28 Healthcare Providers jobs in Folsom

Description & Requirements

Maximus is currently hiring for a Sr Medical Services Recruiter to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The Sr Medical Services Recruiter is responsible for managing the entire provider/DX facility recruitment process including sourcing, screening, interviewing, salary negotiations, offers, and compliance. The Sr Medical Services Recruiter would also be tasked with utilizing various sourcing methodologies to identify potential providers/facilities, including job boards, social media, professional networks, and conferences.

- Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity.

Essential Duties and Responsibilities:
- Manage the entire provider/DX facility recruitment process, including sourcing, screening, interviewing, salary negotiations, offers, and compliance.
- Utilize various sourcing methodologies to identify potential providers/facilities, including job boards, social media, professional networks, and conferences.
- Review resumes and applications to identify qualified candidates.
- Conduct initial phone screens and interviews to assess candidates' qualifications and fit for the role.
- Ensure timely collection and submission of all required documents to the credentialing team, adhering to company compliance policies.
- Maintain accurate records and provide regular reports on provider recruitment activities and outcomes.
- Ensure all hiring decisions comply with employment laws and regulations.
- Develop and implement innovative provider/DX facility recruitment strategies to attract top talent.
- Partner with operational leaders to address workforce and provider recruitment challenges.
- Assist with training new provider/DX facility recruiters and cross-training of existing lower level recruiters.

- Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment.

- Home Office Requirements Using Maximus-Provided Equipment:

- Internet speed of 20mbps or higher required (you can test this by going to (1) Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router

- Private work area and adequate power source

- Must currently and permanently reside in the Continental US

Minimum Requirements

- Bachelor's degree in relevant field of study and 5+ years of relevant professional experience required, or equivalent combination of education and experience.

- Previous medical services and/or business development related recruiting experience highly preferred.

EEO Statement

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Pay Transparency

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.

Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at .

Minimum Salary

$

83,900.00

Maximum Salary

$

83,900.00

All applicants will be considered, however SROA/Surplus candidates will be given priority.

Are you looking for a challenging but rewarding work with a state department that prides itself in serving the public and administering revenues that support hundreds of state and local government programs and services? The Medical Management Services Section is looking for a Medical Management Services Analyst with a high degree of initiative, who is dependable, possesses attention to detail, has great communication skills, and is very well organized. To learn more about us, please see CDTFA Gateway to New Opportunities video

Under general direction by the Staff Services Manager I, the Medical Management Services Analyst performs the full range of staff and analytical work in the administration of health management programs including, but not limited to, analysis and application of the laws, rules and regulations for Cal/OSHA annual reporting, Catastrophic Leave, California Family Rights Act (CFRA), Ergonomics, Family and Medical Leave Act (FMLA), Pregnancy Disability Leave (PDL), Return-to-Work (RTW) Temporary Modified Duty (TMD), and Workers' Compensation (WC) claims. In addition to disseminating information to all team members regarding the various health and well-being services offered through the Employee Assistant Program (EAP); contact EAP to arrange Critical Incident Stress Debriefing; and provide guidance to management on the process to formally refer team members for counseling with EAP.

You will find additional information about the position in the duty statement.

This advertisement requires a Supplemental Questionnaire (SQ). Applications received without an SQ will not be considered.

This advertisement may be used to fill multiple positions.

Here is the link to the exam bulletin for Associate Governmental Program Analyst: CalCareers

This recruitment has been posted for more vacancies than currently exist as it may be used to fill additional identical vacancies which occur within 180 days of the closing date of this bulletin.

Under Government Code 14200, this position may be eligible for partial telework for eligible candidates residing in California. All telework/hybrid schedules require staff to report to the office a minimum number of days per week. Schedules are subject to change.

Currently, per the California Budget Act of 2025, all California Department of Tax and Fee Administration salaries are subject to the provisions of the State of California's Personal Leave Program.

You will find additional information about the job in the Duty Statement .

Working Conditions

• Position may be located in a high-rise building.
• Telework is available eighty percent (80%) of the time.
• Standard office environment.
• Requires being in a stationary position, consistent with office work, for extended periods of time.
• Daily use of a personal computer, office equipment, and/or telephone.
• Must be able to move/transport office equipment weighing up to twnty five pounds (25 lbs.), with or without reasonable accommodation.

Minimum Requirements You will find the Minimum Requirements in the Class Specification.

• ASSOCIATE GOVERNMENTAL PROGRAM ANALYST

Additional Documents

• Job Application Package Checklist
• Duty Statement

Position Details Job Code #:
JC-

Position #(s):


Working Title:
Medical Management Services Analyst

Classification:
ASSOCIATE GOVERNMENTAL PROGRAM ANALYST $6,031.00 - $7,547.00 A
New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable.

# of Positions:
Multiple

Work Location:
Sacramento County

Telework:
Hybrid

Job Type:
Permanent, Full Time

Department Information
California not only needs you; it wants you as part of the growing workforce. The California Department of Tax and Fee Administration (CDTFA) makes life better for Californians by fairly and efficiently collecting the revenue that supports our essential public services, with CDTFA administered programs accounting for about twenty-three (23%) percent of all state revenue. Tax programs administered by the CDTFA are concentrated in two general areas - sales and use tax, and special taxes and fees. New employees, new ideas, and new creative perspectives are needed in all areas at CDTFA. CDTFA offers employees reliable income, stable benefits, work-life balance, paid holidays, advancement opportunities, and the personal fulfillment of knowing that your work is personally impacting the lives of others.

To take a look at CDTFA as a destination employer please click the link



Department Website:

Special Requirements

• This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.; for more information about E-Verify, please go to

Education : For classifications where the Minimum Qualifications (MQs) are based on meeting education requirements only: If education is required to meet the MQs please attach a copy of all of your transcripts that show the completion of the required education. Applicants who completed their education outside the United States (with foreign degrees/transcripts) must obtain and submit verification of United States course/degree equivalency by the time of appointment. Foreign education credential evaluation services can be found at .

Application Instructions
Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application.
Final Filing Date: 10/8/2025
Who May Apply
Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply. Individuals who are eligible for a Training and Development assignment may also be considered for this position(s).

Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).

How To Apply
Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below:

Address for Mailing Application Packages

You may submit your application and any applicable or required documents to:

CA Department of Tax and Fee Administration
Talent Acquisition Section
Attn: Talent Acquisition SectionJC-
651 Bannon Street, Suite 100 MIC: 00

Sacramento , CA 95811

Address for Drop-Off Application Packages

You may drop off your application and any applicable or required documents at:

CA Department of Tax and Fee Administration
Human Resources Bureau (App Drop Off)
Northeast Tower 1st Floor- JC-
651 Bannon Street

Sacramento , CA 95811
Monday - Friday (Excluding holidays
08:00 AM - 04:30 PM

Required Application Package Documents

The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job:

• Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position.
• Resume is required and must be included.
• Other -
  A completed Supplemental Questionnaire (SQ) must be submitted with your STD. 678 in order to be considered for this position. Please see the Supplemental Questionnaire Requirement section of this job posting for additional information.
  
• Other -
  You must include a Cover Letter with your STD-678 Application.
  

Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting.

Desirable Qualifications In addition to evaluating each candidate's relative ability, as demonstrated by quality and breadth of experience, the following factors will provide the basis for competitively evaluating each candidate:

• Ability to provide the highest level of customer service in all situations.
• Ability to research and apply personnel laws, rules, and policies.
• Ability to work in a fast-paced environment with changing priorities and be able to multi-task.
• Knowledge and experience with laws, rules and regulations for Cal/OSHA annual reporting, Catastrophic Leave (CAT), California Family Rights Act (CFRA), Employee Assistance Program (EAP), Ergonomics, Family and Medical Leave Act (FMLA), Pregnancy Disability Leave (PDL), Return-to-Work (RTW) Program, Workers' Compensation (WC) claims, and Temporary Modified Duty (TMD).
• Strong analytical and problem-solving skills.
• Strong planning and organizational skills.
• Strong written and verbal communication skills.

Benefits
CDTFA appreciates and proudly celebrates diversity with an emphasis of an inclusive atmosphere in all levels of the organization. CTDFA is a participant in The Government Alliance on Race and Equity (GARE) Capitol Cohort to advance racial equality and advance opportunities for all in California. Employees of different races, ethnicities, genders, ages, religions, disabilities, gender orientations and personal experiences are welcomed to contribute to the success of CDTFA.

The CDTFA was presented with the Large State Employer of the Year Award for 2018 from The Association of California State Employees with Disabilities (ACSED); showcasing CDTFA's support of employment, promotion, and fair treatment of persons with disabilities.

CDTFA values its staff and is dedicated to employee career development. Our agency supports the development of staff by offering training to flourish in their position and programs to promote and explore upward mobility.

In addition, you can look forward to:

• Convenient public transportation.
• Located near Downtown, major freeway access, multiple eateries, DOCO, and Golden 1 Center.
• The new sustainable May Lee State Office Complex is located in the Sacramento River District. It has an on-site coffee shop, cafeteria, gym, and daycare center.

For more information about the outstanding benefits offered to State Employees

Working for the State offers great opportunities, generous benefits, and career development

Benefit information can be found on the CalHR website and the CalPERS website.

Contact Information
The Hiring Unit Contact is available to answer questions regarding the position or application process.
Department Website:
Hiring Unit Contact:
Jennifer E. Charron



Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the Department's EEO Office.
EEO Contact:
EEO Contact


California Relay Service: (TTY), (Voice) TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device.

Supplemental Questionnaire (SQ) Requirements

To be considered for this position applicants must include the Supplemental Questionnaire (SQ) for this recruitment. Applications without an SQ or an SQ that does not directly answer all the items below will not be considered . The SQ serves as documentation of each candidate's ability to present information clearly and concisely in writing. The CDTFA will not consider applicants who fail to provide an SQ with their application. Resumes do not take the place of the SQ.

Additionally, your SQ should be no more than two (2) pages in length, 12pt Arial font single-spaced and must include:

• Your name on SQ
• The Job Control number on SQ

Please respond directly to the following SQ items below:

This position requires knowledge of current medical leave benefit laws, regulations, and codes. Please describe your experience in handling programs such as FMLA/CFRA/PDL and Ergonomics.

Describe what information you would need to complete a Settlement Authority Request (SAR) when settling a Workers' Compensation claim. What steps would you take to obtain settlement authority on the claim?

You must provide specific information in your response(s) which demonstrates how your knowledge, skills, and training meet the needs of this position.

Additional Instructions for Applicants

Using the online application system as specified in the announcement is the preferred method of applying for civil service job opportunities; however, applicants may instead apply by way of U.S. mail, parcel delivery or courier service, or in person, as set forth in this announcement.

Paper applications must include a signature. Dates printed on envelopes by mobile barcodes or equivalent mobile print technology are not acceptable proof of the date the application and any other required documents or materials were filed.

A completed state application (STD. 678) and any documents list under "Required Application Documents" must be submitted with your application package. Applicants who are relying on additional documentation (e.g. transcripts, copy of degrees, certifications, licenses, etc.) in order to prove that they meet the minimum qualifications listed in the Classification Specification (located on the right under "Additional Documentation) must submit those documents with their application package. Failure to submit these documents may result in your application being disqualified.

Applications must include a description of the duties performed for each position held; reference to a resume in place of a description of the duties performed will not be accepted.

Applicants must state their basis of eligibility (List Eligibility, Lateral Transfer, Reinstatement, T&D, or Surplus/SROA), and the Job Control (JC) number and/or position number in the "Examination(s) or Job Title(s), For Which You Are Applying" section on the STD. 678. Surplus/SROA candidates should submit a copy of their letter with their application .

Please remove any confidential information (i.e. social security number, date of birth, etc.) as well as any information regarding your LEAP eligibility and/or exam scores from your documents prior to submission.

Here is the link to the exam bulletin for Associate Governmental Program Analyst: CalCareers

If applying electronically, please note that CalCareers no longer allows applicants to withdraw their applications. If you need assistance to withdraw your application, please contact the Certification Section at

For all other questions regarding your CalCareer account, please contact CalHR's CalCareers Unit at or .
For more information on the recruitment process please email

Equal Opportunity Employer
The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.

It is an objective of the State of California to achieve a drug-free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.

**Job Summary and Responsibilities**
+ Ensures a high quality medical staff by thoroughly investigating and verifying the credentials of all applicants to the medical staff including Allied Health Professionals
+ Evaluates the hospital practice and privileges of all members seeking reappointment to the medical staff/Allied Health categories
+ Provides a vehicle to improve quality via the medical staff committee process and by maintaining records of all medical staff committees
+ Contributes to efficient and cost-effective operation of the Medical Staff Service by monitoring and planning for budgets and expenses
+ Promotes medical staff compliance with regulatory and accreditation agencies by continuously monitoring the operations of the hospital Medical Staff Office and effectively initiating change when needed
**Job Requirements**
**Education and Experience:**
+ Bachelor's degree in business administration or related health or management field preferred or ability to obtain within a period of time agreed upon by supervisor.
+ Minimum of five (5) years of experience in a Medical Staff office, with at least one (1) year in a supervisory capacity, or a comparable combination of education and experience.
**Licensure:**
+ Certified Provider Credentialing Specialist (CPCS) achieved within one (1) year of employment
**Where You'll Work**
Nestled in the heart of East Sacramento, Dignity Health Mercy General Hospital is a 313 bed acute care facility that provides a wide range of services with special advocacy for the poor and underserved. Mercy General is home to the nationally ranked Alex G. Spanos Heart & Vascular Institute. Key achievements and recognitions include: from the Joint Commission; Advanced Joint Replacement, Spine Center of Excellence Primary Stroke Center, Ventricular Assist Device, and Chest Pain Certification. Other accolades include CMS 5 stars, Practice Green Health 2021, Leapfrog Hospital Safety Grade "A", Level 4 Epilepsy Center and Opioid Stewardship Honor Roll. Mercy General Hospital is proud to foster inclusion and diversity as part of our mission, vision, and values.
One Community. One Mission. One California ( Range**
$49.78 - $74.05 /hour
We are an equal opportunity/affirmative action employer.

Job Summary:
In addition to the responsibilities below, this position is also responsible for implementing best practice models; implementing patient care delivery systems and practice standards in several locations; investigating and resolving patient/family/member concerns regarding patient care and services; collaborating with physicians, outside healthcare providers, and other health care team members to achieve optimal and safe patient care at home; managing interdisciplinary teams to design assessment tools, interventions, and care management plans that improve member outcomes throughout the continuum of care; monitoring resource needs in assigned clinical areas to ensure appropriate assignment and utilization; monitoring the use and maintenance of equipment, supplies and medications; fostering a safe environment for patients and employees; maintaining clinical expertise, providing clinical supervision, ensuring staff competency and licensing necessary to fulfill job responsibilities and to direct the provision of care at home, providing peer-review within area of expertise; delegating tasks and duties that are aligned to scope of practice; and performing clinical duties as required.
Essential Responsibilities:
+ Provides developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; works closely with employees to set goals and provide open feedback and coaching to drive performance improvement. Pursues professional growth; develops and provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Leads, adapts, implements, and stays up to date with organizational change, challenges, feedback, best practices, processes, and industry trends. Fosters open dialogue amongst team members, engages, motivates, and promotes collaboration within and across teams. Delegates tasks and decisions as appropriate; provides appropriate support, guidance, and scope; encourages development and consideration of options in decision making.
+ Manages designated work unit or team by translating business plans into tactical action items; oversees the completion of work assignments and identifies opportunities for improvement; ensures all policies and procedures are followed. Aligns team efforts; builds accountability for and measuring progress in achieving results; determines and ensures processes and methodologies are implemented; resolves escalated issues as appropriate; sets standards and measures progress. Fosters the development of work plans to meet business priorities and deadlines; obtains and distributes resources. Removes obstacles that impact performance; identifies and addresses improvement opportunities; guides performance and develops contingency plans accordingly; influences teams to execute in alignment with operational objectives.
+ Manages continuum of care / care at home operations to support patient care by: driving implementation of action items and supporting compliance with timelines and financial commitments; using and providing feedback on standard reports and identifying needed ad hoc reporting to meet specific client needs related to workflow and performance targets; providing feedback as needed on data collection, reviewing data, and translating reports into short-term operational initiatives; managing human resources activities related to recruitment, creating and ensuring the use of standardized procedures and processes for employee management; leading survey and compliance readiness activities, including mock rounds and mitigating issues, to maintain compliance and regulatory standards and developing procedures for preparing audit documentation, information, and reports; and assisting in the development and management of their departments expenditures, payroll, and non-payroll budget with input from a higher-level leader.
+ Ensures standardized care delivery by: developing strategic partnerships with physicians and subject matter experts and managing complex work streams and implementing strategic initiatives with significant program impact; using data and analysis to ensure strategic alignment while developing and implementing plans; proactively monitoring and managing daily operational activities involving patient care management, ensuring consistency and seamless transitions across the continuum of care; managing resources in clinical areas to ensure appropriate assignment and utilization; managing multidisciplinary continuum of care / care at home team(s); supports managing local agency and outside provider contract/vendor relations that provide optimal patient care and medical services for care across the continuum; implementing emergency preparedness programs and ensuring the teams emergency preparedness and recovery plans are current and that staff are trained and know what is expected during and after an emergency; and leading project teams, initiatives and monitoring implementation and delivery on objectives.
+ Manages improvements to operations and technology processes by: defining issues and overseeing the development of goals and priorities for strategic projects designed to remediate issues and improve quality, service, affordability, and/or operating efficiency; applying a structured approach for identifying root causes and implementing solutions to improve the performance of operations system processes; and ensuring performance metrics used to monitor the success of strategic improvement projects are tied to strategic department initiatives.
Minimum Qualifications:
+ Minimum two (2) years of experience in a leadership role with or without direct reports.
+ Minimum two (2) years of customer or member/patient service experience.
+ Bachelors degree in a business, nursing, health care, or directly related field AND minimum three (3) years of experience in business operations, clinical health care, or a directly related field OR minimum six (6) years of experience in business operations, clinical health care, or a directly related field.
+ Pharmacist License (California) required at hire OR Registered Dietitian required at hire OR Registered Dietitian Nutritionist Certification required at hire OR Speech-Language Pathologist License (California) required at hire OR Occupational Therapist License (California) required at hire OR Registered Nurse License (California) required at hire OR Physician Assistant License (California) required at hire OR Physical Therapist License (California) required at hire OR Licensed Clinical Social Worker (California) required at hire OR Respiratory Care Practitioner License (California) required at hire
+ Basic Life Support required at hire
Additional Requirements:
+ Knowledge, Skills, and Abilities (KSAs): Evidence-Based Medicine Principles; Evidence-Based Practices; Compliance Management; Confidentiality; Member Service; Conflict Resolution; Stakeholder Management; Legal And Regulatory Requirements; Microsoft Office; Health Care Quality Standards; Information Systems
COMPANY: KAISER
TITLE: Clinical Manager, Care at Home (Licensed PT, OT, or ST Required)
LOCATION: Sacramento, California
REQNUMBER:
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

We are so glad you are interested in joining Sutter Health!
**Organization:**
SRMC-Sutter Roseville Med Center
**Position Overview:**
Delivers pharmaceutical care through the provision of patient-centered clinical service, medication information, education, medication preparation and distribution that ensures safe, effective, and cost efficient medication therapy. Exercises sound judgment, and developed clinical skills to provide input to and implement the patient's plan of care based on the diagnosis in a timely manner. Gains confidence and cooperation from the patient, their family/support group, and other healthcare providers through competent patient assessment, attentive monitoring and care, and effective communication. Adheres to all local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care. May also be responsible for performing specific tasks and/or orient other staff to the department.
**Job Description** :
**EDUCATION:**
+ Doctorate: Graduation from an accredited school of Pharmacy.
**CERTIFICATION & LICENSURE:**
+ PHARMD-Licensed Pharmacist
+ OR PHARMR-Registered Pharmacist
+ ACLS-Advanced Cardiac Life Support (for those who will be responding to codes)
+ PGY1 and/or PGY2 in Critical Care _Preferred_
**TYPICAL EXPERIENCE:**
+ 1 year of recent relevant experience
+ 2 years of residency (PGY-2) **_or_** 3 years of Critical Care- _Preferred_
**SKILLS AND KNOWLEDGE:**
+ Knowledge of medical terminology, generic and trade pharmaceutical names, pharmaceutical calculations and laws and regulations.
+ Knowledge and understanding of different Pharmacy practice settings, including narcotic delivery and procedures.
+ Knowledge and ability to identify and employ pharmaceutical and medical terms, abbreviations and symbols commonly used in prescribing, dispensing, and record keeping of medications.
+ Requires a basic working knowledge of legal requirements and accreditation standards including National Association of Boards of Pharmacy (NABP), The Joint Commission (TJC), Title XXII, United States Department of Homeland Security (DHS), Drug Enforcement Administration (DEA), Food and Drug Administration (FDA) and United States Pharmacopeia (USP).
+ Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people.
+ Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadlines.
+ General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook), related pharmaceutical technology, EHR, and EPIC.
+ prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines.
+ work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.
+ identify, evaluate and resolve standard problems by selecting appropriate solutions from established options.
+ ensure the privacy of each patient's PHI.
**Job Shift:**
Varied
**Schedule:**
Full Time
**Shift Hours:**
10
**Days of the Week:**
Variable
**Weekend Requirements:**
Every other Weekend
**Benefits:**
Yes
**Unions:**
No
**Position Status:**
Non-Exempt
**Weekly Hours:**
40
**Employee Status:**
Regular
Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines.
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $94.60 to $104.06 / hour
_The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package._

We are so glad you are interested in joining Sutter Health!
**Organization:**
SRMC-Sutter Roseville Med Center
**Position Overview:**
Delivers pharmaceutical care through the provision of patient-centered clinical service, medication information, education, medication preparation and distribution that ensures safe, effective, and cost efficient medication therapy. Exercises sound judgment, and developed clinical skills to provide input to and implement the patient's plan of care based on the diagnosis in a timely manner. Gains confidence and cooperation from the patient, their family/support group, and other healthcare providers through competent patient assessment, attentive monitoring and care, and effective communication. Adheres to all local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care. May also be responsible for performing specific tasks and/or orient other staff to the department.
Residency Trained PGY1 or PGY2 in Critical Care - Preferred
**Job Description** :
**EDUCATION:**
+ Doctorate: Graduation from an accredited school of Pharmacy.
**CERTIFICATION & LICENSURE:**
+ PHARMD-Licensed Pharmacist
+ OR PHARMR-Registered Pharmacist
+ ACLS-Advanced Cardiac Life Support (for those who will be responding to codes)
**TYPICAL EXPERIENCE:**
+ 1 year of recent relevant experience.
**SKILLS AND KNOWLEDGE:**
+ Knowledge of medical terminology, generic and trade pharmaceutical names, pharmaceutical calculations and laws and regulations.
+ Knowledge and understanding of different Pharmacy practice settings, including narcotic delivery and procedures.
+ Knowledge and ability to identify and employ pharmaceutical and medical terms, abbreviations and symbols commonly used in prescribing, dispensing, and record keeping of medications.
+ Requires a basic working knowledge of legal requirements and accreditation standards including National Association of Boards of Pharmacy (NABP), The Joint Commission (TJC), Title XXII, United States Department of Homeland Security (DHS), Drug Enforcement Administration (DEA), Food and Drug Administration (FDA) and United States Pharmacopeia (USP).
+ Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people.
+ Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadlines.
+ General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook), related pharmaceutical technology, EHR, and EPIC.
+ prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines.
+ work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.
+ identify, evaluate and resolve standard problems by selecting appropriate solutions from established options.
+ ensure the privacy of each patient's PHI.
**Job Shift:**
Evenings
**Schedule:**
Full Time
**Shift Hours:**
10
**Days of the Week:**
Variable
**Weekend Requirements:**
Every other Weekend
**Benefits:**
Yes
**Unions:**
No
**Position Status:**
Non-Exempt
**Weekly Hours:**
35
**Employee Status:**
Regular
Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines.
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $94.60 to $104.06 / hour
_The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package._

**Company :**
Highmark Inc.
**Job Description :**
**JOB SUMMARY**
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members
**ESSENTIAL RESPONSIBILITIES**
+ Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care.
+ Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise.
+ Participate in protocol and guidelines development to ensure consistency in the review process.
+ Actively manage projects and/or participate on project teams that require a physician subject matter expert.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO)
**Substitutions**
+ None
**Preferred**
+ Master's Degree in Business Administration/Management or Public Health
**EXPERIENCE**
**Required**
+ 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice)
**Preferred**
+ 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry
**LICENSES AND CERTIFICATION**
**Required**
+ Medical Doctor or Doctor of Osteopathic Medicine (DO)
+ Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards
+ Active medical state licensure required. Additional specific state licensure(s) may be required based on business need.
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Case Management
+ Customer Service
+ Oral & Written Communication Skills
+ Collaboration
+ Listening
+ Telephone Skills
+ General Computer Skills
+ Clinical Software
+ Managed Care
**Language (Other than English)**
None
**Travel Required**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
Position Type
Office-Based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$170,000.00
**Pay Range Maximum:**
$352,500.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J

We are so glad you are interested in joining Sutter Health!
**Organization:**
SCP-Sutter Center for Psychiatry
**Position Overview:**
Participates in the patient/family care and experience through teamwork, effective communication, and skills under the direction of an RN. Provides support to ensure both the psychiatric and physical care of the patients are met.
PATIENT CARE.
**Job Description** :
**EDUCATION**
_Equivalent experience will be accepted in lieu of the required degree or diploma._
+ HS Diploma or equivalent education/experience
+ Completion of a certification course for Nursing Assistant preferred.
**PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:**
+ 1 Prior experience in a psychiatric or mental health facility in the delivery of direct patient care as is typically acquired in 1 year.
**SKILLS AND KNOWLEDGE**
+ Knowledge of basic nursing aide functions, such as assisting with activities of daily living, obtaining vital signs, and documentation of observations.
+ Under the direction of the RN priorities and manages multiple demands in an ever changing environment.
+ Has the ability to communicate effectively both verbally and in writing.
+ Ability to obtain patients vital sign, assist with activities of daily living and documentation of observations made.
**Job Shift:**
Days
**Schedule:**
Short Hour
**Shift Hours:**
8
**Days of the Week:**
Variable
**Weekend Requirements:**
Every other Weekend
**Benefits:**
No
**Unions:**
Yes
**Position Status:**
Non-Exempt
**Weekly Hours:**
16
**Employee Status:**
Short Hour
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $24.88 to $31.84 / hour
_The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package._ __

We are so glad you are interested in joining Sutter Health!
**Organization:**
SCP-Sutter Center for Psychiatry
**Position Overview:**
Participates in the patient/family care and experience through teamwork, effective communication, and skills under the direction of an RN. Provides support to ensure both the psychiatric and physical care of the patients are met.
PATIENT CARE.
**Job Description** :
**EDUCATION**
_Equivalent experience will be accepted in lieu of the required degree or diploma._
+ HS Diploma or equivalent education/experience
+ Other: Completion of a certification course for Nursing Assistant preferred.
**PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:**
+ 1 Prior experience in a psychiatric or mental health facility in the delivery of direct patient care as is typically acquired in 1 year.
**SKILLS AND KNOWLEDGE**
+ Knowledge of basic nursing aide functions, such as assisting with activities of daily living, obtaining vital signs, and documentation of observations.
+ Under the direction of the RN priorities and manages multiple demands in an ever changing environment.
+ Has the ability to communicate effectively both verbally and in writing.
+ Ability to obtain patients vital sign, assist with activities of daily living and documentation of observations made.
**Job Shift:**
Evenings
**Schedule:**
Short Hour
**Shift Hours:**
8
**Days of the Week:**
Variable
**Weekend Requirements:**
Every other Weekend
**Benefits:**
No
**Unions:**
Yes
**Position Status:**
Non-Exempt
**Weekly Hours:**
16
**Employee Status:**
Short Hour
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $24.88 to $31.84 / hour
_The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package._ __