Under the direction and supervision of the Sub-Chief of Physical Medicine, utilizes acupuncture to stimulate certain points on or near the surface of the body by the insertion of needles to prevent or modify the perception of pain or to normalize physiological functions. May perform or prescribe the use of oriental massage, acupressure, breathing techniques, exercise or nutrition, including the incorporation of drugless substances and herbs as dietary supplements to promote health.
Essential Responsibilities:
* Provides medically necessary acupuncture, consults, assessments and treatments when requested/authorized by family physicians/specialists. Provides an accurate diagnosis, supported by medical findings based on standardized examination and techniques generally accepted by the medical community.
* This includes TCM (Traditional Chinese Medicine) and Western diagnostic techniques. Produces complete, accurate, uniform and replicable examinations. Provides quality treatment to cure or relieve the medical condition causing the patients complaint. Documents all treatments and patients response to acupuncture therapy on patients chart.
* When working in the Workers compensation system, states an opinion whether anatomic loss, functional loss and physical complaints of the patient are work-related, and writes a comprehensive medical report describing the degree of injury consistent with Workers Compensation terminology and requirements.
* Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
Secondary Function:
* Based on operational needs, may be required to float to Rancho Cordova MOB.
$82k-164k yearly est. 14d ago
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Embryologist
Kaiser Permanente 4.7
Kaiser Permanente job in Sacramento, CA
Under the direction of the Embryology Lab Supervisor, independently handles actual embryology processes including egg retrievals, embryo transfers, In Vitro Fertilization (IVF), fertilization of eggs, Intracytoplasmic Sperm Injection (ICSI), Assisted Hatching (AH), sperm preparation, embryo culturing, embryo evaluation and monitoring, cryopreservation of embryos, eggs and sperm, biopsy for Preimplantation Genetics Diagnosis (PGD) and lab processes associated with IVF urology procedures (TESE/MESA).
Essential Responsibilities:
+ Under the direction of the Embryology Lab Supervisor, independently handles actual embryology processes including egg retrievals, embryo transfers, In Vitro Fertilization (IVF), fertilization of eggs, Intracytoplasmic Sperm Injection (ICSI), Assisted Hatching (AH), sperm preparation, embryo culturing, embryo evaluation and monitoring, cryopreservation of embryos, eggs and sperm, biopsy for Preimplantation Genetics Diagnosis (PGD) and lab processes associated with IVF urology procedures (e.g., TESE, MESA).
+ Consults internally and externally with clinicians and providers on technical issues, patient care management, and test interpretation / selection.
+ Serves as in-house expert in area of specialty.
+ Work collaboratively with the physicians and staff in both the IVF Center as well as the satellite facilities.
+ Work collaboratively with larger management team including IVF Lab Director, IVF Program Director, IVF Medical Director and REI/IVF Manager.
+ Ensures that all IVF lab services are provided with the highest quality of care in accordance with CAP, CLIA, NCQA, Title 22, FDA, and SART requirements.
+ Establishes, implements, and maintains clinical lab service standards to meet member and internal client expectations that are deemed essential, this includes monitoring results, equipment and lab information, while ensuring that meticulous standards for quality control /assurance and risk management are met.
+ Identifies strategies to control costs while improving quality of care and service.
+ Assist with designs and implements laboratory safety and security systems, hazardous waste management, chemical hygiene and injury prevention programs.
+ Keeps current with technological developments through literature search, seminars and other modes of communication.
+ Disseminates to technical staff and physicians, appropriate information that would enhance care to Kaiser Permanente members.
+ Coordinates with Regional Lab (inter-facility and inter-regional) for service and technical support.
+ Coordinates with vendors to manage the implementation and interface of clinical lab equipment and associated databases.
+ As assigned by IVF Lab Supervisor, authors and communicates technical procedures, presentations and publications to scientific community and internal KP clinicians.
+ Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
Basic Qualifications:
Experience
+ Minimum two (2) years of experience supporting an IVF lab.
Education
+ Bachelors degree or higher in chemistry, biology or other related science with coursework in mathematics, statistics and physics.
License, Certification, Registration
+ N/A
Additional Requirements:
+ Must communicate well in English and exhibit effective interpersonal skills that demonstrate care and concern while dealing efficiently and courteously with patients, customers, staff and providers.
+ Excellent knowledge of computer applications, such as word processing, spreadsheet design, and database application.
+ Strong working knowledge of research methodology / research study design, hypothesis testing and qualitative data interpretation and application.
+ Able to create flow charts, chart review instruments, design questionnaires, interpret data.
+ Knowledge of CAP, CLIA, NCQA, Title 22, FDA, CDC, SART and other local, state and federal requirements and regulations.
+ Demonstrated strong interpersonal communication skills.
+ Project management skills preferred.
+ Must be able to provide weekend and holiday coverage as needed.
+ Embryology Lab Scientist (ELS) certification tested by AABs Board of Registry (ABOR) preferred or eligible to sit for certification exam within one year of employment.
+ Must be able to work in a Labor/Management Partnership environment. Comprehensive training & experience in all aspects of ART clinical lab technologies, tissue culture, Andrology, semen analysis, egg retrieval, assessment, and transfer, sperm and embryo cryopreservation and micromanipulation.
+ Must have demonstrated ability to make independent judgment, prioritize work under varied and urgent conditions, maintain accurate lab data, clearly understand and respond to test results, and communicate effectively with physicians, nurses and other IVF center staff.
+ Skills with automated equipment maintenance and troubleshooting with computerized lab information systems.
+ Must meet quality, accuracy and productively expectations of the department, while maintaining confidentiality and a safe work environment.
+ Must have legible handwriting and demonstrated good attendance and reliability assist with the logistics necessary for normal functioning of laboratory, e.g. inventory control, quality assurance and quality control procedures, as well as maintenance of laboratory records and entry of patient information into IVF lab database.
Preferred Qualifications:
+ Four (4) years of experience supporting an IVF lab.
+ Experience in embryo biopsy for Preimplantation Genetic Diagnosis (PGD).
+ Valid Board-Certified Technical Supervisor license in Embryology (TS).
+ Embryology Lab Scientist (ELS) certification tested by AABs Board of Registry (ABOR) preferred or eligible to sit for certification exam within one year of employment.
+ Masters Degree preferred.
COMPANY: KAISER
TITLE: Embryologist
LOCATION: Sacramento, California
REQNUMBER: 1397111
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
$103k-178k yearly est. 44d ago
Regional VP, Operations & Finance - Health Care
Humana Inc. 4.8
Sacramento, CA job
A leading health organization is seeking a Regional VP, Operations to provide leadership in financial planning and operations. The ideal candidate will have extensive experience in the health solutions sector, particularly as a CFO or COO. Responsibilities include developing strategic plans, overseeing budgets, and cultivating relationships with key stakeholders. The position allows for remote work but requires occasional travel throughout the Pacific Southwest region. Competitive compensation and comprehensive benefits are provided.
#J-18808-Ljbffr
$131k-179k yearly est. 2d ago
Inpatient Pharmacy Specialist, Pediatric Lead
Sutter Health 4.8
Sacramento, CA job
EDUCATION
PHARMD-Graduate of an accredited pharmacy school
CERTIFICATION & LICENSURE
PHARMR-Current registration or Registered Pharmacist within 120 days
PALS - Pediatric Advanced Life Support
TYPICAL EXPERIENCE:
5 years recent relevant experience.
SKILLS AND KNOWLEDGE:
Knowledge of medical terminology, generic and trade pharmaceutical names, pharmaceutical calculations and laws and regulations.
Knowledge and understanding of different Pharmacy practice settings, including narcotic delivery and procedures.
Knowledge and ability to identify and employ pharmaceutical and medical terms, abbreviations and symbols commonly used in prescribing, dispensing, and record keeping of medications.
Requires a basic working knowledge of legal requirements and accreditation standards including National Association of Boards of Pharmacy (NABP), The Joint Commission (TJC), Title XXII, United States Department of Homeland Security (DHS), Drug Enforcement Administration (DEA), Food and Drug Administration (FDA) and United States Pharmacopeia (USP).
Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people.
Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadlines.
General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook), related pharmaceutical technology, EHR, and EPIC.
Prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines.
Work independently, as well as be part of the team, including accomplishing multiple tasks in an
environment with interruptions.
Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options.
Ensure the privacy of each patient's PHI.
#LI-SC
A leading healthcare organization in Roseville, California, seeks a General Neurosurgeon to join an established surgical team. The ideal candidate will be board certified or eligible with a focus on trauma or major deformity spine and ideally have experience with complex spine cases. This role offers a competitive salary package, including relocation assistance and a signing bonus, within a collaborative, multi-specialty group known for high-quality care in Northern California.
#J-18808-Ljbffr
$129k-178k yearly est. 1d ago
Registration Clerk
Sutter Health 4.8
Auburn, CA job
We are so glad you are interested in joining Sutter Health! **Organization:** SAFH-Sutter Auburn Faith Hospital Serves as the face to face point of contact for the patient at a client location. Obtains all necessary information to register and financially clear patients. Greets patients/family members and obtains and/or verifies relevant information in the process of registering financially clearing patients for service delivery. Enhances the patient experience throughout all patient interactions by serving as the customer service point of contact at the point of service by demonstrating knowledge of Sutter's Health system and service offerings. Responsible for supporting the success of a high-performing shared services organization by helping to champion and drive the long-term MFSS vision. Helps foster an environment in which continuous improvement in business processes and services is welcomed and recognized. Participates in programs and in using tools in support of building a high performance culture via the standard MFSS responsibilities (e.g. performance measurement, people development, customer relationship management, etc.).
**Job Description** :
**EDUCATION**
_Equivalent experience will be accepted in lieu of the required degree or diploma._
HS Diploma
Associate's or equivalent education/experience
**PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:**
Experience within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing financial counseling, financial clearance and/or customer service activities as typically acquired in two years Completion of regulatory/mandatory certifications and skills validation competencies preferred
**SKILLS AND KNOWLEDGE**
General knowledge of patient access financial counseling functions in acute and non-acute settings preferred Working knowledge of medical terminology desired
Working knowledge and understanding of insurance terminology desired EMTALA and Consent Laws knowledge Licensure
Excellent time management skills and the ability to manage frequent in-person patient contacts while effective maintaining and
documenting data in the patient registration systems
Demonstrated ability to work in multiple computer systems, such as patient registration/accounting systems, telephone consoles, document imaging, scanning, payment posting, proprietary payer websites and data quality monitoring, both accurately and efficiently
Strong data entry skills required
Excellent verbal and written communication and active listening skills
Interpersonal skills necessary in dealing with internal and external customers
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Sutter Health
Accuracy and attentiveness to detail required
Strong decision making and problem solving skills
Must be able to set and organize own work priorities, and adapt to change
Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles
Ability to meet or exceed targeted customer service, productivity and quality standards
Fluency in both English and a minimum of one other language is preferred for this role to allow Sutter Health to better serve the community and patient population
Computer proficiency skills required
Requires the ability to work with and maintain confidential information
**Job Shift:**
Varied
**Schedule:**
Per Diem/Casual
**Shift Hours:**
8
**Days of the Week:**
Variable
**Weekend Requirements:**
Rotating Weekends
**Benefits:**
No
**Unions:**
Yes
**Position Status:**
Non-Exempt
**Weekly Hours:**
0
**Employee Status:**
Per Diem/Casual
Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines.
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $27.55 to $33.58 / hour
_The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package._
$27.6-33.6 hourly 4d ago
External Affairs Coordinator III
Sutter Health 4.8
Sacramento, CA job
We are so glad you are interested in joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley Coordinates community benefit initiatives, employee volunteer programs, Community Benefit Inventory for Social Accountability (CBISA) reporting, and community advisory board agendas. Coordinates initiatives that address community health needs as identified in the Community Needs Assessment while providing support to community benefit programs. Aids in the execution of community health program planning, implementation, and evaluation. Initiates and builds strategic collaborative relationships and programs with departmental managers, directors, physician leaders, and representatives from community-based organizations in order to enhance the health of the communities served by Sutter Health and its regional affiliates.
**Job Description** :
This role will support both the Sacramento Valley and Central Valley. Candidate must be open to traveling to sites in these locations.
**EDUCATION:**
+ _Equivalent experience will be accepted in lieu of the required degree or diploma._
+ Bachelor's in Healthcare Administration, Political Science, Public/Government Relations, Public Health, Public Policy, Social Work, or related field
**TYPICAL EXPERIENCE:**
+ 5 years recent relevant experience
**SKILLS AND KNOWLEDGE:**
+ Advanced skills in partnership development with diverse community stakeholders.
+ Advanced knowledge of reviewing and interpreting population health data and information.
+ General knowledge of public and community relations, and event coordination.
+ Proficient in Microsoft Excel, PowerPoint, and Word.
+ Set priorities which accurately reflect the relative importance of job responsibilities and prioritize assignments to complete work in a timely manner.
+ Verbal and writing skills to effectively communicate with diverse groups such as: executives, managers, and subject matter experts.
+ Make presentations to persuade others to accept a specific opinion or action, or to provide information and instruction.
+ Establish and maintain cooperative working relationships with audiences across all areas and levels within Sutter Health as well as external organizations.
+ Negotiate or exchange ideas, information, and opinions with others to formulate policies and programs and/or to arrive jointly at decisions, conclusions, or solutions.
**Job Shift:**
Days
**Schedule:**
Full Time
**Days of the Week:**
Monday - Friday
**Weekend Requirements:**
Occasionally
**Benefits:**
Yes
**Unions:**
No
**Position Status:**
Exempt
**Weekly Hours:**
40
**Employee Status:**
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $94,848.00 to $142,272.00 / annual salary
_The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package._
$94.8k-142.3k yearly 5d ago
Fraud and Waste Investigator
Humana 4.8
Sacramento, CA job
**Become a part of our caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
**Where You Come In**
The Fraud and Waste Professional 2 coordinates investigation with internal and external entities including compliance, internal business partners, and law enforcement. Assembles evidence and documentation to support successful adjudication, where appropriate. Prepares complex investigative and audit reports. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
**What Humana Offers**
We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education
**Use your skills to make an impact**
**WORK STYLE:** Remote anywhere in US, work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**WORK HOURS:** Monday-Friday, 8 hours/day, 5 days/week, ideally, associates will work on EST (regardless of their home time zone). Must start between 6AM-9AM (in the employee's time zone), some flexibility might be possible, depending on business needs.
**Required Qualifications - What it takes to Succeed**
+ Bachelor's degree or equivalent work experience
+ Minimum 2 years of investigative and/or claims experience
+ Knowledge of healthcare payment methodologies
+ Strong organizational, interpersonal, and communication skills
+ Inquisitive nature with ability to analyze data to metrics
+ Computer literate (MS Word, Excel, Access)
+ Strong personal and professional ethics
+ Ability to travel up to 5%, to attend trainings and meetings, as required
**Preferred Qualifications**
+ Bilingual in Spanish
+ Bachelor's degree and/or additional degrees and/or certifications (MBA, J.D., MSN, Clinical Certifications, CPC, CCS, CFE, AHFI).
+ Understanding of healthcare industry, claims processing and investigative process development.
+ Experience in a corporate environment and understanding of business operations
**Additional Information**
**Work at Home Requirements**
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
- Satellite, cellular and microwave connection can be used only if approved by leadership
- Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Interview Format**
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$65,000 - $88,600 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-22-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$65k-88.6k yearly 3d ago
Facilities Specialist II
Sutter Health 4.8
Sacramento, CA job
We are so glad you are interested in joining Sutter Health! **Organization:** SMCS-Valley Administration Responsible for supporting a Sutter Health enterprise facilities management program. This role includes the completion of daily tasks and daily maintenance of the program including the interface with related system office service lines and affiliate facility teams. This position will follow departmental processes in providing support that may include but is not limited to facility management (FM), project management, budget and financial management, work order management, conference center management (where applicable), and safety compliance.
**Job Description** :
**EDUCATION:**
_Equivalent experience will be accepted in lieu of the required degree or diploma._
Bachelor's
**TYPICAL EXPERIENCE:**
2 years recent relevant experience
**SKILLS AND KNOWLEDGE:**
Organizational skills and the ability to work well under pressure with little or no supervision in a team setting.
Ability to demonstrate judgment, attention to process and detail; confidentiality, tact, and ability to deal with sensitive issues in a timely manner.
Communication skills, oral, electronic and written.
Client relationship management skills. collaborative working style and ability to develop/sustain productive work relationships with key stakeholders across all areas and levels of the organization as well as external consultants.
Computer proficient, including working knowledge in using Microsoft Word, Outlook, Power Point, Visio, and Adobe products. Expert knowledge in Excel with the use of pivot tables, VLOOKUP functions, and SUMIF functions.
Knowledge of general Project Management Book of Knowledge, project management methodologies and/or Sutter Health's project methodology and project management methodology.
Ability to manage complex projects (ie. number of resources, functional areas, time requirements, and the organizational experience of the subject).
Ability to develop, create and deliver presentations to all levels within the organization.
Demonstrated ability to interact with all levels of staff and management, and ability to set priorities and manage multiple demands effectively.
Demonstrated ability to continuously learn and improve understanding of project methodology and tools.
Great vendor management skills
Excellent independent decision-making skills and obsessive attention to detail
Excellent customer service skills
Can-do attitude and the ability to solve a wide variety of problems creatively and quickly.
Ability to plan and manage work without direct supervision.
Proficient in MS Office suite and possess strong written, verbal and people skills
**Job Shift:**
Days
**Schedule:**
Full Time
**Shift Hours:**
8
**Days of the Week:**
Monday - Friday
**Weekend Requirements:**
None
**Benefits:**
Yes
**Unions:**
No
**Position Status:**
Non-Exempt
**Weekly Hours:**
40
**Employee Status:**
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $37.68 to $56.52 / hour
_The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package._
$37.7-56.5 hourly 60d+ ago
Case Management Coordinator, Palliative & Oncology Care (Part Time Day 32 Hours)
Kaiser Permanente 4.7
Kaiser Permanente job in Roseville, CA
In addition to the responsibilities listed below, this position is also responsible for supporting case management services for palliative or oncology patients to ensure quality of care using an interdisciplinary approach; assisting others with creating population-based reports on outcomes specific to palliative or oncology patients; helping team members collaborate between palliative or oncology patients, families, community resources, and medical staff/providers; making post disposition follow-up calls to all patients who are not referred to an ambulatory case/care management program using specific instructions and guidance; and assisting in facilitating a smooth transfer to home or an alternate facility, and acting as a contact person for dispositions while resolving standard issues.
Essential Responsibilities:
* Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome.
* Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or sponsorship. Collaborates with others to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports the completion of priorities, deadlines, and expectations. Identifies and speaks up for ways to address improvement opportunities.
* Assists in providing services related to the initial case assessment by: coordinating with patients and their families to evaluate needs, goals, and current services with day-to-day supervision; determining initial eligibility, benefits, and education for all admissions with day-to-day supervision; entering authorization data (e.g., authorization data regarding admitting/principle diagnoses, bed type(s), and disposition data for accuracy, after visit summary) with general guidance; supporting others in exploring options to assure that quality, cost-efficient care is provided; and leveraging working knowledge to assess medical necessity for hospital admission and required level of care to inform physicians.
* Assists in monitoring and evaluating plan of care by: coordinating resources and services to assure continuity and quality of care; supporting the review and updating of authorizations, attending case management rounds with clinicians, and reviewing diagnoses as needed; contacting patients periodically to assess progress toward treatment milestones and care plan goals with day-to-day supervision; assisting with identifying barriers to achieving goals and ensuring that they are discussed with the patient and care team thoroughly; assisting with verifying that all services remain consistent with established guidelines and standards; and documenting/updating the patients case in all medical files with minimal guidance.
* Assists in providing services related to the case-planning process by: partnering in the development of a client-focused case management plan with treatment goals based on the patients and familys/caregivers needs under limited guidance; collaborating with health-care team, patient, and caregivers to assure plan of care is safe, agreeable, and appropriate with guidance; and validating that the plan is consistent with regulatory, accreditation, and regional guidelines with some guidance.
* Supports efforts to remain updated on current research, policies, and procedures by: coordinating with others to attend seminars, workshops, and approved educational programs and workshops specific to professional needs; contributing to the implementation of systems, processes, and methods to maintain team knowledge of community resources, with some guidance; analyzing operational team data and key metrics applied to own work with limited guidance; making suggestions for change or improvement as needed with minimal guidance; and learning about and adhering to policies and regulations impacting the teams work with minimal guidance.
* Assists in services related to patient disposition by: assisting in identifying patients ready for disposition planning activities under guidance; beginning to develop, evaluate, coordinate, and communicate a comprehensive disposition plan in collaboration with the patient, family, physician, nurses, social services, and other healthcare providers and agencies; and obtaining authorizations/approvals as needed for services for the patient with day-to-day supervision.
* Assists in connecting patients with existing services by: supporting patients with gaining access to care based on their needs and integrating or referring them into existing programs/services with minimal guidance; referring patients to outside entities, ambulatory case managers, care managers, social workers, and/or internal/external resources as appropriate with guidance; and gathering and summarizing information for making location-specific adaptations as necessary.
* Assists others in serving as liaison between internal and external care by: reviewing benefits/services available based on regulations or specific coverage to patients, families, and other members of the community, and assisting with problem solving identified concerns with general supervision; providing case management to a limited caseload of low-risk patients referred to external facilities/agencies with general supervision; learning and applying standard strategies and concepts to propose recommendations in interdisciplinary team meetings with internal and/or external stakeholders with guidance; and leveraging working knowledge of the patients case to act as a resource for physicians, health plan administrators, and contracted vendors.
$51k-66k yearly est. 6d ago
Ambulatory Services Nurse II, Gastrointestinal & Pain Management
Sutterhealth 4.8
Sacramento, CA job
We are so glad you are interested in joining Sutter Health!
Organization:
SOPS-Sutter Outpatient Services - Valley Accountable for the assessment, planning, treatment and evaluation during the pre operative, intra operative and post operative phases of nursing care. Assists the physician during surgery and procedures by functioning in the circulating role. Develops, implements, manages/coordinates an optimal interdisciplinary plan of care that incorporates psychological, sociocultural, spiritual, economic, and life-style factors. Fosters and maintains collaborative relationships between patients, their family/support group, physicians, and other healthcare providers through timely and effective communications. Adheres to polices, industry standards, best practices, and applicable laws/regulations and codes to promote a quality, highly reliable patient experience. Engages in continuous growth and development in professional nursing practice.
:
EDUCATION
Graduate of an accredited school of nursing.
CERTIFICATION & LICENSURE
RN-Registered Nurse of California
BLS-Basic Life Support Healthcare Provider
ACLS-Advanced Cardiac Life Support
PALS-Pediatric Advanced Life Support
TYPICAL EXPERIENCE:
2 years recent relevant experience
SKILLS AND KNOWLEDGE
Demonstrated knowledge and competence with regard to nursing theories, concepts and practices; medical terminology; anatomy; and physiology.
Working knowledge of the healthcare industry, safety precaution policies, best practices regarding patient care and privacy, and changes in local/state/federal regulations.
Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people.
Basic knowledge of computer applications, such as Microsoft Office Suite (Word and Outlook), Electronic Health Record.
Ability to prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines.
Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.
Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options.
Ensure the privacy of each patient's protected health information (PHI).
Build collaborate relationships with peers and other healthcare providers to achieve departmental and corporate objectives.
These Principal Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the most descriptive of the current job. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development).
Job Shift:
Days
Schedule:
Full Time
Shift Hours:
8
Days of the Week:
Monday - Friday
Weekend Requirements:
Occasionally
Benefits:
Yes
Unions:
No
Position Status:
Non-Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $68.65 to $89.92 / hour
The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
$68.7-89.9 hourly Auto-Apply 6d ago
Managerial Consultant V, National Health Plan Enablement & Integration
Kaiser Permanente 4.7
Kaiser Permanente job in Sacramento, CA
Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data and a candidate's years of relevant work experience, education, certifications, skills, and geographic location. Salary range in other locations will be lower.
Overview: The new National Health Plan Enablement & Integration team's objective is to deliver immediate outcomes for the organization, while laying the groundwork necessary for Kaiser Permanente's long-term, sustainable performance. This team will drive enterprise health plan process improvement and the implementation of business methodologies and best practices, with the outcome of operational effectiveness and high-reliability systems. Collaboration with KP's markets and health plan teams is central to the approach towards modernization of health plan capabilities. The Managerial Consultant V will support strategy and cross-functional, multi-year operation plan, performance management, and operational model & process standardization.
Job Summary:
Serves as a lead consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or workstreams. Drives business strategy, organizational alignment, and prioritization of business initiatives. Leads the work of project/program team members. Provides expertise and drives the development and implementation of business initiatives, systems, and/or processes to a desired future state. Manages complex, cross-functional projects/programs, and serves as an expert in the proactive monitoring and identification of client, project, program, and/or business risks. Designs, leads, and serves as an expert for change management plans associated with business initiatives. Leads assessment of strategic performance metrics to support business initiatives. Participates in vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.
Essential Responsibilities:
* Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams.
* Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals. Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others.
* Serves as a lead consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or workstreams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with key stakeholder teams, third party vendors, and executive management; working with stakeholders to develop goals and set the prioritization of deliverables; developing a menu of solutions for complex, competing, or ambiguous requests; discussing involvement of business processes (e.g. change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating and resolving tough issues with stakeholders while maintaining an independent perspective; and making formal presentations and providing reports to executive level audiences.
* Drives business strategy, organizational alignment, and prioritization of business initiatives by working closely with senior executives to facilitate the development, refinement, and articulation of the business strategy; defining, developing, and evaluating performance metrics, standards, and methods to establish business success; leading the development of strategic roadmaps for solution development and deployment; collaborating with senior cross-functional stakeholders, often with competing/conflicting objectives to ensure cohesive and reachable metrics; refining strategic plans and performance metrics as appropriate; and managing complex initiatives or portfolio to ensure delivery of measurable results and alignment with strategic objectives.
* Leads the work of project/program team members by requesting and coordinating internal and/ or external resources based on the alignment of team member skills and project/program demands; delivering and promoting strategic vision and objectives to team members; and delivering performance feedback to team members supervisors and leadership as appropriate.
* Develops requirements, or leads a team of consultants in the development of requirements for large-scale, complex, or specialized business, process, or system solutions across business domain(s) by partnering with stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; and leading and overseeing the development and documentation of comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions.
* Provides expertise and drives the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a comprehensive understanding of how current processes impact business operations across multiple domains; mapping current state against future state processes; leveraging stakeholder partnerships to identify the operational needs and impact of requirements on upstream and downstream solution components; providing options and recommendations to executive management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes across regions and domains; identifying and validating value gaps and opportunities for process enhancements or efficiencies; and leading the establishment of appropriate governance and workgroup infrastructures to accomplish strategic outcomes.
* Manages complex, cross-functional projects and/or programs by coordinating stakeholders; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project/program plans; collaborating on the coordination of project/program scope, schedules, and resource forecasts; proactively monitoring and identifying project/program/business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
* Serves as an expert in the proactive monitoring and identification of client, project, program, and/or business risks, issues, and trigger events by leading the development of mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
* Designs, leads, and serves as an expert for change management plans associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with executive management, project/program champions, and business owners to communicate and align improvement initiatives with business objectives; identifying appropriate change management method and approach; and ensuring stakeholders embrace a change management mindset, understand intent and purpose, and foster a culture of change.
* Leads the assessment of strategic performance metrics to support business initiatives by building partnerships with data analytic teams to ensure the translation of business requirements into analytic specifications; identifying appropriate data analysis tools and approach to assess business performance; determining suitable data gathering and analysis methods (e.g., process observation, hard data, etc.); defining data requirements and obtaining customer agreements, including customer requirements as appropriate; conducting advanced statistical analyses and/or testing to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis.
* Serves as a lead advocate for continuous learning and professional development by keeping abreast of cutting edge industry practices, standards, and benchmarks; attending and presenting at roadshows, conferences, training seminars, and/or speaking events as appropriate; leading the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; serving as an advocate to ensure continuous learning and improvement is championed as a people strategy; providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a continuous improvement mindset and build capabilities that drive results.
* Participates in vendor management as required by reviewing vendor performance levels; ensuring service level agreements are met; managing vendor invoices; and partnering with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate.
* Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.
$123k-158k yearly est. 6d ago
Psychology Post Doctoral Resident, Pediatric Primary Care
Kaiser Permanente 4.7
Kaiser Permanente job in Sacramento, CA
Position is designed to provide 2000 hours of supervised clinical postdoctoral training Completion of this program will satisfy one of the requirements to sit for the psychology licensing exam. Residencies are based in departments of Psychiatry, Chemical Dependency, Chronic Pain, Behavioral Medicine or other sub-specialities. Position provides 2 hours per week in each of the following: individual supervision; group supervision; and didactic training Supervision is provided by licensed psychologists. Opportunities may include providing short-term individual therapy, family therapy, crisis intervention, chemical dependency evaluation, adult and adolescent group therapy, psycho-educational groups, and psychological assessment.
Position is 40 hours per week, one-year, temporary with benefits.
This position ONLY pertains to the Northern California Mental Health Training Programs. For more information please visit kp.org/psychtraining.
Essential Responsibilities:
* Provide assessment and psychotherapy of adults, adolescents, children and/or families in a brief therapy model. Conduct intake evaluations. Provide crisis intervention as needed
* Co-facilitate psychoeducational groups. Conduct program evaluation and/or research project. Participate in community partnership projects.
* Administer and interpret psychological tests, and write reports. Participate in regional, consortial, and departmental training activities. Participate in departmental administrative and educational meetings. Maintain confidential patient files/records and information in a timely manner. Comply with regional and local policies and procedures. Comply with APAs Code of Ethics and state laws pertaining to the delivery of mental health services. Other duties as assigned.
* Team-specific duties performed by pre-doctoral interns under the direct supervision of licensed psychologists, including but not limited to the following: Adult Team, Child/Family Team, Chemical Dependency, Behavioral Medicine or others.
* Adult Team: Provide assessment and individual and group treatment to adults in a brief therapy model.
* Child/Family Team: Perform psychological evaluations of children, adolescents and families. Provide psychotherapeutic services to child and family populations.
* Intensive Outpatient Program (IOP): Provide services to patients needing more intensive treatment for stabilization, in a stepped-down treatment program for patients recently discharged from inpatient psychiatric unit.
* Behavioral Medicine: Provide services to patients whose presenting problem is related to the treatment of a physical problem or psychological issues arising from a medical condition. Provide services to patients who are experiencing emotional or stress-related problems concurrent to receiving treatment for a medical diagnosis or physical symptom.
* Chronic Pain Management: Provide services to patients who experience chronic pain, including teaching them pain management skills such as pacing, medication management, staying active, relaxation techniques and positive thinking.
* Chemical Dependency: Provide services to patients who are in the contemplation phase, the early stages of their recovery, and patients with longer-term sobriety. Provide separate and conjoint treatments for family members.
* Eating Disorders: Provide services to adults, children, teens, and families who have a diagnosis of an eating disorder.
* Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
Secondary Functions:
* Track -Pediatric Primary Care
* Hours/Days may vary
* Primary location: 6600 Bruceville Rd.Sacramento CA 95823
$34k-38k yearly est. 6d ago
Business Relations Specialist, Outside Sales, Infusion Pharmacy
Sutter Health 4.8
Roseville, CA job
We are so glad you are interested in joining Sutter Health! **Organization:** SCAH-Sutter Care at Home - Valley Successful candidate will have proven sales experience in a medical environment, preferably Home Infusion. Drives revenue to Sutter Health and its regional affiliates in a manner that achieves the organization's strategic goals and objectives. Develops relationships with physicians and area employers to develop and grow business. Educates area physicians about the capabilities provided by Sutter Health specialists and hospitals as well as influence area employers to engage them in preventive health, influence their managed care decisions and choice in occupational medicine providers. Identifies target physicians that would serve as referral and revenue drivers to facilities and specialty physicians.
**Job Description** :
**EDUCATION:**
+ _Equivalent experience will be accepted in lieu of the required degree or diploma._
+ Bachelor's in Business Administration, Healthcare Administration, or related field
**DEPARTMENT REQUIRED CERTIFICATIONS AND LICENSURES**
+ Department, SCAH: DL-Valid Drivers License
+ Department, SCAH: AUTO-Automobile Insurance
**TYPICAL EXPERIENCE:**
+ 5 years recent relevant experience.
**SKILLS AND KNOWLEDGE:**
+ Establish and maintain cooperative working relationships with audiences across all areas and levels within Sutter Health as well as external organizations.
+ Set priorities which accurately reflect the relative importance of job responsibilities and prioritize assignments to complete work in a timely manner.
+ Verbal and writing skills to effectively communicate with diverse groups such as: executives, managers, and subject matter experts.
+ Make presentations to persuade others to accept a specific opinion or action, or to provide information and instruction.
+ Demonstrated ability to encourage individuals either in a one-to-one or small group situation to establish rapport and gain trust or to listen perceptively and convey awareness.
+ Demonstrated ability to build and lead teams committed to carrying out initiatives in environments that may be resistant to change.
+ Focus on customer service that informs all actions and decisions.
+ Maintain a positive relationship with the community and professionals while representing a large healthcare organization.
**Job Shift:**
Days
**Schedule:**
Full Time
**Days of the Week:**
Monday - Friday, Variable
**Weekend Requirements:**
As Needed
**Benefits:**
Yes
**Unions:**
No
**Position Status:**
Exempt
**Weekly Hours:**
40
**Employee Status:**
Regular
Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines.
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $94,848.00 to $142,272.00 / annual salary
_The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package._
$94.8k-142.3k yearly 6d ago
Director, Facility Engineering
Kaiser Permanente 4.7
Kaiser Permanente job in Sacramento, CA
Provides strategic direction for preventative maintenance and repairs services for facility equipment (e.g., central plant operations, building management systems, safety systems). Establishes long-term goals for repairs and troubleshooting of facilities equipment. Reports to senior leadership on key metrics regarding preventative maintenance and repairs. Provides program-level oversight to ensure that facilities equipment passes safety checks and inspections in accordance with safety control programs (e.g., infection control, Material Safety Data Sheets [MSDSs], chemical control, fire safety, Emergency Care Research Institute [ERCI] alerts, and The Joint Commission (TJC) related programs, and all local regulatory requirements). Establishes program-level goals for maintenance and repairs performed. Oversees budget and planning for outside resources to perform services out of scope for Facility Engineering team.
Essential Responsibilities:
* Prepares individuals for growth opportunities and advancement; builds internal collaborative networks for self and others. Solicits and acts on performance feedback; drives collaboration to set goals and provide open feedback and coaching to foster performance improvement. Demonstrates continuous learning; oversees the recruitment, selection, and development of talent; ensures performance management guidelines and expectations to achieve business needs. Stays up to date with organizational best practices, processes, benchmarks, and industry trends; shares best practices within and across teams. Motivates and empowers teams; maintains a highly skilled and engaged workforce by aligning resource plans with business objectives. Provides guidance when difficult decisions need to be made; creates opportunities for expanded scope of decision making and impact.
* Oversees the operation of multiple units within a department by identifying member and operational needs; ensures the management of work assignment completion; translates business strategy into actionable business requirements; ensures products and/or services meet member requirements and expectations while aligning with organizational strategies. Gains cross-functional support for business plans and priorities; assumes responsibility for decision making; sets standards, measures progress, and fosters resolution of escalated issues. Communicates goals and objectives; analyzes resources, costs, and forecasts and incorporates them into business plans; prioritizes and distributes resources. Removes obstacles that impact performance; guides performance and develops contingency plans accordingly; ensures teams accomplish business objectives.
* Directs all facilities maintenance (e.g., central plant operations, building management systems, safety systems) by: providing strategic oversight for requests for service; ensuring repair responses meet and exceed multiple critical metrics of own organization with a focus on long-term success; and coordinating across organizational lines to ensure that in alignment with organizational goals.
* Ensures compliance with regulatory requirements for preventative maintenance by: strategically managing complex safety and maintenance initiatives in alignment with organizational goals; providing program-level oversight of teams performing preventative maintenance; leading strategic planning efforts with outside resources as appropriate for highly complex maintenance of substantial scope focused on the long-term future. and directing the use of resources in accordance with organizational goals and budget.
* Employs new and updated facilities equipment (e.g., central plant operations, building management systems, safety systems) by: setting strategic direction for improvements to facilities equipment that align with industry standards and organizational goals; identifying process improvements and providing strategies/best practices for the team in the use of operations and service manuals; and establishing criteria for and evaluating the need for new and updated equipment now and in the future.
* Drives a culture of safety by: contributing to and driving strategic safety goals aligned with core organizational initiatives and industry standards (e.g., The Joint Commission (TJC)); and ensuring broad participation in safety control programs for teams knowledge (e.g., infection control, Safety Data Sheets [SDSs], chemical control, fire safety, Emergency Care Research Institute [ERCI] alerts, and The Joint Commission (TJC) related programs, and other hospital-related regulatory agencies).
* Contributes to vendor relationship management by: taking accountability for managing vendor relationships, including vendor assessment, performance, and compliance with current vendor management practices; and assessing and proposing contracts for vendor engagements, identifying incremental process improvements that increase efficiency and effectiveness of vendor assessment, and driving the team to improve the efficiency of vendor maintenance /service and reduce reliance on vendors through education and training.
$108k-167k yearly est. 10d ago
Provider Relations Specialist III
Kaiser Permanente 4.7
Kaiser Permanente job in Sacramento, CA
This role requires up to 50% travel As part of the Kaiser National Contracting Department, this position plays a key role in building and operationalizing a unified National Provider Relations structure and framework. The role partners closely with the National Provider Relations leader to standardize processes, strengthen communication pathways, and support the development of a scalable, enterprise-wide model that enhances provider engagement across all markets. It also provides in-person provider relations support, serving as a direct liaison to providers to reinforce relationships, address operational concerns, and ensure consistent delivery of the national strategy at the local level.
Job Summary:
In addition to the responsibilities listed below, this position is also responsible for aiding the planning and development of provider satisfaction strategies to improve network relationships and enhance provider engagement; supporting the development of provider relations programs to facilitate effective provider communications and problem resolution; and creating and distributing standard media materials (e.g., articles and newsletters) and publications to providers independently; ensuring providers adhere to regulatory and contractual requirements; escalating standard and nonstandard compliance issues to appropriate parties; gathering materials to support organizational responses to regulatory audits; and beginning to deliver provider education and/or onboarding.
Essential Responsibilities:
* Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members. Listens to, seeks, and addresses performance feedback; provides mentoring to team members. Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses; influences others through technical explanations and examples. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; helps others adapt to new tasks and processes. Supports and responds to the needs of others to support a business outcome.
* Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions; ensures all procedures and policies are followed; leverages an understanding of data and resources to support projects or initiatives. Collaborates cross-functionally to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports, identifies, and monitors priorities, deadlines, and expectations. Identifies, speaks up, and implements ways to address improvement opportunities for team.
* Supports continuous improvement efforts by: organizing provider, claims, and contracting data to assist the team in identifying and/or consulting on continuous improvement opportunities across the contract ecosystem (e.g., identifying business and operational disparities between organizational and provider expectations, constraints, and risks to accessible care, building and maintaining relationships); engaging in the implementation of process improvement initiatives to aid providers and business goals; and may also include supporting standard and non-standard analyses of provider and market data to develop recommendations for improvement initiatives.
* Ensures contract commitments are met by: organizing provider data in appropriate data platforms and supporting the consultation of provider compliance; documenting provider activities and/or supporting the collaboration with alternate stakeholders to ensure compliance with contract terms and conditions; and following guidelines to ensure provider compliance with state and federal regulations as well as KP policies and procedures.
* Supports contract strategy development by: executing tasks to support strategies that improve access to patient care while managing outside service costs, with minimal supervision; collaborating with team members to provide consultation on local service delivery planning to aid in the achievement of provider priorities and strategies; engaging in collaborative cross-functional workgroups and/or executing on strategies to meet the unique needs of diverse stakeholders; and participating in and/or beginning to conduct peer training for new hires and contingent workers (e.g., establishing contract language, determining payment rate parameters, defining workflow and business processes, and ensuring cross-training across all service lines).
* Supports the growth of the Provider Network by: researching and evaluating potential partners/alliances for assigned service area to fill service gaps or decrease costs in current service offerings; developing trusting relationships with providers to understand their role in the external network; serving as a liaison between providers and KP by completing communication tasks independently (e.g., contract compliance such as access, availability, referral operations, and/or supporting member complaints); and supporting provider site visits, daily interactions, and ad hoc meetings by organizing components of itineraries and agendas, gathering credentialing materials, and/or supporting the initiation of this process.
* Contributes to provider satisfaction by: using comprehensive foundational knowledge of provider/contract operations to consult on issues that arise from contract configuration/interpretation and/or related to claims/disputes, billing, payment, reimbursement, other operational issues, and/or directories; contributing to tasks to ensure requests for information, questions, and problems are identified, documented, and addressed in a timely manner; and creating training materials to aid provider education and orientation on health plan systems, processes, and/or credentialing.
$46k-67k yearly est. 4d ago
Psychologist-General Adult Outpatient
Kaiser Permanente 4.7
Kaiser Permanente job in Sacramento, CA
Provides mental health assessment, diagnosis, treatment and crisis intervention services for adult and/or child members who present themselves from psychiatric evaluation with a broad range of mental health needs. Collaborates with treating physician, psychiatric and allied health professional team to plan and direct each individual members treatment program.
Essential Responsibilities:
+ Develops, implements, coordinates, and evaluates clinical treatment programs for the diagnosis, treatment, and/or referral of Health Plan members with acute or chronic mental illness. Participates in staff conferences to select, plan, and evaluate treatment programs. Provides outpatient psychotherapy to individuals, couples, families and groups. Instructs and counsels patients and their families regarding compliance with prescribed therapeutic regimens and adherence to prescribed medication regimens, within the scope of practice. May administer specialized therapeutic procedures, as appropriate. Provides appropriate support to members family. May develop and conducts psychoeducational classes and groups.
+ May conduct psychological assessments, including test administration, interpretation, and recommendations. Prepares intake summaries, treatment plans, and case summaries and maintains ongoing confidential records. Charts members treatment and progress in accord with state and NCQA regulations and in keeping with accepted community standards. May be required to participate in the department on-call rotation.
+ Collaborates with physicians in screening and evaluating patients for psychotropic medications, within the scope of practice. Utilizes resources of public and private agencies and community organizations to meet the needs of the members treatment. May develop, implements, and evaluates behavioral medicine and health psychology programs in a variety of settings, including primary care. Provides consultation to other care providers and health educators on matters relating to mental health, health psychology and behavioral medicine. Provides clinical supervision to psychology doctoral interns, psychology postdoctoral residents, and other mental health trainees/fellows as necessary.
+ May supervise Post Masters Fellows, Associate Clinical Social Workers, Associate Marriage Family Therapists or Associate Professional Clinical Counselors as needed if supervision course is completed.
+ May provide appropriate support to members family, including explanation of treatment, instructions in how to support treatment and interventions to increase acceptance of and adherence to treatment, at members request.
+ Utilizes resources of public and private agencies and community organizations to meet the needs of the members treatment to include referral of the member and/or members family to external resources, as appropriate. Participates in departmental program development, implementation and evaluation.
+ Reports safety concerns to mandated reporting agencies
Basic Qualifications:
Experience
+ N/A
Education
+ PhD/PsyD/EdD in Clinical Counseling, Health or School Psychology from an accredited college or university.
License, Certification, Registration
+ Psychologist License (California) within 6 months of hire
+ Psychologist License (from any state) required at hire
+ National Provider Identifier required at hire
Additional Requirements:
+ Must be familiar with DSM-V as a means of diagnosis.
+ Has experience in assessing, diagnosing and treating a broad range of psychiatric conditions.
+ May be required to participate in the department on-call rotation.
+ Knowledge of Evidence-Based Practice and psychotherapy research methods.
+ Knowledge of the bio-psycho-social functions that contribute to mental health.
+ Accuracy in diagnosing patients and developing effective treatment plans.
+ Competence in individual, family and group psychotherapy.
+ Professional maturity and ethical integrity necessary for assuming professional responsibilities.
+ Commitment to quality of service, teamwork, and participation in a highly interactive multidisciplinary clinic.
+ Ability to complete multiple tasks/objectives in a timely manner.
+ Knowledge of social service agencies, state regulations and APA standards as it related to client treatment, patient rights and client/patient confidentiality.
+ Previous clinical responsibilities to include psychological testing, diagnosis, crisis intervention, brief individual and group psychotherapy.
+ Knowledge of psychological testing techniques, administration and interpretation.
+ Excellent interpersonal and communication skills.
+ Must be able to work in a Labor/Management Partnership.
Preferred Qualifications:
+ Previous clinical responsibility to include crisis intervention, individual and group psychotherapy.
+ Demonstrated experience in psychological evaluations of adults, children, adolescents, & families, including administering & writing up psychological testing & assessment batteries preferred.
+ Demonstrated professional maturity and ethical integrity necessary for assuming professional responsibilities, preferred.
+ Demonstrated commitment to quality of service, teamwork, and participation in a highly interactive multidisciplinary clinic, preferred.
+ Demonstrated ability to complete multiple tasks/objectives in a timely manner, preferred
+ Accuracy in diagnosing patients and developing effective treatment plans, preferred.
+ Competence in individual, family and group psychotherapy, preferred.
COMPANY: KAISER
TITLE: Psychologist-General Adult Outpatient
LOCATION: Sacramento, California
REQNUMBER: 1396189
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
$133k-172k yearly est. 36d ago
Informaticist
Humana 4.8
Sacramento, CA job
**Become a part of our caring community and help us put health first** The Provider Analytics organization's vision is to improve member healthcare through innovative analytics and actionable insights, which empower members, and providers to drive higher quality, lower cost of care, and improved health outcomes. Provider Analytics develops and applies actionable analytics and insights, which are integral to business needs, to drive informed provider network strategy and is looking for an Informaticist 2 to join their team.
The Informaticist 2:
+ Designs and constructs models to estimate impact of contractual changes tied to ancillary and industry leading innovative care delivery models
+ Collates, models, interprets and analyzes data in order to identify, explain, and influence variances and trends
+ Explains variances and trends and enhances modeling techniques
+ Utilizes multiple data sources such as SQL, Power BI, Excel, etc., to create advanced analytics to facilitate contracting initiatives
+ Uses a consultative approach to collaborate effectively with the markets, and other customers, building productive cross-functional relationships
+ Extracts historical data, performs data mining, develops insights to drive provider contracting strategy and reimbursement terms for National Ancillary Contracting
+ Develops tools and automates processes to model financial implications of ancillary contracted rate changes, including changes in capitated arrangements
In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:
+ Medical Benefits
+ Dental Benefits
+ Vision Benefits
+ Health Savings Accounts
+ Flex Spending Accounts
+ Life Insurance
+ 401(k)
+ PTO including 9 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
+ And more
**Use your skills to make an impact**
**Required Qualifications**
+ 3+ years of demonstrated healthcare analytical experience
+ 1+ years SQL experience
+ 1+ years' experience in data visualization (ie. Power BI, Tableau, etc.)
+ Experience in compiling, modeling, interpreting and analyzing data in order to identify, explain, influence variances and trends
+ Experience in managing data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues
+ Possess a working knowledge and understand department, segment and organizational strategy
**Preferred Qualifications**
+ Bachelor's Degree in analytics or related field
+ Advanced Degree
+ Understanding of healthcare membership, claims, and other data sources used to evaluate cost and other key financial and quality metrics
**Additional Information**
Work at Home/Remote Requirements
**Work-At-Home Requirements**
+ To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.
+ Wireless, Wired Cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
+ Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Our Hiring Process**
As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging, and/or Video Interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone or computer. You should anticipate this interview to take approximately 10-15 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
\#LI-LM1
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$73,400 - $100,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-21-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$73.4k-100.1k yearly 2d ago
Psychology Post Doctoral Resident, Adult Primary Care
Kaiser Permanente 4.7
Kaiser Permanente job in Sacramento, CA
Position is designed to provide 2000 hours of supervised clinical postdoctoral training Completion of this program will satisfy one of the requirements to sit for the psychology licensing exam. Residencies are based in departments of Psychiatry, Chemical Dependency, Chronic Pain, Behavioral Medicine or other sub-specialities. Position provides 2 hours per week in each of the following: individual supervision; group supervision; and didactic training Supervision is provided by licensed psychologists. Opportunities may include providing short-term individual therapy, family therapy, crisis intervention, chemical dependency evaluation, adult and adolescent group therapy, psycho-educational groups, and psychological assessment.
Position is 40 hours per week, one-year, temporary with benefits.
This position ONLY pertains to the Northern California Mental Health Training Programs. For more information please visit kp.org/psychtraining.
Essential Responsibilities:
* Provide assessment and psychotherapy of adults, adolescents, children and/or families in a brief therapy model. Conduct intake evaluations. Provide crisis intervention as needed
* Co-facilitate psychoeducational groups. Conduct program evaluation and/or research project. Participate in community partnership projects.
* Administer and interpret psychological tests, and write reports. Participate in regional, consortial, and departmental training activities. Participate in departmental administrative and educational meetings. Maintain confidential patient files/records and information in a timely manner. Comply with regional and local policies and procedures. Comply with APAs Code of Ethics and state laws pertaining to the delivery of mental health services. Other duties as assigned.
* Team-specific duties performed by pre-doctoral interns under the direct supervision of licensed psychologists, including but not limited to the following: Adult Team, Child/Family Team, Chemical Dependency, Behavioral Medicine or others.
* Adult Team: Provide assessment and individual and group treatment to adults in a brief therapy model.
* Child/Family Team: Perform psychological evaluations of children, adolescents and families. Provide psychotherapeutic services to child and family populations.
* Intensive Outpatient Program (IOP): Provide services to patients needing more intensive treatment for stabilization, in a stepped-down treatment program for patients recently discharged from inpatient psychiatric unit.
* Behavioral Medicine: Provide services to patients whose presenting problem is related to the treatment of a physical problem or psychological issues arising from a medical condition. Provide services to patients who are experiencing emotional or stress-related problems concurrent to receiving treatment for a medical diagnosis or physical symptom.
* Chronic Pain Management: Provide services to patients who experience chronic pain, including teaching them pain management skills such as pacing, medication management, staying active, relaxation techniques and positive thinking.
* Chemical Dependency: Provide services to patients who are in the contemplation phase, the early stages of their recovery, and patients with longer-term sobriety. Provide separate and conjoint treatments for family members.
* Eating Disorders: Provide services to adults, children, teens, and families who have a diagnosis of an eating disorder.
* Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
Secondary Functions:
* Track -Adult Primary Care
* Hours/Days may vary
* Primary location:6600 Bruceville Rd.Sacramento CA 95823
$36k-41k yearly est. 32d ago
Acupuncturist
Kaiser Permanente 4.7
Kaiser Permanente job in Roseville, CA
Under the direction and supervision of the Sub-Chief of Physical Medicine, utilizes acupuncture to stimulate certain points on or near the surface of the body by the insertion of needles to prevent or modify the perception of pain or to normalize physiological functions. May perform or prescribe the use of oriental massage, acupressure, breathing techniques, exercise or nutrition, including the incorporation of drugless substances and herbs as dietary supplements to promote health.
Essential Responsibilities:
* Provides medically necessary acupuncture, consults, assessments and treatments when requested/authorized by family physicians/specialists. Provides an accurate diagnosis, supported by medical findings based on standardized examination and techniques generally accepted by the medical community.
* This includes TCM (Traditional Chinese Medicine) and Western diagnostic techniques. Produces complete, accurate, uniform and replicable examinations. Provides quality treatment to cure or relieve the medical condition causing the patients complaint. Documents all treatments and patients response to acupuncture therapy on patients chart.
* When working in the Workers compensation system, states an opinion whether anatomic loss, functional loss and physical complaints of the patient are work-related, and writes a comprehensive medical report describing the degree of injury consistent with Workers Compensation terminology and requirements.
* Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.