trade classification specialist

FormFactor Inc.

<div>
 
 Forming Our Future together
 
 
 
 FormFactor, Inc. (NASDAQ: FORM), is a leading provider of essential test and measurement technologies along the full semiconductor product life cycle &mdash; from characterization, modeling, reliability, and design de-bug, to qualification and production test. Semiconductor companies rely upon FormFactor&rsquo;s products and services to accelerate profitability by optimizing device performance and advancing yield knowledge. The company serves customers through its network of facilities in Asia, Europe, and North America.
 
 
 Rooted in our core values &mdash; Focus on the Customer, Ownership &amp; Accountability, Respectfully &amp; Effectively Communicate, and Motivate &amp; Develop People &mdash; we foster an environment where diverse perspectives are not only welcomed but celebrated. Everyone can make an impact here. Whether it's improving products, supporting customers, or positively influencing peers and the community, the contributions of our people matter.
 
 
 
 Shift
 
 
 
 The regular hours for this position are day shift.
 
 
 
 Job Description
 
 
 
 The
 
 Trade Classification Specialist
 
 is responsible for the accurate and timely classification of imported and exported products under the Harmonized Tariff Schedule (HTS/HTSUS) and the Export Control Classification Number (ECCN). This role supports compliant cross‑border trade, duty optimization, and risk mitigation by partnering with Engineering, Supply Chain, Trade Compliance, and external customs brokers to ensure correct product data and documentation. The ideal candidate combines strong technical/analytical skills with hands‑on experience in tariff classification and trade compliance operations.
 
 
 
 Key Responsibilities
 
 
 
 <ul>
 <li>
 Review product information, technical drawings, bills of material, and specifications to determine and assign accurate HTS/HTSUS classifications for imports and Schedule B codes for exports.
 </li>
 <li>
 Determine and maintain Export Control Classification Numbers (ECCNs) and related export control jurisdiction where applicable.
 </li>
 <li>
 Classify products early in the development and item setup process and prioritize transactions requiring classification to ensure on-time delivery and compliance.
 </li>
 <li>
 Design and maintain a standardized classification decision framework for commonly imported items to ensure consistency, accuracy, and efficiency in tariff determinations.
 </li>
 <li>
 Collaborate with customs brokers to ensure timely updates to the parts database, adherence to classification standards, and identify inconsistencies in product classification; research and file corrections promptly to maintain compliance.
 </li>
 <li>
 Develop and document defendable classification rationales, including notes, GRIs, Explanatory Notes, CROSS rulings, and internal precedents.
 </li>
 <li>
 Maintain and continuously improve the product classification database within the company&rsquo;s ERP and/or Global Trade Management (GTM) system.
 </li>
 <li>
 Support country-of-origin and preferential origin determinations (e.g., USMCA and other FTAs) based on bills of material and manufacturing processes.
 </li>
 <li>
 Partner with Purchasing, Logistics, Engineering, and Product Management to obtain complete and accurate technical data necessary to classify new and existing products.
 </li>
 <li>
 Assist with internal audits, CF28/CF29 responses, and other inquiries from U.S. Customs and Border Protection (CBP) and foreign customs authorities related to classification.
 </li>
 <li>
 Monitor relevant changes in the Harmonized System, HTSUS, and classification rulings; update internal classifications and procedures accordingly.
 </li>
 <li>
 Contribute to training materials and deliver training to internal stakeholders on classification fundamentals and data requirements.
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s degree in Business, Supply Chain, International Trade, Engineering, or related field; or equivalent combination of education and directly relevant experience.
 </li>
 <li>
 Minimum 5 years of hands‑on experience in customs tariff classification within a corporate trade compliance environment.
 </li>
 <li>
 Comprehensive understanding of tariff classification, customs regulations, and export controls.
 </li>
 <li>
 Demonstrated working knowledge of:
 </li>
 <li>
 Harmonized Tariff Schedule of the United States (HTSUS) and General Rules of Interpretation (GRIs).
 </li>
 <li>
 Export control classification (ECCN) under the EAR and/or ITAR jurisdiction determinations.
 </li>
 <li>
 Experience interpreting technical documentation (e.g., mechanical/electrical drawings, specifications, bills of material).
 </li>
 <li>
 Proficiency with Microsoft Excel and other Microsoft Office applications.
 </li>
 <li>
 Experience with ERP systems (e.g., SAP, Oracle, Microsoft Dynamics) and/or Global Trade Management tools (e.g., SAP GTS, Oracle GTM, Descartes, etc.).
 </li>
 <li>
 Strong written and verbal communication skills.
 </li>
 <li>
 Licensed U.S. Customs Broker (LCB) or in active pursuit of the license.
 </li>
 <li>
 Prior experience supporting multi-region classification (e.g., EU CN codes, other national tariffs).
 </li>
 <li>
 Experience in a complex manufacturing, industrial, or high‑tech environment.
 
 
 </li>
 </ul>
 For roles that are designated as remote-eligible, employees cannot be located in: AL, AK, AR, DE, GA, HI, IL, IA, KY, LA, ME, MD, MS, MO, NE, NV, NJ, NM, ND, OK, PA, RI, SC, SD, TN, WV, WI, WY. This list is continuously evolving and being updated, please check back with us if the state you live in is on the exclusion list. A role is remote-eligible only when it is listed as "Remote" in the job location."
 
 
 
 Skills
 
 
 
 
 Education &amp; Experience:
 
 
 
 Minimum of 5 years of related experience with a Bachelor&rsquo;s degree; or 3 years and a Master&rsquo;s degree; or a PhD without experience; or equivalent work&emsp14;| Required
 
 
 
 Pay Range
 
 
 
 $72,100.00 - $94,605.00
 
 
 
 Pay Range Explained
 
 
 
 This role in Beaverton, Oregon pays between $72,100.00 and $94,605.00 per year, depending on your experience, skills, and background. Pay may vary in other locations. We offer a full benefits package, including medical, dental, vision, life insurance, disability coverage, a 401(k) with company match, employee stock purchase plan (ESPP), and paid time off. You&rsquo;ll also be eligible for quarterly profit-sharing bonuses and flexible spending or savings accounts.
 
 
 
 Equal Employment Opportunity Statement
 
 
 
 FormFactor is an equal opportunity employer. FormFactor complies with all national, state, and local laws that seek to promote equal opportunities for any applicant or employee without regard to age, race, color, gender, gender identity/expression, national origin, sexual orientation, religion, disability, marital status, pregnancy or related condition, military service, or any other legally protected characteristics. These protections apply to all aspects of employment, including but not limited to, recruitment, hiring, training, promotions, and compensation.
 
 
 For roles that are designated as remote-eligible, employees cannot be located in: AL, AK, AR, DE, GA, HI, IL, IA, KY, LA, ME, MD, MS, MO, NE, NV, NJ, NM, ND, OK, PA, RI, SC, SD, TN, WV, WI, WY. This list is continuously evolving and being updated, please check back with us if the state you live in is on the exclusion list. A role is remote-eligible only when it is listed as "Remote" in the job location.
</div>

Trade Classification Specialist

California Department of Forestry and Fire Protection (CAL FIRE)

<div>
 
 Equal Opportunity Employer
 
 
 
 The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.
 
 
 It is an objective of the State of California to achieve a drug-free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.
 
 
 
 Position Details
 
 
 
 
 Job Code #:
 
 
 
 JC-498073
 
 
 
 Position #(s):
 
 
 
 542-000-1670-VAR
 
 
 
 Working Title:
 
 
 
 
 Fire/EMS Dispatcher
 
 
 
 
 Classification:
 
 
 
 COMMUNICATIONS OPERATOR
 
 
 $4,690.00 - $6,459.00 A
 
 
 $5,307.00 - $7,306.00 B
 
 
 New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable.
 
 
 
 # of Positions:
 
 
 
 Multiple
 
 
 
 Work Location:
 
 
 
 United States
 
 
 
 Telework:
 
 
 
 In Office
 
 
 
 Job Type:
 
 
 
 12 Month Limited Term - Full Time
 
 
 
 Facility:
 
 
 
 Northern Region
 
 
 
 Department Information
 
 
 
 The California Department of Forestry and Fire Protection (CAL FIRE) is California's fire department and resource management agency. The organization is comprised of nearly 12,000 permanent and seasonal employees. The mission of the Department is to serve and safeguard the people and protect the property and resources of California.
 
 
 When you join CAL FIRE, you join a family of employees that function as a team. You will build trust and friendship with your co-workers, as together you respond to emergencies and challenging situations. CAL FIRE provides employees with a variety of career choices and opportunities. We hope that you will consider a rewarding and challenging career with CAL FIRE!
 
 
 
 Job Description And Duties
 
 
 
 This is a new advertisement for 2026. If you have previously applied to past Communications Operator job postings, you will need to reapply to this current advertisement to be considered for these positions.
 
 
 
 Hires may be made in the following counties: Butte, El Dorado, Humboldt, Lassen, Mendocino, Napa, Nevada, Santa Clara, Santa Cruz, Shasta, Siskiyou, and Tehama.
 
 
 
 Applications will be processed in rounds with the following cut-off dates:
 
 
 <ul>
 <li>
 December 8, 2025
 </li>
 <li>
 January 8, 2026
 </li>
 <li>
 February 6, 2026
 </li>
 <li>
 March 9, 2026
 </li>
 <li>
 April 9, 2026
 </li>
 <li>
 May 8, 2026
 
 
 </li>
 </ul>
 Under general supervision, operates multifrequency/channel radio systems, law enforcement telecommunications terminals, computer terminals, and associated equipment; respond to telephone hot-line circuits; dispatch mobile law enforcement and emergency response units to specified points as required; identify locations where assistance is required, determine the availability and location of departmental units, and dispatch units by radio; request emergency services as requested or required by field personnel; respond to other law enforcement and emergency response agencies, dispatching departmental units for response as necessary; act as incident coordinators, tracking and responding to emergency response calls; access data related to warrants, driver licenses, vehicle and vessel registrations, hazardous materials, weapons, stolen property, and criminal history information through the California Law Enforcement Telecommunications System; access data on other law enforcement records' databases; maintain required logs; answer telephone inquiries and provide information; and perform other related duties.
 
 
 You will find additional information about the job in the
 
 Duty Statement
 
 .
 
 
 
 Special Requirements
 
 
 
 <ul>
 <li>
 The position(s) require(s) a Background Investigation be cleared prior to being hired.
 </li>
 <li>
 The position(s) require(s) Medical Clearance prior to being hired.
 
 
 </li>
 </ul>
 Must succesfully complete required training.
 
 
 TAU applicants are encouraged to apply.
 
 
 What is TAU? TAU appointments to this classification are made under temporary authorization. In accordance with the California State Constitution, no person may serve in one or more positions under a temporary appointment longer than 9 months in 12 consecutive months. Therefore, all time served in temporary appointments (for example, CAL FIRE's Firefighter I) during the 12 consecutive month period will count towards this 9 month maximum. An employee gains no status or rights as a result of the TAU appointment and an employee who has had only a TAU appointment has no reinstatement eligibility. Persons who do not possess the minimum qualifications for the classification are ineligible for appointment as a TAU.
 
 
 If you are offered and accept a TAU appointment, you will be required to take the next exam administered for this classification. If you do not apply to take the exam, score too low to be in a reachable rank, OR if you fail the test, your TAU appointment will be terminated within 48 hours of the exam results being released.
 
 
 
 Application Instructions
 
 
 
 Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application.
 
 
 Final Filing Date: Until Filled
 
 
 Who May Apply
 
 
 Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply.
 
 
 Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).
 
 
 How To Apply
 
 
 Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at www.CalCareers.ca.gov. When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below:
 
 
 Address for Mailing Application Packages
 
 
 You may submit your application and any applicable or required documents to:
 
 
 Department of Forestry &amp; Fire Protection
 
 
 CAL FIRE Northern Region Hiring
 
 
 Attn: Communications Operator Hiring
 
 
 135 Ridgway Avenue
 
 
 Santa Rosa , CA 95401
 
 
 Address for Drop-Off Application Packages
 
 
 You may drop off your application and any applicable or required documents at:
 
 
 Department of Forestry &amp; Fire Protection
 
 
 CAL FIRE Northern Region Hiring
 
 
 Communications Operator Hiring
 
 
 135 Ridgway Avenue
 
 
 Santa Rosa , CA 95401
 
 
 08:00 AM - 05:00 PM
 
 
 Required Application Package Documents
 
 
 The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job:
 
 
 <ul>
 <li>
 Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at www.CalCareers.ca.gov. All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position.
 </li>
 <li>
 Resume is required and must be included.
 </li>
 <li>
 Other - Authorization to Release Information Form (PO-299). This form may be found at: https://www.fire.ca.gov/-/media/D817B8E27D8049C3BC35297686467FB9
 </li>
 <li>
 Other - CNR Communications Operator Work Location Form: https://www.fire.ca.gov/-/media/44D8748A8DDC40F49B2948CF605FAC0B
 
 
 </li>
 </ul>
 Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting.
</div>

Fire/EMS Dispatcher

TalentBridge

<div>
 
 
 Now Hiring: Hospital Pharmacy Sales Specialist
 
 
 
 
 Location:
 
 Arizona, Nevada, or Southern California
 
 
 
 Pay:
 
 $73K &ndash; $91K Base + $48K Commission Target
 
 
 
 
 
 I&rsquo;m currently hiring a
 
 Hospital Pharmacy Sales Specialist
 
 for a fast-growing pharmaceutical company focused on delivering high-quality compounded sterile medications to healthcare providers across the U.S.
 
 
 This role is ideal for someone with
 
 medical device, pharmaceutical, or hospital sales experience
 
 who thrives in a
 
 hunter-style sales environment
 
 and enjoys building new relationships with hospital systems.
 
 
 
 
 
 
 What you&rsquo;ll be doing:
 
 
 
 &bull; Prospect and develop new hospital and health system accounts within your territory
 
 
 &bull; Build and manage a strong sales pipeline to meet revenue targets
 
 
 &bull; Conduct in-person meetings with hospital stakeholders and pharmacy leaders
 
 
 &bull; Manage the full sales cycle from prospecting to onboarding new customers
 
 
 &bull; Collaborate with internal teams to ensure a seamless customer experience
 
 
 
 
 
 
 What we&rsquo;re looking for:
 
 
 
 &bull; 3+ years of sales experience (medical device, pharmaceutical, or hospital sales preferred)
 
 
 &bull; Experience selling into hospitals, health systems, or healthcare providers
 
 
 &bull; Strong prospecting and relationship-building skills
 
 
 &bull; Ability to travel within your assigned territory (up to 50%)
 
 
 
 
 
 
 Compensation &amp; Benefits:
 
 
 
 ✔ Competitive base salary + commission
 
 
 ✔ 401K with employer match
 
 
 ✔ Generous PTO and health benefits
 
 
 ✔ Tuition reimbursement and career growth opportunities
 
</div>

Pharmaceutical Sales Representative

DataAnnotation

<div>
 We are looking for an AI Content Writing Specialist to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model.
 
 
 In this role you will need to hold an expert level of writing, editing, and content development. Other related fields include, but are not limited to: Communications and/or Journalism.
 
 
 
 Benefits
 
 
 
 <ul>
 <li>
 This is a full-time or part-time REMOTE position
 </li>
 <li>
 You&rsquo;ll be able to choose which projects you want to work on
 </li>
 <li>
 You can work on your own schedule
 </li>
 <li>
 Projects are paid hourly starting at $20+ USD per hour, with bonuses on high-quality and high-volume work
 
 
 </li>
 </ul>
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Give AI chatbots writing and editing tasks and evaluate their outputs
 </li>
 <li>
 Evaluate the quality produced by AI models for correctness and performance
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 Fluency in English (native or bilingual level)
 </li>
 <li>
 Detail-oriented
 </li>
 <li>
 Excellent command of grammar, style, and brand voice
 </li>
 <li>
 A current, in progress, or completed Bachelor's is preferred but not required
 
 
 </li>
 </ul>
 
 Notes
 
 
 
 Detail-oriented Excellent command of grammar, style, and brand voice. A current, in progress, or completed Bachelor's is preferred but not required. Payment is made via PayPal. We will never ask for any money from you. PayPal will handle any currency conversions from USD. Only applicants in the United States will be considered for this role. This is an independent contract position.
 
 
 #generalist
</div>

AI Content Writing Specialist

Arctech

<div>
 
 
 Company Profile
 
 
 
 ARCTECH is a leading enterprise in the domestic photovoltaic bracket industry, specializing in the research and development, production and sales of photovoltaic brackets. Its products are exported to dozens of countries and regions around the world. With advanced technology, excellent quality and perfect service, it has established a good brand image in the international market. As one of the company's core overseas markets, the North American region has seen continuous expansion of its business scale. We are now sincerely inviting elite talents to join us and jointly promote the regional business to a new level.
 
 
 
 
 
 Position Overview
 
 
 
 Fully responsible for the sales and operations management of photovoltaic bracket business in the North America region, formulate and implement regional sales strategies, lead the team to achieve sales targets, optimize sales and operations processes, enhance team combat effectiveness and market competitiveness, and provide solid support for the company's continuous growth in the North American market.
 
 
 
 
 
 
 Job Responsibilities
 
 
 
 
 <ul>
 <li>
 
 Strategic Planning and Execution：
 
 Conduct in-depth research on the trends, policies, regulations, competitor dynamics, and customer demands in the North American photovoltaic market. Based on the company's development strategy, formulate the annual sales targets, market expansion strategies, and sales plans for the North American region, and drive their implementation.
 </li>
 <li>
 - Regularly analyze sales data, evaluate the effectiveness of strategic execution, and promptly adjust strategies to adapt to market changes, ensuring the achievement of sales targets.
 </li>
 <li>
 
 Sales Team Management：
 
 Be responsible for the formation, training, and development of the sales team in the North American region. Establish a performance evaluation system for the team, motivate team members to improve their performance, and build a highly efficient, professional, and cohesive sales force.
 </li>
 <li>
 - Guide the sales team in customer development, business negotiations, contract signing, and other tasks. Assist in resolving major issues encountered during business expansion.
 </li>
 <li>
 - Regularly organize team meetings to share sales experiences and market information, and enhance the overall business level of the team.
 </li>
 <li>
 
 Customer Relationship Management：
 
 Establish and maintain good relationships with key customers, partners, and industry organizations in North America. Deeply understand customer needs and provide customized photovoltaic bracket solutions to enhance customer satisfaction and loyalty.
 </li>
 <li>
 - Regularly visit core customers, collect customer feedback, promptly coordinate internal company resources to solve customer problems, and promote in-depth cooperation and business expansion with customers.
 </li>
 <li>
 
 Sales Operation Optimization:
 
 Optimize the sales operation processes in the North American region, including order management, logistics distribution, and after-sales service, to improve operational efficiency and reduce costs.
 </li>
 <li>
 - Collaborate with the company's R&amp;D, production, and supply chain departments to drive product optimization and innovation based on market demand feedback in North America, and enhance product market adaptability.
 </li>
 <li>
 - Be responsible for the formulation and control of regional sales budgets, and rationally allocate sales resources to ensure maximum utilization of resources.
 </li>
 <li>
 
 Market Brand Promotion：
 
 Participate in the formulation of brand promotion strategies for the North American market. Organize or participate in industry exhibitions, seminars, and other market activities to enhance the company's brand awareness and influence in North America.
 </li>
 <li>
 - Collect market information and customer feedback to provide decision-making basis for the company's brand building and market promotion.
 </li>
 </ul>
 
 
 
 
 Qualifications
 
 
 <ul>
 <li>
 Bachelor's degree or above, majoring in marketing, international trade, mechanical engineering, or related fields.
 </li>
 <li>
 Over 8 years of sales operation management experience in the photovoltaic industry, including at least 3 years of sales team management experience in the North American region. Familiar with the North American photovoltaic market environment, policies, regulations, and customer characteristics.
 </li>
 <li>
 Possess rich customer resources and market expansion experience, with successful cases of leading teams to achieve sales targets.
 </li>
 <li>
 Proficient in sales operation management processes, with acute market insight and strategic thinking abilities, capable of accurately grasping market trends and customer needs.
 </li>
 <li>
 Excellent business negotiation and communication coordination skills, able to effectively maintain customer relationships and coordinate internal company resources to solve business problems.
 </li>
 <li>
 Fluent in English for business communication and negotiation, with cross-cultural communication skills.
 </li>
 <li>
 Proficient in using office software and sales management systems, with strong data statistics and analysis capabilities.
 </li>
 <li>
 Possess a strong sense of responsibility and dedication, able to withstand high work pressure and be willing to challenge high goals.
 </li>
 <li>
 Have excellent team leadership and collaboration skills, able to inspire team members to grow together.
 </li>
 <li>
 Be honest and upright, with good professional ethics and integrity.
 </li>
 </ul>
 
 
 
 
 
 Work Location:
 
 North America
 
 
 
</div>

Operation Director

Blue Shield of California

<div>
 
 Job Description
 
 
 
 
 Your Role
 
 
 
 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&rsquo; care including clinical nurses and treating physicians. The Triage Registered Nurse Case Manager will report to the FEP Care Manager Department Manager. In this role you will determine, develop, and implement a plan of care based on accurate and comprehensive assessment of the members&rsquo; needs.
 
 
 Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow &ndash; 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.
 
 
 
 Working hours for this role: Monday-Thursday, 10:30am-7:00pm; Friday- 9:30am-6:00pm
 
 
 
 
 In the future there could be Saturday shift hours.
 
 
 
 
 Responsibilities
 
 
 
 
 Your Work
 
 
 
 In this role, you will:
 
 
 <ul>
 <li>
 Conduct provider searches and assists members in accessing medically necessary services within the access network
 </li>
 <li>
 Triage referrals coming from the 24-hours Nurse Line to ensure members see providers in timely fashion and receive necessary education on their health conditions
 </li>
 <li>
 Work with providers and other internal departments to initiate the Letter of Agreement (LOA) and Exception process
 </li>
 <li>
 Outreach to members with HEDIS Care Gaps to assist with closure
 </li>
 <li>
 Research 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
 </li>
 <li>
 Provide Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD)
 </li>
 <li>
 Recognize the client&rsquo;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 team
 </li>
 <li>
 Design appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access and cost-effective outcomes
 </li>
 <li>
 Initiate and implement appropriate modifications in plan of care to adapt to changes occurring over time and through various settings
 </li>
 <li>
 Applies 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
 </li>
 <li>
 Performs effective discharge planning and collaborates with member support system and health care professionals involved in the continuum of care
 </li>
 <li>
 Coordinates Care for Lower Level of Care coordination such as Skilled Nursing Facility, Home Health, Home Infusion, Rehab, and other community program as appropriate
 </li>
 <li>
 Provides disease management education on core chronic conditions (Diabetes, Heart Failure, COPD, Asthma and Coronary Artery Disease)
 </li>
 <li>
 Determines, develops and implements a plan of care based on accurate and comprehensive assessment of the member's needs related to behavioral health
 </li>
 <li>
 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
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 
 Your Knowledge and Experience
 
 
 
 <ul>
 <li>
 Requires a current CA RN License
 </li>
 <li>
 Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements
 </li>
 <li>
 Requires at least 5 years of prior experience in nursing, healthcare or related field
 </li>
 <li>
 Bachelor of Science in Nursing or advanced degree preferred
 </li>
 <li>
 Comprehensive knowledge of case management, discharge planning, utilization management, disease management and community resources
 </li>
 <li>
 Able to operate PC-based software programs including proficiency in Word and Excel.
 </li>
 <li>
 Strong clinical documentation skills, independent problem identification and resolution skills
 </li>
 <li>
 Strong supervisory, communication, abstracting skills with strong verbal and written communication skills and negotiation skills
 </li>
 <li>
 Competent understanding of NCQA and federal regulatory requirements.
 </li>
 <li>
 Knowledge of coordination of care, prior authorization, level of care and length of stay criteria sets desirable
 </li>
 <li>
 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
 </li>
 <li>
 Demonstrate leadership, project management and program evaluation skills and ability to interact with all levels including senior management and influence decision-making
 
 
 </li>
 </ul>
 
 Hybrid Virtual Work
 
 
 
 This role allows employees to work virtually full-time, however employees will be expected to come into the office based on business needs.
 
 
 
 About The Team
 
 
 
 
 About Blue Shield of California
 
 
 
 As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.
 
 
 At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
 
 
 To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.
 
 
 Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities &ndash; join us!
 
 
 
 Our Values:
 
 
 
 <ul>
 <li>
 Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
 </li>
 <li>
 Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
 </li>
 <li>
 Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
 
 
 </li>
 </ul>
 
 Our Workplace Model
 
 
 
 We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:
 
 
 <ul>
 <li>
 For most teams, this means coming into the office two days per week.
 </li>
 <li>
 Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
 </li>
 <li>
 For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.
 
 
 </li>
 </ul>
 The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.
 
 
 
 Physical Requirements:
 
 
 
 Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
 
 
 Please click here for further physical requirement detail.
 
 
 
 Equal Employment Opportunity:
 
 
 
 External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
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RN - Complex Care Coordination Triage Case Manager, Sr.