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Job DescriptionClinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We’re honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don’t inquire about immigration status because we simply don’t need to know. If you come to us, we will treat you like any other patient. As we grow our team, we are looking for individuals who believe the patient is always #1. Why work for us? • Competitive pay which matches your abilities and experience, • Health coverage for you and your family, • Generous number of vacation days per year, • A robust wellness plan and health club discounts, • Continuing education assistance to grow and further your talents, • 403(B) plan with company matching Intrigued? We’d love to hear from you! Please review the job details below and then click “apply.” We're looking for someone to join our team as a Medical Assistant I - Float who: The MA I will perform routine patient care, technical and supportive functions in a medical clinic setting. The Medical Assistant I -Float will function within the scope of practice as described by the State of California Board. Essential Functions: • Support in maintaining proficiency in the role of Receptionists and Medical Assistant duties and responsibilities., • Training includes but is not limited to Clinica Sierra Vista’s (CSV) culture and mission, practice management system, customer service expectations, payer sources, programs, and quality initiatives on a regular basis., • Responsible for following standard work procedures and trouble shoots any problems and resolving any patient issues at the health center., • Responsible for monitoring the management of patient’s schedules to maximize access and minimize errors and delays, • Monitors all functions of the patient check in/out process, including collections and deposits., • Ensures health center and team are meeting TJC, HRSA, PCMH, HEDIS, UDS, VFC, CHDP, and all quality improvement guidelines and requirements., • Must be customer service focused and ensure staff is providing excellent patient experience, customer service, and ensure quality outcomes., • Must be available to cover reception and assist patients with financial questions., • Ensures the integrity and standardization of medical records, that they are retained, protected, retrieved, transferred, and disposed of according to policies, local, stated, and or federal guidelines. Works closely with Registered Nurse (RN) and Licensed Vocational Nurse (LVN), if applicable. * Maintains an efficient system for ordering forms, office, and medical supplies as designated. * Able to perform other duties as assigned and directed. Please see attachment for full job description. You'll be successful with the following qualifications: • Completion of an accredited Medical Assistant Program Required., • Possess and maintain current Basic Life Support (BLS) Card required., • Possess and maintain a California Driver’s license., • Venipuncture experience preferred at time of hire, competency must be obtained within one (1) year of hire date. Current staff must receive competency in venipuncture within one (1) year of the job descriptions revision date., • Experience in EHR Documentation is highly desired., • Must adhere to Clinica Sierra Vista’s employee health/immunization requirements or provide a valid exemption request for subsequent approval. Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they’re counting on us. Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!

Job DescriptionClinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We’re honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don’t inquire about immigration status because we simply don’t need to know. If you come to us, we will treat you like any other patient. As we grow our team, we are looking for individuals who believe the patient is always #1. Why work for us? • Competitive pay which matches your abilities and experience, • Health coverage for you and your family, • Generous number of vacation days per year, • A robust wellness plan and health club discounts, • Continuing education assistance to grow and further your talents, • 403(B) plan with company matching Intrigued? We’d love to hear from you! Please review the job details below and then click “apply.” We're looking for someone to join our team as a Case Manager-RN who: The Registered Nurse (RN) Case Manager (CM) provides comprehensive clinical case management. The RN CM leads and collaborates with Care Coordinators (CCs), Outreach Workers, Medical Assistants (MAs), and the interdisciplinary care team to ensure delivery of high-quality, member-centered, and cost-effective care. The RN CM is responsible for conducting comprehensive nursing assessments, developing and overseeing individualized care plans, providing condition-specific education to promote self-management, performing medication reconciliation, and delivering ongoing clinical consultation and supervision to Care Coordinators and other clinical support staff. The RN CM practices independently within the full scope of RN licensure and serves as a clinical leader. Essential Functions: • Manages patient cases within the electronic health record (EHR) system., • Monitors, documents, and conducts case management activities in the patient’s EHR., • Provides clinical leadership, direction, and consultation to Care Coordinators and Outreach Workers regarding patient case management., • Ensures timely review, follow-up, and completion of provider referrals, diagnostic testing, and treatment plans., • Coordinates case management and care coordination activities with the assigned Care Coordinator, ensuring all medical needs are addressed., • Provides nursing assessment, care planning, and clinical decision-making for all co-managed cases., • Performs case management duties in accordance with RN scope of practice, and organizational policies., • Collaborates with local hospital staff—including Primary Care Providers (PCPs), Specialists, Hospitalists, and ancillary providers—on member care plans and discharge planning., • Conduct health assessments to identify individual needs and inform creation of member- centered care plan in collaboration with CC and other contributors to the health assessment process., • Collaborate with Pharmacy team member to ensure pharmacy needs are met., • Coordinates with Outreach Worker to ensure patients has access to services appropriate to their health needs., • Collaborates with ICT to monitor and routinely update care plan goals and interventions match patients’ motivation and priorities., • Collaborates with ICT and patients Primary Care Provider routinely on prioritization of goals., • Collaboratively initiate, present and participate in ICT conferences, • Perform other duties as directed. Please see attachment for full job description. You'll be successful with the following qualifications: 1. Graduation from an accredited School of Registered Nursing., 2. Current California Registered Nurse License required or Interim permit with successful completion of the RN license prior to the end of probation., 3. Current Basic Life Support Card issued through the American Heart Association required. Supervisory experience preferred., 4. Must adhere to Clinica Sierra Vista’a employee health/immunization requirements or provide a valid exemption request for subsequent approval. Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they’re counting on us. Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!

Job DescriptionClinica Sierra Vista is one of the largest Federally Qualified Health Centers in California and the nation, having earned the trust of its patients, partners and the communities it serves over a 47-year history distinguished by rapid growth and innovation, exceptional primary-care physicians, and a reputation for treating the most vulnerable residents with respect and compassion. Clinica Sierra Vista, accredited by the rigorous Joint Commission, serves patients at 31 health centers in Fresno and Kern counties. Our services include Pediatric Care, Adult Care, Dental Care, Behavioral Health, Case Management, Prenatal & Women’s Health, Substance Abuse Treatment, HIV/AIDS testing and treatment, Health Education, Outreach and WIC services. We partner with local governments, social services departments, businesses and nonprofit leaders to address the full range of needs for our patients. Our dedicated providers and staff make Clinica Sierra Vista an ideal place to call your medical home. We're looking for someone to join our team as an Internal Medicine Physician/Physician Family Practice who: Provides outpatient primary care services. The MD/DO must demonstrate experience working in a diverse environment, be flexible, knowledgeable, and compassionate towards the care of our patients. This is an excellent opportunity to work within a warm, caring atmosphere where the health of our patients is of top priority. Benefits: • $250,000 Base salary (Commensurate with experience), • Health, Vision, and Dental Insurance for physician and family (begins on first day of employment), • Sign-on bonus of up to $150,000 or Mortgage Subsidy up to $150,000., • Paid CME, • Relocation reimbursement, • Loan repayment through the NHSC., • Malpractice coverage through the FTCA/Federal Tort Claims Act., • Adheres to the highest standards of medical ethics at all times., • Assures quality of care for all patients at all times and regularly participates in clinic Peer Review and Quality Assurance Programs., • Adheres to and complies with Bureau of Primary Healthcare standards of clinical practice., • Shares in phone-triage responsibilities with other CSV physicians., • Establishes and maintains affiliations and/or privileges with local hospital(s) if needed., • May represent CSV in professional groups., • May assist the Chief Medical Officer in design, implementation, and evaluation of health care programs/protocols for patients and staff. Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they’re counting on us. Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team! Monday-Saturday, 4/10s 8am-7pm

Job DescriptionClinica Sierra Vista is one of the largest Federally Qualified Health Centers in California and the nation, having earned the trust of its patients, partners and the communities it serves over a 47-year history distinguished by rapid growth and innovation, exceptional primary-care physicians, and a reputation for treating the most vulnerable residents with respect and compassion. Clinica Sierra Vista, accredited by the rigorous Joint Commission, serves patients at 31 health centers in Fresno and Kern counties. Our services include Pediatric Care, Adult Care, Dental Care, Behavioral Health, Case Management, Prenatal & Women’s Health, Substance Abuse Treatment, HIV/AIDS testing and treatment, Health Education, Outreach and WIC services. We partner with local governments, social services departments, businesses and nonprofit leaders to address the full range of needs for our patients. Our dedicated providers and staff make Clinica Sierra Vista an ideal place to call your medical home. Position Summary: The Pace Medical Director is an Internal Medicine Physician or Geriatrician working under the supervision of the Chief Medical Officer. This hybrid position has admin and clinical duties. As a clinician, the Pace Medical Director provides primary medical care services to CSV PACE (Program of All Inclusive Care for the Elderly) participants, including health assessments, development of a plan of care in collaboration with the interdisciplinary team, and evaluation of effectiveness of the plan of care. During the admin time, the PACE medical director will collaborate with CSV staff and external stake holders for the creation, planning, implementation, and monitoring of the Pace Program. Qualifications: Required qualifications: • Graduate from an accredited school as an M.D., or D.O, • California Medical License, • DEA Certificate, • Current BLS certification through the AHA, • Board Certification in respective specialty, • Previous leadership experience, • Advanced certification in geriatrics by the ABIM or ABFM, • Previous experience in PACE programs, • Previous experience in quality improvement activities and/or value-based programs, • Proficient on Epic (EHR), • Previous experience in Electronic Health Record optimization activities, • Interests in clinical research, • Experience in integrating Provider Wellness Initiatives, • Proficiency in Medical Spanish, • Must be able to work a full-time schedule., • Must be able to pass all pre-employment screening (background check, drug tests, and references)., • $287,000- $440,000 Base salary (Commensurate with experience), • Health, Vision, and Dental Insurance for physician and family (begins on first day of employment), • Sign-on bonus of up to $150,000 or Mortgage Subsidy up to $150,000., • Paid CME, • Relocation reimbursement, • Loan repayment through the NHSC., • Malpractice coverage through the FTCA/Federal Tort Claims Act. About the Central Valley Located in the heart of California, the Central Valley feeds America as the leading agricultural region of the nation. In the southern part of the valley, oil production also powers the economy, though aerospace, the healthcare industry and alternative energy are emerging as key drivers as well. We specialize in sunshine in California, with a mild climate year-round. Beaches are less than two hours away, and several mountain ranges and the high desert are even closer. We’re two hours north of Los Angeles, and a tank of gas will get you to San Francisco, San Diego or Las Vegas. But our greatest natural resource is not the bounty of our fields or our oil; it’s the people. Fresno and Bakersfield take great pride in our reputation as generous, giving cities who offer metropolitan amenities but a small-town sense of community. Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they’re counting on us. Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team! Monday-Friday 8am-5pm

Job Description Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We’re honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don’t inquire about immigration status because we simply don’t need to know. If you come to us, we will treat you like any other patient. As we grow our team, we are looking for individuals who believe the patient is always #1. Why work for us? • Competitive pay which matches your abilities and experience, • Health coverage for you and your family, • Generous number of vacation days per year, • A robust wellness plan and health club discounts, • Continuing education assistance to grow and further your talents, • 403(B) plan with company matching Intrigued? We’d love to hear from you! Please review the job details below and then click “apply.” We're looking for someone to join our team as a Communications & Community Engagement Specialist who: Under the direction of the Communications and Outreach Manager, the Community Outreach and Engagement Specialist will assist in the planning, development, and execution of strategic community outreach campaigns and efforts that align with Clinica Sierra Vista’s core values. The Community Outreach and Engagement Specialist should be highly self-motivated, proactive, and have a solid understanding of community outreach and engagement strategies for culturally diverse and underserved populations. This role will be engaged in community outreach, public relations, and public affairs in the communities that Clinica Sierra Vista serves. Essential Functions: • Independently coordinate and manage both internal and external outreach and community events, including overseeing logistics, managing registrations, coordinating with vendors, creating itineraries, and ordering marketing/outreach collateral and materials., • Contributes to the brand’s social media strategy, by providing and developing relevant content. Responsible for composing drafts and scheduling social media posts to build an audience and ensure community engagement., • Participates in the coordination of photo and video shoots highlighting the organization’s efforts in employee engagement and community outreach., • Promotes brand uniformity within CSV programs and services and ensures brand guidelines are always enforced for external audiences., • Maintains a directory and inventory of collateral and promotional materials, ensuring all branded assets and resources are current and accurate, and coordinates the creation of new materials as needed., • Assists in the development and maintenance of a master event calendar capturing all community outreach, employee engagement, and senior leadership engagement activities that Clinica Sierra Vista is involved in., • Utilizes various project and task management systems and platforms to keep track of work deliverables., • Collaborates routinely with department leads, employees, programs, and service line staff to ensure community outreach projects are planned and fully executed., • Fields concerns received from members of the public, key stakeholders, and elected officials regarding programs and services provided to patients in various communities., • Identifies prospective sponsorship opportunities that amplify Clinica Sierra Vista’s brand and voice in the community; utilizes technology to enhance the experience for sponsorship requesting organizations., • Comfortable being interviewed on camera and radio to successfully promote CSV programs, services, and community outreach events. You'll be successful with the following qualifications: • BA/BS in Public Relations, Marketing, Business Administration, Communications, Public Administration, Behavioral Sciences, or equivalent experience relevant to position., • A minimum of 3+ years of experience in community outreach, public relations or marketing preferred., • Knowledge of traditional and digital marketing tools., • Exhibit critical thinking skills, strong problem-solving skills and meticulous attention to detail. Strong prioritization, organization, and project management skills., • Excellent knowledge of social media best practices and technologies. Feels comfortable interviewing and being on camera., • Must be a self-starter and able to independently move projects forward, prioritize tasks, and meet deadlines., • Excellent writing, communication, and presentation skills. Spanish speaking and writing a strong plus., • Occasional travel may be required. Valid California driver’s license with appropriate insurance; means to travel as needed in a timely manner within Kern and Fresno Counties; other travel out of the area, as necessary. Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they’re counting on us. Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!

Job Description Join the Nwestco Revolution! At Nwestco LLC, we don’t just work in the Petroleum and Car Wash Equipment industry—we lead it. For more than 25 years, we’ve set the standard across the Northwest and Rockies by delivering innovation, reliability, and excellence to our customers. We’re looking for an experienced Accounts Receivable / Collections Manager to support our growing teams. Compensation is based on location, experience and ranges from $85,000 - $120,000 per year Benefits: PTO, 401(k), and full benefits package Position Overview: The Accounts Receivable / Collections Manager oversees the full order to cash cycle for a high volume, industrial services organization. This role ensures accurate billing, timely collections, and strong cashflow performance across multiple branch locations. The AR Manager leads a distributed team, partners closely with operations and project managers, and maintains disciplined processes that support both service and installation revenue streams. This position is ideal for someone who thrives in a fast paced, field service environment where billing complexity, contract compliance, and customer relationships are central to success. Key Responsibilities: Billing & Revenue Cycle Management • Oversee all billing activities for service, installation, T&M, and contract based projects., • Maintain compliance with customer contract terms, lien requirements, and documentation standards., • Manage the full collections process, including aging review, escalations, and customer outreach., • Develop and execute strategies to reduce DSO and improve cashflow predictability., • Build strong relationships with customer AP departments to streamline payment cycles., • Lead, coach, and develop a team of AR specialists across multiple branch locations., • Establish clear KPIs, performance expectations, and accountability structures., • Collaborate with operations, sales, and project management to ensure timely and accurate billing inputs., • Standardize AR processes across branches to ensure consistency and compliance., • Implement best practices for documentation, approvals, and audit readiness., • Monitor and improve the order to cash workflow, identifying bottlenecks and inefficiencies., • Implement Pre-lien process, • Prepare weekly and monthly AR reports, including aging summaries, DSO metrics, and cashflow forecasts., • Analyze trends and provide insights to senior leadership., • Support month end close activities Required Qualifications: • 5+ years of progressive AR experience, including at least 3 years in a supervisory or management role., • Experience in industrial services and construction based industries., • Strong understanding service based invoicing., • Experience with pre lien requirements, • Proven success managing AR for a company with $150M+ in annual revenue., • Experience managing AR across multiple branches or regions., • Familiarity with lien laws, waivers, and construction billing compliance., • Process improvement or system implementation experience., • Advanced Excel skills and comfort with data analysis., • Experience with 3rd party billing applications (i.e. VersaPay) Before You Leap: Some positions require travel and overnight stays. Travel expenses will be covered by Nwestco, LLC All job offers are contingent upon successful completion of the following: * Ability to pass pre-employment physical with extensive lifting (up to 75 lb), twisting, pulling, kneeling, and squatting. * Ability to pass pre-employment drug-screening and background check. If the position is classified as safety-sensitive, it requires the applicant to pass a comprehensive drug test, including screening for marijuana, as a condition of employment. * A valid driver's license with a clean driving record over the past 5 years required. Why Join Nwestco? When you join our ranks, you're not just getting a job; you're igniting a career with purpose. We're all about diversity, valuing our people, and a culture of relentless excellence. Here’s what’s in it for you: * Competitive compensation that appreciates your experience and potential. * A treasure chest of benefits: 401(k) (with matching!), medical, dental, vision, life insurance, disability coverage, paid sick time, paid vacation, clothing allowance, paid holidays, and more. * Internal Career Advancement: Nwestco supports employee growth through internal career opportunities. To be eligible, you must be in your current role for at least one year and have no active disciplinary actions on file at the time of application. All candidates will be evaluated based on qualifications and business needs. Nwestco, LLC is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, disability, national origin, military service, genetic information, or any other characteristic protected by federal, state, or local laws. If you meet the qualifications and are excited about this opportunity, we encourage you to apply and take the next step in your career with Nwestco LLC. To learn more about Nwestco, LLC, please visit our website at .

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Completion of an accredited Medical Assistant Program Required. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified appl

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