Overview: Licensed Clinic Director -Care Coordination ProgramTherapy + Care Coordination: The Best of Both Worlds!We’re looking for a licensed therapist 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!Incentive OpportunitiesFor some leadership positions at EmpowerMe Wellness, we offer financial incentive opportunities tied to performance. Be sure to ask your recruiter to learn more! Responsibilities: The OpportunityWe are hiring a Clinic Director to work with the residents in one our senior living facilities. You will play a pivotal role in enhancing the lives of seniors across all levels of care, including Independent Living, Assisted Living, Memory Care, and Skilled Nursing. Your expertise and dedication will contribute to promoting independence, functional ability, and overall well-being in our residents’ lives.As the Clinic Director, you will be responsible for the oversight of patient care in an assigned community or communities in accordance with Federal, State, and Local regulations. The Clinic Director is responsible for providing services (Therapy and/or Wellness) and operational support to the rehabilitation service teams for implementation of company-wide policies, clinical programs, and quality initiatives to optimize each patients functional well-being and satisfaction. As the Clinic Director, you may be responsible for advising treatment planning and therapeutic interventions in an interdisciplinary environment consistent with the positions qualifications, professional practices, and ethical standards.As a therapist, you will be responsible for providing a full range of therapy services including assessment, treatment planning, and therapeutic interventions in an interdisciplinary environment consistent with the position's qualifications, professional practices, and ethical standards. You will also contribute to program development, quality improvement, and problem-solving in accordance with company-wide policies and clinical initiatives, to optimize each patient’s functional well-being and satisfaction.What You’ll NeedDegree from an accredited OT, PT, COTA, PTA, or SLP programActive ASHA Certification Required for SLP candidatesCurrent state licensure in OT, PT, COTA, PTA or SLPExcellent verbal, written and interpersonal communication skillsA results-oriented mindset with strong critical thinking and problem-solving skillsA tech-savvy skillset with the ability to learn quicklyA sense of professional curiosity, with a desire to learn new things, and to find/recommend solutions to problemsA minimum of one year management experience preferredWhat You’ll Find at EmpowerMeFull-Time Employees401(k) with Opportunity for Matching Funds Full Benefits Voluntary Benefits (Accident, Critical Illness, Hospital Indemnity, Identity Theft, Pet Protection)Flexible Paid Time OffHSA and FSA Life and Disability Insurance Employee Assistance Program Career Advancement and Cross Training Opportunities Recognition Programs Fun at work, a team you will love ,and a culture you can stand behind!Part-Time EmployeesVoluntary Benefits (Accident, Critical Illness, Hospital Indemnity, Identity Theft, Pet Protection)Flexible Paid Time OffEmployee Assistance ProgramCareer Advancement and Cross Training OpportunitiesRecognition ProgramsFun at work, a team you will love, and a culture you can stand behind!Find a job you love to do that leaves room for the life you want to live. 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: $35.00 - $61.00 per hour

Your Role The Behavioral Health (BH) Utilization Management (UM) team performs prospective, concurrent, retrospective utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Behavioral Health Utilization Management, Consultant (Lead), will report to the Manager of Behavioral Health Utilization Management (BH UM). In this role you will support the clinicians with daily operations, provide coaching, and serve as the subject matter expert for the BH UM team as they conduct clinical reviews of mental health and substance use authorization requests at various levels of care for medical necessity.Your WorkIn this role, you will:Facilitate communication between leadership, Medical Directors, and non-clinical leads to address line staff questions and issues; escalate matters to management with recommendations or consultation as neededLead onboarding/training of incoming staff, provide proactive and guided support through the onboarding processMaintain and gain knowledge of behavioral health utilization management through team and departmental expansion as neededAct as subject matter expert to review and evaluate the effectiveness of operational workflows to identify problems and develop improvements, modifications, and enhancementsDevelop and evaluate tools and materials that enhance operating efficiency, accuracy, and technical skill levels of unit staffAssist with audit readiness in collaboration with internal BSC partnersPerform advanced or complicated prior authorization and concurrent utilization reviews and first level determinations for members using non-profit association guidelines ensure discharge (DC) planning at levels of care appropriate for the members needs and acuity; prepare and present cases to Medical Director (MD) for oversight and necessity determinationIdentify process and control improvement opportunities and provide recommendations that help improve the effectiveness, efficiency and/or economic value of a control or processProvide guidance, coaching and training on internal behavioral health utilization management processes to other employees across the company as appropriateLead, manage, and execute other special projects and team initiatives as assignedLead team huddles/meetings to support processes and collaboration of team membersSupport team through consistent and successful caseload management and workload to achieve team goals, regulatory timelines, and accreditation standardsYour Knowledge and ExperienceCurrent unrestricted CA license (LCSW, LMFT, LPCC, PhD/PsyD or RN with Behavioral Health experience) requiredAdvanced degree commensurate with field is preferredRequires at least seven (7) years of prior experience in healthcare related fieldExperience operating in a lead role or equivalent leadership training is preferredFive (5) years conducting Behavioral Health Utilization Management for a health insurance plan or managed care environment preferredDeep knowledge of Behavioral Health Utilization Management including ability to apply and interpret admission and continued stay clinical against nonprofit association guidelinesFamiliarity with medical terminology, diagnostic terms, and treatment modalities including ability to comprehend psychiatric evaluations, clinical notes, and lab resultsProficient with Microsoft Excel, Outlook, Word, Power Point, and the ability to learn and utilize multiple systems/databasesExcellent analytical, communication skills, written skills, time management, and organizational skillsPossess outstanding interpersonal, organizational, and communication skills, positive attitude, and high level of initiativeAbility to identify problems and works towards problem resolution independently, seeking guidance as needed

Occupational Therapist - RehabWe are seeking a compassionate and skilled Occupational Therapist to join our rehabilitation team. In this role, you will help individuals regain independence by developing and implementing customized programs to improve daily living and vocational skills.Key Responsibilities:Assess patients' needs and develop individualized treatment plans.Use therapeutic techniques to improve patients' abilities to perform daily tasks.Adapt environments and modify tasks to remove barriers for patients.Teach patients and caregivers strategies for improving functionality and independence.Document patient progress and adjust treatment plans as necessary.Work Environment:Work in rehabilitation centers, hospitals, or outpatient clinics.Collaborate with a multidisciplinary team focused on patient recovery.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional development and continuing education.A supportive work environment that values innovation and teamwork.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

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: Speech Therapist work with patients across multiple age groups to facilitate the treatment of speech and language disorders, such as stammers, stutters, Tourettes and mutism. *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.

Overview: Licensed Clinic Director - Physical Therapist (PT) - Care Coordination ProgramPhysical Therapy + Care Coordination: The Best of Both Worlds!We’re looking for Physical Therapists 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!Incentive OpportunitiesFor some leadership positions at EmpowerMe Wellness, we offer financial incentive opportunities tied to performance. Be sure to ask your recruiter to learn more! Responsibilities: The OpportunityWe are hiring a licensed Physical Therapist (PT) to serve as Clinic Director at 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 Clinic Director, you will be responsible for:Overseeing how team members at your location(s) deliver care in accordance with federal, state, and local regulations Support care coordination efforts by conducting regular wellness checkpoint visits with patients, communicating with patients’ providers and caregivers, and assisting patients with attending telehealth visitsLeading operational initiatives, including the implementation of company-wide policies, clinical programs, and quality initiativesAdvising interdisciplinary care partners on treatment planning and therapeutic interventionsMaintaining professional practices and ethical standards in accordance with company-wide policies and clinical initiativesAs a PT, you will be responsible for: Providing physical therapy and wellness services for older adultsConducting assessments, treatment plannings, and therapeutic interventions as part of a multidisciplinary teamContributing to program development, quality improvement, and problem-solvingOptimizing 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 Physical Therapy program (New Grads Welcome) Current state licensure in PT 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: $47.00 - $63.00 per hour

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

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.*

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: *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.

Your Role The Federal Employee Program - Clinical Support Coordinator Team is responsible for phone and fax intake, and supports the Prior Authorization, Utilization Management, and Care Management teams. The Quality Lead Clinical Support Coordinator will report to the Manager FEP Non-Clinical Operations. In this role you will provide direct operations and training support to the Clinical Support Coordinator Team, perform coaching audits, outreach and engagement calls, and provide help on phones, faxes, email, and mail as needed.Your WorkIn this role, you will:Support CSC CM staff to maintain quality and production targetsBe a resource for training and ongoing support of the FEP Care Management CSC teamHandle member and provider escalated callsBuild cases and process information from calls, faxes, emails, and mailed correspondence and enter Eligibility File into the master system when neededPrecept new hires & coordinate precepting assignmentsAssist with process and system related issues, develop and implement solutionsCreate, organize, review, and share pertinent resource documents with team membersWork with other Leads, Seniors, Supervisor, Manager, and Business Analyst to drive team successComplete quality audits monthly and provide coaching feedback to team members as neededMonitor and shift resource needs to cover assigned team tasks as necessaryProvide backup to FEP Non-Clinical team when neededYour Knowledge and ExperienceRequires at least 7 years of prior relevant experience, FEP LOB experience preferredMust be able to support team members and department goalsMust be strong and effective communicator, with the ability to multi-taskMust have experience as a Senior/Advanced Clinical Support Coordinator or equivalent experienceMust have strong attendance recordMust 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 documentationMust be able to support team members and department goals

Physical Therapist - RehabWe are seeking a dedicated Physical Therapist to join our rehabilitation team. In this role, you will help patients recover from injuries or illnesses by improving their movement, reducing pain, and restoring functionality through personalized therapy programs.Key Responsibilities:Evaluate patients to assess their physical conditions and develop individualized treatment plans.Implement therapeutic exercises, manual therapy techniques, and specialized equipment to aid recovery.Educate patients and caregivers on techniques to improve mobility and prevent future injuries.Collaborate with other healthcare professionals to ensure comprehensive care for patients.Monitor patient progress and adjust treatment plans as necessary to achieve optimal outcomes.Document patient evaluations, treatments, and progress in compliance with healthcare regulations.Work Environment:Work in rehabilitation centers, hospitals, outpatient clinics, or private practices specializing in physical therapy.Engage in a dynamic, hands-on environment that requires physical activity and patient interaction.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth through training and certifications.A supportive work environment focused on collaboration and innovation in patient care delivery.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

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: *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.

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 Sr. Medical Director, Medical Policy will report to the Chief Medical Officer. In this role you will be accountable for ensuring that all medical, medication, and payment policy initiatives are in aligned with the scientific evidence and professional guidelines. You will lead a team that delivers medical policy that adapts to new clinical innovations and supports medical payment operations, and training for staff in the accurate application of medical, medication, and payment policy, pricing, and coding. In addition to chairing the BSC Pharmacy & Therapeutics, Medical and Payment Policy Committees, you will provide clinical leadership for all evidence-based medicine functions and partner closely with leaders of other business functions to develop strategies to ensure that Blue Shield members are receiving appropriate quality care.Your WorkIn this role, you will:Provide clinical thought leadership for the design and implementation of clinical policy innovation initiatives such as Coverage with Evidence Development, and the development of robust and efficient approaches to developing policies for emerging classes of technology like molecular diagnostics and mobile/digital personal health devicesChair the Medical Policy and Pharmacy and Therapeutics CommitteesProvide clinical leadership and medical consultation for the Blue Shield of California (BSC) medication management process, including working closely with the Pharmacy Services team to promote safe, effective, and cost-efficientProvide medical expertise in daily clinical rounds for drug authorization case reviewChair the Payment Policy Committee and provide clinical leadership for the BSC Payment Policy committee, overseeing and advising about payment policies and tactical approaches to ensure accurate coding of servicesConsult with BSC legal team to support fraud and abuse investigations, provider arbitrations, regulatory inquiries and issues, and litigation related to clinical policy, coding, or pricing issuesAct as BSC’s representative to the Blue Cross Blue Shield Association (BCBSA) Technology Assessment process and the Medical Policy PanelParticipate on the California Technology Assessment Forum and other related activitiesPartner with Network Management and Provider Partnership teams by providing subject matter expertise for contract and benefits coding decisions, including mandated benefits, provider contract language, provider DOFRs (division of financial responsibilities), and providing clinical perspective to resolve issues with BSC providers related to clinical policy, coding, and billing.Provide subject matter expertise for pricing of new, zero-dollar, and other exceptional claimsPresent at IPA/MG and Provider education seminars regarding medical, medication and payment policy Your Knowledge and ExperienceMinimum of 2 years of previous medical leadership experienceMinimum of 5 years of direct patient care experience post residencyMinimum of 8 years of experience developing evidence-based guidelines, medical policies or performing systematic reviews of the medical literatureMedical degree (M.D./D.O.) required. Master’s degree in epidemiology, health services or related degree is preferredCompleted residency preferably in adult based primary care specialty (e.g. Internal Medicine, Family Practice)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 required (preferably Internal Medicine or Family Practice)Has mastery level knowledge and skills within a specific technical or professional discipline with broad understanding of other areas within the job functionOutstanding verbal and written communication skillsAbility to lead through influence in a matrixed organizationExperience performing utilization management reviews is preferredExperience in a health plan or managed care organization is preferred#LI-JS3

Occupational Therapist - RehabWe are seeking a compassionate and skilled Occupational Therapist to join our rehabilitation team. In this role, you will help individuals regain independence by developing and implementing customized programs to improve daily living and vocational skills.Key Responsibilities:Assess patients' needs and develop individualized treatment plans.Use therapeutic techniques to improve patients' abilities to perform daily tasks.Adapt environments and modify tasks to remove barriers for patients.Teach patients and caregivers strategies for improving functionality and independence.Document patient progress and adjust treatment plans as necessary.Work Environment:Work in rehabilitation centers, hospitals, or outpatient clinics.Collaborate with a multidisciplinary team focused on patient recovery.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional development and continuing education.A supportive work environment that values innovation and teamwork.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

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: *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.

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California (BSC) and the Utilization Management (UM) department in realizing its goals and objectives. This individual will play a key role as part of UM team in delivering and collaborating on all aspects of utilization management and care coordination for Commercial membership. The Director, Commercial Utilization Management role will also provide direction and leadership in compliance to regulatory requirements and key operational metrics. This role requires weekly travel to an approved BSC office, and monthly travel to the Rancho Cordova BSC office. Ad hoc travel as needed.Your WorkIn this role, you will:Manage and monitor prior authorization and concurrent review to ensure that the patient is getting the right care in a timely and cost-effective wayLead development of UM strategy by leveraging the use of data/analytics to inform and technology solutions to streamline operational efficiencies while also building a cost-benefit methodology to rationalize decisions on UM reviews to be performed based upon staffing costs, productivity, and projected medical cost savingsProvide analysis and reports of significant utilization trends, patterns, and resource allocation. Partner with physicians and others to develop improved utilization of effective and appropriate servicesEstablish and measure productivity metrics in order to support workforce planning methodology and rationalization of services required to perform UM reviewsReview and report out on Utilization Review (UR) trending for Commercial membershipEnsure alignment of the authorization strategy with clinical policy, payment integrity, and network development strategies to optimize quality and cost of careManage strategic projects and support operations initiativesLead operational implementation of transformation changes (organizational management, process implementation, technology adoption)Lead operational teams' performance, resource management, continuous improvement, and trainingLead operational audit readiness, ensure adequate processes and internal audit measures are in place and maintained quarterlyEnsure all operational processes are meeting regulatory and accreditation requirementsFoster a culture of process excellence, BSC leadership principles, and a great place to work environmentYour Knowledge and ExperienceRequires current CA RN LicenseBachelors of Science in Nursing or advanced degree preferredMaster’s degree or equivalent experience preferredMinimum of 10 years prior relevant experience, including 6 years of management experienceMinimum of 5 years of progressive leadership in Utilization Management operations, preferredHealth plan or similar health care organization structure experience requiredSuccessful track record in driving organizational change managementExcellent relationship and consensus-building skills required#LI-JS3

Physical Therapist - RehabWe are seeking a dedicated Physical Therapist to join our rehabilitation team. In this role, you will help patients recover from injuries or illnesses by improving their movement, reducing pain, and restoring functionality through personalized therapy programs.Key Responsibilities:Evaluate patients to assess their physical conditions and develop individualized treatment plans.Implement therapeutic exercises, manual therapy techniques, and specialized equipment to aid recovery.Educate patients and caregivers on techniques to improve mobility and prevent future injuries.Collaborate with other healthcare professionals to ensure comprehensive care for patients.Monitor patient progress and adjust treatment plans as necessary to achieve optimal outcomes.Document patient evaluations, treatments, and progress in compliance with healthcare regulations.Work Environment:Work in rehabilitation centers, hospitals, outpatient clinics, or private practices specializing in physical therapy.Engage in a dynamic, hands-on environment that requires physical activity and patient interaction.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth through training and certifications.A supportive work environment focused on collaboration and innovation in patient care delivery.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

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: *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.

Physical Therapist Assistant - RehabWe are seeking a dedicated Physical Therapist Assistant to join our rehabilitation team. In this role, you will support physical therapists in providing treatments that help patients improve mobility, relieve pain, and regain independence.Key Responsibilities:Assist physical therapists in implementing treatment plans tailored to patients' needs.Instruct patients in exercises designed to improve strength, balance, or coordination under supervision.Monitor patients during therapy sessions and report progress or challenges to the supervising therapist.Maintain accurate documentation of treatments provided and patient responses.Ensure therapy equipment is clean, organized, and ready for use during sessions.Work Environment:Work in rehabilitation centers, hospitals, or outpatient clinics under the supervision of licensed physical therapists.A collaborative environment focused on achieving optimal patient outcomes through teamwork.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth through training and certifications.A supportive workplace culture that values collaboration and innovation in patient care delivery.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions.. The Clinical Services Coordinator, Advancedwill report to the Manager, Operations FCR. In this role you will assist the clinical team to ensure a timely review of facility compliance claims, including monitoring queues, assisting with administrative support to the FCR team This will includemanagement of daily inventory, assisting with researching claims, pulling medical records and answering questions sent to the FCR mailbox. The main goal of this team is to support the clinical team to ensure they have what they need in order to complete the medical necessity reviews.Your Work In this role, you will: Process faxed/phoned in authorizations, UM/CM requests, special processing/case types and/or calls left on voicemailMonitor specific queues/workstreams andgeneratespre-defined reports to identify and resolve common errorsHandle customer/provider problematic callsCheck member history for case management triageand research member eligibility/benefits and provider networksAssign initial EOA days, or triage to nurses, based on established workflowAssists with system letters, requests for information and data entry. Monitors for Medical Records Outstanding (MRO), keeps track to ensure timely receipt and filing of medical records. **Requires occasional visits to the office to collect these medical records. Provides administrative/clerical support to the FCR team.Acts as a liaison, gather information and track all patients referred to the care management programsWork with the Operations Specialist and Senior Manager on projects as assigned.Monitor specific queues/workstreams and generates pre-defined reports to identify and resolve common errors. Your Knowledge and Experience Requires a high school diploma or equivalentRequires at least 5 years of prior relevant experienceRequires health insurance/managed care experienceRequires strong computer navigation skillsRequires independent motivation and strong work ethic

Physical Therapist - Skilled Nursing Facility (SNF)If you are passionate about helping patients regain mobility and independence, consider joining our team as a Physical Therapist in a skilled nursing facility. You will design and implement rehabilitation programs tailored to residents' unique needs.Key Responsibilities:Assess residents' physical conditions and develop individualized treatment plans.Utilize therapeutic exercises, manual therapy techniques, and equipment to aid recovery.Educate residents on maintaining physical health and preventing future injuries.Collaborate with other healthcare professionals to ensure comprehensive care plans are executed effectively.Monitor progress and adjust therapy programs as needed for optimal outcomes.Work Environment:Provide care in skilled nursing facilities focused on long-term patient recovery.Work within a multidisciplinary team dedicated to enhancing residents' quality of life.Benefits:A competitive compensation package with benefits included.A focus on professional development through training programs and certifications.A supportive workplace culture that emphasizes teamwork and innovation.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Director, Pharmacist will play a strategic leadership role, partnering with pharmacy service providers, internal Blue Shield of California teams, and cross-functional stakeholders to resolve high-impact operational challenges. This role is responsible for ensuring seamless, end-to-end issue resolution and transparent communication that supports scalable and stable service delivery. The Director will lead efforts to optimize the pharmacy service provider operating model, with a particular focus on IT data exchange processes. The role will also mentor operational staff, lead strategic initiatives, and provide critical thought leadership on modular solution monitoring and governance.Your Work In this role, you will: Partner with pharmacy service providers and BSC business units to proactively identify, resolve, and communicate on high-impact operational issues.Provide leadership or thought partnership in redesigning or refining workflows and processes to drive scalable, stable operations.Serve as a key escalation point for operational issues requiring executive-level oversight.Lead Pharmacy Service Provider OptimizationLead or influence the design and evolution of the pharmacy service provider operating model to ensure efficiency, quality, and integration with BSC IT systems.Drive improvements to the IT data exchange framework, ensuring alignment with compliance, security, and performance expectations.Establish and maintain forums and processes to continuously monitor and govern pharmacy modular solution and operating models, including associated IT integration.Provide thought leadership in creating metrics, KPIs, and dashboards for operational health and strategic alignment.Mentor and develop high-potential operational staff, cultivating future leadership and deepening bench strength across the department.Promote a culture of accountability, learning, and cross-functional collaboration.Provide operational expertise and leadership for other high-priority strategic initiatives as assigned.Influence and collaborate with executives and senior leaders across departments to ensure alignment and integration of operational goals.Your Knowledge and Experience Requires a current active and unrestricted California Registered Pharmacist (RPh) licenseRequires Doctor of Pharmacy (PharmD) clinical degreeMBA, MHA, or additional leadership training is preferredMinimum 10+ years of progressive experience in pharmacy operations, healthcare strategy, or healthcare service deliveryMinimum 6+ years in a leadership or senior management roleDeep understanding of pharmacy benefit management, healthcare provider integration, and IT systems related to healthcare data exchangeStrong problem-solving, analytical, and organizational skillsProven experience working cross-functionally with internal and external stakeholdersExcellent verbal and written communication skillsExperience with modular healthcare platforms or service provider ecosystemsFamiliarity with Blue Shield of California systems and processes is preferred

Speech-Language Pathologist - RehabWe are seeking a dedicated Speech-Language Pathologist to join our rehabilitation team. In this role, you will assess and treat individuals with speech, language, voice, and fluency disorders, helping them regain essential communication skills and improve their quality of life.Key Responsibilities:Evaluate patients to determine the nature and extent of speech or language difficulties.Develop and implement individualized treatment plans to address specific disorders.Teach alternative communication methods as needed.Collaborate with other healthcare professionals to provide comprehensive care.Document patient progress and adjust therapy plans as necessary.Work Environment:Work in rehabilitation centers, hospitals, or outpatient facilities.Engage in a collaborative, team-based environment focused on patient outcomes.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth and continuing education.A supportive work environment that values collaboration and innovation.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

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.*

Registered Nurse (RN) - Director, Home Health Join our team as an experienced Registered Nurse (RN) - Director in Home Health, where you will oversee nursing operations, ensure regulatory compliance, and lead a team providing care to patients in their homes. Key Responsibilities: Provide leadership and direction to home health nursing staff, ensuring high-quality patient care and service delivery.Develop and implement policies and procedures that comply with healthcare regulations and accreditation standards.Monitor clinical outcomes, quality assurance programs, and patient satisfaction.Manage staffing schedules, recruitment, and training to support professional development and adequate coverage.Collaborate with interdisciplinary teams to coordinate care and resolve patient or staff concerns.Oversee budget, resource allocation, and performance improvement initiatives for the home health department. Work Environment: The role is based in home health agencies or organizations providing in-home nursing care.This position requires strong leadership, organizational, and communication skills to manage complex operations and ensure regulatory compliance. Benefits: A competitive salary with opportunities for career advancement within home health or nursing leadership roles.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 management. Equal Opportunity Employer: Your expertise in home health nursing leadership is valued here. We strive to create an inclusive environment where all employees can thrive professionally while making a meaningful impact on patient care in the community. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*