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Full Time
6/23/2025
Newcastle, CA 95658
(0.5 miles)
Your Role The Medical Director, National Accounts position is dedicated to supporting the promotion of growth and increased market share of the National Accounts and the Administrative Services Only (ASO) business. This includes strategic clinical and healthcare cost management guidance for the existing Blue Shield of CA book of business. This position will report directly to the VP, CMO, Commercial Markets. This position provides clinical direction to the sales team and sales processes and interacts directly with employers and consultants. This role will be at the center of driving strategy for how to reduce cost of care, while providing client advisory services, increasing engagement, and improving the quality of care & population health for our employers’ membership.Your Work In this role, you will: Lead client and producer facing activities including finalist presentations and account services meetings, broker and consultant meetings, meetings with Mercer, WTW, Aon, etc. Actively participate in and guide the preparations and the actual client meetings. Other activities include interpreting clinical data for employers at regular or pre-determined intervals, reviewing cost/spending trends, making recommendations on improving member engagement and population health. You will work diligently both internally and externally to develop, refine, and expertly communicate the BSC Clinical Value Proposition.Work collaboratively with other Healthcare Solutions and BSC staff to quickly resolve client service issues, with particular emphasis on clinical issues. Be available to talk with key account members about their issues and the solutions.Act as a strategic thought-partner for key clients (e.g. UC, Stanford, CalPERS) who want best-in-class medical, health and wellness programs.Responsible for the planning, development, and leading the delivery of Healthcare Solutions related materials to clients, producers and business associations that describe and explain the operational details and value of Healthcare Solutions capabilities, services and programs. Includes working with the Health Data Reporting teams to analyze data trends and develop external customer reports.Support other ASO Line of Business activities such as: business planning, business development, and designing and implementing innovations to address market needs.Your Knowledge and Experience Medical Degree (M.D./D.O.)Completed residency preferably in adult based primary care specialty (e.g. internal medicine, family practice)Active, unrestricted California State Medical LicenseMinimum 10 years managed care experience requiredAt least five years clinical experience requiredExperience with California managed care marketplace is requiredPrevious experience in national, complex account management support is requiredExperience supporting Administrative Services Only (ASO) lines of business is preferredPrevious experience in a similar sales role preferredPrior experience as a people manager preferredExcellent verbal and written communication skills, including ability to speak comfortably and extemporaneously to diverse audiencesAbility to explain program, clinical, operational, and quantitative information in a business-like, clear, coherent, and comprehensible wayStrong quantitative and analytic skills working with claims, operational, and clinical data and reportsExcellent interpersonal communication skills, including active listening, self-management and awareness, emotional intelligence, and ability to flex interpersonal style situationalDemonstrated ability to model a collaborative approach with internal and external stakeholdersStrong negotiation and creative problem-solving skillsStrong skills with Microsoft Office Suite, including PowerPoint, Excel, Word and Outlook
Full Time
7/6/2025
Sacramento, CA 95814
(27.6 miles)
At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Do you have a passion for engaging with people and helping them on their journey to better health Signify Health, part of CVS Health®, is seeking a Clinician (Nurse Practitioner, Physician Assistant or Physician) to provide In-Home Health Evaluations, engaging with people in the comfort of their own homes and helping bridge gaps in care.You’ll play a critical role in building trusted relationships to make people healthier, helping bring flexible, comprehensive and personalized health evaluations right to people’s front doors.Job highlightsThe visit, which lasts about 45 minutes, allows for time to connect one-on-one and answer health questions. It includes a medication and medical history review, a physical evaluation, and, if ordered by the person’s health plan, additional diagnostic tests (i.e., diabetic eye exams, spirometry, etc.). You’ll use an iPad and an intuitive clinical workflow for each evaluation and are not required to prescribe medicine, order lab tests or alter people’s current treatment regimen.In this role, you will:Bring your heart into every visit, joining a national network of purpose-driven clinicians dedicated to improving health outcomesBe part of our efforts to visit millions of people nationwide with the goal of providing connections to the right care for people’s unique needsWork with Signify Health as a clinician colleague, fulfilling the requirements of the specified roleBe flexible to travel locally and within licensed states, as neededConduct virtual visits as neededProvide all Signify Health services as indicated including Diagnostic & Preventive Services products (i.e., spirometry, DEE, bone density screening, etc.)Why Clinicians Enjoy Working with Signify Health“I love seeing health plan members at home. You get a better picture of their health when you see where they live.” - Erica R., PA“At Signify Health, we have the time to help people and to truly listen to their questions and concerns. We can help guide them so they can take better care of themselves. We really can make a change in communities.” - Ali B., NP“The primary care physician gets a snapshot of a person in an office setting, but with Signify Health, we see things like the number of steps to enter their home, the state of disrepair those steps may be in, and the person’s ability to function comfortably and with ease in their own home. We can make referrals to the individual’s health plan, encourage the participation of their loved ones, and ensure their PCPs are aware of their health and overall quality of life.” - C.H., MD“I like how Signify Health manages my experience. I’m just doing the clinician part of my job without all the administrative responsibilities. I have the time to provide education so people have a better understanding of their health. I can answer their questions without rushing out the door.” - Andrew K., PAFull-time and Part-time benefits will vary based on employment status::Health, dental and vision insurancePaid time offAnnual CEU allowance401KSupplies and other perksMalpractice coverageRequired & Preferred Qualifications:Active, unrestricted license(s) in coverage area(s)Board certification (required for NP/PA)Multi-state licenses (preferred)Able to cover the following primary locations: Sacramento and surrounding areaAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$95,738.00 - $374,920.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.For more information, visithttps://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 08/31/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Full Time
7/1/2025
Carmichael, CA 95608
(19.7 miles)
Physical Therapist - OtherWe are seeking a versatile and skilled Physical Therapist to join our team. In this role, you will provide specialized physical therapy services tailored to unique patient populations or settings, helping individuals improve mobility, manage pain, and regain independence.Key Responsibilities:Evaluate patients to determine their physical therapy needs and create individualized treatment plans.Implement therapeutic exercises, manual therapy techniques, and other interventions to address patients' specific conditions.Educate patients and caregivers on exercises, lifestyle changes, and techniques to promote recovery and prevent future injuries.Collaborate with other healthcare professionals to ensure comprehensive patient care.Document patient progress and adjust treatment plans as necessary to achieve optimal outcomes.Adapt therapy approaches based on the unique requirements of the setting or patient population.Work Environment:Provide care in diverse settings such as home health, schools, community programs, or specialized facilities.Work in a dynamic environment requiring adaptability and innovative problem-solving skills.Collaborate with multidisciplinary teams to deliver holistic care tailored to individual needs.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth through specialized training and certifications.A supportive work environment focused on collaboration and innovation in patient care.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*
Full Time
7/1/2025
Sacramento, CA 95817
(28.1 miles)
We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: The Operating Room (OR) Nurse will provide care for patients before, during and after surgery. They will also, educate the patient, circulating nurse and/or scrub nurse, and potentially RN first assistant or operating room director. *Weekly amount stated in the job postings is scaled based on estimated hourly wages and potential stipends available for the location of the assignment. Hourly wages are based on various factors including but not limited to: experience, demand, availability, location, etc. Please contact one of our amazing OneStaff Recruiting Specialists for more details. **Equal Opportunity Employer** BENEFITS: Insurance We provide group benefits for Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, and Identity Theft Protection. 401K You are eligible to enroll 1st of the month following hire date. We match 100% of your first 3% of deferrals and an additional 50% of the next 2% you contribute. Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.
Full Time
6/29/2025
Sacramento, CA 95829
(29.8 miles)
Overview: Sonrava Health is in search of a passionate full time General Dentist who loves to ONLY treat children for our offices in Sacramento, CA. If you are a dedicated Dentist looking for an exciting opportunity to make a difference in children's oral health, we have the perfect position for you!At Sonrava Health, we are committed to being a Dental Home for our patients, offering a lifetime of comprehensive services. Our Pediatric Dentists, like you, play a crucial role in realizing this vision by providing top-notch treatment in our fully-equipped dental facilities, complemented by our well-trained support staff.We pride ourselves on offering a range of Corporate Support Departments, including Billing, Quality Management, Procurement/Facilities, Human Resources, and IT. These departments are dedicated to providing you and the offices you work at with top-tier administrative and technological support. In the field, our clinical and operational management teams are focused on ensuring your days are efficiently scheduled so you can maximize your production.What We Offer:A consistently fully booked patient schedule.Responsibilities:As a Pediatric Dentist at Sonrava Health, you will:Collaborate closely with other specialists and general dentists to deliver optimal dental care for children.Be adaptable and available to travel to various dental practices in your local area.Perform a range of pediatric dental procedures, including but not limited to:ProphylaxisStainless Steel CrownsPulpotomyFillingsSealantsImmigration Sponsoring Programs:For eligible candidates, we offer Immigration Sponsoring Programs, including OPT, H-1B, TN, and Green Card sponsorship in select regions.Benefits:We value our Pediatric Dentists and provide a competitive benefits package, including:Guaranteed Daily Base Rates plus lucrative incentive programs.Part-time positions available, including 1099 options.Company Paid Professional Liability Insurance.Company Paid Continuing Education courses.401(k) retirement savings plan.Healthcare benefits for full-time providers.Join Sonrava Health and contribute to our mission of providing exceptional dental care to children. If you are a dedicated Pediatric Dentist seeking an exciting career opportunity in Bakersfield and Fresno, CA, apply today to be part of our team. Qualifications: We'll need you to provide:• Must have a current dental license for the state in which you wish to practice - New Grads Welcome!• Nitrous Sedation Certificate per State requirement• Current CPR Card• NPI Number• DEA Certificate
Full Time
6/22/2025
Marysville, CA 95901
(28.4 miles)
ABOUT USTogether, we are the Epic Special Education Staffing family and family is how we view each member of this incredible community. From our family to the nation’s schools, we remain focused on providing a world of opportunities for you to leverage your abilities and make an impact on special education. Apply today!POSITION DESCRIPTIONEpic Special Education Staffing is partnering with an exceptional school district who is looking for a contract School Certified Occupational Therapist Assistant (COTA) for the 2025 - 2026 school year.·Duration: 8/11/2025 - 06/04/2026·Location: Marysville, CA·Location Type: On-Site·Schedule: Full Time·Hours: 30.00·Grade/Age Levels: Elementary School;High School;Kindergarten;Middle School·Weekly Pay Range: $36.00 - $41.40 per hour on a local contractBENEFITSWe offer a variety of benefits for you and your loved ones. As a valued and respected part of the Epic family, you will enjoy:·Competitive compensation packages for both local and travel contracts·Medical, Dental, and Vision benefits·Infertility & Domestic Partner Coverage·Summer Insurance Coverage·PTO & Holiday Pay·401K matching·Wellness and Employee Assistance Program (EAP)·CEU & license reimbursements·Referral bonuses of $1000QUALIFICATIONSThe minimum qualifications for School Certified Occupational Therapist Assistant (COTA):·1 year of verifiable, professional experience as School Certified Occupational Therapist Assistant (COTA) within the last 3 years (may include residency or clinical practicum)·Valid School Certified Occupational Therapist Assistant (COTA) credential/license or in process in state of practice·Employees must be legally authorized to work in the United States and will be asked for proof upon hire. We are unable to sponsor or take over sponsorship of an employment Visa at this time.·We will consider all qualified applicants for employment, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws.·Epic Staffing Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, housing, age, disability or genetics.At Epic Special Education Staffing, you will have the opportunity to apply your unique experience and expertise with school-based special education as your singular focus. We offer stimulating and rewarding careers that provide an opportunity to make a difference in a child's life! Earn more for referring your friends! For a limited time, we are increasing our Referral Bonus for select positions! You could receive up to $2,250 bonus and a $250 charitable contribution! Submit your referrals by October 31, 2025, and ensure your friend begins their contract during the 2025-2026 school year to qualify.By applying for this position, you agree that any calls from Epic Staffing Group and its subsidiaries may be monitored or recorded for training and quality assurance purposes.
Full Time
7/6/2025
Roseville, CA 95661
(11.6 miles)
Travel PICU RNCompany: Fusion Medical StaffingLocation: Facility in Roseville, CAJob DetailsFusion Medical Staffing is seeking a skilled PICU RN for a 13 week travel assignment in Roseville, CA. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.Required Qualifications:One year of recent experience as a PICU RNValid RN license in compliance with state regulationsCurrent BLS (AHA/ARC) CertificationPALS (AHA/ARC) or ENPC certificationPreferred Qualifications:ACLS (AHA/ARC) CertificationCCRN CertificationOther certifications and licenses may be required for this positionSummary:The PICU Registered Nurse provides advanced specialized care to critically ill infants, children, and adolescents in high acuity settings. This role includes comprehensive patient assessment, implementing complex care plans, administering treatments, and collaborating with multidisciplinary healthcare teams to ensure high-quality, patient-centered care in a fast-paced, high-acuity environment. The position requires strong pediatric critical care skills, advanced clinical judgment, excellent communication, and a commitment to maintaining the highest standards of patient safety and professional ethics in pediatric intensive care.Essential Work Functions:Explain procedures and treatments to pediatric patients and their families to ensure understanding, cooperation, and emotional support during critical situationsAdministers prescribed medications and treatments in accordance with approved pediatric nursing techniques and protocolsPrepares and operates advanced medical equipment, including ventilators, central line setups, and hemodynamic monitors, while assisting physicians during treatments and examinationsContinuously observes and evaluates patient conditions, records significant findings, and promptly notifies physicians of critical changes or adverse reactions to treatmentsMonitors and interprets vital signs and other clinical data to detect deviations from normal, initiating rapid interventions when necessaryResponds to life-saving situations based upon pediatric nursing standards, policies, procedures, and protocols specific to intensive careInitiates a patient education plan according to the individualized needs of the patient and family, as prescribed by a physician and/or hospital policyDocument all relevant history and physical assessments for assigned patients accurately in medical recordsPerform other duties as assigned within the scope of practiceAdhere to hospital safety protocols, infection control guidelines, and regulatory standardsRequired Essential Skills:Critical thinking, service excellence and good interpersonal communication skillsThe ability to read, write, & communicate in the English language is requiredAbility to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skillsPhysical Abilities - Remain in a stationary position, move about, move equipment (50-100lbs), pushing, pulling, bendingInterpersonal Skills - To work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalismTechnical/Motor Skills - Ability to grasp, fine manipulation, pushing/pulling and able to move about when assisting with procedures and/or using department equipment.Mental Requirements - Must be able to cope with frequent contact with the general public, customers, and meeting deadlines under pressure. Must be able to work under close supervision occasionally as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detailSensory - Visual acuity, ability to effectively communicate.Benefits Include:Highly competitive pay for travel professionalsComprehensive medical, dental, and vision insurance with first day coveragePaid Time Off (PTO) after 1560 hoursLife and Short-term disability offered401(k) matchingAggressive Refer-a-friend Bonus Program24/7 recruiter supportReimbursement for licensure and CEUsWhy Choose Fusion At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you that’s why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we’re here to guide and celebrate you along your journey. You take care of others; we take care of you.Other Duties Disclaimer:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.Start your rewarding career as a Travel PICU RN with Fusion Medical Staffing and join our mission to improve lives. Apply now!*Fusion is an EOE/E-Verify Employer #pb13
Full Time
6/10/2025
Cameron Park, CA 95682
(19.1 miles)
Overview: Licensed Certified Occupational Therapy Assistant (COTA) - Care Coordination ProgramOccupational Therapy + Care Coordination: The Best of Both Worlds!We’re looking for Certified Occupational Therapy Assistants to support our innovative new care coordination program! This opportunity empowers you to practice at the top of your license, while giving you the chance to branch out into care coordination duties designed to standardize your hours and grow your career. All this plus truly flexible scheduling, amazing benefits, and the ability to make a huge difference in the lives of seniors! Responsibilities: The OpportunityWe are hiring a licensed Clinical Occupational Therapy Assistant (COTA) to join our team and work with the residents of a senior living community that offers one or more of the following care settings: independent living, assisted living, and memory care. Therapy services for the residents at this community are covered by private insurance and/or Medicare Part B. As a COTA, you will be responsible for: Providing occupational therapy and wellness services for older adults under the supervision of a OT as part of a multidisciplinary teamSupport care coordination efforts by conducting regular wellness checkpoint visits with patients, communicating with patients’ providers and caregivers, and assisting patients with attending telehealth visitsMaintaining professional practices and ethical standards in accordance with company-wide policies and clinical initiativesContributing to program development, quality improvement, and problem-solvingAssist with optimizing each patient’s functional well-being and satisfactionYour ScheduleWhile our clinics typically operate 8 a.m. to 5 p.m. Monday through Friday, our flexible scheduling lets you craft a schedule that’s suited to your unique lifestyle!Our Amazing BenefitsAll Employees Get: Fun at Work, a Team You’ll Love, and a Culture You Can Stand Behind! 401(k) Eligibility with Opportunity for Matching FundsAmazing Career Advancement and Cross Training OpportunitiesRecognition ProgramsEmployee Assistance ProgramPart-Time Employees Also Get:Voluntary Benefits (Accident, Critical Illness, Hospital Indemnity, Identity Theft, Pet Protection)Full-Time Employees Also Get:Full Benefits, including HSA, FSA, and Life & Disability InsuranceVoluntary Benefits (Accident, Critical Illness, Hospital Indemnity, Identity Theft, Pet Protection)Flexible Paid Time OffYou’re Our Perfect Fit If...You’re energetic, dedicated, and hard-wired to help others – especially seniors. You want to make a difference in the world and help others lead fuller, healthier lives. You want more than just a jobyou seek a calling – a mission you can feel great about. And you want a support system to ensure your career ascends to the highest of heights.Plus, you have the following: Completion of an accredited Occupational Therapy Assistant program (New Grads Welcome) Current COTA state licensure Excellent verbal and written communication skills A results-oriented mindset with a dash of critical thinking Tech-savvy skills – quick learners are our favorite kind! Professional curiosity and a knack for finding solutionsCome be a part of our mission to make a positive impact on the lives of seniors. Apply today Qualifications: About EmpowerMe WellnessEmpowerMe Wellness is on a mission to improve the lives of seniors and the communities they call home! We provide fully integrated healthcare to senior living communities nationwide, offering on-site care coordination, therapy, and pharmacy services. Our experienced team of more than 3,500 clinicians and professionals provide personalized health and wellness solutions that lead to healthier, happier tomorrows!To learn more about us, visit empowerme.com today.This employer is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the employer will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective employees and incumbents to discuss potential accommodations with the employer. Compensation: $33.00 - $47.00 per hour
Full Time
6/23/2025
Newcastle, CA 95658
(0.5 miles)
Your Role Reporting to the Manager, Care Management- Behavioral Health, the Behavioral Health Care Management Clinician, Seniorhelps members with behavioral health needs navigate the health care system for linkages to behavioral health providers, treatment, and programs. The Behavioral Health Care Manager will offer support in assessing members’ emotional and psychological well-being and providing resource coordination, crisis intervention, substance abuse, and with any behavioral or mental health referrals. The Behavioral Health Care Management Clinician, Senior will be available to physicians and nurse care managers as a consultant for patients with complex psychosocial needs. The position requires an intensive focus on crisis intervention and counseling, problem-solving and conflict resolution, patient and family management, interdisciplinary collaboration, psychosocial assessments, education, advocacy, and community resource linkages.Your Work In this role, you will: Collaborate with case managers and other team members tocomplete member assessments related to social and resource needs tosupportmemberaccess to servicesCollaborate with service coordination staff and act as liaison to ensure a timely and accurate response to member needsCollaborate with providers to support members’ treatment plan and care needsRecognize the client’s 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 teamAssessmembers health behaviors, cultural influences and clients belief/value systemand evaluates all information related to current/proposed treatment plan and in accordance with clinical practice guidelines to identify potential barriersEfficiently manages and maintains a caseload of members for behavioral health care coordination and or BH case management for persons experiencing severe and persistent mental illness.Maintains an active workload in accordance with National Care Manager performance standards.Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.Interacts with Utilization department and Physician Advisors to discuss clinical questions and concerns regarding specific cases.Coordinates services with state and community programs on behalf of the member, particularly when the member is unable to effectively do so independentlyAs a mandated reporter, files and follows-up on reports made to the appropriate government agency (e.g., Adult Protective Services, Child Protective Services, etc.)Actively participates in Interdisciplinary Team Meetings and case consultations with Licensed Manager.)Your Knowledge and Experience Current unrestricted CA License (LCSW, LMFT, LPCC, Registered Nurse (RN), or PsyD by the Board of Behavioral Health Sciences requiredAdvanced degree commensurate with field is preferredRequires at least five (5) years of prior relevant experience, including three (3) years of experience in behavioral health.Certified Case Manager preferredExperience conducting thorough psychosocial assessments, developing care plans and providing necessary interventions identified during assessment with complex client populations that may have, among other things, inadequate coping skills, severe emotional disorders, developmental disabilities, mental illnesses, and/or unstable housingConsiderable knowledge of a wide range of psychosocial challenges and familiarity with behavioral health diagnoses and treatmentProficient with computer programs such as Microsoft Excel, Outlook, Word, and PowerPoint
Full Time
7/6/2025
Sacramento, CA 95816
(27.3 miles)
We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: An electroencephalographic (EEG) technician uses specialized equipment to locate brain abnormalities. He or she works under the supervision of doctors and neurologists. *Weekly amount stated in the job postings is scaled based on estimated hourly wages and potential stipends available for the location of the assignment. Hourly wages are based on various factors including but not limited to: experience, demand, availability, location, etc. Please contact one of our amazing OneStaff Recruiting Specialists for more details. **Equal Opportunity Employer** BENEFITS: Insurance We provide group benefits for Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, and Identity Theft Protection. 401K You are eligible to enroll 1st of the month following hire date. We match 100% of your first 3% of deferrals and an additional 50% of the next 2% you contribute. Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.
Full Time
6/19/2025
Sacramento, CA 95822
(31.2 miles)
Overview: Our General Dentists perform a variety of preventative, restorative, endodontic, and surgical procedures that fall under the scope of general dentistry. We’re big on teamwork, so you’ll be working and growing with other dentists in your office and region to provide the best treatment for your patients. Plus, we bring the Board Specialists into your office to treat patients if they are referred for such treatment. We keep patients under our care while you get to work side-by-side with a Specialty Dentist.We provide a trained team to assist and build your schedules. Plus, we take care of the day-to-day operations for you so you can focus on what matters: your patients and their smiles.We welcome dentists of all different experience levels, including recent graduates, to join our team.If you’re ready for the next level, we have a Managing Dentist Program in which you are responsible for the office operations and performance along with the office’s business manager. The Managing Dentist, who usually has at least 3 years of experience, performs most of the new patient exams, mentors new dentists, and coordinates care for patients with the Specialists. While our General Dentists are bonused based on their personal production, Managing Dentists have an office profitability incentive program.In addition, we have career pathways and training programs that enable you to limit your practice to an area of dentistry (i.e., pediatrics, endodontics, extractions, etc.).Here's a few reasons why dentists love to work with us:Doctors have Autonomy in creating treatment plans while providing direct care to their patients.Doctors report to Doctors. Instead of reporting to a practice owner, you will report to someone who understands the clinical aspect of your position.We are an established organization with an ExpertClinical & Operations LeadershipTeam focused on giving our patients the best experience.Offices receive Corporate Support from departments including: Billing, Marketing, Call Center, Procurement, IT, Facilities, Human Resources, Legal, and more!BenefitsGuaranteed Daily Rate with a lucrative incentive programCompany-Paid Professional Liability/Malpractice InsuranceCompany-Sponsored Continuing Education EventsHealthcare Benefits – Medical, Dental & Vision (for Full-Time Providers)Paid Sick Leave401(k)Immigration Sponsorship Opportunities (OPT, TN, H-1B, Green Card) for eligible candidates Qualifications: Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD)Western Dental Services, Inc. and all relevant affiliates (such as Brident Dental & Vital Smiles) are Equal Opportunity Employers.
Full Time
6/15/2025
Marysville, CA 95901
(28.4 miles)
ABOUT USTogether, we are the Epic Special Education Staffing family and family is how we view each member of this incredible community. From our family to the nation’s schools, we remain focused on providing a world of opportunities for you to leverage your abilities and make an impact on special education. Apply today!POSITION DESCRIPTIONEpic Special Education Staffing is partnering with an exceptional school district who is looking for a contract School Certified Occupational Therapist for the 2025 - 2026 school year.·Duration: 8/12/2025 - 06/05/2026·Location: Marysville, CA·Location Type: On-Site·Schedule: Full Time·Hours: 37.50·Grade/Age Levels: Elementary School;High School;Kindergarten;Middle School;Pre-K·Weekly Pay Range: $51.75 – $59.51 per hour on a local contractBENEFITSWe offer a variety of benefits for you and your loved ones. As a valued and respected part of the Epic family, you will enjoy:·Competitive compensation packages for both local and travel contracts·Medical, Dental, and Vision benefits·Infertility & Domestic Partner Coverage·Summer Insurance Coverage·PTO & Holiday Pay·401K matching·Wellness and Employee Assistance Program (EAP)·CEU & license reimbursements·Referral bonuses of $1000QUALIFICATIONSThe minimum qualifications for School Certified Occupational Therapist:·1 year of verifiable, professional experience as School Certified Occupational Therapist within the last 3 years (may include residency or clinical practicum)·Valid School Certified Occupational Therapist credential/license or in process in state of practice·Employees must be legally authorized to work in the United States and will be asked for proof upon hire. We are unable to sponsor or take over sponsorship of an employment Visa at this time.·We will consider all qualified applicants for employment, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws.·Epic Staffing Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, housing, age, disability or genetics.At Epic Special Education Staffing, you will have the opportunity to apply your unique experience and expertise with school-based special education as your singular focus. We offer stimulating and rewarding careers that provide an opportunity to make a difference in a child's life! Earn more for referring your friends! For a limited time, we are increasing our Referral Bonus for select positions! You could receive up to $2,250 bonus and a $250 charitable contribution! Submit your referrals by October 31, 2025, and ensure your friend begins their contract during the 2025-2026 school year to qualify.By applying for this position, you agree that any calls from Epic Staffing Group and its subsidiaries may be monitored or recorded for training and quality assurance purposes.
Full Time
6/23/2025
Newcastle, CA 95658
(0.5 miles)
Your Role Reporting to the Chief Medical Officer, the Senior Medical Director, Clinical Strategy will define the vision and priorities for Blue Shield of California’s strategy to deliver best in class clinical outcomes for our members while working to ensure that health care is affordable. In this role you will be accountable for working in partnership with other leaders to deliver best in class clinical programs and align our value-based care models to meet our clinical strategy objectives. Your WorkIn this role, you will:Develop a clinical strategy framework and guiding principles, grounded in data on population health outcomes and cost, to deliver Best in Class clinical outcomes for Blue Shield of California membersDefine the organization’s overall clinical strategy, as relates to priorities, partnerships, and key measures of success to improve member experience, population health and affordability, inclusive of primary care and specialty careCo-chair the Clinical Program Review and Governance Committee with the Chief Medical Officer to ensure that all clinical programs are delivering expected clinical and cost of care outcomes for our membersWork with teams performing vendor management to ensure that contracts include appropriate metrics to ensure programs are meeting operational targets to achieve clinical objectivesCollaborate with the Health Economics team to develop the methodology to evaluate the effectiveness and lead a process to ensure robust evaluation of all clinical programsCollaborate with business leaders to ensure that the clinical strategy and clinical programs are meeting business, client, and member needsCreate an environment of accountability and continuous quality improvement to ensure that all clinical programs continue to meet and exceed objectives necessary to deliver best in class clinical outcomes for Blue Shield of California membersCommunicate internally and externally the vision and strategy to transform healthcare to deliver Best in Class clinical outcomes for Blue Shield of California membersYour Knowledge and ExperienceMinimum of 2 years of previous medical leadership experienceMinimum of 5 years of direct patient care experience post residencyMinimum 4 years experience in observational study design and execution and/or clinical program evaluationMedical degree (M.D./D.O.)Maintain active, unrestricted California State Medical License required; Maintain active, unrestricted Medical License in all additional assigned states requiredMaintain Board Certification in one of ABMS, ABOS, or AOA recognized specialty requiredOutstanding verbal and written communication skillsAbility to lead through influence in a matrixed organizationMasters or PhD in Health Services Research, Epidemiology, Biostatistics or similar field preferredExperience in a health plan or managed care organization is preferred
Full Time
7/2/2025
Folsom, CA 95630
(14.3 miles)
Travel Postpartum RNCompany: Fusion Medical StaffingLocation: Facility in Folsom, CAJob DetailsFusion Medical Staffing is seeking a skilled Postpartum RN for a 13 week travel assignment in Folsom, CA. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.Required Qualifications:One year’s recent experience as a postpartum RN Valid RN license in compliance with state regulationsCurrent BLS (AHA/ARC) CertificationNRP CertificationPreferred Qualifications:ACLS CertificationOther certifications and licenses may be required for this positionSummary:The Postpartum Registered Nurse provides specialized, family-centered care to mothers and newborns in the postpartum unit. This role involves assessing maternal and newborn health, implementing care plans, supports breastfeeding and educating families on postpartum and newborn care. The Postpartum RN collaborates with healthcare teams to ensure optimal outcomes and demonstrates advanced clinical skills, critical thinking, and a commitment to patient safety and professional ethics.Essential Work Functions:Explains postpartum and newborn care procedures to mothers and families to gain cooperation, understanding, and alleviate apprehensionAdministers prescribed medications and treatments to mothers and newborns safely and accurately, following established protocolsAssess and monitor the health of postpartum mothers and newborns, identifying changes, addressing complications, and recording significant conditions and reactionsAssists with and educates on breastfeeding, addressing challenges to ensure successful feeding practicesPerforms newborn assessments, including vital signs, weight checks, and required screening testsResponds to life-saving situations using evidence-based protocols and best practicesCollaborate with interdisciplinary teamsEducates new parents on infant care, maternal recovery, and postpartum health, including safe sleep practices and early signs of complicationsPrepares equipment and aids physicians during examinations and any necessary postpartum or neonatal proceduresMaintains awareness of comfort and safety needs of mothers and newborns, ensuring a safe, supportive environment for bondingDocuments all relevant history and physical assessments for assigned patients accurately in medical recordsPerforms other duties as assignment within the scope of the practiceRequired Essential Skills:Critical thinking, service excellence and good interpersonal communication skillsThe ability to read, write, & communicate in the English language is requiredAbility to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skillsPhysical Abilities - Remain in a stationary position, move about, move equipment (50-100lbs), pushing, pulling, bendingInterpersonal Skills - To work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalismTechnical/Motor Skills - Ability to grasp, fine manipulation, pushing/pulling and able to move about when assisting with procedures and/or using department equipment.Mental Requirements - Must be able to cope with frequent contact with the general public, customers, and meeting deadlines under pressure. Must be able to work under close supervision occasionally as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detailSensory - Visual acuity, ability to effectively communicate.Benefits Include:Highly competitive pay for travel professionalsComprehensive medical, dental, and vision insurance with first day coveragePaid Time Off (PTO) after 1560 hoursLife and Short-term disability offered401(k) matchingAggressive Refer-a-friend Bonus Program24/7 recruiter supportReimbursement for licensure and CEUsWhy Choose Fusion At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you that’s why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we’re here to guide and celebrate you along your journey. You take care of others; we take care of you.Other Duties Disclaimer:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.Start your rewarding career as a Travel Postpartum RN with Fusion Medical Staffing and join our mission to improve lives. Apply now! *Fusion is an EOE/E-Verify Employer #pb13
Full Time
7/1/2025
Sacramento, CA 95817
(28.1 miles)
We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: A Post-Anesthesia Recovery Nurse will provide care for post-operative patients recovering from anesthesia, including general, regional, and local. The PACU RN treats inpatients and outpatients according to their needs, monitoring their vital signs to determine necessary care. *Weekly amount stated in the job postings is scaled based on estimated hourly wages and potential stipends available for the location of the assignment. Hourly wages are based on various factors including but not limited to: experience, demand, availability, location, etc. Please contact one of our amazing OneStaff Recruiting Specialists for more details. **Equal Opportunity Employer** BENEFITS: Insurance We provide group benefits for Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, and Identity Theft Protection. 401K You are eligible to enroll 1st of the month following hire date. We match 100% of your first 3% of deferrals and an additional 50% of the next 2% you contribute. Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.
Full Time
7/6/2025
El Dorado Hills, CA 95762
(14.2 miles)
Your Role The MCS Clinical Service Intaketeam responsible for timely and accurate processing of Treatment Authorization Requests. The Clinical Services Coordinator (CSC), Intermediate will report to the Supervisor of Clinical Services Intake. In this role you will be for supporting clinical staff day to day operations for Promise (Medi-Cal) or Commercial/Medicare lines of business.Your Work In this role, you will: Work in a production-based environment with defined production and quality metrics.Process Faxed /Web Portal /Phoned in Prior Authorization or Hospital Admission Notification Requests, Utilization Management (UM)/Case Management (CM) requests and/or calls left on voicemail.Select support for Case Manager such as mailings and surveys.Data entry including authorization forms, high risk member information, verbal HIPPA authorizations information for case creation.Provide support to Advanced/Specialist CSC.Assign initial Extension Of Authority (EOA) days, or triage to nurses, based on established workflow.Research member eligibility/benefits and provider networks.Serves as the initial point of contact for providers and members in the medical management process by telephone or correspondence.Assists with system letters, requests for information and data entry.Provides administrative/clerical support to medical management.Intake (received via fax, phone, or portal). Data entry including authorization forms, high risk member information, verbal HIPPA authorizations information for case creation.Provide workflow guidance to offshore representatives. Other duties as assigned. Your Knowledge and Experience Requires a high school diploma or equivalentRequires at least 3 years of prior relevant experienceMay require vocational or technical education in addition to prior work experience1-year of work experience within the Medical Care Solutions’ Utilization Management Department or a similar medical management department at a different payor, facility, or provider/group preferred.In-depth working knowledge of the prior authorization and/or concurrent review non-clinical business rules and guidelines, preferably within the Outpatient, Inpatient, DME and/or Home Health, Long Term Care and CBAS areas preferred.In-depth working knowledge of the systems/tools utilized for UM authorization functions such as AuthAccel, Facets, PA Matrix or other systems at a different payor, facility, or provider/group preferred.Ability to provide both written and verbal detailed prior authorization workflow instructions to offshore staff.Ability to work in a high-paced production environment with occasional overtime needed (including weekends) to ensure regulatory turnaround standards are met.Knowledge of UM regulatory Turn Around Time (TAT) standardsKnowledge of clinical workflow to assist nurses with case creation, research/issue resolution and other UM related functions, as necessary.
Full Time
7/4/2025
Rancho Cordova, CA 95670
(20.2 miles)
Physical Therapist - Home Health Join our team as a dedicated Physical Therapist in Home Health, where you will help patients improve movement, manage pain, and regain independence in the comfort of their own homes. Key Responsibilities: Review patient medical histories and conduct assessments to diagnose movement dysfunction and identify patient goals.Develop and implement individualized treatment plans that may include hands-on therapy, exercises, and use of assistive equipment.Provide skilled physical therapy services in accordance with a physician’s plan of care, adapting interventions to the home environment.Educate patients and family members about the recovery process, safe mobility, and home exercise programs.Monitor and document patient progress, modifying treatment plans as needed to achieve optimal outcomes.Communicate and collaborate with physicians, nurses, and other healthcare professionals to coordinate care.Supervise and instruct Physical Therapist Assistants or Aides as required.Ensure all documentation is completed promptly and accurately in compliance with agency and regulatory standards. Work Environment: The role is based in patients’ homes, requiring travel within the community and adaptability to various home settings.This position requires strong communication, organizational skills, and the ability to work independently. Benefits: A competitive salary with opportunities for career advancement within home health or rehabilitation specialties.A comprehensive benefits package including health insurance, retirement savings plans, and paid time off.Support for continuing education programs to maintain licensure and enhance expertise in home health physical therapy. Equal Opportunity Employer: Your commitment to helping patients regain independence at home is valued here. We strive to create an inclusive environment where all employees can thrive professionally while making a meaningful difference in patients’ lives. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*
Full Time
7/1/2025
Grass Valley, CA 95945
(23.4 miles)
Travel Physical Therapy Assistant (PTA) Company: Fusion Medical StaffingLocation: Hospital in Grass Valley, California.Job DetailsFusion Medical Staffing is seeking a skilled Physical Therapy Assistant (PTA) for a 13week travel assignment in Grass Valley, California.As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.Required Qualifications: Valid Physical Therapy Assistant license in compliance with state regulations Current BLS Certification (AHA/ARC) Preferred Qualifications: Graduate of an accredited program in physical therapy Physical Therapy Assistant experience, but New Grads are welcome to apply Other certifications or licenses may be required for this position Summary: The Physical Therapy Assistant (PTA) works under the supervision of a Physical Therapist to help implement treatment plans that improve patients' mobility, reduce pain, and enhance functional independence. PTAs provide hands-on assistance with therapeutic exercises, modalities, and activities of daily living across various clinical settings. They document patient progress, educate patients on home exercise programs, and collaborate with the healthcare team to support optimal recovery and overall quality of life. Essential Work Functions: Set up therapy equipment and treatment areas, ensuring all devices and supplies are calibrated, clean, and ready for patient sessions Guide patients through prescribed exercises and activities to improve mobility, strength, and balance, while providing hands-on assistance with movements and transfers as needed Observe patient performance during therapy sessions, note changes in functional abilities, and report progress or concerns to the supervising Physical Therapist Accurately record patient treatment details, progress, and any adjustments made during therapy sessions in the medical record Instruct patients and their caregivers on home exercise programs, proper use of assistive devices, and techniques for safe mobility and injury prevention Work in conjunction with physical therapists, occupational therapists, and other healthcare professionals to coordinate a comprehensive approach to patient care Maintain a safe treatment environment by adhering to infection control protocols, safety guidelines, and regulatory standards while addressing patients’ comfort needs during therapy sessions Engage in quality assurance initiatives and professional development activities to remain current with best practices in physical therapy Collaborate in discharge planning to ensure smooth transitions and continued patient progress in community or home-based settings Performs other duties as assigned within scope of practice Required Essential Skills: Critical thinking, service excellence and good interpersonal communication skillsThe ability to read, write, & communicate in the English language is requiredAbility to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skillsPhysical Abilities - Remain in a stationary position, move about, move equipment (50-100lbs), pushing, pulling, bendingInterpersonal Skills - To work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalismTechnical/Motor Skills - Ability to grasp, fine manipulation, pushing/pulling and able to move about when assisting with procedures and/or using department equipment.Mental Requirements - Must be able to cope with frequent contact with the general public, customers, and meeting deadlines under pressure. Must be able to work under close supervision occasionally as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detailSensory - Visual acuity, ability to effectively communicate Benefits Include: Highly competitive pay for travel professionalsComprehensive medical, dental, and vision insurancePaid Time Off (PTO) after 1560 hoursShort-term disability offered401(k) matchingAggressive Refer-a-friend Bonus Program24/7 recruiter supportReimbursement for licensure and CEUs Why Choose Fusion At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you that’s why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we’re here to guide and celebrate you along your journey. You take care of others; we take care of you.Other Duties Disclaimer:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.Start your rewarding career as a Travel Physical Therapy Assistant (PTA) with Fusion Medical Staffing and join our mission to improve lives. Apply now!*Fusion is an EOE/E-Verify Employer #pb7
Full Time
7/6/2025
Folsom, CA 95630
(14.3 miles)
We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: Labor and Delivery Nurses help bring people into the world every day. They care for women during labor and childbirth, monitoring the baby and the mother, coaching mothers and assisting doctors. As a Labor and Delivery Nurse, you’ll prepare women, and their families, for the stages of giving birth and help patients with breastfeeding after the baby is born. *Weekly amount stated in the job postings is scaled based on estimated hourly wages and potential stipends available for the location of the assignment. Hourly wages are based on various factors including but not limited to: experience, demand, availability, location, etc. Please contact one of our amazing OneStaff Recruiting Specialists for more details. **Equal Opportunity Employer** BENEFITS: Insurance We provide group benefits for Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, and Identity Theft Protection. 401K You are eligible to enroll 1st of the month following hire date. We match 100% of your first 3% of deferrals and an additional 50% of the next 2% you contribute. Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.
Full Time
7/6/2025
El Dorado Hills, CA 95762
(14.2 miles)
Your Role The Social Programs team is responsible for the support, oversight and administration of Social Programs benefits and services ensuring that our eligible members receive appropriate services in-line with benefits and services that is member-centered and in the communities where our members seek care. The Program Manager Clinical, Senior will report to the Senior Manager, Social Programs Management. In this role you will primarily provide administrative and operational organization, compliance oversight, updates, and contract adherence.Your Work In this role, you will: Direct small-scale, complex programs/projects that may involve multiple internal and external stakeholdersManage the development and implementation of process of the company's projects involving departmental or cross-functional teams focused on delivery of new or existing internal/external programs and/or productsBe responsible for assigning and monitoring the work of team members and providing guidance and leadershipDevelop the program, integrated program plan, resource plan, contingency plan, and related project management artifactsDefine and track program milestones while developing, maintaining, and reporting on an overall integrated delivery planProvide overall program leadership, guidance, and manage all aspects of a given program, including contract, budget, reporting, operations, and vendor/provider oversightDevelop strategies to ensure optimum support for projects and for the day-to-day operational activitiesLead cross-functional meetings and foster teamwork; drive escalation and resolution of issues, while promoting collaboration and coordination across broad categories of stakeholders Write and maintain processes and procedures to ensure compliancePerform other assigned duties, as requiredYour Knowledge and Experience Requires a bachelor’s degree or equivalent experienceRequires at least 5 years of prior relevant experienceRequires LCSW, LMFT, LPCC, PSYD or similar by the Board of Behavioral SciencesRequires experience collaborating with provider groups, community resources, and agenciesRequires program, project, and vendor/provider management experienceRequires strong administrative skills including proficiency in Excel, Microsoft Word and Microsoft Outlook and the ability to multitask and track multiple projects/deliverables at one timeRequires strong analytical, problem solving, and communication skillsRequires at least 2 years prior relevant experience working with a Managed Care Plan and Medi-Cal
Full Time
6/19/2025
Grass Valley, CA 95945
(23.4 miles)
Occupational Therapist - Acute Care We are seeking a dedicated Occupational Therapist to join our acute care team. In this role, you will evaluate and treat patients recovering from injuries, surgeries, or acute medical conditions to help them regain independence and improve their quality of life. Key Responsibilities: Assess patients' physical, cognitive, and emotional abilities to develop individualized treatment plans.Implement therapeutic interventions to enhance daily living skills and promote functional independence.Collaborate with interdisciplinary teams to ensure comprehensive patient care.Educate patients and families on strategies to maintain progress after discharge.Document patient progress and adjust treatment plans as necessary. Work Environment: The role is based in hospitals or acute care facilities where occupational therapists work with patients requiring immediate rehabilitation support.This position involves standing for long periods and assisting patients with mobility or task modifications. Benefits: A competitive salary with opportunities for advancement within acute care occupational therapy settings.A comprehensive benefits package including health insurance, retirement savings plans, and paid time off.Access to continuing education programs to enhance expertise in acute care rehabilitation techniques. Equal Opportunity Employer: Your commitment to improving patient outcomes is valued here. We strive to create an inclusive environment where all employees can thrive professionally while delivering exceptional care to our patients during their recovery journeys. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*
Full Time
6/29/2025
El Dorado Hills, CA 95762
(14.2 miles)
Your Role The Prior Authorization (PA) team utilizes clinical knowledge to review authorization requests for coverage under the outpatient pharmacy benefit. The Pharmacist, Consultant willwork as part of the pharmacy benefit Prior Authorization (PA) team to support the Blue Shield of California (BSC) Pharmacy and Therapeutics Committee (P&T) by ensuring that evidence based clinical decisions are implemented appropriately to provide a high-quality and cost-effective pharmacy benefit. The Pharmacist, Consultant (Drug Utilization Review Pharmacist) will report to the Drug Utilization Review (DUR) Pharmacist Manager.Your Work In this role, you will: Support the clinical and operational implementation of P&T approved policies for the pharmacy benefit, for both the Commercial and Medicare lines of businessApply clinical expertise to PA reviews and work collaboratively with the PA and Call Center Teams to support access to safe, efficacious, and medically necessary medicationsOperate in compliance with all regulatory and accreditation requirements to ensure all requests are reviewed within regulatory required timeframesServe as a resource to internal and external constituents regarding the Blue Shield drug formulary, medication policies and appropriate drug useEmbrace BSC values by answering clinical and operational questions, participating in group discussions, and supporting other team members while working towards a collective goalUse clear and concise communications and on-brand messaging when communicating with providers or membersFollow all corporate policies and proceduresOperate in compliance with all regulatory and accreditation requirements, and corporate policies and procedures regarding the support access to safe, efficacious, and medically necessary medicationsAssist in preparing materials for audits and reports; complete projects as assignedYour Knowledge and Experience Requires a Doctor of Pharmacy (PharmD) degreeRequires a currently active and unrestricted California Registered Pharmacist (RPh) licenseRequires at least 2 years of experience in clinical pharmacyExcellent oral and written communication skillsThorough knowledge of therapeutic use of medications
Full Time
6/23/2025
Sacramento, CA 95815
(24.3 miles)
Speech-Language Pathologist - OutpatientWe are seeking a compassionate Speech-Language Pathologist to join our outpatient team. In this role, you will assess and treat individuals with speech, language, voice, or swallowing disorders in an outpatient setting, helping them improve communication and quality of life.Key Responsibilities:Evaluate patients to determine the nature and extent of speech or language difficulties.Develop and implement individualized treatment plans aimed at improving communication and swallowing abilities.Provide therapy sessions focused on articulation, fluency, voice quality, or cognitive-communication skills.Collaborate with other healthcare professionals to ensure comprehensive care for patients.Educate patients and families on strategies to support communication improvement at home or work settings.Document patient progress and adjust therapy plans as needed for effective outcomes.Work Environment:Work in outpatient clinics focused on short-term rehabilitation or long-term therapy goals.Engage in a collaborative environment with other healthcare professionals dedicated to patient success.Benefits:A competitive salary with comprehensive benefits options available.A focus on professional growth through training opportunities and certifications support programs.A supportive workplace culture that values collaboration and innovation in patient care delivery systems.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*
Full Time
6/29/2025
El Dorado Hills, CA 95762
(14.2 miles)
Your Role The Prior Authorization (PA) team utilizes clinical knowledge to review authorization requests for coverage under the outpatient pharmacy benefit. The Pharmacist, Consultant willwork as part of the pharmacy benefit Prior Authorization (PA) team to support the Blue Shield of California (BSC) Pharmacy and Therapeutics Committee (P&T) by ensuring that evidence based clinical decisions are implemented appropriately to provide a high-quality and cost-effective pharmacy benefit. The Pharmacist, Consultant (Drug Utilization Review Pharmacist) will report to the Drug Utilization Review (DUR) Pharmacist Manager. *This is a short term position expected to last 1 year from hire*Your WorkIn this role, you will:Support the clinical and operational implementation of P&T approved policies for the pharmacy benefit, for both the Commercial and Medicare lines of businessApply clinical expertise to PA reviews and work collaboratively with the PA and Call Center Teams to support access to safe, efficacious, and medically necessary medicationsOperate in compliance with all regulatory and accreditation requirements to ensure all requests are reviewed within regulatory required timeframesServe as a resource to internal and external constituents regarding the Blue Shield drug formulary, medication policies and appropriate drug useEmbrace BSC values by answering clinical and operational questions, participating in group discussions, and supporting other team members while working towards a collective goalUse clear and concise communications and on-brand messaging when communicating with providers or membersFollow all corporate policies and proceduresOperate in compliance with all regulatory and accreditation requirements, and corporate policies and procedures regarding the support access to safe, efficacious, and medically necessary medicationsAssist in preparing materials for audits and reports; complete projects as assignedYour Knowledge and ExperienceRequires a Doctor of Pharmacy (PharmD) degreeRequires a currently active and unrestricted California Registered Pharmacist (RPh) licenseRequires at least 2 years of experience in clinical pharmacyExcellent oral and written communication skillsThorough knowledge of therapeutic use of medications
Full Time
7/4/2025
Sacramento, CA 95816
(27.3 miles)
Radiology Technologist - Interventional RadiologyWe are seeking a highly skilled Radiology Technologist specializing in Interventional Radiology to join our team. In this role, you will assist in minimally invasive procedures by using advanced imaging technology to guide interventions, ensuring accurate and effective patient care.Key Responsibilities:Prepare patients for interventional radiology procedures by explaining the process and positioning them appropriately.Operate fluoroscopy and other imaging equipment to provide real-time guidance during procedures.Assist physicians in performing diagnostic and therapeutic interventions, such as angiograms, stent placements, or biopsies.Maintain a sterile environment and adhere to infection control protocols during procedures.Monitor patients' vital signs and ensure their safety and comfort throughout the procedure.Document procedures accurately and maintain detailed patient records.Perform routine maintenance and quality checks on imaging equipment to ensure optimal performance.Work Environment:Work in hospitals or specialized interventional radiology suites equipped with advanced imaging technology.Collaborate closely with physicians, nurses, and other healthcare professionals in a fast-paced environment.Be prepared for on-call responsibilities to assist with urgent or emergency procedures.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth through specialized training and certifications.A supportive work environment that values innovation and teamwork in patient care delivery.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*
Full Time
6/20/2025
El Dorado Hills, CA 95762
(14.2 miles)
Your Role The Behavioral Health (BH) Utilization Management (UM) Intake team is responsible for timely and accurate processing of treatment authorization requests. The Manager, Operations (BH UM Intake) will report to the Sr. Manager, Operations (BH UM Intake). In this role you will oversee day to day operations, performance oversight and audit readiness.Your Work In this role, you will: Responsible for a singular team, department or functional area. Scope of oversight includes planning, cost management and methodsDemonstrate BSC Leadership BehaviorsFoster a great place to work by clearly communicating mission, vision, goals, roles, and expectations for team members; celebrating team achievements; building successful working relationships across the organizationDirect and control the activities of one or more smaller/less complex department(s) or functional area(s) through subordinate supervisors/team leadsPartner with offshore management to ensure regulatory complianceEstablish operational objectives for department or functional area and participates with other managers to establish group objectivesOversee caseload management and adherence to regulatory accreditation and contractual requirementsDevelop production standards and monitor staff productivityProvide coaching, mentoring and guidance to non-clinical staffIdentify process improvement opportunities and independently drive solutionsYour Knowledge and Experience Requires a college degree or equivalent experience and minimum 7 years prior relevant experience, including 3 years of management experience gained as a team leader, supervisor or project/program managerUnderstands basic management approaches such as work scheduling, prioritizing, coaching and process execution, work organization, risk management and delegationUnderstands Blue Shield of CA’s mission and business planHas functional expertise within the area of responsibilityRequires advanced knowledge of job area usually obtained through advanced education combined with experienceRequires 3 years of experience working in a Call Center environmentRequires strong critical thinking skillsRequires the ability to work and make decisions independentlyRequires strong written and verbal communication skills
Full Time
7/4/2025
Sacramento, CA 95816
(27.3 miles)
Radiology Technologist - Interventional RadiologyWe are seeking a highly skilled Radiology Technologist specializing in Interventional Radiology to join our team. In this role, you will assist in minimally invasive procedures by using advanced imaging technology to guide interventions, ensuring accurate and effective patient care.Key Responsibilities:Prepare patients for interventional radiology procedures by explaining the process and positioning them appropriately.Operate fluoroscopy and other imaging equipment to provide real-time guidance during procedures.Assist physicians in performing diagnostic and therapeutic interventions, such as angiograms, stent placements, or biopsies.Maintain a sterile environment and adhere to infection control protocols during procedures.Monitor patients' vital signs and ensure their safety and comfort throughout the procedure.Document procedures accurately and maintain detailed patient records.Perform routine maintenance and quality checks on imaging equipment to ensure optimal performance.Work Environment:Work in hospitals or specialized interventional radiology suites equipped with advanced imaging technology.Collaborate closely with physicians, nurses, and other healthcare professionals in a fast-paced environment.Be prepared for on-call responsibilities to assist with urgent or emergency procedures.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth through specialized training and certifications.A supportive work environment that values innovation and teamwork in patient care delivery.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*
Full Time
6/20/2025
El Dorado Hills, CA 95762
(14.2 miles)
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Senior Medical Director FEP Prior Authorization and Post Review will report to the Vice President, Medical Management or their designee. In this role you will deliver and collaborate on clinical review activities, which includes management of the physician processes in support of utilization management and transactional functions for Federal Employee Program (FEP) membership. These functions include performance of pre-service and retrospective utilization review, Appeals and Grievances, and provider claims dispute reviews. The Senior Medical Director for FEP Prior Authorization and Post Review facilitates performance management and goals in alignment with organizational goals for the FEP membership. Moreover, this role leads or meaningfully contributes to the Blue Shield priorities and transformative initiatives that continue to improve the health and wellbeing of Blue Shield of California FEP members. You will also provide direction and leadership in compliance to regulatory requirements and key operational metrics and work collaboratively with the VP of Medical Management and Medical Directors in Utilization Management to achieve these goals.Your Work In this role, you will: Complete assigned clinical reviews (IP Admission and Concurrent, Lower Level of Care, Preservice requests, Post-service medical claim review, Provider Claims Disputes, Medical pharmacy, or others) within compliance standards while supporting clinical staff in maintaining high quality clinical reviews and work products and process improvement and optimization efforts for FEP membershipProvides clinical leadership and HR oversight for FEP Medical Director teamPartner closely with the VP Medical Management and Medical Directors in Utilization Management to develop improved utilization of effective and appropriate services, and support operational implementation of transformation initiatives for the FEP membershipSupport VP, Medical Management and Medical Directors in Utilization Management in coordinating the care of FEP membership to provide access to high-quality health care to these membersServe as a clinical, regulatory and quality improvement resource and clinical thought leader within the organizationSupport Vice President, Medical Management in strategic initiatives whether by proposing clinical initiatives, providing expert input, shaping the strategy, and/or serving as the initiative driverCollaborate with teams in the implementation and operation of assigned initiativesUnderstands and abides by all departmental policies and procedures as well as the organization’s Standards of Conduct and Corporate Compliance ProgramAttends mandatory Corporate Compliance Program education sessions, as required for this position, including the annual mandatory Standards of Conduct classParticipates in assigned CommitteesAbides by all applicable laws and regulations as mandated by state and federal lawAny other assigned dutiesYour Knowledge and Experience A Medical degree (M.D./D.O.) Completed residency preferably in adult based primary care specialty (e.g. internal medicine, family practice)Maintain active, unrestricted California State Medical License requiredMaintain Board Certification in one of ABMS categories required (preferably Internal Medicine)Minimum of 2 years of previous medical leadership experienceMinimum 5 years direct patient care experience post residency in: Internal Medicine (e.g. Neurology, Rheumatology), Family Practice (e.g. Psychiatry, Geriatrics, OBGYN), Adult based care, Internal Medicine (e.g. Neurology, Rheumatology), Family Practice (with 5+ years of inpatient experience), Psychiatry, Geriatrics, OBGYNDemonstrated proficiency in at least 3 of the following: MEDICARE/MEDICARE STARS, NCQA/URAC/Quality Programs, Policies/Procedure, Litigation, SIU/Waste/Fraud/Abuse, Appeals/Grievances, Case Management/Population HealthKnowledge and skilled application of national evidence-based medical necessity criteria references (MCG or InterQual)An ability to work independently to achieve objectives and resolve issues in ambiguous circumstancesClear, compelling communication skills with demonstrated ability to motivate, guide, influence, and lead others, including the ability to translate detailed analytic analysis and complex materials into compelling communicationsStrong collaboration skills to effectively work within a team that may consist of diverse individuals who bring a variety of different skills ranging from medical to project management and moreExcellent written and verbal communication skillsExcellent analytical, time management and organizational skillsProficient with computer programs such as Microsoft Excel, Outlook, Word, and PowerPoint
Full Time
7/2/2025
Sacramento, CA 95816
(27.3 miles)
Speech-Language Pathologist - Acute Care We are seeking a compassionate Speech-Language Pathologist to provide care in an acute care setting. In this role, you will assess and treat patients with speech, language, voice, and swallowing disorders resulting from acute medical conditions. Key Responsibilities: Evaluate patients' communication and swallowing abilities following acute medical events such as strokes or surgeries.Create individualized treatment plans aimed at improving speech, language, or swallowing functions.Provide therapy sessions tailored to patients' recovery needs in a fast-paced acute care environment.Collaborate with interdisciplinary teams, including physicians and nurses, to ensure comprehensive patient care.Educate patients and families on techniques to support recovery outside of therapy sessions.Maintain accurate records of evaluations, treatment plans, and progress notes for each patient. Work Environment: The role is based in hospitals or acute care facilities where patients require immediate and intensive rehabilitation support.This position involves working closely with critically ill patients in a fast-paced environment requiring quick decision-making skills. Benefits: A competitive salary with opportunities for career advancement within the field of speech-language pathology.A comprehensive benefits package including health insurance, retirement savings plans, and paid time off.Support for continuing education programs to maintain licensure and expand expertise in acute care techniques. Equal Opportunity Employer: Your dedication to improving patient outcomes is valued here. We strive to create an inclusive environment where all employees can thrive professionally while delivering exceptional care to our patients. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*
Full Time
7/1/2025
Roseville, CA 95661
(11.6 miles)
We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: Helps occupational therapy clients by providing rehabilitative services, under the direction of occupational therapists, to persons with mental, physical, emotional, or developmental impairments. *Weekly amount stated in the job postings is scaled based on estimated hourly wages and potential stipends available for the location of the assignment. Hourly wages are based on various factors including but not limited to: experience, demand, availability, location, etc. Please contact one of our amazing OneStaff Recruiting Specialists for more details. **Equal Opportunity Employer** BENEFITS: Insurance We provide group benefits for Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, and Identity Theft Protection. 401K You are eligible to enroll 1st of the month following hire date. We match 100% of your first 3% of deferrals and an additional 50% of the next 2% you contribute. Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.
Full Time
6/19/2025
El Dorado Hills, CA 95762
(14.2 miles)
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Behavioral Health will report to the Senior Medical Director, Behavioral Health. In this role you will have core responsibilities in the areas of behavioral health concurrent review, pre- and post-service utilization review, and collaboration with Clinical Care Managers. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.Your Work In this role, you will: Review concurrent, pre- and post-service behavioral health service requests and render decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (Federal Employee Program) medical policy, as well as legal and regulatory requirementsMedical decision and support for the behavioral health review for all services currently requiring authorization or review, facilitating appropriate use of all resources, including safe and timely dischargesEngage in telephonic peer-to-peer discussions regarding current members in various levels of care or who may be receiving other specialized services. Therefore, the Medical Director must feel comfortable in clinical conversations with Blue Shield providersTrain BSC utilization and care management staff which may include physicians, psychologists, nurses, social workers, and others as neededPerform clinical reviews to support utilization management and fraud waste and abuse case evaluationsParticipate with the quality management function in the identification and analysis of medical information to develop interventions to improve quality of care and outcomes for our membersParticipate on projects and committees, as necessaryYour Knowledge and ExperienceMinimum 5 years direct patient behavioral health clinical care experience post residency requiredMedical degree (M.D./D.O.)Completed residency in PsychiatryMaintain active, unrestricted California Medical License required; Maintain active, unrestricted Medical License in all additional assigned states requiredMaintain Board Certification in Psychiatry through American Board of Psychology and Neurology (ABPN) or the American Osteopathic Board of Neurology and Psychiatry (AOBNP) requiredPreferred Qualifications:Recent inpatient psychiatric hospital experience (within the past five years)Recent substance use disorders treatment experience (within the past five years)Well-versed with most areas of behavioral health services and conditionsShow ability for rapid, accurate decision-making, and enjoy care review, as well as the investigation and resolution of complex issuesExperience with CPT coding, medical claims review, hospital billing, and reimbursementDeep knowledge of MHPAEA (Mental Health Parity and Addiction Equity Act), SB855 and all regulatory and compliance requirementsManaged care experience supporting utilization management, case review, and/or quality improvement activities in behavioral healthExperience with ASAM, LOCUS, CALOCUS, and WPATH
Full Time
7/2/2025
Sacramento, CA 95816
(27.3 miles)
Speech-Language Pathologist - Acute Care We are seeking a compassionate Speech-Language Pathologist to provide care in an acute care setting. In this role, you will assess and treat patients with speech, language, voice, and swallowing disorders resulting from acute medical conditions. Key Responsibilities: Evaluate patients' communication and swallowing abilities following acute medical events such as strokes or surgeries.Create individualized treatment plans aimed at improving speech, language, or swallowing functions.Provide therapy sessions tailored to patients' recovery needs in a fast-paced acute care environment.Collaborate with interdisciplinary teams, including physicians and nurses, to ensure comprehensive patient care.Educate patients and families on techniques to support recovery outside of therapy sessions.Maintain accurate records of evaluations, treatment plans, and progress notes for each patient. Work Environment: The role is based in hospitals or acute care facilities where patients require immediate and intensive rehabilitation support.This position involves working closely with critically ill patients in a fast-paced environment requiring quick decision-making skills. Benefits: A competitive salary with opportunities for career advancement within the field of speech-language pathology.A comprehensive benefits package including health insurance, retirement savings plans, and paid time off.Support for continuing education programs to maintain licensure and expand expertise in acute care techniques. Equal Opportunity Employer: Your dedication to improving patient outcomes is valued here. We strive to create an inclusive environment where all employees can thrive professionally while delivering exceptional care to our patients. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*
Full Time
7/1/2025
Roseville, CA 95661
(11.6 miles)
We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: Helps occupational therapy clients by providing rehabilitative services, under the direction of occupational therapists, to persons with mental, physical, emotional, or developmental impairments. *Weekly amount stated in the job postings is scaled based on estimated hourly wages and potential stipends available for the location of the assignment. Hourly wages are based on various factors including but not limited to: experience, demand, availability, location, etc. Please contact one of our amazing OneStaff Recruiting Specialists for more details. **Equal Opportunity Employer** BENEFITS: Insurance We provide group benefits for Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, and Identity Theft Protection. 401K You are eligible to enroll 1st of the month following hire date. We match 100% of your first 3% of deferrals and an additional 50% of the next 2% you contribute. Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.
Full Time
6/19/2025
El Dorado Hills, CA 95762
(14.2 miles)
Your Role The Behavioral Health Registered Nurse Case Manager will report to the FEP 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 needs. 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. documentation.Your Work In this role, you will: Coordinates care for Lower Level of Care such as Residential Treatment, Partial Hospitalization Program, Intensive Outpatient Program, other outpatient services, and community programs as appropriate.Research 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 settingsApplies detailed knowledge of FEP PPO and Blue Shield of California's (BSC) established medical/departmental policies, clinical practice guidelines, community resources, contracting and community care standards to each case.Performs effective discharge planning and collaborates with member support system and health care professionals involved in the continuum of care.Provides disease management education on core chronic conditions (Diabetes, Heart Failure, COPD, Asthma and Coronary Artery Disease).Determines, develops and implements a plan of care based on accurate and comprehensive assessment of the member's needs related to behavioral health.Must 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 documentation.Your Knowledge and Experience Requires a current CA RN LicenseCertified 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 fieldBachelor of Science in Nursing or advanced degree preferred.Requires relevant behavioral health experience.Comprehensive knowledge of case management, discharge planning, utilization management, disease management and community resources.Able to operate PC-based software programs including proficiency in Word and Excel.Strong clinical documentation skills, independent problem identification and resolution skills.Strong supervisory, communication, abstracting skills with strong verbal and written communication skills and negotiation skills.Competent understanding of NCQA and federal regulatory requirements.Knowledge of coordination of care, prior authorization, level of care and length of stay criteria sets desirable.Demonstrates 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.Demonstrate leadership, project management and program evaluation skills and ability to interact with all levels including senior management and influence decision-making.
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