Kaiser Permanente jobs in Renton, WA - 594 jobs

Provide Radiology services to patients in accordance with physician orders. Ensures patient safety and provides high quality imaging. Prepares Radiology rooms for patient procedures, develops images, maintains supply levels, ensures diagnostic equipment is maintained and properly working within manufacturer specifications. Efficiently operates equipment according to prescribed safety standards. Exercises professional judgment in performance of diagnostic services and maintains a demeanor complementary to medical ethics. Applies knowledge of the principles of growth and development to identify patients and family requirements relative to age specific patients. Demonstrates exceptional customer service skills: treats customers with courtesy and respect; communicates effectively; provides appropriate and efficient service, and demonstrates a professional behavior at all time. Committed to self-improvement. Maintains strict patient and staff confidentiality.Essential Responsibilities: Perform quality general radiographic and specialty images through the use of clinical protocols. Position patient to best demonstrate anatomic area of interest, respecting patients comfort and ability. Demonstrate the knowledge to perform general radiographic and specialty procedures through the use of radiological equipment. Obtain images in accordance with proper radiographic techniques. Evaluate images for technical quality, assuring proper identification is recorded. Demonstrate the knowledge and skills necessary to provide Radiology services including patient education to all age groups served, to include: geriatrics, adults, adolescents, and pediatrics. Contact physician if there are any discrepancies, and follows the radiology policy and procedure for changing orders from referring providers. Adhere to Cooperative-wide Personal Protection Equipment, Universal Precautions, related Medical Waste (RMW), Infection Control, Safety, and other OSHA Policies and Procedures. Ensure patient information is accurately input into electronic medical record, including Radiology Information System (RIS). Arrive, select current account and complete patient for the appropriate procedure, as directed in the RIS. Establish patients identification by following organizational identification policy. Observe patient during procedures and reports any unusual occurrences or changes in patients condition to appropriate personnel. Ascertain allergy status on patients. Respond appropriately to contrast reactions as outlined in Policy and Procedure Manual. Provide timely, responsive, expert services to customers in a positive friendly manner, to include patient, physicians, and other employees. Inform patients and those accompanying them when delays exist and how they are being addressed. Promote patient focused care throughout daily activities. Provide quality patient care to include preparation, scheduling, description of exam, communication of pain expectation, and teaching all types of patient procedures as needed. Maintain strict patient and employee confidentiality, as appropriate. Communicate to the patient when they will be receiving their results. Maintain safe radiation levels at all times to minimize exposure to patient, self, and others. Follow written Policy and Procedure Manual on radiation safety rules. Perform all necessary equipment checks prior to use, thereby protecting patient and staff safety. Ensure patient and regulatory standards are adhered to and suggests ways to improve patient outcomes when indicated. Completes quality assurance, quality control and radiation safety activities as appropriate. Arrive at the start of the assigned shift ready to begin work; take lunch and break at appropriate times, and leave work at the end of the assigned shift. Maintain neat, clean and stocked Radiology room. Able to assist lead technologist or radiology leadership by coordinating new employee training and orientation, and identifying staff training issues, able to assist lead technologist in monitoring work flow and assigning tasks to other staff to address issues and participating in operational policy and procedures development as appropriate. Communicate concerns as appropriate to lead technologists and management. Work as an effective team member with other colleagues, both on and off-site to efficiently perform radiological procedures. Rotate shifts and assignments as required. Rotation may include surgery and portables for Specialty and Hospital staff. Basic Qualifications: Experience N/A Education Graduate of an approved accredited radiologic technology program by time of hire. License, Certification, Registration Certified Radiologic Technologist (Washington) required at hire Basic Life Support required at hire Additional Requirements: Consistently demonstrates knowledge and expertise in performing required procedures and exams. Demonstrates strong communication and problem solving-skills in order to work effectively with physicians, customers and co-workers. Works well as a team member in conjunction with providers throughout KFHPW Kaiser Foundation Health Plan of Washington organization. Is very knowledgeable about and adheres stringently to radiation safety, safety precautions, and infection control practices. Demonstrates a strong commitment to providing consistent excellent customer service. Supports the KFHPW strategy and mission statement. Works and communicates effectively with all populations, including infants, pediatrics, adolescents, adults, and geriatric. Preferred Qualifications: One (1) year of direct experience with diagnostic procedures.

Provide nursing care to a defined group of patients, adhering to Kaiser Foundation Health Plan of Washington ambulatory Nursing Care Standards, the Nursing Code of Ethics and Kaiser Foundation Health Plan of Washington policies. Coordinate and facilitate Health Care services for the patient in other segments of the Health Care delivery system. Provide and coordinate nursing care for the patient in collaboration with the Health Care team. The Registered Nurse is an integral member of the Health Care team, overseeing and participating in patient assessment and the formulation and implementation of the care plan. Essential Responsibilities: Using the nursing process, provides ongoing assessment of the nursing care needs of a defined group of patients. Uses nursing diagnosis to describe this assessment. Develops a written plan of care for patient care needs. Assists patients and families/significant others in developing health care goals which are part of the individualized plan of care. Determines priorities of patient care based on essential patient needs and available resources. Provides nursing interventions safely and competently. Provides the patient and family/significant others with information preceding interventions. Provides telephone consultation to patients and family/significant others Provides ongoing evaluation of the patients response to care. Anticipates and recognizes changes in the patients status and need for nursing care. Modifies the individual plan of care in collaboration with the health care team. Demonstrates understanding of the physiologic and psychological effects of normal aging by assessing, planning, implementing and evaluating care to meet the needs of those populations served. Demonstrates effective communication skills with those specific age populations served. Identifies own learning needs and participates in educational programs related to those age-specific patient populations served (Neonatal, Pediatric, Adolescent, Geriatric). Collaborates, communicates and coordinates with other health care team members in planning and implementing care. Assesses the needs of designated patients requiring hospitalization; initiates nursing admission database and discharge planning in collaboration with inpatient staff and physician. Cooperates and communicates effectively with other team members in order to accomplish the workload. Communicates recognition of the patients and family/significant others psychosocial, cultural and emotional needs in each nurse-patient interaction. Orients patients and family/significant others to the role of the professional nurse and other health care team members, the nursing services available, and the means of access to those services. Reinforces orientation to the Consumer Bill of Rights and Responsibilities. Identifies the patients educational needs as part of the nursing assessment. Develops an educational component for each nursing care plan. Provides teaching/counseling congruent with patients and family/significant others learning needs and the medical plan of care. Encourages patient compliance with therapeutic and medical regimens. Teaching is based on scientific and behavioral knowledge. Assesses patient lifestyle risk factors. Integrates health promotion and preventive aspects of care with the ongoing assessment of nursing care needs. Works with patient to develop a plan to improve general health status. Implements physical and psychological preventive measures. Promotes patient self-care responsibility for meeting their own health needs. Adheres to KFHPW documentation standards. Provides a safe environment for each patient and adheres to KFHPW safety standards. Adheres to KFHPW infection control standards and guidelines, including the guidelines for reporting communicable diseases. Identifies own learning needs and participates in continued education programs to meet those needs. Participates in staff orientation and student education activities. Collaborates with managers in completing the process for self and colleague/team performance reviews. Assures quality of care through development, implementation and evaluation of professional nursing standards and participation in multidisciplinary quality assurance activities. Participates in professional activities. Participates in nursing research and incorporates research findings into nursing practice. Adheres to KFHPW personnel policies and maintains a high standard of professional work habits. Consistently demonstrates an appearance consistent with current KFHPW dress code policy. Basic Qualifications: Experience Education Associates degree in Nursing from an accredited program License, Certification, Registration Registered Nurse License (Washington) required at hire OR Compact License: Registered Nurse required at hire Basic Life Support required at hire Additional Requirements: Communication, problem-solving, leadership and decision-making skills. Preferred Qualifications: Ambulatory care nursing experience. Primary nursing or case-management experience. Bachelor of science in nursing (BSN).

$5,000 Sign on Bonus Eligible Provide mammography services to patients in accordance with physicians orders. Prepare mammography rooms and diagnostic equipment. Perform high quality testing, operating equipment according to prescribed safety standards, and develop films. Exercise professional judgment and uphold medical ethics in performance of diagnostic services. Apply knowledge of the principles of growth and development to identify requirements relative to age specific patients. Maintain strict patient and staff confidentiality. Comply with all regulations pertaining to mammography (MQSA/ACR). Essential Responsibilities: Diagnostic Testing: Performs mammography images through clinical protocols and positions patient to best demonstrates anatomic area of interest, respecting comfort and ability. Demonstrates knowledge to perform mammography through the use of radiological equipment. Develops films in accordance with proper techniques. Evaluates mammography images for technical quality, assuring proper identification is recorded. Demonstrates knowledge and skills necessary to provide radiology services to all age groups served. Provides patient education on procedures according to age-specific needs. Facilitates patients cooperation and alleviates anxiety by addressing concerns. Verifies appropriate procedure to be performed by checking physicians orders, outpatient prescriptions, and prior reports. Contacts physicians with discrepancies. Demonstrates complete understanding of the contrast agents for the certain studies and prepares desired contrast media. Computer System: Ensures patient information is accurately inputted into departmental computer system. Arrives, selects current account and completes patients for the appropriate procedure, as directed in IDX-Rad and IDX-Mam. Customer Service: Provides timely, responsive, expert services to customers in a positive friendly manner, to include patient, physicians, and other fellow employees. Informs consumers and those accompanying them when delays exist and how they are being addressed. Promotes patient focused care throughout daily activities. Provides quality patient care to include preparation, description of exam, communication of pain expectation, scheduling, and teaching all types of patient procedures as needed. Maintains strict patient and employee confidentiality, as appropriate. Explains how patient should expect to receive exam result. Patient and Employee Safety: Maintains safe radiation levels at all times to minimize exposure to patient, self, and others. No deviation from written procedures on radiation safety rules. Performs all necessary equipment checks prior to use. Ensures patient and regulatory standards are adhered to and suggests ways to improve patient outcomes when indicated. Completes quality assurance, quality control and radiation safety activities as appropriate. Establishes patients identification. Ensures no repeat studies due to failure to check armband and/or properly identified patient. Observes patient during procedures and reports any unusual occurrences or changes in patients condition to appropriate personnel. Ascertains allergy status on patients. Demonstrates educated and rapid response to contrast reactions as outlined in Policy and Procedure Manual. Assists in performing first aid as necessary, including Code 199 procedures and locating equipment on crash carts. General Behavior: Observes patient during procedures and reports any unusual occurrences or changes in condition. Arrives at the start of the assigned shift ready to begin work; takes lunch and break at appropriate times, and leaves work at the end of the assigned shift. Maintains neat, clean and well stock radiology room. Identifies staff training issues and participates in Policy and Procedures development as appropriate. Communicates concerns as appropriate to lead technologists and management. Works as an effective team member to efficiently perform radiological procedures. Rotates shifts and assignments as required including surgery and portables for Specialty and Hospital staff. Takes stand-by call as assigned. Regulatory: Adheres to MQSA and other regulation related to mammography. Adheres to Cooperative-wide Personal Protection Equipment, Universal Precautions, Related Medical Waste (RMW), Infection Control, Safety, and other OSHA Policies and Procedures. Basic Qualifications: Experience N/A Education High School Diploma OR General Education Development (GED) required. License, Certification, Registration Certified Radiologic Technologist (Washington) required at hire Basic Life Support required at hire Additional Requirements: Communication, problem solving-skills, and consistent excellent customer service. State of Washington certification as Mammography Technologist and American Registry of Mammography Technologists (AART-M) registration by date of hire or will train radiology technician with two (2) years experience. Preferred Qualifications: One (1) year of mammography experience.

SPU Endoscopy includes both diagnostic and therapeutic procedures/interventions. $4/hour differentials. Conscious experience needed. Please include your Washington or Multistate Compact license and your American Heart Association BLS and ACLS #'s with initial date and expiration dates in your application. Job Summary: Provide nursing care to a defined group of patients, adhering to Kaiser Foundation Health Plan of Washington ambulatory Nursing Care Standards, the Nursing Code of Ethics and Kaiser Foundation Health Plan of Washington policies. Coordinate and facilitate Health Care services for the patient in other segments of the Health Care delivery system. Provide and coordinate nursing care for the patient in collaboration with the Health Care team. The Registered Nurse is an integral member of the Health Care team, overseeing and participating in patient assessment and the formulation and implementation of the care plan. Essential Responsibilities: Using the nursing process, provides ongoing assessment of the nursing care needs of a defined group of patients. Uses nursing diagnosis to describe this assessment. Develops a written plan of care for patient care needs. Assists patients and families/significant others in developing health care goals which are part of the individualized plan of care. Determines priorities of patient care based on essential patient needs and available resources. Provides nursing interventions safely and competently. Provides the patient and family/significant others with information preceding interventions. Provides telephone consultation to patients and family/significant others Provides ongoing evaluation of the patients response to care. Anticipates and recognizes changes in the patients status and need for nursing care. Modifies the individual plan of care in collaboration with the health care team. Demonstrates understanding of the physiologic and psychological effects of normal aging by assessing, planning, implementing and evaluating care to meet the needs of those populations served. Demonstrates effective communication skills with those specific age populations served. Identifies own learning needs and participates in educational programs related to those age-specific patient populations served (Neonatal, Pediatric, Adolescent, Geriatric). Collaborates, communicates and coordinates with other health care team members in planning and implementing care. Assesses the needs of designated patients requiring hospitalization; initiates nursing admission database and discharge planning in collaboration with inpatient staff and physician. Cooperates and communicates effectively with other team members in order to accomplish the workload. Communicates recognition of the patients and family/significant others psychosocial, cultural and emotional needs in each nurse-patient interaction. Orients patients and family/significant others to the role of the professional nurse and other health care team members, the nursing services available, and the means of access to those services. Reinforces orientation to the Consumer Bill of Rights and Responsibilities. Identifies the patients educational needs as part of the nursing assessment. Develops an educational component for each nursing care plan. Provides teaching/counseling congruent with patients and family/significant others learning needs and the medical plan of care. Encourages patient compliance with therapeutic and medical regimens. Teaching is based on scientific and behavioral knowledge. Assesses patient lifestyle risk factors. Integrates health promotion and preventive aspects of care with the ongoing assessment of nursing care needs. Works with patient to develop a plan to improve general health status. Implements physical and psychological preventive measures. Promotes patient self-care responsibility for meeting their own health needs. Adheres to KFHPW documentation standards. Provides a safe environment for each patient and adheres to KFHPW safety standards. Adheres to KFHPW infection control standards and guidelines, including the guidelines for reporting communicable diseases. Identifies own learning needs and participates in continued education programs to meet those needs. Participates in staff orientation and student education activities. Collaborates with managers in completing the process for self and colleague/team performance reviews. Assures quality of care through development, implementation and evaluation of professional nursing standards and participation in multidisciplinary quality assurance activities. Participates in professional activities. Participates in nursing research and incorporates research findings into nursing practice. Adheres to KFHPW personnel policies and maintains a high standard of professional work habits. Consistently demonstrates an appearance consistent with current KFHPW dress code policy. Basic Qualifications: Experience Education Associates degree in Nursing from an accredited program. License, Certification, Registration Registered Nurse License (Washington) required at hire OR Compact License: Registered Nurse required at hire Basic Life Support required at hire Additional Requirements: Communication, problem-solving, leadership and decision-making skills. Preferred Qualifications: Ambulatory care nursing experience. Primary nursing or case-management experience. Bachelor of science in Nursing (BSN).

JOB DESCRIPTIONJob Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production, and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES * Extracts and compiles various sources of information and large data sets from various systems to identify and analyze outliers. * Sets up process for monitoring, tracking, and trending department data. * Prepares any state mandated reports and analysis. * Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes. * Implements and uses the analytics software and systems to support the departments goals. JOB QUALIFICATIONS Required Education Associate's Degree or equivalent combination of education and experience Required Experience 1-3 years Preferred Education Bachelor's Degree or equivalent combination of education and experience Preferred Experience 3-5 years To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $116,835 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

This is a great opportunity to join a high-impact team that supports the launch of new products within the National Product Design and Management (NPDM) organization. As part of the Product Deployment team, you will help ensure new and enhanced products move smoothly from design to launch by supporting planning, coordination, and day-to-day execution activities. In this role, you will work under the guidance of the Senior Director, Product Deployment Leader, and collaborate with partners across NPDM, IT, and other business areas. You-ll assist with readiness tasks, help track and resolve deployment issues, and contribute to maintaining consistent processes across the product portfolio. We-re looking for someone who is curious, collaborative, and eager to learn. This team values hands-on problem solving, clear communication, and continuous improvement - and plays an important part in helping new products reach the market and deliver value to members, customers, and partners. 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.

*****This role will support Providers in the state of Washington** **** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. In partnership with Director, manages and coordinates the Provider Services activities for the state health plan. Works with direct management, corporate, and staff to develop and implement standardized provider servicing and relationship management plans. **Job Duties** Manages the Plan's Provider Relations functions and team members. Responsible for the daily operations of the department working collaboratively with other operational departments and functional business unit stakeholders to lead or support various Provider Services functions with an emphasis on contracting, education, outreach and resolving provider inquiries. - In conjunction with the Director, Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members. - Oversees and leads the functions of the external provider representatives, including developing and/or presenting policies and procedures, training materials, and reports to meet internal/external standards. - Manages and directs the Provider Service staff including hiring, training and evaluating performance. - Assists with ongoing provider network development and the education of contracted network providers regarding plan procedures and claim payment policies. - Develops and implements tracking tools to ensure timely issue resolution and compliance with all applicable standards. - Oversees appropriate and timely intervention/communication when providers have issues or complaints (e.g., problems with claims and encounter data, eligibility, reimbursement, and provider website). - Serves as a resource to support Plan's initiatives and help ensure regulatory requirements and strategic goals are realized. - Ensures appropriate cross-departmental communication of Provider Service's initiatives and contracted network provider issues. - Designs and implements programs to build and nurture positive relationships between contracted providers, ancillary providers, hospital facilities and Plan. - Develops and implements strategies to increase provider engagement in HEDIS and quality initiatives. - Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, and CAHPS to positively influence future trends. - Develops and implements strategies to reduce member access grievances with contracted providers. - Oversees the IHH program and ensures IHH program alignment with department requirements, provider education and oversight, and general management of the IHH program - Approximately 10-20% travel, mostly daytime, thoughout the state of Washington **Job Qualifications** **REQUIRED EDUCATION** : Bachelor's Degree in Health or Business related field or equivalent experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : - 5-7 years experience servicing individual and groups of physicians, hospitals, integrated delivery systems, and ancillary providers with Medicaid and/or Medicare products - 5+ years previous managed healthcare experience. - Previous experience with community agencies and providers. - Experience demonstrating working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicare or Medicaid lines of business, including but not limited to: fee-for service, value-based contracts, capitation and delegation models, and various forms of risk, ASO, agreements, etc. - Experience with preparing and presenting formal presentations. - 2+ years in a direct or matrix leadership position - Min. 2 years experience managing/supervising employees. **PREFERRED EDUCATION** : Master's Degree in Health or Business related field **PREFERRED EXPERIENCE** : - 5-7 years managed healthcare administration experience. - Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare setting, ideally with different provider types (e.g., physician, groups and hospitals). To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $149,028 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

The Technical Assistant performs the pre-analytic phases of laboratory testing procedures and may also perform the analytic and post analytic phases of waived testing procedures, loading of specimen and quality control material for testing on instruments, loading of reagents and appropriate documentation, and routine instrument maintenance. Other duties include: responsibility for documentation of all activities, monitoring supplies; compliance with all regulatory and accreditation requirements related to safety and laboratory testing; face to face and telephone customer service; computer data entry and retrieval; workplace cleanliness and maintenance, training, and point-of-care testing. Essential Responsibilities: * Technologist Assistance: Loads specimen and quality control material for testing on instruments, records the receipt of reagent and supply shipments, loads reagents and appropriate documentation, and performs routine instrument maintenance, specimen banking/storage and disposal. * Technical Resource: Helps resolve problems and answer pre-analytical procedural questions. Serves as a resource to laboratory customers. * Computer Data Entry & Retrieval: Accessions specimens, enters results, retrieves information, enters results. * Specimen Collection and Processing: Collects specimens for lab testing. Has knowledge of special specimen collection and handling requirements for specific populations, e.g. infants, pediatric and geriatric patients. Processes specimens for lab testing according to laboratory procedures. * Other duties: Participates in Performance Improvement activities. Performs maintenance. Performs waived testing and EKG testing. Trains phlebotomy students and employees.

Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. - Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution. - Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. - Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. - Assists in reviews of state and federal complaints related to claims. - Collaborates with other internal departments to determine appropriate resolution of claims issues. - Researches claims tracers, adjustments, and resubmissions of claims. - Adjudicates or readjudicates high volumes of claims in a timely manner. - Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership. - Meets claims department quality and production standards. - Supports claims department initiatives to improve overall claims function efficiency. - Completes basic claims projects as assigned. **Required Qualifications** - At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. - Research and data analysis skills. - Organizational skills and attention to detail. -Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Customer service experience. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. 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: $21.65 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Leads and supervises a team of pharmacy call center representatives and operations staff responsible to ensure that members have access to medically necessary prescription drugs. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. **Essential Job Duties** - Hires, trains, develops, and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality operations. - Ensures that average phone call handle time, average speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. - Ensures that adequate staffing coverage is present at all times of operation. - Assists pharmacy leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions. - Responsible for key performance indicators (KPI) reporting to department leadership on a monthly basis. - Participates, researches, and validates materials for both internal and external program audits. - Acts as liaison to internal and external customers to ensure prompt resolution of identified issues. - Assists pharmacy leadership in the collection and tabulation of data for reporting purposes and maintains files of confidential information submitted for review. - Assures that activities and processes are compliant with CMS, National Committee of Quality Assurance (NCQA) guidelines, and Molina policies and procedures. - Participates in the daily workload of the department, performing Representative duties as needed. - Facilitates interviews with pharmacy service representative job applicants, and provides hiring recommendations to leadership. - Provides coaching for pharmacy representatives, and helps identify and provide for training needs in collaboration with pharmacy leadership. - Communicates effectively with practitioners and pharmacists. - Collaborates with and keeps pharmacy leadership apprised of operational issues, including staffing resources, program and system needs. - Assists with development of and maintenance of pharmacy policies and procedures - Participates in the development of programs designed to enhance preferential or required targeted drugs or supplies. **Required Qualifications** - At least 5 years of experience in health care, preferably within a health-related call center environment, or equivalent combination of relevant education and experience. - Knowledge of prescription drug products, dosage forms and usage. - Experience designing, implementing, monitoring, and evaluating metrics that measure call center agent productivity. - Working knowledge of medical/pharmacy terminology - Excellent verbal and written communication skills. - Microsoft Office suite, and applicable software program(s) proficiency. **Preferred Qualifications** - Supervisory/leadership experience. - Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice. - Call center experience. - Managed care experience. 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: $55,706.51 - $80,464.96 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Become a part of our caring community and help us put health first** The Insurance Product Compliance Lead researches, analyzes, assesses risk and consults on rules, regulations and sub-regulatory guidance that apply to Insurance Products (i.e., Medicare Advantage, Part D, Group Specialty, and Individual Specialty), licensure or corporate structure. The Insurance Product Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Insurance Product Compliance Lead partners with internal stakeholders and serves as Humana liaison while drafting, filing and negotiating approval with state and federal regulators for service area expansions; product-specific documents, contracts, licenses, member communications or marketing materials, all while safeguarding Humana's brand. Supports implementation and maintenance of compliant insurance products in collaboration with responsible business owners. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. **Use your skills to make an impact** **Required Qualifications** + Experience with Medicare Advantage and/or Medicaid + Comprehensive knowledge of Microsoft Office applications: Word, Excel, PowerPoint, Adobe and Visio + Ability to summarize complex information and tailor communication based on audience (i.e., contracts, federal and state regulations) + Ability to work independently while maintaining focus and managing deliverables to meet critical internal and external deadlines + Must be passionate about contributing to an organization focused on continuously improving consumer experiences + Ability to affect change in a highly matrixed organization, leveraging data and facts to influence decision-makers **Preferred Qualifications** + Experience in working with State Agencies + Understanding of State and Federal Regulations + Experience with Medicare Advantage plan and benefit offerings + Experience specific to Dual Eligible members and healthcare plans for MA DSNP product offerings + Knowledge of Humana's internal policies, procedures and systems + Prior project management or product management experience 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. $94,900 - $130,500 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: 01-15-2026 **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 ***************************************************************************

Our commitment to our employees goes beyond the workplace, including competitive wages that reflect your value to the company! Apply today to learn more! Job Summary: Provide Radiology services to patients in accordance with physician orders. Ensures patient safety and provides high quality imaging. Prepares Radiology rooms for patient procedures, develops images, maintains supply levels, ensures diagnostic equipment is maintained and properly working within manufacturer specifications. Efficiently operates equipment according to prescribed safety standards. Exercises professional judgment in performance of diagnostic services and maintains a demeanor complementary to medical ethics. Applies knowledge of the principles of growth and development to identify patients and family requirements relative to age specific patients. Demonstrates exceptional customer service skills: treats customers with courtesy and respect; communicates effectively; provides appropriate and efficient service, and demonstrates a professional behavior at all time. Committed to self-improvement. Maintains strict patient and staff confidentiality. Essential Responsibilities: Perform quality general radiographic and specialty images through the use of clinical protocols. Position patient to best demonstrate anatomic area of interest, respecting patients comfort and ability. Demonstrate the knowledge to perform general radiographic and specialty procedures through the use of radiological equipment. Obtain images in accordance with proper radiographic techniques. Evaluate images for technical quality, assuring proper identification is recorded. Demonstrate the knowledge and skills necessary to provide Radiology services including patient education to all age groups served, to include: geriatrics, adults, adolescents, and pediatrics. Contact physician if there are any discrepancies, and follows the radiology policy and procedure for changing orders from referring providers. Adhere to Cooperative-wide Personal Protection Equipment, Universal Precautions, related Medical Waste (RMW), Infection Control, Safety, and other OSHA Policies and Procedures. Ensure patient information is accurately input into electronic medical record, including Radiology Information System (RIS). Arrive, select current account and complete patient for the appropriate procedure, as directed in the RIS. Establish patients identification by following organizational identification policy. Observe patient during procedures and reports any unusual occurrences or changes in patients condition to appropriate personnel. Ascertain allergy status on patients. Respond appropriately to contrast reactions as outlined in Policy and Procedure Manual. Provide timely, responsive, expert services to customers in a positive friendly manner, to include patient, physicians, and other employees. Inform patients and those accompanying them when delays exist and how they are being addressed. Promote patient focused care throughout daily activities. Provide quality patient care to include preparation, scheduling, description of exam, communication of pain expectation, and teaching all types of patient procedures as needed. Maintain strict patient and employee confidentiality, as appropriate. Communicate to the patient when they will be receiving their results. Maintain safe radiation levels at all times to minimize exposure to patient, self, and others. Follow written Policy and Procedure Manual on radiation safety rules. Perform all necessary equipment checks prior to use, thereby protecting patient and staff safety. Ensure patient and regulatory standards are adhered to and suggests ways to improve patient outcomes when indicated. Completes quality assurance, quality control and radiation safety activities as appropriate. Arrive at the start of the assigned shift ready to begin work; take lunch and break at appropriate times, and leave work at the end of the assigned shift. Maintain neat, clean and stocked Radiology room. Able to assist lead technologist or radiology leadership by coordinating new employee training and orientation, and identifying staff training issues, able to assist lead technologist in monitoring work flow and assigning tasks to other staff to address issues and participating in operational policy and procedures development as appropriate. Communicate concerns as appropriate to lead technologists and management. Work as an effective team member with other colleagues, both on and off-site to efficiently perform radiological procedures. Rotate shifts and assignments as required. Rotation may include surgery and portables for Specialty and Hospital staff. Basic Qualifications: Experience N/A Education Graduate of an approved accredited radiologic technology program by time of hire. License, Certification, Registration Certified Radiologic Technologist (Washington) required at hire Basic Life Support required at hire Additional Requirements: Consistently demonstrates knowledge and expertise in performing required procedures and exams. Demonstrates strong communication and problem solving-skills in order to work effectively with physicians, customers and co-workers. Works well as a team member in conjunction with providers throughout KFHPW Kaiser Foundation Health Plan of Washington organization. Is very knowledgeable about and adheres stringently to radiation safety, safety precautions, and infection control practices. Demonstrates a strong commitment to providing consistent excellent customer service. Supports the KFHPW strategy and mission statement. Works and communicates effectively with all populations, including infants, pediatrics, adolescents, adults, and geriatric. Preferred Qualifications: One (1) year of direct experience with diagnostic procedures.

**(Sales) Compliance Analyst** Molina Healthcare's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a centralized corporate function supporting compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** is primarily responsible for Sales Oversight. · Provide regulatory expertise to the Sales Organization: both State and Federal · Have working knowledge of federal and state guidelines pertaining to Sales and Marketing. · Perform internal Sales/Marketing Compliance Reporting. · Perform internal Sales/Marketing monitoring. · Detailed oriented to conduct thorough Sales allegations investigations. · Recommend applicable corrective action(s) when applicable to business partners. · Process improvement driven. · Create, update, and retire P&Ps, Standard Operating Procedures and Training documents. · Lead regularly scheduled Sales & Compliance leadership meetings. · Interpret and analyze Medicare, Medicaid, and MMP Required Sales & Marketing Reporting Technical Specifications. · Create and maintain monthly and quarterly Sales Complaint Key Performance Indicator (KPI) reports. · Review and interpret internal Sales dashboards for outliers and deeper dive research. · Manage compliance Sales Allegations, Secret Shops, and recommend corrective action plans for deficiencies found. · Responds to legislative inquiries/ Sales complaints (state insurance regulators, Congressional, etc.). · Leads projects to achieve Sales compliance objectives. · Interprets and analyzes state and federal regulatory manuals and revisions. · Interpret and analyze federal and state rules and requirements for proposed & final rules for Sales Oversight. · Interact with Molina external customers, via verbal and written communication. · Ability to work independently and set priorities. **Experience** · 2-4 years' related compliance work experience · Exceptional communication skills, including presentation capabilities, both written and verbal. · Excellent interpersonal communication and oral and written communication skills. · High level Interaction with Leadership. · Sales Allegation Investigations · Policy & Procedures Pay Range: $80,168 - $116,835 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Serves as a liaison across teams and departments to ensure cleaning and processing standards are met, providing recommendations for optimization and standardization. Provides expert consultation on regional guidelines, drafting and creating policies, procedures, and workflows for sterile processing activities. Advises the development and refinement of regional sterile processing policies and procedures and independently conducts and refines audits of sterile processing performance. Directs education across the region on optimizing sterile processing tools, leading strategic efforts across the region on waste prevention and cost efficiencies. Identifies training needs, develops and implements education programs, and evaluates efficacy of training and education programs across the region related to sterile processing. Assists leadership with analyzing and defining priorities for sterile processing services, coordinating across service areas to develop and implement a standardized delivery plan for sterile processing services. Serves as a regional expert on compliance with applicable regulations and requirements, contributing to and overseeing regular audits across the region for compliance with relevant regulations and policies and providing expert consultation on corrective action plans. Serves as an expert resource on developments in regulations/policies and best practices. Essential Responsibilities: + Promotes learning in others by communicating information and providing advice to drive projects forward; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; provides actionable feedback to others, including upward feedback to leadership; influences, mentors, and coaches team members. Practices self-leadership; creates, evaluates, and responds to the strengths and weaknesses of self and unit or team members. Leads the adaptation to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Fosters open dialogue amongst team members. + Drives the execution of multiple work streams by identifying member and operational needs; translates business strategy into actionable business requirements; develops and updates new procedures and policies. Gains cross-functional support for objectives and priorities; determines and carries out processes and methodologies; solves highly complex issues; escalates and resolves issues as appropriate; sets standards and measures progress. Develops work plans to meet business priorities and deadlines; coordinates, obtains and distributes resources. Removes obstacles that impact performance; guides performance and develops contingency plans accordingly; influences the completion of project tasks by others. + Evaluates and promotes sterile processing knowledge across the region by: identifying training needs and developing and implementing education programs to improve sterile processing services and meet organizational needs; evaluating the efficacy of training and education programs across the region on sterile processing activities; and representing the region on regional and national sterile processing committees to influence national strategy, link national changes to local markets, and sponsor national initiatives. + Leads improvements in managing and implementing equipment inventory by: directing education across the region on optimizing sterile processing tools, supporting managers in developing standardized processes for implementing tools; leading strategic efforts across the region on waste prevention and cost efficiencies; and identifying and recommending innovative products/technology to improve quality, efficiency, and cost savings. + Drives the sterilization and processing of equipment by: serving as a liaison across teams and departments to ensure cleaning and processing standards are met, providing recommendations for optimization and standardization; providing expert consultation on regional guidelines, giving directional guidance, and drafting and creating policies, procedures, and workflows for sterile processing activities; serving as a subject matter expert to advise the development and refinement of regional policies and procedures to meet evidence-based clinical or technological changes; and independently conducting and refining audits to identify gaps between sterile processing performance standards and actual performance and driving corrective action plans based on audit results to improve processes. + Leads regulatory compliance by: serving as a regional expert for standards of practice and regulatory compliance based on industry standards and relevant requirements and policies; contributing to and overseeing regular audits across the region for compliance with relevant regulations and policies; providing expert consultation to managers and directors on the development and implementation of corrective action plans for compliance concerns; and serving as an expert resource for the region on developments in regulations/policies and best practices. Minimum Qualifications: + Minimum five (5) years of experience in a leadership role with or without direct reports. + Minimum five (5) years of experience in sterile processing and/or processing reusable medical/surgical equipment/instruments. + Bachelors degree in Health Care Administration, Public Health, Health Sciences, Business, or related field AND minimum nine (9) years of experience in sterile processing, health care operations, health care administration, materials management, supply distribution, inventory control, or a directly related field OR Minimum twelve (12) years of experience in sterile processing, health care operations, health care administration, materials management, supply distribution, inventory control, or a directly related field. + Sterile Processing Distribution Technician Certificate required at hire OR Registered Central Service Technician Certificate required at hire Additional Requirements: + Knowledge, Skills, and Abilities (KSAs): Systems Thinking; Business Acumen; Business Operations; Cost Optimization; Operational Excellence; Audits; Compliance Management; Maintain Files and Records; Company Representation; Consulting; Vendor Management; Quality Assurance Process; Safety Management; Cleaning Policies and Procedures; Medical Waste Management; Medical Sanitation and Infection Control; Safety and Environmental Health Knowledge; Hazardous Materials and Chemicals; Internal Audit Processes; Bloodborne Pathogen Knowledge; Instrumentation; Infection Control; Sterile Processing; Facilities Management/Operations; Delegation; Mentoring and Coaching; Medical Equipment Preferred Qualifications: + Certified Flexible Endoscope Reprocessor (CFER) OR Certified Endoscope Reprocessor (CER). + Certified Healthcare Leader (CHL) OR Management in Sterile Processing (CSPM). COMPANY: KAISER TITLE: Regional Sterile Processing Specialist-Renton LOCATION: Renton, Washington REQNUMBER: 1392915 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.

Description: NIGHT SHIFT Job Summary: Provide nursing care to a defined group of patients, adhering to Kaiser Foundation Health Plan of Washington ambulatory Nursing Care Standards, the Nursing Code of Ethics and Kaiser Foundation Health Plan of Washington policies. Coordinate and facilitate Health Care services for the patient in other segments of the Health Care delivery system. Provide and coordinate nursing care for the patient in collaboration with the Health Care team. The Registered Nurse is an integral member of the Health Care team, overseeing and participating in patient assessment and the formulation and implementation of the care plan. The Urgent Care RN will provide care in a fast-paced, high-acuity environment that acts similarly to a free-standing emergency department. Patient populations will include all ages, from neonates to geriatrics. Care will also include a large variety of chief complaints ranging from neurological, cardiac, and minor injury or illness. Ability to quickly prioritize and use critical thinking and clinical judgement to provide emergent and urgent care. Ability to work collaboratively with providers and other Urgent Care staff to provide high-quality patient care. Essential Responsibilities: Using the nursing process, provides ongoing assessment of the nursing care needs of a defined group of patients. Uses nursing diagnosis to describe this assessment. Develops a written plan of care for patient care needs. Assists patients and families/significant others in developing health care goals which are part of the individualized plan of care. Determines priorities of patient care based on essential patient needs and available resources. Provides nursing interventions safely and competently. Provides the patient and family/significant others with information preceding interventions. Provides telephone consultation to patients and family/significant others Provides ongoing evaluation of the patients response to care. Anticipates and recognizes changes in the patients status and need for nursing care. Modifies the individual plan of care in collaboration with the health care team. Demonstrates understanding of the physiologic and psychological effects of normal aging by assessing, planning, implementing and evaluating care to meet the needs of those populations served. Demonstrates effective communication skills with those specific age populations served. Identifies own learning needs and participates in educational programs related to those age-specific patient populations served (Neonatal, Pediatric, Adolescent, Geriatric). Collaborates, communicates and coordinates with other health care team members in planning and implementing care. Assesses the needs of designated patients requiring hospitalization; initiates nursing admission database and discharge planning in collaboration with inpatient staff and physician. Cooperates and communicates effectively with other team members in order to accomplish the workload. Communicates recognition of the patients and family/significant others psychosocial, cultural and emotional needs in each nurse-patient interaction. Orients patients and family/significant others to the role of the professional nurse and other health care team members, the nursing services available, and the means of access to those services. Reinforces orientation to the Consumer Bill of Rights and Responsibilities. Identifies the patients educational needs as part of the nursing assessment. Develops an educational component for each nursing care plan. Provides teaching/counseling congruent with patients and family/significant others learning needs and the medical plan of care. Encourages patient compliance with therapeutic and medical regimens. Teaching is based on scientific and behavioral knowledge. Assesses patient lifestyle risk factors. Integrates health promotion and preventive aspects of care with the ongoing assessment of nursing care needs. Works with patient to develop a plan to improve general health status. Implements physical and psychological preventive measures. Promotes patient self-care responsibility for meeting their own health needs. Adheres to KFHPW documentation standards. Provides a safe environment for each patient and adheres to KFHPW safety standards. Adheres to KFHPW infection control standards and guidelines, including the guidelines for reporting communicable diseases. Identifies own learning needs and participates in continued education programs to meet those needs. Participates in staff orientation and student education activities. Collaborates with managers in completing the process for self and colleague/team performance reviews. Assures quality of care through development, implementation and evaluation of professional nursing standards and participation in multidisciplinary quality assurance activities. Participates in professional activities. Participates in nursing research and incorporates research findings into nursing practice. Adheres to KFHPW personnel policies and maintains a high standard of professional work habits. Consistently demonstrates an appearance consistent with current KFHPW dress code policy. Basic Qualifications: Experience Education Associates degree in Nursing from an accredited program License, Certification, Registration Registered Nurse License (Washington) required at hire OR Compact License: Registered Nurse required at hire Basic Life Support required at hire Pediatric Advanced Life Support within 6 months of hire Advanced Cardiac Life Support required at hire Additional Requirements: Communication, problem-solving, leadership and decision-making skills. Preferred Qualifications: Ambulatory care nursing experience. Primary nursing or case-management experience. Bachelor of science in nursing (BSN). Emergency department nursing experience. Pediatric Advanced Life Support at hire.

$10,000 Sign on Bonus Eligible The Imaging Manager is leadership for a large multidisciplinary department (typically CT, MRI, Nuclear Medicine, Ultrasound, Mammography, X-ray; often Dexa or Fluoroscopy; potentially Interventional and other applicable imaging modalities) with > 35 headcount in a Level III Medical Office Building. The Imaging Manager is responsible for all operations. Greater than 60% of employees will report to the Imaging Manager. Essential Responsibilities: + Manages operations: Responsible for FTE and NPE Budgets, responsible for approving PTO through TORT, responsible for securing backfill through Stafferlink, responsible for approving and/or entering supply orders in OneLink, manages unsigned studies report, manages PACS exceptions, manages unended exams, conducts monthly staff meetings. Cascades regional and departmental messages to employees. Responsible for researching and resolving member concerns. Partners with internal customers (Ambulatory, Pediatrics, ACC, Specialties, Pain Clinic, Orthopedics) to improve workflows/resolve issues. + Manages employees: Responsible for 60-75% of departments employees, responsible for total performance reviews. + Manages performance in partnership. Responsible for development of employees. Responsible for submitting FMLA for impacted employees. Partners with IDM for impacted employees + Manages equipment: Oversees equipment failures. Messages leadership/call center of equipment failures impacting patient care. Manages appropriate documentation of equipment failures. + Manages resources/access: Identifies trends in exam/patient needs by monitoring volumes and access reports. Drafts and submits business cases to Director and drafts and submits capital cases. Basic Qualifications: Experience + Minimum five (5) years of experience as a radiologic technologist, sonographer/ultrasound technologist, mammographer, or nuclear medicine technologist. + Minimum three (3) years of experience as a radiology supervisor (having had direct reports, responsible for annual reviews, responsible for hiring and terminating employees). Education + Graduate of an accredited diagnostic imaging program or Bachelors Degree or four (4) years of experience in a directly related field. + High School Diploma or General Education Development (GED) required. License, Certification, Registration + Nuclear Medicine Technologist Certificate (Washington) OR Registered Diagnostic Medical Sonographer Certificate OR Radiologic Technologist Certification OR Nuclear Medicine Technologist Certificate from Nuclear Medicine Technology Certification Board Additional Requirements: + Work experience demonstrating knowledge of hospital regulatory requirements, hospital accreditation and imaging accreditations, managed care and health care delivery systems. + Demonstrated ability to recruit, mentor, develop and engage staff, monitor performance standards, deliver results, and hold staff accountable. + Demonstrated ability to manage multiple tasks simultaneously. + Able to prioritize and effectively anticipate and respond to issues as they arise. + Effective communication, collaboration and change management skills. + Financial management skills. Preferred Qualifications: + Medical Office Buildings may be open 24 hours a day and/or 7 days per week. + Employees call in to their manager 2 hours before the beginning of shift requiring managers to be available by phone currently as early as 5a.m. Evening shift & overnight shift can call into on call supervisor/manager beginning at 5p.m. + Managers are required to participate in on call rotation. The frequency is determined by the number of managers in therotation. The rotation requires 24 hrs/7 days per week regionwide support. + Computer Skills; Microsoft Office. + Registration in multiple disciplines. + Masters Degree or six (6) years of experience in a directly related field. COMPANY: KAISER TITLE: Imaging Manager-Bellevue LOCATION: Bellevue, Washington REQNUMBER: 1376900 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.

**Become a part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve customer contact, investigation, and resolution of claims or claims-related financial issues. The position includes moderately complex call center, administrative, operational and customer support assignments. Workload is typically semi-routine assignments along with intermediate level math computations. This is an opportunity to work remotely and use your research, resolution and customer service skills to join a Fortune 100 company with a great culture and outstanding benefits. Humana values associate engagement and well-being. We also provide excellent professional development and continued education. **The claims inbound call center is comprised of a group of calls / claims / provider** **associates researching the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and collection services in the resolution of claims. Responsibilities include: + Taking inbound calls to address customer needs which may include complex financial recovery, answering questions, and resolving issues. + Recording notes with details of inquiries, comments or complaints, transactions or interactions and taking action accordingly. + Escalation of unresolved and pending customer inquiries. + Decisions are typically focused on interpretation of area or department policy and methods for completing assignments. + Standard policies and practices allow for some opportunity for interpretation / deviation and / or independent discretion. Work is within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization and timing, and works under minimal direction. **Use your skills to make an impact** **Required Qualifications** + **1 or more years of Call Center or Telephonic customer service experience (within the past 5 years)** + **Previous healthcare related experience or education** + Basic Microsoft Office (Word, Excel, Outlook, and Teams) skills + Strong technical skills with the ability to work across multiple software systems + Self-reliance with the ability to resolve issues independently with minimum supervision + Ability to use internal system resources (i.e., Mentor) to find a resolution to an issue and/or respond to an inquiry + Demonstrated time management and prioritization skills + Ability to manage multiple or competing priorities + Capacity to maintain confidentiality working remotely out of your home **Required Work Schedule** **Training** + Virtual training starts on day one of employment and will run for the first 8 to 10 weeks with a schedule of 8:00 AM to 4:30 PM Eastern, Monday - Friday. + **Attendance is vital for your success; no time off will be allowed during training.** + The initial 180 days of employment as a Claims Research & Resolution Representative 2 constitute an appraisal period. This Appraisal Period is essential to your learning and development, which is why we ask for perfect attendance during both the classroom training and nesting periods. + This position requires learning many systems, policies, and tools, and it takes time to become proficient in the role. **You must be willing to remain in this position for a period of eighteen (18) months before applying to other Humana opportunities.** **Work Hours** + Following training, must be able to work an assigned 8-hour shift between the hours of 8:00 AM to 6:00 PM Eastern. + Overtime _may_ be offered, based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery experience + Previous experience with Mentor software + PrePay or Post Pay experience + CAS, CIS or CISPRO experience + CRM experience **Additional Information** ****PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT) **** **Work at Home Guidance** 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; 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 Process** As part of our hiring process for this opportunity, we will be using technology called HireVue to enhance our hiring and decision-making ability. HireVue 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. + **Text Prescreen:** Shortly after submitting your application, you may receive both a text message and email requesting you to complete 10 to 15 prescreen questions with either yes or no answers. The text message may arrive prior to the email. If you prefer to answer via computer or tablet, wait for the email. + **Video Prescreen:** If you are successful with the text prescreen, you will receive another communication to record a Video Prescreen. This is an online video activity using your phone, tablet, or computer; however, most candidates prefer using a computer or tablet. + **Interviews:** Some candidates will be invited to interview. If so, the recruiter will reach out to schedule. + **Offers:** Finalists from the interview will be contacted by a recruiter to discuss an offer for the job + **Note:** Depending on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters, this process may take several weeks or less; however, know that we are working hard to proceed as quickly as possible and to keep you informed. 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. $40,000 - $52,300 per year **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. **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 ***************************************************************************

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.We all have the power to help, heal and change lives - beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One.Job TitlePatient Service Specialist - Express CareLocationHudsonFacilityCleveland Clinic Hudson ExpressDepartmentStow-Falls Express-Regional OperationsJob CodeB15028ShiftVariableSchedule8:00am-4:30pm/11:00am-8:00pmJob SummaryJob Details Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world. Cleveland Clinic is the first hospital in the nation to make great customer service a cornerstone of our mission. As a Patient Service Specialist, your responsibility is to deliver an exceptional experience to patients, families and visitors, from the moment they enter to the time they return home. You will assist them with everything from scheduling and pre-registration to MyChart enrollment and visit preparations. This role is a great steppingstone to others within Customer Service and various departments within Cleveland Clinic. A caregiver in this position works 8:00am to 4:30pm with rotating evenings until 8:00pm and rotating weekend coverage. A caregiver who excels in this role will: Provide a comprehensive, proactive and “Patients First” experience for patients and visitors. Investigate, triage and resolve patient issues using the established HEART model. Create a welcome and professional environment, interact with patients and ensure stellar patient experiences. Perform patient registration, visit preparation, telephone triage, insurance verification, co-pay collection, patient and record tracking, scheduling, arrival and/or departure desk activities and screening and scheduling of interpreter services. Enter and maintain confidential patient information. Recruit, enroll and educate patients on MyChart and Appointment Pass. Minimum qualifications for the ideal future caregiver include: High School Diploma/GED and two years of experience in patient registration, appointment scheduling, insurance processing or customer service OR Associate's Degree and one year of experience OR Bachelor's Degree Preferred qualifications for the ideal future caregiver include: Knowledge of medical terminology Physical Requirements: Dexterity sufficient to operate a PC and other office equipment Extended periods of standing, walking or sitting Good visual acuity through normal or corrected vision Navigating various locations and function in a fast-paced, hectic environment Lifting and transporting up to 25 pounds Personal Protective Equipment: Follow standard precautions using personal protective equipment as required The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. Please review the Equal Employment Opportunity poster. Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

**Become a part of our caring community and help us put health first** With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact your own income potential? If so, we are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of Medicare Sales Field Agents who sell individual health plan products and educate beneficiaries on our services in a field setting. Our teams also sell Life, Annuity, Indemnity, Dental, Vision, Prescription plans, and more. Humana has an inclusive and diverse culture welcoming candidates with multilingual skill sets to service our consumers. **This role is** **field** **based, and you will be out and about in the field in the Raleigh** **Durham, NC.** **area working with your team and meeting members face to face. You must reside in Raleigh** **Durham, NC.** **area or be willing to relocate to the area.** In this **field** position, you will; coach, mentor, educate, motivate and train a team of sales individuals. The Senior Manager, Medicare Sales, must have a solid understanding of the market they serve, how to resolve operational problems and provide creative solutions to increase sales while following CMS guidelines. This role also involves cultivating, maintaining, and building relationships with Humana's customers, both internal and external business partners, along with the community we serve through telephonic, virtual, and face-to-face interactions with individuals and groups. Other responsibilities include developing marketing budgets, and looking for branding opportunities. **Use your skills to make an impact** **Required Qualifications** + **Must reside in the** **Raleigh** **Durham, NC.** **area or be willing to relocate** + **Active Health & Life Insurance Licenses** + 2 or more years of sales leadership experience + 6 or more years of experience working in the insurance industry + Must be able to travel up to 50% of the time + Ability to lead a team of sales associates and train them in successful sales techniques, educational presentation skills, utilizing technology tools as well as building relationships with communities and medical providers + Strong aptitude for technology with proficiency in MS Office products, various CRM platforms, and various iPhone app capabilities + Must be a strong leader, strong producer + Strong organizational, interpersonal, communication and presentation skills + Ability to adapt and overcome when necessary + Community Engagement/Grassroots experience in marketing Medicare plans in the community + Must be passionate about contributing to an organization focused on continuously improving consumer experiences + This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits **Preferred Qualifications** + Bachelor's Degree + Prior experience working in Medicare and the health solutions industry + Engaged with the community through service, organizations, activities and volunteerism + Project management background or certification a plus + Bilingual with the ability to speak, read and write without limitations or assistance **Humana Perks:** Full time associates enjoy: + Base salary with a competitive commission structure + Medical, Dental, Vision and a variety of other supplemental insurances + Paid time off (PTO) & Paid Holidays + 401(k) retirement savings plan + Tuition reimbursement and/or scholarships for qualifying dependent children. + And much more! **Social Security Task:** Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions to add the information into the application at Humana's secure website. **Virtual Pre-Screen:** As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a HireVue interview. In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes. \#MedicareSalesManager \#MedicareSalesReps 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. $77,000 - $105,100 per year This job is eligible for a commission 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: 01-30-2026 **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 ***************************************************************************