Case manager jobs in Sparks, NV

A clinical position that works within a collaborative process to assess, plan, implement, coordinate, monitor, and evaluate options of care, services and alternative levels of care to meet an individual's needs and facilitate appropriate discharge and length of stay. By assuming a leadership role with the interdisciplinary team, the Case Manager promotes appropriate utilization of care and services, and cost effective outcomes. The Case Manager is responsible for the review of the medical record to ensure care and services are delivered timely and appropriately. This position is responsible to reduce and/or eliminate avoidable days. Nature and Scope The Case Manager has the responsibility to promote case management activities through the health continuum, beginning in the acute setting. Case management begins with the assessment of pre-morbid health status, current medical condition and post-acute needs. The Case Manager works closely with the Utilization Management RN who performs admission and concurrent continued stay reviews, together they ensure that services are being delivered at the most appropriate level of care to meet the client's needs and to secure reimbursement from payers. Utilizing an interdisciplinary team approach, the Case Manager acts as a consultant and educator on matters referring to alternative levels of care and managed care issues,. In collaboration, to provide optimal patient care through, assessment, planning, implementation, and evaluation of neonatal, pediatric, adolescent, adult, and geriatric patients and families. This position also provides information such as certified LOS and reimbursement issues to physicians as needed to ensure the appropriate and timely disposition of the client to the next level of care. The Case Manager monitors and documents the progress of the plan, making revisions as needed, to assure a smooth transition to the next level of care at the time of discharge. Specifics of Positions: * Excellent documentation and communication skills and must be able to use critical thinking, find solutions quickly and be comfortable escalating when services or care are not delivered efficiently or appropriately. * Attending rounds and ensure * All orders written * DC plan is in place and in computer * Social Workers are assigned to appropriate patients * Choice forms (When needed) and IMMs are signed 48 hours prior to DC * All are in agreement with DC plan, date of DC and plan for care transitions * Review charts and ensure * All orders are written and signed and follow up with physicians (Hospitalist, UNR, Surgeons) * Face to Face documentation is done * DC summaries are written and in system in time for DC * Ensure all tests are scheduled timely and escalate as needed * Lab * Imaging * Surgery * LOS does not extend beyond what Bed Day Management review states is appropriate and ensures everyone on care team is working to DC timely * Clinically Complex Cases are worked up appropriately for DC needs (wound vac, IV meds, Meds Requiring Pre Approval etc..) * The Case Manager must respect beliefs and values while advocating for the client's right to self-determination and to make informed choices. * The Case Manager documents all chart and phone reviews, identifies and communicates potentially avoidable/non-reimbursed days, and quality indicators (such as re-admissions) . As indicated, delivers non-coverage letters as set forth by payer and/or regulatory compliance. * The Case Manager acquires and maintains knowledge and competencies related to the expectations of their position including an extensive knowledge of post-acute admission criteria (Rehab, LTAC and SNF etc.). Practice is aligned with the mission, vision and goals of the Integrated Health System. She/he participates in Quality Improvement initiatives. This position does not provide patient care. Disclaimer The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job. Minimum Qualifications Requirements - Required and/or Preferred Name Description Education: Must have working-level knowledge of the English language, including reading, writing and speaking English. Appropriate education to obtain and maintain State of Nevada Registered Nurse licensure. Bachelor of Science in Nursing preferred. Experience: One year experience preferred as an RN. Case Management, Post-Acute experience and/or UR/QA experience preferred. License(s): Ability to obtain and maintain a State of Nevada Registered Nurse license Certification(s): National Certification (i.e. Case Management (CCM), Professional Utilization Reviewer (CPUR), or Managed Care (NMCC)) preferred. Current BLS/CPR certification required. Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

Job Title: Case Manager (Pre-Litigation) A well-regarded personal injury firm is seeking a dedicated Case Manager to oversee pre-litigation claims from initial assignment through resolution or litigation handoff. This role is ideal for someone who excels in client communication, understands the flow of personal injury cases, and thrives in a fast-paced legal setting. Key Responsibilities: Serve as the primary point of contact for clients, ensuring timely updates and exceptional service. Coordinate client medical treatment and diagnostics as directed by attorneys. Maintain accurate and current case notes, including updates every 30 days via the client portal. Verify and document applicable auto insurance coverage. Order and organize medical records and invoices; log all activity in the case management system (Needles). Prepare comprehensive medical summaries. Draft demand letters in preparation for settlement negotiations. Collaborate closely with attorneys and support staff to ensure smooth case progression. Handle administrative and case-related tasks as assigned. Ideal Candidate Profile: High school diploma or equivalent required. Minimum of 2 years experience managing personal injury pre-litigation cases. Strong written and verbal communication skills. Excellent organizational habits and keen attention to detail. Customer-first mindset with proven service excellence. Ability to prioritize tasks independently and thrive in a collaborative environment. Additional Details: Full-time, hourly position. Non-exempt classification. Occasional light lifting may be required (under 25 lbs).

Requirements To perform the essential functions of this position successfully, an individual should demonstrate the following competencies: Strong case management, advocacy, and crisis intervention skills. Knowledge of healthcare systems, Medicare programs, housing, employment, and social service systems. Ability to provide tailored Medicare counseling, plan comparison, and benefits navigation. Ability to build trust and rapport with diverse clients, including Deaf, Hard of Hearing, DeafBlind, and Disabled adults. Excellent interpersonal, written, and verbal communication skills. High cultural competency and understanding of marginalized or underserved populations. Proficiency in documentation, data tracking, CRM systems, and service reporting. Strong organizational and problem-solving abilities. Ability to work collaboratively with call center representatives, service navigators, and community partners. Ability to communicate effectively in American Sign Language (ASL) preferred or willingness to develop ASL proficiency. Commitment to CSD's values of equity, inclusion, empowerment, and community service. Qualifications Bachelor's degree in Human Services, Social Work, Gerontology, Rehabilitation Counseling, or a related field; equivalent experience may be considered. Minimum of two (2) years of experience in case management, client advocacy, or social services. Experience working with Deaf, Hard of Hearing, or IDD populations strongly preferred. Experience in Medicare counseling, benefits navigation, or healthcare access programs preferred. Experience in community-based programs, healthcare navigation, or service coordination. Willingness to obtain Medicare Assistance Program certification within six (6) months of hire. Valid driver's license and reliable transportation required. Flexibility to work on occasional evenings or weekends for outreach or client needs.

Job Description Since inception in 2004, BI Incorporated has operated ISAP for the Department of Homeland Security (DHS) and U.S. Immigration and Customs Enforcement (ICE) and Enforcement and Removal Operations (ERO). ISAP is an essential part of ERO, providing intensive supervision of individuals in immigration proceedings. The program achieves positive results by combining comprehensive case management with proven supervision technology. In addition, BI maintains an extensive list of community-based partners to provide critical assistance for participants' basic life needs. With consistent positive outcomes, ISAP continues to grow and evolve, serving an ever-increasing number of participants. Responsibilities Summary Provides case management of Intensive Supervision Appearance Program (ISAP) participants from entry to release by administering the program's policies and procedures as defined by the Department of Homeland Security (DHS) contract. Primary Duties and Responsibilities Develops, implements, coordinates, reviews and updates case management and individual service plans for ISAP participants in conformance with state and federal regulations and program requirements. Meets with participants face-to-face regularly as required by contractual obligations. Develops and maintains accurate and complete case records for all ISAP participants from entry to release from ISAP. Proactively manages cases using all appropriate tools and techniques. Maintains confidentiality of all records. Conducts intake interview and orientation session with each ISAP participant within contractual timeframes and requirements. Installs electronic monitoring equipment on ISAP participants as necessary and monitors compliance with electronic monitoring program. Assists ISAP participants with acquiring travel documents from the countries of citizenship. Maintains a log of travel document information for each participant. Evaluates English proficiency of ISAP participants to determine resources necessary to promote clear communication between ISAP staff and participants. Coordinates and facilitates translation services for ISAP participants, including emergency translation services. Connects participants with community resources including, but not limited to, transportation, medical, food, shelter, clothing, educational, financial, legal, religious and other social adjustment or facilitative resources. Identifies and coordinates services as required. Supervises ISAP participants while in Company offices. Establishes schedules for ISAP participants that include, but are not limited to, counseling sessions, immigration Court appearances, and access to legal services. Coordinates with participants to ensure attendance at legal orientation and cultural orientation sessions, as well as supplemental services evaluations. Reviews individual service plans, conducts risk/needs assessments and writes progress reports on a regular basis in compliance with contractual obligations. Reports on program violations in a timely manner using established reporting parameters. Conducts home visits to verify participants' places of residence in compliance with contractual obligations. Performs emergency counseling for ISAP participants as needed. Identifies and maintains relationships with translation resources in the community, including private services, volunteers, universities, English as a Second Language (ESL) schools, NGOs, churches, and other organizations that might have resources to offer. Performs other duties as assigned. Qualifications Minimum Requirements Bachelor's Degree required. Degree in Sociology, Psychology, Social Work, Criminal Justice or related field preferred. At least two (2) years of customer service or case management experience required; experience in fields related to law, social work, detention, corrections or working with multi-cultural clients preferred. Bilingual English/Spanish required. Valid driver's license required and the ability to safely operate a motor vehicle in order to perform home visits. Ability to pass a federal background check and obtain a suitability determination. United States citizenship required. Must live in the US 3 of the last 5 years (military and study abroad included). Effective verbal and written communication skills with employees, community contacts, government officials and participants. Ability to interpret and articulate rules, orders, instructions and materials. Ability to compose reports. Demonstrated sound judgment and even temperament. Ability to maintain self-control in stressful situations, such as interpersonal confrontations or emergencies. Ability to defuse hostile or unstable situations. Ability to deal tactfully with the public. Attention to detail. Problem solving ability. Ability to deal with multicultural contacts with sensitivity. Basic knowledge of immigration laws, regulations and procedures. Basic computer skills. Ability to interpret electronic monitoring messages and daily summary reports. Good typing skills to develop and maintain case records by performing data entry. Ability to work with computers and the necessary software typically used by the department. Working Conditions: Encountered on a regular basis as part of the work this job performs. Typical office environment. Some local travel is required. Use of standard office equipment such as copier, computer, keyboard, telephone and fax machine. Bending, stooping and use of hands and fingers to place electronic monitoring equipment on participants. Ability to use hands and fingers to install electronic monitoring equipment and to perform data entry. Ability to stand, walk, sit, climb or balance, enter and exit a car, and climb stairs multiple times in one day in order to make home visits.

An experienced professional who has an extensive understanding of solutions, industry best practices, multiple business processes, technology designs, and interfacing within healthcare. Also has experience working with the federal government on healthcare related projects. Operates independently to provide quality work products to internal and external clients. Performs varied and complex duties and tasks that need independent judgment, in order to implement and maintain integrations with Oracle Health products and technology to meet customer needs. Applies Oracle methodology, company procedures, and leading practices. Due to the Federal nature of the assignment, we can only proceed with **US Citizens** at this time This position is onsite at our Arlington, Virginia location. + Complete comfort creating and presenting material to audiences from Senior Exec down to power users within Oracle and within the federal government + Working hands on with clinical and administrative staff in a healthcare environment + Strong background in IT and IT administration in complex corporate environments + Strong with Project Management playbooks, methodologies and experience with tracking and reporting metrics + Participate in managing ongoing integration SDLC processes + Able to create/update technical documents describing interfaces. + Managing many projects concurrently across different sites. + Coordinate with Project Managers and Release Manager for the technical aspects of integration projects + Provide technical feedback and oversight on integration projects **Responsibilities** Responsibilities Our ideal candidate will typically be expected to demonstrate the following attributes: 1. Good technical skills in Oracle Healthcare integration 2. Knowledge & experience in Health care technology 3. Understanding of Technical architecture, operating systems and network. 4. Ability to understand and create interface design documents 5. Ability to create technical solutions to integrate medical systems using medical interface standards. 6. Strong understanding of Incident Management process in a production IT Environment and IT Operations. 7. Good understanding of Problem Management, Change Management and Event Management processes. 8. Demonstrated knowledge of incident management practices, activities, techniques, and tools within a large, complex organization preferably in Infrastructure areas. 9. Demonstrated ability to effectively coordinate resolution efforts for escalated issues. 10. Good understanding of the business impacts of critical situations. 11. Demonstrated ability to effectively communicate at the technical and business management level. 12. Should have a strong customer facing skills. 13. Ability to maintain composure in high-stress/high-visibility situations and change priority as needed to accommodate a very dynamic business. 14. Excellent team player, willing to learn new technologies & problem-solving skills. 15. Strong organization skills, detail oriented & communication skills. Disclaimer: **Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.** **Range and benefit information provided in this posting are specific to the stated locations only** US: Hiring Range in USD from: $87,000 to $178,100 per annum. May be eligible for bonus and equity. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business. Candidates are typically placed into the range based on the preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance and AD&D 4. Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts 6. Pre-tax commuter and parking benefits 7. 401(k) Savings and Investment Plan with company match 8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation. 9. 11 paid holidays 10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours. 11. Paid parental leave 12. Adoption assistance 13. Employee Stock Purchase Plan 14. Financial planning and group legal 15. Voluntary benefits including auto, homeowner and pet insurance The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted. Career Level - IC4 **About Us** As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity. We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States. Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.

Under close supervision, receives training on a wide range of casework in Juvenile Services programs in a manner consistent with the policies, procedures, and practices of the Department of Juvenile Services and in compliance with NRS Chapter 62; and performs related work as required. This is an Open Competitive/Countywide Promotional recruitment being conducted to fill current full-time vacancies at Juvenile Services. The list established from this recruitment may be used to fill future vacancies as they occur. Watch a video about Washoe County Juvenile Services by visiting Employment (washoecounty.gov). For more information on this position, please see the Job Specification at **************************************************************** A bachelor's degree from an accredited college or university in behavioral sciences, criminal justice, human services, social work, or a closely related field; OR one year of full-time experience working directly with adolescents in one or more of the following fields: criminal justice, social services, or education AND a bachelor's degree in any other discipline. Must be at least 21 years of age at time of application. Must be a United States Citizen at time of application. License Or Certificate Successful completion of the Nevada Peace Officer Standards and Training (POST) academy in the first year of employment including passing the Nevada POST Physical Readiness Test and must maintain POST requirements per NRS/NAC 289 for continued employment in this classification. CPR/First Aid certification upon appointment at own expense and must maintain CPR/First Aid certification for continued employment in this classification. A valid Nevada Class C driver's license is required at the time of appointment and must be maintained for continued employment in this classification. Selected candidates must pass a background investigation which includes: * Complete and submit a Personal History Statement and pass an extensive background investigation. * Submit a set of fingerprints. * Successfully complete a Computerized Voice Stress Analysis (CVSA) examination. * Submit to a psychological examination. * Pass a thorough pre-employment medical examination in accordance with NAC 289.110, and drug screen. A person may not be appointed to perform the duties of a peace officer if he or she has: * Been convicted of a felony in this State or of any offense which would be a felony if committed in this State. * Been convicted of an offense involving moral turpitude or the unlawful use, sale or possession of a controlled substance; or as listed in NRS 62B.270. * A documented history of physical violence. * Resigned in lieu of termination or been terminated from any civil services employment for substantiated misconduct involving dishonesty as described in NAC 289.110. Successful completion of Defensive Tactics annually for continued employment in this classification. Successful completion of Department approved and mandated training for continued employment. Will work on-call rotation including weekends, holidays and evenings and maintain a flexible work schedule. Must submit to a TB test upon appointment at own expense. Juvenile Services falls under the direction of the District Court, and as such, Juvenile Services is not a part of Washoe County's merit personnel system, and Juvenile Services employees are not members of a bargaining unit. However, full-time or part-time permanent employment with the Department of Juvenile Services offers the same attractive benefit package and salary schedule as any other Washoe County Department. Washoe County requires its employees to reside in the state of Nevada or neighboring California communities such as Truckee, South Lake Tahoe or Susanville as of their first day of work. Washoe County hires all new employees at the minimum rate of the salary range and eligible employees may receive an annual merit increase of 5% until they reach the maximum salary for the classification. Upon promotion, current Washoe County employees are placed at the minimum rate of the salary range for the higher classification of the new position OR a promotional calculation, whichever is greater. 1. After your application is screened, you will be notified via the email you provided whether you have met the minimum requirements for the position. Those applicants who do not meet the qualifications have one (1) business day to file an appeal and request a review of their qualifications. 2. Applicants who meet the minimum requirements will receive an email invitation to take the PPRT (POST Physical Readiness Test), which is a pass/fail test. Please note you must be present in Reno, NV to take the PPRT. The first PPRT is tentatively scheduled for the week of January 19, 2026, and subsequent exams will be scheduled approximately every other month thereafter. POST Physical Readiness Test * Vertical jump - 11.5 inches * Agility run - 23.4 seconds * Sit-ups - 24 (60 second time limit) * Push-ups - 18 (no time limit) * 300 meter sprint - 82 seconds * 1.5 mile run - 20:20 (minutes: seconds) For more information on the PPRT please visit: ************************************************************* 3. For continuous/open until filled recruitments, candidates who pass the PPRT will be referred to the department for an interview on an ongoing basis until the position is filled. Once referred, candidates will be contacted by email or telephone. 4. Please be advised you can log in to your NeoGov account and select: * "Applications" to view a list of the recruitments which you have applied for, your submitted application for each recruitment, a copy of the job listing, and your applicant history for each recruitment. * "Inbox" to view the notices which have been sent to you for each recruitment * "Account" to update your contact information. Please note to update your phone number on previously submitted applications you must contact ************************. If you have any questions regarding the Online Application Process you can find additional information at the following link: **************************************************************** Questions: Alicia Agrella ************************* ************ Washoe County is proud to be an equal opportunity employer and is committed to a diverse workforce that creates a sense of belonging for all employees and citizens, thereby encouraging persons from all backgrounds and experiences to apply for employment. Washoe County will recruit, hire, train and promote into all job levels without regard to race, religion or belief, gender, marital status or domestic partnership, familial status, national origin, age, mental or physical disability, pregnancy, sexual orientation, gender expression or identity, genetic information (GINA), veteran status, political affiliation, membership in an employee association or union or any other protected class under applicable federal or state law.

Correctional Casework Specialists perform duties involving the evaluation and classification of individual inmates incarcerated within State correctional facilities; maintain a comprehensive record of each inmate regarding personal data, legal data, criminal history, institutional adjustment, program needs, program achievements, classification history and rule infractions as stipulated under NRS Chapter 209; evaluate, develop and implement plans for inmate program participation. Incumbents perform in a trainee capacity and acquire the knowledge, skills and abilities required in this occupation. The Northern Nevada Correctional Center is now hiring for a Correctional Casework Specialist Trainee in Carson City, NV. The Trainee will work directly with Substance Abuse Programs while also participating in clinical staff meetings, reviewing candidates for Recovery Court, collaborating with community partners, and more for the program's population at Northern Nevada Correctional Center (NNCC). The individual in this role will also work collaboratively with NNCC/Phoenix site supervisor and staff to monitor and coach the Phoenix Therapeutic Community. To see full Class Specifications visit: ****************************************************************

** Applicants MUST live in NEVADA to be considered for this role. ** At Activate Care, we're on a mission to improve health equity and drive improved health outcomes across the country. Our Community Care Record platform, Care Link, enables healthcare and community organizations to coordinate care for populations challenged with health-related social needs (HRSN). Path Assist is our tech-enabled Community Health Worker program for addressing HRSN utilizing an evidence-based, structured intervention. Our goal is simple: address individuals' unmet HRSNs, increase health confidence, improve self-efficacy, and reduce inappropriate healthcare spend. Role Overview: Activate Care is seeking full time, hybrid Licensed Clinical Social Worker (LCSW) Supervisors to oversee Community Health Worker (CHW) teams within designated service areas. These supervisors will provide leadership, clinical insight, and operational oversight to ensure high-quality service delivery, team engagement, and compliance with organizational and contractual standards. This role is ideal for licensed social workers who bring both clinical expertise and supervisory experience, and are passionate about supporting frontline teams addressing health-related social needs. We expect travel and on-site requirements to be 20-30% or less for this position. Responsibilities: Team Leadership & Oversight Provide day-today supervision and mentorship to CHWs. Manage daily workflows, team dynamics, and task delegation. Conduct weekly one-on-one meetings to review performance, challenges, and goals. Facilitate all-team meetings to build collaboration and share updates. Performance Management Develop clear and measurable performance criteria aligned with organizational goals. Conduct regular evaluations, provide constructive feedback, and recognize achievements. Monitor and document performance issues, implementing performance improvement plans as needed. Lead annual performance reviews and guide professional growth plans. Operational Compliance Review and approve employee time, PTO, and mileage reimbursements in BambooHR. Ensure compliance with organizational policies and payroll processes. Utilize tools such as Looker and Fluent Stream to monitor metrics and inform decisions. Lead Quality Improvement (QI) initiatives, including CHW self-audits and action planning. Communication & Collaboration Share data and insights to drive continuous improvement and problem-solving. Escalate concerns to Activate Care management when necessary and follow through on resolution. Training & Development Partner with the Training Manager to onboard and orient new hires. Assess training needs, develop materials, and facilitate targeted sessions. Support ongoing staff development and promote professional growth opportunities. Community Engagement Build and maintain strong partnerships with local nonprofits, healthcare providers, and community resources. Enhance service delivery by leveraging external resources for client support. Technology & Support Provide basic troubleshooting for technology platforms. Escalate complex issues to IT support when required. Qualifications: Master's Degree in Social Work (MSW) Current licensure as a Clinical Social Worker (LCSW). 5+ years' experience in healthcare coordination, case management, or CHW supervision. Demonstrated leadership and team management abilities. Experience with performance metrics, data analysis, and quality improvement initiatives. Strong leadership, mentoring, and coaching skills. Excellent communication and stakeholder management abilities. Proficiency with HR systems (e.g., BambooHR), data tools, and communication platforms. Ability to travel within assigned service regions. Must have a valid NV state driver's license and have personal transportation. Diversity & Inclusion: At Activate Care, we are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates without regard to race, color, religion, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, military and veteran status, and any other characteristic protected by applicable law. We believe that diversity and inclusion among our teammates is critical to our success, and we seek to recruit, develop, and retain the most talented people from a diverse candidate pool. The Company will not sponsor applicants for work visas at this time.

Starting Hourly Rate / Salario por Hora Inicial: $17.00 USD per hour Working at Target means helping all families discover the joy of everyday life. We bring that vision to life through our values and culture. Learn more about Target here. (*********************************** **ALL ABOUT SERVICE & ENGAGEMENT** Advocates of guest experience who welcome, thank, and exceed guest service expectations by focusing on guest interaction, loyalty enrollment and store cleanliness. Advocates of both in-store and digital services and solutions who are knowledgeable about capabilities and features that drive adoption, usage and ultimately guest loyalty. Empowered to make shopping quick and easy for guests at the checklanes, guest services, gift registry, pick-up and drive up while ensuring exceptional quality. **At Target** **,** **we believe in our team members having meaningful experiences that help them build and develop skills for a career. The role of a Guest Advocate can provide you with the** **ski** **l** **ls and experience of** **:** + Communicating and interacting with guests to build anwelcoming guest experience + Blending problem solving and decision making to positively impact the guest experience and resolve guest concerns + Adapting to different guest interactions and situations + Promoting and engaging around various benefits, offerings and services **As** **a** **Guest** **Advocate,** **no two days** **are ever the same, but a typical day will** **most likely include** **the following responsibilities:** + Demonstrate a service culture that prioritizes the guest service experience by delivering the service standard + Create a welcoming experience by greeting guests as you are completing your daily tasks. + When guests need assistance, engage with guests in a welcoming way, to help solve their specific needs. + Make the guest aware of current promos. store activities and events. + Be knowledgeable about the tools, products, and services available in the total store, and specific to your area, to solve issues for the guest and improve their experience. + Thank guests and let them know we're happy they chose to shop at Target. + Know and speak to the benefits of Target Loyalty programs with every guest and assist with application or sign-up as needed. + Scan and bag all guest items efficiently, accurately and in compliance with food safety standards and company best practices. + Work efficiently to minimize guest wait time while maintaining guest service and accuracy. + Understand and show guests how to use the features and offerings within the Target App including Wallet. + Be familiar with Order Pick-Up, Drive Up and online ordering, and know how to direct the guest to enroll, activate and use these features. + Attempt every return and follow register prompts;partnerwith immediate Leaders as needed to help solve for the guestwhile following Target's policies and procedures. + Maintain a clean, clutter free work areaby gatheringunpurchased items, baskets, and hangers for removal. + Stock supplies during store open hours while being available for the guest. + Demonstrate a culture of ethical conduct, safety and compliance. + Work in a safe manner at all times; comply with all safety policies,best practices, and training; report hazards and correct where possible. + Support guest services such as order pick up (OPU), Drive-up (DU) Orders, DU Returns and maintain a compliance culture while executing those duties, such as compliance with federal, state, and local adult beverage laws. + All other duties based on business needs **WHAT WE ARE LOOKING FOR** **This m** **ay** **be the right job for you if:** + You enjoy interacting and helping others - including guests that shop our store and fellow team members you work with. + You thrive in a fast-moving, highly active and physically demanding role, where teamwork, flexibility, and creative problem solving are key to success. + You are open to working a flexible work schedule with varying hours, days or shifts (including nights, weekends, holidays and other peak shopping times). **The good news is that we have some amazing training that will help teach you ever** **y** **thing you need to know to be a** **Guest** **Advocate.** **But** **,** **there are a few** **skills** **you** **should have from the get-go:** + Communicating effectively, including using positive language and attentive to guests needs + Welcoming and helpful attitude toward guests and other team members + Attention to detail while prioritizing tasks + Willing to educate guests and engage around products and services + Ability to communicate on multiple frequency devices and operate handheld scanners, and other technology equipment as directed. + Work both independently and with a team + Capability to remain focused and composed in a fast-paced environment and accomplish multiple tasks within established timeframes **We are an awesome place to work and care about our teams, so we want to make sure we are clear on a few more basics that we expect:** + Accurately handlecheckout operations, transactions,and support cash office operations as needed + Scan, handle and move merchandise efficiently and safely, including frequently lifting or moving product up to 10 poundsand occasionally lifting or moving merchandise up to 44 pounds without additional assistance from others. + Flexible work schedule (e.g., nights, weekends and holidays); reliable and prompt attendance necessary. + Ability to remain mobile for the duration of a scheduled shift (shift length may vary). + Capable of working in and exposure to varying temperatures, humidity, and other elements while performing certain job duties including but not limited to Drive-Up, carryout, etc. Find competitive benefits from financial and education to well-being and beyond at ********************************************* . **Benefits Eligibility** Please paste this url into your preferred browser to learn about benefits eligibility for this role: ********************************* | Pegue esta URL en su navegador preferido para obtener información sobre la elegibilidad de este puesto para recibir beneficios: ********************************* **Americans with Disabilities Act (ADA)** In compliance with state and federal laws, Target will make reasonable accommodations for applicants with disabilities. If a reasonable accommodation is needed to participate in the job application or interview process, please reach out to candidate.accommodations@HRHelp.Target.com. Non-accommodation-related requests, such as application follow-ups or technical issues, will not be addressed through this channel. Applications for this role are accepted on an ongoing basis and there is no application deadline. Las solicitudes para este puesto se aceptan de forma continua y no hay fecha límite de solicitud.

The Member Advocate Supervisor-I is responsible for leading and coaching Member Advocates by acting as an encouraging role model. The MAC Supervisor-I must be able to monitor, mentor, and enhance other MAC member performance under the direction and supervision of MAC Management. This role identifies strengths, weaknesses, provide solutions, inspires agents to do better by clearly communicating the department's goals and expectations, and ensures quality service for all programs. The Supervisor-I will provide MAC Manager(s) with trends and feedback to improve overall operations and is responsible for maintaining an open communication line between Member Advocates and MAC Management. ESSENTIAL DUTIES AND RESPONSIBILITIES: Coach Member Advocates as needed: prepare scorecards, interpret feedback provided by other departments, and supervise overall performance goals to ensure departmental goals are met Ensure all requests are processed accurately and in a timely manner Ensure all department assignments (voice mail, Callbacks, special projects) are completed and logged Participates in Recruiting of new Member Advocates Provide feedback for Performance reviews of Member Advocates according to ADG's review process Monitor Member Advocates timesheets, vacation time, and sick time to ensure accuracy and timely processing Participate actively in the Member Advocate quality process Monitor Member Advocates' attendance, adherence to schedule, shrinkage, and utilization May be required to supervise Member Advocates on weekends Meet with Team monthly to discuss team statistics and overall departmental issues/concerns Gather and interpret numerous reports and data from multiple resources Format, update and distribute procedures and scripts as required by MAC Management Work closely with MAC Management daily to keep manager(s) informed of trends and developments affecting the Member Advocate Service Center May be required to take calls during peak times May be required to back up LOD as required With direction from MAC Management, train LOD and provide additional support Create rotation schedule monthly for special assignments With input from MAC Management, communicate a daily tactical Service Level Plan Troubleshoot technical or procedural issues that arise for Member Advocates and report to the ADG Helpdesk as required Provide reporting as required by the business Other duties as assigned Requirements Minimum of 5 years Contact Center experience with 3 years in a Supervisory role Flexible Hours; must be willing to work weekends Positive attitude, with excellent leadership skills Superior verbal and written communication skills Good work ethic, takes initiative and strong attention to detail Proficient in MS Office - Outlook, Word, and Excel Ability to troubleshoot complex problems of a procedural or technical nature Ability to motivate to improve overall performance of advocates Ability to coach and develop advocates' skills to attain greater success Ability to define and correct areas needing improvement Experience with PCs, Windows, and databases

CSSNV BACKGROUND CSSNV was established as an outreach program of the University of Nevada, Reno in 1966 in response to the high rate of suicide in Nevada. Over the years, the Center has continued to grow and evolve in response to community needs. We now address other crisis situations such as sexual assault, domestic violence, substance abuse and child/elder abuse or neglect to mention just a few. POSITION SUMMARY: We are looking for candidates passionate about helping others. The Crisis Intervention Support Specialist provides 24/7/365 phone and text-based regarding crisis/suicide prevention, child/elder abuse and neglect, and health, welfare, and human and social services referral services. CLASSIFICATION: Full-time - Non-Exempt COMPENSATION: $21/hour for graveyard - plus benefits, $20/hour for day and swing - plus benefits HOURS OF WORK: Graveyard 12am-8:30am, Day-shift 8am-4:30pm, Swing-shift 4pm-12:30am NOTE: If in the Reno/Sparks, NV area in-office opportunities are available, otherwise remote-friendly opportunities are available for Nevada residents. Remote employees are expected to maintain a safe room or area that is designated for the performance of official duties that is secure, quiet, confidential, and an appropriate work environment free from interruptions. ESSENTIAL DUTIES & QUALIFICATIONS Answers Crisis Center lines and text messages, using the principles of active listening and de-escalation (based on Crisis Center protocols) to assess issues such as high-lethality suicidal callers, sexual assault, child abuse reports, elder abuse reports, substance abuse, information and referral resources and a variety of other issues. Passion for Crisis Support Services of Nevada's mission of crisis and suicide intervention and delivering compassionate assistance for those in need. Prior experience in call center, crisis hotline, or information and referral service and/or two years of college in a related field a plus. Ability to type and talk at the same time in a fast-paced environment. New employees must successfully complete 73 hours of training to include role-plays, crisis intervention, suicide, child/elder abuse and neglect, information and referral resource training, policies and procedures, etc. Must pass State and Federal criminal background checks. PURPOSE OF This job description does not state or imply that these are the only duties to be performed. The Crisis Intervention Support Specialist may be required to follow other instructions and to perform other duties upon the request of the Lead Crisis Intervention Support Specialist, Call Center Coordinator, or Director of Programs.

OUR MISSION Imagine building a better healthcare journey for patients with cancer, where individuals and their loved ones feel seen, supported, and heard by their care team - both in and out of the clinic. Where fast access to high-quality care is the norm, not the exception. Where patients have access to a care navigator to guide them through their diagnosis and trusted support all along the way. At Thyme Care, we share a passion for transforming the cancer care experience - not just for patients but also for their caregivers and loved ones, as well as those delivering and paying for their care. Today, Thyme Care is known predominantly as a cancer care navigation company enabling value-based cancer care; in the next few years, we will become a nationally recognized technology-driven and provider-centric care delivery model, reshaping the landscape of cancer care access, delivery, and experience. Our commitment runs deep-we're not satisfied with the status quo but determined to redefine it. To make this happen, we're building a diverse team of problem solvers and critical thinkers to drive innovation and shape the future of healthcare. If you share our vision and want to be part of something truly meaningful, we want to hear from you. Together, we can revolutionize cancer care and make a difference that lasts a lifetime. WHAT YOU'LL DO As a Thyme Care Oncology Social Worker, you'll be a vital resource for our members and their care network, offering comprehensive psychosocial, emotional support during their cancer journey via phone, email, text, and telemedicine. Assessment and support: Conduct comprehensive psychosocial assessments to identify patients' and families' needs, providing individual and family support to address emotional concerns such as anxiety, depression, grief, adjustment and coping mechanisms related to cancer diagnosis and treatment. Assess for and address financial toxicity, distress, changes in relationships/roles, custody planning, caregiver demands, advance care planning, and spiritual/existential distress. Resource linkage: Identifying and connecting patients and families with relevant community resources when there are complex social needs. Care coordination: Collaborating with the healthcare team, including oncologists, nurses, and other specialists, to ensure patients receive coordinated care and address any social or emotional barriers impacting treatment adherence. Advocacy: Advocating for patients' needs with insurance companies, healthcare providers, and other relevant agencies to access necessary treatment and support services. Crisis intervention: Providing immediate support and intervention in crises such as sudden changes in prognosis or end-of-life decisions. Education and support group facilitation: Leading support groups for cancer patients and their families, providing education on cancer-related topics, and facilitating peer-to-peer support. As a growing company with an evolving care model, responsibilities may shift & additional responsibilities may be required. This role reports to our Director of Social Work and can be remote or hybrid based in our Nashville or New York City offices. All patient interactions will be virtual via telephone, video, text, or our proprietary virtual care platform. WHAT YOU'VE DONE Qualifications: Master's degree in Social Work from a school or program accredited by the Council on Social Work Education (CSWE). Valid and current master's level license in current practice state (i.e., LMSW, LISW, LCSW). Certifications: OSW-C or APHSW-C preferred. WHAT LEADS TO SUCCESS People-first. Thyme Care's mission and members matter to you deeply. Experience: Minimum three to five years of experience is preferred, working as a social worker in a health care setting; oncology, palliative care, serious illness care and/or hospice experience is desired. An unrestricted license and a willingness to obtain additional state licenses as needed. It would be exceptional if you have worked at a startup or tech-forward company. Action-Oriented: You proactively identify and prioritize initiatives, taking prompt action to address urgent needs. Organizational Skills: You excel at multitasking and thrive in fast-paced environments while maintaining meticulous organization in communications and documentation. Communication Skills: You are an effective listener and communicator, skilled at building rapport and fostering strong working relationships with members and colleagues. Adaptability: You are comfortable with change and ambiguity and have a proven track record of success in dynamic environments. A desire to learn how to use new technologies. We are a technology company focused on interacting with folks during the season when they need it most. Experience with video chatting, Google Suite, Slack, electronic health records, or comfort in using and learning new technology is vital. OUR VALUES At Thyme Care, our core values guide us in everything we do: Act with our members in mind, Move with purpose, and Seek diverse perspectives. They anchor our business decisions, including how we grow, the products we make, and the paths we choose-or don't choose. Our salary ranges are based on paying competitively for our size and industry, and are one part of the total compensation package that also includes equity, benefits, and other opportunities at Thyme Care. Individual pay decisions are based on several factors, including qualifications, experience level, skillset, and balancing internal equity relative to other Thyme Care employees. The base salary for this role is $ 80,000. The salary range could be lower or higher than this if the role is hired at another level. We recognize a history of inequality in healthcare. We're here to challenge the status quo and create a culture of inclusion through the care we give and the company we build. We embrace and celebrate a diversity of perspectives in reflection of our members and the members we serve. We are an equal-opportunity employer. Be cautious of recruitment fraud , and always confirm that communications are coming from an official Thyme Care email.

This is a full-time, FLSA non-exempt position with Carson City Health & Human Services, located in Carson City, NV.Under general supervision, performs routine to complex professional level casework in various social services programs. Salary Ranges: Employer-Paid PERS Retirement:$33.6210 - $47.0694 hourly / $69,931.68 - $97,904.30 annually Employee/Employer-Paid PERS Retirement:$40.5599 - $56.7839 hourly / $84,364.54 - $118,110.46 annually This is a grant-funded position. This position will continue as long as funding supports it. Should the funding end and not be supported by other funds, the position would be eliminated and your employment with the City would end. To learn more about the Nevada Public Employees' Retirement System (PERS),click here(Download PDF reader). This position is covered by the Carson City Employees Association. The current collective bargaining agreement outlines the generous benefits offered to Carson City employees:click here This recruitment will remain open until recruitment needs are satisfied. Individuals are encouraged to apply immediately, as hiring may occur early in the recruiting process. Recruitment will close without notice when a sufficient number of applications are received or a hiring decision has been made. Please Note:Human Resources determines whether or not you meet the minimum qualifications for the job based on your experience as you describe it on your application. Do not substitute a resume for your application or write "See Attached Resume" on your application. We do not review resumes, unless specifically stated on the job announcement. Qualifying education and experience must be clearly documented in the "Education and Work Experience" section of the application. Applicants not meeting these requirements will not be considered for employment. Examples of Duties This class specification lists the major duties and requirements of the job and is not all-inclusive. Incumbent(s) may be expected to perform job-related duties other than those contained in this document and may be required to have specific job-related knowledge and skills. * Conducts casework interviews with clients, family members, service providers, and others to obtain information for formulating program/service eligibility and case status. * Identifies social, economic and physical needs of clients. * Assesses client's support system, available community resources and other factors to plan, develop, and implement an appropriate case plan. * Utilizes agency guidelines, state, and federal regulations to determine/confirm eligibility for programs and services. * Refers clients to appropriate community medical, emotional, economic and social support organizations. Advocates for or assists the client in obtaining such services. * Provides basic intervention and client and family counseling as required. * Prepares complete and accurate case notes; writes correspondence, reports, and other written materials; may prepare statistical reports and summaries. * Explains agency and program rules, regulations and procedures; assists clients in completing required forms and in gathering necessary documentation. * Confers with other departmental professionals and supervisors regarding cases and scheduling to coordinate activities; participates in in-service training. * Contributes to the efficiency and effectiveness of the Division's service to clients by offering suggestions and directing or participating as an active member of a work team. * Uses standard office equipment, including a computer and specific databases. * Demonstrates courteous and cooperative behavior when interacting with public and staff; acts in a manner that promotes a harmonious and effective workplace environment. Typical Qualifications To perform this 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. Education and Experience: Master's degree from an accredited college or university with major course work in social services, marriage and family therapy, counseling, psychology or a closely related field and license to practice in the State of Nevada as a Social Worker or Marriage and Family Therapist. REQUIRED CERTIFICATES, LICENSES, AND REGISTRATIONS: * Nevada driver's license. * Must possess a valid license as a Social Worker in the State of Nevada at time of appointment. Required Knowledge and Skills Knowledge of: * Principles and practices of social work; methods and techniques related to professional social work. * Basic crisis intervention and counseling techniques. * Basic community resources and programs available to clients with identified needs; basic laws, codes, and regulations related to the work. * Standard office practices and procedures, including filing and record keeping principles and practices. * Business arithmetic. * Correct business English, including spelling, grammar, and punctuation. * Computer applications related to the work. * Techniques for dealing with a variety of individuals from various socioeconomic, ethnic, and cultural backgrounds, in person and over the telephone, often where relations may be confrontational or strained. * Communicating effectively in oral and written forms. Skill in: * Maintaining accurate records and files related to work performed. * Interpreting, applying and explaining applicable laws, codes, and regulations. * Preparing clear and concise reports, correspondence and other written materials. * Making accurate arithmetic calculations. * Contributing effectively to the accomplishment of team or work unit goals, objectives, and activities. * Communicating public health issues clearly and concisely, both orally and in writing. * Organizing, planning, and coordinating a variety of programs and activities. * Educating the public on a variety of health care and social related issues. * Speaking effectively before large and small groups of all ages. * Demonstrating courteous and cooperative behavior when interacting with public and staff; acts in a manner that promotes a harmonious and effective workplace environment. * Using initiative and independent judgment within established procedural guidelines. SUPERVISION RECEIVED AND EXERCISED: Under General Supervision - Incumbents at this level are given assignments and objectives that are governed by specifically outlined work methods and a sequence of steps, which are explained in general terms. The responsibility for achieving the work objectives, however, rests with a superior. Immediate supervision is not consistent, but checks are integrated into work processes and/or reviews are frequent enough to ensure compliance with instructions. PHYSICAL DEMANDS & WORKING ENVIRONMENT: The physical demands described herein are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Mobility to work in a typical office setting, use standard office equipment and stamina to sit for extended periods of time; strength to lift and carry up to 20 pounds; vision to read printed materials; and hearing and speech to communicate in person or over the telephone; ability to operate a motor vehicle and safely travel to a variety of offsite locations. Supplemental Information CONDITIONS OF EMPLOYMENT: * This is a grant funded position. Position is contingent upon grant funding continuing to be renewed and approved. * Continued employment is contingent upon all required licenses and certificates being maintained in active status without suspension or revocation. * Any City employee may be required to stay at or return to work during emergencies to perform duties specific to this classification or to perform other duties as requested in an assigned response position. This may require working a non-traditional work schedule or working outside normal assigned duties during the incident and/or emergency. * Employees may be required to complete Incident Command System training as a condition of continuing employment. * New employees are required to submit to a fingerprint-based background investigation which cost the new employee $47.00 and a drug screen which costs $36.50. Employment is contingent upon passing the background and the drug screen. * Carson City participates in E-Verify and will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each applicant's Form I-9 to confirm work authorization. All candidates who are offered employment with Carson City must complete Section 1 of the Form I-9 along with the required proof of their right to work in the United States and proof of their identity prior to starting employment. Please be prepared to provide required documentation as soon as possible after the job offer is made. For additional information regarding acceptable documents for this purpose, please contact Human Resources at ************ or go to the U.S. Citizenship and Immigration Services web page at************** * Carson City is an Equal Opportunity Employer.

SCHOOL SOCIAL WORKER SUMMARY DESCRIPTION Under general direction of the Principal and Coordinator of School Counseling, the School Social Worker will seek to address barriers to academic success that may exist within the child, home, school, and/or community. School social workers take a strengths-based approach to assessment and seek to intervene across the many systems that interface in the life of a child. By providing intervention strategies and direct services to students and their families, such as screening and assessment, case management, referral and linkage with community resources, crisis intervention and support, as well as individual or group counseling, the School Social Worker will support the mission and goals of the school district in regard to facilitating academic success for all students. School social work services are culturally appropriate and respect the diverse environmental contexts, characteristics, and experiences of the students and families of Washoe County. ESSENTIAL DUTIES & RESPONSIBILITIES * Acts as a mandated reporter of child abuse and neglect. * Serves as a liaison between the school/district and students, homes, community agencies or organizations, family services, protective services, courts, law enforcement, doctors, behavioral health providers, and other similar entities in an effort to address barriers to academic success. * Advises and consults with administrators, counselors, and staff on critical issues impacting student achievement. * Works as part of a multi-disciplinary team and collaborates with school counselors, school psychologists, nurses, truancy officers, and other student support personnel to facilitate effective student support services. * Contributes to the ongoing enrichment of the school through participation in program development and professional development opportunities. * Provides individualized direct services to remove barriers that impede academic, social, and emotional success. * Designs and implements behavior management programs for individuals and/or families. * Assists students and parents with identifying and obtaining access to community services and resources. * Assists students and families in obtaining access to medical, psychiatric, psychological, or other similar assessments or evaluations that may assist in identifying barriers to student success and indicate remedial measures. * Facilitates individual, group, or family counseling or support sessions. * Participates in crisis intervention and support teams. * Provides assessment and referral services for students who indicate suicidal or homicidal ideation. * Participates in school counselor training and programs. * Adheres to the code of ethics for social workers. * Maintains confidentiality. * Complies with school and district policies and state and federal laws. * Maintains student records and uses Infinite Campus appropriately. * Provide mediation services; * Advocate for the academic, social and emotional success of pupils; * Assist other educational personnel with case management; * Administer biopsychosocial assessments to pupils, as indicated with WCSD approved tools; * Provide support and consultation to the school, the pupils and the parents or legal guardians of pupils at the school regarding, without limitation, education law and services related to special education; * Provide strengths-based assessments for the school, the pupils and the parents or legal guardians of pupils at the school; * Assist parents or legal guardians with problem solving; * Assist pupils with developing social skills * Performs other duties as assigned. MINIMUM QUALIFICATIONS Education/Experience: Any combination of education/experience that could likely provide the required knowledge in qualifying. A typical way to obtain the knowledge and skills would be: Education: Bachelor's Degree or a more advanced degree in social work from a program accredited by the Council on Social Work Education (CSWE). Experience: Three years of social work related experience or experience working with youth or youth serving organizations Licenses/Certificates: School Social Workers are required to have a Licensed Master Social Worker license issued by the Nevada Board of Examiners for Social Work, a School Social Worker endorsement from the Nevada Department of Education, a School Counseling endorsement through the Nevada Department of Education, and a valid Nevada Driver's License. OTHER JOB REQUIREMENTS None. PREFERRED QUALIFICATIONS Three (3) years of experience in social work with children is desirable. COMPETENCIES FOR SUCCESSFUL PERFORMANCE OF JOB DUTIES Knowledge of/ Skill in/Ability to: * Social work ethics and practice theories, including family systems theory and techniques. * Theories of human behavior and development. * Characteristics of the pupil population, including the exceptional child. * Strengths based approaches to practice. * The impact that risk and protective factors have in the life of the child and family. * Historical and current perspectives of public education at the local, state, and national levels. * Public education legislation, case law, and due process. * The role of educational/school reform, social justice, and multitier interventions in school social work services. * Evidence based approaches to teaching and learning. * Behavior management and supports. * The use of reliable and valid assessments to guide practice. * Evidence based practices and interventions. * The use of data to guide decision making and practice evaluation. * Maintaining accurate and confidential records in accordance with state and federal laws. * Limitations to scope of practice according to licensing regulations, including access to supervision structures. * Culturally diverse and respectful practices. * Interdisciplinary leadership and collaboration methods. * Parent involvement and family engagement. * Coordination of programs and services through home-school-community liaison activities. * Consultation methods. * Program development systems and strategies. * Effective methods for advocacy at the micro, mezzo, and macro levels. * Exceptional interpersonal skills. * Ability to work autonomously and responsibly. * Case management and documentation. * Multi-systemic assessment strategies. * Individual, group, family, and crisis counseling. * Developing, coordinating, and evaluating school social work programs and services. * Conducting needs assessments. * Using data and outcome measures to evaluate and guide program development and service delivery. * Identifying and implementing evidence-based practices. * Effective communication practices. * Facilitating a collaborative process with parents, educational personnel, and community agencies or organizations. WORK ENVIRONMENT/CONDITIONS The work environment and exposures described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The environment involves everyday risks or discomforts that require normal safety precautions typical of such places as offices, meetings and training rooms, libraries, residences, or commercial vehicles, e.g., use of safe work practices with office equipment, avoidance of trips and falls, observance of fire regulations and traffic signals. The work area is adequately lighted, heated, and ventilated. 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. The work is sedentary. Typically, the employee sits comfortably to do the work. However, there may be some walking; standing; bending; carrying of light items, such as paper, books, or small parts; or driving an automobile. No special physical demands are required to perform the work. THIS JOB SPECIFICATION SHOULD NOT BE CONSTRUED TO IMPLY THAT THESE REQUIREMENTS ARE THE EXCLUSIVE STANDARDS OF THE POSITION. INCUMBENTS MAY BE REQUIRED TO FOLLOW ANY OTHER INSTRUCTIONS, AND TO PERFORM ANY OTHER RELATED DUTIES AS MAY BE REQUIRED BY THEIR SUPERVISOR. The Washoe County School District is committed to providing a safe and respectful learning and working environment for all students, staff, and visitors. The District prohibits bullying, cyber-bullying, harassment, sexual harassment, and/or discrimination based on an individual's actual or perceived race, color, religion, sex (including pregnancy), national origin, age, sexual orientation, gender identity or expression, genetic information, veterans or military status, marital status, disability or the presence of any sensory, physical or mental handicap in any of its educational programs/activities and employment, or in any program or activity conducted or funded by the U.S. Department of Agriculture. The District prohibits discrimination against any youth group listed in Title 36, as a patriotic society, (i.e. Boy Scouts of America) from access to public school facilities use. Site(s) O'Brien STEM Academy Internal Job Number 2025-26-C257867 Salary Teacher's Salary Schedule Salaries are subject to adjustment and may increase and decrease each fiscal year. New employees hired by Washoe County School District are normally placed on the entry step of the grade of the position. View the salary schedules here. Endorsements Social Worker Additional Job Information Benefit packages are available for all employees, eligible employees who are regularly scheduled to work 27.5 hours per week or more receive full benefits of the District which include but are not limited to; * No waiting period on Medical, Dental, Vision and Life Insurance * Employees may select an insurance plan wherein WCSD contributes 100% of insurance premiums. * Sick Leave, Holiday Pay and Vacation Pay * Public Employees Retirement System (PERS) * Contribution options will be explained in detail during the New Employee Orientation. * Salary Increases * Longevity Bonuses * Guidance Resources * And More - Visit our Benefits page for more information. Please be advised health insurance premiums are paid by employees at a prorated percent for those working less than full time. New employees will be fingerprinted upon hire and will have $58.50 deducted from their first paycheck to help defray the cost of fingerprinting. Fingerprint fees are subject to change. Your job offer is conditional until a report is returned from the FBI and Nevada Department of Public Safety that meets the standards of WCSD for employment purposes. Any applicant who would like to request a reasonable accommodation in any step of the selection process should contact Human Resources at ************** or email ***********************

Cardiology Nurse Practitioner / Physician Assistant - Reno, NV Saint Mary's Regional Medical Center, a hospital-owned and physician-led multi-specialty group, is seeking a skilled Cardiology NP or PA to join our collaborative team. This role offers a mix of inpatient and outpatient care, allowing you to expand your expertise in a supportive, high-performing environment. What You'll Do Provide general cardiology care, including inpatient rounding and outpatient clinic. Collaborate with 1 Interventional Cardiologist, 1 CVT Surgeon, and 2 General Cardiologists. Work an 8-day rotation: 7 inpatient rounding days (1-3 PM outpatient clinic) plus 1 clinic-only day. Practice on-site in a clinic that blends inpatient and outpatient care. What We're Looking For NP or PA license in good standing. Cardiology or acute care experience preferred. Strong clinical judgment, communication, and teamwork skills. Commitment to patient-centered care. Why You'll Love Working Here Competitive base salary (negotiable). Health insurance: self-funded EPO/HMO at no cost to provider. 401(k) retirement plan. CME allowance. Sign-on bonus and relocation assistance negotiable. No state income tax. About Prime Healthcare Founded in 2001 by Dr. Prem Reddy, Prime Healthcare is one of the largest physician-led health systems in the U.S., with 51 hospitals and over 360 outpatient locations in 14 states. Eighteen hospitals are part of the Prime Healthcare Foundation, a 501(c)(3) public charity. Recognized by Newsweek as one of Americas Greatest Workplaces 2024 and recipient of the John M. Eisenberg Patient Safety and Quality Award, Prime Healthcare continues to transform hospitals while improving access to care. Living in Reno, NV Nestled between the Sierra Nevada mountains and Lake Tahoe, Reno offers outdoor adventure and urban amenities. Enjoy skiing, hiking, boating, arts, dining, and entertainment-all in a friendly small-city environment with no state income tax. Ready to Apply? Join a high-performing cardiology team, enhance your clinical skills, and deliver exceptional patient care in Northern Nevada. Apply today!

Job Description The Intake Counselor will help assess the needs of walk-in and telephone callers and ensure their referral to the service or resource to best address their needs. Responds to telephone and face-to-face inquiries from persons seeking mental health care or information about mental health-related services. Conducts screenings or assessments to determine needs of treatment and facilitates the patient's access to the appropriate level of care and setting. Assumes responsibility in maintaining a safe, orderly and therapeutic physical environment for all patients. Demonstrates good skills in assessing client's crisis and clinical indicators via phone and in-person - documenting such. Prepares written report of assessment results in a timely manner (immediately following completed assessment) and includes recommendations for the level of care and treatment needs. Makes appropriate interventions during assessments, and crisis situations with clients, family/friends and other professional staff. Assists clients who are not admitted into a program with follow through of clinical referrals and recommendations. Provides pertinent clinical information to physician and program staff who will be reviewing the patient, to ensure a smooth transition for the patient. Requirements Masters degree in Social Work or related field required Nevada State Clinical licensure (LCSW, LSW, RN, etc.) preferred Experience in a Behavioral Health facility strongly preferred Knowledge of diagnostic criteria Knowledgeable of patient rights and laws pertaining to mental health Benefits We proudly offer the following benefits available 1st of the month following just one month of employment: Competitive rates Tuition reimbursement Comprehensive package of benefits to include: Medical Dental Vision Life, Pet, Identity Theft Insurance 401k Generous paid time off Short Term and Long Term Disability

Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties - Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. - Analyzes clinical service requests from members or providers against evidence based clinical guidelines. - Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. - Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. - Processes requests within required timelines. - Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. - Requests additional information from members or providers as needed. - Makes appropriate referrals to other clinical programs. - Collaborates with multidisciplinary teams to promote the Molina care model. - Adheres to utilization management (UM) policies and procedures. Required Qualifications - At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. - Registered Nurse (RN). License must be active and unrestricted in state of practice. - Ability to prioritize and manage multiple deadlines. - Excellent organizational, problem-solving and critical-thinking skills. - Strong written and verbal communication skills. - Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications - Certified Professional in Healthcare Management (CPHM). - Recent hospital experience in an intensive care unit (ICU) or emergency room. \ **Preferred Qualifications** Certified Professional in Healthcare Management (CPHM). Recent hospital experience in an intensive care unit (ICU) or emergency room. ASAM Certification for behavioral health Previous experience with MCG guidelines. At least 2 years of experience with inpatient concurrent review, prior authorization and managed care; Acute care hospital experience with discharge planning and critical thinking skill set. Knowledge with Nevada Medicaid State rules and regulations (Medicaid Service Manual, billing guidelines, Provider Types, fee schedules) Ability to handle change in fast paced environment Team player with positive attitude for success **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). RN licensure preferred **Nevada State Specific Requirements:** Must be licensed currently or obtain licensure w/in 30 days of hire, for the state of Nevada. Nevada is not a compact state. **WORK SCHEDULE** : Mon - Fri / Sun - Thurs / Tues - Sat shift will rotate with some weekends and holidays. Training will be held Mon - Fri To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $27.73 - $54.06 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

ProSidian is a Management and Operations Consulting Services Firm focusing on providing value to clients through tailored solutions based on industry leading practices. ProSidian services focus on the broad spectrum of Risk Management, Compliance, Business Process, IT Effectiveness, Energy & Sustainability, and Talent Management. We help forward thinking clients solve problems and improve operations. Launched by former Big 4 Management Consultants; our multidisciplinary teams bring together the talents of nearly 190 professionals globally to complete a wide variety of engagements for Private Companies, Fortune 1,000 Enterprises, and Government Agencies of all sizes. Our Services are deployed across the enterprise, target drivers of economic profit (growth, margin and efficiency), and are aligned at the intersections of assets, processes, policies and people delivering value. ProSidian clients represent a broad spectrum of industries to include but are not limited to Energy, Manufacturing, Chemical, Retail, Healthcare, Telecommunications, Hospitality, Pharmaceuticals, Banking & Financial Services, Transportation, Federal and State Government Agencies. Learn More About ProSidian Consulting at ****************** Job Description Group dynamics can be difficult at best when critical decisions need to be made. A Group Meeting Facilitator interacts with groups that need coaching to work productively as a team to reach a common goal. The group meeting facilitator guides discussions of the topics laid out in group meetings and/or project/taskforce initiatives agenda, with the purpose of moving the team towards a common goal. A skilled Group Meeting Facilitator fosters collaboration and teamwork and manages conflict among team members. The ProSidian Consultant | Group Meeting Facilitator will coordinate, lead, and support all phases of team meetings to ensure progression and completion of work as well as supports the Global Project Lead (GPL) And Project Team, and is accountable for the quality, timeliness, and effectiveness of group meetings and/or project/taskforce initiatives and ends with delivery of the final outputs that achieve stated mission objectives. The job of a “Group Meeting Facilitator” is more of the "conductor" than a participant throughout the Program Period. The ProSidian Group Meeting Facilitator shall serve as a consultant to clients across private companies, fortune 1,000 enterprises, and government agencies of all sizes. You direct the flow and energy throughout the program period. You observe participants' body language, listening carefully to what they say, drawing out those members who are not speaking, and gently moving group meetings and/or project/taskforce initiatives along when a member monopolizes a conversation. The ProSidian Group Meeting Facilitator shall work with and help groups, such as business teams, advisory boards, emergency action task forces, working groups, strategy planning teams, and community organizations with representatives who may have differences in perspectives, cultures, backgrounds, and shaped viewpoints to solve problems and improve operations through a structured approach to strategic solutions. The group meeting facilitator serves as the process manager for getting past obstacles, so the group can communicate effectively. Running a successful meeting will help clients and stakeholders operate efficiently, provide experience for all members, and drive towards successful outcomes from group meetings and/or project/taskforce initiatives. Facilitate interaction among multi-party entities and representative bodies consisting of a balanced mix of diverse local and regional interests affected by and/or convened to contribute to varying project/taskforce initiatives. Enable participative discussions and learning among group members, allowing them to express and present different opinions while maintaining a respectful environment. ProSidian's consultative meeting facilitation service blends that depth of understanding with our unique expertise. Our proven, seven-step process introduces ways to link your vision, goals and initiatives to your meeting agenda and helps you achieve your desired outcome. The ProSidian difference: local to global | extensively researched practice | deep content and process expertise | comprehensive engagement. Coordination/Logistics Processes - support creation and/or revision of Standard Operating Procedures (SOP's) and manage/support all aspects of meeting scheduling (location, venue and time) in accordance with established guidelines, standards, and principles. Develop and support the approval of individualized Plans of Action and Milestones (POA&M) incorporating requirements of program leadership, sub-group chairs, and meeting attendees. The plan shall be designed to capitalize on the strengths while ensuring coordination of both professionally based principles and support tools, technology, and processes. Topic/Agenda Acceptance - work with groups to clarify meeting content, objectives and to establish ground rules that govern behavior. Review information from previous meetings and develop agenda/desired outcomes. Follow up on action items. Introduce a variety of strategies to keep the process structured without interfering with group productivity. Following acceptance, pre-work is done includes interviewing program leadership, sub-group chairs, and meeting attendees to gain consensus on the topic/agenda for each program session Group Meeting Agendas - work with clients, meeting participants, and stakeholders to develop agendas (adequately estimated for time frames) that will achieve stated goals and objectives. When desired, and as needed, introduce dialog, decision-making, and other communication models and tools as part of the agenda or as just-in-time training to enhance the process and achieve desired results. Client Conference/Program Participation - select appropriate methods and tools that will enable participants to achieve results. Listen and proactively respond to client and stakeholder intentions and desires to enhance the process and achieve desired results. Help clearly define stated goals and objectives for success, both in group meetings and/or project/taskforce initiatives and beyond. Ongoing Course Adjustments - consultative facilitation while working in close partnership with clients, meeting participants, and stakeholders throughout the program period; making the best possible use time and resources; correctly observing interests and developments, and working to enhance the process and achieve desired results. When problems or issues come up, work to resolve conflict and return to goals. Dynamic Process Interactions - create environments that allow civil dialogue and input from all participants and above all -- remaining neutral throughout the process. Recognize that group meetings and/or project/taskforce initiatives are dynamic processes and that new insights and ideas can emerge that could significantly shift original intentions. Work to respond to those emerging trends, needs, and themes while keeping everyone focused on the clearly defined meeting objectives while achieving desired results. Leadership Coaching/Support Initiatives - work to ensure successful implementation of primary objectives through the facilitation of cross-functional meetings and internal department level meetings. Provide real-time coaching to clients, program leadership, sub-group chairs, meeting participants, and other stakeholders on ways to enhance group meetings and/or project/taskforce initiatives focused on the clearly defined meeting objectives that achieve desired results. Follow-Up Deliverables - work to improve the contributions from meeting participants; coordinate meeting schedules; provide assistance with creation of agendas; facilitate meetings; distribute meeting minutes, and maintain task and issues logs. Post-Event Hot Wash / After-Action Analysis / After Action Reports - after the session is over, a complete report describing everything that went on in group meetings and/or project/taskforce initiatives shall be prepared. An organized debrief post-meeting and provide post-meeting feedback session held to provide suggestions and improvements for future meetings. All action items agreed to by the participants are documented as part of this report. Public Involvement And Communications - foster collaboration and communication through open, ongoing and effective maintenance of knowledge repositories to include correspondence, presentations, meeting summaries, work products, and responses to information requests by ensuring distribution of requested information. Document Retention And Knowledge Repositories - live capture of meeting discussion/decisions in Microsoft word or excel is also expected. Maintain a library per established guidelines as a repository of related information co-located with the clients, program leadership, sub-group chairs, meeting participants, and other stakeholders as the official record required (i.e. Per Federal Advisory Committee Act - FACA) for an information repository. Program/Recommendations Implementation - help participants reach decisions and accomplish goals. Help facilitate group meetings and/or project/taskforce initiatives, gain consensus, and manage the execution of action items, recommendations, and resolutions through counsel and support to clients, program leadership, sub-group chairs, meeting participants, and other stakeholders. Qualifications A Bachelor's Degree or a minimum of 3 years' experience in a similar position. Knowledge of and experience running a multi-day in-person workshop. Ability to foster collaboration and communication, lead coordination of meeting schedules, assist with the creation of agendas, facilitate group meetings and/or project/taskforce initiatives and distribute of meeting minutes are expected. Ability to live capture of meeting discussion/decisions in Microsoft word or excel and able to summarize chunks of information for clarity and understanding. Combination of education and experience that provides the individual with the required knowledge, skills, and abilities minimum of three (3) years industry experience, with a thorough knowledge of the project management discipline and demonstrated ability to apply within a complex organization. Comfortable working with group dynamics while managing group meetings and/or project/taskforce initiatives or activity process. Competent at making observations and recognizing when interactions, situations or group dynamics change. And if there are disruptive behaviors, promptly intervene to disperse or extinguish them. Demonstrated ability in instruction and staff development, inclusive of a) development of group meetings, training, and/or project/taskforce initiative materials, b) coaching and mentoring of peers, leadership, and staff Effective meeting leadership (in person and remotely) with a variety of Internal and Customer SMEs Exceptional customer service skills, over the phone and in person, with our client and internal committees Experience and confidence in working closely with clients, program leadership, sub-group chairs, meeting participants, and other stakeholders, primarily through the facilitation of cross-functional meetings and internal department level meetings. Experience directly related to quality assurance or quality control responsibilities Familiarity with core Microsoft office tools and processes, especially: excel, outlook, word, and PowerPoint Highly organized, independently motivated leader with proven ability to multi-task PMP certification a plus + Skills in group learning techniques, as well as skills in problem-solving, conflict resolution, team building, planning and organizing. Strong interpersonal skills with the ability to build enthusiasm, urgency, and influence without direct authority Strong sense of urgency, problem solving skills, and assertive enough to get things on track with appropriate suggestions or redirecting group efforts. Strong written and oral communication and developed cross-functional teamwork and collaboration skills Additional Information As a condition of employment, all employees are required to fulfill all requirements of the roles for which they are employed; establish, manage, pursue, and fulfill annual goals and objectives with at least three (3) Goals for each of the firms Eight Prosidian Global Competencies [1 - Personal Effectiveness | 2 - Continuous Learning | 3 - Leadership | 4 - Client Service | 5 - Business Management | 6 - Business Development | 7 - Technical Expertise | 8 - Innovation & Knowledge Sharing (Thought Leadership)]; and to support all business development and other efforts on behalf of ProSidian Consulting. CORE COMPETENCIES Teamwork - ability to foster teamwork collaboratively as a participant, and effectively as a team leader Leadership - ability to guide and lead colleagues on projects and initiatives Business Acumen - understanding and insight into how organizations perform, including business processes, data, systems, and people Communication - ability to effectively communicate to stakeholders of all levels orally and in writing Motivation - persistent in pursuit of quality and optimal client and company solutions Agility - ability to quickly understand and transition between different projects, concepts, initiatives, or work streams Judgment - exercises prudence and insight in decision-making process while mindful of other stakeholders and long-term ramifications Organization - ability to manage projects and activity, and prioritize tasks ----------- ------------ ------------ OTHER REQUIREMENTS Business Tools - understanding and proficiency with business tools and technology, including Microsoft Office. The ideal candidate is advanced with Excel, Access, Outlook, PowerPoint and Word, and proficient with Adobe Acrobat, data analytic tools, and Visio with the ability to quickly learn other tools as necessary. Business Tools - understanding and proficiency with business tools and technology, including Microsoft Office. The ideal candidate is advanced with Excel, Access, Outlook, PowerPoint and Word, and proficient with Adobe Acrobat, data analytic tools, and Visio with the ability to quickly learn other tools as necessary. Commitment - to work with smart, interesting people with diverse backgrounds to solve the biggest challenges across private, public and social sectors Curiosity - the ideal candidate exhibits an inquisitive nature and the ability to question the status quo among a community of people they enjoy and teams that work well together Humility - exhibits grace in success and failure while doing meaningful work where skills have impact and make a difference Willingness - to constantly learn, share, and grow and to view the world as their classroom ------------ ------------ ------------ BENEFITS AND HIGHLIGHTS ProSidian Employee Benefits and Highlights: Your good health and well-being are important to ProSidian Consulting. At ProSidian, we invest in our employees to help them stay healthy and achieve work-life balance. That's why we are also pleased to offer the Employee Benefits Program, designed to promote your health and personal welfare. Our growing list of benefits currently include the following for Full Time Employees: Competitive Compensation: Pay range begins in the competitive ranges with Group Health Benefits, Pre-tax Employee Benefits, and Performance Incentives. For medical and dental benefits, the Company contributes a fixed dollar amount each month towards the plan you elect. Contributions are deducted on a Pre-tax basis. Group Medical Health Insurance Benefits: ProSidian partners with BC/BS, to offer a range of medical plans, including high-deductible health plans or PPOs. ||| Group Dental Health Insurance Benefits: ProSidian dental carriers - Delta, Aetna, Guardian, and MetLife. Group Vision Health Insurance Benefits: ProSidian offers high/low vision plans through 2 carriers: Aetna and VSP. 401(k) Retirement Savings Plan: 401(k) Retirement Savings Plans help you save for your retirement for eligible employees. A range of investment options are available with a personal financial planner to assist you. The Plan is a pre-tax Safe Harbor 401(k) Retirement Savings Plan with a company match. Vacation and Paid Time-Off (PTO) Benefits: Eligible employees use PTO for vacation, a doctor's appointment, or any number of events in your life. Currently these benefits include Vacation/Sick days - 2 weeks/3 days | Holidays - 10 ProSidian and Government Days are given. Pre-Tax Payment Programs: Pre-Tax Payment Programs currently exist in the form of a Premium Only Plan (POP). These Plans offer a full Flexible Spending Account (FSA) Plan and a tax benefit for eligible employees. Purchasing Discounts & Savings Plans: We want you to achieve financial success. We offer a Purchasing Discounts & Savings Plan through The Corporate Perks Benefit Program. This provides special discounts for eligible employees on products and services you buy on a daily basis. Security Clearance: Due to the nature of our consulting engagements there are Security Clearance requirements for Engagement Teams handling sensitive Engagements in the Federal Marketplace. A Security Clearance is a valued asset in your professional portfolio and adds to your credentials. ProSidian Employee & Contractor Referral Bonus Program: ProSidian Consulting will pay up to 5k for all referrals employed for 90 days for candidates submitted through our Referral Program. Performance Incentives: Due to the nature of our consulting engagements there are performance incentives associated with each new client that each employee works to pursue and support. Flexible Spending Account: FSAs help you pay for eligible out-of-pocket health care and dependent day care expenses on a pre-tax basis. You determine your projected expenses for the Plan Year and then elect to set aside a portion of each paycheck into your FSA. Supplemental Life/Accidental Death and Dismemberment Insurance: If you want extra protection for yourself and your eligible dependents, you have the option to elect supplemental life insurance. D&D covers death or dismemberment from an accident only. Short- and Long-Term Disability Insurance: Disability insurance plans are designed to provide income protection while you recover from a disability. ---------- ------------ ------------ ADDITIONAL INFORMATION - See Below Instructions On The Best Way To Apply ProSidian Consulting is an equal opportunity employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, or Vietnam era, or other eligible veteran status, or any other protected factor. All your information will be kept confidential according to EEO guidelines. ProSidian Consulting has made a pledge to the Hiring Our Heroes Program of the U.S. Chamber of Commerce Foundation and the “I Hire Military” Initiative of The North Carolina Military Business Center (NCMBC) for the State of North Carolina. All applicants are encouraged to apply regardless of Veteran Status. Furthermore, we believe in " HONOR ABOVE ALL " - be successful while doing things the right way. The pride comes out of the challenge; the reward is excellence in the work. FOR EASY APPLICATION USE OUR CAREER SITE LOCATED ON ************************* OR SEND YOUR RESUME'S, BIOS, AND SALARY EXPECTATION / RATES TO ***********************. ONLY CANDIDATES WITH REQUIRED CRITERIA ARE CONSIDERED . Be sure to place the job reference code in the subject line of your email. Be sure to include your name, address, telephone number, total compensation package, employment history, and educational credentials.

This job requires the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the claim rejection and the proper action to complete the retrospective claim review with the goal of proper and timely payment to provider and member satisfaction. The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure appropriate level of payment and resource utilization. It is also used to identify issues which can be used for education of network providers, identification and resolution of quality issues and inappropriate claim submission. The incumbent is expected to utilize specialized skills and knowledge to achieve successful and measurable outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and analyzes qualitative and quantitative data in developing strategies to improve provider performance and member satisfaction. Will be expected to identify potential discrepancies in provider billing practices and intervene for resolution and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment and retrospective review processes that are consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in accordance with applicable state, federal laws and regulatory compliance. Implements all reviews according to accepted and established coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the delivery of review services. + Respect the member's right to privacy, sharing only information relevant to the member's care and within the framework of applicable laws. Practice within the scope of ethical principles. + Identify issues which can be used to educate professional and facility providers and vendors for the purpose of streamlining and improving processes.Develop and sustain positive working relationships with internal and external customers. + Act as a resource and subject matter expert to colleagues with less experience on a frequent basis to problem solve through Payment Integrity Review issues that would be considered of medium to high degree of complexity. + Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim scenarios. + Other duties as assigned. Including, but not limited to additional project related responsibilities on a frequent basis that are considered small to medium in nature. Expectation is to drive the assigned project to completion which would include educating the Payment Integrity team. Project assignment is in addition to performing daily Payment Integrity job responsibilities. **EDUCATION** **Required** + Associate's Degree in Nursing **Substitutions** + None **Preferred** + Bachelor's Degree in Nursing **EXPERIENCE** **Required** + 3 - 5 years of related, progressive experience in a clinical setting **Preferred** + 1-3 years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability to solve issues that are complex in nature with minimal direction and latitude to proceed on some actions or decisions **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Does Not Apply Lifting: up to 10 pounds Continuously Lifting: 10 to 25 pounds Never Lifting: 25 to 50 pounds Never **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $57,700.00 **Pay Range Maximum:** $107,800.00 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J272539