Medicare insurance jobs in Los Angeles, California - Page 4Create job alerts

Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team player, quick-thinker, and ready to be a part of an organization that supports your growth? WHAT WE'RE ABOUT We believe care goes beyond a medical chart. With kindness and integrity as our guide, we strive for excellence in every interaction. Requirements: • Generous Bonuses, • Growth Opportunities, • Health Benefits Assists the Director of MDS in the development, completion and transmission of the resident assessment in accordance with the state requirements and policies and goals of the facility. DUTIES AND RESPONSIBILITIES • Demonstrates commitment to company's mission, values and standards of ethical behavior., • Models a positive and professional image that emulates the organization's mission and encourages a spirit of cooperation with co-workers. Provides assistance to co-workers and promotes teamwork by sharing information useful to achieving desired results., • Ensures that all residents are treated fairly, with kindness, dignity, and respect, and their rights are protected at all times, • Respects and upholds all residents' personal and property rights whenever carrying out duties, including knocking before entering a resident's room., • Complies with all company and departmental policies and procedures., • Participates in development and completion of preliminary and comprehensive resident assessment (MDS) and Care Plan in accordance with current rules, regulations, and guidelines, including the implementation of CAAs and Triggers and Plan of Care., • 1-3 years' experience providing direct care to multiple patients/residents, one years' previous MDS experience in Skilled Nursing environment preferred, • Nursing degree from accredited college or graduation from approved LVN program, • Must possess current, unencumbered license to practice as an LVN in California, • Current valid CPR certification, • Knowledge of clinical standards of practice, regulations and reimbursement governing long term care and Medicare participation, • Medical insurance with Rx benefits, • Dental insurance, • Vision care, • 401k retirement savings plan *The salary range is the one that Royal Terrace Healthcare Center reasonably expects to pay for this position. The actual salary will depend on several factors (e.g., experience, educations, qualifications, etc.). Royal Terrace Healthcare Center is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Royal Terrace Healthcare Center is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation, contact the People Department @ 818-309-2454; press 2

Full time Visiting homecare RN with $15,000 Sign on Bonus, 32 days off, Medical Dental and Vision and 401K This Jobot Job is hosted by: Donna Gawroski-Kusik Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $105,000 - $125,000 per year A bit about us: Highly respected home care Agency in the NYC metro area operating with over 50 years of success in the community. Why join us? • $15,000 New Hire bonus, • Health Insurance, • Dental Insurance, • 401K plan with company match, • Tuition Reimbursement, • 4 Weeks’ vacation, • 2 Personal days, • 1 Cultural Heritage Day, • 1 Floating holiday, • 8 Sick days, • Referral bonus program, • Mileage reimbursement based on IRS guidelines Job Details • Manage all aspects of patient care related to services provided in the home. Conduct home visits and provide care coordination with other disciplines, • Collaborate effectively with patients, physicians, RN’s and other health care professionals to provide quality patient care., • Successfully engage patient/caregiver to develop an individualized plan of care, promote healthy lifestyles, close gaps in care, and reduce unnecessary emergency room utilization and hospital readmissions., • Develop and provide health education and consultation services to community members, clients and family members., • Mediated client emergency situations by notifying proper personnel., • Completion of all required documentation, • Communication with PCP, • Completion of 485 and all interim orders, • Update medication profile, • Review and completion of case communication notes, • Daily review of follow-up items and incomplete documentation items noted in Homecare Homebase EMR, • Participation in case conferencing with respective supervisors., • MUST be highly knowledgeable of Medicaid/Medicare regulations and guidelines Interested in hearing more? Easy Apply now by clicking the "Apply" button. Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions. Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here: jobot.com/privacy-policy

Job Description Description: Primary Purpose: To analyze complex or technically difficult workers compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Essential Functions And Responsibilities Analyzes and processes complex or technically difficult workers compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within designated authority. Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. Prepares necessary state fillings within statutory limits. Manages the litigation process; ensures timely and cost effective claims resolution. Coordinates vendor referrals for additional investigation and/or litigation management. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. Additional Functions And Responsibilities Performs other duties as assigned. Supports the organizations quality program(s). Travels as required. Requirements: Must Have: Candidate with prior/current CA Indemnity and Litigated Workers Compensation experience is required. Self-Insured Plans certification. Candidate Must Live in California: Prefer if someone could be in-office in either Roseville, CA or Long Beach, CA, preferably within driving distance of either office in case it is required for them to come in for a quarterly client meeting and training. 3-6 months project, possible for extensions Qualification Education & Licensing Bachelors degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Five (5) years of claims management experience or equivalent combination of education and experience required. 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 procedures as applicable to line-of-business. Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations Work Environment When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking Note: Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any tim

Job Description OUR COMMITMENT TO A HUMAN HIRING PROCESS We believe every candidate deserves thoughtful consideration. That's why we do not use AI or automated systems to review applications. Every application is reviewed by a real human member of our team. Because we take the time to give each submission the attention it deserves, our review process may take a little longer — and we genuinely appreciate your patience as we work through applications carefully and respectfully. SERVICE AREA PREFERENCE While we encourage all interested applicants to apply, we do give priority to those who live in, or near, our service counties: Santa Cruz, Monterey, Merced, San Benito, and Mariposa. Our mission of accessible, quality health care guided by local innovation leads everything we do, and having team members who are connected to the communities we serve strengthens our ability to deliver on that commitment. ABOUT THIS TEMP POSITION This is a temporary position and the length of assignment is estimated to go until December 31, 2026. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Medicare Sales Director, this position: • Increases membership in the Alliance Medicare D-SNP program through direct sales and marketing of Alliance Medicare products to dual-eligible, Medicare/Medi-Cal recipients within assigned service area, • Develops a sales network to generate leads and provide opportunities for outreach, • Supports Medicare Sales Department activities and programsTHE IDEAL CANDIDATE, • Bilingual (English/Spanish), • A current license to sell Accident and Health or Sickness insurance issued by the State of California Department of Insurance, • Possession of current AHIP certification, • Background in Medicare sales, • Skilled in communicating complex products by simplifying information for audiences of all backgrounds, • Experience using CRM tools, nurturing leads, and following up with potential members, • Knowledge of:, • The Medicare program and related regulations, • CMS regulations related to Medicare sales, • The principles and practices of sales techniques utilized in a highly regulated industry, • Ability to:, • Quickly develop an in-depth knowledge of all Alliance Medicare and Medi-Cal products and provider networks within assigned service area, • Accurately identify and qualify prospective members, • Assess individuals' insurance needs and recommend appropriate coverage, • Execute defined sales strategies and achieve program goals and objectives, • Education and Experience:, • Possession within three months of hire and continued maintenance of a license to sell Accident and Health or Sickness insurance issued by the State of California Department of Insurance, • Possession within three months of hire and continued maintenance of current AHIP certification, • Bachelor's degree in Business, Marketing, Healthcare Administration or a related field and a minimum of five years of experience in insurance sales, pharmaceutical sales, medical equipment sales, or a related area (an additional four years of experience may substitute for the Bachelor's degree); or an equivalent combination of education and experience may be qualifying OTHER INFORMATION • This is a remote position., • While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings may be expected., • We anticipate that the interview process will take place remotely via Microsoft Teams., • In-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process. The posted hiring ranges below represent a good‑faith estimate of what a temporary employee would be paid on this assignment. Final compensation will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferable experience related to the position, education, or training), as well as other factors (internal equity, market factors, and geographic location). The applicable salary ranges are based on work location and are aligned to a zone according to the cost of labor in your area. All ranges are subject to change in the future. We are happy to answer any questions that you have or share the applicable pay zone for your location if it's not one of the typical areas included below. You can reach out to , and a member from our Talent Acquisition team will be in touch. • Zone 1: $40- $50/ hour, • Typical areas in Zone 1: Santa Cruz, San Benito, and Monterey Counties, Bay Area, Sacramento, Los Angeles and San Diego areas, • Zone 2: $37 -$47/ hour, • Because this is a Temporary assignment, the Medicare Sales Agent will not be eligible for incentive payouts., • This is a temporary position and does not provide the benefits that are listed below (this is standard language from our regular job posts and cannot be altered or removed). OUR BENEFITS • Medical, Dental and Vision Plans, • Ample Paid Time Off, • 12 Paid Holidays per year, • 401(a) Retirement Plan, • 457 Deferred Compensation Plan, • Robust Health and Wellness Program, • Onsite EV Charging Stations The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer Join us at Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors and people with disabilities in Mariposa, Merced, San Benito and Santa Cruz counties. We currently serve more than 418,000 members. To learn more about us, take a look at our Fact Sheet. At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

Job DescriptionAdd a High-Demand Cancer Insurance Product to Your Portfolio Looking for a proven supplemental product that meets a real client need and creates consistent, repeatable income? Team Nexa Insurance Solutions is expanding access to a comprehensive cancer insurance product and is seeking licensed agents who want to add a strong, easy-to-position offering to their sales portfolio. This product fits perfectly for agents already working in Final Expense, Medicare, health, or supplemental insurance. Why Agents Like This Product * High consumer demand – Cancer coverage is relevant and easy for clients to understand * Straightforward sales conversation – Clear benefits, simple positioning * Excellent cross-sell opportunity – Works well alongside Final Expense, Medicare, and health plans * Predictable production – Ideal for building steady supplemental income * Client value-driven – Helps families manage the financial impact of cancer treatment Why Work with Team Nexa * Competitive compensation * Low-cost lead program options * Live product training and ongoing support * Small-group and one-on-one coaching * Strong team culture with accountability * Access to multiple carriers to build a diversified, flexible book of business At Team Nexa, we focus on systems, training, and long-term agent success—not hype or empty promises. Who This Is a Good Fit For * Licensed life and/or health insurance agents * Agents already selling Final Expense, Medicare, or supplemental products * Producers looking to add income without added complexity * Agents who value training, support, and professional growth Interested in Learning More? If you want to offer a cancer insurance product with strong demand and do it with the support of an agency that invests in its agents, Team Nexa Insurance Solutions would like to connect. Build income. Add value. Grow with purpose. Join our LIVE Informational Meeting. Pre-Registration Required - Click Here Powered by JazzHR ZKuIDmi2ih

Job Description Job Purpose The purpose of this role is to deliver comprehensive in-home and in-center assessments and determine appropriate levels of care for participants, ensuring their needs are accurately identified and addressed. The role involves active participation in quality assurance programs and audits to maintain and enhance service standards. As a key member of the Interdisciplinary Team (IDT), the role is crucial in collaborating with other disciplines to develop and refine individualized care plans, ensuring a coordinated and effective approach to participant care. This is a fully on-site position based in Los Angeles, CA. Remote work is not available. Applicants must be able to work on-site daily and be willing to relocate if currently residing outside the area. Duties and Responsibilities • Performs an initial comprehensive history and physical assessment on new enrollees, interval assessments on established participants (semi-annually, as condition necessitates or as requested) and documents in the medical record as required., • Functions as a member of the Interdisciplinary Team (IDT), communicates participant changes to team members, and participates in IDT meetings. Provides updates to the IDT on a regular basis., • Assists in the development, implementation and evaluation of the participant plan of care as described in policy. Develops care planning goals based on the expressed wishes and preferences of participants within the context of their medical and psychosocial conditions., • Evaluates and treats participants with episodic illnesses and documents in the medical record as required by policy., • Provides, promotes, and educates participants and families on health maintenance of their chronic medical conditions and actively participates in family conferences., • Regulates and adjusts participant medications as needed and in accordance with their changing health conditions. Collaborates with pharmacists, as needed., • Communicates with attending physicians when participants are hospitalized and advocates for care that is consistent with the participant’s expressed wishes and values., • Coordinates discharge planning with the IDT and hospital discharge planners., • Manages participant’s care if admitted to a skilled nursing facility (SNF). Regularly visits the SNF for participant evaluation. Communicates with SNF staff as requested/required., • Participates in committees, work groups, and Quality Improvement activities as needed., • Participates in the coordination of the participant’s 24-hour delivery of care services., • Maintains current accurate documentation of diagnoses, health care services provided, coordinated or contracted., • Promptly addresses inquiries from medical records staff and coding specialists., • Collaborates with the Medical Director and Advance Practice Professionals in the provision of medical care., • Performs home visits, when needed, and participates in a 24-hour on call rotation with other Primary Care Providers., • Evaluates the effectiveness of the participant’s plan of care and revises as appropriate., • Obtains a complete health history and records the findings in a systematic organized manner., • Performs physical examinations, orders and evaluates appropriate laboratory and diagnostic tests in a cost-effective manner, and records systematically., • Performs functional status evaluation and/or mental status examinations using standardized procedures., • Identifies and describes behavior patterns of the chronically ill., • Triages status changes in participants and facilitates appropriate management of problem identified., • Provides preventive health care and health promotion for PACE participants., • Treats and manages acute chronic illnesses in the day health center, nursing home, group home, or in participants’ homes., • Regulates and adjusts medications as needed and in a cost-effective manner., • Provides inpatient attending coverage when participant is hospitalized or admitted to a nursing home and communicates participant status the PACE IDT team., • Works as supervising physician with the nurse practitioner or clinical nurse specialist., • Functions as a member of the interdisciplinary team and participates in the development of the comprehensive plan of care and ongoing monitoring of the participant’s health status, providing geriatric and medical knowledge when needed., • Maintains current, accurate documentation of health care services provided and coordinated or contracted for., • Prepares and submits reports including services provided as required., • Attends pertinent health care conferences and courses to maintain knowledge of current trends in geriatric health care., • Protects privacy and maintains confidentiality of employee, participant and sensitive agency information., • Strictly adherence to DHCS and CMS regulations and participate in audits. Education: • Must be licensed to practice medicine in the State of California. DEA registration and ability to obtain and maintain staff privileges at contracted hospitals also required. Board Certified in Internal Medicine or Family Practice; advanced certification in geriatrics preferred and/or palliative medicine is preferred., • Active California Physician License without Restrictions, • Must be currently enrolled or eligible for enrollment to provide services to Medicare and Medi-Cal participants., • BLS/First Aide certification required., • Able to speak Cantonese/Mandarin preferred. Experience: • Knowledge of physical, mental and social needs of frail older adults., • Effective skills in physical assessment and chronic disease management for frail older adults., • Effective listening and oral and written communication skills., • Demonstrated ability to work effectively within the interdisciplinary team setting., • Computer proficiency., • Able to manage changing priorities per participant needs., • Strong organizational skills., • Must be able to work required schedule., • Requires physical strength to perform essential functions of the job., • Occasional travel between sites, nursing/group homes and to members’ homes required., • Requires use of personal vehicle., • Requires valid driver’s license., • Requires proof of automobile insurance coverage at the following minimum amounts in order to be reimbursed for mileage: $100,000/$300,000 personal liability and $100,000 property damage., • Must be able to remain in a stationary position 50% of the time., • Ability to occasionally move about inside the office to access file cabinets, office machinery, etc., • Able to operate a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer., • Able to constantly position yourself to maintain files in file cabinets such as reaching with hands and arms, kneeling, crouching, etc., • The ability to communicate, detect, converse with, discern, convey, express oneself, and exchange information is crucial for this role. Compliance with the Americans with Disabilities Act (ADA) Our center is dedicated to fostering an environment that is inclusive and accessible, welcoming everyone with open arms. We strictly follow the guidelines outlined by the Americans with Disabilities Act (ADA), which includes a prohibition on discrimination in employment practices and other terms and conditions of employment. By joining us, you will become part of an organization that cherishes diversity, inclusivity, and equal opportunity. Together, we can make a meaningful difference in our community and positively influence the lives of those we serve.

Job DescriptionAbout Pair Team At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care - clinical, behavioral, and social - by partnering with organizations deeply connected to the communities we serve. We're building a care model that empowers clinicians and care teams to do what they do best: provide compassionate, high-impact care. At Pair Team, we leverage AI and automation to reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support. Our work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients. We're one of the largest Enhanced Care Management providers in California and are on track to build the nation's largest clinically integrated network supporting high-need patients. Our model has demonstrated real impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions. At Pair Team, were not just delivering care - we're building the future of more equitable, community-driven healthcare. Our Values • Lead with integrity: We keep our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection., • Embrace challenges: We leave our egos at the door and step forward into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness., • Break through walls: We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status quo., • Act beyond yourself: We build each other up and respect boundaries. We seek first to understand and assume positive intent., • Care comes first: We hold ourselves to the highest standards for our patients. We are relentless in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.In the News, • Forbes: For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most, • TechCrunch: Building for Medicaid's regulatory moment with Neil Batlivala from Pair Team We seek a full-time Lead Care Manager to play a critical role in our whole-person, interdisciplinary care model, responsible for directly outreaching and engaging with individuals living with Serious Mental Illness/ Substance Use Disorder, experiencing homelessness, and/or those who have high medical needs. We believe in the power of trust and relationships to successfully engage those who may have never received the kind of whole-health care that Pair Team can provide. This position primarily allows for remote work; however, it includes 2-3 times a month on-site visits in the community alongside a fellow PairMate. You can expect to engage in these in-person activities 2-3 times per month, close to your city, while the majority of your duties, approximately 90%, will be performed from your home What You'll Do • Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals, • Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system, • Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members, • Work with member to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan, • Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks, • Collaborates on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager, and nurse practitioner before taking clinical actions, • Consistently meet monthly encounter metrics to ensure compliance with health plan regulations, • Identify and break down barriers ensuring individuals' continuation with the program, • Assists individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups, • Coordinate physical care management appointments through collaboration with external and internal providers, • Utilize external and internal online platforms to collaborate with team members and carry out daily tasks What You'll Need • 1+ years of general work experience (Case Management preferred), • You are physically located in California, • Field Ops requires you to maintain reliable transportation for engagement at clinic, community based organization, and health system partner locations, • Virtual Ops requires a quiet, HIPAA compliant and internet connected space, • Bilingual – English/Spanish, • Strong understanding of cultural fluency, • High degree of empathy, • Ability to work collaboratively in a multidisciplinary team, • An eye for optimization, • Organizational skills, • Ability to remain patient when faced with adversity, • Strong technical skills and comfort with technology innovation, past experience with CRM databases, basic Excel, Word, email, and video conferencing, • A valid driver's license and auto liability insurancePreferred Qualifications:, • Demonstrated professional or personal lived experience working closely with individuals experiencing complex chronic needs, homelessness, or Severe Mental Illness/Substance Use Disorder, • 2+ years of case management experience, • Experience with motivational interviewing, • Knowledge of medical terminology, • Zest for problem solving, seeking answers, and thinking outside the box, • Detail-oriented and organized self-starter who is a rockstar multitasker, • Reliable and comfortable in an ever-changing environment Because We Value You • Salary: $22-$25/hour, • Comprehensive health, vision & dental insurance, • 401k, • Monthly $100 work from home expense stipend for your WFH days, • Gas reimbursements for your on-site engagement days, • Flexible vacation policy -- take the time you need to recharge!, • We provide all of the equipment needed for the role, • Opportunity for rapid career progression with plenty of room for personal growth! Pair Team is an Equal Opportunity Employer. At Pair Team, we value diversity and strive to provide an inclusive environment for all applicants and employees. All applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law. Pair Team participates in E-Verify to verify employment eligibility for new hires. Any offer of employment at Pair Team is conditioned upon passing a pre-employment background check. Following a conditional job offer, candidates will undergo comprehensive employment background checks, including; criminal history, reference checks, and driving records if a role requires vehicle use. We do not conduct any TA business outside of our @pairteam.com emails. If you're ever concerned about spam or fraudulent activity, please reach out to . Note: Please be aware that while we sincerely appreciate your interest, due to the high volume of requests, we're unable to respond to general position inquiries via email. To apply for a position with us, please submit your application for the role you are interested in. Our team regularly reviews applications and will reach out to candidates whose qualifications align with our current openings listed below. Thank you!

Job DescriptionAbout Pair Team At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care - clinical, behavioral, and social - by partnering with organizations deeply connected to the communities we serve. We're building a care model that empowers clinicians and care teams to do what they do best: provide compassionate, high-impact care. At Pair Team, we leverage AI and automation to reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support. Our work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients. We're one of the largest Enhanced Care Management providers in California and are on track to build the nation's largest clinically integrated network supporting high-need patients. Our model has demonstrated real impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions. At Pair Team, were not just delivering care - we're building the future of more equitable, community-driven healthcare. Our Values • Lead with integrity: We keep our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection., • Embrace challenges: We leave our egos at the door and step forward into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness., • Break through walls: We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status quo., • Act beyond yourself: We build each other up and respect boundaries. We seek first to understand and assume positive intent., • Care comes first: We hold ourselves to the highest standards for our patients. We are relentless in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.In the News, • Forbes: For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most, • TechCrunch: Building for Medicaid's regulatory moment with Neil Batlivala from Pair Team We seek a full-time Lead Care Manager to play a critical role in our whole-person, interdisciplinary care model, responsible for directly outreaching and engaging with individuals living with Serious Mental Illness/ Substance Use Disorder, experiencing homelessness, and/or those who have high medical needs. We believe in the power of trust and relationships to successfully engage those who may have never received the kind of whole-health care that Pair Team can provide. This position primarily allows for remote work; however, it includes 2-3 times a month on-site visits in the community alongside a fellow PairMate. You can expect to engage in these in-person activities 2-3 times per month, close to your city, while the majority of your duties, approximately 90%, will be performed from your home What You'll Do • Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals, • Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system, • Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members, • Work with member to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan, • Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks, • Collaborates on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager, and nurse practitioner before taking clinical actions, • Consistently meet monthly encounter metrics to ensure compliance with health plan regulations, • Identify and break down barriers ensuring individuals' continuation with the program, • Assists individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups, • Coordinate physical care management appointments through collaboration with external and internal providers, • Utilize external and internal online platforms to collaborate with team members and carry out daily tasks What You'll Need • 1+ years of general work experience (Case Management preferred), • You are physically located in California, • Field Ops requires you to maintain reliable transportation for engagement at clinic, community based organization, and health system partner locations, • Virtual Ops requires a quiet, HIPAA compliant and internet connected space, • Bilingual – English/Spanish, • Strong understanding of cultural fluency, • High degree of empathy, • Ability to work collaboratively in a multidisciplinary team, • An eye for optimization, • Organizational skills, • Ability to remain patient when faced with adversity, • Strong technical skills and comfort with technology innovation, past experience with CRM databases, basic Excel, Word, email, and video conferencing, • A valid driver's license and auto liability insurancePreferred Qualifications:, • Demonstrated professional or personal lived experience working closely with individuals experiencing complex chronic needs, homelessness, or Severe Mental Illness/Substance Use Disorder, • 2+ years of case management experience, • Experience with motivational interviewing, • Knowledge of medical terminology, • Zest for problem solving, seeking answers, and thinking outside the box, • Detail-oriented and organized self-starter who is a rockstar multitasker, • Reliable and comfortable in an ever-changing environment Because We Value You • Salary: $22-$25/hour, • Comprehensive health, vision & dental insurance, • 401k, • Monthly $100 work from home expense stipend for your WFH days, • Gas reimbursements for your on-site engagement days, • Flexible vacation policy -- take the time you need to recharge!, • We provide all of the equipment needed for the role, • Opportunity for rapid career progression with plenty of room for personal growth! Pair Team is an Equal Opportunity Employer. At Pair Team, we value diversity and strive to provide an inclusive environment for all applicants and employees. All applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law. Pair Team participates in E-Verify to verify employment eligibility for new hires. Any offer of employment at Pair Team is conditioned upon passing a pre-employment background check. Following a conditional job offer, candidates will undergo comprehensive employment background checks, including; criminal history, reference checks, and driving records if a role requires vehicle use. We do not conduct any TA business outside of our @pairteam.com emails. If you're ever concerned about spam or fraudulent activity, please reach out to . Note: Please be aware that while we sincerely appreciate your interest, due to the high volume of requests, we're unable to respond to general position inquiries via email. To apply for a position with us, please submit your application for the role you are interested in. Our team regularly reviews applications and will reach out to candidates whose qualifications align with our current openings listed below. Thank you!

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 VALLEY VILLAGE 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, 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 $23 -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.

Job Description Clinical Liaison VIPC, Hospice Location: Glendale, CA (office-location) Position: Clinical Liaison VIPC, Hospice Position Type: Part-Time Remote/Virtual Position: No Coverage Area: Huntington Hospital / field-based compliance visits when there aren't Huntington Hospital patients Salary: $55 - $60 / hour Schedule: Weekend shift (20 hours) 8am-6:30pm Offer Based on Years of Experience Responsibilities Reimagining Your Career in Hospice Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best Clinical Liaison Registered Nurse RN You Can Be If you meet these qualifications, we want to meet you! • One (1) year of RN experience in local market with a strong knowledge of governmental home health regulations, Medicare requirements, and care plan development techniques, • Previous medical sales experience preferred Required Certifications and Licensures: • Licensed to practice as a registered nurse in the state of agency operation Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include: • Medical, dental, and vision coverage, • Paid time off and paid holidays, • Professional development opportunities, • Company-matching 401(k), • Flexible spending and health savings accounts, • Wellness offerings such as an employee assistance program, pet insurance, and access to Calm, a meditation, sleep, and relaxation app, • Programs to celebrate achievements, milestones, and fellow employees, • Company store credit for your first AccentCare-branded scrubs for patient-facing employees, • And more! Qualifications Come As You Are • At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.

Job DescriptionDescription: Title: Licensed Clinical Social Worker (LCSW) Base Salary Range: $92,000 – $101,000 plus benefits FTE: Full-Time - Exempt We are seeking a dynamic and experienced Licensed Clinical Social Worker who wants to make a difference in our community. We want to hear from you if you thrive in a fast-paced, caring, and compassionate environment! Our Mission: The Mission of South Central Family Health Center is to improve the quality of life for the diverse Community of inner city Los Angeles by providing affordable and comprehensive health care and education in a welcoming and multi-cultural environment. To lead the way in health care in South Los Angeles, as the premier provider and employer of choice offering comprehensive, high quality, affordable, efficient, and culturally responsive services. General Summary: Provide social services and assistance to improve the social and psychological functioning of children and their families and to maximize the family well-being and the academic functioning of children. The ideal candidate will have to perform some of the following essential duties. • Counsels individuals, groups, families, or communities regarding issues including mental health, poverty, unemployment, substance abuse, physical abuse, rehabilitation, social adjustment, child care, or medical care, • Interviews clients individually, in families, or in groups, assessing their situations, capabilities, and problems to determine what services are required to meet their needs., • Serves as liaisons between students, homes, schools, family services, child guidance clinics, courts, protective services, doctors, and other contacts to help children who face problems, such as disabilities, abuse, or poverty., • Maintains case history records and prepares reports., • Counsels parents with child rearing problems, interviewing the child and family to determine whether further action is required., • Provides skill training, patient education, and develop specific behavioral change plans with patients and evaluates patient care plans with primary care team, • Assists primary health care providers in recognizing and treating mental disorders and psychosocial problems, • Assesses the clinical status of patients referred by the primary care provider, • Assists in the detection of “at risk” patients and prevents further psychological or physical deterioration, • Consults medical director and staff clinicians as necessary and refers cases to specialty providers as appropriate, • Maintains productivity based on established standards as discussed with supervisor, • Accurately records patient history, exam notes, medication history, on-going care and referrals in medical record, according to standard format, • Supervises and trains MSWs & ACSW’s, • Attends and participate in provider, staff and Quality Assurance activities as required, • Assesses staff sensitivity and competency with behavioral health issues or in dealing with behavioral health related emergencies (domestic violence victims, suicide attempts, etc.), • Notifies and is accessible to supervisor when offsite during normal business hours, • MA Degree in Social Work or Psychology from an accredited University or College., • Current licensure by the State of California Behavioral Science Examiners Board as a Licensed Clinical Social Worker., • Must have minimum 3 years of independent counseling experience., • Must be able to work independently within scope of assigned tasks with minimum supervision., • Knowledge of MediCal, MediCare and private insurance, rules & regulations pertaining to mental health services, • Familiarity with Protective Agency reporting requirements., • Bi-lingual/bi-literate English/Spanish preferred, • Benefits: Health Care, Dental, Vision, and Life Insurance, • 403 (b) Retirement plan, • Education Reimbursement Career development: Entry-level employees have opportunities to work in management, HR or other areas of the company.Requirements:

Job DescriptionCompany Description About AbbVie AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at . Follow @abbvie on LinkedIn, Facebook, Instagram, X and YouTube. Job Description This role is field-based, and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience. Candidates may live in the following cities: • Portland, OR, • Seattle, WA This leader brings deep market access expertise to ensure the team operates effectively and in compliance with all regulations, enabling timely patient access to AbbVie therapies. Responsibilities: • Manage, coach, and support the FRM team to deliver compliant, effective access and reimbursement services., • Conduct field ride-alongs to assess performance, ensure the use of AbbVie-approved tools, and provide targeted coaching based on organizational strategic imperatives, • Collaborate with Patient Services, Managed Health Care, Sales, and Access & Reimbursement Hub to maintain consistent, compliant program execution., • Integrate patient access programs into local/regional strategies; identify and address training opportunities., • Monitor healthcare policy changes and communicate relevant insights to the FRM team., • Track call activity and operational capacity using analytics tools., • Implement quality control measures to ensure compliance with AbbVie standards and procedures., • Drive professional development for direct reports, providing clear career progression and performance oversight. Qualifications, • Bachelor's degree required; Master's degree preferred., • Minimum 5 years of experience in coverage, coding, managed healthcare, and/or market access in neuroscience in Managed Health Care, Payer Account Management, Field Reimbursement Manager or equivalent role, • Minimum 3 years of experience leading field teams, successful team coaching, management and personnel development experience, • Thorough understanding of the technical payer policy processes, systems and requirements for coverage, coding and payment for specialty medicines, • Demonstrated understanding of the rules, regulations and risks associated with provision of reimbursement support services and how to monitor and mitigate for those risks. Demonstrated deep technical understanding of coverage, coding, payment and distribution of specialty products and the rules and regulations that govern provision of reimbursement support., • Comprehensive understanding of Parts A, B, C and D or Medicare and associated reimbursement dynamics, • Strong understanding of drug acquisition and dispensing in the Neuroscience space (role of Specialty Pharmacies, Specialty Distributors and white-bagging, etc.), • Track record of strong leadership contributions, • Driving a personal auto or company car or truck, or a powered piece of material handling equipment, • Valid driver’s license: Ability to pass a pre-employment drug screening test and meet safe driving requirements., • An essential requirement of your position is to satisfy all applicable health care industry representative (HCIR) credentialing requirements to gain and maintain entry into facilities and organizations that are in your assigned territory. You must also be in good standing and/or eligible to obtain these credentials., • These HCIR credentialing requirements may include, but are not limited to, background checks, drug screens, proof of immunization/vaccination for various diseases, fingerprinting and specific licenses required by individual state or cities. Please remember that you are solely responsible for ensuring that you satisfy all HCIR credentialing requirements and for any associated liability for failing to do so. to AbbVie has resources to answer questions you may have regarding your responsibilities. Additional Information Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: • The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future., • We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees. AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled. US & Puerto Rico only - to learn more, visit US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more:

Job Description:\n\n INTRODUCTION: Central Neighborhood Health Foundation is a Federally Qualified Healthcare Center (FQHC) committed to the Triple Aim as described by the Institute for Healthcare Improvement. Improving the US health care system requires simultaneous pursuit of three aims: 1) improving the experience of care, 2) improving the health of populations, and 3) reducing per capita costs of health care. Preconditions for this include the enrollment of an identified population, a commitment to universality for its members, and the existence of an organization (an "integrator") that accepts responsibility for all three aims for that population. SUMMARY: Under the direction of the Chief Medical Officer (CMO), the Nutritionist provides nutrition consultation and education for patients and their families who are screened at nutrition risk, identified with nutrition risk, and/or referred by physicians or other healthcare providers for nutrition-related problems, chronic disease management, management of nutrition support, to meet regulatory requirements, or for prevention and wellness. The Nutritionist is an integral part of the multidisciplinary team who serves as the patient’s nutrition advocate. The Nutritionist ensures that the patient’s nutrition needs are being met, including when nutrition support (enteral or parenteral) initiation and/or management is necessary, during patient care, and clinic visits. Primary responsibilities include application of the Nutrition Care Process (NCP), including completion of the nutrition assessment, determination of the nutrition diagnosis, developing and implementing evidence-based nutrition intervention(s), monitoring and evaluating the patient’s progress, and communicating the nutrition care plan with other members of the care team through effective verbal and written communication. The nutrition assessment can include nutrition-focused physical exam, identification and documentation of malnutrition, and care plan development for patients with complex medical, surgical, and biochemical histories. The Nutritionist provides evidence-based medical nutrition therapy to patients of varying acuity levels. The Nutritionist works independently and performs business and supervisory functions, such as management of resources cost-effectively, and participates in compliance and quality performance improvement efforts to ensure nutrition care is safe and effective, and oversees the experiences for dietetic interns. The Nutritionist is an integral part of the multidisciplinary team, is involved in education of physicians, residents, medical students, other health professionals, and patients as requested via lectures and in-service opportunities and team conferences, and contributes to the development and revision of organizational policies and guidelines. The Nutritionist maintains professional competency and skills required for professional practice. ESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following functions:1. Patient CareNutrition AssessmentConducts a nutrition assessment when warranted by a patient’s needs or conditions, or warranted by a regulatory requirement, including those with dialysis, solid organ transplant, or who are transplant donors.Select assessment tools and procedures (matching the assessment method to the situation) and apply assessment tools in valid and reliable ways.Reviews dietary intake for factors that affect health conditions and nutritional risk.Utilizes medical history, laboratory data, drug profile, anthropometric measurements, and diet history to evaluate nutrition-related consequences.Performs nutrition-focused physical exam (NFPE) during assessments on patients to determine risk and/or degree of malnutrition when indicated.Evaluates psychosocial, functional, and behavioral factors related to food access, selection, preparation, physical activity, and understanding of health conditions.Evaluates patient and family’s knowledge, readiness to learn, and potential for changing behaviors.Observes patient and family for nonverbal and verbal cues that can guide and prompt effective interviewing methods.Organizes and categorizes the data in a meaningful framework that is related to nutrition problems.Determines when a problem requires consultation or referral to another provider or service.Nutrition DiagnosisFind patterns and relationships among the data and possible causes for the nutrition problemPrioritizes the relative importance of nutrition problems for optimal patient health, recovery from illness, management of chronic disease, or disease prevention.Documents the nutrition diagnostic statement in PES (problem, etiology, and signs/symptoms) and provides supporting evidence within the progress note.Nutrition InterventionFormulates and determines a plan of action that is focused on the etiology of the problem and known to be effective based on best current knowledge of evidence from Evidence-Based Nutrition Practice Guidelines.Provides specialized nutrition care/support to chronically ill, acutely ill, and/or critically ill patient populations and educates patients as appropriate.Assesses educational needs and provides nutrition counseling based on individual needs, including nutrient requirements, knowledge and abilities, and medical, economic, and social situation. Identifies services that can be completed by the dietetic technician if applicable to the area of practice for the Nutritionist.Evaluates the achievement of learning objectives by the patient and/or family. Provides appropriate follow- up in accordance with the patient’s treatment goals, referring patients for community or home health services as appropriate.As needed, delegates or coordinates the nutrition plan of care with other healthcare professionals.Implements the nutrition intervention, including communicating the plan of nutrition care to the patient and family, and the patient’s care team.Attends and participates in multi-disciplinary meetings as the nutrition expert.Reviews and communicates drug-nutrient and drug-drug incompatibilities that impact a patient’s nutrition status and/or nutrient utilization.Provides appropriate follow-up in accordance with the patient’s treatment goals; transitions care, through referral, to other nutrition professionals when appropriate.Collects data and modifies the plan of care as needed. Nutrition Monitoring and EvaluationUtilizes monitoring and evaluation techniques that consider the patient’s nutrition needs as well as cultural, religious, and ethnic concerns.Monitors patient’s tolerance to treatment modalities and progress through checking patient understanding and compliance with plan; determines whether the intervention is being implemented as prescribed; provides evidence that the plan/intervention strategy is or is not changing patient behavior or status; identifies other positive or negative outcomes; gathers information indicating reasons for lack of progress; and supports conclusions with evidence.Measures outcomes through selecting outcome indicators relevant to the nutrition diagnosis, outcomes, and quality management goals, and the use of standardized indicators. Evaluates the effectiveness and measures progress toward outcomes of nutrition interventions.Evaluates outcomes by comparing current findings with previous status, intervention goals, and/or reference standards.Documentation, Education, and Continuation of CareDocuments relevant, accurate, and timely information performed in steps in the Nutrition Care Process in the patient’s electronic medical record in accordance with departmental standards.Determines continuation of care based on whether the patient has met intervention goals or is not at this time able/ready to make needed changes.Participates in planning and education of home nutrition support when necessary.Communicates and influences treatment interventions determined by the medical team through interdisciplinary meetings, medical conferences, and nutrition-related in-services.Coordinates care with colleagues in a variety of medical and home settings to ensure appropriate transitions of care are addressed to meet patients’ needs.Serves as an educator and resource to medical staff and allied health personnel on nutrition issues, including nutrition support therapy principles, content, and issues as needed for specific patient populations.Functions as a clinical preceptor in a teaching role for other health care professionals, patients, and the community, as assigned.ComplianceDemonstrates accountability for proper use of the patient’s protected health information imposed by regulatory requirements of the Health Insurance Portability and Accountability Act (HIPAA) of 1996.Ensures that care delivered to each patient is in accordance with the state form of dietetics regulations, licensing, certification, or registration.Assists in achieving compliance with NCQA or other accrediting agency standards to continuously improve the safety and quality of care to the public and to the organization’s performance improvement.Complies with federal requirements set forth under the Centers for Medicare and Medicaid Services (CMS) to receive Medicare/Medicaid payment. Ensures state and local certifications for health, safety, and quality standards are met.The Nutritionist uses the Scope of Dietetics Practice Framework (SODPF) to determine the scope of practice, established Standards of Practice and Professional Performance (SOP/SOPP) in nutrition care and practice-specific dietetics, and, as available, evidence-based practice protocols/nutrition practice guidelines to help determine nutrition intervention(s).Community OutreachDevelops and teaches nutrition curriculum for community outreach programs and the clinical nutrition service line, utilizing evidence-based information and multi-media technology when requested.Participates in community projects as needed/assigned.Business/Supervisory FunctionsParticipates in and completes activities/work projects individually, collaboratively with colleagues, or with other employees, and critically evaluates accomplishments as directed.Maintains productivity standards and practices for effective time management and prioritizing tasks.Maintains accurate documentation of time required for patient care activities.Maintains accurate record-keeping of appointments for scheduling and analysis of revenues from claims and billing reports for medical nutrition therapy services when working in the clinic setting.Manages resources (time, materials, and staff) cost-effectively.Understands and complies with third-party payers’ policies and regulations for ambulatory medical nutrition therapy services when assigned to work in the clinic setting.Participate in the orientation and training of new staff.Participates in the periodic review of nutrition practice and formularies to include best practice, new products, equipment review, and selection of applicable policies and procedures.Promotes cost-effective solutions.Performance ImprovementUses trends in patient satisfaction, effectiveness of therapy, and education to implement changes to improve personal and organizational performance.Participates in and/or initiates continuous quality improvement activities for the nutrition service line.Participates in planning and developing nutrition-related policies, procedures, and goals.Conducts in-services and education presentations to the organization’s staff.Assists in developing and revising patient education materials, clinical practice guidelines, and protocols.Supports and promotes the organization’s infection control, safety, risk management, and customer/guest relations programs.Professional DevelopmentActs as a resource for medical staff on the nutritional management of patients.Interprets and presents current clinical knowledge, standard of care, and research to improve patient care and the nutrition service line.Develops and maintains nutrition practice knowledge, motivational interviewing skills, Nutritionist registration, and continuing education requirements.Participates in nutrition research studies and communicates findings through reports, abstracts, presentations, and publications.Develops and implements an individualized portfolio plan for professional growth and development, including participation in professional organizations and activities, workshops, seminars, and staff development programs.Participates in departmental and interdisciplinary meetings, committees, task forces, and projects.Consults with medical/clinical staff concerning staff learning opportunities, and works with them to maximize clinical staff comfort level and competencies in the care of patients with nutrition-related diseases.Performs other related duties as required QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION AND/OR EXPERIENCE: Minimum Bachelor’s Degree in Nutrition or related field. Preferred Certified in Health Care Coach or related field. Minimum one (1) year of clinical and nutrition-related experience. Preferred Two (2) years of clinical and nutrition-related experience NECESSARY SKILLS: Knowledge of the Nutrition Care Process and the ability to apply all steps. Comprehensive knowledge, application of medical nutrition therapy, human behavior, and techniques for affecting behavior change. Comprehensive knowledge and application of nutrition support services. Critical thinking to integrate facts, informed opinions, active listening, and observations. Decision making, problem solving, and collaboration. Excellent counseling skills and ability to relate to a multi-ethnic community and varied learning levels. Strong interpersonal skills to establish productive working relationships with multidisciplinary teams and support services. Ability to communicate effectively in both written and verbal form to patients, the public, medical staff, and physicians. Ability to organize tasks and function independently. Ability to counsel and motivate others, as individuals and as a group. General knowledge of nutrient analysis, word processing, spreadsheets, and professional presentation software. WORKING CONDITIONS: Working conditions described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. Variations in conditions may occur under certain circumstances. PHYSICAL REQUIREMENTS Ability to lift up to 20 pounds maximum with frequent lifting and/or carrying of objects weighing up to 10

Job Description Join a Company That Puts People First! Licensed Vocational Nurse – LVN We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here’s what sets us apart: Award-Winning Culture • Indeed’s Work Wellbeing Top 100 Company Monday-Friday 3pm to 11pm - Anaheim - Trach dependent patient Monday-Friday 1pm to 10pm - Fountain Valley - Ventilator dependent patient Pay rate: $30-34/HR - Depending on specific case Why Join Us? • Health, Dental, Vision and Company-Paid Life Insurance, • Paid Time Off Available, • Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability!, • 24/7 Local support from operators and clinicians, • Aveanna has a tablet in each patient’s home allowing for electronic documentation, • Career Pathing with opportunities for skill advancement and paid training, • Weekly and/or Daily Pay, • Employee Stock Purchase Plan with 15% discount We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Licensed Practical / Vocational Nurses (LPN/LVN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader. Qualifications • Must have and maintain an active, unencumbered LVN license, • Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary., • TB skin test (current within last 12 months), • Twelve (12) months prior hands-on nursing experience required CCPA Notice for Job Applicants, Contractors, and Employees Residing in California Position Overview The Licensed Practical Nurse (LPN/LVN) is responsible for providing and documenting skilled nursing care, under the supervision of a Registered Nurse, in accordance with the developed care plan and physicians orders for each individual patient while adhering to confidentiality standards and professional boundaries at all times. Essential Job Functions • Responsible for the delivery and coordination of quality patient care in compliance with physician orders., • Continuously observes and assesses patient condition and care needs and reports changes in condition to the supervisor and/or physician as appropriate., • Documents all activities, assessments, nursing actions, responses and coordination of care in a timely manner whenever care is delivered., • Participate, implement and update the nursing care plan., • Takes appropriate nursing action based on assessment and achieves expected outcomes., • Recognizes changes in patient needs and responses requiring intervention and implements care to prevent risk or reduce risk., • Accepts responsibility for personal and professional accountability by complying with Aveanna policies, state and federal regulations, accrediting bodies and the Nurse Practice Act., • Provide care utilizing infection control measures that protect both the staff and the patient according to OSHA standards., • Educates the patient and family regarding the disease process, self-care techniques, and prevention strategies, and in meeting the patient’s nursing needs., • Maintain knowledge of competencies related to the nursing profession by participating in educational programs, continued education units, internal learning management skills and skill evaluations. Requirements • Graduate of an accredited school of nursing., • Current, unrestricted state license as a Licensed Nurse in the state of practice, • Current CPR certification, • South Carolina – One (1) year of pediatrics experience, • California – One (1) year of experience required working under current nursing license, • Louisiana – One (1) year of experience required working as a licensed nurse, • Continuing Education as required by state Preferences • Six (6) months of recent experience as a Licensed Nurse in a clinical care setting, • Home health experience Other Skills/Abilities • Attention to detail, • Time Management, • Effective problem-solving and conflict resolution, • Good organization and communication skills Physical Requirements • Must be able to speak, write, read and understand English, • Must be able to travel, • Must be able to lift 50 pounds, • Must be able to sufficiently reposition patients and move equipment without assistance, • Prolonged walking, standing, bending, kneeling, reaching, twisting, • Must be able to sit and climb stairs, • Must have visual and hearing acuity, • Must have strong sense of smell and touch, • Must be able to sufficiently reposition patients and move equipment without assistance, • Must be able to appropriately respond physically and mentally to emergency situations in the home or during transport Environment • Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions, • Possible exposure to blood, bodily fluids and infectious diseases Other Duties • Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California Notice for Job Applicants Residing in Florida

Job DescriptionJob Title: Claims Compliance AuditorJob Description The Claims Compliance Auditor is responsible for performing audits and compliance reviews related to claims processing, benefit analysis, and authorization validation. This role supports claims management by overseeing workflow, conducting detailed claim reviews, managing special projects, and ensuring adherence to contractual, regulatory, and system requirements. The Auditor identifies potential compliance risks, recommends corrective actions, and develops strategies to reduce adjudication errors while tracking and reporting findings to leadership. Key ResponsibilitiesCase Follow-Up and Tracking • Follow up on cases referred to physicians and update EZ-CAP accordingly, • Manage and track a high volume of open cases, • Ensure accurate documentation and timely resolution of assigned casesAuthorization Validation and Claims Review, • Review institutional claims with existing authorizations to determine if authorization could have been used to process the claim; update EZ-CAP accordingly, • Review professional claims to validate whether prior authorization is required per contract, • Prepare cases for denial and return to examiners when appropriate, • Confirm the validity of attached authorizations for claim processing, • Maintain accurate and compliant updates within EZ-CAPSpecial Case and Sensitive Service Review, • Review sensitive services claims for compliance and authorization requirements, • Review Guardant cases by researching authorization status within REA, • Process administrative denials when appropriate and update EZ-CAPCompliance, Risk, and Reporting, • Identify potential compliance and adjudication risks, • Analyze outcomes of special projects and trending data, • Provide findings, insights, and recommendations to claims management, • Support continuous improvement initiatives related to claims accuracy and complianceRequired Skills & Qualifications, • Strong working knowledge of HMO claims processing, • Experience with claim denials and authorization-driven adjudication, • Proficiency with EZ-CAP (EZCAP) or similar claims systems, • Knowledge of Medicare claims, CPT codes, and Medicare guidelines, • Strong analytical, research, and documentation skills, • Proficiency with Excel and data tracking toolsPreferred Qualifications, • Minimum of 5 years’ experience in claims processing and system configuration within a healthcare environment, • Experience collaborating with management and project stakeholders to identify business process issues, improve operational efficiency, and implement solutions, • Ability to analyze workflows, measure outcomes, and support compliance-driven initiativesExperience Level Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision, • Critical Illness, Accident, and Hospital, • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available, • Life Insurance (Voluntary Life & AD&D for the employee and dependents), • Short and long-term disability, • Health Spending Account (HSA), • Transportation benefits, • Employee Assistance Program The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Job Description Join a Company That Puts People First! Licensed Vocational Nurse – LVN We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here’s what sets us apart: Award-Winning Culture • Indeed’s Work Wellbeing Top 100 Company Schedule: Sat & Sun 11PM to 7AM Why Join Us? • Health, Dental, Vision and Company-Paid Life Insurance, • Paid Time Off Available, • Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability!, • 24/7 Local support from operators and clinicians, • Aveanna has a tablet in each patient’s home allowing for electronic documentation, • Career Pathing with opportunities for skill advancement and paid training, • Weekly and/or Daily Pay, • Employee Stock Purchase Plan with 15% discount We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Licensed Practical / Vocational Nurses (LPN/LVN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader. Qualifications • Must have and maintain an active, unencumbered LVN license, • Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary., • TB skin test (current within last 12 months), • Twelve (12) months prior hands-on nursing experience required CCPA Notice for Job Applicants, Contractors, and Employees Residing in California Position Overview The Licensed Practical Nurse (LPN/LVN) is responsible for providing and documenting skilled nursing care, under the supervision of a Registered Nurse, in accordance with the developed care plan and physicians orders for each individual patient while adhering to confidentiality standards and professional boundaries at all times. Essential Job Functions • Responsible for the delivery and coordination of quality patient care in compliance with physician orders., • Continuously observes and assesses patient condition and care needs and reports changes in condition to the supervisor and/or physician as appropriate., • Documents all activities, assessments, nursing actions, responses and coordination of care in a timely manner whenever care is delivered., • Participate, implement and update the nursing care plan., • Takes appropriate nursing action based on assessment and achieves expected outcomes., • Recognizes changes in patient needs and responses requiring intervention and implements care to prevent risk or reduce risk., • Accepts responsibility for personal and professional accountability by complying with Aveanna policies, state and federal regulations, accrediting bodies and the Nurse Practice Act., • Provide care utilizing infection control measures that protect both the staff and the patient according to OSHA standards., • Educates the patient and family regarding the disease process, self-care techniques, and prevention strategies, and in meeting the patient’s nursing needs., • Maintain knowledge of competencies related to the nursing profession by participating in educational programs, continued education units, internal learning management skills and skill evaluations. Requirements • Graduate of an accredited school of nursing., • Current, unrestricted state license as a Licensed Nurse in the state of practice, • Current CPR certification, • South Carolina – One (1) year of pediatrics experience, • California – One (1) year of experience required working under current nursing license, • Louisiana – One (1) year of experience required working as a licensed nurse, • Continuing Education as required by state Preferences • Six (6) months of recent experience as a Licensed Nurse in a clinical care setting, • Home health experience Other Skills/Abilities • Attention to detail, • Time Management, • Effective problem-solving and conflict resolution, • Good organization and communication skills Physical Requirements • Must be able to speak, write, read and understand English, • Must be able to travel, • Must be able to lift 50 pounds, • Must be able to sufficiently reposition patients and move equipment without assistance, • Prolonged walking, standing, bending, kneeling, reaching, twisting, • Must be able to sit and climb stairs, • Must have visual and hearing acuity, • Must have strong sense of smell and touch, • Must be able to sufficiently reposition patients and move equipment without assistance, • Must be able to appropriately respond physically and mentally to emergency situations in the home or during transport Environment • Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions, • Possible exposure to blood, bodily fluids and infectious diseases Other Duties • Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California Notice for Job Applicants Residing in Florida

Job Description At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to those individuals we serve. Our Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures. Essential Job Duties: • Review processed claims for accuracy prior to payment while maintaining acceptable levels of claim's aged inventory by verifying various aspects of the system and claim, • Complete and maintain detailed documentation of audit findings which include decision methodology, system or processing errors, and monetary discrepancies, • Move claims free of processing errors through for full adjudication and return claims with errors back to the claims team for corrections, • Minimum of three (3) years of experience processing and auditing Medicare and Medicaid professional, institutional, and dental health insurance claims, • Working knowledge of the health plan insurance industry, CPT/HCPCS procedure codes, ICD-10 codes, and relevant federal and state regulations, • Experience working with CMS and Medicaid healthcare claims highly preferred, • Medical insurance coverage (Medical, Dental, Vision), • Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, sick time, • Advancement opportunities - We've got a track record of hiring and promoting from within, meaning you can create your own path!, • And additional benefits Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications. Compensation Offering$67,829.78—$89,535.30 USD COVID-19 Vaccination Policy At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to

Job Description Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team-player, quick-thinker, and ready to be a part of an organization that supports your growth? WHAT WE'RE ABOUT We believe care goes beyond a medical chart. With kindness and integrity as our guide, we strive for excellence in every interaction. Requirements: Under direction of the Director of Case Management, the Social Services Specialist (formerly titled as Discharge Planner) assists each resident and family in planning discharge for post-SNF stay in order to maintain the highest practicable level of functioning in accordance with current federal and state regulations, as well as Company policies and procedures. Duties and Responsibilities: • Provides assistance to residents and families in finding and utilizing financial and other community resources to assist in the discharge process., • Participates in resident and family council meetings as requested., • Develops a working knowledge of federal and state regulations, as related to position, and reimbursement (Medicare, Medicaid and commercial) and provides support with applications and eligibility information requests., • May perform documentation duties in accordance with Company charting and documentation policies and procedures and government regulations. Ensures documentation is accurate, clear, informative and descriptive of resident's condition, care provided and residents' response to care., • Arrangement of transfers to other facilities and post discharge plan of care, as well as orientation for resident and family regarding discharge., • Provides support to Admissions by participating in the referral and admission process, as directed., • Assists other facility staff with fiduciary matters, to enable payment for resident's stay., • Communicates with residents' families and other staff as to resident needs., • Participates in and assists in departmental studies and projects as required., • May perform administrative duties such as completing forms, reports, etc., and submit to the Supervisor as necessary., • Reports the following in accordance with established facility procedures and regulatory standards: accidents and incidents; resident grievances, complaints, allegations of resident abuse and/or misappropriation of resident property; occupational exposure to blood, body fluids, infectious materials, and hazardous chemicals; concerns and suspected incidences of non-compliance including but not limited to hazardous conditions and equipment., • Previous experience with geriatric population or in long-term care setting strongly preferred, • High school diploma or equivalent required; AA or Bachelor's degree preferred, • Medical insurance with Rx benefits, • Dental insurance, • Vision care, • Paid vacation

Job Description At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, while serving as a care provider and care plan to those individuals we serve. Our Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Examiner plays a pivotal role in ensuring timely and efficient processing of claims for our contracted specialty provider partners. Essential Job Duties: • Examine, review and process claims according to contractual obligations, federal and state regulations, organizational policies and procedures, or other established quality standards, • Assess appropriateness of returned, denied, or paid claims by reviewing and following contractual obligations, federal and state regulations, organizational policies and procedures, or other established quality standards, • Ensure claim timeliness processing standards are being met, • Work alongside manager to establish and maintain claims processing rules that meet all regulatory and business requirements, • Assist internal and external partners with questions related to claims decisions or claims statuses, • High School Diploma or Equivalency, professional experience may be substituted, • Minimum of three (3) years of experience with processing, researching, and adjudicating claims in a complex managed care environment, • Working knowledge of the health plan insurance industry and CPT/HCPCS procedure codes, and relevant federal and state regulations, • Understanding of Industry pricing methodologies, such as Medicare/Medi-Cal fee schedule, Diagnosis Related Groups (DRG), Multiple Procedure Payment Reduction (MPPR) and benefit interpretation and administration, • In depth experience with Medicare and Medicaid claims processing, • Demonstrated skills within Microsoft Office Applications & electronic claims processing systems, • Medical insurance coverage (Medical, Dental, Vision), • Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, sick time, • Advancement opportunities - We've got a track record of hiring and promoting from within, meaning you can create your own path! At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to

Job Description Business Operations Manager Location: Glendale, CA Position: Business Operations Manager Job ID: 74733 Remote/Virtual Position: NO Coverage Area: In Office Salary: 75K - 80K / year Schedule: M-F / 8:00 AM - 5:00 PM Responsibilities Reimagine Your Career in Hospice Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best Business Operations Manager You Can Be If you meet these qualifications, we would love to meet you: • Bachelor’s degree or equivalent work experience in the health and/or home care industry is required., • Experience in running a small business and has basic business knowledge and a minimum of 2 years of experience, may be required., • Ability to talk with all levels of leadership to gain perspectives and needs; ability to communicate to IT leaders for urgent action for internal clients., • Demonstrated relationship building in working in and across teams in a complex and matrixed health care business environment is strongly preferred Responsibilities: • Act as office manager by delegating responsibility for ordering supplies and establishing necessary relationships for office maintenance., • • Maintain the records for the hospice program office lease., • • Maintain records related to the hospice program state license, Medicare and Medicaid Certification, Joint Commission accreditation and any renewal and/or update process to maintain licenses, certifications and accreditations. Our benefits include: • Medical, dental and vision coverage, • Paid time off and paid holidays, • Professional development opportunities, • Company-matching 401(k), • Flexible spending and health savings accounts, • Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app, • Programs to celebrate achievements, milestones and fellow employees, • Company store credit for your first AccentCare-branded scrubs for patient-facing employees, • And more! Qualifications Come As You Are • At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.

Job Description Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team-player, quick-thinker, and ready to be a part of an organization that supports your growth? WHAT WE'RE ABOUT We believe care goes beyond a medical chart. With kindness and integrity as our guide, we strive for excellence in every interaction. Requirements: • You care. Social Services Specialist Perks: • Generous Bonuses, • Growth Opportunities - DOUBLE your salary, • Health Benefits Position Summary Under direction of Director of Social Services, assists each resident and family in adjusting to placement, illness, and plan of care to attain the highest practicable level of functioning in accordance with current federal and state regulations, and Company policies and procedures. Duties and Responsibilities: • Assists in interviewing and obtaining information from residents and families to assist Social Services Director or Social Services Consultant in development of psychosocial history, assessment and care plan upon admission, quarterly and upon change of condition for social service needs., • Assists resident and family with transition and adjustment to placement in facility., • Assists with determination of legal status of residents upon admission, provides information and obtains copies of advance directives, assures that resident and family wishes regarding treatment (including Do Not Resuscitate (DNR) and withholding treatment) are implemented in accordance with Company policy., • Informs the resident/family of resident's personal and property rights., • Provides input on social, psychological, and emotional needs of residents/family to supervisor., • Ensures residents have required evaluations for visual, audio, mental health and dental needs, and follows up as appropriate., • Arranges residents' appointments including transportation., • Provides assistance to residents and families in finding and utilizing financial, legal, mental health, and other community resources., • Participates in resident and family council meetings as requested., • Develops a working knowledge of federal and state regulations, as related to position, and reimbursement (Medicare, Medicaid and commercial) and provides support with applications and eligibility information requests., • Provides support with resident theft and loss prevention program for the facility., • Works closely with Ombudsperson to resolve resident rights questions or concerns., • May perform documentation duties in accordance with Company charting and documentation policies and procedures and government regulations. Ensures documentation is accurate, clear, informative and descriptive of resident's condition, care provided and residents' response to care., • Assists in discharge planning services including arrangement for follow-up services, transfers to other facilities, and post discharge plan of care, as well as orientation for resident and family regarding discharge. Qualifications: • 2 years of experience., • Social Worker Designee Certificate, • Previous experience with geriatric population or in long-term care setting strongly preferred, • High school diploma or equivalent required; AA or Bachelor's degree preferred, • Commitment to the company mission to consistently deliver high quality, person-centered care with dignity, respect, compassion and integrity, and to enrich every life we touch. Embracing the company values of care & compassion, community, honesty & integrity, teamwork, innovation and safety., • Ability to represent Company in an ethical and professional manner, and to maintain accountability, • Ability to interact tactfully, effectively, and professionally with other employees, residents, family members, visitors, government agencies/personnel and the general public, as needed, • Must be able to relate to and work with physically and/or mentally ill, disabled, elderly, emotionally upset, and at times hostile people within facility and treat them with respect and consideration regardless of their cognitive or functional level Benefits: • Medical insurance with Rx benefits, • Dental insurance, • Vision care, • Paid vacation

Job Description SUMMARY The Collections Supervisor monitors and coordinates the Collection efforts for all NEVHC clinic sites, including medical, dental, and all other services. Manages patient accounts to ensure timely payments from third-party payers and patients. REPORTS TO: Billing & Collections Manager REQUIREMENTS 1. Associate degree is desirable, with previous collections experience or at least three years of management experience in a clinic or medical group setting., 2. Bilingual in Spanish is desirable., 3. Proficient in knowledge of Medi-Cal, Medicare, and other state and local insurance billing., 4. Working knowledge ICD-10, CPT-4, HCPC’s, and claim forms, such as CMS-1500 and UB-04., 5. Math skills sufficient to prepare routine spreadsheets., 6. Demonstrated supervisory and leadership skills sufficient to supervise from 5 to 15 employees., 7. Computer skills in Microsoft Office programs (Word, Excel, etc.), electronic health record systems, electronic practice management systems., 8. Effective verbal and written communication skills to communicate clearly and effectively with patients and others., 9. Effective work organization skills., 10. Ability to be flexible and work in a changing environment., 11. Demonstrated ability to listen and communicate with others in a professional and caring manner, including sensitivity with individuals from diverse cultures and lifestyles., 12. Demonstrated ability to set priorities for tasks to work effectively in spite of interruptions and under minimal supervision., 13. Fluency in English (speak, read and write)., 14. Ability to solve problems and make routine recommendations., 15. Ability to maintain absolute confidentiality about health care and other patient/client information., 16. Current California driver’s license, appropriate insurance coverage, and a driving record acceptable to the NEVHC’s insurance carrier (if required to drive on the job). Northeast Valley Health Corporation provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Northeast Valley Health Corporation complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities.

Job DescriptionBenefits: • 401(k), • Dental insurance, • Flexible schedule, • Health insurance Key Responsibilities: • Evaluate and assess patients' physical conditions to develop tailored treatment plans, • Implement and adjust physical therapy interventions focused on mobility, strength, balance, and function, • Educate patients and caregivers on therapeutic exercises, techniques, and safety precautions, • Collaborate with physicians and other healthcare professionals to coordinate patient care, • Maintain accurate, timely documentation of patient progress and treatment plans, • Participate in on-call rotation (if required) Qualifications: • Licensed Physical Therapist (PT) in CA, • Minimum of 1 year of clinical experience (home health preferred but not required), • Excellent communication, problem-solving, and organizational skills, • Ability to work independently and manage a flexible schedule, • Reliable transportation and valid drivers license, • Knowledge of Medicare/Medicaid guidelines is a plus, • EMR experience is preferred Flexible work from home options available.

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 MISSION, VISION, AND VALUES Our mission is to provide quality, comprehensive healthcare and supportive services to those in our community. Our vision is "Improving the Health and Well Being of our Community." Our Core Values consist of Integrity, Compassion, and Excellence. Employees must possess a strong commitment to the mission, policies, goals and philosophy of Harbor Community Health Centers. JOB SUMMARY The Patient Navigator will report directly to the Data Quality Manager and will be responsible for conducting targeted outreach to support closure of care gaps and improve patient engagement and retention. This role proactively communicates with patients to support timely scheduling, care coordination, and re-engagement of patients at risk for delayed or interrupted care. The Patient Navigator performs duties with professionalism, accuracy, independence, and strict confidentiality while supporting organizational quality improvement initiatives. This position is funded through the HCLA Access and Availability Improvement Grant. Continued employment is contingent upon ongoing grant funding and organizational needs. ESSENTIAL DUTIES & RESPONSIBILITIES Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required: Patient Navigator: • Conduct telephone and SMS outreach to patients with outstanding care gaps to schedule Initial Health Appointments and Annual Health Assessments., • Validate and reconcile care gap lists using systems such as eCW, Cozeva, Azara, and health plan portals., • Perform insurance eligibility checks and coverage verification using health plan, Medi-Cal and Medicare portals., • Accurately document all outreach activities within designated systems and run outreach reports to track follow –up and outcomes., • Use appropriate software to communicate progress, submit questions, and escalate issues appropriately., • Provide patient education in clear, professional manner and in a manner that is understandable to patient and/or family, • Committed to providing an exceptional experience in all interactions., • Ability to manage time effectively and optomize productivity to meet performance goals., • Must have strong analytical and problem-solving skills., • Must have proficient computer skills, including Microsoft Office abilities, with intermediate Excel skills., • Must have the willingness and ability to adapt to change, including advances in technology., • Ability to handle multiple tasks and be highly organized and detail-oriented. Required education, experience and/or training: • High School Diploma, or GED; Associates degree or equivalent preferred., • Minimum 1 year of experience in Healthcare-related outreach, call center or front office experience, • Bilingual English/Spanish required, • Excellent customer service and interpersonal communication skills, • Proficiency, Excel, Outlook, Microsoft Teams, • Adheres to all HarborCHC’s policies and procedures., • Conducts self in a manner that represents HarborCHC’s core values at all times., • Must possess a solid commitment to the mission, policies, goals, and philosophy of HarborCHC., • Maintains a positive and respectful attitude with all work-related contacts., • Communicates regularly with his/her immediate supervisor about departmental and HarborCHC concerns., • Consistently reports to work prepared to perform the duties of the position., • Meets productivity standards and performs duties as workload necessitates., • Maintain strict confidentiality of all data and information., • Demonstrates integrity and accountability for duties and responsibilities. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. While performing the duties of this job, the employee is regularly required to sit; use hands to manipulate objects, tools or controls; reach with hands and arms; and talk and hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust. HOURS OF OPERATIONS HarborCHC is open Monday-Thursday 7:00am-7:00pm, Friday 8:00 am-5:00pm, Saturday 8:00am-5:00pm with occasional overtime, or other shifts based on clinic need. Work schedules may vary, and occasional overtime or schedule adjustments may be required based on operational or clinic needs. HR PROCEDURAL REQUIREMENTS • Legal authorization to work in the United States., • Clear all post offers, pre-employment background screening, and education verification. HarborCHC does not discriminate in employment opportunities or practices on the basis of race; religion; color; sex/gender (including pregnancy, childbirth, breastfeeding or related medical conditions); sexual orientation; national origin; ancestry; physical or mental disability; medical condition; genetic information/characteristics; marital status/registered domestic partner status; age; sexual orientation; reproductive health decision-making; military or veteran status; use of cannabis off the job and away from the workplace; and any other basis protected by federal, state or local law or ordinance or regulation, or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances. This policy applies whether the individual has or is perceived to have any of the characteristics protected by law or is associated with a person who has or is perceived to have any of the characteristics protected by law. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation, and training. DISCLAIMER The above statements define this position as it currently exists and are intended to describe the general content of and requirements for this job. They are not to be considered as an exhaustive statement of duties, responsibilities, or requirements and does not limit the assignment of additional duties at the discretion of the supervisor. HarborCHC is an at-will employer. In addition, HarborCHC may change your duties, compensation or hours, or transfer, reassign, promote, demote, suspend or otherwise change the terms and conditions of your employment (other than the at-will relationship), with or without cause or prior notice. Monday – Friday [8:00am – 5:00pm]

Job Description INTRODUCTION Company Overview: BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes. At BioMatrix the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone’s contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients, employees, and partners. Location: It is anticipated that an incumbent in this role will work onsite in Van Nuys, CA. Work location is subject to change based on business needs. Monday-Friday 8 am-5 pm PST. Job Description: The Patient Support Specialist is responsible for maintaining on-going patient care through the support of patient outreach and prescription refill management services throughout the patient’s specialty or infusion therapy. Refill management support may include but is not limited to overseeing the intake or gathering of patient documentation, obtaining new prescriptions as needed for patients to continue therapy, communicating with doctors’ offices and patients, submitting insurance re-authorizations and assisting the pharmacy operations team on a daily basis. This position requires professional communication skills and compliance with all applicable laws and regulations, including state board of pharmacy and HIPAA. QUALIFICATION REQUIREMENTS • Current Pharmacy Technician registration and/or certification in good standing, as required by state Board of Pharmacy, • Or commitment to obtaining necessary BoP registration/certification within first 60 days of employment, • High school diploma or GED required, • Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction, • Experience with data entry, navigation of technology to support work environment, and general familiarity with medical terminology, • Pharmacy Technician certification preferred (unless required by State Board of Pharmacy), • Minimum of one (1) year of experience in Specialty pharmacy preferred Patient Support Responsibilities: • Contact patients to set up prescription refills while gathering necessary data points to support refill process, • Submit for insurance re-authorizations as needed, • Obtain necessary documentation from doctors’ offices and/or patients, to include lab work, prescription refills, etc., while following all legal requirements, • Ensure clinical compliance of patients by asking pre-determined questions and escalating to a pharmacist when necessary, • Refer all clinical questions, situations, and responses to a pharmacist, • Communicate professionally with both patients and doctor offices while following all legal requirements, to include state pharmacy regulations and HIPAA, • Responsible for maintaining relationships with doctor’s offices to include:, • Appropriate communication with offices as required and permitted by law, • Communication with field-based sales representative while adhering to HIPAA requirements, • Customizing services where possible in accordance with office preferences, • Stay up to date with appropriate level of clinical knowledge of applicable disease states, • Support other technicians, acting as mentor and trainer when appropriate, • Assist pharmacy operations teams as needed Pharmacy Related Competencies: • Maintain knowledge of and comply with the regulatory guidelines and standards of practice of the State Board of Pharmacy, FDA, DEA, Department of Health & Human Services, Medicare, ACHC, URAC and OSHA as applicable to pharmacy location, • Communicate with physicians, patients and insurance companies within legal limits according to state, communicating professionally at all times and complying with HIPAA regulations, • Triage patient and pharmacist related questions and channel to the appropriate person, • Support, upon request, production/dispensing/shipping duties in an accurate and timely manner as permitted by law and under the supervision of a pharmacist, • Process all faxes and E-script orders, • Manage and process all refills, • Input all demographic and insurance information, • Verify eligibility and specific drug coverage, • Work on prior authorizations and insurance over-rides as instructed, • Run appropriate labels, • Ability to prioritize and handle multiple tasks and projects concurrently, • Must have scheduling flexibility and be able to work overtime as needed, • Careful attention to detail, • Performs related duties as requested, • Participates in quality assurance activities and audits as directed Customer Service Skills: • Strong phone skills, speaks clearly, supports active listening, and manages call flow effectively meeting the needs of the caller as effectively and efficiently as possible, • Strong ability to build and maintain contacts and effective working relationships with internal and external customers including patients, caregivers, healthcare service providers, and field team members, • Ability to support and manage difficult situations while remaining calm and working with team members to organize a resolution, • Ability to take direction and learn from experience and engagement with each patient encounter, • Ability to organize workload while supporting disruptions and escalation, • Ability be patient and caring for peers and patients Other Skills & Competencies: • Working knowledge of medical terminology, • Ability to perform referral related work and tasks in an organized fashion with focus on complete information and time related deadlines, • Ability to complete multiple projects with time sensitive deadlines, • Ability to manage more than one priority project at a time, • Ability to work as part of a team/committee to complete assigned tasks, • Ability to exercise independent judgment and at times, work independently, • Ability to enlist cooperation of other people and department in completing assigned work and projects, • Ability to actively communicate, inspire and motivate peers, customers, and other stakeholders encountered in the referral services department, • Ability to think and act strategically and proactively, • Ability to maintain accurate records and prepare reports and correspondence related to the work Communication & Technical Skills • Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; demonstrates group presentation skills; actively participates in meetings, • Written Communication - Writes clearly and informatively with professional context and direction; edits work for spelling and grammar; varies writing style to meet needs of audience; presents qualitative and quantitative data effectively; able to read and interpret written information effectively., • This position requires constant sitting with occasional walking, standing, kneeling or stooping., • This position requires the use of hands to finger, handle or feel objects and the ability to reach with hands and arms., • This position requires constant talking and hearing., • Specific vision abilities required by this job include close vision and the ability to adjust focus., • This position must occasionally lift and/or move up to 20 pounds., • Required to move/lift physical hardware. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. If needing a reasonable accommodation within the application process, please contact the BioMatrix People & Culture team at or 954.385.7322 x 1425. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. OTHER • Will participate in legal and ethical compliance training each year., • Will consistently behave in compliance with the BioMatrix, LLC’s legal and ethical policies and procedures., • Will abide by the policies of BioMatrix, LLC as set forth in the Compliance Manual., • Will not participate in any conduct considered to be unethical or illegal. EXPECTATION FOR ALL EMPLOYEES Supports the organization's mission, vision, and values by exhibiting the following behaviors: integrity, dedication, compassion, enrichment and enthusiasm, places patients first, is all-in with stacked-hands, and is focused on relentless consistency wins. GENERAL INFORMATION: The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with demonstrated ability to juggle and prioritize multiple, competing tasks and demands and to seek supervisory assistance as appropriate. Incumbents within this position may be required to assist or find appropriate assistance to make accommodations for disabled individuals in order to ensure access to the organization's services (may include: visitors, patients, employees, or others). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description Job Title: Insurance Verification Specialist Location: San Pedro, California, 90732 Position Summary: The Insurance Verification Specialist supports ED Admitting and Sub‑Acute Admissions by ensuring accurate insurance verification, patient intake, and authorization processes. This role plays a critical part in securing appropriate reimbursement while delivering high‑quality customer service to patients, families, and internal care teams. Candidates will be cross‑trained in both ED and Sub‑Acute Admissions workflows. Key Responsibilities: • Confirm patient insurance coverage and identify authorization requirements for treatment, • Complete patient intake and verify/update demographics using EPIC, • Pre‑register patients and ensure correct insurance selection (HMO vs. PPO, Medicare, Medi‑Cal), • Obtain bed authorizations and coordinate admissions, • Handle claims, request authorizations, and attach referrals, • Identify services requiring prior authorization and ensure proper documentation, • Collect co‑pays and explain patient financial responsibility and shared costs, • Receive and respond to calls from case managers, physician offices, and external healthcare facilities, • Utilize medical terminology to support accurate documentation and communication, • Collaborate with physician offices, ministries, and multiple departments across remote locations, • Deliver exceptional customer service to patients and internal stakeholders both in person and over the phone Required Skills & Qualifications: • Strong customer service and communication skills, • Experience with insurance verification and patient intake processes, • Proficiency using EPIC (preferred), • Solid understanding of healthcare insurance plans and authorization workflows, • Ability to manage multiple priorities in a fast‑paced hospital environment Preferred Qualifications: • 3+ years of healthcare experience in a hospital setting, • Bilingual in Spanish (plus), • Familiarity with ED or admissions workflows Top Skills – Must Haves: • Customer Service, • Insurance Verification, • EPIC Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision, • Critical Illness, Accident, and Hospital, • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available, • Life Insurance (Voluntary Life & AD&D for the employee and dependents), • Short and long-term disability, • Health Spending Account (HSA), • Transportation benefits, • Employee Assistance Program The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Job Description Licensed Independent Insurance Agents (Experienced Professionals) A Career for Driven, Self-starting Insurance Professionals A career with HealthMarkets is built for insurance professionals who take ownership, drive results, and want to build something of their own. How you build your career with HealthMarkets Help individuals, families, and seniors make confident insurance decisions through a consultative approach. You’ll guide clients to coverage that fits their needs and budget across a wide product portfolio, including: * Individual & family health insurance * Medicare Advantage & Medicare Supplement plans * Supplemental products (dental, vision, accident, critical illness) * Life insurance Having access to HealthMarkets’ tools and carrier partnerships, you’ll educate, compare plans, and support clients through enrollment and beyond. How do you thrive with HealthMarkets * Self-motivated and confident * Consultative, not transactional * Accountable for results * Think and operate like a business owner * Value independence * Understand that sales rewards effort and discipline What HealthMarkets Offers * Qualified lead options for steady pipeline growth * Advanced quoting and enrollment technology * Comprehensive training and ongoing development * Strong carrier relationships and operational support * A scalable infrastructure that preserves your independence As an independent licensed insurance agent, you’ll collaborate with one of the largest independent health insurance agencies in the U.S. while maintaining control of how you run your business. You’re in charge of your future. We help you build it. Disclaimer: Licensed Insurance Agents with HealthMarkets Insurance Agency are self-employed acting as independent contractors and not as employees. HealthMarkets independent licensed insurance agents shall for all purposes be deemed to be independent contractors and shall have no authority to act or represent themselves as an employee or partner of HealthMarkets Insurance Agency. An Independent licensed insurance agent with HealthMarkets is a commission only opportunity. HealthMarkets Insurance Agency, Inc., is licensed as an insurance agency nationwide except in MA. Not all agents are licensed to sell all products. Service and product availability may vary by state. 53152-HM-0426 . Company DescriptionExpect to have both a life and a career with HealthMarkets. When you join us as a Licensed Independent Insurance Agent, you'll be building a business that you control with our support. So, you can head out for a run, be there for your kid's soccer matches – even chase tornadoes if that's your thing. Start succeeding on your terms. HealthMarkets is a technology-enabled health insurance marketplace that delivers high-touch, customized health and supplemental insurance solutions. Our Licensed Independent Insurance Agents serve our customers by helping families, individuals, and small businesses find the coverage they need at a price they can afford.Expect to have both a life and a career with HealthMarkets. When you join us as a Licensed Independent Insurance Agent, you'll be building a business that you control with our support. So, you can head out for a run, be there for your kid's soccer matches – even chase tornadoes if that's your thing. Start succeeding on your terms.\r\n\r\nHealthMarkets is a technology-enabled health insurance marketplace that delivers high-touch, customized health and supplemental insurance solutions. Our Licensed Independent Insurance Agents serve our customers by helping families, individuals, and small businesses find the coverage they need at a price they can afford.

Job Description At WelbeHealth, we serve our communities' most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The Claims Audit Specialist is accountable for ensuring the timely and accurate payment or denial of claims while meeting federal/state regulations, provider agreement terms, and company policies and procedures. This role requires a strong knowledge of health plan operations, including the proper processing of professional, institutional, and dental claims, coding, CMS/Medi-Cal regulations, and in-depth comprehension of provider contracts and agreements. The Claims Audit Specialist collaborates effectively with Plan Operations leadership to identify trends that require escalation and training needs, and suggest process improvements. This role is different because the Claims Audit Specialist at WelbeHealth: • Ensures accuracy and compliance by auditing complex Medicare and Medi-Cal claims, directly impacting financial integrity, regulatory adherence, and provider trust, • Medical insurance coverage (Medical, Dental, Vision), • Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days, • 401K savings + match, • Comprehensive compensation package including base pay and bonus, • Review processed claims for pre and post payment accuracy while maintaining acceptable levels of aged claims inventory, • Ensure claim payment accuracy by verifying various aspects of the claim form, including but not limited to participant eligibility, system configuration, payment accuracy or denial appropriateness, provider records, remark codes, pre-authorization requirements, timely filing limitations, claim history, and W9 receipt, • Maintain detailed documentation of audit findings, including decision methodology, system configuration or manual processing errors, and monetary discrepancies, • Regularly provide feedback to the Oversight & Monitoring Manager on claims processing errors, as well as identify quality improvement opportunities and initiate configuration change requests when applicable, • Accurately process and release high dollar/stop loss claims exceeding $10k, • Participate in annual claims audits to cure any deficiencies in claims system, human error, or possible fraud, waste, and abuse in order to maintain contractual and regulatory compliance, • Bachelor's degree in relevant field; professional experience may be substituted, • Minimum of five (5) years of experience processing, researching, adjusting, and auditing Medicare and Medicaid professional, institutional, and dental health insurance claims, • Experience processing and auditing disputes, appeals and recoveries, • Proficient experience in Microsoft Excel, • Working knowledge of the health plan insurance industry, CPT/HCPCS procedure codes, ICD-10 codes, and relevant federal and state regulations, • Experience working with CMS and Medi-Cal healthcare claims Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications. Compensation Offering$74,612—$98,488 USD COVID-19 Vaccination Policy At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to

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 Join a Company That Puts People First! Licensed Vocational Nurse – LVN We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here’s what sets us apart: Award-Winning Culture • Indeed’s Work Wellbeing Top 100 Company Urgent Need: Whittier - 6AM to 2PM - MONDAY THROUGH FRIDAY Also available shifts 2pm- 10pm, Tuesday, Wednesday and Thursday No New Grads at this time. Must have over one year of experience licensed work. Why Join Us? • Health, Dental, Vision and Company-Paid Life Insurance, • Paid Time Off Available, • Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability!, • 24/7 Local support from operators and clinicians, • Aveanna has a tablet in each patient’s home allowing for electronic documentation, • Career Pathing with opportunities for skill advancement and paid training, • Weekly and/or Daily Pay, • Employee Stock Purchase Plan with 15% discount We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Licensed Practical / Vocational Nurses (LPN/LVN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader. Qualifications • Must have and maintain an active, unencumbered LVN license, • Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary., • TB skin test (current within last 12 months), • Twelve (12) months prior hands-on nursing experience required CCPA Notice for Job Applicants, Contractors, and Employees Residing in California As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California Notice for Job Applicants Residing in Florida

Job Description Licensed Independent Insurance Agents (Experienced Professionals) A Career for Driven, Self-starting Insurance Professionals A career with HealthMarkets is built for insurance professionals who take ownership, drive results, and want to build something of their own. How you build your career with HealthMarkets Help individuals, families, and seniors make confident insurance decisions through a consultative approach. You’ll guide clients to coverage that fits their needs and budget across a wide product portfolio, including: * Individual & family health insurance * Medicare Advantage & Medicare Supplement plans * Supplemental products (dental, vision, accident, critical illness) * Life insurance Having access to HealthMarkets’ tools and carrier partnerships, you’ll educate, compare plans, and support clients through enrollment and beyond. How do you thrive with HealthMarkets * Self-motivated and confident * Consultative, not transactional * Accountable for results * Think and operate like a business owner * Value independence * Understand that sales rewards effort and discipline What HealthMarkets Offers * Qualified lead options for steady pipeline growth * Advanced quoting and enrollment technology * Comprehensive training and ongoing development * Strong carrier relationships and operational support * A scalable infrastructure that preserves your independence As an independent licensed insurance agent, you’ll collaborate with one of the largest independent health insurance agencies in the U.S. while maintaining control of how you run your business. You’re in charge of your future. We help you build it. Disclaimer: Licensed Insurance Agents with HealthMarkets Insurance Agency are self-employed acting as independent contractors and not as employees. HealthMarkets independent licensed insurance agents shall for all purposes be deemed to be independent contractors and shall have no authority to act or represent themselves as an employee or partner of HealthMarkets Insurance Agency. An Independent licensed insurance agent with HealthMarkets is a commission only opportunity. HealthMarkets Insurance Agency, Inc., is licensed as an insurance agency nationwide except in MA. Not all agents are licensed to sell all products. Service and product availability may vary by state. 53152-HM-0426 . Company DescriptionExpect to have both a life and a career with HealthMarkets. When you join us as a Licensed Independent Insurance Agent, you'll be building a business that you control with our support. So, you can head out for a run, be there for your kid's soccer matches – even chase tornadoes if that's your thing. Start succeeding on your terms. HealthMarkets is a technology-enabled health insurance marketplace that delivers high-touch, customized health and supplemental insurance solutions. Our Licensed Independent Insurance Agents serve our customers by helping families, individuals, and small businesses find the coverage they need at a price they can afford.Expect to have both a life and a career with HealthMarkets. When you join us as a Licensed Independent Insurance Agent, you'll be building a business that you control with our support. So, you can head out for a run, be there for your kid's soccer matches – even chase tornadoes if that's your thing. Start succeeding on your terms.\r\n\r\nHealthMarkets is a technology-enabled health insurance marketplace that delivers high-touch, customized health and supplemental insurance solutions. Our Licensed Independent Insurance Agents serve our customers by helping families, individuals, and small businesses find the coverage they need at a price they can afford.

Job Description MISSION, VISION, AND VALUES Our mission is to provide quality, comprehensive healthcare and supportive services to those in our community. Our vision is "Improving the Health and Well Being of our Community." Our Core Values consist of Integrity, Compassion, and Excellence. Employees must possess a strong commitment to the mission, policies, goals and philosophy of Harbor Community Health Centers. JOB SUMMARY The Enrollment Coordinator will assist patients to enroll and maintain enrollment into health Insurance and subsidy programs and to anchor patients to Harbor Community Health Centers (HarborCHC). The Enrollment Coordinator is expected to adhere to all of HarborCHC's standards and values and to carry out all duties and responsibilities according to the organization's policies and procedures. ESSENTIAL DUTIES & RESPONSIBILITIES To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Complete a comprehensive benefits and qualified health insurance assessment for each client to determine eligibility in various health programs and/or public benefits such as Covered CA, Medi cal, Medicare and HarborCHC's Sliding Fee Discount Program (SFS)., • Promote HarborCHC services to community members in need of a medical home., • Help patients and community member’s complete and submit applications for programs and benefits for which they qualify., • Submit enrollment applications and all related information into designated program platforms such as Covered CA and/or Benefits Cal., • Conduct timely follow ups to verify the status of enrollment applications and clients experiencing enrollment issues., • Assist patients and community members to select a health plan based on their needs via Health Care Options, or other applicable program platforms., • Contribute to the retention of existing patients by providing insurance renewal services to avoid gaps in coverage continue and to maintain HarborCHC as their assigned medical home., • Ensure timely, accurate, and detailed documentation in HarborCHC's EHR, eClinicalWorks (ECW), for all enrollment assistance provided to each individual and/or families, • Maintain program participant files including enrollment documents, records of services accessed, and enrollment verification. Input all participant enrollment information into designated spreadsheet on a daily basis for tracking purposes., • Work with other staff to make sure that patients and community members who received enrollment assistance are assigned to HarborCHC and attend initial IHA appointments., • Adhere to all policies and requirements as set forth by Medi-Cal, Covered CA, LA County and other applicable programs., • Provide a monthly enrollment assistance report to Supervisor. Report includes all client/patient appointments that received assistance, type of assistance provided, progress made, and an overall quantitative measurement of enrollment numbers reached to assess productivity., • Perform other duties as assigned to support HarborCHC's Mission and Values. Tracking and Documentation • Maintains appropriate and accurate log of patients assisted, including:, • Patient name and unique identifier (e.g., chart number or program ID), • Type of enrollment assistance provided, • Type of health plan or program enrolled in, • Application submission date, • Status of application, • Other activities, including follow-up phone calls or updates, • Keeps all patient paperwork/documents in an organized manner to avoid repeated visits, • Maintains or submits required reports to his/her supervisor QUALIFICATIONS Minimum required education, experience and/or training: • High school diploma or equivalent, • Verbal and written fluency in English and Spanish, • At least 2 year’s experience of substantial work experience in the target community providing customer/patient services in healthcare setting, • Current Basic Life Support (BLS) Certification by the American Heart Association, • Experience at Federally Qualified Health Center preferred, • Excellent customer service skills, • Must have proficient computer skills including Microsoft Office abilities, with intermediate Excel skills, • Interest and commitment toward improving community health, • Committed to providing an exceptional experience in all interactions, • Experience with electronic health records (EHR), eClinicalWorks preferred, • Familiarity with San Pedro/surrounding areas, • Communication/Public Speaking-verbal and writing skills, • Professional among co-workers, community partners, • Be a team player, • Culturally/Linguistically sensitive when speaking to target population, • Basic knowledge of insurance enrollment requirements, including Medi-Cal, Covered CA and Medicare, • Ability to understand and manage patient appointment schedules in order to optimize patient flow and provider/staff productivity., • Must have strong analytical and problem solving skills, • Must have the willingness and ability to adapt to change including advances in technology, • Ability to handle multiple tasks and be highly organized and detail-oriented, data reporting, emails, etc, • Proactive mentality, ability to ask questions when things aren’t clear, present creative ideas, • Committed to the mission of HarborCHC EXPECTATIONS • Adheres to all Harbor Community Health Center (HarborCHC) Policies and Procedures, • Observes all policies and procedures for use of time-keeping system, including attendance, tardiness, proper clocking procedure, overtime authorization, and that employee nametag is clearly visible, • Conducts self in a manner that HarborCHC’s core values at all times, • Maintains a positive and respectful attitude with all work-related contacts, • Provides excellent customer service., • Communicates regularly with his/her immediate supervisor about Departmental and Harbor Community Health Centers concerns., • Consistently reports to work prepared to perform the duties of the position, • Meets productivity standards and performs duties as workload necessitates, • Fosters an environment that promotes trust and cooperation among all staff. PHYSICAL REQUIREMENTS The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. While performing the duties of this job, the employee is regularly required to sit; use hands to manipulate objects, tools or controls; reach with hands and arms; and talk and hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust. HOURS OF OPERATION HarborCHC is open Monday-Thursday 7:00am-7:00pm, Friday 8:00 am-5:00pm, Saturday 8:00am-5:00pm with occasional overtime, or other shifts based on clinic need. This is a Non-exempt position and any overtime must be approved by the Supervisor in advance. Planned hours for this position are 8:00am-5:00pm Monday through Friday. HR PROCEDURAL REQUIREMENTS • Legal authorization to work in the United States., • Clear all post offers, pre-employment background screening, and education verification., • This is not intended to cover all aspects of your description as additional duties may be assigned. EQUAL EMPLOYMENT OPPORTUNITY STATEMENT HarborCHC does not discriminate in employment opportunities or practices on the basis of race; religion; color; sex/gender (including pregnancy, childbirth, breastfeeding or related medical conditions); sexual orientation; national origin; ancestry; physical or mental disability; medical condition; genetic information/characteristics; marital status/registered domestic partner status; age; sexual orientation; reproductive health decision-making; military or veteran status; use of cannabis off the job and away from the workplace; and any other basis protected by federal, state or local law or ordinance or regulation, or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances. This policy applies whether the individual has or is perceived to have any of the characteristics protected by law or is associated with a person who has or is perceived to have any of the characteristics protected by law. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation, and training. DISCLAIMER The above statements define this position as it currently exists and are intended to describe the general content of and requirements for this job. They are not to be considered as an exhaustive statement of duties, responsibilities, or requirements and does not limit the assignment of additional duties at the discretion of the supervisor. HarborCHC is an at-will employer. In addition, HarborCHC may change your duties, compensation or hours, or transfer, reassign, promote, demote, suspend or otherwise change the terms and conditions of your employment (other than the at-will relationship), with or without cause or prior notice. Monday-Friday 8am-5pm

Job Description Benefits/Perks • Competitive Compensation, • Great Work Environment, • Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctor’s offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with clients and payments, as needed, • Answer phones, assist clients with questions, take messages, and screen calls, • Maintains the highest level of confidentialityQualifications, • Strong customer service skills, • Previous experience with medical coding and billing a must, • Strong organization skills, • Excellent attention to detail, • must be able to work in office in Long Beach near LBM

Job Description Make a difference where it matters most by providing life-changing, community-based care to our most vulnerable seniors. As part of our mission-driven interdisciplinary team, our Primary Care Physicians can build deeper, long-term relationships with fewer patients than in a traditional healthcare model, allowing you to see the impact of your care every day. Our value-based PACE program allows our Primary Care Physicians to provide truly comprehensive, holistic care, so you can focus on what really matters: your patients. We also care about our providers. That's why we offer: • Competitive compensation with quarterly bonus, • Generous time off - weekends off, 17 days PTO, 6 sick days, and 12 paid holidays, • Relocation assistance available, • CME reimbursement and malpractice/tail coverage, • Growth opportunities to become a medical director, • 401K savings + match, • Medical insurance coverage (Medical, Dental, Vision), • Regular hours of 8am-5pm, Monday through Friday, including home visits, • Perform comprehensive in-person assessments, leading and partnering with the interdisciplinary team (IDT) to develop a personalized care plan for each participant, • Coordinate discharge for acute, short-term, and long-term placement, • Successful completion of a residency program accredited by the Accreditation Council for Graduate Medical Education, • Master's or doctorate Degree, • Board Certification preferred, • Active state physician license without restrictions, • State CDS certification and DEA registration If you're ready to join a healthcare team that values both its patients and its providers, we'd love to hear from you. Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications. Compensation Offering$275,246—$330,595 USD COVID-19 Vaccination Policy At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to

Job Description Mission Statement The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination. Position Summary The Salvation Army Community Integration Services permanent supportive housing program provides 135 tenant based households with scattered site housing location, stabilization, and case management services. The CIS-PSH Case Manager’s primary duty is to provide professional and individualized case management services, information, and referrals designed to assist clients with achieving and maintaining health, mental health, and housing stability. Essential Functions • Project a client-centered approach and provide excellent customer service that is sensitive to the challenges that homeless persons with a range of medical and behavioral health issues face as they move into and maintain permanent supportive housing., • Employ a “whatever it takes approach” to assist clients in their transition from homelessness to permanent housing, motivating, and encouraging clients to work toward their goals, and providing ongoing client support., • Assist individuals at every stage of the housing stabilization process. Services provided must be flexible to meet the individual needs of clients. The intensity of services shall be regularly monitored and adjusted based on each client’s level of functioning and acuity of needs. Case management will range from highly intensive individualized support as clients’ transition from homelessness to permanent housing to less intense support for activities related to maintaining housing and supportive services. Move-In Assistance: Coordinate move-in and orient new tenants to their unit/building, including meetings with landlords and other residents, and review of rules and responsibilities included in lease and other documents. Client Support Services: Assist clients with accessing services to address their immediate needs (e.g., access to food, clothes, and other necessities). • Conduct an approved comprehensive psychosocial assessment within two (2) business days of the client’s enrollment. Assessments must be conducted face-to-face and must include an evaluation of the clients’ medical, psychosocial, environmental, legal, financial, education, strengths and needs, and available resources., • Develop and implement an individualized case management services plan (ISP) with the client based on the client’s psychosocial assessment and/or reassessment. The ISP shall address the needs identified in the psychosocial assessment and describe client’s goals, steps to reach goals, timeframes for completing goals, and disposition of each goal as it is met or changed., • Conduct DHS-approved comprehensive psychosocial re-assessments and update ISP on an ongoing basis, but not less than once every three (3) months. Updates to the ISP must include development of new goals, progress made on achieving stated goals, and any changes to goals, steps and/or target dates., • ISP and case notes shall be entered into the Homeless Management Information System (HMIS), and CHAMP, and the Case Manager is responsible for participating in routine HMIS, CHAMP, and other staff training., • Maintain regular ongoing client contact and tailor the intensity of services provided, including the frequency of face-to-face and home visits conducted, to client’s level of functioning and acuity of needs. The frequency of visits will vary and may require a minimum of two (2) or more face-to-face visits per month based on acuity level of the client., • Ensure clients are linked to and accessing health, mental health, and substance use disorder services as needed including assisting clients with establishing a medical home and maintaining continuity with their medical home., • Assist clients with maintaining medication and treatment regimens, including accompanying clients to appointments with health, mental health and/or other care providers., • Assist clients with obtaining income and/or establishing benefits, including coordinating the completion and submission of applications for health insurance benefits (e.g., Medi-Cal, Medicare, Covered California, etc.), disability benefits (e.g., Supplemental Security Income [SSI], Supplemental Security Disability Income [SSDI], etc.), and other sources of financial assistance, (e.g., Unemployment, General Relief [GR], etc.). Provide advocacy on behalf of clients, as appropriate., • Assist clients with locating and securing employment and volunteer and/or educational opportunities; obtaining basic needs, such as clothing and food; life skills and community participation, including providing group programming in these areas; gaining, restoring, improving and/or maintaining daily independent living, social/leisure, and personal hygiene skills., • Assist clients with budgeting and money management including assistance with household budgeting; assistance with overcoming bad credit, no credit, and/or eviction histories; and arranging for representative payees for clients who require assistance in money management and/or are at-risk for non-payment of rent., • Assist clients with monitoring any legal issues and making appropriate referrals to overcome any barriers to accessing and maintaining permanent housing and supportive services (e.g., credit history, criminal records, and pending warrants)., • Provide transportation, as needed, by means of bus fare/pass, agency vehicle(s), or private vendor. Assist clients with increasing their capacity to meet their own transportation needs., • Monitor and follow-up with clients and service providers to confirm timely completion of referrals and linkages, access to services, and maintenance of services., • Participate in a team providing 24-hour/7 days a week on-call crisis intervention services for ICMS clients and educate clients on the appropriate use of crisis intervention services versus 911 emergency calls, etc., • For clients who are transitioning out of ICMS (e.g., moving out of the area, family reunification, or change in housing needs), ICMS staff shall coordinate activities with other service providers to ensure that the client receives assistance with relocating to other affordable housing and linking to ongoing primary health care, behavioral health services, and other supportive services. These activities shall be conducted with the cooperation and/or authorization of the client to be noted within case closure documentation., • Develop and foster linkages with other social service agencies to provide clients with access to the broadest possible range of supportive services. Attend training and meetings as deemed necessary., • Must be able to work evenings, weekends, and holidays., • Other duties include maintaining all elements of client folders with emphasis on accuracy, thoroughness, and timeliness. Ability to walk, stand, bend, squat, climb, kneel and twist on an intermittent or sometimes continuous basis. Ability to grasp, push, pull objects such as files, file cabinet drawers, and reach overhead. Ability to operate computer, fax, and telephone. Ability to lift to 25 lbs. This position involves driving to appointments/training opportunities and transporting clients in a company vehicle to appointments, therefore the ability to drive a motor vehicle is required. Minimum Qualifications • Must have at least two years of experience working with homeless individuals, providing direct mental health or intensive case management OR Bachelor’s degree in related field., • Driving Test, clean MVR check., • Valid California Class C Driver’s License required, • Licenses required within 90 days of hire for out-of-state licenses., • Must obtain CPR and First Aid certification., • Knowledge of HMIS and CHAMP preferred., • Highly skilled in Adobe and Microsoft Office (excel and word). Ability to type 45 wpm., • Knowledge in trauma informed care. Motivational interviewing and conflict resolution., • Strong time management and communication skills, both verbal and written. Professional telephone etiquette., • Meet deadlines, work with attention to detail, and multi-tasking., • Strong interpersonal skills with both participants and staff in a professional, respectful manner., • Understand and support the mission of The Salvation Army.

Job Description California Skin Institute (CSI) now partnered with Schweiger Dermatology Group 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. Job Responsibilities • Promote a professional and welcoming atmosphere that enhances the quality of service and care offered to patients, respective providers, and fellow colleagues. Lead by example, maintains office presence and highest level of professionalism., • Dress & present appropriately from head to toe at all times; business casual attire required. Professional body language and communication with colleagues & patients must be always adhered to. This includes keeping cell phone usage to a minimum while at the front desk., • Responsible for accurately completing beginning and end of day checklists daily., • Assist in ensuring that all scheduling, cancellations, and confirmations are being done appropriately., • Execute working knowledge of HIPAA privacy laws by protecting patient information during phone calls, discussing information quietly with patients at front desk or defer to a GM to discuss matters with patient in an exam room, and shredding sensitive materials. Maintain confidentiality of all patient and employee information., • Assist in ensuring the creation of new medical records for each patient. Obtain all necessary copies of insurance cards, referrals, and demographic information., • Responsible for completing Daily Activity Report and proper financial duties such as entering charges and payments throughout the day., • Responsible for accurate cash handling with Petty Cash & collected payments. Scan all cash & credit card receipts into respective folder. Verify proper cash is collected and accounted for during your shift and at close each day; sign off on Cash logs and deposit cash in office safe/lock boxes before closing., • Responsible for answer incoming phone calls within three rings, confirming ZocDoc appointments as well as making outgoing calls for patient retention purposes., • Maintain a neat and orderly work area throughout the front desk, keeping sensitive patient information out of view and shred once uploaded to EMR or server., • Maintain a clean and neat waiting area; slideshow and music is always appropriately playing, trash left behind is removed immediately, as well as maintaining neat product display areas at all times., • Constantly check your email inbox, respective scan inbox, handling time sensitive emails immediately or communicated need for support to GM/teammates., • Assist as needed office supply inventory count. Notify GM when inventory needs to be adjusted for any reason., • Have thorough knowledge of ALL procedures performed at offices., • Notify the General Manager of all personnel and patient complaints or issues., • Experience using EMR software and patient scheduling systems preferred., • Must be computer savvy and familiar with Microsoft Word, Excel, and Outlook., • Strong communication, interpersonal, and organizational skills., • Excellent patient relations and customer services skills., • Must be professional, reliable, and dedicated employee., • Prefer prior experience working in a dermatology / medical environment., • Open availability to work during office and/or scheduled hours. From time to time, operational business needs (e.g. training sessions, emergency coverage issues, etc.) may require employee travel to alternate locations within a reasonable distance based upon GM or RM discretion. Work Environment • This job description indicates in general the nature and levels of work, knowledge, skills, abilities, and other essential functions (as covered under the Americans with Disabilities Act) expected of an employee., • This job operates in a professional work environment, • This role routinely uses standard office equipment such as computers, telephones, photocopiers, filing cabinets, and fax machines. 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 Description Center for Family Health & Education (CFHE) Job Description: Enrollment Specialist Overview The Enrollment Specialist supports the mission of the Center for Family Health & Education (CFHE) by expanding patient access to healthcare services through effective insurance enrollment and community outreach. This position assists patients and families with health insurance applications, renewals, and coverage maintenance across Medi-Cal, Covered California, and other public or private health programs. The Enrollment Specialist ensures that both patients and providers maintain continuous participation in insurance networks, promoting equitable access to high-quality, affordable care. Primary Duties and Responsibilities · Assist patients and families in understanding and applying for health coverage including Medi-Cal, Presumptive Medi-Cal, FPACT, EWC, and Covered California programs. · Conduct eligibility screenings and ensure all required documentation is accurate and submitted promptly. · Provide patient education and outreach on available health coverage options and preventive care benefits. · Help patients maintain insurance coverage by assisting with renewals and re-determinations to prevent lapses. · Support provider network participation by completing payer enrollment applications and ensuring timely renewals for Medi-Cal, Medicare, and commercial plans. · Track and maintain accurate provider enrollment records and credentialing documentation to ensure compliance with payer requirements. · Work with clinic and outreach teams to identify uninsured or underinsured patients and connect them to coverage or financial assistance programs. · Attend and participate in community events, health fairs, and educational sessions to promote CFHE’s services and access to care initiatives. · Respond to patient inquiries regarding insurance coverage, eligibility, and available programs in a professional and compassionate manner. · Ensure confidentiality and compliance with HIPAA and CFHE privacy policies in all patient interactions. · Document enrollment activities, outreach efforts, and patient interactions in the electronic health record (EHR) and submit accurate monthly reports. Minimum Qualifications · High school diploma or equivalent required; associate or bachelor’s degree preferred. · At least two (2) years of experience in patient access, enrollment, or related healthcare administrative role, preferably in a Federally Qualified Health Center (FQHC). · Certified Enrollment Counselor (CEC) certification required within 90 days of hire. · Knowledge of Medi-Cal, Covered California, and other public assistance programs required. · Proficiency with Microsoft Office and EHR systems (Athenahealth or NextGen preferred). · Ability to communicate effectively with diverse populations; bilingual (English/Spanish) strongly preferred. · Must possess a valid California driver’s license and reliable transportation for community outreach activities. Required Skills and Abilities · Excellent communication, interpersonal, and customer service skills. · Strong organizational and time management abilities with attention to detail. · Ability to work independently and as part of a multidisciplinary team. · Commitment to serving underserved and diverse communities. · Ability to handle sensitive patient information with discretion and confidentiality. · Proactive and resourceful in identifying solutions to patient access barriers. Working Conditions and Physical Requirements · Work performed in a standard office or clinic setting with frequent computer and telephone use. · Occasional travel to CFHE sites, community outreach events, and partner locations. · Ability to stand, sit, and walk for extended periods. · May occasionally lift or carry up to 25 pounds. · Regular attendance and punctuality are essential functions of the position. CFHE Core Values · Commitment to Service – Dedicated to improving the health and well-being of our communities. · Respect and Compassion – Treating every patient and colleague with dignity and empathy. · Integrity and Accountability – Upholding ethical standards and organizational trust. · Teamwork and Collaboration – Working together to achieve shared goals and outcomes. · Excellence and Quality – Delivering patient-centered, culturally competent care. Our Mission At the Center for Family Health & Education (CFHE), our mission is to provide comprehensive, compassionate, and culturally sensitive healthcare to individuals and families in the communities we serve. We are committed to expanding access to quality care and empowering patients through education, preventive services, and community partnerships. Company DescriptionThe Center for Family Health & Education, Inc. (CFHE) is a 501(c)(3) nonprofit Federally Qualified Health Center (FQHC), located in the northeast San Fernando Valley area of Los Angeles. CFHE provides affordable and comprehensive medical care for underserved, uninsured, and underinsured residents of the greater Panorama City area. CFHE has been providing primary health care, mental health care, dental care, and women’s and children health care, as well as transportation services for patients since 2009.The Center for Family Health & Education, Inc. (CFHE) is a 501(c)(3) nonprofit Federally Qualified Health Center (FQHC), located in the northeast San Fernando Valley area of Los Angeles. CFHE provides affordable and comprehensive medical care for underserved, uninsured, and underinsured residents of the greater Panorama City area. CFHE has been providing primary health care, mental health care, dental care, and women’s and children health care, as well as transportation services for patients since 2009.

Job Description The Medical Biller I is a full-time position responsible for the coding and billing of Medical, Dental, Optometry, Behavioral Health, OB-GYN, and Podiatry, claims. This position reports to the Billing Manager, in some cases, the focus may be on either coding or billing but must be cross trained in both. BENEFITS • Free Medical, Dental & Vision, • 13 Paid Holidays + PTO, • 403 (B) retirement match, • Life Insurance, EAP, • Tuition Reimbursement, • Flexible Spending Account, • Continued workforce development & training Education and Experience • Three (3) years of experience with revenue cycle operations management with excellent presentation and writing skills., • Advanced skills in analysis and MS Office suite., • eClinical Works experience is preferred., • High School diploma or GED required., • Billing Certification required., • Demonstrated knowledge of all Insurance companies, HMO’s, PPO’s Government and State programs Medi-Cal and Medicare, and third-party payers. Performs a combination, but not necessarily all, of the following duties: • The billing department encompasses medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management., • Works through patient insurance documentation, billing and collections, and data processing to ensure accurate billing and efficient account collection., • Serves as a practice expert and go-to person for coding and billing questions and advice., • Analyzes billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues., • Follows up on claims using various systems, such as eClinical Works, Claim Remedi clearinghouse, Payer portals, etc., • Maintains contacts with other departments to obtain and analyze patient information to document and process billings., • Keeps up to date with carrier rule changes., • Successfully scrubs and quality controls claims prior to submission., • Works rejected claims and provides necessary follow-up to ensure successful claim processing., • Maintains strong attention to detail and ability to multi-task., • Maintains extremely high standards of professional conduct., • Establishes and maintains effective working relationships with the office staff and Doctors., • Adheres to policies regarding safety, confidentiality, and HIPAA guidelines.

Job DescriptionIntensive Case Manager: ORGANIZATIONAL DESCRIPTION: Affordable Living for the Aging (ALA) is nonprofit organization was established in 1978 to eradicate senior homelessness and early institutionalization by providing low-income and homeless seniors with affordable housing options and ancillary services. Currently, ALA manages affordable housing throughout Los Angeles, providing housing and supportive services at three different building locations in the City of Los Angeles. JOB DESCRIPTION: ALA is seeking a proactive individual with experience to provide intensive case managing services to formerly homeless I chronical homeless individuals. This position requires to provide services to a caseload of up to (20) individuals living in the MHSA units. Tenants living in permanent supportive housing have mental health and substance abuse diagnoses as well as personal care needs related to declining health. The goal of the Intensive Case Management Services (ICMS) Program is to provide intensive case management which allows individuals with a mental health diagnosis to maintain the highest degree of independence, mental and physical health, and emotional well-being. This position will deliver case management services to assist older adults in achieving the highest degree of independence and mental, physical, and emotional well-being. Permanent supportive housing provides services with a whatever it takes for as Jong as it takes attitude. Participation in services is voluntary; however, staff are responsible for finding ways to engage the most service-resistant tenants. Responsibilities: The case manager responsibilities include an evaluation of the clients' mental health status, history of substance abuse, dual diagnosis, medical, psychosocial, environmental, legal, financial, education, strengths and needs, and resources. Development of a care plan tailor to each individual's needs. Updates to the care plan are conducted every three months and include the development of new goals, progress, and any changes to goa ls, steps or target dates. Ensure linkage to accessing health, mental health and substance use disorder services as needed. Assisting clients with maintaining medication and treatment regimens, including accompanying clients to appointments with health, mental health, substance abuse, and other care providers. Assisting clients with obtaining income including (SSI,SSDI, GR, etc.), and establishing benefits (e.g. Medi-Cal, Medicare Covered California, etc.). Helping clients to locate and securing employment, volunteer, or education opportunities: Encourage tenant involvement in community activities. Assisting clients with gaining, restoring, improving and maintaining the daily independent living, social/leisure, and personal hygiene skills. Assisting clients with budgeting and money management, overcoming bad credit, no credit, eviction histories; and arranging for representative payees for those that need money management. Educating clients on tenants' rights and responsibilities including, when and how to report maintenance problems or disclosure of financial, problems; the importance of complying with the lease the agreement, program policies, and house rules; importance of paying rent appropriately. Educating clients on the appropriate use of crisis intervention services versus 911 emergency calls. Provide eviction prevention counseling, advocacy, and intervention to develop and implement strategies to facilitate the early identification of issues that may place clients at risk of losing their housing. Organizing onsite recreational and social programs and encouraging tenant participation. Produce a monthly activities calendar to provide social, recreational and leadership opportunities for tenants Maintain an updated listing of community resources for use by tenants Assist with production and collection of annual tenant satisfaction surveys Maintain documentation standards as set forth by the program contract including maintaining compliance with HIPAA policies and practices Educate property management and building security staff about procedures for responding to tenant emergencies and crisis situations Participate in semi-monthly meetings with onsite property management to discuss issues impacting the building community and individual tenants Job Requirements: A bachelor's or a master's degree in social work or Mental Health related field is preferred. At least one year of experience with the homeless population. Or a minimum of two years of experience providing direct mental health or intensive case management services to homeless I chronically homeless individuals. Experience working with clients with mental illness, chronic health issues, and substance use disorders. Expertise in the following areas: chronically homeless individuals, outreach and engagement strategies, intensive case management services, best practice models, mental health and substance use disorder services, crisis intervention, suicide assessment and prevention, affordable housing and public benefits applications, housing and landlord/tenant rights, eviction prevention, etc. CHAMP experience preferred. Proficient knowledge of managed care organizations, Medicare, and Medi-Cal Excellent interpersonal skills and sensitivity to working with culturally diverse populations Well-organized and able to comply with documentation and reporting requirements Ability to maintain professional boundaries with clients and effectively manage time. ALA Hiring Requirements include: Employment Eligibility Verification Reliable transportation Successful completion of background screening. COVID-19 Vaccination or Valid Exemption Must have a Valid CA Driver's License Must provide proof of insurance coverage Proof of Degree Certificates and/or license certification Experience verification

Job Description The Business Office Manager performs and/or monitors the performance of all Business Office operations, including supervision of Business Office staff. In the absence of the Clinic Administrator and/or Associate Clinic Administrator, the Business Office Manager supervises the functions and operations of the entire NEVHC Health Center. Supervises: May supervise any combination of the following positions: Clinic Clerk I/II, Medical Records Clerk I/II, Registration Clerk, Eligibility Screener I/II, Communications Specialist I/II, Front Office Coordinator, Acct. Collections Coordinator, Medical Records Coordinator, and Consumer Relations Specialist. Reports to: Clinic AdministratorQualifications:1. Minimum Associate degree with previous business office experience. Bachelor's degree is desirable. (Two years of related office experience may be substituted for one year of college.2. Three years progressive responsibility in health care, with two years experience of direct supervision and a minimum of two years experience working with low income populations.3. If position is located at a School Base Clinic, employee must be willing to submit fingerprints in a manner authorized by the California Department of Justice and have no adverse findings.4. A working knowledge of Medi-Cal, Medicare and other state insurance billing and collections.5. Fluency in English (speak, read and write) with a thorough working knowledge of business English, spelling, punctuation.6. Fluency in Spanish (speak, translate, read and write) is required.7. Math skills sufficient to prepare routine spreadsheets, calculate/balance invoices/expense reports, calculate income for patient eligibility purposes and similar. Northeast Valley Health Corporation provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Northeast Valley Health Corporation complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Schedule: Saturday 7:00 am to 4:00 pm

Job DescriptionBenefits: • 401(k), • 401(k) matching, • Competitive salary, • Health insurance, • Opportunity for advancement Responsibilities: Work closely with attorneys and litigation staff to coordinate and schedule medical treatment for clients after case goes into litigation Request, receive, process, and organize medical records, imaging, and billing information from hospitals and healthcare providers Review/analyze medical records to confirm accuracy of documents received and proactively request missing files or dates of service Compare medical records and bills to confirm all related bills and liens. Maintain and update client files by reviewing case notes and tracking treatment progress. Communicate with clients and healthcare providers about medical treatment Prepare medical summaries and chronologies to assist attorneys in case preparation. Track, follow up on, and maintain detailed logs of all requests and correspondence with medical providers. Compile and tabulate all associated client costs, medical bills, and fees Report all statutory liens, including Medi-Cal, Medicare, VA, and private health insurance. Conduct balance confirmations with medical providers for settlement negotiations, discovery, mediation or trial preparation Collaborate with attorneys, litigation staff, and lien negotiators to support case flow, litigation, and pre-trial preparation. Other relevant duties as assigned. Management retains the right to add to or change the duties of this position at any time. Benefits: Opportunity to support both medical and legal operations in a collaborative environment. Professional growth and development within the legal field. Hands-on experience with case management and litigation. Working alongside a supportive and experienced litigation team. Qualifications: • Minimum 3 years of experience in Case Management, • Strong working knowledge of various governmental healthcare provider policies and procedures for lien negotiation and resolution, • Experience reading and understanding medical bills and records., • Knowledge of Microsoft Office Suite (Outlook, Word, Excel) and other applications/systems., • Excellent written and verbal communication skills., • Highly organized, detail-oriented, and demonstrates a sense of urgency., • Punctual, excellent in time management, and interested in building a career., • Spanish-speaker required, • Familiarity with FileVine is a plusBenefits:, • 401(k) with matching, • Health insurance, • Paid sick timeIf you meet the qualifications and are interested in this opportunity, we encourage you to apply and join our team!

Job Description The Medical Collector I is a full-time position responsible for managing denials and collecting outstanding account receivables securing payment of denied claims for Medical, Dental, Optometry, Behavioral Health, OB-GYN, and Podiatry, claims. This is a challenging and rewarding position that requires strong communication skills, attention to detail, and the ability to work in a fast-paced environment. This position reports to the Billing Manager, in some cases, the focus may be on either coding or billing but must be cross trained in both. Benefits: • Free Medical, Dental & Vision, • 13 Paid Holidays + PTO, • 403 (B) retirement match, • Life Insurance, EAP, • Tuition Reimbursement, • Flexible Spending Account, • Continued workforce development & training Education, Experience, & Knowledge • Three (3) years of experience with revenue cycle operations management with excellent presentation and writing skills., • Advanced skills in analysis and MS Office suite., • eClinical Works experience is preferred., • High School diploma or GED required., • Billing Certification required., • Demonstrated knowledge of all Insurance companies, HMO’s, PPO’s Government and State programs Medi-Cal and Medicare, and third-party payers. Performs a combination, but not necessarily all, of the following duties: • The billing department encompasses medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management., • Works through patient insurance documentation, billing and collections, and data processing to ensure accurate billing and efficient account collection., • Analyzes billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues., • Follows up on claims using various systems, such as eClinical Works, Claim Remedi clearinghouse, Medicare DDE, Online payer sites, etc., • Maintains contacts with other departments to obtain and analyze patient information to document and process billings., • Analyzes trends impacting charges, coding, collection, and accounts receivable., • Successfully scrubs and quality controls claims prior to submission., • Works the A/R, works rejected claims, and provides necessary follow-up to ensure successful claim processing., • Generate month end close patient financial communication letters and statements, • Provide quality control checks of denied claims, the ability to process tracers, process contractual adjustments and allocation of funds; initiate appeals, • Evaluate remittance to ensure accuracy and analysis of CAS and denial codes., • Maintains strong attention to detail and ability to multi-task., • Maintains extremely high standards of professional conduct., • Establishes and maintains effective working relationships with the office staff and Doctors., • Adheres to policies regarding safety, confidentiality, and HIPAA guidelines., • Ensures that the activities of the collection operations are conducted in a manner that is consistent with overall department protocol and are in compliance with Federal, State, and payer regulations, guidelines, and requirements., • Serves as a practice expert and go-to person for denials questions and advice.

Job DescriptionBenefits: • Competitive salary, • Flexible schedule Key Responsibilities: • Develop and execute sales strategies to increase DME product sales, • Recruit, train, coach, and manage DME sales representatives, • Establish and maintain relationships with physicians, clinics, hospitals, home health agencies, and referral sources, • Monitor sales performance and ensure team meets or exceeds revenue targets, • Identify new business opportunities and market trends, • Ensure compliance with Medicare, Medicaid, and private insurance guidelines, • Oversee pricing, contracts, and reimbursement processes, • Collaborate with operations and billing teams to ensure timely order fulfillment and documentation, • Prepare sales reports, forecasts, and performance metrics for leadership, • Maintain knowledge of DME products, coverage criteria, and regulatory changesQualifications:, • Bachelors degree in Business, Healthcare Administration, or related field (preferred), • 3+ years of sales experience in DME, healthcare, or medical device industry, • Prior sales management or leadership experience, • Excellent communication, negotiation, and leadership skills, • Ability to build and maintain strong provider and referral relationshipsKey Skills:, • Healthcare sales strategy, • Team leadership and coaching, • Relationship management, • Revenue growth and forecasting, • Compliance and documentation knowledge, • Customer service and problem-solvingPerformance Metrics:, • Sales revenue growth, • New referral accounts, • Team performance and retention, • Customer satisfaction, • Compliance audit results

Job Description FQHC Billing Account Manager - Santa Fe Springs, CA Compensation: $30 - $34 per hour Nexus HR is seeking an experienced RCM Billing Account Manager. The ideal candidate will have a strong background in FQHC medical billing, revenue cycle management, and coding compliance. This role requires deep knowledge of payer regulations and reimbursement models, as well as leadership experience managing billing teams. Strong communication, analytical, and organizational skills are essential for success in this position. About the Job The RCM Billing Account Manager is responsible for overseeing all aspects of Revenue Cycle Management (RCM), including billing operations, coding compliance, claims submission, denial management, and reimbursement optimization for FQHC clients. The role involves managing assigned accounts, supervising billing teams, and reporting directly to the RCM Division Manager. The schedule is Monday through Friday, 8:30 AM to 4:30 PM Pacific Standard Time, and will work on-site at the client's office as a representative. Duties and Responsibilities: * Oversee end-to-end billing and RCM operations for assigned FQHC accounts * Communicate with clients and respond to inquiries within one business day * Serve as a trusted advisor on FQHC billing rules, UDS reporting, wraparound payments, PPS/APM reimbursement models, sliding fee schedules, and Medicaid/Medicare billing * Monitor key RCM metrics such as clean claim rate, days in A/R, denial trends, and collection performance * Conduct monthly or quarterly business reviews (QBRs) with clients * Collaborate with internal billing teams and clearinghouses to ensure accurate claims submission, payment posting, and denial resolution * Ensure compliance with HRSA, CMS, and payer-specific billing guidelines * Maintain knowledge of state Medicaid programs and managed care plans * Create dashboards and KPI reports to track AR aging, charge lag, clean claim rate, and payment trends * Lead and manage billing staff, set goals, delegate tasks, monitor performance, and training * Ensure accurate and compliant coding practices following CPT, ICD-10, and HCPCS guidelines * Develop transition plans for team changes and support onboarding of new clients/projects Qualifications: * Minimum of 3 years of FQHC medical billing experience and 3 years of management experience * Associate’s or Bachelor’s degree preferred (or equivalent experience) * CPC (Certified Professional Coder) required * Strong leadership, client communication, KPI reporting, and RCM process optimization skills * Extensive knowledge of FQHC billing regulations, Medicaid/Medicare billing, PPS/APM reimbursement models, HRSA, and CMS guidelines * English proficiency required * Must be authorized to work in the United States Benefits: * 401(k) * Medical Insurance * Dental Insurance * Vision Insurance * Paid Time Off (PTO)

Job Description OUR COMMITMENT TO A HUMAN HIRING PROCESS We believe every candidate deserves thoughtful consideration. That's why we do not use AI or automated systems to review applications. Every application is reviewed by a real human member of our team. Because we take the time to give each submission the attention it deserves, our review process may take a little longer — and we genuinely appreciate your patience as we work through applications carefully and respectfully. SERVICE AREA PREFERENCE While we encourage all interested applicants to apply, we do give priority to those who live in, or near, our service counties: Santa Cruz, Monterey, Merced, San Benito, and Mariposa. Our mission of accessible, quality health care guided by local innovation leads everything we do, and having team members who are connected to the communities we serve strengthens our ability to deliver on that commitment. We have an opportunity to join the Alliance as the Legal Services Director overseeing the Legal Services Department. This role may be performed remotely from Pacific or Mountain time zones and requires an active, in‑good‑standing license to practice law in California. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Chief Compliance Officer, this position: • Provides strategic management oversight in implementing, directing, and monitoring the Alliance's Legal Services Department, which provides advice and counsel and performs enterprise risk management for Alliance operations, • Directs the Legal Services Department, acts as a leader and subject matter expert and provides direction and advice on legal and administrative contracting issues and overall business operations, • Manages and coordinates litigation and disputes related to Alliance operations, • Directs health plan administrative contracting, including maintenance of agreements and negotiation and re-negotiation of contracts in coordination with Alliance staff and external counsel, • A leader who mentors and empowers staff, cultivates subject‑matter expertise, and supports autonomy while maintaining professional standards and accountability., • Transactional and advisory‑focused attorney skilled in contracting best practices, negotiation, and risk assessment, with solid healthcare experience and a working understanding of litigation posture and procedures., • Strategic operator who can define the department's vision, assess gaps, design structures and workflows, and implement effective processes and tools., • Practical process improver who takes a measured approach to change, brings structure to legal work, and supports streamlined, well‑coordinated contracting and advice and counsel work., • Collaborative influencer who builds strong cross‑department relationships, leads change management, and fosters a service‑oriented, stakeholder‑focused culture., • Sound decision‑maker with strong judgment, able to balance big‑picture strategy with detail awareness, adapt to business needs, and articulate risk tolerance., • Knowledge of:, • Health care laws, • Knox-Keene Health Care Service Plan Act and Regulations, Affordable Care Act, Health Insurance Portability and Accountability Act (HIPAA), Stark Law, and False Claims Act, • Medi-Cal, Medicaid, and Medicare rules, requirements, and regulations, • State regulatory agencies, such as DHCS, Centers for Medicare and Medicaid Services (CMS), and Department of Managed Health Care (DMHC), • Principles and practices of operational oversight and program and project management, • Principles and practices of contract negotiation and review, • Ability to:, • Provide prudent legal recommendations and counsel to executive team members and Board members, • Develop legal strategies and objectives based upon analysis of relevant information and resources, and make recommendations, • Perform risk assessment, anticipate and respond to risks, and provide risk mitigation support, • Provide leadership, facilitate meetings, and partner with and guide managers and employees in the resolution of issues, • Act as a technical resource and explain complex laws, regulations, processes, and programs related to areas of responsibility, • Review and assess overall department function, core work, goals, and structure, develop and implement short- and long-term planning to achieve strategic plans, and complete an annual department assessment, • Direct, manage, supervise, mentor, train and evaluate the work of staff, • Education and Experience:, • Juris Doctor degree from an accredited law school, admitted to and in good standing with the State Bar of California, and possession of an active license to practice law in California, • A minimum of seven years of experience as a practicing health care attorney performing research and analysis of legal, statutory, and regulatory information, which included a minimum of five years of management level experience and a minimum of three years of experience related to health plan operations; or an equivalent combination of education and experience may be qualifyingOTHER INFORMATION, • We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams., • While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected. The hiring ranges represent a good‑faith estimate of what we expect to pay for this role upon hire and are not the full compensation ranges. Employees typically have opportunities for growth within the full compensation range over time based on performance and merit. Final compensation will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferable experience related to the position, education, or training), as well as other factors (internal equity, market factors, and geographic location). OUR BENEFITS • Medical, Dental and Vision Plans, • Ample Paid Time Off, • 12 Paid Holidays per year, • 401(a) Retirement Plan, • 457 Deferred Compensation Plan, • Robust Health and Wellness Program, • Onsite EV Charging Stations The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer Join us at Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors and people with disabilities in Mariposa, Merced, San Benito and Santa Cruz counties. We currently serve more than 418,000 members. To learn more about us, take a look at our Fact Sheet. At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

Job Description OUR COMMITMENT TO A HUMAN HIRING PROCESS We believe every candidate deserves thoughtful consideration. That's why we do not use AI or automated systems to review applications. Every application is reviewed by a real human member of our team. Because we take the time to give each submission the attention it deserves, our review process may take a little longer — and we genuinely appreciate your patience as we work through applications carefully and respectfully. SERVICE AREA PREFERENCE While we encourage all interested applicants to apply, we do give priority to those who live in, or near, our service counties: Santa Cruz, Monterey, Merced, San Benito, and Mariposa. Our mission of accessible, quality health care guided by local innovation leads everything we do, and having team members who are connected to the communities we serve strengthens our ability to deliver on that commitment. ABOUT THIS TEMP POSITION This is a temporary position and the length of assignment is estimated to go from April 2026 through December 2026. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with. There is 1 full-time (40 hours/week) opportunities available for this temporary assignment. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Medicare Care Management Manager (RN), this position: • Develops and manages an individualized comprehensive plan of care for Medicare Dual Eligible Special Needs Plan (D-SNP) members referred into the Case Management Program with the goal of promoting optimal, achievable outcomes in the most cost effective and appropriate manner, • Works with and educates members, families, providers, external agencies, and internal departments on the D-SNP Case Management Program, • Participates in Quality Improvement studies, to continually evaluate the program's effectiveness and ability in promoting quality driven, cost effective, achievable goals and outcomes for members, • Performs D-SNP Program oversight and support activities To read the full position description, and list of requirements click here. • Knowledge of:, • The principles and practices of clinical nursing, • The principles and practices of case management, including motivational interviewing and evidence-based guidelines, • Care management and coordination, • Complex chronic conditions, geriatric care, and psychosocial factors impacting health outcomes, • The principles and practices of developing and implementing health improvement strategies to address social determinants of health, • Evidence-based practice guidelines in the development of care plans, • Electronic health record and/or care management platforms, • Ability to:, • Assess member risk, define problems, develop care plans, and collaborate across disciplines, • Demonstrate strong critical thinking and problem-solving skills, • Interpret and apply policies and regulations, • Define issues, conduct research, interpret data, and identify and evaluate options, • Evaluate medical records and other health care data, • Organize work, manage complex priorities, and document with accuracy and timeliness, • Communicate effectively with a diverse population of members, including those with behavioral health issues, • Education and Experience:, • Current unrestricted license as a Registered Nurse issued by the State of California, • Associate's degree in Nursing and a minimum of seven years of experience in a patient care setting, including a minimum of one year of case management experience (a Bachelor's degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying, • A minimum of one year of the required patient care experience must be in an acute or outpatient environment, working with adults and/or dual-eligible populations EducationOTHER INFORMATION, • We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams., • While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected., • In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process. The applicable salary ranges are based on work location and are aligned to a zone according to the cost of labor in your area. All ranges are subject to change in the future. We are happy to answer any questions that you have or share the applicable pay zone for your location if it's not one of the typical areas included below. You can reach out to , and a member from our Talent Acquisition team will be in touch. The posted hiring ranges represent a good‑faith estimate of what a temporary employee would be paid on this assignment. Final compensation will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferable experience related to the position, education, or training), as well as other factors (internal equity, market factors, and geographic location). OUR BENEFITS • Medical, Dental and Vision Plans, • Ample Paid Time Off, • 12 Paid Holidays per year, • 401(a) Retirement Plan, • 457 Deferred Compensation Plan, • Robust Health and Wellness Program, • Onsite EV Charging Stations The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer Join us at Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors and people with disabilities in Mariposa, Merced, San Benito and Santa Cruz counties. We currently serve more than 418,000 members. To learn more about us, take a look at our Fact Sheet. At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

Job Description Program: Specialty Care Services Department: Health Services Reports to: Manager, Specialty Care Services & Utilization Review Status: 100% Full-Time, Non-Exempt Probation: 90 days Benefits: Medical, Dental, Vision; also including Life Insurance, Long-Term Disability, Employee Assistance Program, and a 403(b) Retirement Plan CENTER’S MISSION: Building a world where LGBT people thrive as healthy, equal, and complete members of society. DEPARTMENT SUMMARY: As the nation’s largest and most experienced provider of LGBT medical and mental health services, we help LGBTQ people lead healthier, happier lives, by keeping their minds and body well. All services are free or at a low cost. We’re also one of the few Federally Qualified Health Centers in the nation with providers who specialize in primary care for LGBTQ people and with a research team working to advance the care and treatment of people in our community. JOB SUMMARY: The THP Specialty Care Navigator supports patients in navigating and coordinating specialty care referrals for gender-affirming services, including surgery and related procedures. This role provides guidance, education, and coordination across multi-step care pathways, helping patients understand requirements, prepare for services, and complete necessary steps throughout the care process. Responsibilities include supporting referral-related activities, coordinating patient preparation, facilitating scheduling and follow-up across multiple services, and maintaining accurate documentation. Working collaboratively with providers and care teams, this role helps ensure timely access to care, reduce barriers, and promote continuity across gender-affirming care pathways. ESSENTIAL FUNCTIONS Specialty Care Coordination • Coordinate complex gender-affirming specialty care pathways, including surgery and related procedures, across multiple referrals and providers, • Manage pre- and post-procedure requirements, including letters of support, medical clearances, documentation, and appointment coordination, • Track and reconcile multiple referrals and services within each patient’s care plan to support continuity and completion, • Identify and address delays, gaps, and barriers that impact access to specialty care Referral & Authorization Coordination • Determine referral eligibility and authorization requirements based on payer guidelines and compliance standards, • Maintain the full referral lifecycle in alignment with department policies and Medi-Cal, Medicare, Managed Care, and private insurance requirements, • Coordinate and monitor specialty referrals to ensure timely scheduling, completion, and EHR documentation, • Collaborate with eligibility and benefits staff to resolve coverage or eligibility issues that affect care progression Patient Navigation & Support • Serve as a consistent point of contact for patients navigating gender-affirming specialty care services, • Educate patients on care processes, requirements, timelines, and expectations across each stage of care, • Communicate referral details, appointment instructions, and care expectations in a timely and supportive manner, • Provide ongoing follow-up to support patient engagement throughout extended care timelines, • Help patients prepare for care by coordinating required documentation, appointments, and readiness steps Care Team Collaboration • Serve as a liaison between specialty providers, internal care teams, and insurance entities to support coordinated care delivery, • Maintain communication with specialty providers to obtain consult notes, confirm services, and support additional care needs, • Provide regular updates to the multidisciplinary care team on referral status, insurance issues, barriers, and patient needs, • Escalate complex issues to appropriate teams and coordinate timely resolution Access & Advocacy • Troubleshoot barriers to specialty care, including insurance, transportation, language access, and system navigation needs, • Advocate for patients by coordinating with internal and external partners to support seamless transitions of care, • Facilitate communication across care teams to promote equitable access to services Quality & Compliance • Participate in quality improvement initiatives to enhance THP specialty care referral workflows, patient experience, and process efficiency, • Support data audits and documentation reviews as needed, • Participate in staff meetings, training, and other required activities, • Comply with OSHA, HIPAA, and other applicable regulations, • Perform other duties as assigned QUALIFICATIONS • Minimum 2–3 years of experience in a healthcare setting, including care coordination, specialty referrals, case management, or patient navigation, • Experience supporting complex patient workflows involving multiple providers, services, or visits, • Experience with gender-affirming care coordination and surgical planning preferred, • Strong organizational skills and the ability to manage multiple patients and track activities across extended timelines, • Ability to identify barriers to care and coordinate solutions with appropriate teams, • Strong communication, organizational, and interpersonal skills with a high level of attention to detail, • Knowledge of ICD-9/10 codes and CPT coding, • Proficient in Microsoft Office, EHR, and other healthcare software, • Self-motivated with the ability to handle multiple tasks and maintain patient confidentiality., • Able to work independently with minimal supervision, • Bilingual (English/Spanish) is a plus, • Experience working with or knowledge of the LGBTQ community and related issues, • Passion for the Center's mission and a commitment to diversity and inclusion, • Demonstrated ability to work effectively with people of diverse races, ethnicities, nationalities, sexual orientations, gender identities, gender expression, socio-economic backgrounds, religions, ages, English-speaking abilities, immigration status, and physical abilities in a multicultural environment The Los Angeles LGBT Center is an Equal Opportunity Employer and is committed to fostering diversity within its staff. Applications are encouraged from all persons regardless of their race, color, ancestry, religious creed, national origin, sex, sexual orientation, gender identity, gender expression, medical/physical/mental condition, pregnancy/childbirth and related medical condition, age, marital status, or veteran status. The Center requires that all staff working in Health Services clinical site locations receive the most up-to-date Influenza vaccinations and strongly recommends that staff also receive the latest COVID-19 vaccine. Staff not working at any of the Center’s clinical sites are encouraged to receive the latest COVID-19 and Influenza vaccines but are not required to do so. For more information, please contact .