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Job Description About The Oncology Institute (): Founded in 2007, The Oncology Institute (NASDAQ: TOI) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. TOI offers cutting-edge, evidence-based cancer care to a population of approximately 1.9 million patients, including clinical trials, transfusions, and other care delivery models traditionally associated with the most advanced care delivery organizations. With over 180 employed and affiliate clinicians and over 100 clinics and affiliate locations of care across five states and growing, TOI is changing oncology for the better. At The Oncology Institute of Hope and Innovation, every decision you make in chemotherapy authorizations directly impacts patient care. Your expertise ensures that patients receive timely, medically appropriate treatments while advancing our mission to deliver compassionate, state-of-the-art oncology care. Job Duties: Coordinate with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for Chemotherapy (IV and Oral), Hydration, IV injections. Compile clinical documentation for prior authorizations (ex: progress notes, labs, diagnoses codes, previously tried therapies, doctor visits). This is one of the most important roles within the organization that allows our patients to receive timely care and TOI's appropriate reimbursement. • Review authorization queue for applicable orders, • Verify and comply with payer contractual authorization requirements, • Submit authorization request timely and efficiently, ensuring proper documentation is included for review, • Utilize website portal, and electronic options to submit authorization requests, • Submit verbal prescription orders approved by Provider and Medical Director to pharmacies, in conjunction with printed copy, • Work with management to identify payer trends or potential issues, • Demonstrate exceptional customer service skills in the performance of work assignments and duties, • Perform special projects or other duties as assigned, • Self-motivation and ability to work effectively in an independent environment, • Comfortable working with patients who have cancer or a blood disorder, • Experience on the payer side reviewing chemo authorizations submitted by the provider., • Attention to detail, • Ability to learn new things quickly, • Experience using EMR systems, • Highly proficient in Microsoft Office particularly Excel, Word, and Outlook, • Work well under deadlines and time pressures, • Results-oriented with a focus on high quality, • High school diploma or GED, • Experience performing, reviewing, or generating prior authorizations for procedure or chemotherapy specifically is preferred, • Administrative experience in a physician office, clinic, hospital, or health insurance/ payer is a plus, • CPT and ICD10 Knowledge, • Medical Terminology, • Insurance knowledge; PPO, HMO, Medi-Cal, Medicare, Workers Compensation The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. Pay Transparency for hourly teammates$21—$22.25 USD The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. Pay Transparency for salaried teammates$21—$22.25 USD

Job Description A credentialing specialist plays a critical role in ensuring that healthcare providers meet all regulatory, payer, and organizational requirements. Key responsibilities include: * Application Management * Prepare, collect, and submit credentialing and re-credentialing applications for physicians/ * Maintain accurate provider files and track expirations for licenses, certifications, and malpractice coverage. * Verification * Conduct primary source verification of education, training, board certifications, work history, and professional references. * Confirm active state licenses, DEA registrations, malpractice history, and sanctions/exclusions (e.g., OIG, NPDB checks). * Compliance & Standards * Ensure adherence to federal, state, and payer regulations. * Maintain credentialing policies and procedures in line with accrediting body standards. * Payer Enrollment * Submit and follow up on provider enrollment with Medicare, Medicaid, and commercial insurance networks. * Track effective dates and resolve delays to avoid reimbursement issues. * Database & Records Management * Maintain credentialing databases (e.g., CAQH, Echo, MD-Staff). * Monitor expiring documents and send reminders to providers for renewals. * Communication & Coordination * Serve as a liaison between providers, practice management, insurance companies, and regulatory bodies. * Provide updates to leadership on credentialing status and barriers. * Auditing & Quality Assurance * Conduct internal audits to ensure credentialing files are complete and accurate. * Prepare reports for leadership, compliance, and accreditation surveys. Company DescriptionOne of the Nations Leading Medical Groups specializing in the treatment of diseases affecting the retina, the vitreous and the macula using State of the Art Diagnostic Equipment and Facilities.One of the Nations Leading Medical Groups specializing in the treatment of diseases affecting the retina, the vitreous and the macula using State of the Art Diagnostic Equipment and Facilities.

Job Description Personal Injury law firm seeking an experienced full-time lien negotiator to negotiate liens with medical providers and health insurance companies. Prior experience negotiating or assisting in personal injury claims is required. Duties and responsibilities include organizing medical bills, locating missing medical providers and health insurance liens, reporting to Medicare, Medi-Cal and health insurance companies, aggressively negotiate medical liens, draft lien reduction letters, correspond with clients, and work with a team. Please reply with Resume.

Must Haves: • 2+ years of experience with billing and/or collections on the professional side, • Experience with insurance payments, • Strong knowledge of reading explanation of benefits (EOBs), • High School diploma Plusses: • Experience using Epic EMR system for billing/collections Day to Day: A client is looking for an Account Follow Up Representative to support their Refund Specialty department in Irwindale, CA. The department in undergoing a cleanup objective to clear and resolve old credit balances, which will be focusing on balances from 2023, 2024, and early 2025. In this role, this person will be working from an excel spreadsheet looking at overpayments from charge lines and research if they are valid or not. They will be confirming if payments and adjustments are posted correctly and verify the order of insurances to see if/ensure they are accurate. They will also be issuing refunds or performing offset initiations (prompting the payers to pay back the money, opposed to cutting a physical check). This practice works with all types of insurances: HMOs, PPOs, MediCare, MediCal, and Workers Comp. We’re seeking a candidate with experience in professional billing and collections, including a solid understanding of explanation of benefits (EOBs) and insurance payment processes. The ideal individual will demonstrate exceptional customer service skills, maintain a positive and professional attitude, and be reliable and committed to a full 40-hour work week. Team Dynamic/Environment: This role is based onsite at the Rivergrade office in Irwindale, CA, where the selected candidate will work alongside two other contractors hired for the same team. While three additional team members are based remotely in Chicago, the candidate will have in-person support from their manager and supervisor, who are also located at the Irwindale office. The office houses approximately 80 staff members from various billing and collections teams, creating a collaborative and dynamic work environment.

Description RN PACU/ Recovery at Providence Saint John's Health Center in Santa Monica, CA. This position is Per Diem and will work 12-hour, Variable shifts. Join Providence Saint John's Health Center, recognized as one of the best regional hospitals in 17 types of care by U.S. News & World Report and honored by Newsweek and Healthgrades for exceptional clinical quality. Be a part of our distinguished team dedicated to excellence in patient care. We are on the Magnet journey, and we were just awarded a 5-star rating for quality, safe care from the Centers of Medicare and Medicaid Services (CMS). Providence nurses are not simply valued - they're invaluable. You will thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best nurses, we must empower them. Learn why nurses choose to work at Providence by visiting our Nursing Institute page. Join our team at Saint Johns Health Center. As a Providence caregiver, you'll apply your specialized training to deliver world-class health with human connection and make a difference every day through your extraordinary care. Required Qualifications: • Graduation from an accredited nursing program., • Upon hire: California Registered Nurse License, • Upon hire: National Provider BLS - American Heart Association, • National Provider ACLS - American Heart Association upon hire:, • National Provider PALS - American Heart Association upon hire: Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." About the Team The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 403286 Company: Providence Jobs Job Category: Nursing-Patient Facing Job Function: Nursing Job Schedule: Per-Diem Job Shift: Variable Career Track: Nursing Department: 7006 PSJHC RECOVERY Address: CA Santa Monica 2121 Santa Monica Blvd Work Location: Providence Saint John's Health Ctr-Santa Monica Workplace Type: On-site Pay Range: $54.85 - $87.70 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Description RN Operating Room at Providence Saint John's Health Center in Santa Monica, CA. This position is Full-time and will work 12-hour, Day shifts. Join Providence Saint John's Health Center, recognized as one of the best regional hospitals in 17 types of care by U.S. News & World Report and honored by Newsweek and Healthgrades for exceptional clinical quality. Be a part of our distinguished team dedicated to excellence in patient care. We are on the Magnet journey, and we were just awarded a 5-star rating for quality, safe care from the Centers of Medicare and Medicaid Services (CMS). Providence nurses are not simply valued - they're invaluable. You will thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best nurses, we must empower them. Learn why nurses choose to work at Providence by visiting our Nursing Institute page. Join our team at Saint Johns Health Center. As a Providence caregiver, you'll apply your specialized training to deliver world-class health with human connection and make a difference every day through your extraordinary care. Required Qualifications: • Graduation from an accredited nursing program., • California Registered Nurse License upon hire., • National Provider BLS - American Heart Association upon hire. Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." About the Team The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 404795 Company: Providence Jobs Job Category: Nursing-Patient Facing Job Function: Nursing Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 7006 PSJHC SURGERY Address: CA Santa Monica 2121 Santa Monica Blvd Work Location: Providence Saint John's Health Ctr-Santa Monica Workplace Type: On-site Pay Range: $54.85 - $87.70 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Description $10,000 hiring bonus for eligible external hires that meet required qualifications and conditions for payment. Relocation available for qualified external candidates. Join Providence Saint John's Health Center, recognized as one of the best regional hospitals in 17 types of care by U.S. News & World Report and honored by Newsweek and Healthgrades for exceptional clinical quality. Be a part of our distinguished team dedicated to excellence in patient care. Radiation Therapist at Providence Saint John's Health Center in Santa Monica, CA. This position is Full time and will work 8-hour, Day shift. Join Providence Saint John's Health Center, recognized as one of the best regional hospitals in 17 types of care by U.S. News & World Report and honored by Newsweek and Healthgrades for exceptional clinical quality. Be a part of our distinguished team dedicated to excellence in patient care. We are on the Magnet journey, and we were just awarded a 5-star rating for quality, safe care from the Centers of Medicare and Medicaid Services (CMS). Administers prescribed dose of ionizing radiation according to physicians written prescription and established departmental policy and procedures. Performs adjuvant procedures which aid in the management of patient care. Providence caregivers are not simply valued - they're invaluable. Join our team at Saint Johns Health Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: • Coursework/Training: Graduate of an approved American Registry of Radiologic Therapy Program or equivalent educ/experience, • Upon hire: National Certification from American Registry of Radiologic Technologists, • Upon hire: California Diagnostic and Therapeutic Radiologic Technology Certification or Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." About the Team The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 393388 Company: Providence Jobs Job Category: Radiation Therapy Job Function: Clinical Care Job Schedule: Full time Job Shift: Day Career Track: Clinical Professional Department: 7006 PSJHC RADIATION ONC Address: CA Santa Monica 2121 Santa Monica Blvd Work Location: Providence Saint John's Health Ctr-Santa Monica Workplace Type: On-site Pay Range: $49.40 - $76.68 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Description RN - GI/ Endoscopy at Providence Saint John's Health Center in Santa Monica, CA. This position is Per Diem and will work 8-hour, Day shifts. Join Providence Saint John's Health Center, recognized as one of the best regional hospitals in 17 types of care by U.S. News & World Report and honored by Newsweek and Healthgrades for exceptional clinical quality. Be a part of our distinguished team dedicated to excellence in patient care. We are on the Magnet journey, and we were just awarded a 5-star rating for quality, safe care from the Centers of Medicare and Medicaid Services (CMS). Providence nurses are not simply valued - they're invaluable. You will thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best nurses, we must empower them. Learn why nurses choose to work at Providence by visiting our Nursing Institute page. Join our team at Saint Johns Health Center. As a Providence caregiver, you'll apply your specialized training to deliver world-class health with human connection and make a difference every day through your extraordinary care. Required Qualifications: • Graduation from an accredited nursing program., • California Registered Nurse License upon hire., • National Provider BLS - American Heart Association upon hire., • National Provider ACLS - American Heart Association upon hire. Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." About the Team The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 399246 Company: Providence Jobs Job Category: Nursing-Patient Facing Job Function: Nursing Job Schedule: Per-Diem Job Shift: Day Career Track: Nursing Department: 7006 PSJHC GI LAB Address: CA Santa Monica 2121 Santa Monica Blvd Work Location: Providence Saint John's Health Ctr-Santa Monica Workplace Type: On-site Pay Range: $54.85 - $87.70 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Description Senior Phlebotomist at Providence Saint John's Health Center in Santa Monica, CA. This position is full-time and will work 8-hour, Day shifts. Join Providence Saint John's Health Center, recognized as one of the best regional hospitals in 17 types of care by U.S. News & World Report and honored by Newsweek and Healthgrades for exceptional clinical quality. Be a part of our distinguished team dedicated to excellence in patient care. We are on the Magnet journey, and we were just awarded a 5-star rating for quality, safe care from the Centers of Medicare and Medicaid Services (CMS). Working under the supervision of the Cancer Center leadership team and in collaboration with the Cancer Center caregivers and providers. The Phlebotomy/Clinical MA is an individual with demonstrated clinical experience who provides ancillary assistance to clinical staff of the Cancer Center and its environs by: . Demonstrating professional communication and interpersonal skills, superior organizational skills, and be able to deal effectively with multiple demands. -Assisting in inventory ordering, receiving and stocking supplies/equipment, and maintaining inventory control. Providence caregivers are not simply valued - they're invaluable. Join our team at Saint Johns Health Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: • Education to meet certification, license or registration requirement., • California Certified Phlebotomy Technician I License. Or, • California Certified Phlebotomy Technician II License., • 1 year Experience as MA Clinical Tech. Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." Requsition ID: 395952 Company: Providence Jobs Job Category: Clinical Laboratory Job Function: Clinical Care Job Schedule: Full time Job Shift: Day Career Track: Clinical Support Department: 7006 PSJHC CANCER CENTER Address: CA Santa Monica 2121 Santa Monica Blvd Work Location: Providence Saint John's Health Ctr-Santa Monica Workplace Type: On-site Pay Range: $24.32 - $34.99 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Description RN Clinical Supervisor - Labor and Delivery at Providence Saint John's Health Center in Santa Monica, CA. This position is Full- time and will work 12-hour, Night shifts. Join Providence Saint John's Health Center, recognized as one of the best regional hospitals in 17 types of care by U.S. News & World Report and honored by Newsweek and Healthgrades for exceptional clinical quality. Be a part of our distinguished team dedicated to excellence in patient care. We are on the Magnet journey, and we were just awarded a 5-star rating for quality, safe care from the Centers of Medicare and Medicaid Services (CMS). The Clinical Supervisor (CS) is a responsible for assisting the Nurse Manager or Director in planning, organizing, directing, and evaluating services of the unit. It is expected that the CS manages and coordinates the unit, directs and supervises caregivers, functions and activities, interprets policies/procedures/protocols, standards, and regulations as appropriate. CSs scope of responsibility spans all aspects of nursing care. The CS maintains clinical competence and certifications to assist the unit when required. Providence caregivers are not simply valued - they're invaluable. Join our team at Saint Johns Health Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: • Bachelor's Degree - Nursing. Clinical Supervisors employed prior to 1/1/17 who have not obtained a Bachelor's Degree in Nursing are required to obtain BSN within 3 years from 1/1/17., • California Registered Nurse License upon hire., • National Provider BLS - American Heart Association upon hire., • ANCC recognized specialty certification (or within 1 year of hire). For clinical supervisors hired prior to February 16, 2022 who have not obtained an AACN recognized specialty certification, must obtain within 1 year from 2/16/2022., • 1 year - Recent clinical experience in an acute care hospital in specialty area., • Master's Degree - Nursing. Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." About the Team The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 397413 Company: Providence Jobs Job Category: Nursing-Patient Facing Job Function: Nursing Job Schedule: Full time Job Shift: Night Career Track: Leadership Department: 7006 PSJHC L AND D Address: CA Santa Monica 2121 Santa Monica Blvd Work Location: Providence Saint John's Health Ctr-Santa Monica Workplace Type: On-site Pay Range: $67.93 - $107.26 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Description Care Manager RN at Providence Saint John's Health Center in Santa Monica, CA. This position is Full- time and will work 8-hour, Day shifts. Join Providence Saint John's Health Center, recognized as one of the best regional hospitals in 17 types of care by U.S. News & World Report and honored by Newsweek and Healthgrades for exceptional clinical quality. Be a part of our distinguished team dedicated to excellence in patient care. We are on the Magnet journey, and we were just awarded a 5-star rating for quality, safe care from the Centers of Medicare and Medicaid Services (CMS). Case Management is a collaborative practice including patients, caregivers, nurses, social workers, physicians, payers, support staff, other practitioners and the community. The Case Management process facilitates communication and care coordination along a continuum through effective transitional care management. Recognizing the patient's right to self-determination, the significance of the social determinants of health and the complexities of care (barriers to coping, abuse, mental health, substance use, lack of resources, psychosocial issues, etc.). Providence caregivers are not simply valued - they're invaluable. Join our team at Saint Johns Health Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: • Bachelor's Degree, • California Registered Nurse License upon hire, • 2 years of experience in healthcare related field (Acute, Ambulatory, or Post-Acute). Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." About the Team The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 400916 Company: Providence Jobs Job Category: Care Management Job Function: Clinical Care Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 7006 PSJHC CASE MGMT Address: CA Santa Monica 2121 Santa Monica Blvd Work Location: Providence Saint John's Health Ctr-Santa Monica Workplace Type: On-site Pay Range: $56.44 - $87.63 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Job DescriptionWe are looking for a compassionate Home Health Registered Nurse (RN) in Los Angeles CA area. El MONTE, MONTEREY PARK, ALHAMBRA, SAN GABRIEL VALLEY, WEST COVINA, AND ALL SURROUNDING AREAS.-- PAY IS $130-170 PER SOC VISIT SPANISH / MANDARIN / CANTONESE/ VIETNAMESE SPEAKER HIGHLY PREFFERED Immediate Interviews with ASAP Start Requirements: • Availability of at least two days per week. Schedule visits at your convenience!, • Reliable transportation, current driver’s license, auto insurance, • At least one year experience with direct patient care, • Able to perform basic wound care, blood draw, and catheter careResponsibilities & Skills: Provide health care services in patients residence: • Administer medications and treatments as prescribed by the physician, • Monitor patients (vital signs, temperature, respiration, etc.) and report on their condition, • Assist with activities of daily living for patients, • Maintain patients care records and document provided services, • OASIS documentation and charting per Medicare/CDPH and company guidelines, • Collaborate with physicians and other healthcare professionals to develop and adjust patient care plans, • Educate patients and their families on health management, • Wound care/wound vacs/be able to assess what type of wound care patient may need., • I.V administration- MIDLINE, PIV, PICC, TPN, • TUBE CARE(G-TUBE, J-TUBE, ALL TYPES), • CATHETERS, • NAPHROSTOMY CARE (ALL OSTOMY CARE), • Proven working experience as home health RN with the skill of thoroughly assessing what disciplines patient may need., • Familiarity with basic nutrition and personal hygiene standards, • Proficiency in EnglishJob Types:Per Diem Part-time Benefits: • Flexible scheduleStandard shift:, • Day shift, • Evening shiftWeekly schedule:, • Choose your own hoursExperience:, • Nursing: 1 yearLicense/Certification:, • BLS Certification, • RNWork Location: On the road Luxor Home Health Inc DBA Gardens Home Health is an equal opportunity employer and is committed to providing equal employment opportunity for all qualified individuals regardless of race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, or any other legally protected characteristic. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development. We comply with all applicable federal, state, and local laws governing nondiscrimination in employment. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training

Job DescriptionOur Mission: Active Hospice Care is proudly serving the patients and families of Los Angeles County and surrounded areas for over 15 YEARS. We are Medicare/Medi-Cal certified and Accredited by The Joint Commission. Our goal is to provide the highest level of care and improve the quality of life for our patients during their terminal illness. We strive to minimize and eliminate all pain and other symptoms of suffering by patients, and for all the family members to be able to cope most effectively with a terminally ill loved one. Job Description: Active Hospice Care is seeking Full Time, Part Time or Per Diem Registered Nurse. As a Registered Nurse, you will be responsible for the completion of assigned visits, assessments, admissions, educating, instructing, and supporting the patient, family, and caregiver needs AT THEIR PRIVATE HOME, ASSISTED LIVING, SKILLED NURSING FACILITY OR WHEREVER THEY CALL HOME. As a Registered Nurse you will work closely with other members of the interdisciplinary team to ensure all patient and family care needs are being met. Provide timely documentation of patient services based on plan of care. Identify other physical, psychological, social and spiritual needs for assigned patients. Registered Nurses with experience in hospice, home health or similar outpatient services are encouraged to apply. Requirements: • Current RN license in California., • Preferred experience in Hospital, hospice, home health or SNF., • Demonstrated understanding of Hospice philosophy., • Excellent written and verbal communication skills., • Valid driver's license, auto insurance, and reliable vehicle., • Must be able and willing to travel locally within assigned territory., • Spanish speaking is a plus.Job Types: Full-time, Part-time, PRN, Per diem Benefits: • 401(k), • Flexible schedule, • Health insurance, • Paid sick time, • Paid time off, • Referral program, • Travel reimbursementFLEXIBLE SCHEDULE !!! BILINGUAL IS A PLUS !!! Required experience: • One Year

Provides direct nursing care including assessment, plan of care, education, and evaluation for patients certified as having a terminal illness who have elected the Hospice benefit. Performs patient duties necessary to maintain the flow of patient care as well as coordinates the delivery of care provided by other care team members and disciplines. The Hospice Registered Nurse provides supportive care to the patient, family and/or significant others and is responsible for responding to all of their needs after business hours, holidays, and weekends. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram. Required Skills • Written and verbal communications, interpersonal skills., • Clinical knowledge to assist patients with terminal care needs., • Basic organizational skills., • Basic computer skills., • Demonstrated leadership abilities., • Patient assessment., • Clinical education related to specialty., • Principles of patient/family teaching., • Knowledge of Hospice Condition of Participation., • Current California RN license, • Current Basic Life Support Card, • Valid California Driver's license and automobile insurance., • Public Health Nurse and Certified Hospice and Palliative Nurse preferred, • A minimum of 1-year experience as a professional nurse, Medicare Certified Hospice experience preferred. Salary 49.50-79.56 Shift Evening Shift Differential 4.08 Zip Code 90602

The IS Support Clerk performs patient care functions, is knowledgeable of LA County Department of Mental Health Medi-Cal Insurance and Other Health Coverage as well as Medicare coverage requirements/guidelines for behavioral healthcare preferred.

Description Supervisor Clinical Laboratory at Providence Saint John's Health Center in Santa Monica, CA. This position is full-time and will work 8-hour, Day shifts. Join Providence Saint John's Health Center, recognized as one of the best regional hospitals in 17 types of care by U.S. News & World Report and honored by Newsweek and Healthgrades for exceptional clinical quality. Be a part of our distinguished team dedicated to excellence in patient care. We are on the Magnet journey, and we were just awarded a 5-star rating for quality, safe care from the Centers of Medicare and Medicaid Services (CMS). Ensures quality patient care in assigned areas of responsibility; Is responsible for the technical and scientific oversight of the assigned Laboratory section(s), trains and evaluates the technical competency of the section personnel. Makes clinical / technical decisions to resolve problems, to meet Hospital and departmental goals and assure quality patient care. Maintains the quality and security of departmental data. Supervises personnel performance and training, maintenance of systems and QC. Providence caregivers are not simply valued - they're invaluable. Join our team at Saint Johns Health Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: • Bachelor's Degree Biological Science or Chemistry., • 1 year internship in approved Medical Technology program., • Additional education in assigned section. Or Experience in assigned section., • Upon hire: California Clinical Laboratory Scientist License California Or, • Upon hire: National Certification from American Society for Clinical Pathology Or, • Upon hire: National Medical Technologist - American Medical Technologists Or, • Upon hire: National Medical Technologist - American Association of Bioanalysts Or, • Upon hire: National Laboratory Tech - United States Government, • 4 years Experience (department specific) as Clinical Laboratory. Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." About the Team The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 395839 Company: Providence Jobs Job Category: Clinical Laboratory Job Function: Clinical Care Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 7006 PSJHC BLOOD Address: CA Santa Monica 2121 Santa Monica Blvd Work Location: Providence Saint John's Health Ctr-Santa Monica Workplace Type: On-site Pay Range: $66.68 - $105.28 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Job Description Job Title: ECVC Associate Attorney (4–8 Years Experience) Locations: New York, San Francisco Compensation: $310,000 – $435,000 + discretionary merit bonuses + comprehensive benefits Join a Team That’s Powering the Next Generation of Innovation Do you thrive at the intersection of law, startups, and venture capital? We’re looking for an ECVC Associate who’s ready to dive into high-growth companies and cutting-edge industries—partnering directly with founders, investors, and boards that are shaping tomorrow. What You’ll Do: • Lead venture financings, formations, and exits—sometimes all in a single day., • Advise on SAFEs, preferred stock financings, corporate governance, and general corporate work., • Counsel management teams on complex matters from inception through IPO., • Work on both sides of the table: guiding emerging growth companies and representing VCs and institutional investors., • Attorneys with 4–8 years of ECVC experience., • Strong transactional skills and a passion for startups + disruptive industries. Perks + Benefits (Some Highlights): • Wellness: Monthly reimbursements, 24/7 counseling & emotional health support., • Family: IVF, adoption, surrogacy, egg-freezing, generous paid parental leave, childcare backup, tutoring for kids, and career coaching for working parents., • Financial: 401(k) with firm contribution, commuter benefits, life insurance, disability coverage, voluntary pet insurance , even Medicare consulting., • Career: Firm-paid CLE, bar review, and bar dues. Ready to level up your career? Apply today and help shape the companies—and industries—of the future.

Job Description Starting salaries are set in accordance with our compensation plan, which considers multiple individual and organizational factors, including internal equity. To uphold pay equity in alignment with the compensation plan, starting salary ranges are not negotiable. Before applying, please ensure that the compensation for this position meets your needs. Our Mission To promote the well-being of the underserved by providing access to high-quality healthcare for all, regardless of ability to pay. Our services, activities and governance reflect the Islamic values and moral principles which inspired our founders. These include the core values which are universally shared and revered by society at large: Service, Compassion, Human Dignity, Social Justice, and Ethical Conduct. Working at UMMA UMMA is looking for passionate and mission-driven Staff who look to make an impact on the lives of our patients and the members of our community. These roles include Physicians and Medical Staff, Behavioral Health Staff, Administration, and more! For more information on the services we provide, Click Here SUMMARY Under the guidance of the HR Manager, the HR and Credentialing Specialist is responsible for providing support with Human Resources related duties across the organization. While fostering a supportive environment for all UMMA staff, the HR and Credentialing Specialist supports HR initiatives related to HRIS systems, benefits, recruitment, onboarding, credentialing, employment verifications, administrative support, and staff recognition. RESPONSIBILITES General HR Support • Maintains standard Personnel and Confidential files, • Assist with data entry and document control for employee matters and personnel files, • Assists with HR initiatives, • Maintains up-to-date records of all required staff/volunteer licenses, certifications, trainings, background checks, and other documentations in personnel files in accordance with organization’s policies and procedures, • Assist in ensuring compliance with state labor law policies relating to separation, contracts, and compensation schedule in compliance with organization’s policies, contracts, laws, and agreements., • Responds to inquiries from staff and external vendors, • Assists HR Manager and Hiring Managers with planning of recruitment efforts for open positions, • Supports with onboarding of staff, • Facilitates New Hire Orientations Credentialing Support • Tracks monthly compliance of provider licensure and privileging requirements, • Coordinates with various departments with Onboarding schedules and New Hire schedules, • Supports credentialing and privileging of all applicable staff, • Supports practitioner enrollments for Medi-Cal/Medicare and other entities, • Assign and track new and on-going provider training, • Provide updates at quarterly Credentialing Committee Meetings, • Supports audit preparation for regulatory audits and compliance objectives, • Performs other related duties as required and assigned by the supervisor EDUCATION, TRAINING AND EXPERIENCE HS Diploma or G.E.D. AA or Bachelor’s degree in Human Resources Management, Business Administration, Public Health, Healthcare Administration, Public Policy, or related field preferred 1 to 2 years of experience in a Human Resources function; previous human resources experience in a community clinic or health care setting is preferred. Understanding of local, state, and federal regulations and laws which impact clinic/FQHC operations including HIPAA and regulatory requirements Experience with maintaining clinical policies and procedures POSITION REQUIREMENTS These specifications are general guidelines based on the minimum experience normally considered essential to the satisfactory performance of this job. Individual abilities may result in some deviation from these guidelines. To perform effectively in this position, the incumbent must have: Successful completion and acceptable results of post offer physical examination, drug screening, and criminal background check. • Ability to become proficient in HRIS systems and other reporting systems, • Experience working with PAVE, PECOS, CAQH, • Valid Driver’s License and Current automobile insurance, • Ability to effectively communicate with a wide variety of people of various educational and socio-economic backgrounds and with clear and concise oral and written communication skills, • Ability to establish and maintain cooperative working relationships with physicians, clinic staff, patients, and volunteers, • Effective oral, listening and writing communications skills; strong telephone skills essential While performing this work, the incumbent: • Will spend substantial time standing, sitting, speaking and listening, • Must regularly lift and/or move up to 10 pounds, and occasionally lift and/or move up to 25 pounds, • Is expected to travel via personal vehicle throughout the community on a frequent basis Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.

Job DescriptionAbout This RoleIf you’re passionate about serving underserved communities in Los Angeles County, this role is a chance to make a direct, lasting impact. As the Medi-Cal Specialist, you’ll help bring PACE (Program of All-Inclusive Care for the Elderly) to frail seniors—guiding them through new and renewal Medi-Cal/Medicare processes so they can remain safely at home, for as long as they wish. You’ll be the go-to expert who turns a complex system into a clear path: completing applications (often through home visits), keeping documentation spotless in our CRM, coordinating with county/state partners, and collaborating closely with Finance, Enrollment, and Outreach. The ideal candidate brings hands-on knowledge of Medi-Cal/Medicare eligibility and recertification, a resourceful approach to connecting families with community support, and a heart for working with older adults.What Does Success Look Like In This Role? • Own the application journey: Initiates, assists, and manages Medi-Cal applications for prospective participants, ensuring timely and accurate completion., • Meet people where they are: Conducts home visits to complete the Medi-Cal application process., • Make every record count: Maintains all documentation and records all enrollment activities in CRM software; ensures accuracy and compliance., • Lead with integrity: Strictly adheres to DHCS and CMS regulations and policies regarding PACE marketing practices., • Turn data into clarity: Collaborates with the Finance department to prepare reports for data analysis., • Keep coverage on track: Monitors and maintains participants’ Medicaid eligibility, including Medi-Cal recertifications., • Double-check the dollars: Supports the Finance department in validating Medicaid payments., • Be the extra set of hands: Supports Enrollment and Outreach Specialists as needed., • Connect families to help: Provides community resources to prospective participants and families/caregivers., • Guide the paperwork process: Assists participants and families/caregivers with all paperwork needed for Medicaid re-determination or new applications., • Coordinate with the county/state: Collaborates with or contacts county/state government specialists to ensure submission of required documentation and to obtain additional information., • Jump in where needed: Performs other duties as assigned.What Does An Ideal Candidate Look Like?, • Know the system: Knowledge of the California Medi-Cal system and the Social Security process., • Bring real experience: 2–4 years of relevant experience., • Navigate government partners: Experience working with state/county eligibility workers., • Be a resource guru: Extensive knowledge of community resources., • Champion older adults: Experience working with frail elderly populations., • Education matters: High school diploma., • Ready to drive: Valid CA driver’s license, personal transportation, good driving record, and auto insurance as required by state law., • Speak their language: Bilingual skills preferred (Spanish, Cantonese, Mandarin, or Vietnamese).The Fine Print, • Set your rhythm: Monday–Friday, 8:00 a.m.–5:00 p.m., with flexibility for occasional weekend support., • Work where it matters: Hybrid schedule—split your time between the office and the community., • Bring the care to them: Regular local travel to meet participants where they are.The Physical Requirements and Work Environments, • Where you’ll work: Hybrid across home/remote, clinic, and community settings. Expect a mix of desk time, in-person meetings, home visits, and occasional office-based collaboration., • On the move: Frequent local travel to participant homes, community sites, and county/partner offices; driving your personal vehicle as needed., • Time on task: Long periods of sitting for documentation and calls, with intermittent standing, walking, and stair navigation in varied home and facility environments., • People-forward: Frequent speaking and active listening with participants, families, caregivers, and county/state partners—both in person and via phone/video., • Tools of the trade: Independent use of computers, smartphones, CRM/EMR systems, and virtual meeting platforms; accurate typing/data entry and document management., • Hands-on basics: Ability to lift/carry up to 25 lbs. occasionally (e.g., a laptop bag, forms, portable printer/scan kit) and to set up basic field equipment., • Environment changes: Exposure to typical clinic conditions and variable home settings (temperature, pets, stairs, noise); occasional outdoor walking between locations., • Safety & professionalism: Adheres to site safety protocols; uses PPE as required; practices situational awareness in community settings., • Visual & auditory needs: Sufficient vision/hearing to review documents, verify IDs, read forms, and conduct phone/video conversations clearly.

Job Description RNS, LVNS, CNAS, CAREGIVERS FOR PRIVATE DUTY & INTERMITTENT VISITS (SOUTHERN CA HOMES) FULL TIME LVNS SCI TBI & CVA patients NEEDS LVNs to work 8 & 12 hour shifts LVN 8 hour shifts 7-3 3-11 11-7 Experienced (rehabilitation experience a plus) CNAs for San Fernando Valley Also Claremont, CA. Male adult patient with brain injury 8 hour shifts for ongoing FULL TIME CASE. CALL 818-761-CARE (2273) STAT. CNA 4, 6, 8 HOUR shifts in Orange County & Los Angeles **PREFER ONE YEAR FACILITY EXPERIENCE IN THE JOB YOU ARE APPLYING FOR. ***SOME PATIENTS REQUIRE HEAVY LIFTING OR TURNING (Must have experience with hoyer lift) PRIVATE DUTY RNs, LVNs, CNAs for long term private duty patients 8 or 12 hour shifts- FULL TIME OR PART TIME Patients with brain injury needs EXPERIENCED LVNS (must have worked with brain injury patients) RNs and LVNS for Private Duty Cases - 8 hour shifts (7-3, 3-11, 11-7) or 12 hour shifts 7am to 7pm and 7pm to 7am. Orange County Patients Available in South and North Orange County - shift care 8 & 12 hour shifts NEW CASES COME IN ON REGULAR BASIS - REGISTER TODAY SO YOU ARE READY WHEN WE HAVE A CASE IN YOUR AREA!!! MUST APPLY IN NORTH HOLLYWOOD AND ATTEND ORIENTATION THERE ADULT AND PEDIATRIC LVNS NEEDED RIGHT AWAY FOR LONG TERM REGIONAL CENTER CASES IN THE LONG BEACH AND SURROUNDING AREAS. CALL 818-753-5106 RE: POTENTIAL ASSIGNMENTS. ALSO; Immediate need for RNs, LVNs, CNAs, CHHAs, Companion/Caregivers, Babysitters, Housekeepers to do the following care: Shifts for 4 hours/day to 12 hours/day !!!) Intermittent visits ~ 2 hours/day NOTE: NO OASIS (no medicare patients) Areas; Los Angeles San Fernando Valley Santa Clarita Valley Ventura County San Bernadino County Orange County RN $50 -75/hour LVN $29-35/hour CNAs $21 -25/hour *** We have cases in Anaheim, Santa Clarita, Compton/Long Beach, Hacienda Heights, Woodland Hills that need LVNS TO DO 8 & 12 HOUR SHIFTS ON ONGOING LONG TERM CASES THAT PAY WELL! DON'T WAIT ~ WE ARE BUSY!!! GIVE US A CALL TODAY AT 818-761-CARE (2273) !!!!! THANK-YOU!!!! Company DescriptionContinuity Care Home Nurses is a licensed, insured and bonded state-of-the-art home health agency consisting of a multi-disciplinary team of health care professionals that are dedicated to the patient care philosophy of "continuity of care." Our personalized service, knowledgeable staff, and close monitoring of services provided create a warm, supportive, and caring environment for patients as well as family members. We provide Certified Nurse’s Aides & skilled nursing care (RNs, LVNs).... from four hours/day to 24 hours/day. Our second company Continuity Care Staffing Services, Inc. provides babysitting & caregivers to pediatric and geriatric patients. We specialize in high tech home infusion visits & care to catastrophic patients (Ventilator Dependent, Spinal Cord Injury, Brain Injured) in addition to having PT, OT, ST, LCSW available. All cases are supervised by Registered Nurses who also case manage each patient. We can bill all private insurance plans, worker's compensation, long term care insurance, & accept all major credit cards. Our service area includes most of Southern CA.Continuity Care Home Nurses is a licensed, insured and bonded state-of-the-art home health agency consisting of a multi-disciplinary team of health care professionals that are dedicated to the patient care philosophy of "continuity of care." Our personalized service, knowledgeable staff, and close monitoring of services provided create a warm, supportive, and caring environment for patients as well as family members. We provide Certified Nurse’s Aides & skilled nursing care (RNs, LVNs).... from four hours/day to 24 hours/day. Our second company Continuity Care Staffing Services, Inc. provides babysitting & caregivers to pediatric and geriatric patients. \r\nWe specialize in high tech home infusion visits & care to catastrophic patients (Ventilator Dependent, Spinal Cord Injury, Brain Injured) in addition to having PT, OT, ST, LCSW available. All cases are supervised by Registered Nurses who also case manage each patient. We can bill all private insurance plans, worker's compensation, long term care insurance, & accept all major credit cards. Our service area includes most of Southern CA.

We are seeking a Licensed Insurance Agent to assist individuals in navigating Medicare programs. Holds valid health insurance license. Capability to contract and become RTS (ready-to-sell) with multiple insurance carriers (3 main MAPD carriers or 2 main MAPD carriers and one approved secondary carri

Experience in follow-up filing of Provider Grievance/Appeals, Claim Inquiry Forms (CIF), PDRs (Provider Resolution Dispute Request) with Medi-Cal/Managed Care HMO and Commercial Insurance Plans to ensure maximum entitled reimbursement. Knowledge of insurance and government billing guidelines and reg

Job Description Registered Nurse – Case Management (Travel) Location: Paramount, CA Job Type: Travel Contract Duration: 13 weeks Shift: 5×8 Days (Monday–Friday, 8:00 AM–4:30 PM) Pay: $2,560/week Completion Bonus: $2,500 per contract (up to $7,500 after three contracts) Position Overview ATC Healthcare is seeking a skilled and compassionate Registered Nurse Case Manager for an acute-care facility in Paramount, California. The RN Case Manager coordinates the management of patient care to ensure quality outcomes, appropriate resource utilization, and seamless transitions across the continuum of care. This role integrates case management, utilization review, and discharge planning to enhance patient satisfaction, ensure regulatory compliance, and support efficient service delivery. Key Responsibilities • Conduct comprehensive patient assessments to identify medical, psychosocial, and discharge needs., • Develop and implement individualized care plans, collaborating with the interdisciplinary team to ensure timely, safe, and effective transitions of care., • Perform utilization review to ensure appropriate resource use, length of stay, and payer compliance., • Coordinate discharge planning, including home health, SNF, rehab, and community service arrangements., • Communicate regularly with physicians, payers, and external agencies to advocate for patient needs and resolve barriers to care., • Provide patient and family education regarding treatment plans, post-acute options, and community resources., • Maintain accurate and timely documentation in the EMR system., • Active California RN license (must be attached at submission; California is not a compact state)., • Minimum 2 years of recent RN Case Management and discharge planning experience in an acute hospital setting (required)., • Certifications: BLS (AHA only; must be attached to submission packet)., • Strong knowledge of utilization management, discharge planning, and payer guidelines (Medicare, Medi-Cal, and commercial)., • Excellent communication, critical thinking, and coordination skills., • EMR proficiency (experience with Epic or Cerner preferred)., • Must be able to start within 2–3 weeks of offer., • Weekly pay with competitive rates, • Health, dental, and vision insurance, • 401(k) retirement plan with company match, • Referral bonuses for referring talented professionals into our network ATC Healthcare has been a leader in healthcare staffing for nearly 40 years, offering personalized placement and support to healthcare professionals nationwide. With over 60 locations, we are committed to connecting skilled nurses, therapists, and clinicians with rewarding career opportunities. Other Duties: Please note this job summary is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may vary by assignment and may change at any time with or without notice. Equal Opportunity Employer: ATC Healthcare Services is an Equal Opportunity Employer. All applicants will be considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or disability status, or any other category protected by Federal, State, or local law.

This will include the following: Registration, Preregistration, insurance verification, Third Party Liability (TPL) screening, Medi-Cal/Medicare eligibility verification, Workers Compensation eligibility, and securing cash deposits (co-pays, deductibles, cash packages). Job Specialty: Admissions/Reg

Job DescriptionBenefits: • Dental insurance, • Health insurance Responsibilities: The duties of this position will include: Front Office - • Answering phones, taking messages and scheduling appointments., • Checking in and checking out patients, review of faxes and covering back office as needed.Back Office Coverage, • Rooming patients, assisting during examination and procedures, preparing and cleaning treatment rooms and medical instruments., • Able to assist with Biopsies, Cystoscopies, Urodynamics and other procedures., • Collecting patient lab reports as needed, sending out labs and urine cultures., • multi tasking and assisting in other areas as needed.Qualifications, • At least two years medical back office experience., • Knowledge of insurance groups e.g. Medi-Cal, CalOptima, Medicare, HMO, and PPO., • Must be bilingual., • EMR experience requiredBenefits:, • Medical, • Dental, • Vision, • Vacation, • Holiday Pay

Job DescriptionBenefits: • Dental insurance, • Health insurance, • Vision insurance Job Summary We are seeking a Medical Biller/Collector to join our team. The ideal candidate will have a strong understanding of medical billing procedures and insurance guidelines from claim submission to payment collection, Medical Biller/Collector must have experience in handling insurance denials and appeals. Job is not remote. Responsibilities • Timely submission of claims to variety of insurance payers including PPO's, HMO's, Medicare, Medi-Cal, and CalOptima., • Follow up unpaid claims and work toward resolution., • Resolve billing discrepancies.Qualifications, • Must have 2+ years of experience in a hands on Medical Billing/Collection position., • Strong organizational and communication skills., • Be able to time manage and take direction., • Strong computer skills, EMR Skills, • Experience with HMO, PPO, and state payors., • Experience with claim appeals and aging accounts.

Job Description At Geiss Med Hospice, we believe in cherishing every moment of life. We understand that facing a life-limiting illness or injury can be overwhelming, which is why we are here to provide a comforting hand and a listening ear. Our team of dedicated medical professionals and compassionate caregivers is committed to easing pain, managing symptoms, and providing emotional and spiritual support in a manner that respects your personal choices and preferences. We are not just focused on the patient but also on their loved ones, offering support and guidance through these challenging times. Our goal is to ensure that you and your family can focus on spending quality time together, while we take care of the rest. Why Join Geiss Med Hospice? • Compassionate Care: Join a team that prioritizes empathy and personalized care, ensuring that every patient and family feels supported., • Professional Growth: We offer continuous learning and development opportunities to help you advance your career in a meaningful way., • Collaborative Environment: Work alongside a dedicated team of professionals who share your passion for making a difference., • Holistic Support: Engage in a holistic approach to hospice care that addresses physical, emotional, and spiritual needs. Hospice Registered Nurse Case Manager – Leadership RoleLead with Compassion & Excellence in Hospice Care! Are you an experienced Hospice RN who thrives in leadership and is passionate about providing high-quality end-of-life care? We are seeking a Hospice Registered Nurse Case Manager to oversee patient care, mentor interdisciplinary teams, and ensure compliance with clinical best practices. This role is ideal for a skilled leader who excels in case management, team coordination, and regulatory compliance, all while delivering compassionate care to patients and families. Key Responsibilities 🔹 Leadership & Team Oversight – Supervise, mentor, and ensure the competency of your assigned hospice care team, maintaining high standards of care. 🔹 Patient & Family Coordination – Serve as the team leader, providing direction and oversight to interdisciplinary team members. 🔹 Case Management – Oversee care plans, ensuring accurate evaluations, appropriate treatments, and optimal patient outcomes. 🔹 Clinical Oversight – Monitor and review patient care, ensuring compliance with Medicare and hospice regulatory standards. 🔹 Documentation & Compliance – Review and approve care plans within the Electronic Medical Records (EMR) system, ensuring accuracy and adherence to Medicare Conditions of Participation. 🔹 Quality Improvement – Participate in agency quality assurance initiatives, reviewing outcome data and driving performance improvements. 🔹 Interdisciplinary Team Meetings – Lead and coordinate team meetings with hospice clinicians and the medical director to ensure exceptional patient care. 🔹 Education & Mentorship – Provide ongoing training, guidance, and documentation support for hospice team members, assisting with orientation and performance feedback. 🔹 Regulatory Readiness – Assist the Director of Clinical Services (DCS) in maintaining compliance and survey readiness. 🔹 On-Call Leadership – Participate in an on-call rotation, ensuring 24/7 oversight of patient care and agency operations. What to Expect in This Role 🚗 Extensive Travel & Home-Based Care • Be prepared to travel several hours per day, covering multiple locations (1-10 home visits daily)., • Travel areas may vary and are subject to change based on patient needs., • Deliver compassionate, hands-on care in diverse and unpredictable home environments., • Work in varied weather conditions, including rain, snow, and ice—navigating stairs, different housing structures, and unique living conditions., • Apply clinical expertise to make sound decisions that impact patient care., • Solve moderately complex problems using experience, precedent, and sound judgment., • Extensive hospice and palliative care nursing knowledge., • Ability to manage patient needs and interdisciplinary team functions, • Proficiency in Microsoft Word, Excel, and EMR systems., • Strong interpersonal skills to communicate with patients, families, and caregivers in a compassionate and professional manner., • Sensitivity to patient privacy, HIPAA compliance, and ethical care practices., • Bachelor's degree (or higher) in a health-related field, • Minimum of 3 years of clinical RN experience (hospice experience required)., • At least 1 year of supervisory or management experience in a hospice setting., • Strong knowledge of Medicare Conditions of Participation, Local Coverage Determinations, and regulatory standards (JCAHO knowledge preferred)., • Valid RN license in the state of practice., • Certified Hospice and Palliative Care Nurse (CHPN), • Active BLS certification (American Heart Association or Red Cross). If you are a hospice nursing leader ready to step into a high-impact, rewarding role, we'd love to hear from you! Apply today to be part of a team that is committed to exceptional hospice care and leadership. Hourly range for posted region$58—$62 USD

Job Description Director of Nursing (DON) - Skilled Nursing Facility | Calabasas, CA Are you a visionary nursing leader passionate about delivering exceptional patient care in a skilled nursing environment? We are seeking an experienced and dedicated Director of Nursing (DON) to lead our nursing operations at our premier skilled nursing facility in beautiful Calabasas, California. This is a key leadership role where you'll have the opportunity to shape nursing excellence, mentor talented healthcare professionals, and make a meaningful impact on patient outcomes every day. Key Responsibilities: • Direct and oversee all nursing operations within the skilled nursing facility (SNF) to ensure delivery of high-quality, patient-centered care, • Develop, implement, and monitor nursing policies, procedures, and protocols in full compliance with state and federal regulations, • Lead, mentor, coach, and support nursing staff while fostering a collaborative and positive work environment, • Coordinate and collaborate with interdisciplinary healthcare teams, including physicians, therapists, and social workers to optimize patient outcomes, • Ensure strict adherence to all legal, ethical, and professional nursing standards, including Medicare and Medicaid regulations, • Manage nursing department budgets, staffing schedules, and resource allocation efficiently, • Conduct regular quality assurance audits and implement continuous improvement initiatives, • Serve as liaison between administration, medical staff, patients, and families, • Current, active, and unrestricted California Registered Nurse (RN) license, • Minimum 5 years of Director of Nursing (DON) experience in a Skilled Nursing Facility (SNF) setting, • At least 1 year of Medicare home health leadership experience required, • Bachelor of Science in Nursing (BSN) preferred; Master's degree in Nursing or Healthcare Administration a plus, • Exceptional leadership, team-building, and staff development skills, • Strong verbal and written communication abilities with all levels of staff and stakeholders, • Expert knowledge of current nursing practices, regulatory requirements, and quality improvement methodologies, • Proven track record of successful survey outcomes and regulatory compliance, • Proficiency with Electronic Health Records (EHR) and nursing documentation systems, • Competitive annual salary of $140,000, • Lead a dedicated team of nursing professionals committed to excellence in long-term care, • Work for an organization that values quality patient care and employee development, • Opportunity to implement innovative nursing practices and quality improvement initiatives, • Excellent benefits package including health insurance, retirement plans, and paid time off, • Professional development and continuing education opportunities, • Stable, established facility with a reputation for quality care in the community Located in the heart of the Santa Monica Mountains, Calabasas offers an exceptional quality of life with its perfect blend of suburban tranquility and urban convenience. This affluent Southern California community boasts beautiful weather year-round, excellent schools, upscale shopping and dining at The Commons, and easy access to hiking trails and outdoor recreation. Just 30 miles from downtown Los Angeles, Calabasas provides the perfect setting for both career growth and lifestyle enjoyment, with a safe, family-friendly atmosphere and vibrant community culture. Apply Today: If you are a seasoned nursing professional with proven leadership abilities and a passion for enhancing patient care in a skilled nursing environment, we want to hear from you! Join our team and make a difference in the lives of our residents while advancing your career in one of California's premier healthcare facilities. Qualified candidates are encouraged to apply today to be considered for this rewarding Director of Nursing opportunity. Compensation: $140,000 annual salary Relevant Keywords: Director of Nursing | DON | Skilled Nursing Facility | SNF | Nursing Director | RN Leadership | Long-Term Care | California RN License | Medicare | Medicaid | Nursing Home Administrator | Healthcare Leadership | Patient Care Management | Regulatory Compliance | CMS | Joint Commission | Nursing Operations | Clinical Director | Post-Acute Care | Geriatric Nursing | Nurse Manager | Healthcare Management | Quality Assurance | Interdisciplinary Care | Staff Development | Nursing Supervisor | Calabasas Jobs | Southern California Healthcare | Los Angeles County | Licensed Nursing Administrator | Medical Director Liaison | Survey Readiness | Healthcare Compliance | Nursing Standards | Patient Outcomes | EHR | Electronic Health Records | BSN | Master's in Nursing | Home Health | Nursing Policies | Healthcare Quality | Senior Care | Rehabilitation | Nursing Excellence

Job Description RN Health Care Facility Surveyor - California (#1142) • Employee retirement plan (401k) with a generous match and immediate vesting, • Company-issued and company-paid Amex card for travel, • All travel expenses paid directly by the company, • Company-paid tax-free Health Savings Account (HSA) The position is 100% remote with up to 75% travel. The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Surveyors travel to healthcare facilities nationally conducting surveys to assess compliance with requirements and regulations guiding the quality of care for residents/customers of the facilities. The responsibility of the Surveyor is to apply approved survey protocols for conducting on-site surveys. Specific activities include the following: • Conduct on-site surveys of Medicare-Medicaid certified health care facilities to determine compliance with Federal regulations., • Surveys require preparations such as off-site preparation, tour of the facility, observation of care, record review, interviews of staff and families, etc. Determine if care, treatment, and services are consistent with Federal requirements., • Evaluate many aspects of the healthcare facility system from the quality of care to the consumers’ rights and physical plant., • Communicate the non-compliance issues with key personnel throughout the site review and during the exit conference to assure an understanding of the deficiencies cited., • Determine if a plan of correction is acceptable., • Conduct follow-up visits and monitoring surveys to ascertain if facilities’ plans of correction to resolve the deficient practice have been implemented., • Must have an Associate or Bachelor’s degree in nursing, • Must have successfully completed CMS’s Long-Term Care Basic Training and passed the Surveyor Minimum Qualifications Test (SMQT)., • Must have At least two (2) years of recent experience working as a surveyor accrediting or certifying facilities that serve the residents of long-term care facilities., • Must maintain current licensure to practice as a Registered Nurse (RN)., • Demonstrated a history of independent decision-making skills to direct and effectively manage the survey process., • Ability to set priorities independently and collectively in performing survey tasks., • Ability to openly discuss conflicts/controversy, and to seek assistance when appropriate to make decisions and resolve conflicts., • The salary for this position is $75,000 - 90,000 / yr, • This is a Full-time position (Monday - Friday), • Flexible paid vacation days, • Paid holidays, • Company-issued and company-paid Amex card for travel, • All travel expenses paid directly by the company, • Airline and hotel points accumulate for employee's personal use, • Employee discounts, • Employee retirement plan (401k) with a generous match and immediate vesting, • Company-paid tax-free Health Savings Account (HSA), • Health insurance, • Dental insurance, • Vision insurance, • Company-paid life insurance, • Company-paid disability insurance, • Extensive training opportunity, • Predictable work schedule

Job Description Nurse Practitioner Opportunity-Full Time only Join a Nurse Practitioner-led organization focused on delivering high-quality, preventive care to geriatric patients. This role involves completing comprehensive Medicare Annual Health Assessments (AHAs) in patient homes. You will use advanced diagnostic tools and Electronic Medical Records (EMR) to ensure thorough evaluations and collaborative care, directly enhancing patient outcomes without functioning as a Primary Care Provider (PCP). New Nurse Practitioner graduates are welcome to apply. (Student loan repayment assistance available for those who qualify) Why Join Our Team • Company led by a practicing Nurse Practitioner (NP) who values the role and understands the challenges, • Mission-driven to address healthcare concerns including patient burnout, lack of quality care, and escalating costs, • Collaborative NP team across multiple states, partnering with Medical Provider Groups and Health Plans, • Less stressful work environment that supports high-quality education and patient care, • All necessary equipment provided, including laptops and tablets Patient Care • Work with geriatric patients, • Perform H&Ps, • Use preventive health screening tools (PAD and Neuropathy, diabetic retinal cameras, A1c and kidney testing for diabetics), • Navigate and chart via EMR systems, • We provide comprehensive training to ensure you feel confident and prepared in your role, • Our supportive environment means you won't be left to navigate challenges alone, • Current NP license for the state, • Ability to use a computer efficiently, • Caring and passionate about working with the geriatric population, • Respected and compassionate towards patients, • Team player Additional Benefits • Malpractice insurance, • Cell phone reimbursement, • Equipment provided including laptop or tablet, • 401K, • Sick time, • Apply Now: Become part of a supportive and dynamic team Operating across multiple states and rapidly expanding, Transtreme partners with health organizations and primary care clinics to provide comprehensive Medicare Annual Health Assessments for geriatric patients. Our work ensures that older adults receive the thorough evaluations and personalized care they deserve, helping improve outcomes and quality of life for our aging population. At Transtreme, we are committed to clinical excellence, compassionate service, and driving meaningful change in healthcare delivery.Transtreme is a forward-thinking healthcare organization founded by Nurse Practitioner Rick Michel, who continues to serve patients while leading the company as CEO. Our mission is to revolutionize the Medicare health assessment landscape by delivering high-quality, patient-centered care through innovative risk adjustment models.\r\n\r\nOperating across multiple states and rapidly expanding, Transtreme partners with health organizations and primary care clinics to provide comprehensive Medicare Annual Health Assessments for geriatric patients. Our work ensures that older adults receive the thorough evaluations and personalized care they deserve, helping improve outcomes and quality of life for our aging population.\r\n\r\nAt Transtreme, we are committed to clinical excellence, compassionate service, and driving meaningful change in healthcare delivery.

Job Description Voted one of the best companies to work for by Modern Healthcare Magazine: Griffith Healthcare Center is an award winning family company providing healthcare services including skilled nursing, assisted living and senior living communities. We believe that seniors are extraordinary people. Their lives are filled with achievements, contributions and wisdom. They have raised families, served their communities and country, lived history and ultimately set the stage for us. We are honored to provide their care, as they make the transition to the golden years, and when it becomes more challenging to care for one’s self. From a short-term rehabilitation stay to long term nursing care, each of our clinical programs are designed to reduce hospitalizations so our patients can focus on achieving their individual care plan goals whether it’s returning home or staying with us for their long term care needs Our commitment to superior quality of life is evident when you visit our family of centers. At our care center you will meet compassionate and professional team members who understand that finding the right skilled nursing setting and long-term care option could be difficult and confusing and are wanting to make a difference by providing the utmost care to genuinely help our patients and the community around them. If this sounds like a great fit for you, we would love to have you join our wonderful team! Compensation & Benefits: • As a growing and essential company, we have many opportunities for growth and development within the medical industry and are committed to providing the resources and training you need., • Pay is market competitive and negotiable based on your experience., • Full-time employees will be eligible for a variety of comprehensive medical, dental, and vision insurance plans., • Full-time employees will be eligible for Tuition Assistance. We are looking for full-time Admissions Coordinator. Responsibilities include: • Obtains referral information from telephone and walk-in inquiries, including complete clinical and financial information necessary for admission committee approval., • Ensures financial verification is accurate and complete before the patient is admitted to the Center thus assisting in reducing accounts receivable., • Obtains family commitment to tour the Center on 80% of viable referrals. Conducts a professional tour utilizing Center clinical personnel as assistance in gaining family commitment to admit to the Center., • Conducts the admission process of signing in and explaining admission policies to patients and their families. Ensures a smooth transition is achieved and that all paperwork is complete upon admission. Emphasizes financial arrangements and responsibilities., • Chairs the daily admissions meeting with Center personnel to update on referrals, admissions and follow-up which needs to be conducted in order to obtain admission. Assists with increasing conversion rate to exceed 65% by following up on all referrals immediately. Informs the admissions committee of upcoming discharges., • Informs Marketing Director of any referral source issues that arise during the referral process., • Develops relationships with referral sources. ADMINISTRATIVE, • Supports the overall goals of the Company and the Center., • Communicates all billing issues with accounting office and Marketing., • Documents all necessary information in an accurate and timely manner., • Maintains accurate daily updates on the Marketing Information System ensuring all data elements are input so that reports can be generated on a daily, weekly and monthly basis. Also responsible for the integrity of the data which is input into the MDS., • Two to three years experience as Admissions Director or Admissions Coordinator at a SNF, sub-acute, rehab, or other health care facility., • Excellent organizational skills with a detail orientation towards documentation and follow-up., • Professional telephone skills with the ability to handle referral calls effectively and efficiently, meeting the needs of the referral sources and families., • Inside or outside sales experience preferred., • Ability to work with family members and conduct tours with a focus on closing., • Computer experience using a marketing information system We are an equal opportunity employer and we are committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability, and per the Fair Chance Ordinance will consider qualified applications with criminal histories in a manner consistent with the ordinance. INDHP

Job Description California Skin Institute (CSI) is the largest and fastest growing private dermatology practice in California offering an unwavering commitment to excellence in medical, surgical, and cosmetic dermatology and plastic surgery. We have one of the most state-of-the-art and comprehensive skin-based service lines including laser, light, radio-frequency, reconstructive and cosmetic surgery techniques, Medicare-approved surgery centers and a full-service dermatopathology laboratory. Come join our team as we innovate both in the clinical setting and in practice operations! As our mission is safe patient care, we require all our employees to be vaccinated as such vaccinations are available, and subject to the narrow exceptions provided by applicable law. Position Summary Assists in examination and treatment of patients under the direction of a physician. Interviews patients, measures vital signs (i.e., pulse rate, temperature, blood pressure, weight, and height), and records or inputs information to patients' medical record. Prepares treatment rooms for examination of patients. Responsibilities • Accompany patient to exam/procedure room, • Prepare patients for examination and treatment, • Check the schedule and organize patient flow, • Prepare exam and treatment rooms with necessary instruments and supplies, • Ensure that all treatment rooms are cleaned and stock at the end of the workday, • Assist providers in preparing the patient and the facilities for minor surgeries, • Prepare and maintain supplies and equipment for treatments, including equipment sterilization, • Assist with scheduling of patient's tests and treatments, • Cleaning and spore testing of the autoclave, adhering to scheduled maintenance and maintain record-Maintenance of biopsy log, biopsy slides, and pathology reports, • One (1) or more years of experience as a qualified medical assistant, • Prior experience in plastic surgery is required, • Knowledge of medical office management systems and procedures, • Excellent time management skills and ability to multi-task and prioritize work, • Social perceptiveness and service oriented, • Excellent written and verbal communication skills, • Strong organizational and planning skills We value our employees' time and efforts. Our commitment to your success is enhanced by our competitive pay in addition to a benefits package including: • Medical Health Insurance, • Vision & dental plan, • Flexible Spending Account, • Life Insurance, • 401 (K), • Generous paid time off, • Growth and development opportunities, • Recognition Program

Job DescriptionBenefits: • 401(k), • Dental insurance, • Health insurance We are seeking a dynamic and experienced Licensed Vocational Nurse (LVN) or Registered Nurse (RN) to serve as the Operations/Clinical Manager for our hospice and home health services in Cerritos, California. This pivotal role requires a blend of clinical expertise and operational acumen to lead and manage the delivery of high-quality patient care while ensuring compliance with regulatory standards. Key Responsibilities • Clinical Leadership:, • Oversee the development, implementation, and evaluation of individualized patient care plans in collaboration with physicians and the interdisciplinary team., • Ensure the delivery of patient-centered care in both hospice and home health settings, adhering to best practices and regulatory requirements., • Operational Management:, • Supervise and coordinate daily operations of clinical staff, including RNs, LVNs, CNAs, and other support personnel., • Manage staffing schedules, resource allocation, and patient assignments to optimize efficiency and care delivery., • Compliance and Quality Assurance:, • Ensure adherence to federal, state, and local regulations, including Medicare Conditions of Participation and accreditation standards., • Conduct regular audits and performance evaluations to monitor and improve clinical outcomes and patient satisfaction., • Staff Development and Training:, • Provide ongoing education, mentorship, and support to clinical staff., • Facilitate in-service training sessions and continuing education programs to enhance staff competencies., • Collaboration and Communication:, • Serve as a liaison between clinical staff, administration, and external stakeholders., • Participate in community outreach and public relations activities to promote the organization's role in the healthcare delivery system. Qualifications • Education:, • Graduate of an accredited School of Nursing., • RN: Current and unrestricted Registered Nurse license in California., • LVN: Current and unrestricted Licensed Vocational Nurse license in California., • Experience:, • Minimum of 3 years of nursing experience, with at least 1 year in a hospice and/or home health setting., • Previous management or supervisory experience preferred., • Skills:, • Strong leadership, organizational, and communication skills., • Proficiency in electronic medical records (EMR) systems and knowledge of OASIS documentation., • Ability to manage multiple priorities and work effectively in a fast-paced environment., • Certifications:, • Current CPR certification., • Additional certifications in hospice and/or home health care are a plus.

Job Description California Skin Institute (CSI) is the largest and fastest growing private dermatology practice in California offering an unwavering commitment to excellence in medical, surgical, and cosmetic dermatology and plastic surgery. We have one of the most state-of-the-art and comprehensive skin-based service lines including laser, light, radio-frequency, reconstructive and cosmetic surgery techniques, Medicare-approved surgery centers and a full-service dermatopathology laboratory. Come join our team as we innovate both in the clinical setting and in practice operations! As our mission is safe patient care, we require all our employees to be vaccinated as such vaccinations are available, and subject to the narrow exceptions provided by applicable law. Responsibilities • Answers busy, multi-line phone system, providing top-notch customer service, • Greets patients and visitors in a prompt, courteous, and accommodating manner, • Knowledgeable of providers in the office and treatments they provide, • Knowledgeable of skin care products available at the office, • Focus on product sales with every patient, • Maintains work area and lobby in neat manner, • Schedules patient appointments and visits, • Registers patients using NexTech Practice Management System, entering demographics, copying patients' insurance card and specifies subscriber/subscriber DOB, • Provides insurance authorization support, • Proven working experience as a medical receptionist and/or medical records clerk, at least one (1) year, • EMR experience preferred, • Knowledge of medical office management systems and procedures, • Excellent time management skills and ability to multi-task and prioritize work, • Social perceptiveness and service oriented, • Excellent written and verbal communication skills, • Strong organizational and planning skills, • Prior experience with management of paper records, • Proficiency in MS Office and patient management software, Nextech, • Must be able to lift up to 25 pounds on a routine basis, • High school diploma or equivalent We value our employees' time and efforts. Our commitment to your success is enhanced by our competitive pay in addition to a benefits package including: • Medical, Vision & Dental, • HSA/FSA, • Life Insurance, • 401 (K), • Generous Paid Time Off, • Employee Discount Program, • Growth and Development Opportunities, • Recognition Program

Job DescriptionLiens Negotiator Wilshire Law Firm is a distinguished, award-winning legal practice with over 18 years of experience, specializing in Personal Injury, Employee Rights, and Consumer Class Action lawsuits. We are dedicated to upholding the highest standards of Excellence and Justice and are united in our commitment to achieve the best outcome for our clients. You will work side by side on a team of dynamic, collaborative, and client-focused professionals who are committed to delivering on our founding core values: Excellence, Teamwork, and Integrity. The Opportunity As our Liens Negotiator in our Liens department, you will have the opportunity to manage legal cases in the liens stage and negotiate with medical providers to provide the best outcome for our clients settlements. Accountable for • Communicate with both governmental insurance (Medi-Cal, Medicare, Medicaid, VA, etc.) and private insurance carriers., • Negotiate liens with hospitals and healthcare providers on behalf of our clients., • Effectively communicate with doctors offices, co-workers, and clients alike., • Update the firms database in a timely manner with accurate data., • Upload and share pertinent documents appropriately., • Build strong rapport with potential clients., • 3+ years of experience negotiating liens for personal injury cases., • Strong knowledge of medical treatment and medical provider types., • Strong computer skills and experience with Office 365., • Proactive and detail oriented., • Superior communication and organizational skills., • Paid time off and paid holidays, • Opportunitiesfor growth and advancement, • Team outingsand sponsored events, • Employee referral bonus program, • Firm-paid Medical HMO with affordable upgrades, • Low-cost Dental and Vision plans, • Firm-paidLife and AD&D insurance, • 401k, • FSA (Flexible Spending Account), • EAP(Employee Assistance Program)

Job DescriptionDescription: At Currance, we believe in recognizing the unique skills and experiences that each candidate brings to our team. Our overall compensation package is competitive and is determined by a combination of your experience in the industry and your knowledge of revenue cycle operations. We are committed to offering a rewarding environment that aligns with both individual contributions and our company goals. Benefits include paid time off, 401(k) plan, health insurance (medical, dental, and vision), life insurance, paid holidays, training and development opportunities, a focus on wellness and support for work-life balance, and more. Please note that we are looking for people who have hospital billing experience in collections and have some HB billing experience, in high dollar collections, adjustments and denials management. Job Overview This position is responsible for supporting Revenue Cycle Operations as it relates to front end billing issues, billing exceptions, and edits, insurance follow-up, and all contracted payor accounts. The scope includes all professional and hospital services (diagnostic, therapeutic, or surgical) performed or billed. This position performs daily charge reconciliation and ensures all services are posted to the appropriate department in a timely manner. This position will also work with all departments to maintain a high level of charge integrity, maintain expected charge lag, and enhance reimbursement and decrease denials. Job Duties and Responsibilities • Must be onsite M-F, full time at HPMC, • Utilizes health system and external system tools to monitor charges and edits to ensure timely and accurate reimbursement of services rendered., • Conducts ongoing Charge Master activities (reviews, consolidation, revenue routing, etc.) to ensure compliance with Federal guidelines., • Enters charges and/or corrections into the appropriate system. Resolve all pre-billing edits and reconcile charge reports within the defined statement of work., • Prepares and analyzes reports on a regular basis for governmental and regulatory data, including Medicare Bad Debt and Medicare Credit Balance, and works with the leadership to help resolve any related issues., • Establishes and maintains access within the payer proprietary portals, clearinghouses, and any client specific websites required by the Revenue Cycle and financial team members., • Collaborate closely with other teams to proactively identify and resolve issues or variances in expected volumes., • Work directly with the leadership team to achieve strategic and operational objections of the department., • Support department leadership in maintaining a high level of charge data integrity., • Maintain strict confidentiality and adhere to all HIPAA regulations in handling financial and patient information. Requirements: Qualifications • Bachelor’s degree in Revenue Cycle Management or related field preferred., • 3 years of experience working with hospital charge master., • Experience with multiple host systems and Charge Master software., • Expertise with computer including Microsoft Office Suite/Teams and GoToMeeting/Zoom, etc., • Knowledge of ICD-10 Diagnosis and procedure codes and CPT/HCPCS codes, • Knowledge of rules and regulations relative to Healthcare Revenue Cycle administration, • Skilled in medical accounts investigation., • Skilled in achieving results with little to no oversight., • Skilled to investigate and resolve escalated claims, • Skilled in research to identify new rules and regulations relative to Healthcare Revenue Cycle administration, • Ability to validate payments, • Ability to make decisions and take action., • Ability to maintain a positive outlook, pleasant demeanor, mature nature during all interactions, and act in the best interest of the organization and the client., • Ability to take professional responsibility for quality and timeliness of work product.

Job Description Pre-Litigation Personal Injury Attorney Career Consulting Partners is proud to partner with a distinguished and trusted injury law firm in Los Angeles with a decades-long reputation for excellence, integrity, and client advocacy. We are seeking an experienced Pre-Litigation Attorney who is passionate about helping injured clients and takes pride in guiding cases toward fair and timely resolutions. In this role, you’ll oversee a robust caseload with the support of a dedicated team of case managers, paralegals, and legal assistants. You’ll play an integral part in ensuring that each client receives exceptional representation and that every case is fully prepared for resolution, without unnecessary litigation. You’ll find all the perks of a large PI firm here, but with the genuine, close-knit feel of a small team. What To Expect: • Manage a pre-litigation caseload of approximately 200+ personal injury matters with strong team support., • Provide leadership and mentorship to case managers on day-to-day case strategy and medical treatment coordination., • Oversee case investigations, identify key medical and legal experts, and guide the development of strong demands., • Review, edit, and approve settlement demands prepared by the demand team., • Evaluate case value and settlement opportunities to ensure optimal outcomes., • Supervise two pre-litigation case managers and maintain open communication with clients and staff., • Conduct legal research, oversee liability investigations, and review medical records and treatment summaries., • Negotiate settlements and medical liens as appropriate, always prioritizing client interests., • Collaborate closely with litigation teams to determine when cases should move forward to filing. Qualifications: • J.D. from an accredited law school and active membership in the California State Bar., • 2–5+ years of experience in personal injury law with a strong focus on pre-litigation., • Proven negotiation skills and a track record of achieving successful settlements., • Excellent communication, leadership, and organizational abilities., • Knowledge of medical treatment, insurance issues (Medi-Cal, Medicare, Kaiser, etc.), and lien negotiation., • Keen judgment in assessing case value and recognizing when to settle, file, or refer out. Compensation & Benefits • Base Salary: $120,000 – $200,000 (DOE), • Plus Commission / Attorney Fee Bonuses, • Comprehensive Medical, Dental, and Vision (HMO/PPO options), • Life, AD&D, and Aflac supplemental insurance, • 401(k), FSA, and Pet Insurance options, • Vacation, Sick, and Holiday Pay (accrue from your first paycheck), • Paid Parking or Transportation Stipend, • MCLE, Bar Dues, CAALA Events, and Professional Development are fully covered, • Tuition benefits and continuing education reimbursement, • Collaborative team structure with strong administrative and paralegal support, • Recognized as a Glassdoor 4.8-star rated employer for firm culture and employee satisfaction Location: • Los Angeles, California (90010), • Hybrid work schedule

Job Description Director of Contract Management We offer competitive salaries, full benefits package, Paid Time Off, and opportunities for professional growth. Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation touching the lives of more than 35,000 patients daily. Our mission is to remove all barriers to recovery and transform individuals, families, and communities with treatment that works. Our employees believe we are creating a better world where lives and communities are made whole again through comprehensive treatment. As the Director of Contract Management, you will manage all aspects of the contract lifecycle, provide oversight of the contract management process, and ensure consistent management of all Pinnacle Treatment Centers payor contracts. You will be responsible for evaluating, analyzing, negotiating, and implementing new payor contracts, negotiating the renewal of existing payor contracts, and monitoring contracts in place. You will also work with many internal stakeholders, including the Senior Director of Payor Operations and Analysis, to utilize financial models and analysis in negotiating rates with payers. Benefits: • 18 days PTO (Paid Time Off), • 401k with company match, • Company sponsored ongoing training and certification opportunities., • Full comprehensive benefits package including medical, dental, vision, short term disability, long term disability and accident insurance., • Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP), • $120,000 - $140,000, • Strong record of success as an emerging leader in a complex, matrixed environment, • Demonstrated record of accomplishment of building strong working relationships across internal constituents (e.g., market and regional P&L and operational leaders) and external constituents (e.g., private payors such as UHC, BCBS and Humana), • Bachelor’s degree, preferably in Business or related Healthcare administration required, • Minimum of 10 years in progressive roles in payor and/or provider organizations required, • Demonstrated analytical, project management, and leadership skills, • Sound understanding of provider revenue cycle, payor enrollment and credentialing, and materially impactful contract language, • Experience in network management and/or payor contracting, • Knowledge of value-based contract methodologies and preferred financial and administrative terms, • Ability to think independently and develop new processes and analyses as required, • Valid driver’s license in good standing, • Master's degree in business or healthcare administration or additional experience can substitute for an advanced degree, • Knowledge and understanding of health plan network operations Contracting • Develops and maintains strong payer relationships. Serves as primary organizational contact and as a communication link between payers and Pinnacle., • Identifies appropriate contracting and re-contracting opportunities, which include but are not limited to:, • Health Insurance plan offerings such as Commercial, Commercial Exchange, Medicare Advantage, • Medicaid (Managed Care Organizations) MCOs, Medi-Cal, • Independent Physician Associations (IPAs) and Primary Medical Groups, • Works with the Senior Director of Payor Operations and Analysis and the Finance department to perform business and market analyses to determine viability of contracting and to develop new and renewal rate proposals, • Leads negotiation of contract terms with payers to maximize reimbursement and long-term value of contract., • Works with the Senior Director of Payor Operations and Analysis, the Finance department, Revenue Cycle Management, Quality Assurance, Operations, and legal counsel to review proposed contract language and terms to ensure regulatory compliance with state regulations., • Monitors contract performance to ensure compliance with terms., • Collaborate with the Senior Director of Payor Operations and Analysis, and the Finance department to assemble relevant data and assess financial and operational aspects of payer performance., • Interfaces with the Revenue Cycle team to identify contractual conflicts or changes requiring escalation, communicates issues internally with appropriate parties, and leads review and resolution., • Communicates all contract changes internally., • Identifies issues and opportunities in contract renewal process., • Provides support for assessment of quality-of-care indicators and clinical outcomes., • Works with the Senior Director of Payor Operations and Analysis and legal counsel to develop corporate standards for contracts, including payment terms and legal provisions., • Provides support for assessment of quality-of-care indicators and clinical outcomes., • Facilitates ongoing dialog between Pinnacle and payer clinical and medical teams for improved outcomes including, but not limited to, decreased denied days and readmissions.

Job Description Assignment Information: Medical Enterprise: Cost Center: TBD PCC: 20773, 20774 and 20775 Address where the work is being performed 2011 N. Soto St, Los Angeles, CA 90033, 2nd Floor 100 % - On Site, no remote opportunities Job Title: Transplant Financial Coordinator Number of needs: 3 Target start date: ASAP Duration of Assignment: 13 Weeks Contract to hire opportunity: No, not at this time this is coverage for FTEs who are on leave Work hours: 8:30am 5:00pm, M-F (30 minute lunch) Dress code: Business Casual Parking/Cost: Parking pass provided but this might take a few days to secure so pay will be out of pocket by the contingent worker. Must Have's: Professional Appearance: Must Have: some type of hospital or medical clinic experience Insurance knowledge: Commercial, Medicare, Medical, HMO vs PPO Insurance Verification & Authorization Experience Ability to verify insurance coverage and submit authorizations for medical services. Patient Counseling on Insurance Plans Must be able to clearly explain insurance benefits, gaps, and options to patients. Understanding of Transplant Benefits Solid knowledge of transplant-specific insurance coverage across various plans. Real-Time Problem Solving Must be capable of providing quick, accurate insurance guidance to patients and staff. Analytical Skills Ability to analyze insurance information and communicate findings effectively. Strong Verbal & Written Communication Comfortable conveying complex information clearly to diverse audiences. Team Collaboration Expected to participate in multidisciplinary team meetings and contribute to case discussions. Process-Oriented Follows standardized steps for financial clearance and contributes to improving operational throughput. Tech Savvy Able to learn and use hospital/transplant-specific IT systems related to insurance and financial clearance. Nice-to-Haves: Epic; Cerner, OTTR experience preferred (not required). Passport Eligibility Verification System knowledge preferred (not required). Bilingual Fluency Strongly preferred; enhances communication with diverse patient populations. Experience in Transplant or Hospital Settings Prior work in a transplant program or similar healthcare environment. Experience with Complex Insurance Cases Comfort handling under-insured patients or those with lapses in coverage. Familiarity with Financial Clearance Workflows Knowledge of operational processes to accelerate clearance timelines. Participation in Process Improvement Initiatives Experience contributing to improvements in patient care or workflow efficiency. Under the direction of the TFC supervisor, the transplant financial coordinator (TFC) is a designated member of the multidisciplinary transplant team. His/her primary function is to assure transplant patients medical services are covered by insurance. This includes: insurance verification, authorization submission, effective patient counseling of insurance plans, providing insurance guidance when patients have a lapse of insurance or are under-insured and solid understanding of the complexity of transplant benefits as dictated by different insurance coverage. S/he is responsible for accelerating patient financial clearance by following standardized process steps. The TFC is also expected to problem-solve in real time and provide appropriate insurance direction to patients and staff, as needed. The TFC will participate in team meetings and discussions related to complex cases, advancing operational throughput and process improvement to benefit patient care. S/he should possess analytic skills and be able to evaluate/analyze insurance information to effectively convey and communicate to others. S/he should have excellent verbal and written skills and an ability to easily learn hospital and transplant IT systems as they relate to financial clearance and insurance. Bilingual fluency is strongly preferred. Medical Enterprise - Non-Clinical Onboarding - Must complete all onboarding requirements prior to the start date, with no exceptions. Medical Enterprise - Non-Clinical Onboarding Requirements: Background, Education, and Employment Background Check: Social Security Trace: 7 years worked and lived found by SSN Trace County Criminal F&M: 7 years Federal Criminal: 7 years Widescreen Plus National Criminal Search National Sex Offender Registry Healthcare Sanctions State OIG/SAM Education: HS Diploma (or equivalent GED) Employment: Verification of 3 Employers, with 2 out of 3 verified Other Requirements: HIPAA Training Application Temporary Worker Agreement Harassment & Discrimination Pamphlet Medical Requirements: Immunizations: MMR (Measles, Mumps, Rubella): Proof of immunity or series of 2 shots Varicella (Chickenpox): Proof of immunity or series of 2 shots Hepatitis B: Proof of immunity or series of 3 shots; worker can decline with a declination form on file TB Test: Annual test required; results must be read within 24 to 48 hours Positive TB history requires chest x-ray results Drug Screen: Must be taken within 72 hours or the offer is rescinded. 10-panel drug test including: Amphetamines Barbiturates Benzodiazepines Cocaine metabolite Opiates (Codeine, Morphine) Hydrocodone Hydromorphone Oxycodone Phencyclidine Methadone Propoxyphene Influenza Vaccination: Required for the current flu season (11/1 through 5/30) Workers starting after May 1st should wait until after September 1st for the next flu shot season Accepts signed personal/medical exemption Covid Vaccinations: Fully vaccinated with Covid-2024-25 Vaccine Accepts signed religious/medical exemption Note: All items are billable except for the drug screen. Qualified Applicants with arrest or Conviction records will be considered for Employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act

Job Description Los Palos Post-Acute Care Center, located in San Pedro, CA, is looking to hire an experienced Medicare Biller / Collector with a strong background in billing/collections in a skilled nursing environment. This position will help to support 3 nursing facilities in a centralized billing environment. The Medicare Biller / Collector will be responsible for the coordination of collecting money from Medicare and the Medicare part A and part B coinsurance. They will support the function of Medicare and Medicare coinsurance collections to give it more focus and establish efficient methods of collecting. What You Will Do: • Responsible to bill Medicare, Managed Care, Medical, Co-Insurance, and various share of costs., • Setup new admissions medical records system to bill accurately, • Review billing documentation to ensure completeness, including accuracy of Medicare claims, • Manage submission of claims to Medicare and Medicare coinsurance to medical, managed medical, supplemental plans, • Manage calls to Insurance Companies to follow up on coinsurance claims/documentation process, • Review payments for the accuracy or appeal claim paid incorrectly, • Prepare Provider Dispute Resolutions, • Ensure billing complies with CMS requirements, • Assist in creating reports for management, • Research & resolve account discrepancies, • Audit the daily census, do necessary corrections, and update payer changes., • Work with Business Office staff to ensure accuracy in last covered days, HIPPS changes, IPA, etc. -2-3 years of billing & collecting experience in a long-term healthcare environment -Excellent team building & leadership skills required -Must have knowledge of Medicare, Medicaid, pending, managed care & share of cost regulations Benefits: • Competitive pay scale based on your experience, • Great benefits – including medical, dental, Rx, and vision coverage, 401K, life and disability insurance., • Paid time off, • Dedicated and local leadership support

Skills & Knowledge * Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application pro

This will include the following: Registration, Preregistration, insurance verification, Third Party Liability (TPL) screening, Medi-Cal / Medicare eligibility verification, Workers Compensation eligibility, and securing cash deposits (co-pays, deductibles, cash packages). Req ID : 11191 Workin

This will include the following: Registration, Preregistration, insurance verification, Third Party Liability (TPL) screening, Medi-Cal / Medicare eligibility verification, Workers Compensation eligibility, and securing cash deposits (co-pays, deductibles, cash packages). Req ID : 9569 Working

This will include the following: Registration, Preregistration, insurance verification, Third Party Liability (TPL) screening, Medi-Cal / Medicare eligibility verification, Workers Compensation eligibility, and securing cash deposits (co-pays, deductibles, cash packages). Req ID : 9570 Working

Experience in medical professional fee billing to include Medi-Cal, Medicare, MSI, Champus and commercial insurance carriers. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. This requires an understanding

Strong knowledge of medical and insurance terminology, billing, and collections procedures and regulations. Under the general direction of the Medicare Collect/Billing Manager, the Medicare Collect/Billing Svpr Supervisor is responsible for overseeing operations and providing support and guidance to

Experience in medical professional fee billing to include Medi-Cal, Medicare, MSI, Champus and commercial insurance carriers. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. This requires an understanding

Minimum three (3) years experience in billing and collections of Medicare, Medicare Advantage, Medi-Cal, CalOptima, FQHC, CCS, Commercial, Managed Care, and other healthcare insurance programs. Demonstrated ability to facilitate accurate and timely billing and collections. Under the general directio