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part time hr compliance documentation specialist healthcare required

Zinc method

<p>Job Description:</p><p>We are a growing behavioral health and home care organization seeking a Part-Time HR Compliance &amp; Documentation Specialist to support our leadership team.</p><p>This is a remote role requiring maximum 5 hours per week with flexible scheduling.</p><p><b>We are not seeking payroll or timekeeping support</b>. Instead, we are looking for an experienced HR professional with healthcare or home care experience who can help strengthen our documentation systems, policies, and compliance practices as we grow. Minimum 3 years experience required.</p><p>This role is ideal for someone who understands California labor law and has worked in regulated environments such as home care, residential care, or behavioral health.</p><p>Responsibilities:</p><ul><li>Maintain and organize digital employee personnel files</li><li>Ensure HR documentation aligns with California labor law</li><li>Support employee handbook updates and policy development</li><li>Provide guidance on employee relations matters</li><li>Advise on corrective actions and documentation best practices</li><li>Ensure alignment with CDSS and home care regulatory requirements</li><li>Review internal documentation for compliance gaps</li><li>Assist with improving HR systems and documentation workflows</li><li>Develop standardized templates (write-ups, corrective action forms, acknowledgments, etc.)</li></ul><p>Qualifications:</p><ul><li>3+ years of HR experience</li><li>Direct experience in healthcare, home care, residential care, ARF, HCO, or behavioral health settings</li><li>Strong working knowledge of California labor law</li><li>Experience supporting employee relations and corrective action processes</li><li>Experience in regulated environments (CDSS experience preferred)</li><li>Strong documentation and organizational skills</li><li>Comfortable advising leadership directly</li><li>High level of discretion and professionalism</li></ul><p>Preferred:</p><ul><li>SHRM-CP, PHR, or similar certification</li><li>Experience supporting small but growing organizations (10&ndash;50 employees)</li></ul><p>Structure &amp; Compensation:</p><ul><li>Remote</li><li>Approximately 5 hours per week</li><li>Flexible scheduling</li><li>1099 contractor</li><li>Hourly rate DOE (competitive for experience level)</li></ul><p>Job Type: Part-time</p><p>Pay: $50.00 - $75.00 per hour</p><p>Expected hours: No more than 5 per week</p><p>Work Location: Remote</p>

Part-Time HR Compliance & Documentation Specialist (Healthcare Required)

Therapeutic Play Foundation

<p><b>Outreach Program Manager</b></p><p>Full-Time | Salaried | Hybrid Reports To: Operations Director Minimum Three (3) In-Person Days Per Week Required</p><p><b>Position Summary</b></p><p>The Outreach Program Manager serves as the operational lead for Community Health Workers (CHWs) and all outreach-based workforce execution across CalAIM, Healthcare Access, STRTP, and ARTGard programming.</p><p>This role supervises CHWs, oversees call center assignments, field-based engagement (including door knocking and tabling), mail outreach campaigns, Community Play Dates, and Wellness Labs (CHW-related components), and ensures timely documentation compliance.</p><p>The Outreach Program Manager ensures CHWs demonstrate professionalism, complete assigned outreach tasks, and meet documentation and engagement standards aligned with grant, MCP, and organizational expectations.</p><p>Clinical supervision of LCMs and therapeutic documentation quality remains under the Clinical Team Lead.</p><p><b>Core ResponsibilitiesCHW Supervision &amp; Workforce Leadership</b></p><ul><li>Directly supervise Community Health Workers (CHWs) &bull; Provide regular oversight meetings and performance feedback &bull; Monitor professionalism, reliability, and engagement quality &bull; Ensure CHWs meet outreach and documentation expectations &bull; Address performance concerns in collaboration with Operations Director</li></ul><p><b>Call Center &amp; Outreach Assignment Oversight</b></p><ul><li>Assign and monitor CHW call center shifts and outreach call campaigns&bull; Ensure CHWs complete required call quotas and outreach attempts&bull; Monitor documentation of call center engagement activities&bull; Track and verify OTF/RTF documentation related to outreach contacts&bull; Ensure auto-dialer or call tracking systems are utilized appropriately&bull; Provide follow-up for incomplete call assignments or missing documentation</li></ul><p><b>Field Outreach &amp; Community Engagement Standards</b></p><ul><li>Ensure CHWs demonstrate professionalism during door knocking, tabling events, and in-person outreach&bull; Monitor adherence to safety protocols and community engagement guidelines&bull; Oversee coordination of mail outreach campaigns and documentation of outreach attempts&bull; Ensure community partner interactions reflect organizational standards&bull; Provide day-of oversight for Community Play Dates, Wellness Labs, and major outreach initiatives</li></ul><p><b>Workforce Scheduling &amp; Payroll Coordination</b></p><ul><li>Draft expected shift assignments for outreach events, call center coverage, door knocking initiatives, and community programming&bull; Submit finalized shift schedules to HR for entry into Gusto&bull; Coordinate schedule changes with HR to ensure accurate payroll processing&bull; Monitor staffing coverage to prevent operational gaps</li></ul><p>Final payroll processing and compensation authority remain under HR and executive leadership.</p><p><b>Documentation &amp; CalAIM Compliance Oversight</b></p><ul><li>Monitor CHW progress note submission timelines&bull; Track OTF/RTF completion across call center, door knocking, and event-based outreach&bull; Maintain documentation compliance dashboards&bull; Provide reminders and corrective follow-up for missing documentation&bull; Escalate repeated non-compliance concerns to Operations Director&bull; Collaborate with Data, Grants &amp; Development Director when documentation gaps impact billing or reporting</li></ul><p>Clinical documentation quality remains under Clinical Team Lead oversight.</p><p><b>Outreach Playbooks &amp; Systems Development</b></p><ul><li>Lead development and refinement of outreach playbooks for call center operations, field engagement, and tabling&bull; Standardize workflows for documentation, outreach tracking, and event execution&bull; Ensure playbooks align with CalAIM, MCP, and grant compliance requirements</li></ul><p><b>Event Materials, Logistics &amp; Expense Oversight</b></p><ul><li>Submit flyer requests and coordinate with marketing/design&bull; Ensure outreach materials align with program guidelines&bull; Coordinate supply inventory and event preparation&bull; Create and submit expense reports related to outreach activities&bull; Ensure expenditures align with grant documentation standards</li></ul><p><b>CHW Training Academy &amp; Proficiency</b></p><ul><li>Oversee implementation of the CHW Training Academy&bull; Monitor CHW training completion and competency benchmarks&bull; Ensure CHWs demonstrate proficiency in outreach engagement, call center etiquette, documentation standards, and community professionalism &bull; Coordinate refresher training when needed</li></ul><p><b>Cross-Functional Collaboration</b></p><ul><li>Collaborate with Operations Director to ensure smooth day-to-day workforce execution &bull; Participate in weekly 30-minute Revenue &amp; Operations Alignment meeting &bull; Coordinate with Clinical Team Lead when outreach intersects with behavioral health considerations &bull; Work with Data, Grants &amp; Development Director to address compliance or reporting impacts</li></ul><p><b>Qualifications</b></p><ul><li>Bachelor&rsquo;s degree required (Public Health, Social Work, Healthcare Administration, or related field preferred) &bull; 3&ndash;5 years experience in outreach, program management, or community engagement &bull; Experience supervising CHWs or community-based workforce preferred &bull; Knowledge of CalAIM, Medi-Cal documentation standards, or grant-funded programs preferred &bull; Strong leadership, organizational, and accountability skills &bull; Ability to manage workforce compliance and field execution simultaneously</li></ul><p><b>Work Environment &amp; Compensation</b></p><ul><li>Full-time (40 hours per week)&bull; Hybrid role with minimum three (3) in-person days required. South LA&bull; Additional in-person attendance required for major outreach events&bull; Salary Range: $66,560 &ndash; $87,360 annually&bull; Benefits include healthcare benefits, PTO, and professional development opportunities</li></ul><p>Job Type: Full-time</p><p>Pay: $66,560.00 - $87,360.00 per year</p><p>Benefits:</p><ul><li>Paid time off</li></ul><p>Work Location: Hybrid remote in Los Angeles, CA 90043</p>

Outreach Program Manager

MLK Community Healthcare

<div><div><div><b>Pay Rate Type</b></div>
Hourly</div>
<div><div><b>Salary Range (Depending on Experience)</b></div>
$21.00 - $28.00</div><br>
<p></p><div><div><p>If you are interested please apply online, send your resume to <b>Marismartinez@mlkch.org</b><b>
</b></p><p><b>POSITION SUMMARY</b></p><p>
The Outreach Specialist will conduct community outreach at health centers, provider offices and other social service sites aimed at recruiting and enrolling eligible prenatal clients into the Welcome Baby program. They will work with various entities to obtain referrals, such as the OB clinics and providers with Labor and Delivery privileges. They will also be responsible for developing relationships with key community contacts, maintaining prenatal outreach logs, following up with and referring potential clients to the Welcome Baby program. The WB Outreach Specialist will work closely with the Welcome Baby Program Manager, Clinical Supervisor, Grant Coordinator/Hospital Liaison and other program staff to provide input into the development of program documentation, training, procedures, and overall structure of the program. The Welcome Baby Community Outreach Specialist will follow Welcome Baby protocols as developed by First 5 LA and will complete other duties as assigned. This is a part-time position, 30 hours per week- Grant Funded.</p><p>
The Hospital Liaison will have experience conducting standardized family assessments. The Hospital Liaison will introduce the Welcome Baby program and describe the opportunities and services to patients during the hospital visit. The goal of the hospital visit is to invite patients to participate or continue participation in the program; observe parent-infant interaction when possible; assess for social support, infant feeding, and maternal depression; and complete the Bridges for Newborn Screening Tool. The Hospital Liaison will also attend off-site Welcome Baby mandatory meetings and trainings. The Hospital Liaison will be certified in Lactation Education (CLE); or certification must be completed within six months of hire; alternately, staff may be certified lactation consultant (CLC) or international board-certified lactation consultant (IBCLC). The Hospital Liaison will work closely with the Welcome Baby Program Manager, Clinical Supervisor, Grant Coordinator/Hospital Liaison and other program staff.</p><p>
25% of this position will be dedicated to the Outreach Specialist role and 25% will be dedicated to the Hospital Liaison role</p><p><b>
ESSENTIAL DUTIES AND RESPONSIBILITIES</b></p><p></p><p><b><br>
Outreach Specialist Key Position Responsibilities:</b></p><ul><li>Ability to function as a member of an interdisciplinary team and work closely with all program staff to provide a continuum of services.</li><li>Ability to develop relationships with providers and community organizations and provide input on communication and outreach strategies.</li><li>Experience working with families from diverse age, cultural, and ethnic backgrounds.</li><li>Conduct outreach (group and one-on-one) at provider sites and community-based organizations to recruit potential clients.</li><li>Contact potential clients from outreach to encourage participation in the program and enroll them, if appropriate.</li><li>Conduct client intakes, including collecting key information in a sensitive and nonjudgmental manner.</li><li>Identify appropriate resources for clients and provide referrals as needed during the intake process.</li><li>Ability to adhere to all program guidelines, policies and protocols and actively work toward achieving the goals of the program.</li><li>Empathy, warmth, and the ability to establish ongoing supportive relationships with an ethnically diverse population.</li><li>Participates in appropriate community meetings and marketing and communications efforts as needed.</li><li>Provides input on communication and outreach strategies.</li><li>Develops trust and rapport with clients and provides support using an empathic and client-centered approach.</li><li>Completes all needed paperwork for each client in a timely and organized manner, including clear and well written progress notes.</li><li>Provides intake data to the Clinical Supervisor and administrative support staff in a timely manner for client enrollment and assignment.</li><li>Updates and shares community resources.</li><li>Attends and participates in all staff meetings, bi-weekly group reflective supervision, and individual group reflective supervision.</li><li>Participate in periodic Peer to Peer workshops, webinars and conference calls; and Welcome Baby and Home Visitation regional meetings.</li><li>Complete Welcome Baby training required for Outreach Specialist within one year of hire</li></ul><p><b>
Hospital Liaison Kep Positon Responsibilities:</b></p><ul><li>Responsible for approaching prospective clients at bedside to introduce the Welcome Baby program, verifies willingness to participate, obtains consent, and gathers referral information.</li><li>Responsible for developing a file for each client recruited into the program, documenting all contacts with the family and agencies and completing data forms and program documentation.</li><li>Responsible for developing trust and rapport with clients and provides support using an empathetic and client centered approach.</li><li>Responsible for adhering to all program guidelines, policies and protocols and actively works toward achieving goals of the program.</li><li>Responsible for the conducting an interview with each client recruited into the program, observing parent-infant interaction; assessing involvement of father or other secondary caretaker, level of social support, infant feeding and maternal depression; and provides breastfeeding support</li><li>Assists moms and infants with breastfeeding, education and resources</li><li>Effectively conducts required client assessments using standardized tools for maternal depression and a risk screening interview.</li><li>Works closely with the Program Director, Department Director and nurses to provide a continuum of services.</li><li>Confers with assigned nurse regarding need for any additional hospital services or referrals and assists with referral process, if needed.</li><li>Collaborates and acts as a liaison with other members of the healthcare team, including nurses, lactation specialists, social workers, and physician to coordinate provision of high quality patient care.</li><li>Attends and completes all trainings, including successful completion of CLE training program within 6 months of hire.</li><li>Attends and participates in all home visitation staff meetings, including bi monthly group reflective supervision.</li><li>Completes all needed paperwork for each client in a timely and organized manner, including clear and well written progress notes.</li><li>Independently recognizes and performs duties which need to be done without being directly assigned. Establishes priorities; organizes work and time to meet them.</li><li>Recognizes and responds to priorities, accepts changes and new ideas. Has insight into problems and the ability to develop workable alternatives.</li><li>Accepts constructive criticism in a positive manner.</li><li>Adheres to attendance and punctuality requirements per hospital policy. Provides proper notification for absences and tardiness. Takes corrective action to prevent recurring absences or tardiness.</li><li>Uses time effectively and constructively. Does not abuse supplies, equipment, and service.</li></ul><br>
<div></div>
</div></div><p></p><div><div><p><b>POSITION REQUIREMENTS</b></p><p><b>
A. Education</b></p><ul><li>Bachelor&rsquo;s degree in Child Development, Social Work, Psychology, Human Development, Public Health, Human Services, Women&rsquo;s Studies or a related field, plus experience.</li></ul><p><b>
B. Qualifications/Experience</b></p><ul><li>At least one year of experience in community outreach.</li><li>Background in conducting family assessments preferred.</li><li>At least one-year previous work experience in maternal and newborn health services.</li><li>Current BLS (AHA) required.</li><li>CLE Certified or obtain certification within 6 months of hire</li></ul><p><b>
C. Special Skills/Knowledge</b></p><ul><li>
Bilingual preferred.</li></ul></div></div></div><p></p>
<br><div><div><div>Know someone at MLK Community Healthcare?<br>
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</div><div></div><br>
<div><div><b>Equal Rights Employer</b><br>
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Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, national origin, age, disability, genetic information, citizenship status, military service, or any other status protected by federal, state, or local laws. This application is intended for use in evaluating your application for employment.<br>
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<br>
<b>MLK Community Healthcare</b><br>
1680 E 120th Street<br>
Los Angeles, CA 90059<br>
Tel: 424-338-8000<br>
Email: info@mlkch.org<br>
www.mlkch.org</div></div></div></div>

Outreach Specialist/ Hospital Liaison (Welcome Baby Program)

CVS Health

<div><p>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.</p><p></p><p><b>
Position Summary</b></p><p><br>
Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA and Sr CDQA) to ensure the ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures.</p><p></p><p>
Additional responsibilities to include but not limited to the following:</p><ul><li>
Proven ability to support coding judgment and decisions using industry standard evidence and tools.</li><li>
Ability to confidently speak to such evidence across stakeholders with varying knowledge and clinical expertise in either written or verbal forms including communication with clinical or coding staff, federal regulators and vendor coding resources.</li><li>
Conducts process audits to ensure compliance with internal policies and procedures and existing CMS regulations.</li><li>
Ability to work independently as well as in a cross functional role within other teams for collaboration on best practices.</li><li>
Possesses a genuine interest in improving and promoting quality; demonstrates accuracy and thoroughness and assists others to achieve the same through mentoring and instruction.</li><li>
Conducts process audits to ensure compliance with internal policies and procedures as well as regulatory guidance from CMS, OIG or other Regulatory body.</li><li>
Expertise in assigning accurate medical codes for diagnoses as documented for physicians and other qualified healthcare providers in the office and/or facility setting.</li><li>
Thorough knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity.</li><li>
Expertise in medical documentation, fraud, abuse and penalties for documentation and coding violations based on governmental guidelines.</li><li>
Performs other related duties as required.</li></ul><p><b><br>
Required Qualifications</b></p><ul><li>
Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, industry standard coding applications).</li><li>
Experience with International Classification of Disease (ICD) codes required.</li><li>
5 years recent and related experience in medical record documentation review, diagnosis coding, and/or auditing.</li><li>
Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) required.</li><li>
CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder) required</li></ul><p><b><br>
Preferred Qualifications</b></p><ul><li>
CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred.</li><li>
Excellent analytical and problem-solving skills.</li><li>
Superior communication, organizational, and interpersonal skills</li></ul><p><b><br>
Education</b></p><ul><li>
Bachelor of Arts/ Bachelor of Science Degree or equivalent experience.</li><li>
Completion of AAPC/AHIMA training program for core credential (CPC, CCS-P) with associated work history/on the job experience equal to approximately 3 years for CPC.</li><li>
5-8 years encompassing additional credentials and/or application of credentials.</li></ul><p></p><p><b>
Anticipated Weekly Hours</b></p>
40<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Pay Range</b></p><p>
The typical pay range for this role is:</p><p></p>
$21.10 - $44.99<p></p><p>
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.</p><p><br>
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.</p><p></p><p><b>
Great benefits for great people</b></p><p></p><p>
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:</p><ul><li><p><b>
Affordable medical plan options,</b> a <b>401(k) plan </b>(including matching company contributions), and an <b>employee stock purchase plan</b>.</p></li><li><p><b>
No-cost programs for all colleagues </b>including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</p></li><li><p><b>
Benefit solutions that address the different needs and preferences of our colleagues</b> including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</p></li></ul><p></p><p>
For more information, visit https://jobs.cvshealth.com/us/en/benefits</p><p></p>
We anticipate the application window for this opening will close on: 03/13/2026<p></p><p>
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p></div>

Analyst, Coding Data Quality Auditor

IQVIA

<div><div><div>Louisiana, United States of America | Full time | Home-based | R1530183</div><div><div><b>
Job available in additional locations</b></div></div></div><p></p><div><div><br>
As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product&rsquo;s value to payers, physicians and patients. A significant part of our business is acting as the company&rsquo;s sales force to physicians or providing nurses to educate patients or prescribers. With the right experience, you can help deliver medical breakthroughs in the real world.</div><div>
IQVIA has the world&rsquo;s largest Commercial Sales &amp; Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs.</div><div>
We are excited to announce that in partnership with our client, LENZ Therapeutics, we are currently looking for Pharmaceutical<b> Inside Sales Representative/Clinical Specialist </b>to join our team. In this position, you will discuss clinical information with Eye Care Physician (ECP) in the presbyopia space. The <b>Inside Sales Representative/Clinical Specialist </b>is primarily responsible for calling optometry and ophthalmology offices to discuss the presbyopia disease state and related clinical information with the Eye Care Physician. This role will be accountable for multiple productivity metrics and overachieving on key objectives. This is accomplished by establishing mutually beneficial business relationships with targeted eye care physicians in the presbyopia market. The Inside Clinical Call Specialist is also responsible for coordinating strategies with appropriate teammates to maximize productivity metrics and goals in the assigned territory.</div><div><b>
RESPONSIBILITIES</b></div><div>
Successful candidates will demonstrate ability in these areas; Specific responsibilities and tasks may extend beyond the below; however, these are descriptive of the role</div><ul><li>
Initiate outbound calls to Optometrists and Ophthalmologists to deliver effective discussions about presbyopia and related clinical information.</li><li>
Deliver key insights/clinical information to physician offices by liaising with receptionists, office-managers and other office staff to get to the Eye Care Physician.</li><li>
Over-Achieve on key productivity, development, and learning objectives.</li><li>
Engage targeted ECP and office staff with clinical information and services provided in compliance with LENZ Therapeutics&rsquo; policies.</li><li>
Ensure all calls/activities are entered into CRM system at time of discussion.</li><li>
Receive inbound calls if needed during operating hours.</li><li>
Continuous self-learning of the presbyopia market including new developments and updates.</li></ul><div><b>
Qualifications:</b></div><ul><li>
Four-year College Degree - Preferred</li><li>
Eye Care Experience &ndash; Strongly Preferred</li><li>
Minimum 1 to 3 years inside team experience, B2B territory management/account management experience, field team experience - Preferred</li><li>
Inside Pharmaceutical, Device, or MedTech team experience - Preferred</li><li>
Ability to understand and convey accurate complex information to Optometrists and Ophthalmologists, in an educated, articulate, and professional manner</li><li>
Experience developing and maintaining customer relationships</li><li>
Experience maintaining accurate records of all call activities</li><li>
Proven ability to consistently meet/exceed defined territory goals</li><li>
Ability to accept and quickly apply coaching and feedback to improve individual performance and customer experience</li><li>
High work ethic, reliable and punctual in reporting for scheduled work</li><li>
Plan and organize Territory to meet required call targets</li><li>
Make presentations (Details)</li><li>
Keep current with industry knowledge</li><li>
Advance listening, problem-solving and decision-making skills</li><li>
Excellent verbal and written communication skills</li><li>
Ability to effectively manage multiple tasks across multiple systems</li><li>
Ability to be flexible as needed to meet the fluctuating business needs</li><li>
Private, quiet, dedicated workspace required</li><li>
Maintain and update current and prospective target Healthcare professional profiles</li><li>
Maintain a professional image for Client</li><li>
Participate in all required training and team meetings</li><li>
Make complete, accurate and timely submission of all time-keeping, Details, call activity, within the approved CRM</li><li>
Compliance with the Approved Program, and proper use of Approved Materials and Program Budgets</li><li>
Participate or coordinate virtual and live lunch &amp; learns, dinner programs, weekend events, as appropriate</li><li>
Have appropriate interaction with co-program partners or counterparts</li><li>
Ability to collaborate</li><li>
Experience with Salesforce, Veeva preferred</li><li>
Demonstrated ability to manage and develop an assigned territory with minimal supervision</li></ul><div>
#LI-CES</div><div>
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com</div><div>
IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe</div><div>
IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.</div>
The potential base pay range for this role is $30.00-$32.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.</div></div><div></div>

Inside Sales Representative - 2974556

Kindred Hospitals

<div><b>Description</b><p><br>
At <b>ScionHealth</b>, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.</p><p><b>
Job Summary</b></p><p>
Oversees case management and utilization management functions in more than on Scion Hospital. Works in collaboration with RDCM and site DCM in the facilitation of care coordination through management of quality clinical service delivery. Identifies care management trends and discharge barriers for the coverage area through partnership with external customers, referral sources and payors to improve discharge planning and service to patients, family and the community. Supports site DCM to ensure that case management services comply with the Conditions of Participation. Collaborates closely with the hospital CEO/Administrator, COO, CFO, CCO and Regional DCM.</p><p><b>
Essential Functions</b></p><ul><li>
Provides support to ensure ongoing effective operations of the Case Management Department.</li><li>
Ensures regular, complete and timely reporting of case management performance outcomes.</li><li>
Represents and promotes ScionHealth Hospitals to the provider community and to local educational institutions, as appropriate.</li><li>
Participates as an adjunct management team member in the Value Driven Transition meeting and serves on other committees as needed and requested by site DCM and/or CEO.</li><li>
Identifies opportunities to achieve hospital goals based on available comparative data and benchmarks.</li><li>
Reviews and analyzes hospital utilization services statistics and provides site/area specific recommendations.</li><li>
Ensures areas of responsibility are operating in compliance with CMS, state and Joint Commission regulations and standards and with ScionHealth policies, including documentation and record requirements. Actively participates in surveys and audits.</li><li>
Provides support in onboarding process for new case management staff.</li></ul><p><b>
Knowledge/Skills/Abilities/Expectations</b></p><ul><li>
Thorough knowledge of case management activities and requirements.</li><li>
Experience managing a variety of case management models using an interdisciplinary team approach.</li><li>
Ability to motivate and lead.</li><li>
Excellent interpersonal, verbal and written skills in order to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customers</li><li>
Basic computer skills with working knowledge of Microsoft Office, word-processing and spreadsheet software.</li><li>
Proficient in accreditation standards and compliance requirements.</li><li>
Ability to demonstrate critical thinking, appropriate prioritization and time management skills.</li><li>
Knowledge of government and non-government payor practices, regulations, standards and reimbursement.</li><li>
Approximate percent of time required to travel 15%</li><li>
Must read, write and speak fluent English.</li><li>
Must have good and regular attendance.</li><li>
Performs other related duties as assigned.</li></ul><p><b>
Pay Range: </b>$57.30-$72.68/hr.</p><p>
ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness.</p><b><br>
Qualifications</b><p><b><br>
Education</b></p>
<ul>
<li>Graduate of an accredited program required</li>
<li>RN or BSN preferred</li>
<li>Master's in social work with licensure as required by state regulations</li>
</ul>
<p><b>Licenses/Certification</b></p>
<ul>
<li>Healthcare professional licensure required as Registered Nurse, Licensed Clinical Social Worker (LCSW),or Licensed Social Worker (LSW), as required by state.</li>
<li>Certification in Case Management preferred.</li>
</ul>
<p><b>Experience</b></p>
<ul>
<li>Minimum three years&rsquo; experience in Hospital Case Management.</li></ul></div>

Market Director of Case Management

<div><div><div><b>Pay Rate Type</b></div>
Yearly</div>
<div><div><b>Salary Range (Depending on Experience)</b></div>
$125,179.12 - $194,027.64</div><br>
<p></p><div><div><p><b>If you are interested apply online and send your resume to yadeleon@mlkch.org.</b></p><p><b>
POSITION SUMMARY</b></p><p>
The Manager of Care Management will supervise and direct all levels of Care Management team that includes RN Care Managers, Lead Care Management RN, Care Management Coordinators, Discharge Planners (DCP), Care Coordinators, and Care Management Educator. This position may also be asked to supervise and cover supervision for other management in the CM Department. These services include assessment of patients for level of care, appropriateness for admission or observation, HLOC transfers, discharge assistance, and follow up care as appropriate in collaboration with the ED care management team and Social Work Department. Care Management policies for this work initiated, reviewed and implemented by the Manager as needed.
</p><p>This Manager role will also provide clinical supervision for scheduling, Kronos payroll, coaching/corrective action, and educational needs to ensure that the care management policies and processes are carried out for the organization. This role will oversee the electronic referral system, currently Ensocare, documentation of care management through Cerner Healthcare EMR including working with Clinical informatics (CIT), to develop or improve care management documentation, as well as handoff processes.
</p><p>This position is responsible for overseeing post-acute providers, facilities and other types of community service providers as directed by the Director of Care Management. The Manager will assist with overseeing compliance policies and plan related to vendor networks to maintain a working relationship between MLK and individual network providers. Manager will identify opportunities to improve post discharge services to reduce readmissions and improve community health in collaboration.</p><p>
Works collaboratively with other colleagues within the Population Health Program to support the entire Care Management Department. This role is expected to share in Care Management Leadership Call on a rotation basis as assigned by the Director for Care Management</p><p></p><p><b><br>
ESSENTIAL DUTIES AND RESPONSIBILITIES</b></p><ul><li>
Manages and supervises the IP Care Management RNs, Care Management Coordinators, Care Coordinators,<br>
Discharge Planners, and Care Management Educator to support the MLKCH Care Management services includes but not limited to assessments, transfers to higher levels of care, inpatient discharge needs, and follow up care by DCP team according to Care Management Department policies and procedures.</li><li>
Works in collaboration with the Director of Social Work Services and Street Medicine to support the Care Management Program as well as in support of the Population Health Program at MLKCH.
</li><li>Oversight of MLKCH compliance policies related to discharge planning and use of letters of agreement (LOA) with current/planned scope of post-acute partner networks including:<ul><li>
MLK-LA Skilled Nursing Facilities (SNF)</li><li>
MLK-LA Home Health Professional Network (planning)</li><li>
MLK-LA Palliative and Hospice Network (planning)</li></ul></li><li>
Have oversight of assessing need for additional provider networks in collaboration with management given new clinical/social needs and ongoing revisions to the Population Health Strategy.
</li><li>Identify and vet potential post-acute service providers
</li><li>Participates in hospital committees and unit specific multidisciplinary conferences as well as staff meetings for the Care Management Department
</li><li>Models leadership and promotes professionalism to assist staff in developing priority setting, team work, and flexibility in support of the Care Management team and in community health activities.
</li><li>Holds clinical and non-clinical staff accountable for the performing initial assessments, identifying and documenting a discharge plan, and collaborating with the work team to ensure a safe patient discharge under the scope and standards for ACMA &amp; CMSA standards.</li><li>
Responsible for the hiring process and identifying and recommending staffing needs with skill mix as appropriate to meet needs of the population.
</li><li>Manages payroll in Kronos; monitors overtime as well as attendance related to HR policy for time &amp; attendance.
</li><li>Oversee a mix of clinical, operational and business projects including but not limited to ones used reduce readmissions, improve transportation services such as ambulance services, and other clinical services
</li><li>Work closely with and in partnership with ED Care Coordinators, ED Care Managers, Social Work, Transitional Care Navigator staff, and clinical staff to ensure that patients care transitions from MLK entities to post-acute network providers are seamless.</li><li>
Establish and monitor management metrics: quality, outcomes, productivity of staff work, financial, case volume/mix and provides scheduled reporting to the Director of Care Management.
</li><li>Design and coordinate formal and informal training for staff and providers regarding post-acute services care management services, and oversees the clinical education program executed by the Care Management Educator.
</li><li>Systematically and continuously evaluate and address internal and external customer concerns/ grievances</li><li>
Collaborates and coordinates services and joint meetings with Los Angeles County Department of Health Services Outpatient Clinic staff</li><li>
Collaborates and coordinates functional programs with MLKCH outpatient clinics to ensure smooth transitions to community healthcare for MLKCH patients.
</li><li>Collaborates with other Care Management Leadership to ensure adequate staffing and scheduling to support the functions of the transitional care team.</li></ul><br>
</div></div><p></p><div><div><p><b>POSITION REQUIREMENTS</b></p><p><b>
A. Education</b></p><ul><li>
Bachelor degree in nursing required or Master&rsquo;s Degree in Social Worker with LCSW required.
</li></ul><p><b>B. Qualifications/Experience</b></p><ul><li>
RN Candidates must have five (5) years acute care hospital, health plan, and/or ancillary services required.</li><li>
Candidate&rsquo;s with LCSW, must have 7 years of experience in acute care hospital, health plan, and/or ancillary services required.
</li><li>Prior Supervisory or Management Experience in a clinical role required.
</li><li>RN license required or LCSW required</li><li>
CCM or ACM certification required within 2 years of hire.
</li><li>Basic Life Support (BLS) certification
</li><li>Workplace violence prevention annually.
</li><li>Direct patient care or care coordination, utilization, case/disease management experience a plus</li><li>
Experience with Medicaid/ Medi-Cal patients and government programs preferred</li><li>
Experience in clinical health informatics is preferred.</li></ul><p><br>
</p><p><b>C. Special Skills/Knowledge</b></p><ul><li>
Significant knowledge regarding health care provider organizations &ndash; acute and post-acute care facilities and providers</li><li>
Working knowledge of health plans and typical UM and medical management functions</li><li>
Able to navigate communication and decision-making across disciplines and provider types</li><li>
Clinical knowledge and the ability to assess situations in collaboration with multiple disciplines in order to arrive at a decision often in pressurized situations</li></ul><div>
#LI-YD1</div></div></div></div><p></p>
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<div><div><b>Equal Rights Employer</b><br>
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Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, national origin, age, disability, genetic information, citizenship status, military service, or any other status protected by federal, state, or local laws. This application is intended for use in evaluating your application for employment.<br>
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<b>MLK Community Healthcare</b><br>
1680 E 120th Street<br>
Los Angeles, CA 90059<br>
Tel: 424-338-8000<br>
Email: info@mlkch.org<br>
www.mlkch.org</div></div></div></div>

Manager Care Management

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