Radiology Technologist - Interventional RadiologyWe are seeking a highly skilled Radiology Technologist specializing in Interventional Radiology to join our team. In this role, you will assist in minimally invasive procedures by using advanced imaging technology to guide interventions, ensuring accurate and effective patient care.Key Responsibilities:Prepare patients for interventional radiology procedures by explaining the process and positioning them appropriately.Operate fluoroscopy and other imaging equipment to provide real-time guidance during procedures.Assist physicians in performing diagnostic and therapeutic interventions, such as angiograms, stent placements, or biopsies.Maintain a sterile environment and adhere to infection control protocols during procedures.Monitor patients' vital signs and ensure their safety and comfort throughout the procedure.Document procedures accurately and maintain detailed patient records.Perform routine maintenance and quality checks on imaging equipment to ensure optimal performance.Work Environment:Work in hospitals or specialized interventional radiology suites equipped with advanced imaging technology.Collaborate closely with physicians, nurses, and other healthcare professionals in a fast-paced environment.Be prepared for on-call responsibilities to assist with urgent or emergency procedures.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth through specialized training and certifications.A supportive work environment that values innovation and teamwork in patient care delivery.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Overview: Licensed Physical Therapist Assistant (PTA) - Care Coordination ProgramPhysical Therapy + Care Coordination: The Best of Both Worlds!We’re looking for Physical Therapy Assistants to support our innovative new care coordination program! This opportunity empowers you to practice at the top of your license, while giving you the chance to branch out into care coordination duties designed to standardize your hours and grow your career. All this plus truly flexible scheduling, amazing benefits, and the ability to make a huge difference in the lives of seniors!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 Assistant (PTA) to join our team and work with the residents of a senior living community that offers one or more of the following care settings: independent living, assisted living, and memory care. Therapy services for the residents at this community are covered by private insurance and/or Medicare Part B. As a PTA, you will be responsible for: Providing physical therapy and wellness services for older adults under the supervision of a PT as part of a multidisciplinary teamSupport care coordination efforts by conducting regular wellness checkpoint visits with patients, communicating with patients’ providers and caregivers, and assisting patients with attending telehealth visitsMaintaining professional practices and ethical standards in accordance with company-wide policies and clinical initiativesContributing to program development, quality improvement, and problem-solvingAssist with optimizing each patient’s functional well-being and satisfactionYour ScheduleWhile our clinics typically operate 8 a.m. to 5 p.m. Monday through Friday, our flexible scheduling lets you craft a schedule that’s suited to your unique lifestyle!Our Amazing BenefitsAll Employees Get: Fun at Work, a Team You’ll Love, and a Culture You Can Stand Behind! 401(k) Eligibility with Opportunity for Matching FundsAmazing Career Advancement and Cross Training OpportunitiesRecognition ProgramsEmployee Assistance ProgramPart-Time Employees Also Get:Voluntary Benefits (Accident, Critical Illness, Hospital Indemnity, Identity Theft, Pet Protection)Full-Time Employees Also Get:Full Benefits, including HSA, FSA, and Life & Disability InsuranceVoluntary Benefits (Accident, Critical Illness, Hospital Indemnity, Identity Theft, Pet Protection)Flexible Paid Time Off Qualifications: You’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 Assistant program (New Grads Welcome) Current PTA state licensure Excellent verbal and written communication skills A results-oriented mindset with a dash of critical thinking Tech-savvy skills – quick learners are our favorite kind! Professional curiosity and a knack for finding solutionsCome be a part of our mission to make a positive impact on the lives of seniors. Apply today!About EmpowerMe WellnessEmpowerMe Wellness is on a mission to improve the lives of seniors and the communities they call home! We provide fully integrated healthcare to senior living communities nationwide, offering on-site care coordination, therapy, and pharmacy services. Our experienced team of more than 3,500 clinicians and professionals provide personalized health and wellness solutions that lead to healthier, happier tomorrows!To learn more about us, visit empowerme.com today.This employer is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the employer will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective employees and incumbents to discuss potential accommodations with the employer. Compensation: $33.00 - $46.00 per hour

Job DescriptionNomad Health seeks an experienced Outpatient Clinic registered nurse for a travel assignment in CA.Take the next step in your healthcare career and join Nomad Health as a Outpatient Clinic travel nurse. As a traveler with Nomad, you get access to industry-leading pay, outstanding benefits, and our knowledgeable Nomad Navigator support team.QUALIFICATIONSMinimum one year of RN experienceOne yearOutpatient Clinic experience within the last two years as an RNHave an active RN license or be willing to obtain a Registered Nurse license in CARN degree from an accredited registered nurse programBLS and all relevant Outpatient Clinic/department-specific certifications requiredRegister for a Nomad Health account to view full job details and applyNOMAD BENEFITSMajor medical and dental plans available on your first day of work401(k) with employer matching availableReimbursement for travel to your assignmentHousing stipendWeekly deposits direct to your bank accountWe work with thousands of travel nurses all over the country, in a wide variety of specialties and disciplines. To apply as a travel RN with us, you must have an active Professional Registered Nursing License or be willing to obtain one in the state you’re applying to, evidence of a minimum of one year RN work experience, and evidence of at least one year of Outpatient Clinic experience within the last two years. In addition, you must have a Bachelor’s or Associate degree in nursing from an accredited registered nursing program, as well as a Basic Life Support (BLS) and all other relevant specialty/department certifications.At Nomad, we want to give you the tools you need to succeed. Our Nomad Navigators are passionate about helping you get to the bedside as quickly and efficiently as possible. They can help you with your application, credentialing, and finding housing. Our Navigators have experience working with travel nurses and can even help with on-the-job concerns if any arise while on assignment, and can provide clinician-to-clinician support.In addition to real hands-on support, we have a benefits package that was explicitly built for traveling clinicians and includes a housing stipend, partial travel reimbursement, and major medical and dental plans available on your first day of work. We also have a 401(k) program with employer matching options, a user-friendly digital timekeeping process, and weekly direct deposits.With your Nomad Health account, you get access to our unique digital platform; a platform built to help you land your perfect assignment. Move your travel healthcare career forward and find your next job today.We are seeking experienced RNs in a number of specialties to fill critical roles across the country: Medical Surgical NurseEmergency Room NurseStep-Down NurseTelemetry NurseICU NurseOperating Room NurseLabor and Delivery NurseCath Lab NursePsychiatric NurseAnd more travel RN jobs!

Overview: Let us help you take the next step in your career at our Western Dental/Brident Offices as a Floor Supervisor! At Western Dental/Brident Officeswe have modern, fully equipped state of the art dental practices that you will be proud to be affiliated with. We recognize that our team members are part of the Western Dental/Brident family where we provide excellent professional, financial and personal growth for your dental career. Responsibilities Supervise all back office staff including scheduling, training, performance evaluations and holding staff accountableParticipate in the hiring, selection and retention for back office staffResponsible for Patient management by partnering with Dentists, providing patients with proper pre and post-treatment instructions and ensuring patient satisfactionMonitor patient flow by effectively reviewing sign in sheet and appointment book and making necessary adjustments to the scheduleResponsible for ensuring sterilization of the office and equipmentEnsure compliance with all OSHA, Dental Board, and Corporate policies and proceduresConduct all weekly/monthly/quarterly inspectionsMaintain dental supplies and inventory; stock supplies in operatories, restrooms, lab, etc. as neededMaintain proper patient treatment recordsLead, inspire, and motivate back staffParticipate in monthly operational meetingsPrioritize UPE (Ultimate Patient Experience) Western Dental/Brident offers a competitive benefit package designed to enhance the lives of our team members. Team members are eligible for benefits based on their full time status. Paid Time Off (PTO)Medical and dental insuranceVision coverage401K planHighly competitive salariesOutstanding professional trainingExceptional growth and career advancement opportunities Qualifications: Experience supervising a team of 8-12 team members with the ability to demonstrate authority, delegate responsibility and hold a team accountableWorking knowledge of dental equipment and terminology, OSHA and safety complianceMust have a current X-Ray License. (Or an agreement must be signed that the X- Ray license will be obtained within six (6) months of employment)

Travel Cath Lab TechCompany: Fusion Medical StaffingLocation: Facility in Modesto, CAJob DetailsFusion Medical Staffing is seeking a skilled Cath Lab Tech for a 13 week travel assignment in Modesto, CA. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.Required Qualifications:One year’s recent experience as a Cardiac Cath Lab TechCurrent BLS (AHA/ARC) CertificationARRT, RCES, or RCIS CertificationCurrent ACLS CertificationPreferred Qualifications:Valid Radiologic Technologist license in compliance within state regulationsPALS or ENPC CertificationsOther certifications and licenses may be required for this positionSummary:The Cath Lab Technologist is responsible for assisting in diagnostic and interventional cardiovascular procedures in the cardiac catheterization lab. This role involves preparing patients and equipment, monitoring hemodynamic data, assisting physicians during procedures, and ensuring patient safety throughout the process. The technologist operates specialized imaging equipment, maintains sterile technique, and collaborates with the healthcare team to provide high-quality patient care. This position requires technical expertise in cardiovascular procedures, critical thinking skills, and the ability to work efficiently in high-pressure situations.Essential Work Functions:Prepare and position patients for cardiac catheterization, angioplasty, stent placement, electrophysiology studies, and other interventional proceduresAssist physicians during procedures by passing catheters, wires, balloons, and stents, and operating fluoroscopy and hemodynamic monitoring equipmentOperate and maintain imaging equipment, contrast injectors, and hemodynamic monitoring systems, ensuring proper functionalityAbility to scrub in and assist with sterile field setup, ensuring adherence to infection control and procedural protocolsPerform sheath removal and hemostasis using manual compression or closure devices as directedMaintain accurate documentation, including patient records, imaging data, and equipment logsAssist with inventory management, stocking supplies, and ensuring proper storage of sterile instruments and medicationsAdhere to radiation safety protocols, ensuring proper use of lead aprons, shields, and dosimetersEnsure compliance with hospital policies, safety guidelines, and regulatory requirementsAdhere to hospital safety protocols, infection control guidelines, and regulatory standardsPerform other duties as assigned within the scope of practiceRequired Essential Skills:Critical thinking, service excellence and good interpersonal communication skillsThe ability to read, write, & communicate in the English language is requiredAbility to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skillsPhysical Abilities - Remain in a stationary position, move about, move equipment (50-100lbs), pushing, pulling, bendingInterpersonal Skills - To work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalismTechnical/Motor Skills - Ability to grasp, fine manipulation, pushing/pulling and able to move about when assisting with procedures and/or using department equipment.Mental Requirements - Must be able to cope with frequent contact with the general public, customers, and meeting deadlines under pressure. Must be able to work under close supervision occasionally as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detailSensory - Visual acuity, ability to effectively communicate.Benefits Include:Highly competitive pay for travel professionalsComprehensive medical, dental, and vision insurance with first day coveragePaid Time Off (PTO) after 1560 hoursLife and Short-term disability offered401(k) matchingAggressive Refer-a-friend Bonus Program24/7 recruiter supportReimbursement for licensure and CEUsWhy Choose Fusion At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you that’s why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we’re here to guide and celebrate you along your journey. You take care of others; we take care of you.Other Duties Disclaimer:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.Start your rewarding career as a Cardiac Cath Lab Tech with Fusion Medical Staffing and join our mission to improve lives. Apply now!*Fusion is an EOE/E-Verify Employer #pb13

Your Role Reporting to the Manager, Care Management- Behavioral Health, the Behavioral Health Care Management Clinician, Seniorhelps members with behavioral health needs navigate the health care system for linkages to behavioral health providers, treatment, and programs. The Behavioral Health Care Manager will offer support in assessing members’ emotional and psychological well-being and providing resource coordination, crisis intervention, substance abuse, and with any behavioral or mental health referrals. The Behavioral Health Care Management Clinician, Senior will be available to physicians and nurse care managers as a consultant for patients with complex psychosocial needs. The position requires an intensive focus on crisis intervention and counseling, problem-solving and conflict resolution, patient and family management, interdisciplinary collaboration, psychosocial assessments, education, advocacy, and community resource linkages.Your Work In this role, you will: Collaborate with case managers and other team members tocomplete member assessments related to social and resource needs tosupportmemberaccess to servicesCollaborate with service coordination staff and act as liaison to ensure a timely and accurate response to member needsCollaborate with providers to support members’ treatment plan and care needsRecognize the client’s right to self-determination as it relates to the ethical principle of autonomy, including the client/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare teamAssessmembers health behaviors, cultural influences and clients belief/value systemand evaluates all information related to current/proposed treatment plan and in accordance with clinical practice guidelines to identify potential barriersEfficiently manages and maintains a caseload of members for behavioral health care coordination and or BH case management for persons experiencing severe and persistent mental illness.Maintains an active workload in accordance with National Care Manager performance standards.Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.Interacts with Utilization department and Physician Advisors to discuss clinical questions and concerns regarding specific cases.Coordinates services with state and community programs on behalf of the member, particularly when the member is unable to effectively do so independentlyAs a mandated reporter, files and follows-up on reports made to the appropriate government agency (e.g., Adult Protective Services, Child Protective Services, etc.)Actively participates in Interdisciplinary Team Meetings and case consultations with Licensed Manager.)Your Knowledge and Experience Current unrestricted CA License (LCSW, LMFT, LPCC, Registered Nurse (RN), or PsyD by the Board of Behavioral Health Sciences requiredAdvanced degree commensurate with field is preferredRequires at least five (5) years of prior relevant experience, including three (3) years of experience in behavioral health.Certified Case Manager preferredExperience conducting thorough psychosocial assessments, developing care plans and providing necessary interventions identified during assessment with complex client populations that may have, among other things, inadequate coping skills, severe emotional disorders, developmental disabilities, mental illnesses, and/or unstable housingConsiderable knowledge of a wide range of psychosocial challenges and familiarity with behavioral health diagnoses and treatmentProficient with computer programs such as Microsoft Excel, Outlook, Word, and PowerPoint

Radiology Technologist - Interventional RadiologyWe are seeking a highly skilled Radiology Technologist specializing in Interventional Radiology to join our team. In this role, you will assist in minimally invasive procedures by using advanced imaging technology to guide interventions, ensuring accurate and effective patient care.Key Responsibilities:Prepare patients for interventional radiology procedures by explaining the process and positioning them appropriately.Operate fluoroscopy and other imaging equipment to provide real-time guidance during procedures.Assist physicians in performing diagnostic and therapeutic interventions, such as angiograms, stent placements, or biopsies.Maintain a sterile environment and adhere to infection control protocols during procedures.Monitor patients' vital signs and ensure their safety and comfort throughout the procedure.Document procedures accurately and maintain detailed patient records.Perform routine maintenance and quality checks on imaging equipment to ensure optimal performance.Work Environment:Work in hospitals or specialized interventional radiology suites equipped with advanced imaging technology.Collaborate closely with physicians, nurses, and other healthcare professionals in a fast-paced environment.Be prepared for on-call responsibilities to assist with urgent or emergency procedures.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth through specialized training and certifications.A supportive work environment that values innovation and teamwork in patient care delivery.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

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

Speech-Language Pathologist - Acute Care We are seeking a compassionate Speech-Language Pathologist to provide care in an acute care setting. In this role, you will assess and treat patients with speech, language, voice, and swallowing disorders resulting from acute medical conditions. Key Responsibilities: Evaluate patients' communication and swallowing abilities following acute medical events such as strokes or surgeries.Create individualized treatment plans aimed at improving speech, language, or swallowing functions.Provide therapy sessions tailored to patients' recovery needs in a fast-paced acute care environment.Collaborate with interdisciplinary teams, including physicians and nurses, to ensure comprehensive patient care.Educate patients and families on techniques to support recovery outside of therapy sessions.Maintain accurate records of evaluations, treatment plans, and progress notes for each patient. Work Environment: The role is based in hospitals or acute care facilities where patients require immediate and intensive rehabilitation support.This position involves working closely with critically ill patients in a fast-paced environment requiring quick decision-making skills. Benefits: A competitive salary with opportunities for career advancement within the field of speech-language pathology.A comprehensive benefits package including health insurance, retirement savings plans, and paid time off.Support for continuing education programs to maintain licensure and expand expertise in acute care techniques. Equal Opportunity Employer: Your dedication to improving patient outcomes is valued here. We strive to create an inclusive environment where all employees can thrive professionally while delivering exceptional care to our patients. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Travel NICU RN Company: Fusion Medical StaffingLocation: Facility in Lodi, CAJob DetailsFusion Medical Staffing is seeking a Behavioral Health RN for a 13 week travel assignment in Lodi, CA. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.Required Qualifications:One year of recent experience as a neonatal intensive care RNValid RN license in compliance with state regulationsCurrent BLS (AHA/ARC) CertificationCurrent NRP (Neonatal Resuscitation Program) certificationPreferred Qualifications: Neonatal Intensive Care Nursing Certification (RNC-NIC)PALS (AHA/ARC) or ENPCOther certifications and licenses may be required for this positionSummary:The NICU Registered Nurse provides specialized care to critically ill and premature newborns in a neonatal intensive care unit (NICU). This role includes advanced neonatal assessments, operation of life-support equipment, and family-centered education and support. The RN collaborates with interdisciplinary teams and ensures adherence to hospital and regulatory standards while delivering high-quality, patient-centered care.Essential Work Functions:Assesses and monitors critically ill and premature newborns, identifying changes and documenting conditions and responsesAdministers prescribed medications and treatments in accordance with approved neonatal nursing techniquesPerforms neonatal assessments, including vital signs, weight checks, and specialized neonatal screeningsOperate and manage advanced NICU equipment, such as ventilators, CPAP machines, and infusion pumps, ensuring proper functionalityAssists with life-saving and diagnostic neonatal procedures including umbilical line placement and intubationEducates and supports parents on neonatal care, including feeding techniques and developmental carePrepare equipment and assist physicians during examinations and proceduresDevelop and implement individualized care plans for neonates in collaboration with the multidisciplinary teamAdhere to infection control measures, including hand hygiene, PPE use, and sterilization protocols, to protect vulnerable neonatesCollaborate with interdisciplinary teams, including neonatologists and therapists, to optimize neonatal outcomesPerform other duties as assigned within the scope of practiceAdhere to hospital safety protocols, infection control guidelines, and regulatory standardsRequired Essential Skills:Critical thinking, service excellence and good interpersonal communication skillsThe ability to read, write, & communicate in the English language is requiredAbility to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skillsPhysical Abilities - Remain in a stationary position, move about, move equipment (50-100lbs), pushing, pulling, bendingInterpersonal Skills - To work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalismTechnical/Motor Skills - Ability to grasp, fine manipulation, pushing/pulling and able to move about when assisting with procedures and/or using department equipment.Mental Requirements - Must be able to cope with frequent contact with the general public, customers, and meeting deadlines under pressure. Must be able to work under close supervision occasionally as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detailSensory - Visual acuity, ability to effectively communicate.Benefits Include:Highly competitive pay for travel professionalsComprehensive medical, dental, and vision insurance with first day coveragePaid Time Off (PTO) after 1560 hoursLife and Short-term disability offered401(k) matchingAggressive Refer-a-friend Bonus Program24/7 recruiter supportReimbursement for licensure and CEUsWhy Choose Fusion At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you that’s why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we’re here to guide and celebrate you along your journey. You take care of others; we take care of you.Other Duties Disclaimer:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.Start your rewarding career as a Travel NICU RN with Fusion Medical Staffing and join our mission to improve lives. Apply now!*Fusion is an EOE/E-Verify Employer #pb8

Your Role The Social Programs team is responsible for the support, oversight and administration of Social Programs benefits and services ensuring that our eligible members receive appropriate services in-line with benefits and services that is member-centered and in the communities where our members seek care. The Program Manager Clinical, Senior will report to the Senior Manager, Social Programs Management. In this role you will primarily provide administrative and operational organization, compliance oversight, updates, and contract adherence.Your Work In this role, you will: Direct small-scale, complex programs/projects that may involve multiple internal and external stakeholdersManage the development and implementation of process of the company's projects involving departmental or cross-functional teams focused on delivery of new or existing internal/external programs and/or productsBe responsible for assigning and monitoring the work of team members and providing guidance and leadershipDevelop the program, integrated program plan, resource plan, contingency plan, and related project management artifactsDefine and track program milestones while developing, maintaining, and reporting on an overall integrated delivery planProvide overall program leadership, guidance, and manage all aspects of a given program, including contract, budget, reporting, operations, and vendor/provider oversightDevelop strategies to ensure optimum support for projects and for the day-to-day operational activitiesLead cross-functional meetings and foster teamwork; drive escalation and resolution of issues, while promoting collaboration and coordination across broad categories of stakeholders Write and maintain processes and procedures to ensure compliancePerform other assigned duties, as requiredYour Knowledge and Experience Requires a bachelor’s degree or equivalent experienceRequires at least 5 years of prior relevant experienceRequires LCSW, LMFT, LPCC, PSYD or similar by the Board of Behavioral SciencesRequires experience collaborating with provider groups, community resources, and agenciesRequires program, project, and vendor/provider management experienceRequires strong administrative skills including proficiency in Excel, Microsoft Word and Microsoft Outlook and the ability to multitask and track multiple projects/deliverables at one timeRequires strong analytical, problem solving, and communication skillsRequires at least 2 years prior relevant experience working with a Managed Care Plan and Medi-Cal

Speech-Language Pathologist - Acute Care We are seeking a compassionate Speech-Language Pathologist to provide care in an acute care setting. In this role, you will assess and treat patients with speech, language, voice, and swallowing disorders resulting from acute medical conditions. Key Responsibilities: Evaluate patients' communication and swallowing abilities following acute medical events such as strokes or surgeries.Create individualized treatment plans aimed at improving speech, language, or swallowing functions.Provide therapy sessions tailored to patients' recovery needs in a fast-paced acute care environment.Collaborate with interdisciplinary teams, including physicians and nurses, to ensure comprehensive patient care.Educate patients and families on techniques to support recovery outside of therapy sessions.Maintain accurate records of evaluations, treatment plans, and progress notes for each patient. Work Environment: The role is based in hospitals or acute care facilities where patients require immediate and intensive rehabilitation support.This position involves working closely with critically ill patients in a fast-paced environment requiring quick decision-making skills. Benefits: A competitive salary with opportunities for career advancement within the field of speech-language pathology.A comprehensive benefits package including health insurance, retirement savings plans, and paid time off.Support for continuing education programs to maintain licensure and expand expertise in acute care techniques. Equal Opportunity Employer: Your dedication to improving patient outcomes is valued here. We strive to create an inclusive environment where all employees can thrive professionally while delivering exceptional care to our patients. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Travel Postpartum RNCompany: Fusion Medical StaffingLocation: Facility in Carmichael, CAJob DetailsFusion Medical Staffing is seeking a skilled Postpartum RN for a 13 week travel assignment in Carmichael, CA. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.Required Qualifications:One year’s recent experience as a postpartum RN Valid RN license in compliance with state regulationsCurrent BLS (AHA/ARC) CertificationNRP CertificationPreferred Qualifications:ACLS CertificationOther certifications and licenses may be required for this positionSummary:The Postpartum Registered Nurse provides specialized, family-centered care to mothers and newborns in the postpartum unit. This role involves assessing maternal and newborn health, implementing care plans, supports breastfeeding and educating families on postpartum and newborn care. The Postpartum RN collaborates with healthcare teams to ensure optimal outcomes and demonstrates advanced clinical skills, critical thinking, and a commitment to patient safety and professional ethics.Essential Work Functions:Explains postpartum and newborn care procedures to mothers and families to gain cooperation, understanding, and alleviate apprehensionAdministers prescribed medications and treatments to mothers and newborns safely and accurately, following established protocolsAssess and monitor the health of postpartum mothers and newborns, identifying changes, addressing complications, and recording significant conditions and reactionsAssists with and educates on breastfeeding, addressing challenges to ensure successful feeding practicesPerforms newborn assessments, including vital signs, weight checks, and required screening testsResponds to life-saving situations using evidence-based protocols and best practicesCollaborate with interdisciplinary teamsEducates new parents on infant care, maternal recovery, and postpartum health, including safe sleep practices and early signs of complicationsPrepares equipment and aids physicians during examinations and any necessary postpartum or neonatal proceduresMaintains awareness of comfort and safety needs of mothers and newborns, ensuring a safe, supportive environment for bondingDocuments all relevant history and physical assessments for assigned patients accurately in medical recordsPerforms other duties as assignment within the scope of the practiceRequired Essential Skills:Critical thinking, service excellence and good interpersonal communication skillsThe ability to read, write, & communicate in the English language is requiredAbility to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skillsPhysical Abilities - Remain in a stationary position, move about, move equipment (50-100lbs), pushing, pulling, bendingInterpersonal Skills - To work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalismTechnical/Motor Skills - Ability to grasp, fine manipulation, pushing/pulling and able to move about when assisting with procedures and/or using department equipment.Mental Requirements - Must be able to cope with frequent contact with the general public, customers, and meeting deadlines under pressure. Must be able to work under close supervision occasionally as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detailSensory - Visual acuity, ability to effectively communicate.Benefits Include:Highly competitive pay for travel professionalsComprehensive medical, dental, and vision insurance with first day coveragePaid Time Off (PTO) after 1560 hoursLife and Short-term disability offered401(k) matchingAggressive Refer-a-friend Bonus Program24/7 recruiter supportReimbursement for licensure and CEUsWhy Choose Fusion At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you that’s why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we’re here to guide and celebrate you along your journey. You take care of others; we take care of you.Other Duties Disclaimer:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.Start your rewarding career as a Travel Postpartum RN with Fusion Medical Staffing and join our mission to improve lives. Apply now! *Fusion is an EOE/E-Verify Employer #pb13

Your Role The Prior Authorization (PA) team utilizes clinical knowledge to review authorization requests for coverage under the outpatient pharmacy benefit. The Pharmacist, Consultant willwork as part of the pharmacy benefit Prior Authorization (PA) team to support the Blue Shield of California (BSC) Pharmacy and Therapeutics Committee (P&T) by ensuring that evidence based clinical decisions are implemented appropriately to provide a high-quality and cost-effective pharmacy benefit. The Pharmacist, Consultant (Drug Utilization Review Pharmacist) will report to the Drug Utilization Review (DUR) Pharmacist Manager.Your Work In this role, you will: Support the clinical and operational implementation of P&T approved policies for the pharmacy benefit, for both the Commercial and Medicare lines of businessApply clinical expertise to PA reviews and work collaboratively with the PA and Call Center Teams to support access to safe, efficacious, and medically necessary medicationsOperate in compliance with all regulatory and accreditation requirements to ensure all requests are reviewed within regulatory required timeframesServe as a resource to internal and external constituents regarding the Blue Shield drug formulary, medication policies and appropriate drug useEmbrace BSC values by answering clinical and operational questions, participating in group discussions, and supporting other team members while working towards a collective goalUse clear and concise communications and on-brand messaging when communicating with providers or membersFollow all corporate policies and proceduresOperate in compliance with all regulatory and accreditation requirements, and corporate policies and procedures regarding the support access to safe, efficacious, and medically necessary medicationsAssist in preparing materials for audits and reports; complete projects as assignedYour Knowledge and Experience Requires a Doctor of Pharmacy (PharmD) degreeRequires a currently active and unrestricted California Registered Pharmacist (RPh) licenseRequires at least 2 years of experience in clinical pharmacyExcellent oral and written communication skillsThorough knowledge of therapeutic use of medications

Radiology Technologist - MRI TechJoin our team as a Radiology Technologist specializing in MRI. You will operate advanced imaging equipment to create detailed diagnostic images, ensuring accurate results for patient care.Key Responsibilities:Prepare patients for MRI procedures by explaining the process and positioning them correctly.Administer contrast dyes when necessary to enhance imaging results.Operate MRI equipment to capture high-quality diagnostic images.Collaborate with physicians to analyze imaging results and provide accurate diagnoses.Maintain patient safety by adhering to established protocols and standards.Work Environment:Work in hospitals, diagnostic imaging centers, or outpatient facilities.Engage in a fast-paced environment requiring attention to detail and technical expertise.Benefits:Competitive salary and benefits package.Access to state-of-the-art technology and ongoing training opportunities.A collaborative work environment focused on patient care excellence.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Travel Transplant Coordinator RNCompany: Fusion Medical StaffingLocation: Facility in Modesto, CAJob DetailsFusion Medical Staffing is seeking a skilled Transplant Coordinator RN for a 13 week travel assignment in Modesto, CA. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.Required Qualifications:One year of recent experience as a Wound Care nurse Valid RN license in compliance with state regulationsCurrent BLS Certification (AHA/ARC)Preferred Qualifications:Other certifications and licenses may be required for this positionSummary:The Wound Care Nurse is a specialized healthcare professional responsible for assessing, managing, and treating patients with acute and chronic wounds. This role involves developing individualized care plans, providing wound care treatments, educating patients and families, and collaborating with multidisciplinary teams to promote optimal healing and prevent complications.Essential Work Functions:Perform comprehensive assessments of patients' wounds, including measuring wound dimensions, assessing tissue type, and evaluating signs of infection or delayed healingCreate and execute individualized treatment plans for patients with acute and chronic wounds, pressure ulcers, surgical wounds, diabetic foot ulcers, and other conditionsProvide education to patients and their families on wound prevention, proper wound care techniques, and strategies to promote healingAdminister wound care treatments, including debridement, dressing changes, negative pressure wound therapy (NPWT), and application of advanced wound productsCollaborate with the multidisciplinary healthcare team to ensure wound care aligns with overall treatment goalsProvide wound care in a variety of environments, including hospitals, outpatient wound care clinics, long-term care facilities, home health settings, and rehabilitation centers, adapting care to the unique needs of each setting and patient populationAccurately document wound assessments, treatments, progress, and patient education in the patient medical recordPerform other duties as assigned within the scope of practiceAdhere to hospital safety protocols, infection control guidelines, and regulatory standardsRequired Essential Skills:Critical thinking, service excellence and good interpersonal communication skillsThe ability to read, write, & communicate in the English language is requiredAbility to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skillsPhysical Abilities - Remain in a stationary position, move about, move equipment (50-100lbs), pushing, pulling, bendingInterpersonal Skills - To work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalismTechnical/Motor Skills - Ability to grasp, fine manipulation, pushing/pulling and able to move about when assisting with procedures and/or using department equipment.Mental Requirements - Must be able to cope with frequent contact with the general public, customers, and meeting deadlines under pressure. Must be able to work under close supervision occasionally as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detailSensory - Visual acuity, ability to effectively communicate.Benefits Include:Highly competitive pay for travel professionalsComprehensive medical, dental, and vision insurance with first day coveragePaid Time Off (PTO) after 1560 hoursLife and Short-term disability offered401(k) matchingAggressive Refer-a-friend Bonus Program24/7 recruiter supportReimbursement for licensure and CEUsWhy Choose Fusion At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you that’s why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we’re here to guide and celebrate you along your journey. You take care of others; we take care of you.Other Duties Disclaimer:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.Start your rewarding career as a Travel Wound Care Nurse with Fusion Medical Staffing and join our mission to improve lives. Apply now! *Fusion is an EOE/E-Verify Employer #pb10

Your Role The Prior Authorization (PA) team utilizes clinical knowledge to review authorization requests for coverage under the outpatient pharmacy benefit. The Pharmacist, Consultant willwork as part of the pharmacy benefit Prior Authorization (PA) team to support the Blue Shield of California (BSC) Pharmacy and Therapeutics Committee (P&T) by ensuring that evidence based clinical decisions are implemented appropriately to provide a high-quality and cost-effective pharmacy benefit. The Pharmacist, Consultant (Drug Utilization Review Pharmacist) will report to the Drug Utilization Review (DUR) Pharmacist Manager. *This is a short term position expected to last 1 year from hire*Your WorkIn this role, you will:Support the clinical and operational implementation of P&T approved policies for the pharmacy benefit, for both the Commercial and Medicare lines of businessApply clinical expertise to PA reviews and work collaboratively with the PA and Call Center Teams to support access to safe, efficacious, and medically necessary medicationsOperate in compliance with all regulatory and accreditation requirements to ensure all requests are reviewed within regulatory required timeframesServe as a resource to internal and external constituents regarding the Blue Shield drug formulary, medication policies and appropriate drug useEmbrace BSC values by answering clinical and operational questions, participating in group discussions, and supporting other team members while working towards a collective goalUse clear and concise communications and on-brand messaging when communicating with providers or membersFollow all corporate policies and proceduresOperate in compliance with all regulatory and accreditation requirements, and corporate policies and procedures regarding the support access to safe, efficacious, and medically necessary medicationsAssist in preparing materials for audits and reports; complete projects as assignedYour Knowledge and ExperienceRequires a Doctor of Pharmacy (PharmD) degreeRequires a currently active and unrestricted California Registered Pharmacist (RPh) licenseRequires at least 2 years of experience in clinical pharmacyExcellent oral and written communication skillsThorough knowledge of therapeutic use of medications

Physical Therapist - OtherWe are seeking a versatile and skilled Physical Therapist to join our team. In this role, you will provide specialized physical therapy services tailored to unique patient populations or settings, helping individuals improve mobility, manage pain, and regain independence.Key Responsibilities:Evaluate patients to determine their physical therapy needs and create individualized treatment plans.Implement therapeutic exercises, manual therapy techniques, and other interventions to address patients' specific conditions.Educate patients and caregivers on exercises, lifestyle changes, and techniques to promote recovery and prevent future injuries.Collaborate with other healthcare professionals to ensure comprehensive patient care.Document patient progress and adjust treatment plans as necessary to achieve optimal outcomes.Adapt therapy approaches based on the unique requirements of the setting or patient population.Work Environment:Provide care in diverse settings such as home health, schools, community programs, or specialized facilities.Work in a dynamic environment requiring adaptability and innovative problem-solving skills.Collaborate with multidisciplinary teams to deliver holistic care tailored to individual needs.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth through specialized training and certifications.A supportive work environment focused on collaboration and innovation in patient care.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Travel Physical Therapy Assistant (PTA)Company: Fusion Medical StaffingLocation: Facility in Elk Grove, CAJob DetailsFusion Medical Staffing is seeking a skilled Physical Therapy Assistant (PTA) for a 13 week travel assignment in Elk Grove, CA. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.Required Qualifications:Valid Physical Therapy Assistant license in compliance with state regulationsCurrent BLS certification (AHA/ARC)Preferred Qualifications:Graduate of an accredited program in physical therapyPhysical Therapy Assistant experience, but New Grads are welcome to applyOther certifications or licenses may be required for this positionSummary:The Physical Therapy Assistant (PTA) works under the supervision of a Physical Therapist to help implement treatment plans that improve patients' mobility, reduce pain, and enhance functional independence. PTAs provide hands-on assistance with therapeutic exercises, modalities, and activities of daily living across various clinical settings. They document patient progress, educate patients on home exercise programs, and collaborate with the healthcare team to support optimal recovery and overall quality of life.Essential Work Functions:Set up therapy equipment and treatment areas, ensuring all devices and supplies are calibrated, clean, and ready for patient sessionsGuide patients through prescribed exercises and activities to improve mobility, strength, and balance, while providing hands-on assistance with movements and transfers as neededObserve patient performance during therapy sessions, note changes in functional abilities, and report progress or concerns to the supervising Physical TherapistAccurately record patient treatment details, progress, and any adjustments made during therapy sessions in the medical recordInstruct patients and their caregivers on home exercise programs, proper use of assistive devices, and techniques for safe mobility and injury preventionWork in conjunction with physical therapists, occupational therapists, and other healthcare professionals to coordinate a comprehensive approach to patient careMaintain a safe treatment environment by adhering to infection control protocols, safety guidelines, and regulatory standards while addressing patients’ comfort needs during therapy sessionsEngage in quality assurance initiatives and professional development activities to remain current with best practices in physical therapyCollaborate in discharge planning to ensure smooth transitions and continued patient progress in community or home-based settingsPerforms other duties as assigned within scope of practiceRequired Essential Skills:Critical thinking, service excellence and good interpersonal communication skillsThe ability to read, write, & communicate in the English language is requiredAbility to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skillsPhysical Abilities - Remain in a stationary position, move about, move equipment (50-100lbs), pushing, pulling, bendingInterpersonal Skills - To work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalismTechnical/Motor Skills - Ability to grasp, fine manipulation, pushing/pulling and able to move about when assisting with procedures and/or using department equipment.Mental Requirements - Must be able to cope with frequent contact with the general public, customers, and meeting deadlines under pressure. Must be able to work under close supervision occasionally as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detailSensory - Visual acuity, ability to effectively communicate.Benefits Include:Highly competitive pay for travel professionalsComprehensive medical, dental, and vision insurance with first day coveragePaid Time Off (PTO) after 1560 hoursLife and Short-term disability offered401(k) matchingAggressive Refer-a-friend Bonus Program24/7 recruiter supportReimbursement for licensure and CEUsWhy Choose Fusion At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you that’s why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we’re here to guide and celebrate you along your journey. You take care of others; we take care of you.Other Duties Disclaimer:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.Start your rewarding career as a Travel Physical Therapy Assistant (PTA) with Fusion Medical Staffing and join our mission to improve lives. Apply now!*Fusion is an EOE/E-Verify Employer #pb6

Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Senior Medical Director FEP Prior Authorization and Post Review will report to the Vice President, Medical Management or their designee. In this role you will deliver and collaborate on clinical review activities, which includes management of the physician processes in support of utilization management and transactional functions for Federal Employee Program (FEP) membership. These functions include performance of pre-service and retrospective utilization review, Appeals and Grievances, and provider claims dispute reviews. The Senior Medical Director for FEP Prior Authorization and Post Review facilitates performance management and goals in alignment with organizational goals for the FEP membership. Moreover, this role leads or meaningfully contributes to the Blue Shield priorities and transformative initiatives that continue to improve the health and wellbeing of Blue Shield of California FEP members. You will also provide direction and leadership in compliance to regulatory requirements and key operational metrics and work collaboratively with the VP of Medical Management and Medical Directors in Utilization Management to achieve these goals.Your Work In this role, you will: Complete assigned clinical reviews (IP Admission and Concurrent, Lower Level of Care, Preservice requests, Post-service medical claim review, Provider Claims Disputes, Medical pharmacy, or others) within compliance standards while supporting clinical staff in maintaining high quality clinical reviews and work products and process improvement and optimization efforts for FEP membershipProvides clinical leadership and HR oversight for FEP Medical Director teamPartner closely with the VP Medical Management and Medical Directors in Utilization Management to develop improved utilization of effective and appropriate services, and support operational implementation of transformation initiatives for the FEP membershipSupport VP, Medical Management and Medical Directors in Utilization Management in coordinating the care of FEP membership to provide access to high-quality health care to these membersServe as a clinical, regulatory and quality improvement resource and clinical thought leader within the organizationSupport Vice President, Medical Management in strategic initiatives whether by proposing clinical initiatives, providing expert input, shaping the strategy, and/or serving as the initiative driverCollaborate with teams in the implementation and operation of assigned initiativesUnderstands and abides by all departmental policies and procedures as well as the organization’s Standards of Conduct and Corporate Compliance ProgramAttends mandatory Corporate Compliance Program education sessions, as required for this position, including the annual mandatory Standards of Conduct classParticipates in assigned CommitteesAbides by all applicable laws and regulations as mandated by state and federal lawAny other assigned dutiesYour Knowledge and Experience A Medical degree (M.D./D.O.) Completed residency preferably in adult based primary care specialty (e.g. internal medicine, family practice)Maintain active, unrestricted California State Medical License requiredMaintain Board Certification in one of ABMS categories required (preferably Internal Medicine)Minimum of 2 years of previous medical leadership experienceMinimum 5 years direct patient care experience post residency in: Internal Medicine (e.g. Neurology, Rheumatology), Family Practice (e.g. Psychiatry, Geriatrics, OBGYN), Adult based care, Internal Medicine (e.g. Neurology, Rheumatology), Family Practice (with 5+ years of inpatient experience), Psychiatry, Geriatrics, OBGYNDemonstrated proficiency in at least 3 of the following: MEDICARE/MEDICARE STARS, NCQA/URAC/Quality Programs, Policies/Procedure, Litigation, SIU/Waste/Fraud/Abuse, Appeals/Grievances, Case Management/Population HealthKnowledge and skilled application of national evidence-based medical necessity criteria references (MCG or InterQual)An ability to work independently to achieve objectives and resolve issues in ambiguous circumstancesClear, compelling communication skills with demonstrated ability to motivate, guide, influence, and lead others, including the ability to translate detailed analytic analysis and complex materials into compelling communicationsStrong collaboration skills to effectively work within a team that may consist of diverse individuals who bring a variety of different skills ranging from medical to project management and moreExcellent written and verbal communication skillsExcellent analytical, time management and organizational skillsProficient with computer programs such as Microsoft Excel, Outlook, Word, and PowerPoint

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 Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Behavioral Health will report to the Senior Medical Director, Behavioral Health. In this role you will have core responsibilities in the areas of behavioral health concurrent review, pre- and post-service utilization review, and collaboration with Clinical Care Managers. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.Your Work In this role, you will: Review concurrent, pre- and post-service behavioral health service requests and render decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (Federal Employee Program) medical policy, as well as legal and regulatory requirementsMedical decision and support for the behavioral health review for all services currently requiring authorization or review, facilitating appropriate use of all resources, including safe and timely dischargesEngage in telephonic peer-to-peer discussions regarding current members in various levels of care or who may be receiving other specialized services. Therefore, the Medical Director must feel comfortable in clinical conversations with Blue Shield providersTrain BSC utilization and care management staff which may include physicians, psychologists, nurses, social workers, and others as neededPerform clinical reviews to support utilization management and fraud waste and abuse case evaluationsParticipate with the quality management function in the identification and analysis of medical information to develop interventions to improve quality of care and outcomes for our membersParticipate on projects and committees, as necessaryYour Knowledge and ExperienceMinimum 5 years direct patient behavioral health clinical care experience post residency requiredMedical degree (M.D./D.O.)Completed residency in PsychiatryMaintain active, unrestricted California Medical License required; Maintain active, unrestricted Medical License in all additional assigned states requiredMaintain Board Certification in Psychiatry through American Board of Psychology and Neurology (ABPN) or the American Osteopathic Board of Neurology and Psychiatry (AOBNP) requiredPreferred Qualifications:Recent inpatient psychiatric hospital experience (within the past five years)Recent substance use disorders treatment experience (within the past five years)Well-versed with most areas of behavioral health services and conditionsShow ability for rapid, accurate decision-making, and enjoy care review, as well as the investigation and resolution of complex issuesExperience with CPT coding, medical claims review, hospital billing, and reimbursementDeep knowledge of MHPAEA (Mental Health Parity and Addiction Equity Act), SB855 and all regulatory and compliance requirementsManaged care experience supporting utilization management, case review, and/or quality improvement activities in behavioral healthExperience with ASAM, LOCUS, CALOCUS, and WPATH

Speech-Language Pathologist - OutpatientWe are seeking a compassionate Speech-Language Pathologist to join our outpatient team. In this role, you will assess and treat individuals with speech, language, voice, or swallowing disorders in an outpatient setting, helping them improve communication and quality of life.Key Responsibilities:Evaluate patients to determine the nature and extent of speech or language difficulties.Develop and implement individualized treatment plans aimed at improving communication and swallowing abilities.Provide therapy sessions focused on articulation, fluency, voice quality, or cognitive-communication skills.Collaborate with other healthcare professionals to ensure comprehensive care for patients.Educate patients and families on strategies to support communication improvement at home or work settings.Document patient progress and adjust therapy plans as needed for effective outcomes.Work Environment:Work in outpatient clinics focused on short-term rehabilitation or long-term therapy goals.Engage in a collaborative environment with other healthcare professionals dedicated to patient success.Benefits:A competitive salary with comprehensive benefits options available.A focus on professional growth through training opportunities and certifications support programs.A supportive workplace culture that values collaboration and innovation in patient care delivery systems.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Behavioral Health Registered Nurse Case Manager will report to the FEP Department Manager. In this role you will determine, develop, and implement a plan of care based on accurate and comprehensive assessment of the member’s needs. The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians. documentation.Your Work In this role, you will: Coordinates care for Lower Level of Care such as Residential Treatment, Partial Hospitalization Program, Intensive Outpatient Program, other outpatient services, and community programs as appropriate.Research and design treatment/care plans to promote quality of care, cost effective health care services based on medical necessity complying withcontract for each appropriate plan typeProvide Referrals to QualityManagement (QM), Disease Management (DM) and Appeals and Grievance department (AGD)Recognize the clients right to self-determination as it relates to the ethical principle of autonomy, including the client/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare teamDesign appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access and cost-effective outcomesInitiate and implement appropriate modifications in plan of care to adapt to changes occurring over time and through various settingsApplies detailed knowledge of FEP PPO and Blue Shield of California's (BSC) established medical/departmental policies, clinical practice guidelines, community resources, contracting and community care standards to each case.Performs effective discharge planning and collaborates with member support system and health care professionals involved in the continuum of care.Provides disease management education on core chronic conditions (Diabetes, Heart Failure, COPD, Asthma and Coronary Artery Disease).Determines, develops and implements a plan of care based on accurate and comprehensive assessment of the member's needs related to behavioral health.Must be able to sit for extended periods of time and read information on one computer screen and apply that information on a second computer screen to complete documentation.Your Knowledge and Experience Requires a current CA RN LicenseCertified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirementsRequires at least 5 years of prior experience in nursing, healthcare or related fieldBachelor of Science in Nursing or advanced degree preferred.Requires relevant behavioral health experience.Comprehensive knowledge of case management, discharge planning, utilization management, disease management and community resources.Able to operate PC-based software programs including proficiency in Word and Excel.Strong clinical documentation skills, independent problem identification and resolution skills.Strong supervisory, communication, abstracting skills with strong verbal and written communication skills and negotiation skills.Competent understanding of NCQA and federal regulatory requirements.Knowledge of coordination of care, prior authorization, level of care and length of stay criteria sets desirable.Demonstrates professional judgment, and critical thinking, to promote the delivery of quality, cost-effective care. This judgment is based on medical necessity including intensity of service and severity of illness within contracted benefits and appropriate level of care.Demonstrate leadership, project management and program evaluation skills and ability to interact with all levels including senior management and influence decision-making.

Radiology Technologist - X Ray TechWe are seeking an experienced Radiology Technologist specializing in X-ray imaging. In this role, you will perform diagnostic imaging procedures to assist physicians in diagnosing injuries or illnesses while ensuring patient safety and comfort.Key Responsibilities:Prepare patients for X-ray examinations by explaining the procedure and positioning them correctly.Operate X-ray equipment to capture high-quality diagnostic images as per physician instructions.Ensure radiation safety protocols are followed to protect patients, staff, and yourself from unnecessary exposure.Collaborate with physicians to analyze imaging results for accurate diagnoses.Maintain accurate records of procedures performed and ensure proper functioning of X-ray equipment through routine maintenance checks.Work Environment:Work in hospitals, diagnostic imaging centers, or outpatient facilities equipped with advanced X-ray technology.Engage in a fast-paced environment requiring attention to detail and technical expertise.Benefits:A competitive salary with comprehensive benefits options available.A focus on professional growth through training opportunities and certifications support programs.A supportive workplace culture that values collaboration and innovation in patient care delivery systems.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role Reporting to the Manager, Care Management- Behavioral Health, the Licensed Clinician, Senior (ABA Case Manager) helps members with behavioral health needs navigate the health care system for linkages to behavioral health providers, treatment, and programs. This role is ideal for professionals with a background and experience in Applied Behavioral Analysis and passion for ensuring access to high quality behavioral health services. The ABA Case Manager will coordinate care and services for families, supporting members and families through their care. The ABA Case Manager will offer support in assessing members’ emotional and psychological well-being and providing resource coordination, crisis intervention, and with any general behavioral or mental health referrals. The position requires an intensive focus on crisis intervention and counseling, problem-solving and conflict resolution, patient and family management, interdisciplinary collaboration, psychosocial assessments, education, advocacy, and community resource linkages.Your WorkIn this role, you will:Collaborate with other Case Managers and Utilization Management tocomplete member assessments related to social and resource needs tosupportmemberaccess to servicesCollaborate with service coordination staff and act as liaison to ensure a timely and accurate response to member needsCollaborate with providers to support members’ treatment plan and care needsRecognize the client’s right to self-determination as it relates to the ethical principle of autonomy, including the client/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare teamAssessmembers health behaviors, cultural influences and clients belief/value systemand evaluates all information related to current/proposed treatment plan and in accordance with clinical practice guidelines to identify potential barriersEfficiently manages and maintains a caseload of members for behavioral health care coordination and or BH case management for persons experiencing severe and persistent mental illness as well as members seeking and utilizing ABA services.Maintains an active workload in accordance with National Care Manager performance standards.Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.Interacts with Utilization department and Physician Advisors to discuss clinical questions and concerns regarding specific cases.Coordinates services with state and community programs on behalf of the member, particularly when the member is unable to effectively do so independentlyAs a mandated reporter, files and follows-up on reports made to the appropriate government agency (e.g., Adult Protective Services, Child Protective Services, etc.)Actively participates in Interdisciplinary Team Meetings and case consultations with Licensed Manager.)Your Knowledge and ExperienceCurrent unrestricted CA License (LCSW, LMFT, LPCC, Registered Nurse (RN), or PsyD by the Board of Behavioral Health Sciences requiredRequires at least 5 years of prior relevant experience including 3 years of experience in behavioral health or ABA, case management.Advanced degree commensurate with field is preferredBCBA PreferredExperience conducting thorough psychosocial assessments, developing care plans and providing necessary interventions identified during assessment with complex client populations that may have, among other things, inadequate coping skills, severe emotional disorders, developmental disabilities, mental illnesses, and/or unstable housingConsiderable knowledge of a wide range of psychosocial challenges and familiarity with behavioral health diagnoses and treatmentPrevious health plan or insurance experience preferred.Proficient with computer programs such as Microsoft Excel, Outlook, Word, and PowerPoint

Radiology Technologist - X Ray TechWe are seeking an experienced Radiology Technologist specializing in X-ray imaging. In this role, you will perform diagnostic imaging procedures to assist physicians in diagnosing injuries or illnesses while ensuring patient safety and comfort.Key Responsibilities:Prepare patients for X-ray examinations by explaining the procedure and positioning them correctly.Operate X-ray equipment to capture high-quality diagnostic images as per physician instructions.Ensure radiation safety protocols are followed to protect patients, staff, and yourself from unnecessary exposure.Collaborate with physicians to analyze imaging results for accurate diagnoses.Maintain accurate records of procedures performed and ensure proper functioning of X-ray equipment through routine maintenance checks.Work Environment:Work in hospitals, diagnostic imaging centers, or outpatient facilities equipped with advanced X-ray technology.Engage in a fast-paced environment requiring attention to detail and technical expertise.Benefits:A competitive salary with comprehensive benefits options available.A focus on professional growth through training opportunities and certifications support programs.A supportive workplace culture that values collaboration and innovation in patient care delivery systems.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business. The Licensed Clinician, Senior, will report to the Manager of Behavioral Health Utilization Management (BH UM). In this role you will conduct clinical review of mental health and substance use authorization requests at various levels of care for medical necessity, coding accuracy, medical policy compliance and contract compliance.Your Work In this role, you will: Perform prospective, concurrent and retrospective utilization reviews and first level determination approvals for members admitted to inpatient facilities using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare as neededGather clinical information and apply the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care facilitates including effective discharge planning at levels of care appropriate for the members needs and acuity; prepare and present cases to Medical Director (MD) for medical director oversight and necessity determinationProvide information to facilities and providers regarding community treatment resources, mental health care management programs, company policies and procedures, and medical necessity criteriaWork with multidisciplinary teams to support members using an integrated team-based approach including Interdisciplinary Team Meetings and case consultations with Medical Director and/or Licensed ManagerRecognize the members right to self-determination as it relates to the ethical principle of autonomy, including the members/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare teamSupport team through consistent and successful caseload management and workload to achieve team goals, regulatory timelines, and accreditation standardsYour Knowledge and Experience Bachelor of Science or advanced degree preferredCurrent unrestricted CA license (LCSW, LMFT, LPCC, Licensed Psychologist, or Registered Nurse (RN) with Behavioral Health experience)Requires at least five (5) years of prior experience in healthcare related fieldThree (3) years conducting Behavioral Health Utilization Management for a health insurance plan or managed care environment preferredStrong understanding of Behavioral Health Utilization Management including ability to apply and interpret admission and continued stay criteria of multiple standardized clinical criteria sets including but not limited to MCG guidelines, nonprofit association guidelines, and various Medicare guidelinesFamiliarity with medical terminology, diagnostic terms, and treatment modalities including ability to comprehend psychiatric evaluations, clinical notes, and lab resultsProficient with Microsoft Excel, Outlook, Word, Power Point, and the ability to learn and utilize multiple systems/databasesExcellent analytical, communication skills, written skills, time management, and organizational skillsPossess outstanding interpersonal, organizational, and communication skills, positive attitude, and high level of initiativeAbility to identify problems and works towards problem resolution independently, seeking guidance as needed

Radiology Technologist - Cath Lab TechWe are seeking a skilled Radiology Technologist specializing in Cath Lab procedures. In this role, you will assist in diagnostic and interventional cardiovascular procedures using advanced imaging technology to support patient care.Key Responsibilities:Prepare patients for cardiac catheterization procedures by explaining the process and positioning them correctly.Operate imaging equipment to provide real-time guidance during diagnostic and interventional procedures.Assist physicians during procedures such as angioplasty, stent placement, or pacemaker implantation.Monitor patients' vital signs and ensure their safety throughout the procedure.Maintain and calibrate imaging equipment to ensure optimal performance and compliance with safety standards.Work Environment:Work in hospitals or specialized cardiac catheterization labs equipped with advanced imaging technology.Collaborate closely with physicians, nurses, and other healthcare professionals in a high-pressure environment.Benefits:Competitive salary and comprehensive benefits package.Access to cutting-edge technology and ongoing training opportunities.A supportive work environment focused on innovation and teamwork in patient care delivery.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business. The Behavioral Health Utilization Management Clinician, Experienced, will report to the Manager of Behavioral Health Utilization Management (BH UM). In this role you will conduct clinical review of mental health and substance use authorization requests at various levels of care for medical necessity, coding accuracy, medical policy compliance and contract compliance.Your WorkIn this role, you will:Perform prospective & concurrent utilization reviews and first level determination approvals for members admitted to facilities using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare as neededGather clinical information and apply the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care facilitates including effective discharge planning at levels of care appropriate for the members needs and acuity; prepare and present cases to Medical Director (MD) for medical director oversight and necessity determinationProvide information to facilities and providers regarding community treatment resources, mental health care management programs, company policies and procedures, and medical necessity criteriaWork with multidisciplinary teams to support members using an integrated team-based approach including Interdisciplinary Team Meetings and case consultations with Medical Director and/or Licensed ManagerRecognize the members right to self-determination as it relates to the ethical principle of autonomy, including the members/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare teamSupport team through consistent and successful caseload management and workload to achieve team goals, regulatory timelines, and accreditation standardsYour Knowledge and ExperienceCurrent unrestricted CA license (LCSW, LMFT, LPCC, PhD/PsyD or RN with Behavioral Health experience) requiredAdvanced degree commensurate with field is preferredRequires at least three (3) years of prior experience in healthcare related fieldOne (1) year conducting Behavioral Health Utilization Management for a health insurance plan or managed care environment preferredStrong understanding of Behavioral Health Utilization Management including ability to apply and interpret admission and continued stay criteria of multiple standardized clinical criteria sets including but not limited to MCG guidelines, nonprofit association guidelines, and various Medicare guidelinesFamiliarity with medical terminology, diagnostic terms, and treatment modalities including ability to comprehend psychiatric evaluations, clinical notes, and lab resultsProficient with Microsoft Excel, Outlook, Word, Power Point, and the ability to learn and utilize multiple systems/databasesExcellent analytical, communication skills, written skills, time management, and organizational skillsPossess outstanding interpersonal, organizational, and communication skills, positive attitude, and high level of initiativeAbility to identify problems and works towards problem resolution independently, seeking guidance as needed

Occupational Therapist Join our team as an Occupational Therapist, where you will help individuals regain independence and improve their quality of life through customized therapeutic programs. This role is ideal for professionals passionate about empowering patients to overcome physical, emotional, or developmental challenges. Key Responsibilities: Evaluate patients' conditions and develop individualized treatment plans to address their needs.Plan and implement rehabilitative programs to improve daily living, vocational, and homemaking skills.Utilize therapeutic techniques, adapt environments, and modify tasks to overcome barriers to independence.Collaborate with patients, families, and other healthcare professionals to optimize care outcomes.Educate patients and caregivers on exercises, therapies, and strategies for continued progress outside the clinical setting.Document patient progress and adjust treatment plans as necessary. Work Environment: Work in diverse settings such as hospitals, outpatient clinics, schools, or patients' homes.Engage in a dynamic environment that may require standing for extended periods or assisting clients with mobility challenges. Benefits: Competitive salary with opportunities for professional growth.Comprehensive health, dental, and vision insurance plans.Retirement savings plan with employer contributions.Access to continuing education programs and certifications. Equal Opportunity Employer: We are committed to fostering a diverse and inclusive workplace where all employees feel valued and supported in their professional journey. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business. The Behavioral Health Utilization Management Clinician, Senior, will report to the Manager of Behavioral Health Utilization Management (BH UM). In this role you will conduct clinical review of mental health and substance use authorization requests at various levels of care for medical necessity, coding accuracy, medical policy compliance and contract compliance.Your Work In this role, you will: Perform prospective & concurrent utilization reviews and first level determination approvals for members admitted to facilities using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare as neededGather clinical information and apply the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care facilitates including effective discharge planning at levels of care appropriate for the members needs and acuity; prepare and present cases to Medical Director (MD) for medical director oversight and necessity determinationProvide information to facilities and providers regarding community treatment resources, mental health care management programs, company policies and procedures, and medical necessity criteriaWork with multidisciplinary teams to support members using an integrated team-based approach including Interdisciplinary Team Meetings and case consultations with Medical Director and/or Licensed ManagerRecognize the members right to self-determination as it relates to the ethical principle of autonomy, including the members/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare teamSupport team through consistent and successful caseload management and workload to achieve team goals, regulatory timelines, and accreditation standardsYour Knowledge and Experience Current unrestricted CA license (LCSW, LMFT, LPCC, PhD/PsyD or RN with Behavioral Health experience) requiredAdvanced degree commensurate with field is preferredRequires at least five (5) years of prior experience in healthcare related fieldThree (3) years conducting Behavioral Health Utilization Management for a health insurance plan or managed care environment requiredStrong understanding of Behavioral Health Utilization Management including ability to apply and interpret admission and continued stay criteria of multiple standardized clinical criteria sets including but not limited to MCG guidelines, nonprofit association guidelines, and various Medicare guidelinesFamiliarity with medical terminology, diagnostic terms, and treatment modalities including ability to comprehend psychiatric evaluations, clinical notes, and lab resultsProficient with Microsoft Excel, Outlook, Word, Power Point, and the ability to learn and utilize multiple systems/databasesExcellent analytical, communication skills, written skills, time management, and organizational skillsPossess outstanding interpersonal, organizational, and communication skills, positive attitude, and high level of initiativeAbility to identify problems and works towards problem resolution independently, seeking guidance as needed

Radiology Technologist - Cath Lab TechWe are seeking a skilled Radiology Technologist specializing in Cath Lab procedures. In this role, you will assist in diagnostic and interventional cardiovascular procedures using advanced imaging technology to support patient care.Key Responsibilities:Prepare patients for cardiac catheterization procedures by explaining the process and positioning them correctly.Operate imaging equipment to provide real-time guidance during diagnostic and interventional procedures.Assist physicians during procedures such as angioplasty, stent placement, or pacemaker implantation.Monitor patients' vital signs and ensure their safety throughout the procedure.Maintain and calibrate imaging equipment to ensure optimal performance and compliance with safety standards.Work Environment:Work in hospitals or specialized cardiac catheterization labs equipped with advanced imaging technology.Collaborate closely with physicians, nurses, and other healthcare professionals in a high-pressure environment.Benefits:Competitive salary and comprehensive benefits package.Access to cutting-edge technology and ongoing training opportunities.A supportive work environment focused on innovation and teamwork in patient care delivery.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Care Managementteam will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Case Management – Nurse, Senior will report to the Manager of Care Management. In this role you will play a pivotal role in assessing member needs, providing clinical education, as well as care coordinationwith providers, medical groups, and community resources. You will be responsible for managing and coordinating patient care, ensuring that our members receive the highest quality of care and services. Care Managers perform care management (CM) activities demonstrating clinical judgement and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians.Your Work In this role, you will: Determine appropriateness of referral for CM services, mental health, and social servicesAssess members health behaviors, cultural influences and clients belief/value system. Evaluate all information related to current/proposed treatment plan and in accordance with clinical practice guidelines to identify potential barriersResearch and design treatment/care plans to promote quality of care, cost effective health care services based on medical necessity complying with contract for each appropriate plan type. Adjust plans or create contingency plans as necessaryIdentify appropriate programs and services that align with member needs and preferencesInitiate timely Individualized Care Plans (ICP) based on Health Risk Assessment (HRA) completion, participation in and documentation of Interdisciplinary meetings (ICT), assisting in transitions of care across all agesProvide Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD)Conduct member care review with medical groups or individual providers for continuity of care, out of area/out of network and investigational/experimental casesResearch opportunities for improvement in assessment methodology and actively promote continuous improvement. Anticipate potential barriers while establishing realistic goals to ensure success for the member, providers, and BSCDetermine realistic goals and objectives and provide appropriate alternatives. Actively soliciting client’s involvementRecognize need for contingency plans throughout the healthcare processProvide education and support to members and their families regarding health conditions, treatment options, and community resourcesFollow up with members as appropriate to ensure they have successfully connected with recommended programs and servicesYour Knowledge and Experience Requires a current and valid CA RN License or valid RN license(s) from other state(s). Preferred licensure from a compact state. If assigned to another state, must maintain an active, unrestricted RN license in assigned state(s) or the ability to obtain required RN license (in addition to primary state license) within 90 days of hireBachelor of Science in Nursing or advanced degree preferredCertified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirementsRequires 5 years experience in nursing, healthcare, or related field A minimum of 3 years managed care experience in inpatient, outpatient, or managed care environment preferredHealth insurance/managed care experience preferredTransitions of care experience preferredStrong knowledge of healthcare delivery systems, managed care principles, and care coordinationExcellent communication skills

Occupational Therapist - Home Health Join our team as a dedicated Occupational Therapist in Home Health, where you will help patients regain independence and improve their ability to perform daily activities in their own homes. Key Responsibilities: Assess patients’ functional abilities and develop individualized treatment plans to address self-care, mobility, and safety needs.Implement therapeutic interventions to improve patients’ ability to perform activities of daily living (ADLs) and instrumental activities of daily living (IADLs).Educate patients and caregivers on adaptive equipment, home modifications, and strategies to enhance independence.Monitor and document patient progress, adjusting treatment plans as needed to achieve optimal outcomes.Collaborate with physicians, nurses, and other healthcare professionals to coordinate care and support patient goals.Ensure timely and accurate documentation 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 creativity, problem-solving skills, and the ability to work independently while supporting patients and families. 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 occupational therapy. Equal Opportunity Employer: Your dedication to helping patients achieve 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.*

Radiology Technologist - Mammography TechJoin our team as a Radiology Technologist specializing in mammography. You will play a vital role in early detection by performing diagnostic imaging procedures focused on breast health.Key Responsibilities:Prepare patients for mammography procedures by explaining the process and ensuring comfort.Operate mammography equipment to capture high-quality diagnostic images.Maintain patient safety by adhering to established protocols and radiation safety standards.Collaborate with healthcare providers to analyze imaging results for accurate diagnoses.Document procedures and maintain accurate patient records.Work Environment:Work in hospitals, diagnostic imaging centers, or outpatient facilities.Engage in a collaborative environment dedicated to patient care excellence.Benefits:A competitive salary with a comprehensive benefits package.Access to state-of-the-art technology and training opportunities.A supportive workplace culture focused on innovation and teamwork.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Network Contracting and Trend Analytics (NTA) team supports the Network Management team with analytical and financial modeling for provider contracting and network development activities for Blue Shield of California. The Senior Principal, Medical Informatics of NTA will report to the Senior Director of NTA. In this role you will be responsible for behavioral health finance analytics including measurement of internal cost of healthcare and reporting, analytics supporting coordination of care opportunities, and oversight of provider contracting analytics. 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: Develop the financial management and modeling best practices, specifically for Behavior Health as we move to an in-sourced environmentImplement on-going behavior health costs analysis and trendsBe responsible for CoHC - Behavior HealthBe the lead on modeling the financial aspects. Example, evaluating the financial aspects of care activities such as hospital ER vs behavioral health servicesLead all financial aspects in developing Value-Based Contracting, specifically in Behavior Health marketplace.Be accountable for development of the financial contractual arrangements and the implementation of these providers, which we are bringing in house Your Knowledge and Experience Requires a college degree or equivalent experienceMPH, MBA, MS, MA, RN, or RHIA preferredRequires 10 years of relative experienceRequires a minimum of 5 years’ experience in Health Care (managed care, academic, or gov't payer)Requires contracting in healthcare with a behavioral health specialtyRequires experience developing programs that will translate into CoHC savings specifically in extensive vendor knowledge of financial healthcare within behavioral healthRequires experience with behavioral health financial reporting and modelingRequires one to be comfortable with an ever changing business model that is continually seeking the optimal solution in the behavioral health spaceRequires a SAS Certified Base Programmer Credential or equivalent or a SAS Certified Advanced Programmer Credential or equivalent

Radiology Technologist - CT Scan TechWe are seeking a skilled Radiology Technologist specializing in CT Scans to join our team. In this role, you will operate advanced computed tomography (CT) equipment to produce detailed diagnostic images, ensuring high-quality care and accurate results for patients.Key Responsibilities:Prepare patients for CT scan procedures by explaining the process, answering questions, and positioning them correctly.Operate CT scan equipment to capture high-quality diagnostic images while ensuring patient safety and comfort.Administer contrast materials when necessary to enhance imaging results, following established safety protocols.Collaborate with physicians to analyze imaging results and provide accurate diagnostic support.Maintain and calibrate CT equipment to ensure optimal performance and compliance with safety standards.Document procedures and maintain accurate patient records in compliance with regulatory requirements.Work Environment:Work in hospitals, diagnostic imaging centers, or outpatient facilities equipped with advanced CT technology.Engage in a fast-paced environment requiring attention to detail and technical expertise.Collaborate with a multidisciplinary team dedicated to delivering exceptional patient care.Benefits:Competitive salary and comprehensive benefits package.Access to cutting-edge technology and ongoing training opportunities.A supportive work environment focused on professional growth and innovation.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Registered Nurse (RN) - Medical-Surgical (MS) Join our team as a dedicated Registered Nurse (RN) specializing in Medical-Surgical (MS) nursing. In this role, you will provide comprehensive care to patients with a variety of medical conditions, ensuring their safety and comfort during treatment and recovery. Key Responsibilities: Assess patients' health conditions and develop individualized care plans tailored to their needs.Administer medications, treatments, and intravenous therapies as prescribed by physicians.Monitor patients' vital signs and respond promptly to changes in their condition.Educate patients and families about health conditions, treatment plans, and discharge instructions.Collaborate with interdisciplinary teams to ensure seamless care transitions and comprehensive patient management.Document patient information accurately in medical records, adhering to regulatory standards. Work Environment: The role is based in hospital medical-surgical units, where RNs care for patients with diverse medical needs.This position requires strong organizational skills and the ability to multitask effectively in a fast-paced environment. Benefits: A competitive salary with opportunities for career advancement within medical-surgical nursing 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 medical-surgical nursing practices. Equal Opportunity Employer: Your dedication to improving patient outcomes is valued here. We strive to create an inclusive environment where all employees can thrive professionally while delivering exceptional care during critical moments of recovery. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Registered Nurse (RN) - Operating Room (OR) We are seeking a skilled Registered Nurse (RN) for our Operating Room (OR), where you will assist surgical teams in providing safe and effective patient care during various surgical procedures. Key Responsibilities: Prepare operating rooms by sterilizing instruments, setting up equipment, and ensuring all necessary supplies are available.Assist surgeons during procedures by maintaining sterile fields and handing instruments efficiently.Monitor patient vital signs throughout surgery and respond promptly to any changes or complications.Coordinate with surgical teams to develop individualized patient care plans before, during, and after surgery.Provide patient education regarding surgical procedures, recovery expectations, and postoperative care instructions.Accurately document surgical procedures and patient responses in medical records. Work Environment: This position is based in hospital operating rooms or outpatient surgical centers equipped with advanced surgical technology.The role requires precision, teamwork, and the ability to perform effectively in high-stress environments. Benefits: A competitive salary with opportunities for advancement within perioperative nursing specialties.A comprehensive benefits package including health insurance, retirement plans, and paid time off.Support for continuing education programs to maintain licensure and enhance operating room nursing skills. Equal Opportunity Employer: Your dedication to surgical excellence is valued here. We strive for an inclusive environment where all employees can excel professionally while contributing significantly to patient outcomes during surgery. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*