1,047 Jobs in Redwood Valley

Occupational Therapist (OT) - SNF

H1B candidates are accepted and welcomed.

Your Schedule, Your Way!
What sets EmpowerMe Wellness apart from other therapy providers? It’s simple: we offer truly flexible scheduling. Need to be home for family or other obligations? No problem! You can easily adjust your day to fit your needs — all while making a huge difference in the lives of seniors!

The Opportunity
We are hiring an Occupational Therapist (OT)  to join our team and work with the residents of a  skilled nursing care facility (SNF) that may offer rehab-to-home or long-term care settings. Therapy services for the residents at this community are covered by private insurance and/or Medicare Part A.  

As an OT, you will be responsible for:

• Providing occupational therapy and wellness services for older adults
• Conducting assessments, treatment plannings, and therapeutic interventions in an interdisciplinary environment
• Maintaining professional practices and ethical standards in accordance with company-wide policies and clinical initiatives
• Contributing to program development, quality improvement, and problem-solving
• Optimizing each patient’s functional well-being and satisfaction 

Your Schedule
While our clinics typically operate 8 a.m. to 5 p.m. Monday through Friday, our flexible scheduling lets you craft a schedule that’s suited to your unique lifestyle!

Our Amazing Benefits

All Employees Get:

• Fun at Work, a Team You’ll Love, and a Culture You Can Stand Behind!
• 401(k) Eligibility with Opportunity for Matching Funds  
• Amazing Career Advancement and Cross Training Opportunities
• Recognition Programs
• Employee Assistance Program

Part-Time Employees Also Get:

• Voluntary Benefits (Accident, Critical Illness, Hospital Indemnity, Identity Theft, Pet Protection)

Full-Time Employees Also Get:

• Full Benefits, including HSA, FSA, and Life & Disability Insurance   
• Voluntary Benefits (Accident, Critical Illness, Hospital Indemnity, Identity Theft, Pet Protection)
• Flexible Paid Time Off

You’re Our Perfect Fit If.
You’re energetic, dedicated, and hard-wired to help others – especially seniors. You want to make a difference in the world and help others lead fuller, healthier lives. You want more than just a job…you seek a calling – a mission you can feel great about. And you want a support system to ensure your career ascends to the highest of heights.

Plus, you have the following:

 Completion of an accredited  Occupational  Therapy  program (New Grads Welcome)

️  Current state licensure in OT

 Excellent verbal and written communication skills

 A results-oriented mindset with a dash of critical thinking

 Tech-savvy skills – quick learners are our favorite kind!

 Professional curiosity and a knack for finding solutions

Come be a part of our mission to make a positive impact on the lives of seniors. Apply today!

About EmpowerMe Wellness
EmpowerMe Wellness is on a mission to improve the lives of seniors and the communities they call home! We provide fully integrated healthcare to senior living communities nationwide, offering on-site care coordination, therapy, and pharmacy services. Our experienced team of more than 3,500 clinicians and professionals provide personalized health and wellness solutions that lead to healthier, happier tomorrows! To learn more about us, visit empowerme.com today. 

This employer is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the employer will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective employees and incumbents to discuss potential accommodations with the employer.  

Your Role

The  Behavioral Health Team is responsible the coordination of care and assistance in finding providers for members in need.  The Clinical Services Coordinator (CSC)- Intermediate (Appointment Assistance)  will report to the Supervisor, Operations -Behavioral Health. In this role you will be for supporting clinical staff day-to-day operations.

Your Work

In this role, you will:

• Serve as a primary point of contact for members by providing support via inbound and outbound phone interactions
• Conduct outreach to healthcare providers and programs to obtain information on services and appointment availability, coordinate appointments, and ensure continuity of care. 
• Work in a production-based environment with defined production and quality metrics.
• Oversee designated queues and workstreams, with standardized reports to detect and address member needs.
• Assists in coordinating care for specific high risk/high-cost patient population, including referrals to community resources, facilitation of medical services, referral to ancillary providers, etc.
• Provide support to Case Management and/or Utilization Management team on member eligibility, benefits, and provider network availability.
• Data entry including authorization forms, high risk member information, verbal HIPPA authorizations information for case creation.
• Provides administrative/clerical support to Behavioral Health management.

Your Knowledge and Experience
 

• Requires a high school diploma or equivalent
• Requires at least 3 years of prior relevant experience
• Desired certification and/or training as a patient advocate, health coach, care navigator or other relevant health plan experience
• 2-year work experience with managed health care utilization or case management department or a similar medical management department at a different payor, facility, or provider/group.
• Ability to work in a high-paced production environment with occasional overtime needed (including weekends) to ensure regulatory turnaround standards are met. 
• Knowledge of clinical workflow to assist BH Care Managers with case creation, research/issue resolution and other UM related functions, as necessary.                             

Your Role

The Medical Director, National Accounts position is dedicated to supporting the promotion of growth and increased market share of the National Accounts and the Administrative Services Only (ASO) business.  This includes strategic clinical and healthcare cost management guidance for the existing Blue Shield of CA book of business. This position will report directly to the VP, CMO, Commercial Markets. This position provides clinical direction to the sales team and sales processes and interacts directly with employers and consultants. This role will be at the center of driving strategy for how to reduce cost of care, while providing client advisory services, increasing engagement, and improving the quality of care & population health for our employers’ membership. 

Your Work

In this role, you will:

• Lead client and producer facing activities including finalist presentations and account services meetings, broker and consultant meetings, meetings with Mercer, WTW, Aon, etc. Actively participate in and guide the preparations and the actual client meetings.  Other activities include interpreting clinical data for employers at regular or pre-determined intervals, reviewing cost/spending trends, making recommendations on improving member engagement and population health. You will work diligently both internally and externally to develop, refine, and expertly communicate the BSC Clinical Value Proposition.
• Work collaboratively with other Healthcare Solutions and BSC staff to quickly resolve client service issues, with particular emphasis on clinical issues. Be available to talk with key account members about their issues and the solutions.
• Act as a strategic thought-partner for key clients (e.g. UC, Stanford, CalPERS) who want best-in-class medical, health and wellness programs.
• Responsible for the planning, development, and leading the delivery of Healthcare Solutions related materials to clients, producers and business associations that describe and explain the operational details and value of Healthcare Solutions capabilities, services and programs. Includes working with the Health Data Reporting teams to analyze data trends and develop external customer reports.
• Support other ASO Line of Business activities such as: business planning, business development, and designing and implementing innovations to address market needs.

Your Knowledge and Experience

• Medical Degree (M.D./D.O.)
• Completed residency preferably in adult based primary care specialty (e.g. internal medicine, family practice) 
• Active, unrestricted California State Medical License 
• Minimum 10 years managed care experience required
• At least five years clinical experience required
• Experience with California managed care marketplace is required
• Previous experience in national, complex account management support is required
• Experience supporting Administrative Services Only (ASO) lines of business is preferred
• Previous experience in a similar sales role preferred
• Prior experience as a people manager preferred
• Excellent verbal and written communication skills, including ability to speak comfortably and    extemporaneously to diverse audiences 
• Ability to explain program, clinical, operational, and quantitative information in a business-like, clear, coherent, and comprehensible way 
• Strong quantitative and analytic skills working with claims, operational, and clinical data and reports 
• Excellent interpersonal communication skills, including active listening, self-management and awareness, emotional intelligence, and ability to flex interpersonal style situational 
• Demonstrated ability to model a collaborative approach with internal and external stakeholders
• Strong negotiation and creative problem-solving skills
• Strong skills with Microsoft Office Suite, including PowerPoint, Excel, Word and Outlook

Your Role

The Behavioral Health (BH) Utilization Management (UM) team performs prospective, concurrent, retrospective utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Behavioral Health Utilization Management, Consultant (Lead), will report to the Manager of Behavioral Health Utilization Management (BH UM). In this role you will support the clinicians with daily operations, provide coaching, and serve as the subject matter expert for the BH UM team as they conduct clinical reviews of mental health and substance use authorization requests at various levels of care for medical necessity.

Your Work

In this role, you will:

• Facilitate communication between leadership, Medical Directors, and non-clinical leads to address line staff questions and issues; escalate matters to management with recommendations or consultation as needed
• Lead onboarding/training of incoming staff, provide proactive and guided support through the onboarding process
• Maintain and gain knowledge of behavioral health utilization management through team and departmental expansion as needed
• Act as subject matter expert to review and evaluate the effectiveness of operational workflows to identify problems and develop improvements, modifications, and enhancements
• Develop and evaluate tools and materials that enhance operating efficiency, accuracy, and technical skill levels of unit staff
• Assist with audit readiness in collaboration with internal BSC partners
• Perform advanced or complicated prior authorization and concurrent utilization reviews and first level determinations for members using non-profit association guidelines ensure discharge (DC) planning at levels of care appropriate for the members needs and acuity; prepare and present cases to Medical Director (MD) for oversight and necessity determination
• Identify process and control improvement opportunities and provide recommendations that help improve the effectiveness, efficiency and/or economic value of a control or process
• Provide guidance, coaching and training on internal behavioral health utilization management processes to other employees across the company as appropriate
• Lead, manage, and execute other special projects and team initiatives as assigned
• Lead team huddles/meetings to support processes and collaboration of team members
• Support team through consistent and successful caseload management and workload to achieve team goals, regulatory timelines, and accreditation standards

Your Knowledge and Experience

• Current unrestricted CA license (LCSW, LMFT, LPCC, PhD/PsyD or RN with Behavioral Health experience) required
• Advanced degree commensurate with field is preferred
• Requires at least seven (7) years of prior experience in healthcare related field
• Experience operating in a lead role or equivalent leadership training is preferred
• Five (5) years conducting Behavioral Health Utilization Management for a health insurance plan or managed care environment preferred
• Deep knowledge of Behavioral Health Utilization Management including ability to apply and interpret admission and continued stay clinical against nonprofit association guidelines
• Familiarity with medical terminology, diagnostic terms, and treatment modalities including ability to comprehend psychiatric evaluations, clinical notes, and lab results
• Proficient with Microsoft Excel, Outlook, Word, Power Point, and the ability to learn and utilize multiple systems/databases 
• Excellent analytical, communication skills, written skills, time management, and organizational skills 
• Possess outstanding interpersonal, organizational, and communication skills, positive attitude, and high level of initiative
• Ability to identify problems and works towards problem resolution independently, seeking guidance as needed