40 Molina Healthcare jobs in Long Beach
Managed Care Compliance Specialist - Managed Care
Posted today
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Job Description
The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program within the Managed Care department by ensuring compliance with applicable rules and regulations including but not limited to AB1455 and Medicare Claims Processing Guidelines. This position is responsible for maintaining routine auditing functions and providing feedback on departmental activities, to assure compliance with all health plan and regulatory agencies, including CMS, DMHC, and DHCS.
Duties and Responsibilities:
+ Ensures all services provided to Commercial, Medicare and Medi-cal managed care members are in compliance with program regulations, insurance regulations, and regulatory requirements.
+ Maintains and tracks laws and regulations, contract documentations, amendments, and various compliance measures pertaining to Commercial, Medicare and Medi-cal managed care.
+ Develops policies, procedures, and processes to align with federal program regulations and any applicable state regulations pertaining to Commercial, Medicare and Medi-Cal managed care.
+ Provides mentorship to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language for Commercial, Medicare and Medi-Cal managed care.
+ Acts as a liaison with health plans and current CSHS departments to ensure both health plan regulations and CSHS policies are met.
+ Coordinates and act as primary contact for all health plans audits, including leading all aspects of the review for performance management and accurate coding.
+ Develops and supervise compliance with corrective action plans as a result of post-health plan audits and regulatory audits.
+ Provides required Compliance and FWA trainings for existing, new employees and non-employees, as the need arises.
+ Educates CSHS employees on company policies and procedures regarding access to care, the grievance and appeals process, the eligibility process, etc.
+ Remains updated on all member and provider policy changes made by the health plan and/or the State.
+ Acts as subject matter expert on health care laws/regulations as a compliance resource to CSHS and affiliates, including contracted and employed physician practices.
+ Aggregates, analyze, and report audit results, identify error trends and root causes, and make recommendations for performance improvements.
**Qualifications**
**Education:**
High school diploma/GED required. Bachelor's degree in Healthcare or related field preferred.
**Experience:**
Five (5) years of compliance experience, preferably in a healthcare environment, required. Two (2) years of Medi-Cal, Medicare or Commercial Managed Care experience preferred.
**About Us**
Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.
**About the Team**
With a growing number of primary urgent and specialty care locations across Southern California, Cedars-Sinai's medical network serves people near where they live. Delivering coordinated, compassionate healthcare you can join our network of clinicians and physicians to improve the healthcare people throughout Los Angeles and beyond.
**Req ID** : 11981
**Working Title** : Managed Care Compliance Specialist - Managed Care
**Department** : MNS Managed Care
**Business Entity** : Cedars-Sinai Medical Center
**Job Category** : Strategic Plan / Business Dev
**Job Specialty** : Managed Care
**Overtime Status** : EXEMPT
**Primary Shift** : Day
**Shift Duration** : 8 hour
**Base Pay** : $34.69 - $53.77
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.
Managed Care Specialist - Contracting
Posted today
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Job Description
The Managed Care Specialist is responsible for assisting with the internal maintenance of MDN provider data integrity related to Cedars-Sinai Medical Delivery Network on behalf of Cedars-Sinai Medical Care Foundation and group. In this role, the incumbent is responsible for processes associated with internal audit as it relates to the financial, contracting and reimbursement functions of the Cedars-Sinai Medical Delivery Network including Cedars-Sinai Medical Care Foundation and affiliated medical groups. The Managed Care Financial Specialist assists the organization in maximizing revenue and decreasing costs.
Duties and Responsibilities:
+ Reviews Provider Information Forms (PIFs) related to the MDN's managed care business operations (provider networks, HMO referrals, claims, contracts)
+ Maintains the MDN's all downstream provider contract grids
+ Responsible for communicating changes to downstream provider agreements to our current third party MSO
+ Assists Manager in resolving discrepancies in provider contract records within EPIC's Tapestry Module and associated HMO referral system(s);
+ Maintains internal rosters to mitigate inadvertent leakage resulting from incorrect listings
+ Provides paneling information provided to Health Plans is accurate and timely to support Senate bill AB137
+ Conducts routine audits of provider updates
+ Assists with the implementation of new or amended ancillary and provider contracts.
+ Works with Contracting team to determine financial implication of identified discrepancies
+ Periodically audit payor reports and provider listings to ensure accurate and complete participation of MNS-represented physician networks.
**Qualifications**
**Education:**
High school diploma/GED required. Bachelor's degree in related field preferred.
**Experience:**
One (1) year of relevant work experience in healthcare, finance, decision support or accounting departments required.
Two (2) years of Managed Care, experience in Financial Operations and various reimbursement methodologies required.
Three (3) years of Managed Care, experience in Operations within a Medical Group or IPA in claims accounting; experience in interpreting financial data required.
**About Us**
Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.
**About the Team**
With a growing number of primary urgent and specialty care locations across Southern California, Cedars-Sinai's medical network serves people near where they live. Delivering coordinated, compassionate healthcare you can join our network of clinicians and physicians to improve the healthcare people throughout Los Angeles and beyond.
**Req ID** : 12851
**Working Title** : Managed Care Specialist - Contracting
**Department** : MNS Contracting
**Business Entity** : Cedars-Sinai Medical Center
**Job Category** : Strategic Plan / Business Dev
**Job Specialty** : Managed Care
**Overtime Status** : EXEMPT
**Primary Shift** : Day
**Shift Duration** : 8 hour
**Base Pay** : $24.65 - $38.21
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.
Director of Managed Care
Posted today
Job Viewed
Job Description
Directs organization's activities of strategic planning, evaluation, coordination, and implementation of various managed health care programs (HMOs, PPOs, POS, etc) in the state of California. Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate structures for services, clinical and financial reporting obligations, establishment of other business terms per the FMCNA Guidelines, contract maintenance such as facility list updates and amendments. Develops and directs regional marketing efforts to third party payors in order to support growth and profitability in the region.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
+ Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing.
+ Reviews and analyzes potential contracts for financial effect, cost benefit and utilization.
+ Negotiates contractual relationships with managed care organizations and other third party payors as needed.
+ Presents contract proposals and market and industry analyses to internal parties and responds to Requests for Proposals from third party payors.
+ Manages activities concerned with contracts for delivery systems.
+ Works on issues where analysis of situations or data requires an in-depth knowledge of organizational objectives. Has significant project/process responsibility within the function.
+ Interprets company-wide policies and procedures. Involved in the development, modification and execution of company policies that affect immediate operations with potential company-wide effect. Implements strategic policies when selecting methods, techniques, and evaluation criteria for obtaining results.
+ Ensures compliance of facilities with all managed care organization requirements ensures credentialing processes are implemented.
+ Ensures all facilities meet and maintain appropriate credentialing requirements and licenses.
+ Develops and implements methods and procedures for monitoring work activities and informs management of current work activity status.
+ Responsible for continuous communication and coordination of all required ongoing documentation with appropriate staff.
+ Works with internal and external counsel as needed to resolve issues and support FMS.
+ Negotiates and implements contracts with payors that require clinical and quality outcomes measurements.
+ Contributes to the design and implementation of third party payor compensation structures.
+ Assists in the development of report cards that can be shared with third party payors illustrating outstanding quality of patient care through associated outcomes. Ensures quality outcomes are reported accurately and in a timely manner.
+ Assists with designing Quality Improvement Projects that will improve outcomes in facilities that are not meeting goals.
+ Develops and implements regional marketing plans to support regional growth and profitability and marketing of FMS services to third party payors and potential referral sources.
+ Maintains knowledge of FMCNA products, services and strategies in order to market appropriately.
+ Maintains current knowledge regarding community healthcare market and industry issues that may impact the business.
+ Generally manages department budget and day-to-day functions. Develops budgets, schedules and performance standards. Exercises supervision in terms of costs, methods, and staffing.
+ Responsible for implementation and achievement of business plan, budget, key performance indicators and communication to appropriate executives.
+ Interacts frequently with internal departments and external customers/vendors; particularly in problem resolution. Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations.
+ Provide technical guidance.
+ Assist with various projects as assigned.
+ Other duties as assigned.
Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to travel to various locations within California.
SUPERVISION:
May be responsible for the direct supervision of various levels of managed care and marketing staff.
EDUCATION:
Bachelor's Degree in Business or Health management required; Advanced Degree desirable.
EXPERIENCE AND REQUIRED SKILLS:
+ 6 - 8 years' direct experience in contract negotiation and operational experience in a multiple site outpatient facility setting including profit and loss responsibility.
+ 3+ years' experience as a Manager preferred.
+ Demonstrated ability to manage one or more departments.
+ Ability to manage databases and provide analysis.
+ Proficient with PCs, Microsoft Office applications and business computer systems.
+ Strong oral and written communication skills.
The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies.
Range: $120,000 - $200,000
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance.
**Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**
Claims Examiner - Managed Care
Posted today
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Job Description
The Claims Examiner is responsible for accurately and consistently adjudicating claims in accordance with policies, procedures and guidelines as outlined by the company policy. Process claims according to all CMS and DMHC guidelines. Investigate and complete open or pended claims. Meet production and quality standards.
Job Duties and Responsibilities:
+ Responsible for efficiency standards for number claims completed and for accuracy of entries.
+ Handles in a professional and confidential manner all correspondence.
+ Supports core values, policies, and procedures.
+ Acquires and adjudicates medical claims for processing; reviews scanned, EDI, or manual documents for pertinent data on claim for complete and accurate information.
+ Acquires daily workflow via reports or work queue and incoming phone calls.
+ Research claims for appropriate support documents.
+ Analyzes and adjusts data, determines appropriate codes, fees and ensures timely filing and contract rates are applied.
+ Responds and documents resolution of inquiries from internal departments.
+ Assists Finance with researching provider information to resolve outstanding or stale dated check issues.
+ Performs Provider Dispute Request (PDR) fulfillment process from the point of claim review through letter processing and records outcome in applicable tracking databases.
**Qualifications**
Experience:
Three (3) years of medical claims processing for Medicare and Commercial products and provider dispute resolution processing in an IPA, HMO and Hospital related setting required.
Three (3) years of experience with processing all types of specialty claims such as Chemotherapy, Dialysis, OB and drug and multiple surgery claims required.
Three (3) years of experience on an automated claims processing system (Epic Tapestry preferred) preferred.
**About Us**
Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.
**About the Team**
With a growing number of primary urgent and specialty care locations across Southern California, Cedars-Sinai's medical network serves people near where they live. Delivering coordinated, compassionate healthcare you can join our network of clinicians and physicians to improve the healthcare people throughout Los Angeles and beyond.
**Req ID** : 11588
**Working Title** : Claims Examiner - Managed Care
**Department** : MNS Managed Care
**Business Entity** : Cedars-Sinai Medical Center
**Job Category** : Finance
**Job Specialty** : Accounting
**Overtime Status** : NONEXEMPT
**Primary Shift** : Day
**Shift Duration** : 8 hour
**Base Pay** : $21.29 - $31.94
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.
Director of Managed Care
Posted 10 days ago
Job Viewed
Job Description
PURPOSE AND SCOPE:
Directs organization's activities of strategic planning, evaluation, coordination, and implementation of various managed health care programs (HMOs, PPOs, POS, etc) in the state of California. Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate structures for services, clinical and financial reporting obligations, establishment of other business terms per the FMCNA Guidelines, contract maintenance such as facility list updates and amendments. Develops and directs regional marketing efforts to third party payors in order to support growth and profitability in the region.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing.
- Reviews and analyzes potential contracts for financial effect, cost benefit and utilization.
- Negotiates contractual relationships with managed care organizations and other third party payors as needed.
- Presents contract proposals and market and industry analyses to internal parties and responds to Requests for Proposals from third party payors.
- Manages activities concerned with contracts for delivery systems.
- Works on issues where analysis of situations or data requires an in-depth knowledge of organizational objectives. Has significant project/process responsibility within the function.
- Interprets company-wide policies and procedures. Involved in the development, modification and execution of company policies that affect immediate operations with potential company-wide effect. Implements strategic policies when selecting methods, techniques, and evaluation criteria for obtaining results.
- Ensures compliance of facilities with all managed care organization requirements ensures credentialing processes are implemented.
- Ensures all facilities meet and maintain appropriate credentialing requirements and licenses.
- Develops and implements methods and procedures for monitoring work activities and informs management of current work activity status.
- Responsible for continuous communication and coordination of all required ongoing documentation with appropriate staff.
- Works with internal and external counsel as needed to resolve issues and support FMS.
- Negotiates and implements contracts with payors that require clinical and quality outcomes measurements.
- Contributes to the design and implementation of third party payor compensation structures.
- Assists in the development of report cards that can be shared with third party payors illustrating outstanding quality of patient care through associated outcomes. Ensures quality outcomes are reported accurately and in a timely manner.
- Assists with designing Quality Improvement Projects that will improve outcomes in facilities that are not meeting goals.
- Develops and implements regional marketing plans to support regional growth and profitability and marketing of FMS services to third party payors and potential referral sources.
- Maintains knowledge of FMCNA products, services and strategies in order to market appropriately.
- Maintains current knowledge regarding community healthcare market and industry issues that may impact the business.
- Generally manages department budget and day-to-day functions. Develops budgets, schedules and performance standards. Exercises supervision in terms of costs, methods, and staffing.
- Responsible for implementation and achievement of business plan, budget, key performance indicators and communication to appropriate executives.
- Interacts frequently with internal departments and external customers/vendors; particularly in problem resolution. Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations.
- Provide technical guidance.
- Assist with various projects as assigned.
- Other duties as assigned.
Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to travel to various locations within California.
SUPERVISION:
May be responsible for the direct supervision of various levels of managed care and marketing staff.
EDUCATION:
Bachelor's Degree in Business or Health management required; Advanced Degree desirable.
EXPERIENCE AND REQUIRED SKILLS:
- 6 - 8 years' direct experience in contract negotiation and operational experience in a multiple site outpatient facility setting including profit and loss responsibility.
- 3+ years' experience as a Manager preferred.
- Demonstrated ability to manage one or more departments.
- Ability to manage databases and provide analysis.
- Proficient with PCs, Microsoft Office applications and business computer systems.
- Strong oral and written communication skills.
The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.
Range: $120,000 - $200,000
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance.
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veteransSenior Health Economist - Managed Care
Posted today
Job Viewed
Job Description
**Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
_PLEASE NOTE: This position is not eligible for current or future visa sponsorship._
Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.
The **Senior Health Economist (** Advanced Analytics Analyst Senior) measures financial performance of core Carelon products leveraging claims, authorization, and membership data to tell a detailed story to respective business stakeholders. The Senior Health Econonmis creates statistical models to predict, classify, quantify, and/or forecast business metrics. Design modeling studies to address specific business issues determined by consultation with business partners.
**How you will make an impact:**
+ Prepares analytical data sets in support of modeling studies. Build, test, and validate statistical models.
+ Publishes results and addresses constraints/limitations with high-level business partners.
+ Proactively collaborates with business partners to determine identified population segments.
+ Develop actionable plans to enable the identification of patterns related to quality, use, cost, and other variables.
**Minimum Requirements:**
+ Requires MS, MA, or PhD with concentration in a quantitative discipline such as statistics, computer science, cognitive science, economics, or operations research, a minimum of 3 years direct experience programming large, multi-source datasets with SAS required, and a minimum of 3 years in health care setting; or any combination of education and experience which would provide an equivalent background.
**Preferred Skills, Capabilities, and Experiences:**
+ Actuarial sciences background highly preferred.
+ Utilization Management experience preferred.
+ Medical economics, provider finance, healthcare analytics, and/or financial services highly preferred.
+ Comprehensive understanding of medical claims data.
+ Intermediate to Advanced expertise with SQL, SQL Server, Teradata, or equivalent strongly preferred.
+ Proven ability to design modeling studies and experience with data models, addressing data quality issues in study design, and constructing robust and efficient analytical data sets strongly preferred.
+ Significant experience in a healthcare-related field strongly preferred.
+ The ability to present meaningful results to a business audience, to participate collaboratively in a team tasked to produce complex analyses on a rigorous schedule, to communicate with strong written and verbal communication skills, and to present to large multi-disciplinary audiences regularly strongly preferred.
**For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $84,740 to $160,560.**
**Locations: California, Colorado, District of Columbia (Washington, DC), Illinois, Minnesota, New York, Washington State**
**In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.**
*** The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.**
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Imaging Patient Support Specialist - 8-Hour Day Shift
Posted today
Job Viewed
Job Description
When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of passion and dedication pulses through Cedars-Sinai, and it's just one of the many reasons we've consistently achieved Magnet designation for nursing excellence. From working with a team of premier healthcare professionals to using pioneering facilities, you'll have everything you need to do something incredible-for yourself, and for others. Join us, and discover why we have been recognized ten years in a row on the "Best Hospitals" Honor Roll by U.S. News & World Report.
**What's this role all about?**
The Patient Support Specialist at Cedars-Sinai Medical Center is responsible for all aspects of processing inpatient Imaging orders and helping the tech in charge, with coordinating patient flow. You will be expected to organize, prioritize and perform work in a timely and efficient manner, within established guides, practices and procedures. Using critical thinking skills, make judgment calls and involve the radiologist, nurse and technologist when necessary.
Summary of Essential Duties:
+ Coordinates multiple inpatient procedures, including ultrasound, vascular, mammography and nuclear medicine.
+ Schedules, modifies, reschedules, and cancels requests and coordinates inter/intra department to assist with patient flow.
+ Dispatches transportation staff and coordinates radiologist-assisted procedures.
+ Monitors incoming orders and the Inpatient worklist throughout the day for new orders, makes calls to nursing floors regarding exam time estimates, and provides exam-specific information.
+ Dispatches the portable technologists and keeps them informed of new portable requests, verifies inpatient orders, and obtains exam specific lab results.
+ Assists the technologists in maintaining the RIS open orders, using PACS as a checkpoint.
+ Telephone duties include taking incoming calls; triaging, screening, and forwarding calls to appropriate areas.
**Qualifications**
Education:
+ High School Diploma or GED required
Experience:
+ A minimum of 2 years of experience in a fast-paced and complex environment where critical thinking skills are necessary required
+ Previous experience in a medical environment is desirable
+ Medical terminology knowledge is preferred
+ Requires strong interpersonal skills for interacting with physicians, nurses, technologists, patients and other customers and personnel of the Medical Center
+ Experience demonstrating the ability to handle multiple tasks, ability to prioritize and organize work, and complete assignments timely and accurately required
+ Windows based PC experience required
**About Us**
Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.
**About the Team**
Cedars-Sinai is one of the largest nonprofit academic medical centers in the U.S., with 886 licensed beds, 2,100 physicians, 2,800 nurses and thousands of other healthcare professionals and staff. Choose this if you want to work in a fast-paced environment that offers the highest level of care to people in the Los Angeles that need our care the most.
**Req ID** : 11694
**Working Title** : Imaging Patient Support Specialist - 8-Hour Day Shift
**Department** : IMG Patient Support Svs
**Business Entity** : Cedars-Sinai Medical Center
**Job Category** : Administrative
**Job Specialty** : Administrative
**Overtime Status** : NONEXEMPT
**Primary Shift** : Day
**Shift Duration** : 8 hour
**Base Pay** : $21.00 - $31.96
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.
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Imaging Patient Support Specialist - Per Diem 8-Hour Day Shift
Posted today
Job Viewed
Job Description
When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of passion and dedication pulses through Cedars-Sinai, and it's just one of the many reasons we've consistently achieved Magnet designation for nursing excellence. From working with a team of premier healthcare professionals to using pioneering facilities, you'll have everything you need to do something incredible-for yourself, and for others. Join us, and discover why we have been recognized ten years in a row on the "Best Hospitals" Honor Roll by U.S. News & World Report.
**What's this role all about?**
The Patient Support Specialist at Cedars-Sinai Medical Center is responsible for all aspects of processing inpatient Imaging orders and helping the tech in charge, with coordinating patient flow. You will be expected to organize, prioritize and perform work in a timely and efficient manner, within established guides, practices and procedures. Using critical thinking skills, make judgment calls and involve the radiologist, nurse and technologist when necessary.
Summary of Essential Duties:
+ Coordinates multiple inpatient procedures, including ultrasound, vascular, mammography and nuclear medicine.
+ Schedules, modifies, reschedules, and cancels requests and coordinates inter/intra department to assist with patient flow.
+ Dispatches transportation staff and coordinates radiologist-assisted procedures.
+ Monitors incoming orders and the Inpatient worklist throughout the day for new orders, makes calls to nursing floors regarding exam time estimates, and provides exam-specific information.
+ Dispatches the portable technologists and keeps them informed of new portable requests, verifies inpatient orders, and obtains exam specific lab results.
+ Assists the technologists in maintaining the RIS open orders, using PACS as a checkpoint.
+ Telephone duties include taking incoming calls; triaging, screening, and forwarding calls to appropriate areas.
Per Diems are assigned shifts on an as needed basis, to cover shifts when full time staff are off. Per Diems may be asked to cover 1st and 2nd shifts.
During training, this would be full time hours. After training, would be assigned as per diem (as needed)
**Qualifications**
Education:
+ High School Diploma or GED required
Experience:
+ A minimum of 2 years of experience in a fast-paced and complex environment where critical thinking skills are necessary required
+ Previous experience in a medical environment is desirable
+ Medical terminology knowledge is preferred
+ Requires strong interpersonal skills for interacting with physicians, nurses, technologists, patients and other customers and personnel of the Medical Center
+ Experience demonstrating the ability to handle multiple tasks, ability to prioritize and organize work, and complete assignments timely and accurately required
+ Windows based PC experience required
**About Us**
Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.
**About the Team**
Cedars-Sinai is one of the largest nonprofit academic medical centers in the U.S., with 886 licensed beds, 2,100 physicians, 2,800 nurses and thousands of other healthcare professionals and staff. Choose this if you want to work in a fast-paced environment that offers the highest level of care to people in the Los Angeles that need our care the most.
**Req ID** : 12835
**Working Title** : Imaging Patient Support Specialist - Per Diem 8-Hour Day Shift
**Department** : IMG Patient Support Svs
**Business Entity** : Cedars-Sinai Medical Center
**Job Category** : Administrative
**Job Specialty** : Administrative
**Overtime Status** : NONEXEMPT
**Primary Shift** : Day
**Shift Duration** : 8 hour
**Base Pay** : $24.00 - $31.96
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.
Supervisor, Clinical Social Worker LCSW (Oncology Patient & Family Support Program)
Posted today
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Job Description
**Grow your career at Cedars-Sinai!**
Cedars-Sinai Medical Center has been named to the Honor Roll in U.S. News & World Report's "Best Hospitals " rankings . When you join our team, you'll gain access to our groundbreaking biomedical research facilities and sophisticated medical education programs. We offer learning programs, tuition reimbursement and performance-improvement projects so you can achieve certifications and degrees while gaining the knowledge and experience needed to advance your career.
We take pride in hiring the best, most hard-working employees. Our dedicated doctors, nurses and staff reflect the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive for.
**Why work here?**
The Cedars Sinai Cancer Patient and Family Support Program (PFSP) is committed to supporting patients and their families as they confront the challenges of cancer. Our team of dedicated experts provides compassionate, personalized care for people impacted by cancer and those close to them. We provide resources to help patients prevent and relieve physical, psychological, social and spiritual suffering; plan their future; achieve life goals and navigate any care changes.
**What will you be doing:**
The Supervisor, Clinical Social Worker LCSW provides staff supervision and a full range of patient care services within an assigned area of service. Participates as a clinical social worker in assigned area(s) to assist with program planning and development and organizing social work activities. Provides clinical social work services to patients and their families with personal and environmental difficulties.
+ Supervises the day-to-day work of employees, assigns work, ensures tasks are completed and deadlines are met.
+ Responsible for hiring, onboarding, managing schedules, personnel actions, performance reviews, and performance improvement plans.
+ Conducts Psychosocial evaluation and identification of problems affecting optimal patient care and the development of a treatment plan.
+ Assist Manager to plan, lead and direct work of staff to ensure goals and objectives are completed within established budget and deadlines are met
+ Collaborate with multidisciplinary teams for continuity of care and assist with coordination of care across the continuum.
+ Interdisciplinary discussion of psychosocial implications of illness during active treatment and collaboration on advanced care planning and goals of care conversations
+ Facilitates interdisciplinary discussion of psychosocial implications of illness including consultation regarding treatments and resources designed to solve the problems of the patients.
+ Develops and maintains productive relationships with community health, welfare, and social agencies.
+ Initiates program planning and development in assigned services/ programs.
+ Participates in development and leadership with Department's Continuing Education.
+ Assist Manager with change advocacy to develop, communicate and reinforce changes in the department as well as the organization.
+ Responds to patient and family questions and concerns by providing information in an accurate, compassionate, and timely fashion.
+ Provides leadership and direction to line staff on clinical and management issues
**Qualifications**
**Experience Requirements:**
Three (3) plus years of Acute Care Hospital experience.
Two (2) plus years of Management or Supervisor experience preferred.
Oncology Social Work experience in ambulatory setting preferred.
**Educational/Licenses Requirements:**
Master degree in Social Work (MSW)
Licensed Clinical Social Worker (LCSW)
#LI-Onsite
**Req ID** : 12162
**Working Title** : Supervisor, Clinical Social Worker LCSW (Oncology Patient & Family Support Program)
**Department** : Onc PT and Fam Sup Svs
**Business Entity** : Cedars-Sinai Medical Center
**Job Category** : Patient Services
**Job Specialty** : Social Work
**Overtime Status** : EXEMPT
**Primary Shift** : Day
**Shift Duration** : 8 hour
**Base Pay** : $107,120 - $171,392
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.
Non-Medical Caregiver / Personal Care Assistant
Posted today
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Job Description
Salary: $16.50 - $18.00 / per hour
Looking to JUMPSTART your career in the healthcare industry? Enjoy helping others and making a difference in someone's life? Want to make supplemental income and create YOUR OWN schedule? If you answered yes to any of the questions above, apply!
Why Join Maxim:
+ Competitive pay & weekly paychecks
+ Health, dental, vision, Life Insurance, HSA and PTO
+ 401(k) savings plan
+ Maxcares Awards Program
Responsibilities:
+ Provides services to persons who need help with day-to-day activities
+ Provides health care tasks, personal hygiene services, and other related support services essential to the client's health
+ Assists with transfers and ambulation
+ Performs incidental household services that are an integral part of a personal care plan
+ Provides companionship by reading, listening and talking with client
+ Assists client in the development of independent skills through self-care activities such as toileting, clothing routines and personal hygiene
+ Appropriately reports changes in client status or as directed by care plan
+ Performs other duties as assigned/necessary
Requirements:
+ State licensure or certification as required by state and/or program
+ One (1) year relevant experience preferred
+ Current BLS Card
+ Current PPD or Chest X-Ray
+ Knowledge of child growth and development
+ Ability to coordinate and facilitate services between the home, school, local health agency, and other community resources
+ Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language may be required
+ Computer proficiency required
+ Must be at least 18 years of age
Maxim Benefits:
Health and Wellness Medical/Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical) and Health Advocate Employee Assistance Program
Retirement and Financial Security: Health Savings Account, 401(k), Short Term Disability, Voluntary Group Life Insurance and Supplemental Accidental Insurance, Hospital Expense Protection Plan, Critical Illness Insurance, Home and Auto Insurance discounts, Pet Insurance and Legal Benefits
Lifestyle Benefits: Paid Time Off, Employee Discount Program, Transportation Benefits and College Partnership Program
*Benefit eligibility is dependent on employment status.
About Maxim Healthcare
Maxim Healthcare has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.
Maxim Healthcare, Inc. ("Maxim") is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.