Responsible for a safe and comfortable environment in accordance with established policies and procedures, for staff and patients throughout the facility. Operates cogeneration plant and support equipment, 12kv electrical distribution system, pneumatic air systems, HVAC equipment, and boiler and steam systems. Responsible for performance of preventive and repair maintenance on various types of electrical and mechanical equipment. Provides training and inservices for the department. Serves as a team member in the development and implementation of new programs for the department. Responsible for utilizing appropriate work practices commensurate with the environment of work to include working with neonates, pediatrics, adolescents, young adults, mature adults, older adults and psychiatric care patients. Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position. Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, Powerpoint, internet, e-mail). Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job. Performs other duties as assigned. Follows Palomar Health rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health.
Job Requirements
Minimum Education: High School Diploma and/or combination of education and experience Preferred Education: Specialized vocational training Minimum Experience: 4 - 5 years related plant operations Preferred Experience: 6 - 8 years related plant operations Required Certification: Not ApplicablePreferred Certification: Not ApplicableRequired License: Valid Driver's LicensePreferred License: Not Applicable
Current employees are not eligible for hiring incentives. We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.
$59k-75k yearly est. Auto-Apply 60d+ ago
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Outpatient Care Technician
Palomar Health 4.6
Palomar Health job in Escondido, CA
Requisition ID 41415 Department Radiation Oncology Location Escondido, California Union CHEU Salary Range 21.28 - 31.95 Job Type Full-Time Shift Day Hours Per Shift 8 Hours Per Pay Period 80
at Palomar Health
Description Posting Date: 1/14/2026Internal Closing Date: 1/20/2026* Internal candidates must apply by midnight on the Closing Date in order to have bidding rights. Maintains and fosters effective public relations with patients, the public and other disciplines of the health team. Assist Therapist and/or Technician with equipment set up and maintenance, ordering, and transport of therapeutic supplies and approved medications/modalities. Provides support with cleaning and maintaining outpatient clinic and patient care areas. Register patients. Inputs data in computer system, and assists with patients as necessary with completion of health forms. Schedule with good phone and customer service skills. Responsibility for processing, tracking and verifying department paperwork as assigned. Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position. Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, Powerpoint, internet, e-mail). Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job. Performs other duties as assigned. Follows Palomar Health rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health.Job Requirements
Minimum Education:
Successful completion of Medical Assistant Certificate program or completion of a Bachelor's degree in a health related profession, with relevant front and back office experience in the past 12 months or completion of Medical Assistant 9 month or greater certificate program within past year with 150+ hours of front and back office internship
Preferred Education:
Not Applicable
Minimum Experience:
Relevant front and back office experience in the past 12 months or 150+ hours of front and back office internship in the past 12 months
Preferred Experience:
Bilingual - Spanish
Required Certification:
American Heart Association recognized BLS
Preferred Certification:
Certified CA State Medical Assistant
Required License:
Not Applicable
Preferred License:
Not Applicable
Current employees are not eligible for hiring incentives. We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.
$39k-48k yearly est. Auto-Apply 7d ago
Reimbursement Analyst - PFS Sharp Foundation Models - Sharp Corporate - Day Shift - Full Time
Sharp Healthcare 4.5
San Diego, CA job
Hours:
Shift Start Time: Variable
Shift End Time: Variable
AWS Hours Requirement: 8/40 - 8 Hour Shift
Additional Shift Information:
Weekend Requirements: As Needed
On-Call Required: No
Hourly Pay Range (Minimum - Midpoint - Maximum): $36.830 - $47.530 - $53.230
The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
Please Note: As part of our recruitment process, you may receive communication from Dawn, our virtual recruiting assistant. Dawn helps coordinate scheduling for screening calls and interviews to ensure a smooth and timely experience. Rest assured, all candidate evaluations and hiring decisions are made by our recruitment and hiring teams.
What You Will Do
To provide coding support and appeal guidance relating to reimbursement issues. Research and propose recommended action on policies and regulations to enable Sharp HealthCare entities to obtain the highest possible reimbursement. To act as a liaison between PFS Business Office Staff and Regulatory Compliance department. Utilize the payer contract tool to report payer trends.
Required Qualifications
5 Years Experience with coding, auditing and patient account follow up in a business office
Certified Professional Coder (CPC) - AAPC - REQUIRED
Preferred Qualifications
Bachelor's Degree
Essential Functions
Customer service
System Integration:
Ensures timely coding and reimbursement tools are supplied to physicians, peers and subordinates. This position serves as a resource for staff to have outstanding accounts reviewed for documentation supported by coding reviewed in order to perform timely follow-up collections and claim form submissions.
Demonstrates effective customer relations by:
Consistently communicate with Executives, Operations Senior Management, department members and other Sharp employees in a pleasant, professional and effective manner.
Respond appropriately to needs, preferences and dissatisfactions expressed by customers within a time period appropriate to the request.
Maintain confidentiality.
Ensure effective, customer-focused operations of responsible areas.
Provide effective consultation and support services to Executives, Operation Senior Management, to assist in strategic and operational planning and facilitate achievement of organizational and departmental goals.
Assist in analyzing and interpreting trends and variances requiring Manager Business Service and/or Manager of Quality control's attention.
Leadership
Assessment Rating by Manager of Business Service and Manager Quality Control/Peers:
Provides effective leadership of the position, including properly motivating peers, ensuring optimum levels of productivity, reengineering workloads, etc.
Financial:
Ensures entity-specific quantitative and qualitative analyses are completed and communicated. Provide educational lectures on regulatory changes to CCD staff when required.
Quality
Documents and updates system usages related policies and procedures.
Reviews System capabilities to ensure user functionality and satisfaction in accordance with corporate goals and objectives.
Coordinates and/or assists the medical group in the establishment of correct coding tools for compliant billing and reimbursement.
Investigate user problems; perform troubleshooting activities and communicate resolution to the affected parties.
Provide coding and reimbursement analysis PFS/CCD and medical group.
Reimbursement and appeals
Coding Guidelines and Tools for Reimbursement:
Responsible for the planning, coordination and accumulation of documentation for the preparation of meaningful, accurate and timely appeals and the quantitative and qualitative analyses and supporting documentation thereto.
Reopenings & Appeals:
Responsible for the planning, coordination and accumulation of documentation for reopening items or appeal issues the Manager of the Business Office and or Quality requests. Provide documentation timely and accurately so that the reopenings or appeals meet all filing deadlines.
System integration
Demonstrates effective customer relations by:
Consistent communication with Physicians, Operations Staff, Management, department members and other Sharp employees in a professional and effective manner; responds appropriately and timely to needs, preferences and dissatisfaction expressed by customers.
Ensures effective, customer-focused operations; analyzes and evaluates the rejection volume of fee for service reimbursement.
Training and compliance
Effectiveness:
Recommend and assist with the implementation of techniques to improve productivity, increase efficiencies, reduce costs, and maintain state of the art practices.
Ensure compliance with corporate policies, keep abreast of current trends in healthcare, accept interpersonal differences, respecting others values and opinions and promoting cooperation, effectively prioritizing workload to meet required deadlines and setting goals and objectives in conjunction with the manager.
Offer ongoing training and consulting to customers. Participate in all meetings related to coding and compliance.
Knowledge, Skills, and Abilities
The position requires strong verbal and written communication skills and the ability to effectively communicate with all levels of the organization, including significant interaction with Business Office, Regulatory Compliance and Senior Management.
The candidate must be able to analyze and interpret data, as well as prepare or direct the preparation of concise, accurate and meaningful documentation.
Knowledge of procedures for preparing trend reports.
The candidate should be highly analytical, focused and dedicated with a strong sense of loyalty and accountability to the organization.
The position requires strong customer service skills and a commitment to excellence.
The candidate must have a strong professional demeanor and the ability to establish credibility throughout the organization.
Good understanding of operations and the ability to relate financial results to operations.
Energetic and results oriented with the ability to balance other organizational considerations.
Highly motivated and appreciative of the opportunity to excel in a challenging and dynamic environment.
Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
Bachelor's Degree; Certified Professional Coder (CPC) - AAPC
#J-18808-Ljbffr
$53.2 hourly 3d ago
Transportation Vehicle Driver
Tri-City Medical Center 4.7
Oceanside, CA job
Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.
Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community's needs.
Position Summary:
Transports patients and significant others to and from Tri-City Medical Center and/or other District facilities as requested by the Dispatcher or Supervisor. Prepares route for pick-up and deliveries from schedule. Maintains vehicle records and assists in preparation of statistics for the Supervisor or Director. Performs related and Marketing duties when assigned by the Dispatcher, Supervisor or Director. Supervises no other employee.
Major Position Responsibilities:
The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.
Maintains a safe, clean working environment, including unit based safety and infection control requirements.
Completes patient transportation schedule and prepares appropriate route prior to leaving Tri-City Medical Center.
Assists patients and other passengers in entering and exiting the vehicle.
Ensures the securing of vehicle doors, wheelchair and passenger belts prior to any departure.
Transports passengers to and from the Medical Center in a safe manner, obeying all highway laws.
Prepares incident reports as necessary.
Assists the Dispatcher, Supervisor or Director, as necessary, arranging for alternative transportation, statistics, confirming and follow-up with patients, and with other Marketing activities. Acts as a primary dispatcher, when needed. Prepares daily driver hour reports to Director of Behavioral Health services.
Keeps accurate maintenance records to maintain the appropriate working condition of the vehicle.
Serving patients lunch, unpacking supplies, and checking the content of the refrigerators.
Provides errand service for the Medical Center when time permits.
Qualifications:
Must have 2-3 years related experience in a health care or in a paratransit environment.
Excellent driving record (minimum two years without violation) required.
Knowledge of proper body mechanics when assisting patients is required.
The ability to prioritize is preferred.
Good human relations skills to positively interact with patients, significant others, and co-workers, maintaining confidentiality as appropriate are essential.
The ability to respond promptly to requests, problems and questions in a clear and accurate manner preferred.
Basic knowledge of common medical procedures an asset.
Ability to use a calculator and compute figures accurately and efficiently.
Ability to walk on varying surfaces, varying distances and sustained durations.
Must possess the ability to sit in a van seat and drive for extended lengths of time.
Must possess the ability to perform necessary bending and squatting when securing wheelchairs and seat belts.
Education:
High school diploma or GED, required.
Licenses:
Minimum of CA Class B License with a passenger endorsement and current medical certificate, required.
Certification:
Current BLS required upon hire; American Heart Association Healthcare Provider.
Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.
*Salary/Hourly Wage range based on experience.
To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)
TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.
$22k-54k yearly est. Auto-Apply 60d+ ago
ENVIRONMENTAL SERVICE SUPPORT AIDE-LIFT-FLOOR-TRASH-LINEN
Tri-City Medical Center 4.7
Oceanside, CA job
Tri-City Medical Center has served San Diego County's coastal communities of Carlsbad, Oceanside and Vista, as well as the surrounding region for more than 60 years and is one of the largest employers in North San Diego County. Tri-City is administered by the Tri-City Healthcare District, a California Hospital District. As a full-service acute care public hospital with over 500 physicians practicing in over 60 specialties, Tri-City is vital to the well-being of our community and serves as a healthcare safety net for many of our citizens. The hospital has received a Gold Seal of Approval from the Joint Commission showcasing a commitment to safe and effective patient care for the residents of the community.
Tri-City Medical Center prides itself on being the home to leading orthopedic, spine and cardiovascular health services while also specializing in world-class robotic surgery, cancer and emergency care. Tri-City's Emergency Department is there for your loved ones in their time of need and is highly regarded for our heart attack and stroke treatment programs. When minutes matter, Tri-City is your source for quality compassionate care close to home. Tri-City partners with over 90 local non-profit and community organizations as part of our COASTAL Commitment initiative. Together we are helping tackle some of our communities' pressing health and social needs.
Position Summary:
This job ensures effective collection of all medical solid waste and trash throughout the facility as well as collection and distribution of linen and floor care maintenance. This position is also required to perform all duties of an Environmental Services Aid including housekeeping and janitorial duties to in patient care, administrative offices, and public areas.
Major Position Responsibilities:
The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.
* Maintains a safe, clean working environment, including unit based safety and infection control requirements.
* Responsible to safely move heavy equipment, bins, receptacles.
* Environmental Services Support Aide (Lift-Floor-Trash-Linen) Responsibilities:
* Collect bio waste and trash throughout the facility. Dispose of in proper receptacles.
* Collect and distribute linen.
* Maintain and clean floors according to organizational standards and following assigned schedule.
* Move and relocate patient beds.
* Move furniture, boxes, desks, supplies, and other equipment as assigned.
* Environmental Services Aide Responsibilities:
* Clean and maintain assigned areas according to TCMC standards.
* Maintain a safe environment at all time. This includes the proper use of wet floor signs.
* Use appropriate protective equipment while performing duties. This includes proper hand washing and hand sanitizing.
* Understand the role and responsibility of the position in the event of a disaster.
* Clean discharge/occupied rooms according to the departmental training checklist.
* Maintain professional and courteous customer service at all times.
* Maintain current status with all hospital requirements (Annual TB Skin Test, Fit Testing, Net Learning, other requirements).
Qualifications:
* Ability to push and pull a minimum of 750 lbs., required.
* Ability to lift and move a minimum of 75 lbs., required.
* Ability to understand proper floor care, required.
* Ability to understand trash collection and proper trash disposal, required.
* Ability to understand linen collection and proper linen distribution, required.
* Ability to understand proper lifting and moving heavy objects, required.
* Ability to work with and properly handle cleaning solutions and chemicals, required.
* Ability to complete on-the-job training, including the proper operational procedures for the cleaning equipment and tools, and must demonstrate knowledge of health and sanitation standards, required.
* Minimum of 1 year previous housekeeping / janitorial experience, preferred.
* Ability to read and understand written instructions and labels in English, required.
* Ability to communicate with supervisors, health care staff and environmental service employees, required.
* Experience with stripping, waxing, buffing, of surgery/operating room floors according to AORN and Practice Guidelines for Healthcare Environmental Cleaning standards, required (Surgical Services only)
* Experience with floor scrubber/buffing equipment, required (Surgical Services only)
* Knowledge of cleaning agents, equipment, and soil removal in an operating room environment, required (Surgical Services only)
Education:
* High school diploma or GED, preferred.
Licenses:
* Current CA driver's license (Eve shift only) within 6 months of hire or transfer, required.
Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.
* Salary/Hourly Wage range based on experience.
To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)
TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.
$47k-67k yearly est. Auto-Apply 60d+ ago
ACUTE REHAB COORDINATOR
Tri-City Medical Center 4.7
Oceanside, CA job
Tri-City Medical Center has served San Diego County's coastal communities of Carlsbad, Oceanside and Vista, as well as the surrounding region for more than 60 years and is one of the largest employers in North San Diego County. Tri-City is administered by the Tri-City Healthcare District, a California Hospital District. As a full-service acute care public hospital with over 500 physicians practicing in over 60 specialties, Tri-City is vital to the well-being of our community and serves as a healthcare safety net for many of our citizens. The hospital has received a Gold Seal of Approval from the Joint Commission showcasing a commitment to safe and effective patient care for the residents of the community.
Tri-City Medical Center prides itself on being the home to leading orthopedic, spine and cardiovascular health services while also specializing in world-class robotic surgery, cancer and emergency care. Tri-City's Emergency Department is there for your loved ones in their time of need and is highly regarded for our heart attack and stroke treatment programs. When minutes matter Tri-City is your source for quality compassionate care close to home. Tri-City partners with over 90 local non-profit and community organizations as part of our COASTAL Commitment initiative. Together we are helping tackle some of our communities' pressing health and social needs.
Position Summary:
The Acute Rehab Coordinator is accountable for the overall coordination service inclusive of program development, marketing, operational flow, efficiency and effectiveness of Acute Rehab Program. Serves as a liaison between physicians, staff, external facilities and payers and promotes referral development activities. This individual communicates to the Nursing and Operational Directors, Medical Directors and Medical Staff regarding goal accomplishments, market growth, regulatory readiness, operational efficiency and recommendations for improvement. The Coordinator serves as a professional role model, leader, mentor, technical and clinical resource for reporting staff and other members of the health team.
Major Position Responsibilities:
The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.
* Maintains a safe, clean working environment, including unit based safety and infection control requirements.
* Liaison between the attending staff, acute care nursing staff and external facilities, as appropriate. Coordinates and arranges timely admission, transfers and discharges of patients to the determined care setting. Completes all necessary paperwork for admissions and statistical reporting.
* Assist Rehabilitation Services Leadership in quantifying budget projections and variances. Reports ongoing performance to the executive council and the governing board as appropriate. Assists with the needs for staffing, scheduling, supplies, equipment and budget.
* Supports and participates in the assessing, planning, implementing, monitoring and evaluation of performance improvement activities in accordance with the department plan. Responsible for ensuring program growth and development through community outreach and general marketing of services.
* Completes onsite assessments for potential admission of external referrals.
* Obtains pre-authorizations from insurance payer and ongoing authorizations as required. Compiles and tracks department utilization and statistical information.
* Adheres to Federal, State and The Joint Commission regulations governing the operation of the department. Functions with an awareness and application of safety issues as identified with the Medical Center. Demonstrates awareness of legal issues in all aspects of patient care and unit function and strives to manage situations in a reduced risk manner.
* Participates in weekly interdisciplinary patient care conferences.
* Other duties as assigned by Supervisor/Manager.
Qualifications:
* Three (3) years' progressive leadership or supervisory/management experience, preferred.
* Two (2) years' of clinical practice in acute care setting, required.
* Must have working knowledge of Medicare admission and reimbursement criteria.
* Experience in Utilization Management and/or Discharge Planning, preferred.
* Knowledge and proficiency of standard office equipment (i.e., fax, photocopier), personal computer and computer software skills (i.e., MS Windows Outlook, Excel, Word, PowerPoint, internet), required.
* Excellent communication and problem-solving skills, required.
* Excellent interpersonal and organizational skills, required.
* Strong Customer Service skills, required.
Education:
* Graduate of an accredited school for Physical Therapy, Occupational Therapy, Registered Nursing or Speech Therapy, required.
Licenses:
* Current California Physical Therapy, Occupational Therapy, Registered Nursing or Speech Therapy license, required.
* Current driver's license, required.
* Current auto insurance, required.
Certification:
* Current BLS certification; American Heart Association Healthcare Provider, required.
* Maintain unit specific certifications, as required.
Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.
* Salary/Hourly Wage range based on experience.
To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)
TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.
$63k-78k yearly est. Auto-Apply 60d+ ago
QUALITY IMPROVEMENT COORDINATOR
Tri-City Medical Center 4.7
Oceanside, CA job
Tri-City Medical Center has served San Diego County's coastal communities of Carlsbad, Oceanside and Vista, as well as the surrounding region for more than 60 years and is one of the largest employers in North San Diego County. Tri-City is administered by the Tri-City Healthcare District, a California Hospital District. As a full-service acute care public hospital with over 500 physicians practicing in over 60 specialties, Tri-City is vital to the well-being of our community and serves as a healthcare safety net for many of our citizens. The hospital has received a Gold Seal of Approval from the Joint Commission showcasing a commitment to safe and effective patient care for the residents of the community.
Tri-City Medical Center prides itself on being the home to leading orthopedic, spine and cardiovascular health services while also specializing in world-class robotic surgery, cancer and emergency care. Tri-City's Emergency Department is there for your loved ones in their time of need and is highly regarded for our heart attack and stroke treatment programs. When minutes matter Tri-City is your source for quality compassionate care close to home. Tri-City partners with over 90 local non-profit and community organizations as part of our COASTAL Commitment initiative. Together we are helping tackle some of our communities' pressing health and social needs.
Position Summary:
The Quality Improvement Coordinator is responsible for collaboratively collecting, analyzing and reporting data and clinical outcomes. This includes, but is not limited to, Merit-based Incentive Payment System (MIPS), Medical Group Quality Measures - such as Annual Health Assessments (AHAs), 5-Star ratings, and Pay-for-Performance metrics. The Coordinator also prepares reports and recommends corrective action plans based on data analysis, clinical outcomes and audit findings.
Major Position Responsibilities:
The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.
* Maintains a safe, clean working environment, including unit-based safety and infection control requirements.
* Responsible for collecting, screening and reporting information on clinical quality indicators, clinical outcomes and audits, including the Electronic Health Record (EHR).
* Run reports and upload supplemental data as needed.
* Audit charts and acquire necessary medical records.
* Assist clinicians with the Centers for Medicare & Medicaid Services (CMS) Meaningful Use and MIPS program.
* Identify and minimize Care Gaps.
* Assist with reporting and follow-up with appropriate staff to assure compliance with implementation of corrective action plans to fulfill quality improvement goals.
* Schedule patients and submit orders under provider's supervision.
* May assist with front and back duties and PPO/Medicare/Tricare referrals.
* Adheres to all medical practice policies and procedures.
* Monitor healthcare data platform to track and close care gaps for both senior and commercial patients.
* Submit documented measures and upload medical records from external providers as needed.
* Contact patients to schedule preventive care services such as PAP smears, blood pressure checks, and lab work.
* Coordinate and submit referrals for eye exams, colonoscopies, FIT screenings, mammograms, and other disease management (DM) measures
* Performs other duties as necessary.
Qualifications:
* Minimum one (1) year experience in healthcare or care coordination role, required.
* Experience in quality measures and/or clinical transformation/quality improvement, preferred.
* Must have a comprehensive understanding of clinical operations within medical practices.
* Must have working knowledge of EHR system workflow, practice transformation, health equity and health outcomes.
* Must have up to date knowledge of CMS and current IPA regulations and trends.
* Strong understanding of preventive care guidelines and clinical quality measures.
* Effective oral and written communication skills with ability to be thorough, accurate and detail oriented, required.
* Must possess analytic and problem-solving skills.
* Proven ability to manage multiple projects simultaneously in a deadline driven environment.
* Ability to relate and work with people of all authority levels, ages, social and ethnic backgrounds.
* Demonstrated knowledge of computer technology, including word processing, spreadsheet, and databases, required.
* Bilingual English/Spanish, preferred.
Education:
* High School diploma or GED required.
* Medical Assistant training preferred.
Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.
* Salary/Hourly wage range for this position is posted. Actual pay will be determined based on verified experience as well as internal equity.
TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.
$62k-94k yearly est. Auto-Apply 60d+ ago
IT Support Technician
Tri-City Medical Center 4.7
Oceanside, CA job
Tri-City Medical Center has served San Diego County's coastal communities of Carlsbad, Oceanside and Vista, as well as the surrounding region for more than 60 years and is one of the largest employers in North San Diego County. Tri-City is administered by the Tri-City Healthcare District, a California Hospital District. As a full-service acute care public hospital with over 500 physicians practicing in over 60 specialties, Tri-City is vital to the well-being of our community and serves as a healthcare safety net for many of our citizens. The hospital has received a Gold Seal of Approval from the Joint Commission showcasing a commitment to safe and effective patient care for the residents of the community.
Tri-City Medical Center prides itself on being the home to leading orthopedic, spine and cardiovascular health services while also specializing in world-class robotic surgery, cancer and emergency care. Tri-City's Emergency Department is there for your loved ones in their time of need and is highly regarded for our heart attack and stroke treatment programs. When minutes matter Tri-City is your source for quality compassionate care close to home. Tri-City partners with over 90 local non-profit and community organizations as part of our COASTAL Commitment initiative. Together we are helping tackle some of our communities' pressing health and social needs.
Position Summary:
Provides first-line support to IT customers; including, but not limited to hospital staff, physicians and patients.
Major Position Responsibilities:
The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.
Maintains a safe, clean working environment, including unit based safety and infection control requirements.
Respond to IT support calls, tickets and e-mails. Prioritize, troubleshoot and resolve hardware/software, telecom and network issues and escalate if needed.
Interact with end users to gather information about problems and work through necessary diagnostics to analyze and resolve problems.
Perform installs, upgrades and moves of IT equipment.
Configure new PCs, laptops, phones and peripheral equipment.
Carry out IT related tasks as assigned.
Participate in on-call coverage on a rotational schedule.
Remains current on technology, products and methods by obtaining new information via classes, subscriptions, seminars, etc.
Communicates trends, resolved problems and delays.
Fosters positive, interpersonal relationships and professional image by adhering to service standards with internal and external customers.
Qualifications:
Experience working on Windows Active Directory, required.
Working knowledge of Microsoft SCCM, preferred.
Working knowledge of Microsoft Exchange, required.
Proficient in MS Office and Outlook, required.
Good understanding of basic Networking concepts (TCP/IP), OSI model, required.
Basic understanding of server/client infrastructure, required.
Familiar with Virtualization, VDI and thin client environments, required.
Familiar with enterprise Anti-virus solutions, required.
Excellent interpersonal skills and the ability to interact with diverse groups of people, required.
Education:
High School diploma or GED, required.
Microsoft Certified Desktop Support Technician or equivalent combination of education and experience, required.
Certifications:
A+ certifications, MCITP or CCENT, preferred.
Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.
*Salary/Hourly Wage range based on experience.
To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)
TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.
$25k-66k yearly est. Auto-Apply 60d+ ago
REHABILITATION PSYCHOLOGIST
Tri-City Medical Center 4.7
Oceanside, CA job
Tri-City Medical Center has served San Diego County's coastal communities of Carlsbad, Oceanside and Vista, as well as the surrounding region for more than 60 years and is one of the largest employers in North San Diego County. Tri-City is administered by the Tri-City Healthcare District, a California Hospital District. As a full-service acute care public hospital with over 500 physicians practicing in over 60 specialties, Tri-City is vital to the well-being of our community and serves as a healthcare safety net for many of our citizens. The hospital has received a Gold Seal of Approval from the Joint Commission showcasing a commitment to safe and effective patient care for the residents of the community.
Tri-City Medical Center prides itself on being the home to leading orthopedic, spine and cardiovascular health services while also specializing in world-class robotic surgery, cancer and emergency care. Tri-City's Emergency Department is there for your loved ones in their time of need and is highly regarded for our heart attack and stroke treatment programs. When minutes matter Tri-City is your source for quality compassionate care close to home. Tri-City partners with over 90 local non-profit and community organizations as part of our COASTAL Commitment initiative. Together we are helping tackle some of our communities' pressing health and social needs.
Position Summary:
Provides comprehensive psychological services to individuals in the Acute Rehabilitation Unit, providing interventions relating to adjustment to medical condition/disability, pain management, and family counseling. Demonstrates competency in assessment and treatment of cognitive and psychological problems secondary to, associated with, and/or exacerbating medical conditions. Provides neurobehavioral assessments to assist with differential diagnosis and discharge planning. Helps to support a multi-disciplinary team of clinicians (including occupational therapists, speech therapists, physical therapists, recreation therapists, social workers, and nurses), and will have an opportunity to develop more robust treatment programs for patients and caregivers related to cognitive impairment post-injury and adjustment/mood issues. May also provide consultation to general acute care patients as needed.
Adheres to professional standards of conduct and ethics as outlined by department expectations and professional organizations. Ongoing professional development, and continuing education to promote clinical excellence and evidence based practice.
Major Position Responsibilities:
The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.
* Maintains a safe, clean working environment, including unit based safety and infection control requirements.
* Accurately performs individualized and quality evaluations, assessments, prognoses, treatments and education to patients and families/caregivers.
* Provides care in inpatient acute rehabilitation and inpatient acute care settings based on patient care and business needs.
* Independently conducts diagnostic assessments, utilizes sound clinical decision making skills, develops a comprehensive and individualized treatment plan, and completes all required documentation in a timely manner.
* Accurately enters data in Tri-City Medical Center's Electronic Health Record System
* Participates as a member of the interdisciplinary team.
* Follows organization's rules, policies, procedures, applicable laws and standards while carrying out the mission, vision, and values of Tri-City Health District.
* Other duties as assigned by Supervisor/Manager.
Qualifications:
* Education and experience in behavioral medicine, health psychology or rehabilitation psychology
* Knowledge and proficiency of standard office equipment (i.e., fax, photocopier), personal computer and computer software skills (i.e., MS Windows Outlook, Excel, Word, PowerPoint, internet), required.
* Excellent communication and problem-solving skills, required.
* Excellent interpersonal and organizational skills, required.
* Strong Customer Service skills, required.
Education:
* Doctoral degree in clinical psychology from an accredited program
* Will consider an LMFT with a Master's Degree in psychology, marriage and family therapy, or a related field from an accredited program and with reasonable experience with this patient population
Licenses:
* Current licensure as a psychologist by the California Board of Psychology
* Will consider individuals with current licensure as LMFT by the California Board of Behavioral Sciences
Certifications:
* Current BLS certification, required upon hire; American Heart Association Healthcare Provider.
Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.
* Salary/Hourly wage range for this position is posted. Actual pay will be determined based on verified experience as well as internal equity.
TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.
$80k-105k yearly est. Auto-Apply 60d+ ago
District Dir Clinical Resource Mgmt
Palomar Health 4.6
Palomar Health job in Escondido, CA
Requisition ID 39607 Department Clinical Resource Management Location Escondido, CaliforniaPoway, California Union Not Applicable Salary Range 78.75 - 105.50 Job Type Full-Time Shift Day Hours Per Shift 8 Hours Per Pay Period 80
at Palomar Health
Description Responsible for the operations for Clinical Resource Management Department. Accountable for leading the operations of the Clinical Excellence initiatives of the health system, and for oversight of the Case Management, Social Services, Utilization Review and Clinical Documentation Improvement functions of the acute care hospitals across the district. Accountable for leading the operations of the Clinical Excellence initiatives of the health system, and for oversight of the Case Management, Social Services, Utilization Review and Clinical Documentation Improvement functions of the acute care hospitals across the district.Responsible for the operations for Clinical Resource Management Department. Accountable for leading the operations of the Clinical Excellence initiatives of the health system, and for oversight of the Case Management, Social Services, Utilization Review and Clinical Documentation Improvement functions of the acute care hospitals. Provides oversight to ensure efficient and effective use of resources; appropriate placement of inpatients and transfer of patients from Palomar Health; flow of patients through the continuum of care; support from Social Services for mandatory reporting; ongoing review and improvement of clinical documentation of patient care; and, assistance to patients requiring social services to return to the community. Develops and mentors a high performing team for all areas of responsibility. Ensures financial viability by managing both applicable revenue and expenses with attention to supply cost utilization and a high level of productivity in cost centers under direct control. Coordinates directly with Managed Care Organizations and Palomar Health managed care and contract staff to ensure efficient care and appropriate reimbursement is received. Develops and implements cost saving measures associated with length of stay and appropriate utilization review. Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position. Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, Powerpoint, internet, e-mail). Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job. Performs other duties as assigned. Follows Palomar Health rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health.Job Requirements
Minimum Education:
Masters Degree in a related field or Masters Degree in progress with an expected completion date within 3 years of hire
Preferred Education:
Not Applicable
Minimum Experience:
2-3 years
Preferred Experience:
3-5 years
Required Certification:
Not Applicable
Preferred Certification:
Certification in specialty area of practice or role
Required License:
Valid Driver's License
Preferred License:
Current CA RN License
#LI-AM1
Current employees are not eligible for hiring incentives. We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.
$94k-122k yearly est. Auto-Apply 60d+ ago
District Transport Aide
Palomar Health 4.6
Palomar Health job in Escondido, CA
Requisition ID 41459 Department Patient Transportation Location Escondido, California Union CHEU Salary Range 21.00 - 25.80 Job Type Full-Time Shift Day Hours Per Shift 8 Hours Per Pay Period 80
at Palomar Health
Description Posting Date: 1/20/2026Internal Closing Date: 1/26/2026* Internal candidates must apply by midnight on the Closing Date in order to have bidding rights. Responsible for assisting with preparation for transport and transporting patients between departments and patient care areas, answering department pages, telephone and cell phone calls promptly as well as courteously. Inspects equipment, and ensures necessary maintenance and repairs are performed. Notifies Director of needed repairs and maintains a log of equipment out for repairs. Instructs staff on the correct procedures relating to the performance of the duties of the department and the maintenance of equipment. This position will be required to float throughout the District as needed. Adheres to established policies and procedures, quality assurance programs, safety and environmental and infection control policies Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position. Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, Powerpoint, internet, e-mail). Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job. Performs other duties as assigned. Follows Palomar Health rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health.Job Requirements
Minimum Education:
High School Diploma and/or combination of education and experience
Preferred Education:
Not Applicable
Minimum Experience:
Recent experience in customer service setting
Preferred Experience:
Minimum of 6 months experience in a hospital setting
Required Certification:
American Heart Association recognized BLS - Healthcare Provider
Preferred Certification:
Not Applicable
Required License:
Not Applicable
Preferred License:
Not Applicable
Current employees are not eligible for hiring incentives. We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.
$28k-32k yearly est. Auto-Apply 1d ago
Financial Rep Access Dept
Palomar Health 4.6
Palomar Health job in Escondido, CA
Serves as the first contact for patients and families regarding funding sources for inpatient and outpatient services. Responsible for the day to day activities of obtaining funding for patients in the statuses of scheduling, pre-registration, registration, or post registration as assigned. Screens all admissions on a daily basis and educates referring physicians offices, patients and their families on hospital policy and procedures regarding various methods of payment source for services rendered. This may include advising applicable admits of pre-payment deposits and monthly payment arrangements.
Obtains and documents information that appropriately designates current funding information and/or provides information on available funding sources if the patient/family does not have current sources. Works in collaboration with all departments and units in the revenue cycle to appropriately communicate issues and/or barriers, and to formulate work plans for resolution. Obtains appropriate up front collection on all self pay accounts as well as co-pays, deductibles, and co-insurance as identified in information provided by the patient's insurance card or through the eligibility and verification process.
Screen the patient for possible other 3rd party and charity eligibility and keep up-to-date on admission/business office insurance procedures. Adept at utilizing payer resources and web sites to accurately explore and assess eligibility and successfully initiate referrals for MediCal/CMS/CCS. Appropriately administers the Palomar Health Financial Assistance Policy and Procedures to determine if the patient is eligible for discounted prices for services or is eligible for charity care designation. Well versed in policy and procedure that pertains to AB774 and is able to assist the patient/family in determining if they qualify based on federal poverty guidelines.
Responsible for careful financial evaluation of all admissions, taking appropriate steps that are most beneficial to the hospital, while giving the proper level of consideration to the patient. Must be firm and decisive, yet courteous, tactful, considerate and show concern and empathy for the patient/family under often stressful situations. Must be keen, alert and have the ability to effectively communicate with people from various education backgrounds. Must have the knowledge and confidence to make decisions regarding methods of payment and have the ability to work with frequent interruptions.
Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position. Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, Powerpoint, internet, e-mail). Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job. Performs other duties as assigned. Follows Palomar Health rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health.
Job Requirements
Minimum Education: High School Diploma and/or combination of education and experience Preferred Education: High School Diploma and/or combination of education and experience plus 1 year healthcare-related experience or basic college/medical coursework to learn medical terminology Minimum Experience: 2 years Patient Access and/or Patient Financial Services experience assisting patients with insurance and government funded programs Preferred Experience: 3+ years Patient Access and Patient Financial Services experience assisting patients with insurance and government funded programs, including experience related to billing and payment of government funded health plans.
Bilingual (Spanish) Required Certification: Not ApplicablePreferred Certification: Certified Healthcare Access Associate (NAHAM) or equivalent Required License: Not ApplicablePreferred License: Not Applicable
Current employees are not eligible for hiring incentives. We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.
$39k-63k yearly est. Auto-Apply 60d+ ago
**Call Center Staff
Prime Healthcare 4.7
Chula Vista, CA job
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Paradise Valley Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Paradise Valley Hospital is the South Bay's oldest hospital, the second oldest hospital in all of San Diego County, and the largest employer in National City. For more than 100 years, Paradise Valley Hospital has served San Diego faithfully, proud of our heritage and providing numerous programs and services to meet the changing needs of our community. Our 291-bed, acute care hospital features
the San Diego Spine & Joint Center, a highly credentialed acute rehabilitation center, our Paradise Health & Senior Center, a fully equipped and modern cardiac catheterization lab, and comprehensive inpatient and outpatient surgical services, and 24-hour emergency services.
In addition to our healthcare services, we offer comprehensive behavioral health services on the hospital campus and Bayview campus in Chula Vista. Services include psychiatric continuum of care for adult patients, inpatient services, and intensive outpatient services. Learn more at ****************************************
Responsibilities
Answers inquiry calls from all persons with regard to information about hospital services and programs. Facilitates the admissions, also verifies insurance information and performs all registration duties.
Qualifications
EDUCATION, EXPERIENCE, TRAINING
1. Associate's Degree in Human Services field preferred
2. Current BCLS certificate upon hire and maintain current.
3. Two (2) years' experience working with psychiatric population preferred
Pay Transparency
Paradise Valley Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $21.00 to $21.55. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Employment Status Part Time < 60 Shift Days Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: ********************************************************************************************
Privacy Notice
Privacy Notice for California Applicants:
************************************************************************************************************************************
$36k-42k yearly est. Auto-Apply 5d ago
CVOR Tech - CVOR Tech
Paradise Valley Hospital 4.1
National City, CA job
Competitive Pay Rates & Benefits
Full Housing Placement Assistance
Health Insurance Benefits (AETNA)
Up to $400 in Credentials Assistance
401K Benefits after 3 Months
American Heart Certification Discounts
Cash Bonuses & Gift Cards
Required Certifications (if applicable): ACLS, BLS, MAB, PALS, NIHSS, RN license, 3 years experience with at least 1 year of travel included, updated resume with hours, 2 charge RN references Epic, Cerner, Meditech, Nex
$32k-52k yearly est. 60d+ ago
Credentialing Data Analyst - SHP Health Services - Telecommuter - Day Shift - Full Time
Sharp Healthcare 4.5
San Diego, CA job
**Facility:** Health Plan **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Provider Credentialing Specialist (CPCS) - National Association Medical Staff Services; Bachelor's Degree
**Hours** **:**
**Shift Start Time:**
8 AM
**Shift End Time:**
5 PM
**AWS Hours Requirement:**
8/40 - 8 Hour Shift
**Additional Shift Information:**
**Weekend Requirements:**
No Weekends
**On-Call Required:**
No
**Hourly Pay Range (Minimum - Midpoint - Maximum):**
$32.730 - $40.910 - $45.810
The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
**Please Note:** As part of our recruitment process, you may receive communication from Dawn, our virtual recruiting assistant. Dawn helps coordinate scheduling for screening calls and interviews to ensure a smooth and timely experience. Rest assured, all candidate evaluations and hiring decisions are made by our recruitment and hiring teams.
**What You Will Do**
Under the direction of the Network Management and Application Optimization, Manager, this position performs and coordinates credentialing delegation functions for Sharp Health Plan in order to maintain a quality provider network. Serves as a liaison to delegated entities, the Credentialing Verification Office (CVO), vendors and internal Sharp Health Plan teams to ensure current and adequate credentialing processes are in place. Responsible for the maintenance of the provider database to ensure data integrity, including data accuracy, completeness, and consistency (standardization). Develops and performs database queries and abstracts for provider rosters, directories and statistical reporting on a frequent basis.
**Required Qualifications**
+ Bachelor's degree healthcare management, business
+ 2 years' database management.
+ 3 years' experience in managed care field.
**Preferred Qualifications**
+ 1 year experience in cloud-based credentialing database applications such as MD-Staff or other similar solutions.
+ Certified Provider Credentialing Specialist (CPCS) - National Association Medical Staff Services -PREFERRED
**Other Qualification Requirements**
+ Other degree acceptable with a combination of education, managed care, and supervisorial experience.
**Essential Functions**
+ Credentialing delegation oversight Knowledge of Department of Managed Care (DMHC), Knox Keene Act for regulations governing Health Maintenance Organizations (HMOs) and Department of Health Services (DHS) regulations regarding delegated services.Maintains current knowledge of delegation, contractual agreement(s), and reimbursement models.Maintains current knowledge of National Committee for Quality Assurance (NCQA), Department of Managed Health Care (DMHC), Industry Collaboration Effort (ICE), and Centers for Medicare and Medicaid Services (CMS) regulatory standards to ensure Sharp Health Plan credentialing processes meet all health plan contractual compliance requirements. Provides reporting, feedback and documentation, as necessary, to maintain compliance with delegated credentialing requirements.Works closely with the Credentialing Verification Organization (CVO) to manage deliverables as defined in the Sharp Health Plan / CVO delegation agreement.Responsible for review and ongoing monitoring of credentialing materials to ensure accurate and timely credentialing and re-credentialing of SHP providers within required regulatory timeframes.Responsible for plan medical group, group practice, and service ancillary credentialing delegation oversight activities through review of documents and preparation of reports applicable to the oversight process, and coordination with the CVO.Responsible for Health Delivery Organizations (HDO) facility credentialing delegation oversight to ensure adherence to NCQA and CMS standards.Conducts recredentialing review to include quality indicators such as member appeals, grievances and potential quality issues, working in collaboration with internal teams.Performs credentialing audits of delegated entities that perform credentialing functions according to their Sharp Health Plan delegation agreements to ensure compliance with Sharp Health Plan, NCQA, DMHC, CMS and other federal and state credentialing standards.Monitors compliance with corrective action plans. Works with accountable leaders to assure all action items are complete within required deadlines.Collaborates with the Medical Management and Network Management to obtain complete results of provider site audits.Prepares Peer Review Committee information summaries and presents relevant material at quarterly Peer Review Committee meetings.Prepares credentialing summaries for all practitioners meeting the Sharp Health Plan threshold criteria for "clean file" and "unclean file" review for presentation at monthly Peer Review Committee meetings.Responsible for maintaining timely, complete, accurate credentialing documentation in electronic format.Prepares accreditation information for submission and coordinates surveys for organization.Provides consultation on the development of guidelines, policies, procedures and protocols.Establishes and maintains processes to conduct annual review of delegate credentialing policies and procedures. Reviews for completeness and accuracy as it relates to regulatory standards.Develops and maintains policies and procedures for all credentialing and peer review processes in accordance with Sharp Health Plan, NCQA, DMHC, CMS, and other federal and state requirements.Participates in ICE workgroups related to credentialing activities to maintain policies and procedures in compliance with regulatory agencies.Attends internal and external meetings as appropriate.
+ Customer service Establishes good working relationships with providers, CVO contacts, medical directors, and all levels of internal and external customers.Demonstrates ability to be flexible and prioritize to meet the needs of the organization.Prepares clearly written and professional work products.Demonstrates cooperation and teamwork and assists others as needed. Accepts interpersonal differences and promotes cooperation with colleagues.Fosters open lines of communication and informs leadership of any issues relating to compliance or organizational risk.Coordinates and completes assigned projects as required.Performs other duties as assigned by the Network Management and Application Optimization, Manager.
+ Database management Familiarity with basic principles of relational database management and elements of a database.Builds database queries and sets up job scheduling.Ensures the maintenance of the provider database and is responsible for reporting accurate information for required reports and provider directories.Experience developing and identifying processes by which reports are compiled using relational databases.Responsible for maintaining data integrity by systematically auditing database entries.Develops and maintains timely database policies and procedures.Identifies and takes action on IT upgrades to achieve database efficiencies, ease the burden of manual processes and implement department process improvements to maximize efficiency, effectiveness, and productivity in daily work activities.Analyzes database administration inefficiencies and streamlines processes accordingly.
+ Statistical ReportingProduces and reviews statistical reports to monitor delegation oversight and network activities.Prepares complex charts and graphs to summarize and visualize report data on an as-needed basis.Responsible for validating the accuracy of statistical reporting, e.g., regulatory filings, dashboards, et al, based on database queries and abstracts.Tracks and trends identified reports to monitor network activity.Ensures accuracy of provider data extracts used for provider directories through data validation procedures.Ensures accuracy of management and regulatory reports.Compiles statistical reports, on a frequent basis, to demonstrate productivity and efficient workflow processes.
+ Process improvement Utilizes a continuous quality improvement approach to identify and initiate department process improvements to maximize efficiency, effectiveness, and productivity in daily work activities.Makes recommendations to the Network Management and Application Optimization Manager on process improvements with the goal of enhancing quality and provider/member satisfaction.
**Knowledge, Skills, and Abilities**
+ Excellent verbal and written communication skills.
+ Excellent organizational skills with attention to detail.
+ Strong analytical skills to evaluate, interpret and communicate data in a clear, concise manner.
+ Excellent interpersonal skills.
+ Ability to tactfully interact with the CVO, providers and their staff.
+ Ability to define and prioritize tasks, manage workload and meet deadlines with minimal supervision.
+ Thorough understanding of managed care principle, evolutions, and models.
+ Familiarity with Department of Managed Health Care (DMHC) and DHS audit requirements as well as NCQA standards for delegation.
+ Demonstrates courteous, professional, and cooperative behavior toward internal and external customers.
+ Knowledge of NCQA, DMHC and CMS credentialing standards, legislative and regulatory requirements.
+ Excellent computer skills, including proficiency in the MS Office Suite, including MS Excel, MS Word, MS PowerPoint, MS Access.
+ Expert knowledge in cloud-based applications such as MS Teams, SharePoint, Smartsheet, etc.
+ Ability to maintain peer review information confidentiality consistent with California Evidence Code 1157 for credentialing and peer review activities.
Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
$45.8 hourly 5d ago
Rehabilitation Aide - OSNC
Tri-City Medical Center 4.7
Oceanside, CA job
Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.
Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community's needs.
Position Summary:
The Rehabilitation Aide is responsible for following supervisor's instructions involving patient care, organization and clean-up of treatment areas, and office duties, as needed
Major Position Responsibilities:
The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.
Maintains a safe, clean working environment, including unit based safety and infection control requirements.
Assists patients, as needed, to and from treatment areas
Promotes excellent personal relations and communication with all members of the clinic staff
Assists with the treatment as directed by the Physical Therapist and as allowed in the State Practice Act
Prioritizes work activities based on clinic demands to complete assignments within designated timeframes with little to no supervision
Communicates with superior and other health care interdisciplinary team members regarding patient's response to treatment
Keeps treatment areas clean and organized
Files charts, helps with copying and printing home exercise programs and provides other office support, as needed
Attends departmental, and other meetings as requested
Maintains confidentiality of patient information
Follows clinical policies and procedures
Maintains adequate supply inventory and organizes treatment area
Cleans equipment, changes linens where applicable between patients
Covers Front Desk as needed
Operating Washer Dryer and folding linen
Answers telephones, takes messages and assists with patients at the front desk
Demonstrates effective communication methods, either written, verbal, non-verbal or electronic
Follows up with front office related issues using the appropriate chain of command. Has a positive influence on others.
Listens to and acknowledges the concerns of patients and co-workers. Communicates effectively with patients and co-workers, exchanging information and opinions constructively. Treats all patients with respect.
Is punctual for shift. Fills out timecard correctly, obtaining authorization for overtime and schedule changes from supervisor. Observes policies regarding break/meals, time off and calling in sick
Demonstrates behavior that protects the safety of self/others and of the physical plant and equipment. Follows policy when accidents occur
Acknowledges patients immediately when they approach the desk. Makes frequent contact with waiting patients. Demonstrates willingness and ability to go the “extra mile” in meeting customer needs. Represents the clinic professionally
Performs Miscellaneous job related duties as assigned
Onboarding and training of new rehab aides
Collects copays, schedules/reschedules patients and makes appointment reminder phone calls
Makes every attempt to reduce expense & maximizes productive & revenue
Qualifications:
Prefer at least 6 months experience in the medical or physical therapy field.
Completion of on-the-job orientation and training program as a Physical Therapy Aide.
Working knowledge of Microsoft Office.
Knowledge of medical terminology desirable.
Education:
High school diploma or GED, required.
Prior anatomy or physiology coursework preferred.
Certifications:
Current BLS certification, required upon hire; American Heart Association Healthcare Provider.
Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.
*Salary/Hourly Wage range based on experience.
To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)
TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.
$25k-31k yearly est. Auto-Apply 5d ago
Clinical System Educator
Palomar Health 4.6
Palomar Health job in Escondido, CA
Under the direction of the Manager for Educational Services, the Clinical System Educator assumes responsibility for the design, implementation and evaluation of clinical orientation and organization wide clinical education and in-servicing. Works cross-functionally to ensure clinical staff have the skills and training they need to succeed in their individual departments within the healthcare setting. Facilitates Clinical Services Orientation which incorporates a variety of teaching methodologies (e.g., didactic, simulation, case study, etc.) to ensure staff new to the organization receive the information and training they need to meet performance standards, maintain regulatory compliance and support quality care for the population they serve. Partners with subject matter experts to devise education programs which encourage amalgamation of knowledge, skill, aptitude, and clinical reasoning of team members including nurse residents/new to specialty staff. Advocates for innovative learning tactics to assist the learner meet performance expectations, promote engagement and stimulate a positive workplace culture. Continuously evaluates the quality of orientation, educational programs and courseware employed to further professional clinical skills, patient care methods and best collaboration practices across the organization. Facilitates and supports the change process to meet the needs of organizational directives and learning initiatives. Oversees the application and maintenance process of continuing education (e.g., BRN, C.N.A, Rehab) for the organization. Participates in Palomar Health committees and councils as member, leader consultant as appropriate to expertise. Accountable to deliver results on-time and according to the needs of the customer. Maintains a strong work ethic, effectively manages competing priorities and accomplishes assignments with minimal supervision.
Job Requirements
Minimum Education: Bachelor's Degree in NursingPreferred Education: Master's Degree in Nursing or other education related field of study Minimum Experience: 2 - 5 years previous experience as a clinical educator, lead, preceptor and/or supervisor.Preferred Experience: 5+ years previous experience as a clinical educator Required Certification: American Heart Association recognized BLS - Healthcare ProviderPreferred Certification: Certification in specialty area of practice or role Required License: Valid Driver's License
Current CA RN LicensePreferred License: Not Applicable
Current employees are not eligible for hiring incentives. We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.
$97k-112k yearly est. Auto-Apply 44d ago
Network Engineer III
Palomar Health 4.6
Palomar Health job in Escondido, CA
The Network Engineer III is instrumental in the advanced design, development, maintenance, documentation and for network and security solutions for Palomar Health. Responsibilities include but are not limited to the following: Planning and Implementing future designs of Palomar Health network and security infrastructure, Maintaining Palomar Health existing networks including VPNs, routers, switches and other networking equipment, Installing, updating and configuring network equipment, Configuring firewalls and data security systems to keep data and communications protected, Monitoring and maintaining performance monitoring systems, Troubleshooting, resolving, and communicating networking issues to other employees and management, updating and Implementing disaster recovery procedures, Maintaining current knowledge and understanding of security and networking best practices to offer the best solutions and protection to Palomar Health systems, Working closely with Palomar Health management to align the company objectives with networking and security implementations.
* Palo Alto Firewall Experience
* Not able to sponsor candidates
* Planning and Implementing designs of Palomar Health network and security infrastructure (20%)
* Maintaining Palomar Health existing networks including routers, switches, other networking equipment, and existing cable infrastructure (20%)
* Installing, updating and configuring network equipment (5%)
* Monitoring and maintaining performance monitoring systems (5%)
* Troubleshooting, resolving, and communicating networking issues to other employees and management (20%)
* Updating and Implementing disaster recovery procedures (5%)
* Maintaining current knowledge and understanding of security and networking best practices to offer the best solutions and protection to Palomar Health systems (5%)
* Working closing with Palomar Health management to align the company objectives with networking and security implementations (20%)
Will work independently under broad instructions or directions and work is typically reviewed as completed. Employees will work from broad instructions and will participate in setting work objectives and managing their workload. Work consists of difficult and complex tasks and requires the interpretation of technical and detailed guidelines. Requires the use of considerable judgement where answers and solutions can only be found after careful and thoughtful analysis. Most times, co-workers will be available to help candidates make good decisions. At times, candidates will need to rely on related experience to make good decisions. Degradation in Palomar Health's ability to provide healthcare could be a result from improper decision making.
Work is based on application of systems analysis techniques and procedures, including consulting with users to determine hardware, software, or system functional specifications. Work is based on design, development, documentation analysis, creation, testing, or modification of computer systems or programs, including prototypes, based on and related to, user or system design specifications. Work is based on documentation, testing, creation, or modification of computer programs related to the design of software or hardware for computer operating systems. Work is based on the operation of computers or in the manufacture, repair, or maintenance of computer hardware and related equipment.
Must be able to successfully communicate complex networking topics to management and co-workers, break down complex tasks into smaller logical steps, and work in high pressure environments. Understanding of routing and switching protocols is required (i.e. BGP, OSPF, EIGRP, PVST, RSTP, HRSP, VTP), understanding of security protocols is required (i.e. RADIUS, 802.1x, EAP).
Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position. Knowledge of and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, PowerPoint, internet, e-mail). Performs other duties as assigned. Follows Palomar Health rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health.
Job Requirements
Minimum Education: Associate Degree and/or combination of education and experience Preferred Education: Bachelor's Degree in a STEM field Minimum Experience: At least 5 years' experience working, designing, and implementing enterprise networks. Experience designing, configuring, and maintaining Cisco and Palo Alto network equipment Preferred Experience: 10 years' experience working in an enterprise network environment preferred.Required Certification: Not ApplicablePreferred Certification: CCNP/CCIERequired License: Valid Driver's LicensePreferred License: Not Applicable
Current employees are not eligible for hiring incentives. We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.
$104k-132k yearly est. Auto-Apply 60d+ ago
Program Leader
Think Together 4.1
Temecula, CA job
Job Description Job Title: Program Leader Status: Part-Time Pay Rate: $20.50/hour Jurupa Unified School District
Program Leaders work with an assigned group of students, student to staff ratio is contingent upon CDC guidelines. This is a part time, in-person position in districts and school site locations throughout California. Program Leaders act as a positive adult role model, coach, and mentor. Program Leaders must have a genuine interest in the growth, development, and provision of a safe and nurturing environment for the students they teach. A Program Leader's ability to establish authority and connections through leadership, communication, and most importantly patience, will be required in giving our students the stability and nurturing atmosphere they need to succeed. Ensuring that Think Together students reach their potential takes a tremendous amount of hard work, flexibility, and commitment.
Responsibilities:
Lead a group of students in an in-person setting, maintaining high standards for behavior and safety by implementing the Think Together four core agreements:
Be safe. o Be respectful. o Be responsible. o Have fun.
Serve as a positive adult role model for children in the program through appropriate dress, speech, and attitude.
Create an engaging environment that fosters a sense of belonging that kids want to be in.
Support students in making positive behavior choices and take disciplinary measures when appropriate.
Identify student needs and communicate to Site Program Manager, teachers, school administration and parents, as appropriate.
Participate in staff development
In Person Learning:
• Provide homework assistance, academic enrichment and physical activity using curriculum and materials provided by the program.
• Work directly with a group of 20-25 students in a classroom setting, implementing classroom and behavior management strategies.
• Assist daily with snack preparation, serving and clean up.
• Assist in set up, break down, and ongoing maintenance to keep the school or community site clean and orderly.
• Maintain student safety by taking roll and reviewing sign-in/sign-outs for students activities.
Qualifications & Requirements:
• High School Diploma or G.E.D. Required.
• District-specific - 48 semester/60 quarter units and/or pass a pre-employment test.
• Ability to speak and write Standard English appropriate in a public-school setting.
• Must pass Live Scan (criminal background check via fingerprinting)
• Provide negative TB Test dated within the last 3 years.
• At least six months experience working with a group of 10 or more students in a classroom, afterschool, or recreation environment.
• Advanced Math and English skills (K-8)
• Excellent communication skills (Written and Verbal)
• Support our English-learner population by being bi-literate (Spanish preferred)
Think Together is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, color, national origin, ancestry, sex, gender, gender identity, gender expression, pregnancy, childbirth or related medical conditions, religious creed, physical disability, mental disability, age for individuals age 40 and over, medical condition (as defined by state law (for example, cancer or genetic characteristics or HIV/AIDS), marital status, military and veteran status, sexual orientation, genetic information, citizenship status or any other characteristic protected by federal, state or local law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
#RC-SW
$20.5 hourly 24d ago
Clinical Educator- ICU $45K Hiring Incentive
Palomar Health 4.6
Palomar Health job in Escondido, CA
Requisition ID 41043 Department Organizational Learning Location Escondido, California Union Not Applicable Salary Range 51.99 - 78.09 Job Type Full-Time Shift Day Hours Per Shift 8 Hours Per Pay Period 80
at Palomar Health
Description Assumes accountability for the assessment of educational needs and develops, implements, evaluates and revises educational programs in area of expertise. Works in collaboration with Clinical Nurse Specialists and management team to create competency-based programs, mentorship, and life-long learning opportunities for staff. Facilitates orientation of new staff to clinical setting, serving as mentor to preceptors and staff. Provides input into the development and implementation of unit, department and divisional goals. Participates in the monitoring, maintenance and review of nursing practice in area of expertise. Communicates, collaborates, networks with and acts as a consultant to other members of the health care team regarding education curricula design and evaluation. Participates in quality/process improvement activities and utilizes research and evidence to advance the level of education provided. Evaluates, trials and poses critical questions related to the evaluation and use of current products / technology in the clinical setting, as appropriate to setting. Facilitates and supports the change process. Participates in Palomar Health committees and councils as member, leader or consultant as appropriate to expertise. Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position. Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, Powerpoint, internet, e-mail). Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job. Performs other duties as assigned. Follows Palomar Health rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health.Job Requirements
Minimum Education:
Bachelor's Degree in Nursing
Preferred Education:
Master's Degree in Nursing or other education related field of study
Minimum Experience:
2 - 5 years previous experience as a clinical educator, lead, preceptor and/or supervisor.
Preferred Experience:
5+ years previous experience as a clinical educator
Required Certification:
American Heart Association recognized BLS - Healthcare Provider
Preferred Certification:
Certification in specialty area of practice or role
Required License:
Current CA RN License
Preferred License:
Not Applicable
Current employees are not eligible for hiring incentives. We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.