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Job Description \n Job Summary \n Supervises and mentors a team focused on primary, urgent, and preventative care services in various non-clinical community settings such as homes, nursing facilities, shelters, and pop-up clinics, in any environment where members feel most comfortable and are receptive to care that aligns with Molina Healthcare’s philosophy and mission. \n Provides direct medical care to all levels of patients and population groups, for example, adult, geriatric, pediatric and women’s health. \n Responsible for the day to day supervision of practitioners in assigned region(s). Works with the clinical leadership team to ensure practitioners are providing high quality care to patients and access to care is available to all patients. Provides real time training and mentoring to practitioners by rounding regularly and directly engaging in patient care. Provides education on clinical guidelines, coding, quality measures, and documentation excellence. \n \n \n Job Duties \n\n • Provides evidence-based, high-quality patient care via in-person and telehealth visits based on clinical and business need.\n, • Leads a team of regional employees to ensure patient-focused and culturally sensitive medical care is delivered to patients.\n, • Travels to location of team members and performs hands on training, coaching, and mentoring of team in order to optimize performance and reach department and clinical goals.\n, • Performs performance management including coaching, monthly 1:1s, and end of year evaluations.\n, • Leads in the orientation of new practitioners and mentors new employees with hands on training and support via ride along for member visits.\n, • Performs and coordinates alternating on-call coverage to triage any urgent lab results or clinical needs and develop appropriate plan of care.\n, • Participates in the implementation of new clinical projects and onboarding staff.\n, • Using evidence-based guidelines, properly diagnoses and creates patient-focused plan of care and treatment.\n, • Orders/performs pertinent diagnostic laboratory and radiology testing, prescribes medication and durable medical equipment, and places referrals as clinically appropriate.\n, • Documents thoroughly and accurately in electronic medical records with a focus on ensuring continuity of care while complying with Health Insurance Portability and Accountability Act (HIPAA).\n, • Collaborates with other teams and leads direct reports with the goal of clinical outcomes, clinical documentation excellence, and exceeding department goals. \n, • Addresses chronic and acute primary care complaints, ascertains medical urgency, and takes appropriate action based on evidence-based guidelines. Seeks specialty consultation as needed.\n, • Carries up to 50 lbs. of equipment daily. Equipment can be transported using a backpack or a rolling bag, depending on preference.\n, • Participates in community-based initiatives geared towards building relationships with the community while addressing gaps in health care, such as pop-up clinics and shelters.\n, • Drives up to 120 miles a day on a regular basis to a wide variety of locations within the assigned region(s) with potential for additional mileage on extended mileage days or special project days.\n, • Actively participates in and leads regional meetings hosted by managers, peers, senior leadership team and other department leads including workshops, townhalls, huddles, new programs, new pilots, and initiatives.\n\n \n Job Qualifications \n REQUIRED QUALIFICATIONS: \n\n • At least 3 years of experience as a nurse practitioner, or equivalent combination of relevant education and experience, including experience as a Nurse Practitioner with Molina.\n, • Active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC).\n, • Current state-issued license to practice as a Family Nurse Practitioner (FNP).\n, • Current Basic Life Support (BLS) certification.\n, • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.\n, • Advanced computer skills. Proficient with Word, Excel, and Electronic Medical Record. \n, • Strong verbal and written communication skills. \n, • Ability to work within a variety of settings and adjust style as needed - working with diverse populations and various personalities and personal situations.\n, • Ability to work independently, with minimal supervision and demonstrate self-motivation.\n, • Responsive in all forms of communication, and ability to remain calm in high-pressure situations.\n, • Ability to develop and maintain professional relationships with individuals.\n, • Excellent time management and prioritization skills; ability to focus on multiple projects simultaneously and adapt to change.\n, • Leadership experience.\n, • Home visit/Home health experience.\n Pay Range: $111,893 - $218,192 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Description Flexible Schedule Many employers say they offer work-life balance, but few deliver on that promise. CareConnectMD providers are expected to complete their work as professionals and do not practice on a shift basis, enjoying the flexibility to adjust their work schedule around their families and other important priorities. We do not have 12-hour on-site work shifts or extensive after-hour clinic work duties. Retention is important to us, so we want to make sure our providers can maintain a good quality of life. CareConnectMD provides after-hours call coverage support, so you can enjoy your time away from work without being interrupted by calls. Key Duties and Responsibilities • Provide physician coverage for a dynamic service area, usually including 8 to 20 skilled facilities, depending on geographic distance, patient volume, etc. Covered facilities may be added or changed to meet current contractual needs., • Determine and conduct an appropriate rounding schedule to accommodate skilled and custodial patient visit requirements, • Conduct and appropriately document timely patient visits in compliance with clinical need and regulatory requirements., • Efficiently manage long-term care (custodial) patients, including ACO REACH patients in nursing facilities, • Participate in brief daily rounds for ACO REACH patients – discuss the change in status, condition with ACO REACH medical director, • Manage medical care of patients on skilled days; ensure adequate visits according to contract requirements and medical necessity; effect safe and timely discharge from skilled level of care. Requirements are defined in accordance with applicable legal and regulatory standards, • Conduct (or delegate, as appropriate) timely monthly visits to all custodial patients in designated service area in accordance with California Title 22 requirements., • Respond to direct phone calls and pages from 7:00 AM to 6:00 PM, Monday through Friday, according to CCMD policy (see Clinical Operations Manual; Section 3, Communications)., • Initiate adequate daily communication with Call Center for review and follow-up of non-critical calls, pages, requests for orders, lab results, etc. Provide clear direction for nurse callbacks., • Thorough and accurate medical documentation of all visits using SOAP format in group EMR., • Dictate timely discharge summary for skilled patients returned to care of PCP., • Participate equally in shared daytime weekend call with option to participate in overnight and weekend call for additional pay, • Participate in QI program and Peer Review, • Participate in utilization management program, • Attend medical staff meetings, • Active, ongoing patient/family communication., • Appropriate CPT and ICD10 coding and daily submission of billing forms to office. The Supervising Physician is responsible for coordinating rounding schedules and team-specific work processes in collaboration with the clinical team. Patient visits are prioritized based on new admissions, (whether patients are skilled or custodial), acuity of skilled patients, any changes in patient condition, follow-up of on-call phone log activity, family requests and routine (for subsequent custodial visits). Generally, Nurse Practitioners will be available to perform the admission history and physical, alternate routine custodial visits, and regular skilled and medically necessary visits as appropriate. They will also support the physician by handling laboratory results and responding to family and facility calls regarding patient care. These activities need to be coordinated between team members so that expectations are clear. Urgent pages require response within 15 minutes and routine pages within 60 minutes. In any case where clinical concerns or risk or quality issues exist, the NP is responsible for addressing these with the supervising physician. (See Figure 2.1) Rounding is usually done Mondays through Fridays, although flexible schedules for weekend rounding may be arranged in consultation with the Supervising Physician. Visit Requirements Both physicians and nurse practitioners perform patient visits. Requirements for various types of visits are defined in accordance with the Federal Omnibus Reconciliation Act of 1987 (OBRA), Title 22, Physician Responsibility Standards, applicable state law (see Appendix D, Legal and Regulatory) and individual facility policies. Nurse Practitioners will perform authorized medical services utilizing approved standardized procedures as contained in the Nurse Practitioner Standardized Procedures Manual (Appendix F, Nurse Practitioner Standardized Procedures.). Salary Range:$220,000.00 To $260,000.00 Annually Company DescriptionCareConnectMD is a provider enabling organization dedicated to caring for frail, elderly, and medically complex populations. With 22 years of experience managing care for institutionalized patients, we’ve developed an integrated care delivery model that seamlessly supports patients as they transition across care settings—from inpatient to post-acute care, and ultimately, to wherever they call home. Our expert clinicians specialize in symptom management, supportive care, advanced care planning, telemedicine, and medical crisis prevention, ensuring patients receive high-quality, coordinated care while empowering families with the guidance they need. As a multi-state ACO focused on the Long-Term Care population, CareConnectMD is redefining care for those who need it most—bridging gaps, improving outcomes, and enhancing quality of life.CareConnectMD is a provider enabling organization dedicated to caring for frail, elderly, and medically complex populations. With 22 years of experience managing care for institutionalized patients, we’ve developed an integrated care delivery model that seamlessly supports patients as they transition across care settings—from inpatient to post-acute care, and ultimately, to wherever they call home.\r\n \r\nOur expert clinicians specialize in symptom management, supportive care, advanced care planning, telemedicine, and medical crisis prevention, ensuring patients receive high-quality, coordinated care while empowering families with the guidance they need.\r\n \r\nAs a multi-state ACO focused on the Long-Term Care population, CareConnectMD is redefining care for those who need it most—bridging gaps, improving outcomes, and enhancing quality of life.

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. 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 DescriptionDescriptionWe are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. *Requires travel to provider sites in San Gabriel Valley Area *May be open to considering Level I Specialists based on experience and skills Our Values: • Put Patients First, • Empower Entrepreneurial Provider and Care Teams, • Operate with Integrity & Excellence, • Be Innovative, • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company, • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC), • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines, • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation, • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing, • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements., • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives., • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work., • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager., • Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification - Certified Coding Specialist (CCS-P), CCS, or CPC., • 3-5+ years of experience in risk adjustment coding and/or billing experience required, • Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC, • Reliable transportation/Valid Driver’s License/Must be able to travel up to 75% of work time, if applicable., • PC skills and experience using Microsoft applications such as Word, Excel, and Outlook, • Excellent presentation, verbal and written communication skills, and ability to collaborate, • Must possess the ability to educate and train provider office staff members, • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.You're great for this role if:, • Bilingual in Chinese (Cantonese/Mandarin), • Certified Risk Adjustment Coder (CRC) and/or Risk Adjustment coding experience, • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage, • Strong PowerPoint and public speaking experience, • Ability to work independently and collaborate in a team setting, • Experience with Monday.com, • The total pay range for this role is $75,000 - $85,000 per year. This salary range represents our national target range for this role., • This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. This position requires up to 75% travel to provider offices in the surrounding areas. The home office is located at 1600 Corporate Center Dr., Monterey Park, CA 91754.

Job Description Tia is on a mission to transform healthcare for women by increasing access to and improving the experience of key preventive healthcare services. Known as the best and only way to both transform outcomes and reduce cost, Tia's preventive care model focuses on integrating key services across primary care, mental health, gynecology, dermatology and other wellness services. Tia is trailblazing a new paradigm for women's healthcare that treats women as whole people vs. parts or life stages. Blending in-person and virtual care services, Tia's "Whole Woman, Whole Life" care model is a unique and "life-long" model for women's care. By making women's health higher quality and lower cost, Tia makes women healthier, providers happier, and the business of care delivery stronger — setting a new standard of care for women everywhere. Role Summary We are seeking a Senior Manager of Revenue Cycle Management to own and elevate the entire RCM function at Tia. This leader will balance hands-on operational oversight with strategic vision-setting, transforming our RCM processes into an optimized, compliant, and seamless revenue engine. You will be directly responsible for maximizing revenue capture across the entire claims lifecycle—from clean submission to final payment—to ensure claims are paid accurately and quickly at expected reimbursement rates. This is a high-impact role reporting to the Director of Business Operations. You will serve as a critical strategic partner, collaborating deeply with our Clinical, Product, Member Support, and Finance teams to drive operational excellence and instill financial accountability across the entire revenue funnel. What You'll DoLeadership & Strategy • Own and elevate the end-to-end Revenue Cycle Management (RCM) function, including coding, billing, and collections, ensuring maximum operational efficiency and financial integrity., • Define and execute the strategic vision for continuous process optimization, leveraging technology and best practices to drive RCM accuracy and financial performance in alignment with Tia's goals., • Cultivate a high-performing, inclusive, and accountable team culture that inspires both direct reports and cross-functional partners.Operational Excellence, • Direct all backend RCM operations, from chargemaster management to providing expert guidance on navigating complex rejections, denials, and appeals management., • Lead the end-to-end patient billing and collections strategy, including defining and implementing escalation protocols for outstanding patient balances., • Design, document, and optimize core RCM workflows and process maps (claims submission, follow-up, denials, and appeals) to proactively eliminate friction points and maximize revenue velocity.Analytics & Performance Management, • Establish and standardize Key Performance Indicators (KPIs) and metrics to deliver executive-level insights into RCM performance and financial health., • Strategically own the design, maintenance, and execution of automated dashboards and regular reporting to effectively monitor and track the health of the RCM funnel., • Conduct data-driven synthesis of trends to proactively identify root causes of payment delays, denials, and variances, translating insights into actionable process improvements.Cross-functional Collaboration, • Serve as a strategic partner to executive leadership, integrating the RCM perspective into short and long-term business planning aligned with company OKRs., • Cultivate and manage critical relationships with market partners and payers to optimize contracts and payment flows., • Act as the primary operational liaison across Clinical, Product, and Finance, ensuring the consistent adoption of best practices for billing, chargemaster maintenance, and accurate revenue forecasting.About You (Required Qualifications), • 5+ years of progressive experience in healthcare operations, with comprehensive, expert knowledge of end-to-end Revenue Cycle Management (RCM)., • Demonstrated expertise in key RCM components, including payer contracting, provider credentialing, and patient financial engagement., • A proven problem-solver who approaches complex RCM challenges with a highly systematic, analytical, and data-driven methodology., • Exceptional communication and stakeholder management skills, with the demonstrated ability to translate high-level business strategy into a clear, tactical execution plan., • Experienced in performance management framework design, specifically building or partnering on the development of KPIs, dashboards, and reporting for RCM operations.Bonuses, • Demonstrated ability to thrive and scale in a fast-paced, high-growth startup environment., • Experience implementing AI, machine learning, or automation tools within RCM workflows., • Experience designing and scaling RCM processes to maximize collection performance and efficiency.Salary & Benefits, • Salary Range: $115,000 - $150,000, • Benefits:, • Unlimited vacation, • Medical, dental, and vision benefits, • Competitive stock option package, • 401k program, • $300 one-time WFH stipend, • $50/month phone and internet reimbursement Founded in 2017 by Carolyn Witte and Felicity Yost, Tia is the modern medical home for women. We are trailblazing a new paradigm for women's healthcare that treats women as whole people vs. parts or life stages. Blending in-person and virtual care services, Tia's "Whole Woman, Whole Life" care model fuses gynecology, primary care, mental health and evidence-based wellness services to treat women comprehensively. By making women's health higher quality and lower cost, Tia makes women healthier, providers happier, and the business of care delivery stronger — setting a new standard of care for women everywhere. Tia has raised more than $132 Million in venture capital funding to date, including a recent $100 Million Series B investment, one of the largest early-stage rounds ever for a healthcare company focused on women. Tia has ambitious plans to scale its "whole-woman, whole-life" model to more than 100,000 women by 2023. We'll do this by growing virtual and in-person operations in existing and new markets while expanding its service lines to care for women throughout their entire lives -- from puberty to menopause. Since launching in 2017, Tia has grown to serve thousands of women aged 18-80 with blended in-person and virtual care in New York City, Los Angeles, Phoenix and soon San Francisco. We're building a world class team to reimagine women's healthcare. We're an interdisciplinary team of clinicians, researchers, designers, technologists and operators who have seen firsthand how broken the healthcare system is for women. We're united by a powerful mission to enable every woman to achieve optimal health, as defined by herself, as well as a shared set of values and principles that define our business, products, and culture. Tia is building a culture of excellence — in people, process and product. This is our northstar value; What is excellence, exactly? Excellence about constantly elevating yourself, it is the process of constantly striving to perform to the best of your abilities, and identifying your top potential through constant learning, experimentation and evolution. Excellence is not about achieving perfection, as that insinuates a pinnacle. Instead, in our terms, excellence is about the pursuit of constant improvement. We're looking for people who want to go on that hard journey of constantly setting new personal records, and organizational records. We practice excellence at Tia by demonstrating the following types of behaviors: We chose (and actively choose) excellence as Tia's highest order value because it crystalizes into one word several behaviors that we hold dear, specifically: A drive to constantly improve through experimentation, reflection. and an insatiable growth mindset — said another way, we're energized by the possibility of invention, innovation, and iteration Being present in and grateful for the journey — not just the goal line. Perfection is static. Excellence is a process (more on this important distinction below) Asking why, then why again — because accepting "this is just the way it is" is not good enough Grit & perseverance — a maker mentality that involves "rolling up your sleeves", but also deep care for oneself and for others A commitment to uncovering talents to unlock "rock star" potential across every individual Furthermore, excellence reflects the "bigness" and the "boldness" of Tia's mission and vision — a world in which every woman can achieve optimal health, as defined by herself. Said another way, Tia's mission is NOT to make healthcare incrementally better for women. Instead, we've intentionally set out to create a fundamentally new paradigm for modern women's healthcare that's truly excellent. We believe that creating a company that operates in a culture of excellence will manifest in our product. Reaching this goal is not an overnight pursuit or a "one and done." We have not and will not "get it right" with the first swing. Rather, this higher order goal is a moving target — one we have not and will not ever fully "achieve." By design, we will never be "done" with this work, but instead, we will be continuously in pursuit of our mission. It is this continuous pursuit — the journey, not the finish line — that truly embodies excellence. Tia is an equal opportunity employer. We are proud to foster a workplace free from discrimination. We strongly believe that diversity of experience, perspectives, and background will lead to a better environment for our employees and a better product for our users and patients. We strongly encourage people of color and members of the LGBTQ+ community to apply. If you are committed to collaborative problem solving, creating high-quality and user-centric products, and want to make waves in women's healthcare, join us!

Job Description Voted one of the best companies to work for by Modern Healthcare Magazine: Renew Health Consulting Services is an award winning family company providing healthcare services including skilled nursing, assisted living and senior living communities. We believe that seniors are extraordinary people. Their lives are filled with achievements, contributions and wisdom. They have raised families, served their communities and country, lived history and ultimately set the stage for us. We are honored to provide their care, as they make the transition to the golden years, and when it becomes more challenging to care for one’s self. From a short-term rehabilitation stay to long term nursing care, each of our clinical programs are designed to reduce hospitalizations so our patients can focus on achieving their individual care plan goals whether it’s returning home or staying with us for their long term care needs Our commitment to superior quality of life is evident when you visit our family of centers. At our care center you will meet compassionate and professional team members who understand that finding the right skilled nursing setting and long-term care option could be difficult and confusing and are wanting to make a difference by providing the utmost care to genuinely help our patients and the community around them. If this sounds like a great fit for you, we would love to have you join our wonderful team! Compensation & Benefits: • As a growing and essential company, we have many opportunities for growth and development within the medical industry and are committed to providing the resources and training you need., • Pay is market competitive and negotiable based on your experience., • Full-time employees will be eligible for a variety of comprehensive medical, dental, and vision insurance plans., • Full-time employees will be eligible for Tuition Assistance., • 401K. We are looking for full-time RN MDS Consultant Responsibilities: • Responsible for visiting facilities in the assigned Region(s) on a regular basis and ensuring the accurate and timely submission of patient assessments, care planning, and billing processes that comply with the Patient-Driven Payment Model (PDPM)., • Conduct comprehensive assessments of patient's clinical needs and identify potential PDPM coding opportunities., • Collaborate with interdisciplinary teams to develop patient-centered care plans that optimize clinical outcomes and maximize reimbursement under PDPM., • Analyses and organizes PDPM and case mix data to ensure appropriate utilization of resources., • Review medical documentation to ensure completeness, accuracy, and compliance with CMS regulations., • Monitor and analyze PDPM-related data, including patient outcomes, revenue, and compliance metrics, and provide regular reports to senior leadership., • Coordinate with MDS to ensure accurate completion of all MDS assessments and any supporting assessments or clinical documentation., • Ongoing QA of medical records for the presence of supporting documentation for all items coded on the MDS., • Provide education and training to staff on PDPM and related topics, including coding, documentation, and care planning, • Serve as a subject matter expert on PDPM to internal and external stakeholders, including regulatory bodies, payers, and auditors., • Participate in quality improvement initiatives to enhance patient care and optimize reimbursement under PDPM., • Bachelor's degree in nursing or related clinical field, • Active RN license or relevant clinical licensure., • Experience with MDS completion preferred., • Minimum of 3-5 years of clinical experience in a healthcare setting., • Experience with Federal Medicare Skilling and Long term care billing. We are an equal opportunity employer and we are committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability, and per the Fair Chance Ordinance will consider qualified applications with criminal histories in a manner consistent with the ordinance. INDHP

Job DescriptionDescriptionWe are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. *Requires travel to provider sites in San Gabriel Valley OR Inland Empire *May be open to considering Level I Specialists based on experience and skills Our Values: • Put Patients First, • Empower Entrepreneurial Provider and Care Teams, • Operate with Integrity & Excellence, • Be Innovative, • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company, • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC), • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines, • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation, • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing, • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements., • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives., • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work., • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager., • Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification - Certified Coding Specialist (CCS-P), CCS, or CPC., • 3-5+ years of experience in risk adjustment coding and/or billing experience required, • Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC, • Reliable transportation/Valid Driver’s License/Must be able to travel up to 75% of work time, if applicable., • PC skills and experience using Microsoft applications such as Word, Excel, and Outlook, • Excellent presentation, verbal and written communication skills, and ability to collaborate, • Must possess the ability to educate and train provider office staff members, • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.You're great for this role if:, • Bilingual in Chinese (Cantonese/Mandarin), • Certified Risk Adjustment Coder (CRC) and/or Risk Adjustment coding experience, • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage, • Strong PowerPoint and public speaking experience, • Ability to work independently and collaborate in a team setting, • Experience with Monday.com, • The total pay range for this role is $75,000 - $85,000 per year. This salary range represents our national target range for this role., • This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. This position requires up to 75% travel to provider offices in the surrounding areas. The home office is located at 1600 Corporate Center Dr., Monterey Park, CA 91754.

Job Description Join Team Royal! Why Royal? At Royal Electric Company we provide expert electrical design, construction, and service with builders, contractors and facility owners who value relationships, trust, expertise, and a commitment to each other towards achieving exceptional results. We believe in transforming the culture of construction, creating a space where everyone feels they belong. We are proud to support initiatives like "Breaking Barriers," showcasing the incredible contributions of women in our industry. Breaking Barriers: Women At Work Episode 1 We are able to sustain this through our linking values of expertise, collaboration, integrity, passion, and loyalty. These values support our core purpose; to build great relationships, one project at a time! We believe in taking care of our team. From comprehensive wellness programs to continuous learning opportunities, we invest in your growth and well-being. One Royal Culture Short Story We have a current opening for a Superintendent in Long Beach, CA The Superintendent will be part of our Infrastructure Group and support projects in Southern, CA. Success in the position is achieved through the following duties & responsibilities: Building People • Structure the job site crews for best execution of the work and utilize foreman and field engineers when available to manage systems or phases., • Work with the GS to efficiently add, coach/train, or remove manpower as needed to meet project demands., • Build a strong partnership with the Project Manager to facilitate collaboration among the field team, PM, and PE for project success. Work together to implement the client color coding strategy established during the Project Kickoff and escalate to GS if changes are necessary., • Build a strong relationship with the client's team to foster trust and respect for effective information sharing, problem-solving, and collaboration. Establish connections with our vendors, subs, and other trades to coordinate efforts and ensure a successful project., • Integrate virtual construction and prefabrication into the production plan with support from the GS while coordinating with VDC, prefab, safety and support operations and ensure successful execution., • Plan safety into every task of the project, identifying specific hazards, training/certifications needed to perform those tasks, and any specialized equipment or resources needed to perform the tasks safely. Coordinate with the GS on any safety training requirements as needed., • Monitor the project field team based on experience and skill sets and set role clarity for field leaders on the project so they are clear on what part of the work is in their scope and what planning/execution activities they are expected to perform., • Independently perform aspects of the preplanning portion of the proven process with oversight from the GS, while consistently executing the construction portion of proven process throughout the project., • Collaborate with the GS to create and maintain a work breakdown structure and production plan for major activities, determine quantities/unit of measure, and use the project schedule and WBS to identify necessary resources (material, equipment, labor) for each activity., • Review and update overall project schedule, WBS, and CTC with PM ensuring all information is accurate., • Create BOM with buy in from PM and submit to Buyer for processing and ensure material is aligned with schedule. Manage onsite coordination of material according to logistical/staging requirements and schedule., • Responsible for making sure every person is performing work safely. Review JHAs/THAs prior to tasks being performed. Ensure competent persons are on site as required for tasks, and that PPE is being worn at all times. Assign tasks to crew members that have the skill set and physical capability to perform the tasks., • Communicate production goals daily and ensure the necessary labor, materials, and equipment required for production goals is available when and as needed. Follow up with team at end of day to communicate how they did compared to goals. Continuously track daily production against goals to identify and remove obstacles, escalating issues to the PM and GS if goals cannot be met., • Play an active role in employee development and disciplinary processes, fostering a culture of growth and accountability within the team., • Perform or ensure completion of daily documentation and submit required documents, such as timecards, equipment utilization, daily reports, and production tracking, while also complying with all rules, regulations, and company policies regarding work classifications, ratios, meal and rest periods, and work hours., • Collaborate on developing a strong project closeout and execution plan., • Perform tasks based on project needs. Who you are: • Strive to be great - You're eager to build and master your skills by seeking out - applying - training and new experiences. You're willing to work smart, take initiative, and take on challenges with a tenacious and resourceful attitude., • Fun & Friendly - You like people, have a sense of humor, and enjoy what you do., • Analytical and Solutions-oriented - You're skilled at identifying challenges and opportunities, developing practical solutions, and ensuring projects stay on track to meet their goals., • Critical Thinker - You're willing to be innovative, challenge yourself, and try new things., • Relationship Builder - You work to build trust and relationships at all levels, cultivating collaboration, shared success, and mutual respect., • 8 years of construction trade or project experience in the electrical industry preferably with commercial, multi-family residential, and/or airport projects., • Experience leading crews of 1-20 journeymen/apprentice on projects ranging $1-$12million or multiple projects., • Must be able to create, influence and reinforce our commitment to a best-in-class safety culture., • Valid journeyman electrician card (Building Group), • Skilled & trained preferred (Building Group), • OSHA 30-Hour certification (preferred)., • Must be able to complete all necessary competent person tests and certifications, • May be required to pass badging requirements for various airports, military bases, or schools. Required Skills & Abilities, • Demonstrate most or all Safety Leadership traits, by leading by example, plan safety into the work, coach & hold others accountable, and utilize expertise., • Ability to forecast 3 to 12 months, • Proven ability to manage projects while efficiently coordinating and collaborating with the team., • Must be proficient in scheduling and have experience utilizing scheduling platform ex. MS Project or P6., • Ability to manage multiple tasks and have excellent follow-up skills internally and externally., • Ability to prioritize, complete tasks, and address issues in a timely manner., • Demonstrates strong written and verbal communication skills., • Must be detail-orientated and well organized., • Ability to effectively delegate tasks to project team., • Occasionally may need to participate as journeyman for skill and trained purposes, • Ability to be badged at airports, • Ability to operate company vehicle, • Knowledge of airfield/transportation/infrastructure/underground Salary Range: • $120,000/year - $150,000/year We offer competitive wages plus benefits and 401(k). Royal is proud to be an equal opportunity workplace. Individuals seeking employment at Royal are considered without regards to age, ancestry, color, race, gender (including pregnancy, childbirth, or related medical conditions), gender identity or expression, sexual orientation, genetic information, marital status, medical condition, mental or physical disability, national origin, protected family care or medical leave status, religion, military or veteran status, or any other characteristic protected by federal, state, or local laws. We utilize E-Verify to confirm work authorization with both the Social Security Administration and the Department of Homeland Security. E-Verify Link: Applicants must be authorized to work in the United States. Royal Electric is unable to sponsor or take over sponsorship of employment Visa at this time. We promote a drug free workplace. Benefits • Health Care Plan (3 types of Medical plans, Discounted Dental & Orthodontist services for adults & children, Premium Vision Plan), • Retirement Plan (Traditional 401k, Roth 401k)., • $50k Life Insurance (Basic, Voluntary, & AD&D), • Paid Time Off (Vacation, Sick Leave, and 8 Paid Holidays), • Family Leave FMLA (Maternity & Paternity), • Short Term & Long-Term Disability, • Pet Insurance, • Flex Spending Accounts: Healthcare, Dependent care (Daycare children & elderly – work related), & Transit, • Pharmacy discounts, • Kisx Card (Surgery & Imaging Program), • Free telehealth, • Health Joy App, • Free peer coach support - (mental health, stress management, substance use, and suicidal ideation), • CancerCARE 1:1 Consulting and support with expert medical team, • Employee Assistance Support, • Hearing Aid discount plan, • Safety training: Getting Everyone Home Safely, • Professional & Leadership Development Training, • Skill Development Training, • Mentorship Program, • On-The-Job & Classroom Training Employee Referral Program: We value referrals from our employees! If you know someone who would be a great fit for this role, please refer them through our company’s referral program. Successful referrals can earn you an incentive!