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Part Time
5/10/2025
Thousand Oaks, CA 91320
(11.6 miles)
$24.75 to $42.05 / hr
The pay range per hour is $24.75 - $42.05Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at .ALL ABOUT TARGETWorking at Target means helping all families discover the joy of everyday life. We bring that vision to life through our values and culture. ALL ABOUT SPECIALTY SALES A team of specialized consultants who understand what it means to meet our guests where they are at and deliver for them through strong operations, incredible guest experience and compelling visual merchandising presentations that inspire guests and build the basket. Teams in Apparel and Accessories (A&A), Home, Baby, Beauty and Electronics prioritize guest experience while blending completion of tasks that ensure product is available and easy to shop – pulling, filling, pricing, setting, staging and maintaining the sales floor and the backroom.At Target, we believe in our leaders having meaningful experiences that help them build and develop skills for a career. The role of a Specialty Sales Team Leader can provide you with the skills and experience of:Guest service fundamentals and experience; building a guest first culture on your teamRetail business fundamentals retail including department sales trends, inventory management, guest shopping patterns, pricing and promotions strategiesPlanning department(s) daily/weekly workload to support business priorities and deliver sales goalsLead multiple businesses balancing team member expertise and effectively leading teams in each departmentLeading a team of hourly team members; including skills in interviewing, developing, coaching, evaluating and retaining talent.As a Specialty Sales Team Leader, no two days are ever the same, but a typical day will most likely include the following responsibilities:Demonstrate a service culture that prioritizes the guest service experience. Model, train and coach team member expectations to deliver onour GUEST service model culture.Demonstrate inclusivity by valuing diverse voices and approaches, being authentic and respectful, and creating equitable experiences.Plan daily/weekly workload at the direction of your direct leader,and execute the sameto deliver on department and store sales goals and guest engagement; including planning merchandising sets,make changes and updates to merchandisesets (planograms), sales plans, eventsand promotions.Lead and demonstrate a culture of executing all best practices as outlined with team onboarding and learning; help close skill gaps through development, coaching and team interactions.With direct leader guidance, develop, coach, and lead a team of consultants who are knowledgeable and passionate.Assign daily tasks to TMs based on planned workload and guest traffic patterns, ensuring alignment with weekly and monthly business priorities set by your direct leader.Encourage team to use tools available in their department (i.e. the fitting room, testers, displays) as an opportunity to welcome, inspire and influence guests by providing personalized recommendations to complete their purchase.With direct leader guidance, partner with third party vendors to ensure brand standards and merchandising are being met and areas are full and maintained.Support team's execution of changes and updates to merchandise sets, andvisual presentations for defined categories.Create inspiring visual moments by ensuring product is organized, signedcorrectly and merchandised to support seasonal trends.Support your direct leader in leading assigned departmentareabackroom processes, organization, layout and replenishment of the salesfloor to ensure product is available for guests.Participate in team hiring and onboarding processes.Leadyour team in prioritizing the guest experience by ensuring the fitting rooms are welcoming, clean and safe if applicable to your assigned areas of responsibility.Support your direct leader in establishing clear goals and expectations and hold team members accountable to expectations.Demonstrate a culture of ethical conduct, safety and compliance;lead and hold the team accountable to work in the same way.Lead and demonstrate a safety culture through modeling and recognizing safe behaviors,identifying and correcting hazards, holding team accountable to following safety expectations, assisting with incident response, and reporting/investigating injuries timely and accurately.Model the execution of physical security processes in order to enhance the instore security culture.Support merchandise protection strategies across the total store; including ordering, storage and application as directed by best practices.If applicable, as a key carrier, follow all safe and secure training and processes.Address all store emergency and compliance needs.Support guest services such as back-up cashier, order pick up (OPU) and Drive-up (DU) and maintain a compliance culture while executing those duties, such as compliance with federal, state, and local adult beverage laws. Model creating a welcoming experience by greeting guests as you & your team are completing your daily tasks. Demonstrate how to engage with guests when assistance is needed, engage with guests in a welcoming way, and help solve their specific needs.Lead by thanking guests and let them know we’re happy they chose to shop at Target.All other duties based on business needsWHAT WE ARE LOOKING FORThis may be the right job for you if:You enjoy interacting and helping others - including guests that shop our store and fellow team members you work with. You thrive in a fast-moving, highly active and physically demanding role, where teamwork, flexibility, and creative problem solving are key to success. You are open to working a flexible work schedule with varying hours, days or shifts (including nights, weekends, holidays and other peak shopping times).The good news is that we have some amazing training that will help teach you everything you need to know to be a Specialty Sales Team Leader. But, there are a few skills you should have from the get-go:High school diploma or equivalentMust be at least 18 years of age or olderPrevious retail experience preferred, but not requiredLead and hold others accountableAbility to communicate on multiple frequency devices and operate handheld scanners, and other technology equipment as directed.Work independently and as part of a teamManage workload and prioritize tasks independentlyWelcoming and helpful attitudetoward all guests and other team membersEffective communication skills Capability to remain focused and composed in a fast-paced environment and accomplish multiple tasks within established timeframesWe are an awesome place to work and care about our teams, so we want to make sure we are clear on a few more basics that we expect:Access all areas of the building to respond to guest or team member issuesInterpret instructions, reports and informationAccurately handle cash register operations as neededClimb up and down ladders as needed Scan, handle and move merchandise efficiently and safely, including frequently lifting or moving merchandise up to 15 pounds and occasionally lifting or moving merchandise up to 44 pounds without additional assistance from othersFlexible work schedule (e.g., nights, weekends and holidays) and reliable and prompt attendance necessaryCapable of working in and exposure to varying temperatures, humidity, and other elements while performing certain job duties including but not limited to Drive-Up, carryout, etc. as neededAbility to remain mobile for the duration of a scheduled shift (shift length may vary).Target will consider for employment qualified applicants with criminal histories in a manner consistent with the San Francisco and City of Los Angeles Fair Chance Ordinances.Benefits EligibilityPlease paste this url into your preferred browser to learn about benefits eligibility for this role: https://tgt.biz/BenefitsForYou_C | Pegue esta URL en su navegador preferido para obtener información sobre la elegibilidad de este puesto para recibir beneficios: https://tgt.biz/BenefitsForYou_CAmericans with Disabilities Act (ADA)Target will provide reasonable accommodations with the application process upon your request as required to comply with applicable laws. If you have a disability and require assistance in this application process, please visit your nearest Target store or reach out to Guest Services at 1-800-440-0680 for additional information.
Full Time
5/21/2025
Long Beach, CA 90802
(40.6 miles)
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business. The Behavioral Health Utilization Management Clinician, Senior, will report to the Manager of Behavioral Health Utilization Management (BH UM). In this role you will conduct clinical review of mental health and substance use authorization requests at various levels of care for medical necessity, coding accuracy, medical policy compliance and contract compliance.Your Work In this role, you will: Perform prospective & concurrent utilization reviews and first level determination approvals for members admitted to facilities using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare as neededGather clinical information and apply the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care facilitates including effective discharge planning at levels of care appropriate for the members needs and acuity; prepare and present cases to Medical Director (MD) for medical director oversight and necessity determinationProvide information to facilities and providers regarding community treatment resources, mental health care management programs, company policies and procedures, and medical necessity criteriaWork with multidisciplinary teams to support members using an integrated team-based approach including Interdisciplinary Team Meetings and case consultations with Medical Director and/or Licensed ManagerRecognize the members right to self-determination as it relates to the ethical principle of autonomy, including the members/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare teamSupport team through consistent and successful caseload management and workload to achieve team goals, regulatory timelines, and accreditation standardsYour Knowledge and Experience Current unrestricted CA license (LCSW, LMFT, LPCC, PhD/PsyD or RN with Behavioral Health experience) requiredAdvanced degree commensurate with field is preferredRequires at least five (5) years of prior experience in healthcare related fieldThree (3) years conducting Behavioral Health Utilization Management for a health insurance plan or managed care environment requiredStrong understanding of Behavioral Health Utilization Management including ability to apply and interpret admission and continued stay criteria of multiple standardized clinical criteria sets including but not limited to MCG guidelines, nonprofit association guidelines, and various Medicare guidelinesFamiliarity with medical terminology, diagnostic terms, and treatment modalities including ability to comprehend psychiatric evaluations, clinical notes, and lab resultsProficient with Microsoft Excel, Outlook, Word, Power Point, and the ability to learn and utilize multiple systems/databasesExcellent analytical, communication skills, written skills, time management, and organizational skillsPossess outstanding interpersonal, organizational, and communication skills, positive attitude, and high level of initiativeAbility to identify problems and works towards problem resolution independently, seeking guidance as needed
Full Time
6/1/2025
Los Angeles, CA 90079
(35.1 miles)
Year Up United's Career Pathways is a one-year or less, intensive job training program that provides young adults with in-classroom skill development, access to internships and/or job placement services, and personalized coaching and mentorship. Career Pathways participants also receive an educational stipend. The program combines technical and professional training with access to internships and job placement support through our industry-leading talent placement firm YUPRO Placement. If you receive an internship, it may be at Amazon, Bank of America, Buzzfeed, or BEN Group among many other leading organizations in the Greater Los Angeles area. Are you eligible You can apply to Year Up United if you are: - A high school graduate or GED recipient - Eligible to work in the U. S. - Available Monday-Friday throughout the duration of the program - Highly motivated to learn technical and professional skills - Have not obtained a Bachelor's degree - You may be required to answer additional screening questions when applying What will you gain Professional business and communication skills, interviewing and networking skills, resume building, ongoing support and guidance to help you launch your career. During the internship phase, Year Up United Career Pathways students earn an educational stipend of $525 per week. In-depth classes include: - Banking - Business Operations - IT Support - Application Development - Project Management Get the skills and opportunity you need to launch your professional career. 75% of Year Up United Career Pathways graduates are employed and/or enrolled in postsecondary education within 4 months of graduation. Employed graduates earn an average starting salary of fifty-three thousand dollars per year.
Full Time
6/1/2025
Van Nuys, CA 91405
(18.5 miles)
Description & Requirements Description Sign-On Bonus:$750Compensation: $26 - $32 Per Hour-Full time, based upon experiencePromotion opportunity to Program Supervisor (salaried) based upon experienceBenefits of Working at Intercare:Monthly Bonuses!Flexible work schedule with a focus on work/life balance; Manage your own scheduleMileage reimbursement, a company computer and cell phoneEducation tuition reimbursement program (Masters & BCBA)!Leadership training and CEUs - we will teach how to become a better leader!Medical, Dental, and Vision insuranceGenerous time off policy (vacation, sick time, and holidays)Company 401k PlanOutstanding mentorship and supportive environment for continual learningRequired Credentials/Experience:Completed Master’s degree in relevant fieldIn progress with BCBA preferredStrong ABA and clinical skillsExcellent written and spoken communication, time management skills, and interpersonal skillsAbility to give and receive constructive feedback with a team player attitudeBilingual skills valuedJob DescriptionIntercare Therapy provides evidence-based behavioral therapies that help children overcome challenges related to autism spectrum disorders. Our mission is to optimize the independence and quality of life of our clients and their families. We love what we do, and we are seeking team members who share our passion for improving the lives of children and families affected by autism.AProgram Managerserves in the field as the onsite case supervisor and leader, mastering daily case management skills, including developing and overseeing clinical programs, supervising BIs and providing education and training for client caregivers. You must be willing to drive 30 to 60 miles a day, andable to supervise client sessions anytime between 8AM and 6PM on weekdays, and occasionally on weekends.We are proud to be the highest rated established ABA organization on Glassdoor! Check out our rankings and reviews on Glassdoor!Learn more about us on You Tube!This position may require the candidate be fully vaccinated for COVID-19 in accordance with all vaccination requirements set forth by Intercare funding sources and pursuant to any guidelines from the California Department of Health.Closing:If you have experience in any of the following fields, we encourage you to apply:Behavior Analyst, Autism, Social Learning, Social Skills, Developmental Condition, Psychology, Sociology, Social Services, Children, ABA, Applied behavior analysis, BCBAIntercare Therapy will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.Intercare Therapy supports a diverse workforce and is an Equal Opportunity Employer.
Full Time
6/5/2025
Ventura, CA 93003
(28.9 miles)
HomeGoodsAt TJX Companies, every day brings new opportunities for growth, exploration, and achievement. You’ll be part of our vibrant team that embraces diversity, fosters collaboration, and prioritizes your development. Whether you’re working in our four global Home Offices, Distribution Centers or Retail Stores—TJ Maxx, Marshalls, Homegoods, Homesense, Sierra, Winners, and TK Maxx, you’ll find abundant opportunities to learn, thrive, and make an impact. Come join our TJX family—a Fortune 100 company and the world’s leading off-price retailer.Job Description:Opportunity: Grow Your CareerThe Key Carrier role is an elevated extension of the Coordinator role. Key Carriers alternate their role based on store needs, predominantly performing the role of Coordinator and occasionally acting as Key Carrier, taking on a leadership role in maintaining all aspects of the store. Key Carriers must have open availability, including nights and weekends. Role models exceptional customer service.Creates a positive internal and external customer experiencePromotes a culture of honesty and integrity; maintains confidentialityActs as Manager on Duty adhering to company policy and procedureEnsures store team performs tasks and activities in accordance with store plan; prioritizes as neededAddresses immediate customer service issues and provides appropriate coaching to AssociatesExercises discretion regarding customer service policies to satisfy customersMaintains accurate Associate coverage in service areas for a positive customer experienceEnsures Associates adhere to all operational proceduresEnsures opening/closing procedures are executed according to company guidelinesCommunicates accurately and effectively with management and Associates when setting and addressing priorities; provides progress updatesProvides and accepts recognition and constructive feedbackProvides feedback, recognition and coaching to AssociatesPartners with Management on Associate training needs to increase effectivenessEnsures adherence to all labor laws, policies, and proceduresPromotes credit and loyalty programsSupports and participates in shrink reduction goals and programsPromotes safety awareness and maintains a safe environmentOther duties as assignedWho We’re Looking For: You.Able to work a flexible schedule, including nights and weekendsTeam player, working effectively with peers and supervisorsAble to respond appropriately to changes in direction or unexpected situationsKnowledge of company standard software, systems, and proceduresKnowledge of merchandise flow in storesProven problem solving skillsAble to effectively coach, delegate, and follow-up on multiple people/tasksAble to act quickly under challenging circumstancesCapable of multi-taskingSuperior communication and organizational skills with attention to detail1 year retail, 6 months leadership experienceBenefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral bonuses. Those who meet service or hours requirements are also eligible for: 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long term disability; paid parental leave; paid holidays/vacation/sick; auto/home insurance discounts; scholarship program; adoption assistance. All benefits are provided in accordance with and subject to the terms of the applicable plan or program and may change from time to time. Contact your TJX representative for more information.In addition to our open door policy and supportive work environment, we also strive to provide a competitive salary and benefits package. TJX considers all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status, or based on any individual's status in any group or class protected by applicable federal, state, or local law. TJX also provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.Address:4040 E Main StLocation:USA HomeGoods Store 1198 Ventura CAThis position has a starting pay range of $18.50 to $19.00 per hour. Actual starting pay is determined by a number of factors, including relevant skills, qualifications, and experience.
Part Time
6/1/2025
Camarillo, CA 93010
(19.6 miles)
$24.75 to $42.05 / hr
The pay range per hour is $24.75 - $42.05Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at .ALL ABOUT TARGETWorking at Target means helping all families discover the joy of everyday life. We bring that vision to life through our values and culture. ALL ABOUT GENERAL MERCHANDISEExperts of operations, process and efficiency who enable a consistent experience for our guests by ensuring product is set, merchandised and available, accurately priced and signed on the sales floor. The General Merchandise and Food Sales team leads inbound, outbound, replenishment, and promotional signing processes for all General Merchandise (GM) areas of the store. This team also leads inventory accuracy, merchandise set-up and pricing processes for all areas of the store. This team may also lead Food & Beverage and Food Service, providing a fresh and food safe experience. Experts enable efficient delivery of merchandise to our guests by owning pick, pack and ship fulfillment work. At Target, we believe in our leaders having meaningful experiences that help them build and develop skills for a career. The role of a General Merchandise Team Leader can provide you with the skills and experience of: Guest service fundamentals and experience building a guest first culture on your teamRetail business fundamentalsincluding: department sales trends, inventory management, guest shopping patterns, pricing and promotions strategies Leading a team by planning department(s) daily/weekly workload to support business priorities and deliver sales goals, with alignment from your direct leader, all while driving process improvements and enhancing workload efficiency.Leading a team of hourly team members; including skills in interviewing, developing, coaching, evaluating and retaining talent.Coaching and traininghourly team members to build a team of hourly team members with direction from your direct leaderAs a General Merchandise Team Leader, no two days are ever the same, but a typical day most likely willinclude the following responsibilities:Execute daily/weekly workload to deliver on department and store sales goals and guest engagement, including: merchandising, pricing, setting and updating merchandise salesfloor displays, sampling, promotions and price change.With guidance from your leader, educate your team on how operational procedures, such as setting up and organizing merchandise, managing product stock levels, and maintainingsales floor areas, affect inventory management, store profitability, and product availability.Help assess reporting to identify gaps in GM processes and assist to develop a plan to resolve for your direct leader to review and approve. Be an expert of operations, accuracy, process and efficiency.With your direct leader's guidance, assist with and lead the daily execution of tasks such as receiving products, restocking shelves, organizing the backroom, arranging merchandise, and putting up promotional signs for GM areas.With your direct leader’s guidance, assist and lead with the processes in inventory accuracy, merchandise set-up and maintenance, and pricing for all areas of the store.Assign daily tasks to TMs based on planned workload and guest traffic patterns, ensuring alignment with weekly and monthly business priorities set by your leader.With your direct leader’s guidance, help establish clear goals and expectations and hold team members accountable to expectations.With your direct leader’s guidance, help with efficient delivery to our guests by leading pick, pack and ship fulfillment work accurately(if applicable) and assess reporting in fulfillment to identify gaps and assist to develop a plan.Responsible for collaborating with all teams and leaders (including closing team) to identify key priorities and ensure the store is guestready in alignment with your leader’s direction.Stay informed about relevant trends and products to educate team members by relaying Target communications from available tools and resources during team connection moments.Evaluate candidates for open positions and develop a guest-centric team, as directed by your immediate leader.Modela culture of executing all best practices as outlined with team onboarding and learning; help close skill gaps through development, coaching and team interactions.Work a schedule that aligns to guest and business needs (this includes early morning, evening, overnight shifts and weekends).Support guest services such as back-up cashier, digital fulfillment processes while maintaining a compliance culture, including compliance with federal, state, and local adult beverage laws.Demonstrate inclusivity by valuing diverse voices and approaches, being authentic and respectful, and creating equitable experiences.Demonstrate a culture of ethical conduct, safety and compliance; lead and hold the team accountable to work in the same way.Lead and demonstrate a safety culture through modeling and recognizing safe behaviors, identifying and correcting hazards, holding team accountable to following safety expectations, assisting with incident response, and reporting/investigating injuries timely and accurately.Model the execution of physical security processes in order to enhance the instore security culture.Support merchandise protection strategies across the total store; including ordering, storage and application as directed by best practices.Model creating a welcoming experience by greeting guests as you and your team are completing your daily tasks.Demonstrate how to engage with guests when assistance is needed, engage with guests in a welcoming way, and help solve their specific needs.Lead by thanking guests and let them know we’re happy they chose to shop at Target.If applicable, as a key carrier, follow all safe and secure training and processes.Address all store emergency and compliance needs.All other duties based on business needsWHAT WE ARE LOOKING FORThis may be the right job for you if:You enjoy interacting and helping others - including guests that shop our store and fellow team members you work with. You thrive in a fast-moving, highly active and physically demanding role, where teamwork, flexibility, and creative problem solving are key to success. You are open to working a flexible work schedule with varying hours, days or shifts (including nights, weekends, holidays and other peak shopping times).The good news is that we have some amazing training that will help teach you everything you need to know to be a General Merchandise Team Leader. But, there are a few things you need from the get-go:High school diploma or equivalentAge18 or olderPrevious retail experience preferred, but not requiredAbility to:Lead and hold others accountableCommunicate on multiple frequency devices and operate handheld scanners, and other technology equipment as directedWork independently and as part of a teamManage workload and prioritize tasks independentlyCapability to remain focused and composed in a fast-paced environment and accomplish multiple tasks within established timeframesWelcoming and helpful attitude toward all guests and other team membersEffective communication skills We are an awesome place to work and care about our teams, so we want to make sure we are clear on a few more basics that we expect: Access all areas of the building to respond to guest or team member issuesInterpret instructions, reports and informationAccurately handle cash register operations as neededClimb up and down laddersas neededScan, handle and move merchandise efficiently and safely, including frequently lifting or moving merchandise up to 44 pounds Flexible work schedule (e.g., nights, weekends and holidays); reliable and prompt and regular attendance necessaryCapable of working in and exposure to varying temperatures, humidity, and other elements while performing certain job duties including but not limited to Drive-Up, carryout, etc.Ability to remain mobile for the duration of a scheduled shift (shift length may vary).Target will consider for employment qualified applicants with criminal histories in a manner consistent with the San Francisco and City of Los Angeles Fair Chance Ordinances.Benefits EligibilityPlease paste this url into your preferred browser to learn about benefits eligibility for this role: https://tgt.biz/BenefitsForYou_C | Pegue esta URL en su navegador preferido para obtener información sobre la elegibilidad de este puesto para recibir beneficios: https://tgt.biz/BenefitsForYou_CAmericans with Disabilities Act (ADA)Target will provide reasonable accommodations with the application process upon your request as required to comply with applicable laws. If you have a disability and require assistance in this application process, please visit your nearest Target store or reach out to Guest Services at 1-800-440-0680 for additional information.
Full Time
5/29/2025
Long Beach, CA 90802
(40.6 miles)
Your Role The Promise Health Plan Medical Director provides clinical leadership within the Blue Shield Promise Office of the CMO. The Medical Director’s duties include oversight and management of the clinical processes in support of member health initiatives, utilization management, care and case management, and clinically related functions. These functions include performance of pre-service, concurrent and retrospective utilization review, and retrospective provider claims dispute reviews. The Medical Director also provides physician oversight and support for various aspects including, but not limited to, Appeals and Grievances, provider dispute resolution, and peer review.Moreover, the Promise Chief Medical Officer will assign or delegate the Medical Director to lead or meaningfully contribute to Promise Health Plan priorities and transformative initiatives that continue to improve the health and wellbeing of Promise Health Plan members. The Medical Director serves as a role model for other clinical staff and is a knowledgeable resource in Medi-Cal and Medicare regulatory requirements,NCQA guidelines, measurement of health care quality (HEDIS and CAHPS) and California Department of Health Care Services’ population health strategies to reduce health care inequities in vulnerable populations and communities of color.The Blue Shield Promise Medical Director works collaboratively with Blue Shield’s Medical Care Services (MCS)and other appropriate departments across product lines to identify and address opportunities to improve service, reduce administrative cost and support department and organizational business goals. Finally, at the direction of the Promise Chief Medical Officer or VP, Medical Director, Medical Management, the Medical Director will be responsible for engaging in organization-wide quality improvement efforts and promoting a culture of continuous improvement throughout the organization and contracted provider partners in each regional market.Your Work In this role, you will: Complete clinical reviews (pre-service authorizations, concurrent review, provider claims disputes or others) within standards of care, regulatory, and compliance standards.Provide clinical review and resolution of appeals and grievances cases within compliance standards.Support process improvement and optimization efforts.Participate and lead discussions in cross-functional forums such as long-length of stay rounds, interdisciplinary care rounds, and assisting case management and other departments as needed.Serve as a clinical, regulatory, and quality improvement resource and clinical thought leader within the organization and externally with provider groups and community partners.Support Chief Medical Officer, VP Medical Director, Medical Management, and Senior Medical Director in strategic initiatives by proposing clinical initiatives, providing expert input, shaping the strategy, and/or serving as the initiative driver.Understand and abide by all departmental policies and procedures as well as the organization’s Standards of Conduct and Corporate Compliance Program.Attend mandatory Corporate Compliance Program education sessions, as required for this position, including the annual mandatory Standards of Conduct class.Participate in medical director on-call schedule including weekends, holidays and evenings.Any other duties assigned by CMO and/or VP Medical Director, Medical Management and/or Senior Medical Director.Your Knowledge and Experience Medical degree (M.D./D.O.)Maintain active, unrestricted California State Medical License required; Maintain active, unrestricted Medical License in all additional assigned states requiredCompleted residency preferably in adult based primary care specialty (e.g., Internal medicine, Family practice)Minimum 5 years direct patient care experience post residencyMaintain Board Certification in one of ABMS or AOA recognized specialty required (preferably Internal Medicine or Family Practice)Demonstrated proficiency in at least three of the following: (MEDICARE/MEDICARE STARS, Dual Special Needs Plan (D-SNP), MEDI-CAL, NCQA/URAC/Quality Programs, Policies/Procedure development, Clinical Subject Matter Expert for Litigation, SIU/Waste/Fraud/Abuse, Appeals/Grievances, Case Management/Population Health, Federal Employee Program (FEP), Education/Training (DELIVERS CME, CEU), Quality Improvement and/or Requirements for Behavioral HealthExperience with working in and/or with a Health Plan setting is preferred.Knowledge of Medi-Cal regulatory requirements, benefits and available resources is preferred.Knowledge of the wide ranges of psychosocial challenges, social determinants and health care inequities in diverse communities.Comfortable with written and verbal communication skills, analytical, time management and organizational skills. Proficient with computer programs such as Microsoft Excel, Outlook, Teams, Word, and PowerPoint.
Full Time
6/1/2025
Van Nuys, CA 91405
(18.5 miles)
Description & Requirements Description Sign-On Bonus:$750Compensation: $26 - $32 Per Hour-Full time, based upon experiencePromotion opportunity to Program Supervisor (salaried) based upon experienceBenefits of Working at Intercare:Monthly Bonuses!Flexible work schedule with a focus on work/life balance; Manage your own scheduleMileage reimbursement, a company computer and cell phoneEducation tuition reimbursement program (Masters & BCBA)!Leadership training and CEUs - we will teach how to become a better leader!Medical, Dental, and Vision insuranceGenerous time off policy (vacation, sick time, and holidays)Company 401k PlanOutstanding mentorship and supportive environment for continual learningRequired Credentials/Experience:Completed Master’s degree in relevant fieldIn progress with BCBA preferredStrong ABA and clinical skillsExcellent written and spoken communication, time management skills, and interpersonal skillsAbility to give and receive constructive feedback with a team player attitudeBilingual skills valuedJob DescriptionIntercare Therapy provides evidence-based behavioral therapies that help children overcome challenges related to autism spectrum disorders. Our mission is to optimize the independence and quality of life of our clients and their families. We love what we do, and we are seeking team members who share our passion for improving the lives of children and families affected by autism.AProgram Managerserves in the field as the onsite case supervisor and leader, mastering daily case management skills, including developing and overseeing clinical programs, supervising BIs and providing education and training for client caregivers. You must be willing to drive 30 to 60 miles a day, andable to supervise client sessions anytime between 8AM and 6PM on weekdays, and occasionally on weekends.We are proud to be the highest rated established ABA organization on Glassdoor! Check out our rankings and reviews on Glassdoor!Learn more about us on You Tube!This position may require the candidate be fully vaccinated for COVID-19 in accordance with all vaccination requirements set forth by Intercare funding sources and pursuant to any guidelines from the California Department of Health.Closing:If you have experience in any of the following fields, we encourage you to apply:Behavior Analyst, Autism, Social Learning, Social Skills, Developmental Condition, Psychology, Sociology, Social Services, Children, ABA, Applied behavior analysis, BCBAIntercare Therapy will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.Intercare Therapy supports a diverse workforce and is an Equal Opportunity Employer.
Full Time
5/29/2025
Long Beach, CA 90802
(40.6 miles)
Your Role Work schedule is Mon-Fri 10am- 7pm The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians. The Regional Registered Nurse Case Manager will report to the FEP Care Management Department Manager. In this role you will determine, develop, and implement a plan of care based on accurate and comprehensive assessment of the member’s needsYour WorkIn this role, you will:Coordinate care for lower level of care such Skilled Nursing Facility, Home Health, Home Infusion, Acute Rehab, Long-term Acute Care Hospital, Hospice, and other community program as appropriatePerform effective discharge planning and collaborate with member’s support system and health care professionals involved in the continuum of careProvides disease management education on core chronic conditions (Diabetes, Heart Failure, COPD, Asthma and Coronary Artery Disease). Outreach to members with HEDIS Care Gaps to assist with closureApply detailed knowledge of FEP PPO and Blue Shield of California's established medical/departmental policies, clinical practice guidelines, community resources, contracting and community care standards to each caseResearch and design treatment/care plans to promote quality of care, cost effective health care services based on medical necessity complying withcontract for each appropriate plan typeProvide Referrals to QualityManagement (QM), Disease Management (DM) and Appeals and Grievance department (AGD)Recognize the clients right to self-determination as it relates to the ethical principle of autonomy, including the client/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare teamDesign appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access and cost-effective outcomesInitiate and implement appropriate modifications in plan of care to adapt to changes occurring over time and through various settingsMust be able to sit for extended periods of time and read information on one computer screen and apply that information on a second computer screen to complete documentationYour Knowledge and ExperienceRequires a current CA RN License.Bachelor of Science in Nursing or advanced degree preferredCertified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirementsRequires at least 5 years of prior experience in nursing, healthcare or related field3+ years managed care experience preferred.Comprehensive knowledge of case management, discharge planning, utilization management, disease management and community resources preferredBehavioral health, oncology, or OB/NICU/pediatrics experience preferredStrong electronic clinical documentation skills, independent problem identification and resolution skillsKnowledge of coordination of care, prior authorization, level of care and length of stay criteria sets desirableCompetent understanding of NCQA and federal regulatory requirementsDemonstrate leadership, project management and program evaluation skills and ability to interact with all levels including senior management and influence decision-makingDemonstrates professional judgment, and critical thinking, to promote the delivery of quality, cost-effective care. This judgment is based on medical necessity including intensity of service and severity of illness within contracted benefits and appropriate level of care
Full Time
6/1/2025
Van Nuys, CA 91405
(18.5 miles)
Description & Requirements Description Sign-On Bonus:$750Compensation: $26 - $32 Per Hour-Full time, based upon experiencePromotion opportunity to Program Supervisor (salaried) based upon experienceBenefits of Working at Intercare:Monthly Bonuses!Flexible work schedule with a focus on work/life balance; Manage your own scheduleMileage reimbursement, a company computer and cell phoneEducation tuition reimbursement program (Masters & BCBA)!Leadership training and CEUs - we will teach how to become a better leader!Medical, Dental, and Vision insuranceGenerous time off policy (vacation, sick time, and holidays)Company 401k PlanOutstanding mentorship and supportive environment for continual learningRequired Credentials/Experience:Completed Master’s degree in relevant fieldIn progress with BCBA preferredStrong ABA and clinical skillsExcellent written and spoken communication, time management skills, and interpersonal skillsAbility to give and receive constructive feedback with a team player attitudeBilingual skills valuedJob DescriptionIntercare Therapy provides evidence-based behavioral therapies that help children overcome challenges related to autism spectrum disorders. Our mission is to optimize the independence and quality of life of our clients and their families. We love what we do, and we are seeking team members who share our passion for improving the lives of children and families affected by autism.AProgram Managerserves in the field as the onsite case supervisor and leader, mastering daily case management skills, including developing and overseeing clinical programs, supervising BIs and providing education and training for client caregivers. You must be willing to drive 30 to 60 miles a day, andable to supervise client sessions anytime between 8AM and 6PM on weekdays, and occasionally on weekends.We are proud to be the highest rated established ABA organization on Glassdoor! Check out our rankings and reviews on Glassdoor!Learn more about us on You Tube!This position may require the candidate be fully vaccinated for COVID-19 in accordance with all vaccination requirements set forth by Intercare funding sources and pursuant to any guidelines from the California Department of Health.Closing:If you have experience in any of the following fields, we encourage you to apply:Behavior Analyst, Autism, Social Learning, Social Skills, Developmental Condition, Psychology, Sociology, Social Services, Children, ABA, Applied behavior analysis, BCBAIntercare Therapy will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.Intercare Therapy supports a diverse workforce and is an Equal Opportunity Employer.
Full Time
6/1/2025
Van Nuys, CA 91405
(18.5 miles)
Description & Requirements Description Sign-On Bonus:$750Compensation: $26 - $32 Per Hour-Full time, based upon experiencePromotion opportunity to Program Supervisor (salaried) based upon experienceBenefits of Working at Intercare:Monthly Bonuses!Flexible work schedule with a focus on work/life balance; Manage your own scheduleMileage reimbursement, a company computer and cell phoneEducation tuition reimbursement program (Masters & BCBA)!Leadership training and CEUs - we will teach how to become a better leader!Medical, Dental, and Vision insuranceGenerous time off policy (vacation, sick time, and holidays)Company 401k PlanOutstanding mentorship and supportive environment for continual learningRequired Credentials/Experience:Completed Master’s degree in relevant fieldIn progress with BCBA preferredStrong ABA and clinical skillsExcellent written and spoken communication, time management skills, and interpersonal skillsAbility to give and receive constructive feedback with a team player attitudeBilingual skills valuedJob DescriptionIntercare Therapy provides evidence-based behavioral therapies that help children overcome challenges related to autism spectrum disorders. Our mission is to optimize the independence and quality of life of our clients and their families. We love what we do, and we are seeking team members who share our passion for improving the lives of children and families affected by autism.AProgram Managerserves in the field as the onsite case supervisor and leader, mastering daily case management skills, including developing and overseeing clinical programs, supervising BIs and providing education and training for client caregivers. You must be willing to drive 30 to 60 miles a day, andable to supervise client sessions anytime between 8AM and 6PM on weekdays, and occasionally on weekends.We are proud to be the highest rated established ABA organization on Glassdoor! Check out our rankings and reviews on Glassdoor!Learn more about us on You Tube!This position may require the candidate be fully vaccinated for COVID-19 in accordance with all vaccination requirements set forth by Intercare funding sources and pursuant to any guidelines from the California Department of Health.Closing:If you have experience in any of the following fields, we encourage you to apply:Behavior Analyst, Autism, Social Learning, Social Skills, Developmental Condition, Psychology, Sociology, Social Services, Children, ABA, Applied behavior analysis, BCBAIntercare Therapy will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.Intercare Therapy supports a diverse workforce and is an Equal Opportunity Employer.
Full Time
6/1/2025
Van Nuys, CA 91405
(18.5 miles)
Description & Requirements Description Sign-On Bonus:$750Compensation: $26 - $32 Per Hour-Full time, based upon experiencePromotion opportunity to Program Supervisor (salaried) based upon experienceBenefits of Working at Intercare:Monthly Bonuses!Flexible work schedule with a focus on work/life balance; Manage your own scheduleMileage reimbursement, a company computer and cell phoneEducation tuition reimbursement program (Masters & BCBA)!Leadership training and CEUs - we will teach how to become a better leader!Medical, Dental, and Vision insuranceGenerous time off policy (vacation, sick time, and holidays)Company 401k PlanOutstanding mentorship and supportive environment for continual learningRequired Credentials/Experience:Completed Master’s degree in relevant fieldIn progress with BCBA preferredStrong ABA and clinical skillsExcellent written and spoken communication, time management skills, and interpersonal skillsAbility to give and receive constructive feedback with a team player attitudeBilingual skills valuedJob DescriptionIntercare Therapy provides evidence-based behavioral therapies that help children overcome challenges related to autism spectrum disorders. Our mission is to optimize the independence and quality of life of our clients and their families. We love what we do, and we are seeking team members who share our passion for improving the lives of children and families affected by autism.AProgram Managerserves in the field as the onsite case supervisor and leader, mastering daily case management skills, including developing and overseeing clinical programs, supervising BIs and providing education and training for client caregivers. You must be willing to drive 30 to 60 miles a day, andable to supervise client sessions anytime between 8AM and 6PM on weekdays, and occasionally on weekends.We are proud to be the highest rated established ABA organization on Glassdoor! Check out our rankings and reviews on Glassdoor!Learn more about us on You Tube!This position may require the candidate be fully vaccinated for COVID-19 in accordance with all vaccination requirements set forth by Intercare funding sources and pursuant to any guidelines from the California Department of Health.Closing:If you have experience in any of the following fields, we encourage you to apply:Behavior Analyst, Autism, Social Learning, Social Skills, Developmental Condition, Psychology, Sociology, Social Services, Children, ABA, Applied behavior analysis, BCBAIntercare Therapy will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.Intercare Therapy supports a diverse workforce and is an Equal Opportunity Employer.
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