Your RoleThe 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, Utilization Management will report to the Vice President, Medical Management. 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 the membership. These functions include performance of pre-service, concurrent and retrospective utilization review, Appeals and Grievances, and provider claims dispute reviews. The Medical Director, Utilization Management facilitates performance management and goals in alignment with organizational goals for the membership. Moreover, the Medical Director, Operations 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 members. You will also provide direction and leadership in compliance with regulatory requirements and key operational metrics and work collaboratively with the Director, Utilization Management to achieve these goals.Your Work In this role, you will: Complete assigned clinical reviews (preservice requests, Concurrent Review, Provider Claims Disputes, 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 the membership as well as other lines of business, including MedicarePartner closely with the Sr. Medical Director, Utilization Management to develop improved utilization of effective and appropriate services and support operational implementation of transformation initiatives for the membershipSupport Sr. Medical Director, Concurrent Review in coordinating the care of membership, to provide access to high-quality health care to these membersSupport Sr. Medical Director, Concurrent Review 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 actively in assigned CommitteesAbides by all applicable laws and regulations as mandated by state and federal lawsAny other assigned dutiesYour Knowledge and Experience 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 required; Maintain active, unrestricted Medical License in all additional assigned states requiredMaintain Board Certification in one of ABMS or AOA categories required (preferably Internal Medicine or Family Practice)Minimum 5 years direct patient care experience post residencyDemonstrated proficiency in at least 3 of the following: Medicare/Medicare STARS, Dual Special Needs Plan (D-SNP), Medi-Cal, NCQA/URAC/Quality Programs, Policies/Procedures development, Clinical Subject Matter Expert for Litigation, SIU/Waste/Fraud/Abuse, Appeals/Grievances, Case Management/Population Health, Federal Employee Program (FEP), Education/Training (delivers CME, CEU), Quality ImprovementKnowledge of Medicare, California statutes and regulations including DMHC. Understanding of NCQA accreditation standards preferredKnowledge 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

Join us and inspire with every cup! At Starbucks, it’s all about connection. People are at the heart of who we are, especially the people that are a part of our store team. We connect with each other, our customers and our communities to make a positive impact every day. We believe in working together to make a difference and in celebrating our shared success, which is why we call ourselves Starbucks “partners.” Starbucks is a place of warmth and belonging, where everyone is welcome, and we value the unique experiences that each partner brings to our team! As a Starbucks shift supervisor, you’ll be a role model of the store operations standards that define our Starbucks Experience. You’ll lead each shift, working alongside a team of baristas to deliver quality customer service and expertly-crafted products. You’ll be in an energetic store environment where you’ll have the ability to positively influence and guide others, maintain an encouraging team environment, and grow your leadership skills. We believe our shift supervisors are leaders in creating an uplifting experience for our customers and partners alike. You’d make a great shift supervisor if you: Take initiative and act as a role model to others. Enjoy working as a team and motivating others.Understand how to create a great customer service experience.Have a focus on quality and take pride in your work.Are confident in leading, deploying, and guiding others.Are open to learning new things (especially the latest beverage recipe!)Are experienced with responsibilities like cash-handling and store safety. Can keep cool and calm in a fast-paced, energetic work environment.Have excellent communications skills. From free coffee to competitive pay, Starbucks is proud to offer a comprehensive compensation and benefits package to our eligible part-time and full-time partners. Benefits include 100% tuition coverage through our Starbucks College Achievement Plan, health coverage with a variety of plans to choose from, and stock & savings programs like our equity reward program, Bean Stock. What’s more, Starbucks offers flexible scheduling and opportunities for paid time off. Visit starbucksbenefits.com for details. Benefit Information Summary of Experience Customer service experience in a retail or restaurant environment - 1 year Basic Qualifications Maintain regular and consistent attendance and punctuality, with or without reasonable accommodationAvailable to work flexible hours that may include early mornings, evenings, weekends, nights and/or holidaysMeet store operating policies and standards, including providing quality beverages and food products, cash handling and store safety and security, with or without reasonable accommodationsSix (6) months of experience in a position that required constant interacting with and fulfilling the requests of customersPrepare and coach the preparation of food and beverages to standard recipes or customized for customers, including recipe changes such as temperature, quantity of ingredients or substituted ingredientsAt least six (6) months of experience delegating tasks to other employees and/or coordinating the tasks of two (2) or more employees Knowledge, Skills and Abilities Ability to direct the work of othersAbility to learn quicklyEffective oral communication skillsKnowledge of the retail environmentStrong interpersonal skillsAbility to work as part of a teamAbility to build relationships As a Starbuckspartner, you (and your family) will have access to medical, dental, vision,basic and supplemental life insurance, and other voluntary insurance benefits.Partners have access to short-term and long-term disability, paid parental leave, family expansion reimbursement, paid vacationthat accrues starting at .01961 hours based on a 40 hour week up to 40 hours annually (64 hours in California) after an introductory period, sick time (accrued at1 hour for every 25 or 30 hours worked, depending on work location),and additional pay if working on one of eightobserved holidays. Starbucks also offers eligible partners participation in a 401(k)-retirement plan with employer match, a discounted company stock program (S.I.P.), Starbucks equity program (Bean Stock), incentivized emergency savings, and financial well-being tools. Additionally, Starbucks offers 100% upfront tuition coverage for a first-time bachelor’s degree through Arizona State University’s online program viathe Starbucks College Achievement Plan, student loan management resources, and access to other educational opportunities.You will also have access to backup careand DACA reimbursement. Starbucks will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act, in accordance with its plans and policies. This list is subject to change depending on collective bargaining in locations where partners have a certified bargaining representative. For additional information regarding partner perks and more detailed information regarding benefits, go to starbucksbenefits.com. At Starbucks, it is typical for new partners to be hired at the entry point of the range for their role, which is based upon geographic location. Individual compensation decisions are dependent upon the facts and circumstances of each position and candidate. Starbucks Coffee Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, or protected veteran status, or any other characteristic protected by law. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. Starbucks Coffee Company is committed to offering reasonable accommodations to job applicants with disabilities. If you need assistance or an accommodation due to a disability, please contact us at or 1.

Overview: If you reside in California, please see our California Applicant Privacy Policy for more information about our data handling practices and your data rights. Responsibilities: MV Transportation is seeking a Fleet Maintenance Manager who will be a dynamic, multi-task oriented senior professional to manage all day-to-day maintenance aspects of this fixed route bus operation. The Fleet Maintenance Manager willensurethat all contractual requirements are achieved, and duties included will consist of daily, weekly, monthly and annual reports. The Fleet Maintenance Manager must be able to properly manage a budget for maintenance program. Qualifications: Talent Requirements:Must have ASE Certification and a minimum of 5 years of experience as a mechanic with heavy dutyvehicle experience.Must have at least 2 years of experience as a lead mechanic with supervisory capacity.Must have experience managing/ directing 10 plus employees (fleet Technicians/Service Workers/Cleaners).Experience working with 50 + buses within the last year.Previous passenger transportation in current project or similar environment preferred.Must be able to manage and interface with client.Must have the ability to track and control parts inventories, vendors and suppliers.Must be able to properly prioritize, implement and manage work schedules, projects and assignments.Must be able to manage the financial/accounting aspects of a fleet maintenance operation.Must be able to communicate effectively with all levels of staff in written and oral formats.Must have computer skills including word processing, spreadsheets and Microsoft outlook.Must have technical competence with light/medium/heavy duty vehicle repair and preventive maintenance.Must display initiative, professionalism, candor and tactat all times.Manufacture’s certifications a plus.Technical experience with fixed route transit bus maintenance.Solid knowledge of managing audits, PM schedules.Experience with Diesel, CNG, and Alternative fuels a plus.Must have a CDL class B with passenger and airbrake endorsement.Starting salary range: $95,000 - $120,000MV Transportation is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, religion, creed, national origin or ancestry, sex, physical or mental disability, veteran or military status, genetic information or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances. The information collected by this application is solely to determine suitability for employment, verify identity and maintain employment statistics on applicants.Where permissible under applicable state and local law, applicants may be subject to a pre-employment drug test and background check after receiving a conditional offer of employment.#appcast

The Pharmacy Supervisor assumes responsibility for the functioning of the Department in the absence of the Director of Pharmacy. This role participates with other members of the healthcare team in helping patients of all ages achieve positive clinical outcomes. This role performs effectively in the role of a staff pharmacist when required. The Pharmacy Supervisor understands the rules and regulations of pharmacy and supports the adherence to those rules and regulations throughout the department. The Pharmacy Supervisor is a resource to other pharmacy staff members and appropriately resolves or escalates employee concerns.$153k to $173kRESPONSIBILITIES AND TASKS Leadership• Provides staff and hospital education regarding pharmaceutical care and medication management.• Monitors and interprets data including pharmaceutical usage, medication costs, and patient outcomes. Targets improvement opportunities and implements and monitors improvements.• Understands sourcing of pharmaceuticals and pharmacy supplies and procures medications and supplies from most cost effective source.• Monitors processes such as scheduling, staffing, medication management, clinical programs, protocols, communications, and procurement, and pharmaceutical waste.• Supports corporate compliance programs and reports questionable situations, concerns, and complaints immediately.• Communicates effectively with the Director of pharmacy regarding departmental issues and needs.Computer proficiency• Uses the Electronic Health Record efficiently to perform clinical and operational pharmacy tasks.• Uses Microsoft Word and Excel to prepare basic documents and analysis.Compounding/Dispensing/Restocking Medication• Safely performs non-sterile compounding within hospital policy and regulatory parameters.• Prepares or coordinates the provision of IV sterile compounded products within hospital policy and regulatory parameters.• Supports medication availability through timely completion and/or supervision of automated dispensing cabinet restock process.• Documents or supervises documentation related to dispensing, compounding, and restocking including temp logs, inspection logs, unit dosing logs, etc.• Goes to floors and restocks automated dispensing machines or narcotic cabinets.• Orders medications and manages pharmacy inventory effectively.• Correctly classifies pharmaceutical waste and ensures proper waste process.Clinical Activities• Evaluates all patient demographic and medication related parameters when verifying medication orders.• Researches and provides an appropriate response to a drug information questions.• Completes pharmacy clinical tasks as defined by hospital process.• Participates in scheduled interdisciplinary activities.• Reports medication events including when identified.• Contacts medical staff when medication concerns or risks are identified.Other Clinical or Non-distributive Activities• Handles all pharmaceutical generated protected health information in a manner consistent with the privacy rule as outlined in HIPPAA.• Participates in medication reconciliation as defined by hospital process.• Provides education to patients about their medication regimen. QualificationsLicense or Certification:• Licensed in good standing by the State Pharmacy Board for the State in which the hospital is located.Minimum Qualifications:• Successful completion of a degree from an accredited pharmacy program or one that is determined to be substantially equivalent to a U.S. accredited program by an appropriate certifying agency preferred.• Minimum 1 year of supervisory experience.

HomeGoodsAt TJX Companies, every day brings new opportunities for growth, exploration, and achievement. You’ll be part of our vibrant team that embraces diversity, fosters collaboration, and prioritizes your development. Whether you’re working in our four global Home Offices, Distribution Centers or Retail Stores—TJ Maxx, Marshalls, Homegoods, Homesense, Sierra, Winners, and TK Maxx, you’ll find abundant opportunities to learn, thrive, and make an impact. Come join our TJX family—a Fortune 100 company and the world’s leading off-price retailer.Job Description:Opportunity: Grow Your Career.Leads the frontline to promote a “Highly-Satisfied” customer experience while driving customer loyalty. Helps develop high-performing teams through training and mentoring of Associates on frontline execution of all register transactions. Acts with integrity to adhere to company policy and procedures. Promotes a culture where everyone feels welcomed, valued, and engaged. Has a strong desire to achieve team and individual results. Available and willing to work in multiple areas of the store as neededPromotes a “Highly Satisfied” customer experienceDrives customer loyalty through programs and initiativesAddresses customer concerns and issues promptlyUpdates Associates on current customer experience feedback, goals, and company initiativesTrains and mentors all Associates on Policies and ProceduresProvides recognition and constructive feedback on cashier performanceMaintains and monitors cash controls including change fundAdheres to all labor laws and meal and break period policiesAssigns registers and coordinates breaks to ensure optimized coverage at frontline and sales floorAudits and approves paperworkMaintains cleanliness, recovery, and organizational standards throughout the frontlineMonitors all frontline equipment, communicating issues to managementExecutes and adheres to Company directivesMaintains and upholds merchandising standards within the queue-lineAdheres to all operational, merchandise, and loss prevention policies and procedures (i.e. merchandise ticketing, EAS tagging - if applicable, and coding standards)Ensures proper and timely handling of damages and Mark out of StockPromotes a safe environment, reporting any type of safety hazard in the storeOther duties as assignedWho We’re Looking For: You.High School graduate or equivalent degree preferredAvailable to work flexible schedule including evenings and weekendsAble to work as a team memberExcellent interpersonal skillsExceptional customer service skillsAble to lift heavy merchandise with/without reasonable accommodationsAble to train and provide direction to othersAble to run a register/handle moneyMust be able to handle confidential information with discretionExperience as a coordinator or previous retail/supervisory experience preferredBenefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral bonuses. Those who meet service or hours requirements are also eligible for: 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long term disability; paid parental leave; paid holidays/vacation/sick; auto/home insurance discounts; scholarship program; adoption assistance. All benefits are provided in accordance with and subject to the terms of the applicable plan or program and may change from time to time. Contact your TJX representative for more information.In addition to our open door policy and supportive work environment, we also strive to provide a competitive salary and benefits package. TJX considers all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status, or based on any individual's status in any group or class protected by applicable federal, state, or local law. TJX also provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.Address:1010 E Bidwell StreetLocation:USA HomeGoods Store 0522 Folsom CAThis position has a starting pay range of $17.50 to $18.00 per hour. Actual starting pay is determined by a number of factors, including relevant skills, qualifications, and experience.

Job ID: 265612Store Name/Number: CA-Lincoln Center (1744)Address: 6521 Pacific Avenue, Stockton, CA 95207, United States (US)Hourly/Salaried: Hourly (Non-Exempt)Full Time/Part Time: Full TimePosition Type: RegularYour Role at Sephora: As a Sales and Service Leader, you'll be at the forefront of our mission to provide an exceptional shopping experience for every client. You'll support a dedicated team of Coordinators, Licensed Beauty Advisors, and Beauty Advisors, providing guidance to ensure they excel in their roles. If you have a passion for retail sales and services and love supporting a team, this is the perfect role for you.Key Responsibilities:Implementing Sales and Service Experiences: Ensure the implementation of sales and service experiences that meet Sephora's standards.Support and Coach Team: Support and coach team members in selling, service, and operations.Executing Client Service and Sales: Execute our client service model and sales strategies, driving customer engagement.Ensuring Compliance with Sephora Standards: Ensure compliance with store standards, maintaining a professional environment.Ensuring Client Loyalty and Engagement: Support client loyalty programs and services, monitoring key performance indicators (KPIs) to ensure success.Qualifications/Experience:Prior leadership experience, preferably in retail sales or services.Passion for client service and teamwork.Strong communication skills, ability to multitask.Resilience and adaptability to changing store priorities.Flexible availability to work during “peak” retail hours.Consistent and reliable attendance.Ability to lift and carry up to 50 pounds.While at Sephora, you’ll enjoy.Diversity, Inclusion & Belonging?We pledge to create a beauty community where everyone’s uniqueness is celebrated, respected, and honored.Meaningful Rewards?Sephora offers comprehensive healthcare and wellbeing benefits based on eligibility; Details about our company benefits can be found at the following link: $26.00 - $31.85/hr. The actual hourly pay offered depends on various factors, including qualifications for the position and relevant experience; and other legitimate, non-discriminatory business factors specific to the position or location. Sephora now offers a Flex (on demand) position for employees who can work anywhere from 0-19 hours a week. This flexibility allows you to balance your work schedule with other commitments. This could be a steppingstone into a more permanent position if you are looking for more in the future.Sephora is an equal opportunity employer; and values a diverse and inclusive workplace. All persons will receive consideration for employment without regard to sex, pregnancy, race, color, national origin, gender (including gender identity and gender expression), age, religion, sexual orientation, military/veteran status, disability, or any other legally protected status. Sephora is committed to providing reasonable accommodation in our recruiting processes to applicants with disabilities or other medical conditions.Sephora will consider for employment all qualified applicants, including those with a criminal history, in a manner consistent with the requirements of all applicable federal, state, and local laws, including the Los Angeles Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and the New York City Fair Chance Act.*This job will be posted for a minimum of 5 business days.

TJ MaxxAt TJX Companies, every day brings new opportunities for growth, exploration, and achievement. You’ll be part of our vibrant team that embraces diversity, fosters collaboration, and prioritizes your development. Whether you’re working in our four global Home Offices, Distribution Centers or Retail Stores—TJ Maxx, Marshalls, Homegoods, Homesense, Sierra, Winners, and TK Maxx, you’ll find abundant opportunities to learn, thrive, and make an impact. Come join our TJX family—a Fortune 100 company and the world’s leading off-price retailer.Job Description:Opportunity: Grow Your CareerResponsible for promoting an excellent customer experience. Oversees a team of Associates at front of store ensuring prompt, courteous customer service and promotion of loyalty programs. Leads by example by engaging and interacting with all customers, and maintaining a clean and organized store. Role models outstanding customer service.Creates a positive internal and external customer experiencePromotes a culture of honesty and integrity; maintains confidentialityTakes an active role in training and mentoring Associates on front end principlesTrains and coaches Associates on personalizing the customer experience while promoting loyalty programsAssigns registers, supports and responds to POS coverage needs, and coordinates breaks for all AssociatesAddresses customer concerns and issues promptly, ensuring a positive customer experienceEnsures Associates execute tasks and activities according to store plan; prioritizes as neededCommunicates accurately and effectively with management and Associates when setting and addressing priorities; provides progress updatesProvides and accepts recognition and constructive feedbackPartners with Management on Associate training needs to increase effectivenessEnsures adherence to all labor laws, policies, and proceduresPromotes credit and loyalty programsSupports and participates in store shrink reduction goals and programsPromotes safety awareness and maintains a safe environmentOther duties as assignedWho We’re Looking For: You.Available to work flexible schedule, including nights and weekendsStrong understanding of merchandising techniquesCapable of multi-taskingStrong communication and organizational skills with attention to detailAble to respond appropriately to changes in direction or unexpected situationsTeam player, working effectively with peers and supervisorsAble to train others1 year retail and 6 months of leadership experienceBenefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral bonuses. Those who meet service or hours requirements are also eligible for: 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long term disability; paid parental leave; paid holidays/vacation/sick; auto/home insurance discounts; scholarship program; adoption assistance. All benefits are provided in accordance with and subject to the terms of the applicable plan or program and may change from time to time. Contact your TJX representative for more information.In addition to our open door policy and supportive work environment, we also strive to provide a competitive salary and benefits package. TJX considers all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status, or based on any individual's status in any group or class protected by applicable federal, state, or local law. TJX also provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.Address:3959 Missouri Flat RdLocation:USA TJ Maxx Store 0094 Placerville CAThis position has a starting pay range of $17.50 to $18.00 per hour. Actual starting pay is determined by a number of factors, including relevant skills, qualifications, and experience.

Your Role The Children’s Services Program (CSP) team provides identification, referrals, and care management for all Medi-Cal members under 21 years old and collaborates within Promise Clinical Team. The Case Management Nurse, Senior will report to the CSP Manager. In this role you will be Perform clinical review, assessment, evaluation ofmedical services for the organization using the established and approved Blue Shield Medical Policies and CCS/EIES/DDS/ECM Eligibility guideline which align with nationally recognized standards. Responsible for managing member needs for specificCCS/EIES/DDS/CSHCN/EPSDT and other clinical programs and care coordination.Responsible in assisting and working daily inventory, providing high-quality clinical reviews, performing efficient care management and care coordination, and ensuring compliance performance metrics are met.Your Work Inthisrole,youwill:Performcare management/care coordination for members using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines ofbusiness or for a specific line of business such as Medi-Cal and CCS/EIES/DDS/ECM Eligibility guidelines.Conductsclinicalreviewof claims formedicalnecessity,codingaccuracy,medical policy compliance and contract complianceEnsure discharge (DC) planning at levels ofcare appropriate for the members needs and acuity anddeterminepost-acuteneedsof member including levels ofcare, durable medical equipment, and post service needs to ensure quality and cost-appropriate DC planningPrepareand present cases to Medical Director (MD) for medical director oversight and necessitydetermination and communicate determinations to providers and/or members to in compliance with state, federal and accreditation requirementsDevelop and review member centered documentation and correspondence reflecting determinations in compliance with regulatory and accreditation standardsand identifypotentialqualityof careissues,serviceortreatment delays and intervenes or as clinically appropriatePreparesandpresentscasestoMedicalDirector(MD) formedicaldirectoroversightandCCS eligibilitydetermination.Communicate determinations to providers and/or members to in compliance with state, federal and accreditation requirements.Develops and reviews member centered documentation and correspondence reflecting determinations in compliance with regulatory and accreditation standards.Identifiespotential quality ofcare issues, service or treatment delays and intervenes or as clinically appropriateand provide care coordination to identified CHP members.Provides referrals to Social Services, Behavioral Health, Appeals and Grievance, and Quality Departments as necessary. In addition to collaboration with County CCS and Regional Centers Your Knowledge and Experience Current CA RN License. Public Health Nurse (PHN) License preferred.Bachelor of ScienceinNursingoradvanceddegreepreferred.Certified Case Manager (CCM) or is in process of completing certification when eligible based on CCM application requirements or National Certification in related fieldRequiresatleast5yearsofpriorrelevantexperience4 years experience in Medi-Cal Clinical Review, Case Management and Care Coordination preferred2 years experience in Pediatrics withChildren's Health Programs (EI, ES, DDS, EPSDT, CHDP) specifically California Children’s Services (CCS) preferredWorkingknowledge ofregulatory and accreditationstandards (URAC, NCQA, DMHC, Case Management Society of America CMSA) preferredCareCoordinationandCaseManagementexperiencepreferred

MarshallsAt TJX Companies, every day brings new opportunities for growth, exploration, and achievement. You’ll be part of our vibrant team that embraces diversity, fosters collaboration, and prioritizes your development. Whether you’re working in our four global Home Offices, Distribution Centers or Retail Stores—TJ Maxx, Marshalls, Homegoods, Homesense, Sierra, Winners, and TK Maxx, you’ll find abundant opportunities to learn, thrive, and make an impact. Come join our TJX family—a Fortune 100 company and the world’s leading off-price retailer.Job Description:Opportunity: Grow Your CareerResponsible for executing receiving and merchandising standards while ensuring Associates are processing efficiently and effectively, and working as a team. Ensures an excellent customer experience by engaging and interacting with all customers, and maintaining a clean and organized store. Role models exceptional customer service.Creates a positive internal and external customer experiencePromotes a culture of honesty and integrity; maintains confidentialityOrchestrates truck delivery, prioritizing the processing of merchandise onto the sales floorTrains and mentors Associates on established merchandising and processing principlesEnsures merchandise is properly tagged, hung, secured, and codedCommunicates with the Coordinator on Duty to ensure efficient flow of goods to sales floorEnsures Associates complete tasks and activities according to store plan; prioritizes as neededMonitors productivity of team and coaches as necessaryOrganizes and rotates back stock for easy replenishmentMaintains and upholds merchandising philosophy and signage standardsMaintains all organizational, cleanliness and recovery standards for the backroom areaEnsures compliance with recycling and, where applicable, hazardous waste programsCommunicates accurately and effectively with management and Associates when setting and addressing priorities; provides progress updatesProvides and accepts recognition and constructive feedbackPartners with Management on Associate training needs to increase effectivenessEnsures adherence to all labor laws, policies, and proceduresPromotes credit and loyalty programsSupports and participates in store shrink reduction goals and programsPromotes safety awareness and maintains a safe environmentOther duties as assignedWho We’re Looking For: You.Able to work a flexible schedule, including nights and weekendsSuperior communication and organizational skills with attention to detailCapable of multi-taskingAble to respond appropriately to changes in direction or unexpected situationsTeam player, working effectively with peers and supervisorsCapable of lifting heavy objects with or without reasonable accommodationAble to train others1 year retail and 6 months of leadership experienceBenefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral bonuses. Those who meet service or hours requirements are also eligible for: 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long term disability; paid parental leave; paid holidays/vacation/sick; auto/home insurance discounts; scholarship program; adoption assistance. All benefits are provided in accordance with and subject to the terms of the applicable plan or program and may change from time to time. Contact your TJX representative for more information.In addition to our open door policy and supportive work environment, we also strive to provide a competitive salary and benefits package. TJX considers all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status, or based on any individual's status in any group or class protected by applicable federal, state, or local law. TJX also provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.Address:3440 Mchenry Ave.Location:USA Marshalls Store 0390 Modesto CAThis position has a starting pay range of $17.50 to $18.00 per hour. Actual starting pay is determined by a number of factors, including relevant skills, qualifications, and experience.

Your Role The Utilization Management Concurrent Review team ensures accurate and timely authorization of designated healthcare services clinical review determinations for Medicare Line of Business. The Manager, Utilization Management Nurse Management will report to the Director, Utilization Management Nurse Management. In this role you will be managing a high functioning team, have direct oversight of day-to-day operations and participate in process improvement/cost of health care initiatives.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: Establish operational objectives for department or functional area and participate with other managers to establish group objectivesBe responsible for team, department, or functional area results in terms of planning and cost in collaboration with department DirectorParticipate in the development and implementation of the annual budget under the direction of department DirectorEnsureworkflowprocedures and guidelines are clearly documented and communicatedInterpret or initiate changes in guidelines/policies/proceduresManage multiple regulatory reportsEstablish and manage operational reportsEnsure regulatory and accreditation standards are met for Medicare of businessCollaborate across functionally to improve member outcomesParticipate in Regulatory and Internal AuditsYour Knowledge and Experience Requires a bachelor's of science in nursing or equivalent experienceRequires a current California RN LicenseRequires at least 7 years of prior relevant experience including 3 years of management experienceHas demonstrated experience with basic management approaches such as work scheduling, prioritizing, coaching, process execution, work organization, inventory management, risk management and delegationRequires knowledge of regulatory requirements for all Lines of Business (Medi-Cal, Medicare Advantage and DSNP)Requires strong emotional intelligence skillsRequires the ability to work collaborative with cross functional operations

Your Role The Medicare Star Performance team is responsible for achieving sustainable Medicare Advantage and 4 Star performance. The Program Manager, Consultant – Member Experience will report to the Director of Medicare Star Strategy and Performance. In this role you will implement programs and processes designed to improve member experience within our Medicare Advantage delivery systems. You will also be responsible for leading market initiatives to address member perceptions and enhance Blue Shield of California performance on Consumer Assessment of Healthcare Providers and systems (CAHPS) and Health Outcomes Survey (HOS). This is a field-based position and will require visits with assigned delivery systems in person.Your WorkIn this role, you will:Actively engage leadership and staff at all levels within a provider group/medical practice setting to enhance the member experienceInfluence the development and implementation of programs that improve member experienceDevelop resourcing strategies to ensure optimum support for projects and for the day-to-day operational activities. Develop and deliver training programs within provider groups to increase awareness of behaviors and techniques that affect member experienceReview program budget variance and scope change requests, and participate in the budget-resolution processLead cross-functional meetings and foster teamwork; drive escalation and resolution of issues, while promoting collaboration and coordination across broad categories of stakeholdersSupport and coach project managers within the program, while providing technical expertise in planning, execution, and leadership of program, projects, and initiativesIdentify best practices for achieving high performance on Consumer Assessment of Healthcare Providers and systems (CAHPS) and Health Outcomes Survey (HOS) measures, meeting provider groups/medical clinics where they are in their member experience journey; Collaborate with providers to create actionable strategies and process improvement plans targeting specific performance metricsUtilize and integrate CAHPS, HOS, and other predictive analytic data to assist organizations in improving performance and lead special projects and activities focused on CAHPS and HOS performance improvementMaintain awareness of industry regulations that impact CAHPS/HOS survey measures and incorporate them into strategic initiativesAnalyze and interpret survey data to identify trends, solve complex challenges, and develop strategic plans in collaboration with provider groups to drive process improvementsYour Knowledge and ExperienceRequires a bachelor’s degree or equivalent experienceRequires at least 7 years of prior relevant experienceRequires 3+ years of experience in healthcare quality improvement, provider engagement, or Medicare Advantage performance initiativesRequires familiarity with CMS regulations and Medicare Advantage programsRequires a proven track record of leading successful provider engagement and member experience initiativesRequires experience in facilitating peer-to-peer learning opportunities among providers to drive innovation and continuous improvementRequires expertise in analyzing and applying survey data (CAHPS, HOS, NPS) to drive performance improvement