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The pay range above represents the minimum and maximum rate for this position in California. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. Salary range will vary for remote positions outside of California.Work Culture:GCHP strives to create an inclusive, highly collaborative work culture where our people are empowered to grow and thrive. This philosophy enables us to create the health plan of the future and do our best work – Together.GCHP promotes a flexible work environment. Employees may work from a home location or in the GCHP office for all or part of their regular workweek (see disclaimer).GCHP’s focuses on 5 Core Values in the workplace:• Integrity• Accountability• Collaboration• Trust• RespectDisclaimers:• Flexible work schedule is based on job duties, department, organization, or business need.• Gold Coast Health Plan will not sponsor applicants for work visas.POSITION SUMMARYThe GCHP Member Care Ambassador is responsible for leading activities to achieve a superior member experience and improve health outcomes measured by MCAS and CAHPS scores. This is done by supporting in, member outreach projects, marketing initiatives, health fairs, closing quality care gaps, being a member of the ICT team, supporting members address social drivers of health, community activities, conducting new member benefits orientations, member retention activities, vendor outreach and supporting providers at their clinic sites to answer questions that may arise and link them to the appropriate GCHP team member. The Member Care Ambassador will be embedded in several community locations such as provider sites, administrative offices, community centers, GCHP Resource Centers and school wellness centers aimed at identifying and addressing member needs.Work Schedule: Travel to multiple sites and locations. Work protracted and irregular hours and evening meetings or work irregular hours (including some weekends) for attendance at meetings for special projects and programsAmount of Travel Required: 25-50%Reasonable Accommodations StatementTo accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.ESSENTIAL FUNCTIONSJob Function &amp; Responsibilities• Serves as GCHP community liaison for Members and potential Members through Outreach, Community Events, School Wellness Centers, GCHP Member Hubs and at provider clinics with the purpose of identifying and supporting to address member needs.• Interacts face-to-face with members at provide sites, community centers, School Wellness Centers, and GCHP Resource Centers.• Works closely with the Operations, Health Services, and Policy and Programs teams to refer and triage appropriately to these teams regarding escalated member issues.• Works in collaboration with the Community Relations team to plan, develop, implement, and organize events and volunteers to advance the mission and goals of GCHP at their community location.• Develops and maintain business relationships and information that will result in opportunities to increase membership/enrollment targets at their community location.• Provides accurate information about eligibility, benefits and claim status and authorization requirements to serve members in a courteous and professional manner.• When appropriate serves as a member of the Integrated Care Team to support member needs. Supports in conducting member assessments as well as contributing to the member care plan under the guidance of a nurse and social work staff. Can also participate in the member’s clinic visit when appropriate.• Represents the department at internal and external meetings including, but not limited to, vendor reporting, departmental, cross-functional, community, provider, etc.• Develops presentations including, but not limited to member retention meetings, new member advocacy, outreach activities, etc.• Provides assistance with member-oriented events.• Maintains strict confidentiality of all sensitive information.• Escalates unresolved issues to the next level and/or appropriate area when necessary and timely.• Assists members with their Medi-Cal renewal process when appropriate or refers members to the appropriate community partner to support eligibility questions / needs.• Assist members with contacting their Medi-Cal case worker regarding eligibility issues or changes to their demographic information.• Performs member outreach calls to enforce member retention.• Applies surveys to obtain member feedback.• Assist with development of outreach materials.• Address member questions/concerns and identify member needs.• Understand, explains and adhere to GCHP procedures, protocols, benefits, services and information to members as required.• Submits member request/inquiries through the established channels in a timely manner.• Delivers excellent customer service.• Properly documents all calls/contacts as required by department standards in a timely, clear and concise manner using GCHP's internal tracking system.• Has a strong command of community resources that address social drivers of health and can make the appropriate referrals to community partners.• Is trained and can use the Customer Relationship Management (CRM) system to support members with addressing quality care gaps, make an appointment to get their preventative screenings. Along with other necessary internal systems to conduct their job duties.MINIMUM QUALIFICATIONSEducation &amp; Experience: Please identify the nature of education and experience such as: Associates, Bachelor’s and/or Master’s degree (four-year college or technical school) and list any applicable specialty or field of study.• Bachelor's Degree (four-year college or technical school) Preferred Field of Study: Public Relations, Communications, Public Health, Health Care Administration, 2-3 years or related discipline.• Or any combination of academic education, professional training, or work experience, which demonstrates the ability to perform the duties of the position.Equivalent In lieu of degree:• Will accept experience in any combination of academic education, professional training, or work experience, which demonstrates the ability to perform the duties of the position.• 2-3 years of related experienceKNOWLEDGE, SKILLS &amp; ABILITIESPreferred Qualifications:• Preferred experience in health care interacting directly with members.• Direct experience with Medi-Cal guidelines and health insurance rules and regulations a plus.Language: Bilingual in English and Spanish RequiredTechnology &amp; Software Skills: Advanced computer skills in MS Office products.Certifications &amp; Licenses: A valid and current Driver's License, Auto Insurance, and professional licensure(s)Competency Statements• Customer Oriented - Ability to take care of the customers’ needs while following company procedures.• Accountability - Ability to accept responsibility and account for his/her actions.• Business Acumen - Ability to grasp and understand business concepts and issues.• Decision Making - Ability to make critical decisions while following company procedures.• Goal Oriented - Ability to focus on a goal and obtain a pre-determined result.• Interpersonal - Ability to get along well with a variety of personalities and individuals.• Diversity Oriented - Ability to work effectively with people regardless of their age, gender, race, ethnicity, religion, or job type.• Time Management - Ability to utilize the available time to organize and complete work within given deadlines.• Consensus Building - Ability to bring about group solidarity to achieve a goal.• Relationship Building - Ability to effectively build relationships with customers and co-workers.• Presentation Skills - Ability to effectively present information publicly.• Delegating Responsibility - Ability to allocate authority and/or task responsibility to appropriate people.• Leadership - Ability to influence others to perform their jobs effectively and to be responsible for making decisions.• Strategic Planning - Ability to develop a vision for the future and create a culture in which the long-range goals can be achieved.• Ethical - Ability to demonstrate conduct conforming to a set of values and accepted standards.• Judgment - The ability to formulate a sound decision using the available information.• Communication, Oral - Ability to communicate effectively with others using the spoken word.• Communication, Written - Ability to communicate in writing clearly and concisely.• Problem Solving - Ability to find a solution for or to deal proactively with work-related problems. <a href="https://www.click2apply.net/Y2gEBntPnEX5YhmZ7IJgYz" target="_blank">Apply Here</a> PI251686405

Member Care Ambassador

<h4>How you will change lives</h4>As a Patient Care Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients. The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure.<h4>What you'll be doing</h4>Patient care. You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders.Technician Duties. You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed.Safety and Quality. You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings.PATIENT CARE TECHNICIAN STATE SPECIFIC BOARD OF NURSING REQUIREMENTS California<ul><li>Must possess current Certified Hemodialysis Technician (CHT) certificate from California Department of Public Health (CDPH) at time of hire OR</li><li>Hired at USRC location recognized by state of California as an approved dialysis technician training program and obtain California state certification (CHT) within six (6) weeks of successful completion of training program. </li></ul>Maryland<ul><li>Must possess current Certified Nursing Assistants -- Dialysis Technicians (CNA-DT) certificate from Maryland Board of Nursing OR</li><li>Hired at USRC location recognized by state of Maryland as an approved dialysis technician training program and obtain Maryland CNA-DT certificate within three (3) months from date of hire OR</li><li>Out-of-state applicant must have active BONENT certification and provide proof of initial application for CNA-DT certification.</li></ul>New Mexico<ul><li>Must have New Mexico dialysis technician certificate at time of hire OR</li><li>Hired at USRC location recognized by state of New Mexico as an approved dialysis technician training program and obtain New Mexico state certification within six (6) months of successful completion of training program OR</li><li>New Mexico certification of hemodialysis technician is required for out of state applicant with active state or national hemodialysis certification; must obtain New Mexico state certification prior to working as a Certified Hemodialysis Technician. </li><li>After January 1st, 2024, all initial applications for the certified hemodialysis technician will require a national hemodialysis technician certificate.</li><li>The applicant must submit proof of a valid national hemodialysis technician certificate from a recognized organization.</li><li>Hemodialysis technician students must have a current basic life support credential prior to and while the student has contact with patients</li></ul>OHIO<ul><li>Must have Ohio dialysis technician intern certificate at time of hire OR</li><li>Hired at USRC location recognized by state of Ohio as an approved dialysis technician training program and submit application for Ohio dialysis technician intern certificate to board no later than four (4) weeks prior to completion of the approved training program.</li><li>Must obtain Ohio Board of Nursing Certificate (OCDT) not less than twelve (12) months and not later than eighteen (18) months of enrolling in the USRC OCDT program.</li></ul>OREGON<ul><li>Must possess current Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division at time of hire OR</li><li>Must obtain Oregon dialysis technician provisional certificate within three (3) weeks of successful completion of training program and obtain Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division within eighteen (18) months. An Oregon Provisional Certification is valid for six months and can be renewed for one additional six month period.</li></ul>&nbsp;

U.S. Renal Care

Dialysis Patient Care Technician TTS

The RN Charge Nurse is responsible for overseeing nursing services each shift and functions as a nursing supervisor. This position provides daily supervision of staff on duty during operational hours.Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.<ul><li> Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments.</li><li> Demonstrate effective use of supplies and staff labor hours.</li><li> Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician.</li><li> Assist physician during patient rounds and transcribe and implement physician orders timely.</li><li> Assist with the implementation of anemia management and medication protocols as requested.</li><li> Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements.</li><li> Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations.</li><li> May give direct patient care to the extent of performing efficient, safe dialysis, if allowed by state regulations.</li><li> Responds to all emergencies in clinic.</li><li> Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient.</li><li> Maintain collaborative working relationship with Medical Director and physicians.</li><li> Participate as a member of the Interdisciplinary team in all required patient assessment and care planning activities.</li><li> Assist in orientation of new staff as a preceptor or in assigning a preceptor.</li><li> Acts as resource person and participates in implementing and evaluating dialysis services and assures that policies and procedures are updated.</li><li>Assists Administrator in interviewing, hiring, evaluating, and disciplinary actions of center staff</li></ul>

Dialysis Registered Nurse - Charge

Dialysis Patient Care Technician - PRN

<h4>How you'll change lives</h4>As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease.<h4>What you'll be doing</h4>Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios.Safety &amp; Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings.

Dialysis Registered Nurse TTS

Counseling Psychologist&nbsp; &nbsp;Counseling and Psychological ServicesUniversity of California, Santa Barbara &nbsp;Summary of Job Details:Under the direction of the Director or designee and with an in-depth understanding of the professional field, the Psychologist independently performs diagnosis and psychotherapy on a full range of cases. Provides individual therapy to assess the level of pathology and to determine appropriateness of a short-term therapeutic modality for students with serious psychological concerns. Assesses for suicidal ideation and provides appropriate crisis intervention services. Conducts culturally appropriate therapeutic interventions. May consult with senior specialist/manager on highly complex issues. Coordinate care with Student Health and provide on and off campus referrals as needed. Provide consultation to staff, faculty, and students as requested. Develop and deliver psychoeducational programs to address the cultural and mental health needs of underrepresented populations. Psychologist expected to participate in campus organizations which have a demonstrated commitment to diversity and cultural issues. Be able to approach clinical service provision from a cultural perspective. Provides clinical guidance and oversight to other professional staff. Train and supervise staff, interns, practicum students, or peers as appropriate. Maintain current license to practice psychology in the state of California and must continue to meet state requirements for license renewal.Required Qualifications:Required Education• PhD or Psy.D. in Clinical or Counseling Psychology from an APA accredited doctoral program.Required LicenseLicense to practice psychology in the State of California or obtained within 6 months - Required. (6 month date of eligibility is based on the CA Board of Psychology- BPC § 2946(b) which allows a psychologist licensed in another state, territory, or province who has applied to the Board for a license in this state to perform activities and services of a psychological nature without a valid California license for a period not to exceed 180 calendar days from the time of submitting their application or from the commencement of residency in this state, whichever occurs first- Note this is not the same date as your start date)Minimum Qualifications:• Thorough knowledge associated with providing evaluation, diagnosis and psychotherapy services.• Thorough knowledge of applicable laws and standards of professional conduct.• Thorough knowledge of diagnostic / psychological testing methodologies.• Highly effective written and verbal communication and interpersonal skills.• Thorough skills associated with conducting complex diagnosis, problem-solving and critical-thinking.• Ability to work in a highly collaborative manner with diverse client group, members of the medical staff and faculty.• Ability to conduct complex analysis and develop and present recommendations and course of treatment.• Knowledge of electronic / medical records systems.• Demonstrated ability to provide culturally appropriate therapeutic interventions.Special Conditions of Employment:• Credentials verification for clinical practitioner- license to practice psychology in the state of CA or obtained within 6 months (6 month date of eligibility is based on the CA Board of Psychology- BPC § 2946(b) which allows a psychologist licensed in another state, territory, or province who has applied to the Board for a license in this state to perform activities and services of a psychological nature without a valid California license for a period not to exceed 180 calendar days from the time of submitting their application or from the commencement of residency in this state, whichever occurs first- Note this is not the same date as your start date). Occasional evening and weekend hours may be required (remote and/or onsite). Employment is contingent on successful completion of our credentialing, privileging, and background check processes.• Mandated reporting requirements of Child Abuse• Satisfactory criminal history background check• UCSB is a Tobacco-Free environment.Budgeted Pay Rate/Range:&nbsp; $102,343.06- $117,525.83/yr.Full Pay Range:&nbsp;$90,872.02 to $153,905.39/yr.&nbsp;Days/Hours:&nbsp;&nbsp;M-F; 8 am to 5 pmBenefits Eligibility: Full Benefits&nbsp;UC Santa Barbara is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.For the University of California's Affirmative Action Policy, please visit: <a href="https://policy.ucop.edu/doc/4010393/PPSM-20" target="_blank">https://policy.ucop.edu/doc/4010393/PPSM-20</a>.For the University of California's Anti-Discrimination Policy, please visit: <a href="https://policy.ucop.edu/doc/1001004/Anti-Discrimination.&amp;nbsp" target="_blank">https://policy.ucop.edu/doc/1001004/Anti-Discrimination.&amp;nbsp</a>;Application review begins:&nbsp;10/28/2024Apply online at&nbsp;<a href="https://jobs.ucsb.edu" target="_blank">https://jobs.ucsb.edu</a>Job #73482

Counseling Psychologist

Salary Range:&nbsp;&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&nbsp;(Max.)PLEASE NOTE:&nbsp; This position will work&nbsp;Wednesday - Sunday, 7 a.m. to 4 p.m. PST, with rotating holidays.Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. <h4>Job Summary</h4> The Customer Solution Center Appeals and Grievances (A&amp;G) Nurse Specialist Registered Nurse (RN) II provides direct assistance to member's with health care access or benefit coordination issues, ensuring that clinical grievances, complaints and complex issues are investigated and resolved to the member's satisfaction in a manner consistent with L.A. Care, Centers of Medicare and Medicaid Services (CMS) and regulatory guidelines. Benefit coordination may involve coordinating multiple L.A. Care products, Fee for services (FFS )Medi-Cal/Medicare, or commercial insurance.&nbsp;<h4>Duties</h4>Conducts intake/triage and appropriate classification of Clinical A&amp;G, and Pharmacy requests and makes accurate judgment on appeal, grievance, Provider Claim Disputes, medical records or other issues and follows procedures on how to handle each type of request and route to the appropriate area within the department.Investigation, and resolution of clinical member complaints (grievances/appeals) utilizing all regulatory requirements.&nbsp; Investigation, and resolution of clinical Provider Complaints/ Provider Data Resolution (PDR) (grievances/appeals) utilizing regulatory and internal guidelines and Service Level Agreement (SLA). Identification of Expedited Cases and resolution within 72 hours.Works with the external providers and Participating Physician Group's (PPG) representatives to obtain relevant medical records and communication documentation.Prepares resolved complaint files for Centers for Medicare and Medicaid Services (CMS), DMHC, and external review organization (QIO or IRE).&nbsp; Process the case thru to effectuation and final case documentation in the A&amp;G system of record.Investigation and preparation of State Fair Hearing cases as assigned. Prepares resolved complaint files for CMS external review organization - Quality Improvement Organization (QIO) or Independent Review Entity (IRE).Conducts reviews and presents to physicians, provider disputes which would be based on medical necessity reviews. Prepares authorizations, after approval by the Medical Director.When necessary, outreaches to providers, vendors, hospitals, and members to request necessary information or to provide case status and/or next steps.&nbsp; In instances where necessary, sends written notifications to appropriate parties. All interactions including verbal outreach and written communication will be documented in the A&amp;G system of record. Participates inter-rater reliability training and assessments.<h4>Perform other duties as assigned.</h4><h4>Duties Continued</h4><h4>Education Required</h4>Associate's Degree in Nursing<h4>Education Preferred</h4>Bachelor's Degree in Nursing<h4>Experience</h4>Required:At least 5 years of experience in Clinical Nursing and 2 years in Medicare/ Medicaid in a managed care/ health plan environment. <h4>Skills</h4> Required:Excellent interpersonal and communication skills. Computer literacy and adaptability to computer learning. Time management and priority setting skills.Must be organized and a team player Able to work effectively with various internal departments/service areas, L.A. Care's plan partners, participating provider groups, and other external agencies.Good working knowledge of regulatory requirements/standards.<h4>Licenses/Certifications Required</h4>Registered Nurse (RN) - Active, current and unrestricted California License<h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4>This position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical situations and work on-call.This position requires handling various caseloads and flexibility to adapt to changing priorities which may include but not limited to redistributed work assignments, team projects, and other priorities as assignedSalary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.L.A. Care offers&nbsp;a wide range of benefits including<ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul> Nearest Major Market: Los Angeles Job Segment: Nursing, Registered Nurse, Medicare, Medicaid, Pharmacy, Healthcare

L.A. Care Health Plan

Customer Solution Center Appeals and Grievances Nurse Specialist RN II

****MUST RESIDE IN VENTURA COUNTY, CALIFORNIA OR CLOSE PROXIMITY ******ONSITE 6 WEEK TRAINING (Camarillo, CA)The pay range above represents the minimum and maximum rate for this position in California. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. Salary range will vary for remote positions outside of California.Work Culture:GCHP strives to create an inclusive, highly collaborative work culture where our people are empowered to grow and thrive. This enables us to create the health plan of the future and do our best work –Together.GCHP’s focuses on our 5 Core Values:• Integrity• Accountability• Collaboration• Trust• RespectDisclaimers:• Gold Coast Health Plan will not sponsor applicants for work visas.POSITION SUMMARYGold Coast Health Plan, a leading Medicaid provider in Ventura County, California, is seeking an experienced and results-driven Call Center Manager to support the dynamic operations of our Contact Center. This role, reporting directly to the Contact Center Director, the Manager will play a crucial role in ensuring efficient member service, operational excellence, and compliance with regulations. The Call Center Manager will be responsible for supervising a team of dedicated Contact Center Care Coordinators, implementing strategies to improve performance, and fostering a positive working environment.Training occurs: November 18th through January 6thESSENTIAL FUNCTIONSReasonable Accommodations StatementTo accomplish this job successfully, the Call Center Manager must be able to satisfactorily perform each essential function listed below with or without reasonable accommodation. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.Essential Functions StatementsLeadership &amp; Management:• Ensure compliance with internal policies, procedures, and external regulations under the guidance of the Contact Center Director.• Lead with empathy to foster team development by cultivating a supportive and inclusive work environment, promoting growth, and encouraging continuous learning.• Supervise, coach, and mentor Contact Center team members, providing guidance on job expectations and performance.• Support the recruitment, onboarding, and training of new team members to maintain a high level of talent and service quality.• Collaborate with the Contact Center Director to develop and implement strategic initiatives aligning with organizational objectives.• Ensure compliance with internal policies, procedures, and external regulations under the guidance of the Contact Center Director.• Supervise, coach, and mentor Contact Center team members, providing guidance on job expectations and performance.• Support the recruitment, onboarding, and training of new team members to maintain a high level of talent and service quality.• Collaborate with the Contact Center Director to develop and implement strategic initiatives aligning with organizational objectives.Operations &amp; Performance Management:• Assist in overseeing day-to-day Call Center operations, managing staff, resources, and workflows for optimal efficiency.• Identify improvement areas for interdepartmental communication to help drive member satisfaction scores and outcomes (CAHPS, HEDIS)• Monitor key performance indicators (KPIs) and assist in developing strategies to enhance operational effectiveness.• Collaborate with the Call Center Director to implement and manage call routing systems, optimizing call flow and resource allocation.• Manage and optimize CRM technologies (Salesforce) to enhance organizational efficiency, streamline processes, and drive data-driven decision-making within the organization develop and continuously improve all applicable SOPs to ensure adherence to internal and external quality assurance measures.• Oversee and manage key performance indicators (KPIs) and reporting metrics for Call Center operations, focusing on metrics such as answer rate, resolution rate, and downtime to ensure optimal efficiency and performance.• Foster collaboration with Gold Coast plan members and healthcare provider network to drive frontline call resolution.Communication &amp; Collaboration:• Build and maintain strong relationships with internal stakeholders ranging from executive leadership and directors, as well as facilitating effective communication with direct reports.• Assist in the development and implementation of communication strategies to keep team members informed and engaged on prioritized objectives and shifting targets based on weekly and monthly basis.• Collaborate with cross-functional teams, including healthcare providers, IT, and administrative staff, to ensure seamless communication and coordination.All other duties as assigned.POSITION QUALIFICATIONSCompetency Statements• Demonstrate leadership skills, supporting team members and contributing to effective decision-making.• Exhibit management skills in organizing and directing the team.• Collaborate effectively with individuals from diverse backgrounds within the organization.• Build relationships with customers and co-workers, fostering a positive and inclusive work environment.SKILLS &amp; ABILITIESEducation:• Bachelor's Degree: business administration, Healthcare Administration, or related field preferredExperience:• Minimum of 3 years of experience in a leadership role within a contact center environment.• Proven success in improving contact center efficiency, performance, and customer satisfaction.• Understanding of Medicaid regulations and healthcare industry best practices.• Excellent communication, interpersonal, and leadership skills.• Proficient in Microsoft Office Suite and contact center technologies.Computer Skills:• Proficient computer skills included in the MS Office Suite (Word, Excel, Access, and PowerPoint).Skills &amp; Abilities:• Strong problem-solving and critical thinking skills.• Ability to analyze data and recommend effective system and process improvements.• Proficiency in data analysis and interpretation.• Project management and organizational skills.• Budget management and financial acumen.• Effective negotiation and communication skills. <a href="https://www.click2apply.net/qnmJWBU4JkjqKuoPaIBA7m" target="_blank">Apply Here</a> PI251372079

Manager, Contact Center

Qualified candidates with prior peritoneal dialysis or hemodialysis experience may be eligible for up to $7,500 signing bonus - please inquire!USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.<ul><li>A Home Therapy nurse trains home hemo or peritoneal dialysis patients in-center and sometimes in the patient’s home.</li><li>We Will Train - In-center hemodialysis, critical care, and home health are great backgrounds.&nbsp; </li><li>Work Schedule – Monday through Friday, 8am to 5pm; Modified schedules are possible based on patient caseload at the facility.</li><li>Competitive on-call pay when placed in on-call rotation. </li><li>Holidays – Home Training Nurses rarely work on a holiday. </li><li>We lead the industry in clinical quality improvement, delivering amongst the best patient outcomes in the U.S. as measured by the CMS ESRD Quality Incentive Program.</li><li>We remain an industry leader in home dialysis with 17% of dialysis treatments delivered in our patients' homes.&nbsp;</li></ul>The Home Therapy Registered Nurse, as qualified by federal and state regulations, provides patient training and ongoing support for all patients choosing a home dialysis modality.&nbsp; This position is accountable for providing quality care to all patients and is committed to delivering superior customer service in all internal and external interactions.&nbsp;&nbsp; ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.&nbsp; Other duties and tasks may be assigned.<ul><li>Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements.</li><li>Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications.</li><li>Conduct home visits to assess the patient's home environment per policy; initially and minimally annually thereafter.&nbsp; Routinely evaluate patient performance and assess the home environment more frequently as needed to improve care.</li><li>Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient.</li><li>Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations.&nbsp; Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care.</li><li>Participate in infection control monitoring, implementation, and recording as requested.</li><li>Be familiar with emergency equipment and all emergency operational procedures.&nbsp; Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home.</li><li>Ensure clinic and patient supply inventory and usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties.</li><li>Continually seek to improve patient and quality outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes.&nbsp; Assist in obtaining data for the continuous quality improvement activities.</li><li>Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner.</li><li>Complete and document monthly review of patient medication profiles.&nbsp; Administer medications as ordered by the physician.</li><li>Responsible for performing on call nursing services, nights and weekends, on a rotational basis as needed or assigned.</li><li>Flexible with staffing locations and hours to accommodate patient and USRC home program needs.</li><li>Regular and reliable attendance is required for the position.</li></ul>Home Hemodialysis Only:<ul><li>Coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program.</li><li>Ensure required and appropriate water sampling is complete per policy and product requirements.&nbsp; Monitor and report water sample and culture results.&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</li></ul>

Dialysis Registered Nurse, Home Hemo & Peritoneal RN - Signing Bonus up to $7,500

<h4>How you'll change lives</h4>As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease.<h4>What you'll be doing</h4>Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios.Safety &amp; Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings.

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