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Scripps Health jobs in Chula Vista, CA - 515 jobs

  • Strategic Medical Litigation Counsel

    Scripps Health 4.3company rating

    Scripps Health job in San Diego, CA

    A premier health care system in San Diego is seeking an experienced medical litigation attorney to serve as Corporate Counsel. This role involves managing professional negligence claims, providing legal analysis on clinical matters, and collaborating with risk management teams. The ideal candidate has a Juris Doctor (JD) and significant experience in healthcare law. Join a collegial legal department that values professional growth and aims to make a meaningful impact in health care. #J-18808-Ljbffr
    $67k-136k yearly est. 3d ago
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  • Medical Librarian - Part Time - La Jolla

    Scripps Health 4.3company rating

    Scripps Health job in San Diego, CA

    Required: At least 1-year proficiency with searching Medline, and other healthcare-related bibliographic databases (such as Embase, CINAHL, Cochrane Library, etc). Master's degree from an ALA-accredited institution. Strong interpersonal and customer Intermediate to advanced proficiency on personal computers, Microsoft Office (Outlook, Teams, Word, Excel, PowerPoint), and other web based resources and tools. Strong interpersonal and customer service skills. Ability to communicate effectively with a variety of individuals. Ability to work in a fast-paced environment and prioritize workload. Exceptional organization skills. Ability to exercise independent judgment. Ability to understand and accurately carry out written and verbal instructions. Ability to bend, lift, and push moderately heavy objects. Intermediate to advanced proficiency on personal computers, Microsoft Office (Outlook, Teams, Word, Excel, PowerPoint), and other web-based resources and tools. Preferred: Certified by the Academy of Health Information Professionals (AHIP) and/or Systematic Review Services Specialization (SRSS). Experience with HTML and CSS, and using library-related tools, including Springshare LibGuides, Ebsco Full-Text Finder, SFX, DOCLINE, OCLC, EZproxy, etc. This is part time with benefits 8-hour shift (working 40 hrs/pay period). Work days are Monday, Wednesday and Friday onsite in La Jolla. Elevate your career with Scripps Health, where Compassion Meets Excellence. Invest, Empower & Belong. At Scripps Health, your potential is limitless. We're more than a healthcare provider, at Scripps you will join a community where your views, beliefs and values are celebrated. Grow through industry-leading development programs and empower yourself to deliver innovative care. Be a part of an extraordinary team, impacting health in beautiful San Diego. Why join Scripps Health? AWARD-WINNING WORKPLACE: At Scripps Health, your ambition is empowered, and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Beckers Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Since 1977, Scripps Green Hospital has provided La Jolla and the greater San Diego area with top-notch medical care. Scripps Green Hospital is connected to Scripps Clinic, Torrey Pines, where Clinic patients can easily be admitted for medical care and observation. Organ transplantation, cardiothoracic and orthopedic surgery, as well as oncology care, are just a glimpse of the quality clinical and surgical services Scripps Green Hospital has to offer. This expansive La Jolla hospital is known for the first liver transplant program in San Diego as well as one of the first stem cell transplant facilities in the nation. The ideal candidate will be service-focused and committed to advancing their skills through formal training. Responsibilities include delivering timely, comprehensive literature searches, including systematic reviews, and providing other library services. The Medical Librarian will offer core reference assistance, develop expert search strategies, and proactively build relationships with clinicians, allied health professionals, researchers, residents, and fellows. This position contributes to the effective use of library resources to support clinical and research excellence. Key responsibilities include: Literature Searches and Systematic Reviews\: Conduct comprehensive literature searches and work with systematic reviews to support clinical and research needs. Reference Assistance\: Provide expert reference assistance and develop advanced search strategies. Relationship Building\: Foster and sustain relationships with clinicians, allied health professionals, researchers, and learners. May require participation on committees. Orientations and Consultations\: Provide both in-person and virtual orientations and consultations, educating patrons on effectively using library tools. Educational Outreach\: Prepare and present in-services and outreach programs on various resources, including internet searching and evidence-based practice. Marketing and Promotion\: Proactively market and promote library services through presentations, and email communication. Training and Instruction\: Design and teach evidence-based practice for library customers and provide training to residents, fellows, and other learners. Collection Development and Special Projects\: Participate in collection development, copy cataloging, and special projects as needed. Technical Troubleshooting and Operations\: Assist with technical troubleshooting and day-to-day library operations. Innovation and Professional Development\: Engage in innovative activities within the Scripps Health library system and stay current with new developments in the medical library profession by participating on local, regional, and/or national library association. #LI-JS1
    $72k-102k yearly est. Auto-Apply 60d+ ago
  • Reimbursement & Coding Specialist (CPC) - PFS Focus

    Sharp Healthcare 4.5company rating

    San Diego, CA job

    A leading healthcare provider in San Diego, California, seeks a professional to provide coding support and appeal guidance related to reimbursement issues. The ideal candidate has at least 5 years of experience in coding and auditing, and is a Certified Professional Coder (CPC). Responsibilities include acting as a liaison between departments, researching policies, and ensuring timely follow-up collections. A Bachelor's degree is preferred. This role offers competitive hourly pay between $36.830 and $53.230. #J-18808-Ljbffr
    $36.8-53.2 hourly 13h ago
  • Corporate Counsel

    Scripps Health 4.3company rating

    Scripps Health job in San Diego, CA

    Eligibility Eligible to participate in the Director Incentive Plan and eligible for new hire incentives. Founded in 1924, Scripps Health is a $5 billion, private nonprofit health system based in San Diego. Serving over 600,000 patients annually, it operates five acute‑care hospitals, 30 outpatient centers, home health services, and a wide physician network of 3,000 affiliated doctors and 17,800 employees. Recognized nationally for excellence, Scripps has earned top rankings from U.S. News & World Report, Fortune, Newsweek, and Becker's Healthcare, and maintains an AA rating with a stable outlook from S&P Global Ratings. Elevate Your Career Invest, Empower & Belong. At Scripps Health, your potential is limitless. … Grow through industry‑leading development programs and empower yourself to deliver innovative care. Why Join Scripps Health? AWARD‑WINNING WORKPLACE. At Scripps Health, your ambition is empowered, and your abilities are appreciated. Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Corporate Counsel - Medical Litigation Attorney Scripps Health, a premier health care system serving San Diego County, is seeking an experienced medical litigation attorney to join our team as Corporate Counsel. Our Legal Department offers a collegial, rewarding, and intellectually challenging environment where attorneys can grow and make a meaningful impact. Responsibilities Responsible for managing claims of professional negligence and professional Board inquiries for Scripps Health Medical Foundation Medical Groups. Provide legal analysis related to clinical and regulatory matters. Work with risk management on all matters, including evaluation of risk reduction strategies. Work with system‑wide departments in providing legal analysis and guidance as needed. Participate in establishing and ensuring achievement of the organization's strategic objectives and lead strategic planning for assigned areas. Provide legal analysis regarding standards of practice / policies and procedures and process improvement activities. Provide legal training and presentations to management and medical staff. #LI-EE1 #J-18808-Ljbffr
    $156k-223k yearly est. 3d ago
  • Reimbursement Analyst - PFS Sharp Foundation Models - Sharp Corporate - Day Shift - Full Time

    Sharp Healthcare 4.5company rating

    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 13h ago
  • Trainer and Educator - Sterile Processing - Sharp Memorial Hospital - Variable Shift - Full Time

    Sharp Healthcare 4.5company rating

    San Diego, CA job

    **Facility:** Sharp Memorial Hospital **City** San Diego **Department** **Job Status** Regular **Shift** Variable **FTE** 1 **Shift Start Time** **Shift End Time** H.S. Diploma or Equivalent; Other; Certified Registered Central Service Technician (CRCST) - Healthcare Sterile Processing Association (HSPA); Certified Sterile Processing and Distribution Technician (CSPDT) - The Certification Board for Sterile Processing & Distribution **Hours** **:** **Shift Start Time:** Variable **Shift End Time:** Variable **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):** $30.370 - $37.950 - $42.510 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** Provides initial onboarding of sterile processing team members along with developing and validating ongoing competencies for the sterile processing technician role. Establish and maintain standards of service documents, onboarding materials, competencies, and policies and procedures for the sterile processing department. **Required Qualifications** + H.S. Diploma or Equivalent + 3 Years Experience in an acute care hospital, sterile processing, or surgery department. + Certified Sterile Processing and Distribution Technician (CSPDT) - The Certification Board for Sterile Processing & Distribution -REQUIRED + Certified Registered Central Service Technician (CRCST) - Healthcare Sterile Processing Association (HSPA) -REQUIRED **Preferred Qualifications** + Other Completion of a program for sterile processing/centralsupply technician. + Experience in training coordination. **Essential Functions** + Process ImprovementAnalyze, research and resolve problems presented by administration, surgical services leadership and end users as they relate to the reprocessing of surgical instrumentation.Documents and tracks repeat problems and makes adjustments to training programs as needed.Identifies potential workflow challenges for instrument reprocessing and makes recommendations for improvement.Conducts audits as needed for quality purposes.Documents workflows and offers suggestions for improvement. + Demonstrates Initiative and TeamworkMaintains open and regular communication with all customers.Proactively suggests changes and participates with improvement initiatives.Maintains contact with leadership on all matters pertaining to the development of skills related to reprocessing of instrumentation.Participates in department or system-wide special projects as needed. + Develop and MaintainDevelops training materials and other tools to support the educational objectives of Sterile Processing.Develops inservice materials and programs for various audiences such as physicians, clinical staff and SPD Technicians.Maintains and updates training materials with current information and informs end users of changes to policies and procedures as appropriate.Develops and evaluates annual competencies for training.Works with Staff Development and other departments as needed to provide up-to-date training needed for new users.Evaluates effectiveness of the training programs and makes changes based on feedback.Creates specific training modules in response to customer assessments and identified needs.Maintain working knowledge of sterile processing regulations. + TrainingTrains and orients new hires to the department.Provide refresher training as necessary.Responds promptly to requests for training.Tracks and manages progress and completion of training. Ensure tracking is consistent across departments and is accordance to policies, procedures, process', and/or regulations.Presents training information regarding the principles of reprocessing, instrumentation MIFUs, as well as the associated technologies utilized in the reprocessing of surgical instruments.Rounds on site and makes observations for improvement opportunities.Develops follow-up reports in a timely manner.Reports findings to leadership team timely.Provides feedback to site leadership and end users related to rounding findings, i.e. trouble areas, common questions, etc.Serves as resource and consultant on sterilization practices. **Knowledge, Skills, and Abilities** + Thorough knowledge of surgical instrumentation, sterile techniques, general hospital supplies, equipment, and regulatory requirements regarding sterile processing. + Proficiency with Microsoft Office. + Proficiency with EMR Reporting + Proficiency in High Level Disinfection 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
    $42.5 hourly 7d ago
  • EVS Worker BU - SMV Environmental Services - Variable Shift - Part Time 0.8FTE

    Sharp Healthcare 4.5company rating

    San Diego, CA job

    **Facility:** Mesa Vista Hospital **City** San Diego **Department** **Job Status** Regular **Shift** Variable **FTE** 0.8 **Shift Start Time** **Shift End Time** H.S. Diploma or Equivalent **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):** $25.000 - $27.640 - $30.490 This position is covered by a Collective Bargaining Agreement (CBA) with SEIU-UHW. As part of the terms of employment, employees in this role are required to join the union within 31 days of hire and remain a member (e.g. dues paying, fee paying, religious exception contributor) for the duration of the collective bargaining agreement. **What You Will Do** To provide cleaning, waste removal, pest control, and linen distribution services **Required Qualifications** + 1 Year Hospital or hospitality industry work experience specifically related to Environmental Services functions. **Preferred Qualifications** + H.S. Diploma or Equivalent **Essential Functions** + CleaningPerforms cleaning procedures in patient care areas, ancillary departments, and public areas.Knowledge and methods used in current position assigned.Demonstrates ability to follow specific procedures as indicated. + Customer service Displays good Guest Relation skills by maintaining courteous, considerate relations with the medical staff, fellow employees, clients, visitors, and etc.Conforms to hospital dress code.Demonstrates team spirit towards accomplishment of goals.Displays a positive attitude. + Demonstrates flexibility and adaptability Accepts department schedules, work assignment, and procedures.Adheres to sick leave policy, punctuality, tardiness, and hospital policies.Possesses flexibility, and adaptation to modified work schedules.Begins/ends shifts according to posted schedule. + Department safety Keen awareness of surroundings, completes work order forms for repairs.Follows through to ensure correction of noted repairs. + Emergency preparedness Demonstrates knowledge and participates in hospital wide Emergency Emergency Preparedness Plans, Safety Policies, and Hazardous Material Procedures.Observes all policies and procedures.Remains in compliance with regulatory agencies.Attends yearly inservice. + Equipment maintenance Operates and maintains department equipment for better efficiency, safety, cost reduction, and quality.Properly handles equipment to avoid damage to hospital property.Checks equipment for frayed cords, changes filters, keep equipment clean.Removes out-of-service equipment from service. + Other duties as assigned Prioritizes work, uses time efficiently, and demonstrates initiative.Organizes resources to complete assigned tasks.Completes work assignment within expected time frame.Responds to overhead paging/beeper within five minutes. + Performs general cleaning duties Familization with procedures and application of procedures.Documents linen usage and floor care performance.Fills Clean Linen closet according to inventory listing.Empties Soiled Linen two times a day or when needed.Uses Universal Cleaning Procedures daily.Removal of trash/bio-hazard waste according to procedures. **Knowledge, Skills, and Abilities** + Ability to communicate in English in verbal and written form. + Ability to interpret and comprehend Environmental Services procedures.Accepts variable work schedules based on hospital occupancy and departmental needs 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
    $30.5 hourly 13d ago
  • Director, Surgical Services - La Jolla Memorial Hospital

    Scripps Health 4.3company rating

    Scripps Health job in San Diego, CA

    Required Education/Experience/Specialized Skills: Bachelor's degree plus 8 years of related OR clinical experience, 3 of which in a leadership role. Required Certification/Registration: Current California RN license Preferred Education/Experience/Specialized Skills/Certification: Master's degree CNOR certificate Knowledge & proficiency in Microsoft Excel & Word Knowledge & proficiency in financial reporting systems, specifically Axiom This is a full time, benefited position Monday- Friday. Located at Scripps Memorial Hospital in La Jolla. This is an exempt and salaried position eligible for the Management Incentive Compensation Plan (MICP) at the Director level. Why Scripps Memorial La Jolla Surgical Services? Join a dynamic team with exceptional leadership across all departments, including Endoscopy, Pre-op, PACU, PSE, and OR. Experience outstanding collaboration and communication among dedicated team members. Be part of an engaged staff that is continuously seeking opportunities for improvement and growth. At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. What you'll do: Responsible for the provision of the overall administration, operation, direction, design, financial performance, human resource management, regulatory compliance, quality, utilization management, marketing, integration and evaluation of Surgical Services at assigned site. #LI-JS1
    $149k-250k yearly est. Auto-Apply 55d ago
  • Manager Benefit Administration - Sharp Health Plan Finance - Sharp Tech Way - Day Shift - Full Time

    Sharp Healthcare 4.5company rating

    San Diego, CA job

    **Facility:** Tech Way **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Other **Hours** **:** **Shift Start Time:** 8 AM **Shift End Time:** 5 PM **AWS Hours Requirement:** 8/40 - 8 Hour Shift **Additional Shift Information:** Start time can vary. **Weekend Requirements:** As Needed **On-Call Required:** No **Hourly Pay Range (Minimum - Midpoint - Maximum):** $55.390 - $71.470 - $87.550 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. **What You Will Do** This position is responsible for managing, coaching and developing the Benefits Administration team across multiple lines of business (Medicare Commercial, Government, etc.) to ensure benefit plans are designed appropriately and consistently and performance guarantees, service level agreements and operational goals are met. Ensures benefit information is clear, accurate, consistent, and delivered timely to internal and external partners. This individual will serve as a subject matter expert on benefits, with responsibility for translating plan designs and policies (i.e., Certificates of Coverage) into detailed business requirements, ensuring benefits are implemented accurately and timely, investigating and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit Administration team members. Assumes additional responsibilities in the absence of the Director. **Required Qualifications** + 5 Years in HMO or Health Insurance Management. + 2 Years leadership experience working collaboratively across multiple functional areas (e.g., operations, configuration, clinical, IT, plan design) and fostering teamwork. + Experience with spreadsheets, data reporting, and word processing applications. **Preferred Qualifications** + Other Course work or prior experience in education and training. + 3 Years in a health insurance product implementation, benefit/coverage policy development, benefit configuration, or claims role. **Other Qualification Requirements** + Bachelor's degree in business, health services, or related field; or 4 years of relevant experience may substitute for degree. - Required **Essential Functions** + LeadershipDisplay professionalism and teamwork in promoting the Mission, Goals and Objectives of Sharp Health Plan.Recruit, hire, motivates staff to perform at a level that consistently meets expectations.Develop, train, counsel staff, and conduct performance appraisals.Maintains a positive work environment that supports self-directed teams; provides a structure to optimize the experience, skill, knowledge and capability of the team; facilitates collaboration among team members. + Benefit DevelopmentOversees all translation of plan design strategy and policies (i.e., Certificates of Coverage) into detailed requirements for benefit configuration.Develops and documents workflows, systems requirements, process analysis and testing (including reasonableness checks). Providing efficient and cost-effective solutions as required.Oversees all claims testing and quality assurance activities and defect resolution.Identifies impact of solutions on existing and future systems. Identifies reporting needs based on system programming and workflows and oversees documents reporting requirements and testing of new reporting development prior to implementation to Production. + Benefit ManagementPartner with Product Development, operational, clinical, and configuration teams to achieve benefit design solutions that align with plan design strategy and business requirements.Oversee development and documentation of policies and relevant background information for other departments to better understand plan designs and benefit intent. Manage all plans and benefits hand-offs to internal and external partners; develop and manage change control processes.Provide subject matter expertise to address escalated benefit inquiries and complex benefit-related issues. Identify opportunities to improve processes and build best practices for efficient and effective translation of product strategy/plan designs into configuration requirements leveraging new system capabilities or the integration of data/other applications into existing systems.Creates and maintains the necessary functionality in the benefit landscape, and workflows. Conducts root cause analysis, gathering data to pinpoint problem areas on which to focus. Recommends and implements solutions and evaluates results and implements controls to monitor consistent use of the solution. + TrainingCoordinate continuing staff training to ensure Benefit Administrator education is sufficient to meet benefit compliance and establish quality and productivity standards to be reported monthly.Develop and maintain benefit administration policy and procedure manuals. Effectively communicate departmental policies to staff and other affected areas including updates to Knowledge articles used by Sharp Health Plan Customer Care staff. + Data ValidationOversees the technical and administrative functions to lead the Benefit Administration team in organizational data validation projects to support major system enhancements, or release updates. Supports data validation activities when deploying changes to a large number of clients. Leads design of data validation processes to ensure data checks fall within an acceptable range to ensure compliance standards are met. Activities should automate data validation, improve quality, and reduce costs. + Internal and External Customer ServiceInterface with Health Plans, Providers, Members, Medical Groups and Internal Sharp Health Plan departments to resolve issues in a professional manner that maintains consistently positive relationships. Demonstrates a positive, professional and contributory posture in all matters requiring interface with customers, both internal and external. + AuditsManages responses to both external and internal audits. Ensures workflows support compliance and identifies when audit protocols need to be refreshed to more accurately capture day-to-day procedures. Evaluates audit findings and implements new processes to bring Plan Administration into compliance. **Knowledge, Skills, and Abilities** + Knowledge of health insurance or HMO operations with emphasis in the development or application of benefit interpretation guidelines, coverage policies, and/or reimbursement policies. + Working knowledge and experience with medical coding (HCPCS, CPT, ICD-10) + Excellent organizational and interpersonal skills. + Ability to work effectively as a member of a creative management team. + Knowledge of Federal and State regulations as related to benefit and claims adjudication. + Adept at being an initiator of positive change to support the Mission, Values, and Goals of Sharp Health Plan. + Ability to use data and analytical thinking to make fact-based decisions and/or recommendations. + Solid problem-solving skills and ability to derive structure and clarity from ambiguous or open-ended inputs. 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
    $45k-54k yearly est. 60d+ ago
  • Web Application Developer III

    Sharp Healthcare 4.5company rating

    San Diego, CA job

    **Facility:** Corporate Offices **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** **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:** Yes **Hourly Pay Range (Minimum - Midpoint - Maximum):** $62.230 - $80.300 - $89.930 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. **What You Will Do** Provides a leadership role for the Web Development team encompassing all aspects of application design and development, user interfaces, data interfaces, secure programming, scalability, and system performance. Will lead IS project initiatives, provide planning expertise and act as a mentor to other technical staff. **Required Qualifications** + 10 Years Experience in an Information Systems role with a minimum seven years of experience in application development with technology used at Sharp (HTML, CSS, JavaScript, ColdFusion, others). + Experience in application design patterns and principles, development methodologies, tools, and best practices. + Experience with both relational databases as well as NoSQL based data stores with the ability to determine the best solution based on individual project requirements and goals + Experience interfacing with both internal and third party APIs as well as designing and developing new APIs as part of a services oriented architecture. **Other Qualification Requirements** + Bachelor's degree an applicable field such as Computer Science, Information Systems, Business Administration, or Health Care Administration; or relevant experience in excess of five years or appropriate certifications may substitute for degree - Required **Essential Functions** + Design and DevelopmentDesigns, develops, documents, and maintains web application software and databases using standard programming conventions. Implements sound system solutions that are consistent with business strategy and operational needs. Interprets and translates requirements and functional specifications into efficient and effective technical specifications and code.Minimizes the need to re-write applications via thorough analysis, creative design, and sound development of code.Uses sound judgment in performing change control management appropriately, including synchronization of test and production environments.Performs code review using sound knowledge and judgment regarding IS principles and department specifications.Proficient in application design and database modeling (both physical and logical).Creates best practices guidelines and checklist for developers to follow when designing and developing web applications.Documents file structures, programming constructs, installation and operating instruction and other technical features of applications developed or installed by the department.Exhibits structured programming methodology in code.Uses standardized naming conventions and ensures that other developers are following such conventions.Ensures that production delays do not occur due to negligence or failure to following proper procedures. + LeadershipProvide leadership for product development and support, providing supervision and guidance for all activities related to web application development.Must demonstrate consistent ability to lead others and work without supervision.Trains new and existing web developers in system and operational tasks in order to maximize effectiveness and utilization of systems.Proposes and implements creative solutions to operational and application issues with follow-through to resolution.Independent worker with ability to exercise discretion and make decisions based on distinct issues.Manages end-user expectations and provides exemplary support by meeting service level agreements.Leads product by facilitating project discussions, recommending solutions, and providing overall status.Presents feedback to both team members and leadership to effectively manage both individual and team performance.Manages client and department expectations through effective client communication resolving conflicts and department issues independently through effective decisions. + Problem Analysis and ResolutionPerforms thorough analysis of applications running in Sharp environment for highest level of availability, scalability, security, and performance. Performs technical analysis and recommends application solutions that are flexible, highly reliable, and available.Ensures applications meet department expectations to be self-monitoring and capable of issuing predictive warnings of failures through existing system monitoring tools.Ensures that other developers in the team are performing adequate technical analysis before implementing solutions.Responds to requests for service within guidelines and time frames as established to meet organizational objectives.Customers are kept informed of the progress of their requests and notified of successful completion or need for delay.Performs appropriate make or buy analysis and provides recommendations to IT and Business management.Provides on call support as needed to troubleshoot problems as part of the on call rotation schedule. Assist others to address on call issues.Will take on resolution of issues from other programmers when senior level skills are required for problem resolution. + Project ManagementTechnical Lead and Project Management - Demonstrates consistent and effective technical leadership and project management techniques. Creates and maintains a matrix of all assigned projects using appropriate prioritization, timing and creativity, such that projects are completed on time and within resource constraints.Communicates in a timely fashion both to the requestor and management when project schedules may not be meet.Provides executable alternative solutions to work around resource constraints.Analyzes department and client needs to develop a workable training plan and executes training plan appropriately.Assist with the development of resource allocation and scheduling using knowledge of technical work involved for implementation of solutions.Assists the projects manager to develop a comprehensive project plan through sound analysis, work breakdown structure, realistic resource and duration estimates, and identification of project dependencies.Monitors and triages project issues to appropriate team members and provides technical leadership to team members to ensure implementation of sound solutions.Uses knowledge of IS standards and proactive thinking to determine best technical solutions that is consistent with team's technical direction.Performs comprehensive risk identification and mitigation.Identifies the need for and implements appropriate change control procedures/documentation both departmentally and at the IS level.Ensures appropriate communication of project related issues. + System Configuration and TestingManages the configuration, development, test execution, and deployment to ensure optimum system performance. Creates and maintains system related documentation such that features and procedures are well documented and communicated.Documentation allows for the continuation of functions by other programmers when the assigned primary programmer is unavailable.Enforces the need for all developers to keep documentation up to date and is readily available (WIKI).Ensures the appropriate use of test environments.Manages development and test environments, promotes code changes to all environments, including production.Consistently maintains software changes across the production and test environments according to team policy.Performs all levels of testing in a timely and accurate manner.Performs environment synchronization as required in a timely and accurate manner.Provides oversight to junior staff members on testing procedures to ensure that testing adequately covers code changes.Ensures that production delays do not occur due to negligence or failure to following proper procedures.Follows change management procedures and ensures that analysts and other developers also follow procedures. + Technology ReviewParticipates in providing the leadership necessary to review current and new technologies for incorporation with existing technologies within the department. Develops and maintains an extraordinarily high level of skill in information technologies applicable to Sharp and web application development.Works closely with vendors to evaluate and recommend solutions; recommends the appropriate solutions to meet Sharp's needs, regardless of vendor.Acts as in-house consultant to IT application teams in the evaluation of new technologies and/or innovative solutions.Will lead other developers in the implementation of selected technologies and/or software solution.Is viewed by others in IT as the in-house technical expert.Works with IT personnel, vendors and clients in reviewing requests for appropriateness within the Sharp computing environment.Represents the department on strategic initiatives to ensure that a thorough evaluation is performed on possible impact to existing applications.Demonstrates strategic and forward thinking by conducting thorough analysis of downstream and upstream impact of issues and proposed solutions. **Knowledge, Skills, and Abilities** + Demonstrate understanding of application architecture and infrastructure as they relate to service delivery including availability and performance. + Demonstrate understanding of secure programming concepts as they relate to web application development with ability to define solutions that mitigate risks including but not limited to the OWASP Top 10. + Familiarity with PCI and HIPPA compliance requirements and ability to design and develop solutions that conform to those requirements. + Ability to mentor junior staff members. + Must be able to calmly and professionally respond to frequent deadlines for reports and related tasks, and to prepare work and presentations on short notice. + Must be able to respond calmly and professionally to telephone or face-to-face contact from angry or frustrated users/clients. 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
    $89.9 hourly 6d ago
  • Sr. Service Tech - Encinitas

    Scripps Health 4.3company rating

    Scripps Health job in Encinitas, CA

    Scripps Memorial Hospital Encinitas has served North County's coastal communities since 1978. We're located at Santa Fe Drive and I-5, within walking distance of a park, fitness center, grocery store, pharmacy and restaurants. Scripps Memorial Hospital Encinitas' campus includes Scripps Clinic Encinitas and an outpatient imaging center. We're home to notable specialty programs including a 24-hour emergency room, accredited stroke care, physical rehabilitation services (including a brain injury day treatment program), our Baby Friendly birthing pavilion and a Level II neonatal intensive care unit. This is a full-time position located at our Scripps Memorial campus in Encinitas. Must be available to work a varied shift (start time will be dependent upon the department's need) and varied schedule including weekends. Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide. Why join Scripps Health? At Scripps Health, your ambition is empowered, and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Beckers Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. The Senior Service Tech performs a variety of installations, repairs and preventive maintenance duties on buildings, equipment and grounds. Responsible for critical utility systems or the central plant. Manages and works with vendors. Required Qualifications: * Skilled in at least one engineering trade, with practical experience in other trades. * 5 years of experience in a trade or general building maintenance * Self-starter with excellent technical and customer service skills * Responsible for critical utility systems. * Ability to work independently on systems or equipment and switch to back up systems in emergencies. Preferred Qualifications: * Healthcare experience preferred * Certified in area of specialty * HVAC experience. At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential. Position Pay Range: $38.54-$55.88/hour
    $38.5-55.9 hourly 24d ago
  • Sterile Processing Tech (SPD) - Nights - Mercy San Diego (Hillcrest)

    Scripps Health 4.3company rating

    Scripps Health job in San Diego, CA

    Bonus eligible! Details below. This is a benefited, full time position working night shift on varied days from 1900-0330. Located at Scripps Mercy San Diego in Hillcrest. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Why Mercy San Diego SPD? Team-Driven Environment with Growth Opportunities\: Join a supportive and collaborative team eager to mentor and teach, providing ample learning opportunities and clear pathways for career advancement into leadership roles. Fast-Paced, Dynamic Workplace\: Excel in a high-energy setting that fosters professional development and personal growth, surrounded by passionate colleagues dedicated to excellence. Prime Location\: Work in the heart of San Diego at Scripps Mercy, offering a vibrant atmosphere and access to one of the best regions for work-life balance. What you'll do\: Responsible for the cleaning, packaging, sterilization, storage, and distribution of medical instruments, equipment, and supplies used in procedures for patient care. Cleans and disinfects equipment requiring decontamination or sterilization according to designated principles of asepsis. Responds to immediate requests for sterilization or delivery of sterilized instruments to insure there is no patient exposure to bioburden. Responsible for testing and recording of sterilizer equipment performance to ensure operating within sterility standards. Maintains established control systems for supplies and equipment processed. This position is eligible for up to $4k in New Hire Retention Incentives and relocation up to $3k if moving from 100+ miles away. The following are not eligible for hiring incentives: Internal candidates Rehires that left Scripps less than 3 years ago Candidates with less than 1 year of experience as an RN In order to remain eligible for your retention incentive the following criteria must be met : Must remain in original hired FTE Status and Shift (if specified in offer letter) Must remain in original department/specialty Must remain in original Job Title Transfers to other locations will be reviewed on a case-by-case basis and may result in forfeiting remaining incentive bonus unless specifically noted in your offer letter. #LI-JS1 Required Education/Experience/Specialized Skills: Completion of college training program for SPD or online study program or completion of formal on the job training program. Knowledge of sterilizers, surgical instrumentation, and medical equipment. Excellent communication and customer service skills. Certified Registered Central Service Technician (CRCST) or CBSPD Certification. One year of experience in SPD in lieu of certification acceptable upon hire, OR hired into Scripps Sterile Processing Tech Transition Program, but CRCST or CBSPD Certification must be obtained within 6 months of hire.
    $54k-72k yearly est. Auto-Apply 7d ago
  • Compliance Auditor - SRS

    Sharp Healthcare 4.5company rating

    San Diego, CA job

    **Facility:** Copley Drive **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Professional Coder (CPC) - AAPC; Certified Coding Specialist--Physician-based (CCS-P) - The American Health Information Management Association (AHIMA) **Hours** **:** **Shift Start Time:** Variable **Shift End Time:** Variable **AWS Hours Requirement:** 8/40 - 8 Hour Shift **Additional Shift Information:** Flex hours are 6:00-9:00 am to 14:30-17:30 pm **Weekend Requirements:** As Needed **On-Call Required:** No **Hourly Pay Range (Minimum - Midpoint - Maximum):** $34.170 - $44.090 - $49.370 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. **What You Will Do** To identify and report coding and documentation practices and make recommendations which assure the accurate reporting and documentation of services provided by entity clinical providers. To support and facilitate the implementation of correct coding standards by clinical providers as established by SHC Corporate Compliance in accordance to the CMS and local MAC (Medicare Administrative Contractor) requirements. **Required Qualifications** + 3 Years experience auditing coding and medical record documentation in an ambulatory care setting. + Experience developing training materials and presenting to a large group of professionals. + Certified Professional Coder (CPC) - AAPC **OR** Certified Coding Specialist--Physician-based (CCS-P) - The American Health Information Management Association (AHIMA) -REQUIRED **Other Qualification Requirements** + Two years of college or five years working experience in a healthcare environment related to auditing of medical records and CMS compliance. - Required **Essential Functions** + AuditingParticipates in audit risk assessment for each division/provider to determine trends and helps management identify need for more frequent audits.Is able to analyze and create concise reports quantifying and summarizing audit findings. Presents the findings to Departments, Divisions, and at the Individual Provider level.Adheres to audit schedules and deadlines; prioritizes workload; communicates to management appropriately regarding workload and priority concerns.Utilizes internal and professional resource tools to provide quality audit results.Performs concurrent audits according to a defined audit schedule to assure that the documentation meets the standards set by CMS, local Medicare Administrative Contractor (MAC) and other third party payers.Performs provider quality audits to ensure provider is billing to meet established coding guidelines. + Client support Provider, Clinical, and Coding SupportServes as a resource providing support to SRS management, physicians, administrative and support staff for coding, documentation and compliance.Provides support with TES/CM edit resolution at assigned sites and assists with coding related edit questions.Provides professional and courteous support to providers, clinical staff, PFS, via email, phone and in-person contact, answering questions and providing supporting documentation for compliance standards. + Communication and training Effectively communicates audit results to supervisor, manager and/or director as appropriate.Provide timely feedback and final resolution of identified issues.Schedules and provides 1:1 training to provider to ensure maximum coding compliance guidelines are followed.Evaluates the inpatient and outpatient training and coding areas for improvement for assigned specialties and incorporates education specific to the needs of the specialty.Develops and maintains tools, guidelines and procedures to assist in provider's understanding of requirements for medical documentation and coding.Performs training for new providers with timely feedback on their documentation. + ComplianceHas a thorough understanding of ICD-10 and CPT coding guidelines.Protects all work products, working papers, personal lap top, and other related documents and/or portable electronic data systems in accordance with SHC and regulatory privacy and confidentiality guidelines.Stays current with Medicare updates and specialty specific professional services updates; communicates changes to management. + Data collection and reporting Designs and develops reports within a specified timeframe.Analyzes trends while reviewing documentation and communicates to management.Reports findings identified during documentation reviews and includes official references related to the findings. + EducationReviews coding publications for changes, clarifications and/or information pertinent to the medical group's specialties/services.Attends and participates in job related conferences, seminars and workshops to enhance skills and keep current on coding and documentation changes.Presents to management complete supporting documentation associated with areas of concern. **Knowledge, Skills, and Abilities** + Excellent working knowledge of CPT, ICD-10 and HCPCS codes is required. + Thorough understanding of Medicare, insurance documentation, and compliance and coding requirements. + Expert knowledge of MS Office which includes: Excel, Word, and PowerPoint. + Ability to educate and train all levels of clinical and professional staff. + Excellent interpersonal skills verbal and written, with the ability to communicate to all levels of staff within the organization. + Ability to produce high quality work/reports with minimal error rate. + Professional approach to work including ability to exercise mature judgement and maintain confidentiality in all 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
    $49.4 hourly 57d ago
  • Groundskeeper - Encinitas

    Scripps Health 4.3company rating

    Scripps Health job in Encinitas, CA

    Scripps Memorial Hospital Encinitas has served North County's coastal communities since 1978. We're located at Santa Fe Drive and I-5, within walking distance of a park, fitness center, grocery store, pharmacy and restaurants. Scripps Memorial Hospital Encinitas' campus includes Scripps Clinic Encinitas and an outpatient imaging center. We're home to notable specialty programs including a 24-hour emergency room, accredited stroke care, physical rehabilitation services (including a brain injury day treatment program), our Baby Friendly birthing pavilion and a Level II neonatal intensive care unit. This is a full-time position based out of our Scripps Memorial campus in Encinitas. Must be available to work a day shift of 5:30am-2:00pm Monday-Friday with occasional weekends as needed. Must be willing to travel to all Scripps locations from Encinitas to Chula Vista as needed. Why join Scripps Health? At Scripps Health, your ambition is empowered, and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Beckers Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Join a winning team as a Groundskeeper supporting the Groundskeeping Department at Scripps Memorial Encinitas. Working together you'll bring your expertise, compassion, and excellence to all we do. The ideal candidate will thrive in a fast-paced environment and enjoy providing world class customer service. The Groundkeeper position performs semi-skilled grounds maintenance duties, utilizing technical, interpersonal and critical thinking skills under the guidance and support of a supervisor. This position performs maintenance activities to include mowing, turf maintenance, planting, fertilizing and trimming trees and other vegetation. Picks up litter and trash; repairs sprinkler and irrigation systems and other ground maintenance duties as assigned. Displays and practices a work style that reflects the mission, philosophy, and goals of the organization. Demonstrates ability to perform competencies as outlined in FSS Competency Assessment tools. Demonstrates age-specific care as established for area and job title. #LI-DP1 Required Qualifications: * California Driver's license required. Preferred Education/Experience/Specialized Skills/Certification: * At least 5 years Grounds maintenance and operations experience preferred. * High School Diploma or Equivalent preferred. At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential. Position Pay Range: $24.00-$28.28/hour
    $24-28.3 hourly 14d ago
  • Systems Analyst-EDI Management - SHP Finance - Telecommuter - Day Shift - Full Time

    Sharp Healthcare 4.5company rating

    San Diego, CA job

    **Facility:** Health Plan **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** 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:** As Needed **On-Call Required:** No **Hourly Pay Range (Minimum - Midpoint - Maximum):** $42.790 - $55.210 - $61.840 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. **What You Will Do** Under the direction of the Manager of EDI Management, the Systems Analyst-EDI Mgmt will use technical and analytic skills to complete monitoring, reviewing, developing, triaging, scheduling and mapping inbound and outbound data files for Sharp Health Plan. The Systems Analyst-EDI Mgmt will work with general Health Plan operational data sets including, but not limited to, eligibility, claims, provider, billing, capitation, financial and structural. The Systems Analyst-EDI Mgmt will work to streamline processes, create efficiencies and complete development within the file management space. **Required Qualifications** + H.S. Diploma or Equivalent + 2 Years experience in a health care and/or health plan organization. + Experience with data communications standards, data processing, and system configurations. + Experience analyzing complex issues and/or requests to provide effective solutions with the ability to identify root cause, communicate options and propose solutions. **Preferred Qualifications** + Associate's Degree + 2 Years Direct experience in project planning and system implementation. + Experience as systems analyst within a large Health Plan. **Essential Functions** + File ManagementSystems Analyst-EDI Mgmt will be familiar with tools such as Snowflake and SQL as ways to create data files. Will need to be fluent in database tools to be able to use the data to create outbound data. (SQL queries, views, procedures) Familiar with standard file management practices and oversight tools.Will develop new files based on specifications provided by internal or external partners.Utilizes Epic Tapestry reporting toolset, inclusive of Cogito, Caboodle and Clarity, to deliver on business requirements to external partners.Provide expertise on file structure, specifications and format for a wide variety of file types. + Quality AssuranceEnsure that files created within the team are checked for quality and measured against another reliable source.Develop and implement quality checks on newly created file processes to ensure data integrity across both incoming and outgoing files. + Participates in other duties as assigned Participates in special projects and other duties as assigned. These may include, but are not limited to, work groups, proposals, audits and back-up support for other departments. + Data ExchangeConfigures, oversees and monitors SFTP routing rules Tracks file movements and patterns to be able to report on abnormalities Works with external partners on data quality concerns, specifically related to ANSI EDI file transactions.Familiar with business use of standard HealthCare file sets, including but not limited to 837s, 834s, 835s and related acknowledgements. **Knowledge, Skills, and Abilities** + Demonstration of professional level of knowledge of health plan operations, health plan software configuration, enrollment and claim file processing and trading partner management, and data processing environments. + Familiarity with data communications standards and system configuration. + Working knowledge of hospital, physician and health plan operations. + Strong analytical and problem solving skills; ability to collect and conduct interactive data analysis. + Extensive knowledge of IDX, Facets, QNXT, Healthedge, HPS, and/or other administrative systems within the health plan insurance industry. + Excellent written and verbal communication skills, including interaction with senior management. + Ability to apply independent decision-making skills and work well under tight deadlines and multiple priorities. 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
    $61.8 hourly 60d+ ago
  • Complex Social Worker - La Jolla

    Scripps Health 4.3company rating

    Scripps Health job in San Diego, CA

    This is a full time position at Scripps Memorial Hospital in La Jolla. Join the Scripps Health team to work with dedicated caregivers and deliver patient-centered care, while building a rewarding career with one of the nation's most respected healthcare organizations. Why join Scripps Health? AWARD-WINNING WORKPLACE: At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Beckers Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Our diverse team is dedicated to serving the community with the highest quality of care. The primary focus is assessment and discharge planning, complex case/care coordination and provision of individual and group psychoeducational counseling. New employees will experience a friendly and supportive environment where a positive attitude and teamwork are valued. Our leadership is hands-on and very engaged with our staff and patients. #LI-EE1 Required: Master's degree in Social Work, OR Master's in Marriage & Family Therapy (MSW or MFT). 1-3 recent (within the last 3 years) of experience in a healthcare setting removing psychological barriers to improve client health Content knowledge of LPS processes including involuntary detainment and the mental health conservatorship processes is required. Licensed by the California Board of Behavioral Science as an LCSW OR LMFT BLS (American Heart Assoc.) Discharge experience Preferred: Bilingual and proficient in electronic health record. Trauma and Mental Health experience 3-5 years experience in healthcare setting Discharge planning experience with knowledge of local resources to ensure safe discharges Completion of Supervision Training for ASW
    $73k-87k yearly est. Auto-Apply 60d+ ago
  • Nuclear Medicine Tech - Part Time -La Jolla

    Scripps Health 4.3company rating

    Scripps Health job in San Diego, CA

    Scripps Memorial Hospital La Jolla has served the greater San Diego community since 1924. For more than a century, we continue to provide distinguished care, including several nationally ranked specialty programs. Scripps La Jolla was the first in San Diego to be designated a Magnet Hospital by the American Nursing Association. Scripps La Jolla shares a campus with the Barbey Family Emergency and Trauma Center, a Level I Trauma Center, and the renowned Prebys Cardiovascular Institute. We're also home to notable specialty programs, including cancer care, heart surgery, orthopedic surgery, labor and delivery services (including a Level III neonatal intensive care unit) and a nationally designated Comprehensive Stroke Center. New Hire Incentive available up to $4,000 for those who qualify. This is a part-time position (40 hours per pay period) with varied 10-hour shifts. The role includes weekday and weekend call responsibilities. This position is located at Scripps Memorial Hospital La Jolla. Scripps Memorial Hospital La Jolla is a Level 1 trauma and Magnet hospital and has served the greater San Diego community since 1924. Nearly 100 years later we continue to provide some of the region's most distinguished care. We're also home to notable specialty programs, including cancer care, heart surgery, orthopedic surgery, labor and delivery services and a nationally designated Comprehensive Stroke Center. #LI-JS1 Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Beckers Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Scripps Health provides what matters most: career growth, delivering superior care to our patients, continuous learning, exceptional benefits and working for an organization that offers many long-term career paths. Join us and experience a culture where opportunities to advance and the support to get there go hand-in-hand. The following are not eligible for hiring incentives: * Internal candidates * Rehires that left Scripps less than 3 years ago * New Graduates (Must have 1 year of experience) In order to remain eligible for your retention incentive the following criteria must be met: * Must remain in original hired FTE Status and Shift (if specified in offer letter) * Must remain in original department/specialty * Must remain in original Job Title * Transfers to other locations will be reviewed on a case-by-case basis and may result in forfeiting remaining incentive bonus unless specifically noted in your offer letter. Required Qualifications: * Basic Life Support (BLS) Certification from the American Heart Association. * CNMT (CA Certified Nuclear Med Tech) * Venipuncture * Completion of a formal training/educational program in an approved school of Radiology Technology * Imaging experience in a hospital or clinic setting Preferred Qualifications: * 1-2 years' experience At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential. Position Pay Range: $59.81-$86.71/hour
    $59.8-86.7 hourly 24d ago
  • Director, Gift Planning - La Jolla

    Scripps Health 4.3company rating

    Scripps Health job in San Diego, CA

    Required Education/Experience/Specialized Skills: Education: Completion of at least 2 years of college-level coursework. Experience: Minimum of 5 years of experience in planned giving fundraising or related positions, with a demonstrated track record of success. Skills\: Strong working knowledge of current federal (IRS) and state (CA) rules and regulations governing charitable estate planning. Excellent interpersonal skills, with the ability to interact effectively with diverse individuals. Superior verbal and written communication skills. Preferred Education/Experience/Specialized Skills/Certification: Education: Bachelor's degree. An advanced degree such as a JD or industry certification such as a CSPG (certified specialist in planned giving) Experience: Experience in a medical or higher education setting, or in an equivalent professional environment. The ideal candidate has worked in fundraising for at least 5 years or an attorney who has exceptional interpersonal skills; or a fundraiser who is interested in learning the technical side of estate planning and tax. This Director position is in La Jolla. Eligible to participate in the Director Incentive Plan. Elevate your career with Scripps Health, where Compassion Meets Excellence. Invest, Empower & Belong. At Scripps Health, your potential is limitless. We're more than a healthcare provider, at Scripps you will join a community where your views, beliefs and values are celebrated. Grow through industry-leading development programs and empower yourself to deliver innovative care. Be a part of an extraordinary team, impacting health in beautiful San Diego. Why join Scripps Health? AWARD-WINNING WORKPLACE: At Scripps Health, your ambition is empowered, and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Beckers Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. This is an essential position to the Planned Giving department in both building the pipeline and in providing necessary stewardship to existing estate donors. The Scripps Health Foundation has the honor of working with grateful patients to raise money in support of our exceptional hospitals and clinicians. The Gift Planning team consists of five professionals who work at Corporate Headquarters and support the work of fundraisers on all Scripps' hospital campuses. Our work is dynamic, changing from day-to-day. We have a culture of continuous learning and enjoy one another's company. Role Overview\: Lead the generation of significant outright and deferred gifts, while effectively marketing the Gift Planning Program through various channels. Maintain strong relationships with donors and stay updated on relevant regulations. Key Responsibilities: Gift Generation\: Drive the acquisition of large outright and deferred gifts to support the healthcare system's mission. Program Marketing\: Promote the Gift Planning Program through personal contacts, seminars, luncheons, referrals, and written communications. Donor Relations\: Cultivate and maintain positive relationships with individuals who have completed planned gifts, ensuring ongoing engagement and satisfaction. Regulatory Compliance\: Stay informed of current federal (IRS) and state (CA) rules and regulations governing charitable estate planning to ensure compliance. Budget Collaboration\: Assist in the preparation and monitoring of the annual Gift Planning budget, ensuring effective allocation of resources. #LI-EE1
    $126k-187k yearly est. Auto-Apply 60d+ ago
  • Rehab Therapy Aide - Vista Clinic

    Scripps Health 4.3company rating

    Scripps Health job in Oceanside, CA

    This is a full-time Outpatient position at Scripps Vista Clinic (M-F 8-5). Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Beckers Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. The Rehab Therapy Aide will assist in providing age-appropriate services for adolescent, adult, and geriatric patients, including direct treatment, under appropriate licensed supervision. #LI-JS1 Required Qualifications: · High school graduate or equivalent · BLS from the American Heart Association Preferred Qualifications: · Previous related experience and/or college coursework in a related field · Previous experience working under the direct supervision of a physical/occupational/speech therapist.
    $30k-35k yearly est. Auto-Apply 6d ago
  • Registered Dietitian - Per Diem - San Diego

    Scripps Health 4.3company rating

    Scripps Health job in San Diego, CA

    Scripps Mercy Hospital has served central and downtown San Diego since 1890 and is the oldest medical center in the county. The San Diego campus is located near the corner of 5th Avenue and Washington Street in Hillcrest. Scripps Mercy Hospital consists of two campuses in San Diego and Chula Vista. Scripps Mercy Hospital San Diego's campus includes the O'Toole Breast Care Center, a 24-hour emergency room that is a Level I Trauma Center, outpatient physical rehabilitation, minimally invasive robotic surgery and our childbirth unit (including a Level II neonatal intensive care unit). This is a casual (per diem) position based out of our Scripps Mercy campus in Hillcrest and will help support other Scripps Campuses as needed. The casual Dietitian helps support coverage for LOA's, PTO, and additional departmental needs. Flexibility to work weekends is required. Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Beckers Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Our Clinical Nutrition team provides medical nutrition therapy and nutrition care to all patients utilizing technical skills in an acute care setting. Skills include clinical assessments, screening for nutritional risk, developing, implementing, and monitoring a nutrition care plan, education, and follow up. They provide service to patients of all ages from pediatrics to geriatrics. Compliance to JCAHO Standards, Title XXII, and other applicable regulatory requirements. Demonstrates ability to provide appropriate age specific patient care as established for environment and job title. Required Qualifications: * Bachelors degree or Masters Degree * Registered Dietitian through the Commission of Dietetic Registration Preferred Qualifications: * One of the following specialty certifications preferred Certified Nutrition Support Clinician CNSC, Certified Diabetes Care and Education Specialist CDCES Board Certified Specialist in Renal Nutrition CSR, Board Certified Specialist in Oncology Nutrition CSO, Board Certified Specialist in Gerontological Nutrition CSG At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential. Position Pay Range: $40.48-$58.68/hour
    $40.5-58.7 hourly 24d ago

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