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<p>Join the Clean Energy Revolution<br></p><p>BecomeaCustomer Programs Senior Project Managerat Southern California Edison (SCE) and build a better tomorrow. In this job, you will work on the Program Integration and Development team to support long-term customer program strategy development. You will work across our portfolio of programs, including traditional programs, such as Energy Efficiency and Demand Response and emerging programs, such as, Building Electrification, Transportation Electrification, Customer Generation, and Income Qualified Programs to advise on how to meet SCE’s ambitious Countdown to 2045 goals. As a Senior Project Manager, you will be responsible for leading market research, quantitative and qualitative analyses, collaborating with our program and regulatory affairs partners, and managing key strategic initiatives across the portfolio.</p><p>As a&nbsp;Senior Project Manager, your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future?</p><h4>Responsibilities</h4><ul><li>Manages activities of one or more large, mid to long-term projects with responsibility for results in terms of costs, methods and outcomes</li><li>Develops business plans, objectives and initiatives for the organization</li><li>Provides inputs to organizational objectives and policies and ensures delivery of results</li><li>Engages regularly with senior management as a key consultant on critical business issues</li><li>Identifies and manages resolution of major or complex project issues in order to meet goals of the project and maintain timeline and budget for the project</li><li>Implements, establishes, and maintains key strategic metrics that ensure project effectiveness</li><li>Maintains transparent and efficient resource planning and allocation process for ongoing projects within the assigned area of responsibility; Ensures all on-going project strategies are in compliance with SCE standards, as well as political and regulatory requirements when applicable</li><li>Develops resource and financial requirements from the project plan; Analyzes and determines regulatory impacts and requirements of the project</li><li>Analyses project portfolio performance and financial reporting, continuously improving reporting using multiple tools and key performance metric tracking; Facilitates the internal information exchange for key stakeholders by providing project status reports</li><li>Identifies project performance issues, analyzes and addresses them in a timely manner</li><li>A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.</li></ul><h4>Minimum Qualifications</h4><ul><li>Ten or more years of experience in project management.</li></ul><p>Preferred Qualifications<br></p><ul><li>Bachelor’s degree or higher in business, finance, engineering, management, or related field</li><li>Experience related to utility programs, transportation electrification, building electrification, energy efficiency, demand response, or equity.</li><li>Experience with energy policy, including familiarity with regulatory frameworks, compliance requirements and filing development (e.g., Advice Letter Development).</li><li>Prior role in internal strategy, management consulting, or a related field.</li><li>Experience managing cross-functional, multi-stakeholder projects.</li><li>Experience in strategic planning, market research, or related functions.</li><li>Excellent in both oral and written communication, including top-notch presentation abilities for leadership interactions.</li></ul><p>Additional Information<br></p><ul><li>This position’s work mode is&nbsp;hybrid.&nbsp;The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days.  Unless otherwise noted, employees are required to work and&nbsp;reside in the state of California.  Further details of this work mode will be discussed at the interview stage.&nbsp;The work mode can be changed based on business needs.</li><li>Visit our&nbsp;Candidate Resource&nbsp;page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.&nbsp;</li></ul><p>About Southern California Edison<br></p><p>The people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.</p><p>At SCE, we celebrate our differences. We are a proud Equal Opportunity Employer and will not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected status.</p><p>We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.</p>

Southern California Edison

Customer Programs Senior Project Manager

<p>Salary Range:&nbsp;&nbsp;$102,183.00&nbsp;(Min.) -&nbsp;$132,838.00&nbsp;(Mid.) -&nbsp;$163,492.00&nbsp;(Max.)</p><p>Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.<br><br>Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.<br></p><h4>Job Summary</h4><p>The Care Management Initiatives Program Manager II is responsible for leading and managing a portfolio of strategic Care Management (CM) programs that are generally complex and large in scope. In this capacity, this position works collaboratively with leadership, management, cross-functional teams, regulatory body representatives, and other stakeholders as appropriate. A key function of this position is to serve as the primary point of contact between Care Management leadership and other program teams, engaging all stakeholders and communicating relevant updates.</p><p>This position is accountable for working with and facilitating processes to accomplish complex program objectives, managing change, planning, organizing, directing and supervising program activities to achieve strategic goals and the Care Management vision. This position closely collaborates with business owners, vendors, regulatory body representatives, and other organizational staff to understand the business needs for each project and make decisions based on what is best for the department and organization.</p><p>This position supports the development and implementation of Care Management initiatives to comply with regulatory and accreditation requirements such as those stated in contracts, memorandums of understanding, CalAIM Policy Guides, National Committee on Quality Assurance (NCQA) PHM, Department of Health Care Services (DHCS) All Plan Letters (APLs), and Centers for Medicare and Medicaid Services (CMS) Model of Care (MOC).</p><p>This position is a role model for integrity and establishes and maintains effective professional work relationships, working collaboratively with all levels of management and business owners to help guide the discipline of planning, organizing, securing, managing, leading, and controlling resources to achieve specific goals. This position oversees and administers all facets of the day-to-day operations of the various programs and activities related to the position.</p><h4>Duties</h4><p>Critical Thinking &amp; Problem-Solving: Formulate and propose recommended solutions/options to address moderately complex operational and programmatic challenges in care management, with moderate guidance from the Care Management leadership team. &nbsp;&nbsp;</p><p>Accountability: Assume ownership under direction of the department Director or Senior Director, for successful development, planning, and execution of projects, from initial concept to implementation stage, with moderate guidance and supervision from the Care Management leadership team.</p><p>Relationship Building: Maintain strong positive working relationships with internal L.A. Care Management staff in order to facilitate mutual collaboration in strategic and operational efforts to improve quality of care and effectiveness of programs and initiatives with moderate guidance and supervision from director.</p><p>Program Development: Independently lead the design, development, and enhancement of program solutions to address Care Management operational challenges that require collaboration with multiple external stakeholder and senior management leaders. Expected to serve as a strategic thought partner with the Director, Senior Director, and senior management/leadership team members to advise on strategic programmatic options and for meeting regulatory and accreditation compliance. In addition, this position may ensure executive summaries of new policies and regulatory requirements contrasted against &nbsp;program compliance are submitted to leadership for review and approval in a timely manner. &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<br>Perform other duties as assigned.</p><h4>Duties Continued</h4><h4>Education Required</h4>Bachelor's Degree in Public Health or Related FieldIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Master's Degree in Public Health or Related Field<h4>Experience</h4><p>Required:</p><p>At least 5 years of work experience in health care or a related field, doing policy and/or program implementation work.</p><p>Experience building relationships with organizations and business partners.</p><p>At least 1 year of experience in leading program/project teams.</p><p>Preferred:</p><p>Managed care experience.</p><h4>Skills</h4><p>Required:<br>Demonstrated critical thinking, problem solving, and program planning and implementation skills.</p><p>Demonstrated strong writing and communication skills.</p><p>Demonstrated ability to synthesize and analyze qualitative and/or quantitative data.</p><p>Knowledge of health care operations or health care systems.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Project Management Professional (PMP)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.</p><p>L.A. Care offers&nbsp;a wide range of benefits including</p><ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Public Health, Medicaid, Medicare, Healthcare                                                    </p>

L.A. Care Health Plan

Care Management Initiatives Program Manager II

<p>Salary Range:&nbsp;&nbsp;$50,216.00&nbsp;(Min.) -&nbsp;$62,770.00&nbsp;(Mid.) -&nbsp;$75,324.00&nbsp;(Max.)</p><p>Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.<br><br>Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.<br></p><h4>Job Summary</h4><p>The Care Management Coordinator II is responsible for outreach to members/caregivers, providers, Community Based Organizations (CBO), and others to help enroll our highest need members into the Care Management (CM), and Disease Management (DM) programs. The position is responsible to assess member’s strengths, challenges, needs, and barriers to care through conducting telephonic Health Risk Assessment (HRA). The position works with the member/caregiver, Care Management Specialist, Community Health Worker, and the Interdisciplinary Care Team (ICT) to support the development and implementation of the care plan and address unmet needs. </p><p>This position coordinates the flow of information between the CM team and the member/caregiver, provider, medical group, and other members of the ICT. The position supports the coordination of member care as instructed by the Care Management Specialist and outlined in the care plan including the reinforcement of health education and disease management information; coordinating benefits such as transportation and DME; and linking member to community resources to address the Social Determinants of Health (SDoH) of the member. The position is responsible to ensure the CM team meets the contractual and regulatory requirements and timelines by maintaining accurate documentation and following up with the member and provider as needed.</p><p>In addition, this position is assigned projects to support the department in meeting its regulatory and contractual requirements, such as running reports, data validation, quality checks and other projects. The position assists with the communication and coordination between programs and maintains confidentiality when communicating member information.</p><h4>Duties</h4><p><br>Responsible for the time sensitive processes for initiating cases, managing referrals to the department, appropriate documentation, routing of information, performing computer data input, faxing, emailing, filing of confidential member information, and maintaining logs of activity, etc. (40%)&nbsp;</p><p>Engages members to participate in the CM/Disease Management programs by reaching out and promoting the programs to address member’s unmet needs. (10%)</p><p>Completes telephonic calls to conduct the HRA with high risk members participating in the CM program. Assists the care team with developing and assessing health interventions. (10%)</p><p>Conducts telephonic outreach calls to members/caregivers regularly and evaluates and documents their progress towards their healthcare goals. Consults and collaborates with the Care Management Specialist to set up provider/specialist appointments and follow up on treatment plans. (10%)</p><p>Handles the incoming and outgoing calls to members/caregivers and providers to coordinate care as identified in the care plan. (10%)</p><p>Initiates follow up calls to members to administer screenings or confirm linkage to appropriate resources. Provides general information to members and providers about the CM and DM programs. &nbsp;(10%)</p><p>Performs other duties as assigned. (10%)</p><h4>Duties Continued</h4><h4>Education Required</h4>High School Diploma/or High School Equivalency Certificate<h4>Education Preferred</h4>Associate's Degree<h4>Experience</h4><p>Required:<br>At least &nbsp;6 months of &nbsp;experience in an administrative and customer service role in a health care/health services setting .&nbsp;</p><p>Preferred: &nbsp;<br>1 year of Medical Assistant experience. &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<br>6 months of experience processing authorizations at a managed care/health plan setting.&nbsp;</p><h4>Skills</h4><p>Required:<br>Knowledge of medical terminology</p><p>Strong verbal and written communication skills</p><p>Proficiency in Microsoft Office with a high level of accuracy</p><p>Excellent organizational, and time management skills</p><p>Detail-oriented and a team player</p><p>Excellent customer service skills with compassion and empathy</p><p>Ability to demonstrate sensitivity and respect for the opinions, perspectives, customs, and individual differences of others.&nbsp;</p><p>Ability to value diversity of people and ideas, as well as interact &nbsp;with people from a wide range of backgrounds. &nbsp;</p><p>Ability to be &nbsp;flexible, open-minded, listen to and consider others’ viewpoints.&nbsp;</p><p>Ability to work well and develop effective relationships with diverse personalities.</p><p>Preferred:<br>Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Certified Medical Assistant (CMA)<h4>Required Training</h4><p>Preferred:<br>Motivation Interviewing&nbsp;</p><p>Trauma Informed Care</p><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.</p><p>L.A. Care offers&nbsp;a wide range of benefits including</p><ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Medical Assistant, Public Health, Healthcare                                                    </p>

Care Management Coordinator II

<p>Salary Range:&nbsp;&nbsp;$55,245.00&nbsp;(Min.) -&nbsp;$69,045.00&nbsp;(Mid.) -&nbsp;$82,867.00&nbsp;(Max.)</p><p>Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.<br><br>Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.<br></p><h4>Job Summary</h4><p>The Care Management Community Health Worker II (CHW) is part of the care management team and is responsible for promoting members’ optimal health and well-being through active engagement and helping them navigate and access health services. The CHW supports providers and the care management team through an integrated approach to care management and community outreach. Through 1:1 in-home visits as well as group education and support, the CHW helps identify members’ barriers to care and their preferences, provides education and mentoring, connects them to resources, and advocates for the individual. &nbsp;</p><h4>Duties</h4><p>Cultural Mediation Among Individuals, Communities, and Health and Social Service Systems: Educating individuals and communities about how to use health and social service systems (including understanding how systems operate).&nbsp; Educating systems about community perspectives and cultural norms. Building health literacy and cross-cultural communication. (10%)</p><p>Providing Culturally Appropriate Health Education and Information: Conducting health promotion and disease prevention education in a manner that matches linguistic and cultural needs of members. Providing necessary information to understand and prevent diseases and to help members manage health conditions (including chronic disease). (10%)</p><p>Care Coordination, Case Management, and System Navigation: Participating in care coordination and case management. Making referrals and providing follow-up. Coordinating transportation to services and helping address barriers to services. Documenting and tracking individual and population level data. Informing people and systems about community assets and challenges. (20%)</p><p>Providing Coaching and Social Support: Providing individual support and coaching. Motivating and encouraging people to obtain care and other services. Supporting self-management of disease prevention and management of health conditions (including chronic disease). Planning and/or leading support and health education groups. (10%)</p><p>Advocating for Individuals and Communities: Advocating for the needs and perspectives of communities. Connecting to resources and advocating for basic needs (e.g. food and housing). Conducting policy advocacy for their communities. (20%)</p><p>Building Individual and Community Capacity: Building individual capacity. Building community capacity. Training and building individual capacity with peers and among CHW groups. (5%)</p><h4>Implementing Individual and Community Assessments: Participating in design, implementation, and interpretation of individual-level assessments (e.g. Health Risk Assessments, medication reviews, home environmental and safety assessment). Participating in design, implementation, and interpretation of community-level assessments (e.g. windshield survey of community assets and challenges, community asset mapping). (20%)</h4><h4>Duties Continued</h4><h4>Conducting Outreach: Case-finding/recruitment of individuals, families, and community groups to services and systems. Follow up on health and social service encounters with individuals, families, and community groups. Home visiting to provide education, assessment, and social support. Presenting at local agencies and community events. (5%)</h4><h4>Attending regular staff meetings, on-site monthly trainings and other meetings as requested.&nbsp; Managing assigned caseload.</h4><h4>Perform other duties as assigned.</h4><h4>Education Required</h4>High School Diploma/or High School Equivalency Certificate<h4>Education Preferred</h4><h4>Experience</h4><p>Required:</p><p>At least 1 year of experience as a health navigator, peer support worker, outreach work, or promotora or working in a community setting and providing health education for chronic conditions, or equivalent.</p><h4>Skills</h4><p>Required:</p><p>Knowledge of community resources in area of residence.</p><p>Comfortable working with diverse populations.</p><p>Exceptional ability to connect and engage with people.</p><p>Ability to work in various environments including 1:1 in member’s homes, clinical settings, and/ or shelters.</p><p>Excellent verbal and written communication skills.</p><p>Detail oriented, organized and possess time management skills.</p><p>Basic computer skills.</p><p>Preferred:<br>Motivational interviewing is desirable.</p><p>"Bilingual in one of LA Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese ".</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Mental Health First Aide Certification<h4>Required Training</h4><p>Preferred:<br>Successful completion of a Community Health Worker formal training program from a college or other education institution.</p><p><br>Training in health education for chronic diseases, motivational interviewing is desirable.</p><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p><br>Required:<br>Travel to offsite locations for work.</p><p>Able to work flexible job hours.</p><p>Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.</p><p>L.A. Care offers&nbsp;a wide range of benefits including</p><ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Public Health, Counseling, Medical, Healthcare                                                    </p>

Care Management Community Health Worker II

<p>At Cast &amp; Crew, we’ve empowered creativity and supported the global entertainment industry for decades. Together with our family of brands - Backstage, CAPS, Checks &amp; Balances, Final Draft, Media Services, Sargent-Disc, and The TEAM Companies – we operate as a combined entertainment technology and services provider offering industry standard screenwriting accounting software, digital payroll products, data &amp; reporting, and a host of creative tools.&nbsp; The industry continues to move faster than ever, and the need for our expertise, our technology, and our people has never been greater. &nbsp;We are a production’s best ally every step of the way. <strong>#OneCastOneCrew</strong></p><p><strong>About Cast &amp; Crew</strong>&nbsp;<br>We grew from a modest small business in 1976 to be the premiere provider of entertainment technology and solutions, staying true to our mission of modernizing content production and leading the digital transformation within the industry. Our cloud-based solutions and industry expertise help streamline the entire production lifecycle and have revolutionized how content is made. We now have a global workforce across a host of storied brands, spanning all areas of produced and live entertainment, from film, television, streaming, to advertising, live events, and short-form.&nbsp;</p><p><strong>Accounts Payable Coordinator</strong></p><p>Regular Full-Time&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</p><p><strong>Position Overview</strong></p><p>The Accounts Payable Coordinator is responsible for processing and managing accounts payable transactions. This position ensures accurate and timely payment of invoices and ensuring transactions are complete, which includes working with vendors and various departments.</p><p><strong>Core Responsibilities</strong></p><ul><li>Process and review incoming invoices, ensuring accuracy and compliance with company policies and procedures.</li><li>Verify invoice details, including vendor information, payment terms, and itemized charges.</li><li>Code and record invoices into the accounting system, matching them to appropriate purchase orders or receipts as necessary.</li><li>Prepare and perform weekly or bi-weekly payment runs, including check, ACH, and wire payments, ensuring timely disbursement to vendors.</li><li>Reconcile vendor statements, resolving discrepancies and outstanding payments promptly.</li><li>Handle employee expense reports, reviewing receipts, and processing reimbursement requests.</li><li>Assist in resolving invoice-related inquiries from vendors and internal stakeholders.</li><li>Maintain accurate and up-to-date vendor records in the accounting system.</li><li>Collaborate with purchasing and receiving departments to resolve any discrepancies or issues related to invoices.</li><li>Ensure compliance with company policies and applicable accounting regulations.</li><li>Support the month-end closing process by reconciling accounts payable ledgers and preparing accruals.</li><li>Assist with the preparation of financial reports related to accounts payable as needed.</li><li>Participate in process improvement initiatives to enhance efficiency and accuracy in accounts payable procedures.</li><li>Other duties as assigned.</li></ul><p><strong>Key Qualifications</strong></p><ul><li>High school diploma or equivalent; associate's or bachelor's degree in finance or accounting preferred.</li><li>1-3 years in accounts payable or a related financial role.</li><li>Familiarity with accounting software and ERP systems (e.g., SAP, Oracle, QuickBooks).</li><li>Proficiency in Microsoft Excel and other Office applications.</li><li>Strong attention to detail and accuracy in data entry and financial record-keeping.</li><li>Ability to prioritize and manage multiple tasks while meeting deadlines.</li><li>Excellent communication skills to interact with vendors and internal stakeholders.</li><li>Understanding of basic accounting principles and accounts payable processes.</li><li>Knowledge of applicable tax regulations and compliance.</li><li>Problem-solving skills to address invoice discrepancies and resolve payment issues.</li><li>Ability to work independently and collaboratively as part of a team.</li><li>Strong organizational skills with a focus on maintaining orderly filing systems and documentation.</li><li>Discretion and confidentiality when handling sensitive financial information.</li></ul><p><strong>Special Work Conditions</strong>&nbsp;&nbsp;&nbsp;&nbsp;</p><p>Sedentary – Involves sitting most of the time but may involve walking or standing for brief periods of time. Some positions may entail exerting up to 15 lbs. of force occasionally and/or a negligible amount of force to lift, carry, push, or pull.</p>Compensation is commensurate with various factors including, but not limited to, relevant experience, qualifications, skills, training, licensure, certifications, geographic cost of labor, and other business and organizational needs. Compensation range for candidates in other locations may differ based on the cost of labor in that location.The compensation range for this position is:$24—$25 USD<p><strong>Benefits&nbsp;</strong></p><p>Cast &amp; Crew provides a comprehensive package of employee benefits including: Medical, Dental, Vision, PTO, health and wellness programs, employee discounts, and more! Note: Cast &amp; Crew benefits are subject to eligibility requirements.&nbsp;</p><p>Due to the high volume of applicants, it is likely that only shortlisted candidates will be contacted. &nbsp;<br><br>CA residents: Your personal information may be collected in connection with certain services provided by Cast &amp; Crew or its affiliated companies.&nbsp; A summary of your California privacy rights can be found at: <a href="https://www.castandcrew.com/privacy-policy/" target="_blank">https://www.castandcrew.com/privacy-policy/</a> &nbsp;</p><p>Cast &amp; Crew is an equal opportunity employer committed to hiring a diverse workforce and sustaining an inclusive culture. It is our policy to provide equal employment opportunities to all individuals based on job-related qualifications and ability to perform a job, without regard to age, gender, gender identity, sexual orientation, race, color, religion, creed, national origin, disability, genetic information, veteran status, citizenship or marital status, and to maintain a non-discriminatory environment free from intimidation, harassment or bias based upon these grounds.</p>

Cast & Crew

AP Contributions Coordinator

<p>Join the Clean Energy Revolution</p><p>Become&nbsp;a&nbsp;PMO Senior Project Manager&nbsp;at Southern California Edison (SCE) and build a better tomorrow.&nbsp;In this role, you will collaborate with the Senior Manager of the Project Management Office (PMO) to prioritize, plan, and implement a portfolio of projects, ensuring that project management disciplines are applied effectively. You will lead a large portfolio of construction and physical security projects aimed at mitigating risks related to SCE's physical security concerns, providing hands-on project management, resource coordination, budget management, and vendor oversight. Your responsibilities will also include evaluating and approving technical submittals and design standards, guiding the implementation of evolving security technology standards, and interacting with all levels of management as a key consultant.</p><p>A day in the life will involve leading a portfolio of complex projects with significant financial and regulatory risks, independently coordinating cross-functional teams and contractors, and establishing portfolio metrics and reporting. You will document project requirements and budgetary needs, alert the PMO manager and Corporate Security management of potential risks, and lead the development of standards and process and procedures.&nbsp;Communication and collaboration with internal and external resources will be essential, as all SCE employees promote safety and adhere to SCE safety standards.</p><p>As a&nbsp;PMO Senior Project Manager, your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future?</p><h4>Responsibilities</h4><ul><li>Manages activities of one or more large, mid to long-term projects with responsibility for results in terms of costs, methods and outcomes</li><li>Develops business plans, objectives and initiatives for the organization</li><li>Provides inputs to organizational objectives and policies and ensures delivery of results</li><li>Engages regularly with senior management as a key consultant on critical business issues</li><li>Identifies and manages resolution of major or complex project issues in order to meet goals of the project and maintain timeline and budget for the project</li><li>Implements, establishes, and maintains key strategic metrics that ensure project effectiveness</li><li>Maintains transparent and efficient resource planning and allocation process for ongoing projects within the assigned area of responsibility; Ensures all on-going project strategies are in compliance with SCE standards, as well as political and regulatory requirements when applicable</li><li>Develops resource and financial requirements from the project plan; Analyzes and determines regulatory impacts and requirements of the project</li><li>Analyses project portfolio performance and financial reporting, continuously improving reporting using multiple tools and key performance metric tracking; Facilitates the internal information exchange for key stakeholders by providing project status reports</li><li>Identifies project performance issues, analyzes and addresses them in a timely manner; Participates in the analysis of the project portfolio performance and financial reporting, continuously improving reporting using multiple tools and key performance metric tracking</li><li>A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.</li></ul><h4>Minimum Qualifications</h4><ul><li>Ten or more years of experience in project management.</li></ul><p>Preferred Qualifications</p><ul><li>Masters’ degree or higher in Business, Engineering or related field.</li><li>Five years of experience developing large-scale capital operating plans and financial forecasting models.</li><li>Project Management Professional (PMP) Certification or Professional Engineering (PE) certification.</li><li>Five years of experience leading/managing, conceptualizing, executing and implementing small and large-scale construction projects and complex project portfolios with an element of technology including scope, schedule and budget responsibilities.</li><li>Two or more years of leadership/supervisory experience.</li><li>Experience interfacing and collaborating with executive and senior management, peers, regulatory agencies, and external clients to develop solutions.</li><li>Possess excellent, engaging, and persuasive communication, and presentation skills (oral &amp; written); both 1:1 and large audiences.</li></ul><p>Additional Information</p><ul><li>This position’s work mode is hybrid. The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days. Unless otherwise noted, employees are required to work and reside in the state of California. Further details of this work mode will be discussed at the interview stage. The work mode can be changed based on business needs.</li><li>Visit our Candidate Resource page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.</li><li>The primary work location for this position is Rosemead, CA.</li><li>Position will require up to 30% traveling and being out in the field throughout the SCE service territory.</li><li>This position has been identified as a NERC/CIP impacted position - Prior to being hired, the successful candidate must pass a Personnel Risk Assessment (PRA) or Background Investigation. Once hired, the candidate must complete specified training prior to gaining un-escorted access to assigned work location and performing necessary job duties.</li><li>Relocation may apply to this position.</li></ul><p>About Southern California Edison</p><p>The people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.</p><p>At SCE, we celebrate our differences. We are a proud Equal Opportunity Employer and will not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected status.</p><p>We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.</p>

PMO Senior Project Manager

<p>Join the Clean Energy Revolution</p><p>Become&nbsp;a&nbsp;[[Senior Advisor Contractor Management]]&nbsp;at Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll&nbsp;join the Environmental Management System team responsible for building, implementing, communicating, and maintaining SCE’s environmental management system (EMS). You will work with environmental program managers and operational partners across the enterprise to build, implement and run an International Organization for Standardization (ISO) 14001 aligned EMS. You’ll lead cross-functional teams to ensure the effective integration of environmental expectations into contracts company-wide. You will interact regularly with SCE senior management and executives to provide contractor environmental performance metrics, innovative strategies, and recommendations for ensuring environmental compliance integration into contracts and helping to create a culture of continuous improvement. You will partner with the Contractor Management Office and Procurement teams to ensure environmental expectations are embedded and met throughout the entire lifecycle of a contract.. As a&nbsp;[[Senior Advisor Contractor Management]], your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future?</p><h4>Responsibilities</h4><ul><li>Leads the strategic direction of monthly Contractor performance reviews Company wide, including meeting with OU leads/SMEs to assist in the design and implementation of CPM tools (Scorecards, Triggers &amp; Controls, etc.) across the enterprise</li><li>Develops and implements new strategies, polices and programs related to CPM on an enterprise level</li><li>Serves as the SME on all aspects of CPM strategies, polices and programs</li><li>Provides coaching and mentoring to SCE's Authorized Edison Representatives (AER) in the elements of CPM across the enterprise</li><li>Leads, supports and works with Corporate entities on new or enhanced strategies, policies and procedures as they relate to SCE's Contractors </li><li>Leads the strategic development of performance metrics reports on CPM and compliance across the enterprise</li><li>Develops Corporate Tier 1 Metrics for use by SCE in ascertaining Company performance regarding CPM activities</li><li>Develops Executive Presentations on CPM activities and present at various Executive forums (ORF, OPCO SOC, etc.)</li><li>A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.</li></ul><h4>Minimum Qualifications</h4><ul><li>Ten or more years of experience providing oversight and governance of Contractor Performance Management (CPM) strategies, policies, procedures, and continuous improvement initiatives.</li><li>Experience in contract management.</li></ul><p>Preferred Qualifications</p><ul><li>Bachelor’s or higher Degree</li><li>Certified Professional of Contract Management</li><li>Experience in environemental, health, or safety contract management.&nbsp;</li><li>ISO 14001 Certification </li><li>PMP Certification</li><li>Lean Six Sigma</li><li>Proven ability to rapidly learn and assimilate complex and technical information in unfamiliar situations and be able to effectively communicate it in a non-technical manner</li><li>Strong analytical thinking, problem solving, and decision-making skills</li><li>Ability to analyze complex regulatory and business problems and create innovative solutions</li></ul><p>Additional Information</p><ul><li>This position’s work mode is&nbsp;hybrid.&nbsp;The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days.  Unless otherwise noted, employees are required to work and&nbsp;reside in the state of California.  Further details of this work mode will be discussed at the interview stage.&nbsp;The work mode can be changed based on business needs.</li><li>Visit our&nbsp;Candidate Resource&nbsp;page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li></ul><ul><li>Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.&nbsp;</li></ul><ul><li>Relocation does not apply to this position.</li></ul><p>About Southern California Edison</p><p>The people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.</p><p>At SCE, we celebrate our differences. We are a proud Equal Opportunity Employer and will not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected status.</p><p>We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.</p>

Senior Advisor Contractor Management

<p>Salary Range:&nbsp;&nbsp;$117,509.00&nbsp;(Min.) -&nbsp;$152,762.00&nbsp;(Mid.) -&nbsp;$188,015.00&nbsp;(Max.)</p><p>Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.<br><br>Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.<br></p><h4>Job Summary</h4><p><br>The Manager of Medical Management is responsible for the overall day-to-day operations of the staff and activities requiring clinical licensure in the Utilization Management (UM) department. This position will work closely leaders to develop and organize the department’s work priorities and deliverables. This position will manage clinical personnel to orchestrate and oversee the completion of tasks requiring clinical determinations. This position will also be responsible for internal and external reporting, and managing the monthly data needed to ensure department metrics are met or exceeded, including but not limited to, productivity, and satisfaction of internal and external customers.</p><p>The Manager of Medical Management will also work closely with other LA Care Leaders to ensure that work is being completed accurately and timely. This position will collaborate with interfacing departments to ensure that consistent application of clinical criteria, quality of work, and productivity is maximized. This position will also lead team meetings, develop the UM clinical staff, represent the UM Clinical unit at meetings when applicable, and escalate issues as appropriate. This position manages all aspects of running an efficient&nbsp; team, including hiring, supervising, coaching, training,&nbsp; disciplining, and motivating direct-reports.</p><h4>Duties</h4><p>Oversees and monitors operational compliance with organizational standards, policies and procedures and regulatory requirements. Develops and implements approved departmental policies and procedures/workflows. Implements and monitors departmental performance standards.&nbsp; Performs ongoing monitoring and evaluation of departmental operations to assure optimal efficiency and effectiveness.</p><p>Collaborates with department leadership to establish operational objectives for the business unit.</p><p>Works with members of cross-functional teams to glean and provide information pertinent to operational goals and acts as an expert resource.</p><p>Manage staff , including, but not limited to: monitoring of day to day activities of staff, monitoring of staff performance, mentoring, training, and cross-training of staff, handling of questions or issues, etc. raised by staff, encourage staff to provide recommendations for relevant process and systems enhancements, among others.</p><p>Ensures timely and accurate submission of reports/documents to organizational leaders and regulatory agencies.</p><p>Assures appropriate department interface with key internal and external stakeholders.</p><p>Participates in the development of and is responsible for the implementation of operational business plans and departmental objectives to support organization strategies.</p><p>Contributes to departmental statistical, quality and performance reports.</p><p>Develops and maintains effective communication mechanisms at various levels of the organization and with external organizations.</p><p>Provides input for the departmental budgets.</p><p>Leads various committees and workgroups.</p><p>Assures the maintenance of positive relationships with other departments, PPGs, other Local Initiatives and Community Based Organizations.</p><p>Implements, with approval, programs that improve the provision of services to members.</p><p>Manages content for PPG trainings/JOMS. Responsible for oversight and adequate performance of direct line of business PPG delegated activities. Work with department leadership for enhancements as necessary. Develops and sustains active communications with PPGs.</p><p>Provide administrative oversight of the L.A Care After Hours programs.</p><p>Actively participates in regulatory audits.</p><p>Performs other duties as assigned.&nbsp;&nbsp;</p><h4>Duties Continued</h4><h4>Education Required</h4>Bachelor's Degree in NursingIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4><h4>Experience</h4><p><br>Required:</p><p>At least 6 years of clinical nursing experience.</p><p>At least 4 years of leading staff or supervisory/management experience.</p><p>Minimum of 3 years of relevant health plan experience.</p><p>Equivalency:&nbsp; Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.</p><p>Preferred:</p><p>Experience with Medi-Cal, under-served and culturally diverse populations. </p><p>Experience with state Medi-Cal regulations.</p><p>Audit/oversight experience.</p><h4>Skills</h4><p><br>Required:<br>Excellent verbal and written communication skills.</p><p>Strong problem solving, planning, and organizational skills.</p><p>Ability to maintain confidentiality in compliance with all Health Insurance Portability and Accountability Act (HIPAA) requirements.</p><h4>Licenses/Certifications Required</h4>Registered Nurse (RN) - Active, current and unrestricted California License<h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><p><br><strong>Required:</strong><br>Registered Nurse (RN)</p><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.</p><p>L.A. Care offers&nbsp;a wide range of benefits including</p><ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Nursing, Registered Nurse, Medical, Healthcare                                                    </p>

Manager, Medical Management

<p>Salary Range:&nbsp;&nbsp;$102,183.00&nbsp;(Min.) -&nbsp;$132,838.00&nbsp;(Mid.) -&nbsp;$163,492.00&nbsp;(Max.)</p><p>Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.<br><br>Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.<br></p><h4>Job Summary</h4><p>The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care Management (CM) staff’s responsibilities and activities. This includes, but not limited to, ensuring proper staffing and coverage; monitoring and evaluating departmental operations to ensure optimal efficiency, productivity, and effectiveness; documenting and appropriately addressing excellence or deviations in work, departmental, and organizational expectations; and conducting intermittent and annual performance evaluations. This role assists in triaging identified issues/problems and forming resolution within the scope of work/licensure. The Supervisor is a subject matter expert (SME) in Care/Case/Utilization Management and supporting regulations, policies, protocols, and procedures. This position serves as a formal and informal instructor, and escalates issues/concerns to the appropriate person when outside of their scope.</p><p>This position is responsible in assisting with and development and maintenance of a successful and cohesive unit, with high level of productivity and accuracy to achieve the department's overall performance metrics. The Supervisor ensures all functions of the UM department are operating in accordance with the organization's mission, values and strategic goals, which are focused on quality care delivery and continuous improvement; and are provided in a manner that is responsive and sensitive to the needs of L.A. Care's culturally diverse membership.</p><p>The position supports the UM Manager/Director. This role also assists UM Educator/Manager/Director in identification of training needs including, but not limited to, collaborating in development of programs, training materials, competency checklist, and orientation checklists necessary to meet education and training needs of UM staff.&nbsp; The position supervises all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports.</p><h4>Duties</h4><p>Ensures adequate/appropriate distributions of workforce, assignments and time off requests. &nbsp;Participates in the hiring and termination process providing recommendations with appropriate supporting documentation.</p><p>Monitors of staff's performance including productivity and compliance with regulatory requirements, compliance with policies. &nbsp;Identifies, communicates and coaches to improve staff performance. &nbsp;Develops tools, job aids, and workflows to optimize the process flow, performance and productivity of the UM team. &nbsp;Completes intermittent and annual staff evaluations.</p><p>Serves as the primary resource for all business-related questions/issues raised by staff; escalates to appropriate leader/team when necessary.</p><p>Recommends and implements process improvement measures to achieve department's performance measures outcomes and goals.</p><p>Plans and oversees UM activities according to model of care, program description and policy and procedures to provide timely, quality care and services to members.</p><p>Maintains all assigned reporting responsibilities, conducts regular audits to ensure compliance with community, industry and organizational standards including regulatory requirements. Serves as a super-user on electronic programs and systems used by the department.</p><p>Assists in the development of programs, workflows, tools, training materials, orientation checklists, and competency checklist necessary to meet educational needs. &nbsp;Trains new staff, remediation of seasoned staff and cross training as needed in specified business lines. &nbsp;<br><br>Serves as a leader and role model as well as technical and informational resource for staff and peers.</p><h4>Duties Continued</h4><p>Fosters a culture that encourages employee contribution to ensure that the department maintains an environment in which quality flourishes.</p><p>Services as member/resource/liaison to the Interdisciplinary Care Team. &nbsp;</p><p>Recommends resources to improve performance standards in terms of Utilization Management. &nbsp;Collaborates with peers and colleagues within the organization to address process improvements, member's needs, department and organizational enhancements and communicate development as appropriate.</p><p>Participates on internal and external committees as delegated or assigned.</p><p>Serves as a consultant to other departments or organizations as needed.</p><p>Responsible for the daily workflow and leading the work of assigned staff.&nbsp; This role will mentor, coach, act as a resource and provide feedback on performance of assigned staff.</p><p>Performs other duties as assigned.</p><h4>Education Required</h4>Associate's Degree in Nursing<h4>Education Preferred</h4>Bachelor's Degree in Nursing<h4>Experience</h4><p>Required:<br>Minimum of 7 years of acute/clinical care experience.<br></p><p>Minimum of 2 years of experience in Case/Care/Utilization Management in an acute care or health plan setting. </p><p>Minimum of 3 years leading process, program, or staff or supervisory experience.</p><p>Equivalency:&nbsp; Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.</p><h4>Skills</h4><p>Required:<br>Knowledge of state, federal and regulatory requirements in Care/Case/Utilization Management.</p><p>Strong verbal and written communication skills.</p><p>Computer literacy with proficiency with Microsoft Word, Excel, etc. and ability to learn core departmental computer systems and software.</p><p>Excellent organizational, time management, and interpersonal skills.</p><p>Must be detailed-oriented, energetic, and an enthusiastic team player.</p><p>Must be able to work independently.</p><h4>Licenses/Certifications Required</h4>Registered Nurse (RN) - Active, current and unrestricted California License<h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.</p><p>L.A. Care offers&nbsp;a wide range of benefits including</p><ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Nursing, Registered Nurse, Healthcare                                                    </p>

Supervisor, Utilization Management RN

<p>Salary Range:&nbsp;&nbsp;$135,136.00&nbsp;(Min.) -&nbsp;$175,676.00&nbsp;(Mid.) -&nbsp;$216,218.00&nbsp;(Max.)</p><p>Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.<br><br>Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.<br></p><h4>Job Summary</h4><p><br>The Director, Care Management &nbsp;will mainly be responsible for the operational component of the Care Management (CM) Department with the main goal of improving key L.A. Care members healthy and access appropriate services. The Director will also work with the CM Medical Directors and key staff in designing, enhancing and implementing programs, plan strategically and report on regulatory requirements. &nbsp;&nbsp;</p><p>One of the key initiatives is to increase our community CM presence. The Director is also responsible for providing evidence of ongoing compliance with all regulatory and accreditation requirements (i.e. health risk assessments and interdisciplinary care plan and care team programs, population health management. The Director is also responsible for outreaching and working with key stakeholders and provide subject matter expertise in support of the oversight, outreach and training of our Plan Partner Health Plans and Delegated Provider Groups.</p><p>This position will direct all aspects of running an efficient &nbsp;team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports.</p><h4>Duties</h4><p>General Essential functions:&nbsp;<br>Collaborating with the Medical Director, responsible for the operations, programming and oversight of internal L.A. Care’s Care Management Department, collaborates with internal and external delegates and any operations associated with the Care Management department. &nbsp;Functions currently include all care management programs (Complex Care Management, Care Coordination and Disease Management). &nbsp;</p><p>Ensures the CM department performs the following: &nbsp;</p><p>All contracts [(i.e. Centers for Medicare and Medicaid Service (CMS), California Department of Health Care Services (DHCS)], California Department of Managed Health Care (DMHC) regulations, applicable state and federal regulations, National Committee on Quality Assurance (NCQA) CM Certification, Management Services Agreements &amp; Other Contracts. &nbsp;</p><p>Oversees and monitors operational compliance with organizational standards, policies and procedures and regulatory requirements. &nbsp;</p><p>Assures department meets all regulatory time frames on CM.</p><p>Develops and implements departmental policies and procedures. &nbsp;</p><p>Develops and maintains departmental statistical and performance reports. &nbsp;</p><p>Develops, implements and monitors performance standards.</p><p>Develops and maintains effective communication mechanisms at various levels of the organization and with external organizations.</p><p>Develop and maintain departmental budgets in line with organizational goals. &nbsp;Assure operational effectiveness to meet MCR targets and optimize health care resource utilization.&nbsp;</p><p>Assures appropriate staff support of Utilization Management and other relevant committees. &nbsp;</p><p>Supports the maintenance of positive relationships between L.A. Care and external groups.</p><p>Identifies and implements, with approval, programs that improve the provision of services to members. &nbsp;</p><p>Supports Clinical Assurance/Delegation Oversight in the measurement and analysis of delegated Participating Physician Group (PPG) functions.</p><h4>Duties Continued</h4><p>Internal Health Plan Operational Management:&nbsp;<br>Proactively identifies and implements operational modifications to enhance departmental performance. &nbsp;</p><p>Develops and implements operational business plans and departmental objectives to support organization strategies and tactics. &nbsp;</p><p>Interfaces with and collaborates with other service areas to assure optimal service delivery to members, compliance, and efficiency. Maintain compliance with all internal audits.</p><p>Human Resource Management:&nbsp;<br>Develops goals, objectives and actions plans for assigned staff which includes full management responsibility for the hiring, performance reviews, salary reviews and disciplinary matters for direct reporting employees.</p><p>Develops and maintains a culturally sensitive work environment that promotes staff growth and education.&nbsp;</p><p><br>Completes performance appraisals in accordance with established policies and based upon achievement of the L.A. Care mission, value, objectives and management expectations.&nbsp;</p><p>Assures staff have access to appropriate training and educational opportunities.</p><p>Oversees development of staff planning, including recruitment and retention.</p><p>Data System Development and Data Analysis:<br>Directs oversight and responsible for identifying and developing business needs for complex ongoing data projects and communicating with I.T. team on business needs.&nbsp;</p><p>Assesses and revises program goals and staff training based on data analysis and review.&nbsp;</p><p>Responsible for the Policies, Procedures, Budget and Program Documentation.</p><p>Develops and regularly reviews and maintains Care Management program documents to be in compliance with all regulatory and accreditation requirements and to be in line with current program activities. Prepares briefings, reports, consultation documents and presentations that clearly articulate L.A. Care's &nbsp;regulatory position and policy. &nbsp;Develop regulatory position and policy based on research and evidence.</p><p>Vendor Management and Oversight:<br>Oversees existing contracts invoice processing, budget maintenance and compliance with contract’s scope of work.</p><p>Assesses and evaluates contract extensions and development of new vendor contract partnerships in alliance with enterprise–wide and departmental goals, objectives and members’ needs to achieve quality healthcare services and improves members’ quality of life.</p><p>Performs other duties as assigned.</p><h4>Education Required</h4>Bachelor's Degree in Nursing<h4>Education Preferred</h4>Master's Degree in NursingIn lieu of degree, equivalent education and/or experience may be considered.<h4>Experience</h4><p>Required:</p><p>Minimum of 7 years of Care Management experience including progressively responsible leadership experience facilitating quality/process improvement, updating policies/procedures with the latest regulatory and accreditation standards.&nbsp; </p><p>At least 5 years of leading staff or supervisory/management experience</p><p>Minimum of 3 years of relevant Health Plan experience.</p><h4>Skills</h4><p><strong>Required:</strong><br>Excellent verbal, written and presentation skills.</p><p>Critical thinking skills.</p><p>Ability to efficiently and effectively assimilate information and communicate clearly and promptly to key stakeholders.</p><p>Ability to analyze and identify trends in reports to facilitate decision for enhancements to program.</p><p>Proven effective leadership skills.</p><p>Proficient with MS Office (Word, Excel, Outlook, PowerPoint, etc.)</p><p>Motivational interviewing skills.</p><p>Knowledge of compliance standards in the operational function.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Licensed Master of Social Worker (LMSW) - Active, current and unrestricted California LicenseRegistered Nurse (RN) - Active, current and unrestricted California License<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.</p><p>L.A. Care offers&nbsp;a wide range of benefits including</p><ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Nursing, Registered Nurse, Social Worker, Medicaid, Medicare, Healthcare, Service                                                    </p>

41 Project Management / Professional Services Jobs in Burbank, CA, USA