Full time Employee Type: Staff

Job Title: Director, Payment Integrity Reports To: Vice President, Operations This is an exempt position reporting to the Vice President, Operations. The Director of Payment Integrity is responsible for the Quality Assurance, Grievances & Appeals, and Fraud, Waste & Abuse teams. This role functions as both the director setting strategy for these departments and the direct supervisor managing day to day operations. This position interfaces with all departments of SIHO as well as external stakeholders, vendors, and customers. The ability to interact with all levels of SIHO staff and external parties with a high level of professionalism, while adapting quickly between multiple high priority items, is essential. Brief Description of Duties: Directly supervise and manage the Quality Assurance, Grievances & Appeals, and Fraud, Waste & Abuse teams, including day to day oversight, staffing, and performance management Read, research, and interpret federal and state regulations governing grievances and appeals, and translate regulatory requirements into practical, actionable process changes Continuously monitor and improve grievances and appeals processes to ensure ongoing compliance with CMS and state regulatory requirements Support the claims and benefit configuration quality assurance program, including developing and delivering training and education for staff Stay current on emerging fraud, waste, and abuse trends and lead efforts to proactively identify and investigate potential FWA Review results across all three departments and identify process improvement initiatives and cost savings opportunities Analyze department and operational data in Excel to identify trends and draw actionable insights Manage data transfers with vendor partners, meet with vendors regularly to ensure processes are working as intended, and escalate potential issues as they arise Interact directly with customers as needed Work with SIHO Legal and key leadership on special cases and external inquiries from CMS, the Indiana Department of Insurance, law enforcement, and others Develop, maintain, and report statistical measurements assessing the effectiveness of the QA, FWA, and G&A programs Lead or support key corporate and departmental compliance initiatives, including SOC audits, CMS Part C Reporting and ODAG, and others as assigned Minimum Skills Requirement: B.S. degree or equivalent work experience in a healthcare operation 3-5 years experience in a managed care environment Strong understanding of federal and state regulations related to grievances and appeals, including CMS and state Department of Insurance requirements Experience across Medicare Advantage, ACA, employer group/TPA, and MEWA products preferred Demonstrated ability to lead and manage people and teams, while also directly supervising staff on a daily basis Proficient in Excel with the ability to analyze data and draw actionable insights Thorough understanding of medical and health plan terminology; familiarity with CPT, HCPCS, and ICD-10 coding a plus Excellent written and verbal communication skills, with the ability to clearly communicate with all levels of management as well as external entities, vendors, and customers Ability to work successfully at a self-directed pace in a changing, fast-paced, high demand environment, adapting quickly between competing high priority items Ability to work successfully under tight deadlines Experience with SIHO systems including the HSP claims system Proficient in Microsoft Office suite products including Word, Excel, PowerPoint, and Outlook All positions are subject to change based on the needs of the business. \n \n Please mention the word GRACIOUSNESS and tag RMmExMzpkMjAwOjEzOjcxOjox when applying to show you read the job post completely (#RMmExMzpkMjAwOjEzOjcxOjox). This is a beta feature to avoid spam applicants. Companies can search these words to find applicants that read this and see they're human.

Child and Youth Care Workers are responsible for the care, support and supervision of young people in alternate care. They engage in relational practice in the life space to create healing environments and promote growth and development. Specific duties and responsibilities include implementing a structured daily routine; engaging young people in social, recreational, and educational activities; teaching life skills and emotional regulation skills; working collaboratively with family members; d…

Job Description Job Description About us: At Tall Tree, you'll join an award-winning clinic focused on exceptional integrated healthcare. We're a diverse team that is endlessly nerdy— we love learning, teaching, and keeping up to date with the latest research. We're the most multidisciplinary and comprehensive team in private healthcare in BC; we put each client at the center of this with our goal to match everyone with the right clinician or team of clinicians. We take pride in our passionate …

Job Description Job Description My Gym Children's Fitness Center, Richmond location, has teaching positions available. We look for enthusiastic, outgoing and dedicated individuals with good communication skills and a genuine love of children. A background working with youngsters and/or experience in dance, drama, movement, sports, music, child psychology, kinesiology or early childhood development is definitely a plus! Job requirements: Fun, outgoing personality Love for kids and great interact…