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<p><b>Salary Range:&nbsp;&nbsp;<b><b><b><b>$46,800.00</b></b></b></b>&nbsp;(Min.) -&nbsp;<b><b><b><b>$52,597.00</b></b></b></b>&nbsp;(Mid.) -&nbsp;<b><b><b><b>$62,270.00</b></b></b></b>&nbsp;(Max.)</b></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 Quality and Population Health Coordinator I (QPHC) is responsible for outreaching to members to close care gaps. The QPHC also outreaches to providers for medical record pursuit and retrieval.&nbsp; This position supports the L.A. Care medical groups by assisting with scheduling member appointments. While this role is a combination of remote and in office work, this role is intended to support L.A. Care medical groups by being embedded in the provider offices and providing direct outreach to L.A. Care members. The QPHC is an important member of L.A. Care’s quality improvement team, helping to drive improvement in health outcomes, population health, and health equity, as well as member and provider experience.</p><h4>Duties</h4><h4>Make outbound calls to members to assist with scheduling and coordinating services (e.g. appointments, lab tests, health screenings, other diagnostic studies, transportation, etc.). (25%)</h4><h4>Educate members on missing gaps in care. Encourage them to close care gaps and pursue preventative health and health promotion activities such as health fairs. (25%) </h4><h4>Outreach to providers to request medical reports by fax, electronic medical records, or on-site visits if needed. (15%) </h4><h4>Review medical records, claims, and encounter data to identify key information to help close gaps in care. (15%)</h4><h4>Provide support as needed for care gap closure campaigns and other quality improvement programs. (15%)</h4><p>Perform other duties as assigned. (5%)</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><b>Required:</b></p><p>At least 3 months of experience following basic workflows, procedures, and standards related to patient or provider communication and outreach.</p><p>Previous experience working in an office setting with basic office equipment such as telephones, fax machines, computers, etc.</p><p><b>Preferred:</b></p><p>Health Plan, provider practice, or health education experience. </p><h4>Skills</h4><p><b>Required:</b></p><p>Demonstrates deep compassion and sensitivity towards patient needs and community well-being. </p><p>Driven by strong motivation to positively impact people’s lives.</p><p>Excellent verbal and written communication skills.</p><p>Excellent interpersonal skills.</p><p>Proficient with Microsoft Word, Excel, PowerPoint, and Outlook.</p><p>Skills in utilizing various online platforms and search engines to efficiently gather accurate and relevant information. </p><p>Highly organized with ability to maintain accurate notes and records.</p><p>Demonstrates high efficiency in managing tasks and consistently delivering projects to successful and reliable completion. </p><p>Ability to communicate effectively with patients and health care providers. </p><p><b>Preferred:</b></p><p>Some knowledge of HEDIS and other quality measures.</p><p>Some knowledge of quality improvement processes.</p><p>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&nbsp;&nbsp; </p><h4>Licenses/Certifications Required</h4>Active &amp; Current Driver's License, with a clean record and Auto Insurance Required<h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p><b>Required:</b></p><p>Travel to offsite locations for work.</p><p><b>Salary Range Disclaimer:</b> 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>This position is a limited duration position. The term of this position is a minimum one year and maximum of two years from the start date unless terminated earlier by either party. Limited duration positions are full-time positions and are eligible to receive full benefits.</p><p><br><b>L.A. Care offers&nbsp;a wide range of benefits including</b></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>                    EMR, Equity, Claims, Medical, Healthcare, Insurance, Finance                                                    </p>

L.A. Care Health Plan

Quality and Population Health Coordinator I (ALD)

<p><b>About Us</b></p><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.&nbsp;#OneCastOneCrew</p>Position Overview<br><br>What if you could leverage your Payroll and Product experience to modernize and simplify one of the most complex and critical aspects of production operations in the entertainment industry? Our digital solutions—covering Payroll &amp; HR, Content &amp; Collaboration—are designed to fuel creativity and help entertainment projects run as efficiently as possible. That's why we're looking for a talented VP, Product - Payroll to join Cast &amp; Crew and lead the transformation of our payroll product suite, streamlining workflows and delivering scalable, compliant, and user-friendly digital experiences.<br><br>As the VP of Product, Payroll, you will be hands-on in your role, leading the strategy, development, and execution of next-generation digital payroll solutions that serve a diverse customer base across production teams, studios, and crew. <br><br>You will oversee:<br> - Payroll Product Modernization: Lead the evolution of digital payroll products with a focus on automation, accuracy, compliance, and usability.<br> - Workflow Optimization: Develop solutions that replace manual, paper-based processes with efficient, automated digital workflows.<br> - Platform and Integration Strategy: Ensure seamless integration with internal systems and third-party services to deliver end-to-end payroll processing capabilities.<br> - Cross-Functional Leadership: Partner with engineering, design, compliance, and operations to deliver products that meet the needs of an evolving and highly regulated industry.<p><b>Core Responsibilities</b></p><p><b>Strategic Leadership</b></p><ul><li>Develop and communicate a clear vision and roadmap for payroll products, aligned with company goals, industry standards, and customer needs.</li><li>Define and execute a comprehensive product strategy across the payroll lifecycle—from onboarding to processing, compliance, and reporting.</li><li>Ensure payroll products are scalable, secure, compliant, and intuitive, supporting multiple jurisdictions and union/guild requirements.</li></ul><p><b>Product Development and Management</b></p><ul><li>Translate complex business rules and regulatory requirements into intuitive digital product experiences.</li><li>Define product requirements, workflows, and success metrics for new features, automation tools, and payroll service enhancements.</li><li>Oversee the development and delivery of user-friendly tools for both internal users and external clients (e.g., production accountants, crew members).</li><li>Ensure end-to-end integration with timecards, onboarding, finance, and tax systems.</li></ul><p><b>Team Leadership and Collaboration</b></p><ul><li>Lead and mentor a team of Product Managers and cross-functional partners.</li><li>Collaborate with Engineering, Compliance, Operations, Design, and external stakeholders to ensure successful product execution.</li><li>Serve as the voice of the customer and advocate for usability and business value in every product decision.</li></ul><p><b>Analytics and Insights</b></p><ul><li>Leverage data to identify product opportunities, monitor performance, and inform iteration cycles.</li><li>Track KPIs such as payroll accuracy, processing time, and customer satisfaction to drive improvements.</li><li>Lead re-platforming initiatives to modernize legacy systems and streamline payroll workflows.</li></ul><p><b>Stakeholder Engagement</b></p><ul><li>Partner closely with Compliance, Legal, Finance, and Operations teams to align product features with regulatory requirements.</li><li>Collaborate with Sales and Customer Success teams to ensure products meet market needs and customer expectations.</li><li>Communicate effectively with executive leadership to ensure alignment and transparency.</li></ul><p><b>Key Qualifications</b></p><ul><li>10+ years of product management experience, with at least 5 years in a leadership role focused on complex, regulated workflows such as payroll, HR, or financial systems.</li><li>Proven track record of launching scalable B2B or enterprise-grade SaaS products.</li><li>Deep understanding of payroll processes, compliance frameworks (e.g., union/guild rules, multi-state regulations), and tax implications.</li><li>Experience modernizing legacy platforms and driving digital transformation.</li><li>Familiarity with digital identity (e.g., onboarding, verification), document management, and timekeeping systems.</li><li>Strong cross-functional leadership skills with experience partnering across Engineering, Design, Compliance, and Operations.</li><li>Strong technical acumen, including understanding of APIs, automation, and integrations.</li><li>Data-driven mindset with experience using analytics to guide product decisions.</li><li>Excellent communication and stakeholder management skills.</li><li>Passion for building elegant, user-centered products that improve compliance and operational efficiency.</li></ul><p><b>Special Work Conditions</b></p><ul><li>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.</li></ul><p><b>Benefits&nbsp;</b></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.</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><p><b>CA residents</b><br>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></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: $220,000.00 - $270,000.00 per year.

Cast & Crew

VP,  Product Management

<p><strong>Join the Clean Energy Revolution</strong></p><p>Become&nbsp;a&nbsp;Performance Management Senior Advisor at Southern California Edison (SCE) and build a better tomorrow.&nbsp;As a Performance Management Senior Advisor, you will lead efforts with OU senior executive leaders, stakeholders, and Operations SMEs to develop and implement improved performance management practices across operating units. </p><p>You will lead Corporate Goal and other KPI performance management activities, which include working with strategy &amp; planning groups and OU performance management and operations teams to develop and mature new or improved outcome-based corporate goals and KPIs, aligned with companywide strategy and key priorities. </p><p>This Senior Advisor position will also facilitate Senior Officer discussions and will be responsible for developing Corporate Goal and KPI-related presentations for key Executive Forums (e.g., Operations Review Forum (ORF), OpCo and EMC), regulatory agencies (e.g., CPUC Office of Energy Infrastructure Safety), and Board committees (e.g., Safety &amp; Operations Committee).</p><p>Additional responsibilities include facilitation of monthly OU senior leadership performance reviews, participation in key operational performance management review sessions and communicating follow up actions to ensure monthly performance explanations are accurate, meaningful, and succinct.</p><p>As a Performance Management Senior Advisor, 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><b>Responsibilities</b></h4><ul><li>Define key performance indicators (KPIs) and metrics that align with the organization’s strategic goals; establish benchmarks and targets to measure and evaluate performance across different areas such as financial, operational, and customer satisfaction and employee productivity.</li><li>Lead the gathering and reporting of company performance metrics, including financial, operational, and customer metrics (KPIs); provide insights on the impact of changes on performance metrics and help stakeholders adapt to new processes.</li><li>Oversee the creation of performance reports and dashboards that clearly and concisely present key metrics and trend; share these reports with stakeholders to provide a comprehensive view of the organization’s performance and track progress towards strategic goals.</li><li>Work with stakeholders to translate strategic objectives into actionable initiatives and project; ensure that performance measures are aligned with the organization's strategy.</li><li>Integrate performance management systems, such as balanced scorecards or OKRs (Objectives and Key Results).</li><li>Identify areas for performance improvement based on data analysis and insights.</li><li>Collaborate with cross-functional teams to develop and implement strategies, initiatives, and process improvements that drive efficiency, productivity, and cost savings.</li><li>Assess and monitor risks that may impact business performance. Identify potential risks, develop risk mitigation strategies, and establish monitoring mechanisms to ensure that risks are effectively managed.</li><li>Collaborate with stakeholders across the organization, including executives, department heads, and operational teams. Facilitate discussions, workshops, and presentations to communicate performance results, share insights, and gain buy-in for performance improvement initiatives.</li><li>Continuously evaluate and refine performance management processes and methodologies.</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><b>Minimum Qualifications</b></h4><ul><li>Ten or more years of experience preparing or supporting performance data analysis/reporting.</li></ul><p><strong>Preferred Qualifications</strong></p><ul><li>Bachelor’s degree or higher in Business, Engineering, or other relevant discipline.</li><li>Business consulting experience in performance management </li><li>Strong experience interpreting analytical results and using results to facilitate decisions.</li><li>7+ years in operational expertise and/or project management </li><li>7+ years of experience leading a cross-functional team. </li><li>Experience managing and/or leading company performance improvement projects in attainment of company goals for a department, OU, or company wide.</li><li>Ability to drive and implement change in a change-resistant environment. </li><li>Strong interpersonal and communication skills, with track record of developing and delivering presentations for Senior Officers</li><li>Strong logical thinking and quick learning abilities </li><li>Knowledge and/or experience with industry wide methods to manage utility performance. </li><li>Familiarity with various technical programs, ranging from visual dashboards to statistical programs.</li><li>Experience developing and implementing processes and/or operational programs/activities. </li></ul><p><strong>Additional Information</strong></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 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>The primary work location for this position is Rosemead (GO1). However, the successful candidate may also be asked to work for an extended amount of time at (alternate work location).</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.&nbsp;</li><li>Relocation may not apply to this position.</li></ul><p><strong>About Southern California Edison</strong></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>Southern California Edison is a proud Equal Opportunity Employer, including disability and protected veteran 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

Senior Advisor, Performance Management

<p><strong>Join the Clean Energy Revolution</strong></p><p>Become&nbsp;a&nbsp;Performance Management Senior Advisor at Southern California Edison (SCE) and build a better tomorrow.&nbsp;As a Performance Management Senior Advisor, you will lead efforts with OU senior executive leaders, stakeholders, and Operations SMEs to develop and implement improved performance management practices across operating units. </p><p>You will facilitate senior management OU level operations performance reviews and provide guidance to ensure linkage of OU-level reviews with the enterprise level KPIs as well as provide direction to and drive interactions with OU performance management organizations to ensure tracking and reporting on metrics, build out capabilities to conduct root cause analyses, and identify and prioritize corrective actions.</p><p>This Senior Advisor position will also identify and support continuous improvement efforts to advance and mature processes to improve the efficiency, quality, and timeliness of goal reporting activities. </p><p>Additional responsibilities include facilitation of monthly OU senior leadership performance reviews, participation in twice-monthly Operations Review Forums, including coordination support, and communicating follow up actions to ensure monthly performance explanations are accurate, meaningful, and succinct. </p><p>As a Performance Management Senior Advisor, 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><b>Responsibilities</b></h4><ul><li>Define key performance indicators (KPIs) and metrics that align with the organization’s strategic goals; establish benchmarks and targets to measure and evaluate performance across different areas such as financial, operational, and customer satisfaction and employee productivity.</li><li>Lead the gathering and reporting of company performance metrics, including financial, operational, and customer metrics (KPIs); provide insights on the impact of changes on performance metrics and help stakeholders adapt to new processes.</li><li>Oversee the creation of performance reports and dashboards that clearly and concisely present key metrics and trend; share these reports with stakeholders to provide a comprehensive view of the organization’s performance and track progress towards strategic goals.</li><li>Work with stakeholders to translate strategic objectives into actionable initiatives and project; ensure that performance measures are aligned with the organization's strategy.</li><li>Integrate performance management systems, such as balanced scorecards or OKRs (Objectives and Key Results).</li><li>Identify areas for performance improvement based on data analysis and insights.</li><li>Collaborate with cross-functional teams to develop and implement strategies, initiatives, and process improvements that drive efficiency, productivity, and cost savings.</li><li>Assess and monitor risks that may impact business performance. Identify potential risks, develop risk mitigation strategies, and establish monitoring mechanisms to ensure that risks are effectively managed.</li><li>Collaborate with stakeholders across the organization, including executives, department heads, and operational teams. Facilitate discussions, workshops, and presentations to communicate performance results, share insights, and gain buy-in for performance improvement initiatives.</li><li>Continuously evaluate and refine performance management processes and methodologies.</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><b>Minimum Qualifications</b></h4><ul><li>Ten or more years of experience preparing or supporting performance data analysis/reporting.</li></ul><p><strong>Preferred Qualifications</strong></p><ul><li>Bachelor’s degree or higher in Business, Engineering, or other relevant discipline.</li><li>Business consulting experience in performance management </li><li>Strong experience interpreting analytical results and using results to facilitate decisions.</li><li>7+ years in operational expertise and/or project management </li><li>Experience leading a cross-functional team. </li><li>Experience managing and/or leading company performance improvement projects in attainment of company goals for a department, OU, or companywide.</li><li>Ability to drive and implement change in a change-resistant environment. </li><li>Strong interpersonal and communication skills, with track record of developing and delivering presentations for Executives.</li><li>Strong logical thinking and quick learning abilities </li><li>Knowledge and/or experience with industry wide methods to manage utility performance. </li><li>Experience analyzing data to determine operational performance and determining corrective actions to address gaps. </li><li>Familiarity with various technical programs, ranging from visual dashboards to statistical programs.</li></ul><p><strong>Additional Information</strong></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.&nbsp;The work mode can be changed based on business needs.</li><li>The primary work location for this position is Rosemead (GO1). However, the successful candidate may also be asked to work for an extended amount of time at (alternate work location).</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>Relocation may not apply to this position.</li></ul><p><strong>About Southern California Edison</strong></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>Southern California Edison is a proud Equal Opportunity Employer, including disability and protected veteran 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>

<h4><b>Summary of Position</b></h4><p>Lionsgate is seeking a Coordinator, Human Resources, to support the SVP, Human Resources Business Partner and Director, HR Business Partner, Production. In partnership with the SVP and Director, the role provides strategic Human Resources support across Lionsgate’s Television and Worldwide Television Distribution businesses and film &amp; television productions. This role offers an exciting blend of Human Resources support for both corporate and production employees, with opportunities to contribute to a variety of objectives and to serve as a central HR point of contact for TV, WWTV Distribution, and productions.&nbsp;</p><h4><b>Responsibilities</b></h4><ul><li>Provide direct support to the SVP and Director, acting as a liaison between HR and the TV &amp; WWTV Distribution businesses and studio’s production teams (inclusive of corporate and all cast and crew).</li><li>At the direction of the SVP, HR Business Partner, the Coordinator provides support across corporate TV &amp; WWTV Distribution business units:<ul><li>Partner with hiring managers and Talent Acquisition to support all recruitment efforts, ensuring job descriptions are properly created and/or updated and that new positions are created/updated/routed within Success Factors, Lionsgate’s Human Capital Management (HCM) software&nbsp;</li><li>Partner with the business to field and to fulfill requests for the placement of contingent workers</li><li>Coordinate various employee life-cycle actions, including maintaining the orientation tracker, conducting 30-day check-ins for early career employees, the exit communication and scheduling process, and the creation and delivery of promotion letters</li><li>Complete and submit EDD claims, maintain and update employee files, and conduct monthly I-9 audits for TV &amp; WWTV Distribution groups</li><li>Manage system aspects for all employee changes, including the creation of new positions, promotions, and terminations</li><li>Ad hoc responsibilities as requested&nbsp;</li></ul></li><li>At the direction of the SVP and Director, the Coordinator provides support across film and television productions, performing a variety of responsibilities for film and television projects, including:&nbsp;<ul><li>Organize and maintain Human Resources files for productions to ensure that production has easy access to up-to-date HR documents (code of conduct, content warnings, policies, memos, crew lists, film and television assignment grids)</li><li>Coordinate, schedule, and track completion of mandatory Harassment Prevention &amp; Content Security Training for all productions and follow up with production teams to ensure outstanding training is completed<ul><li>Work with outside counsel (when necessary) to schedule international Anti-Bribery and Harassment Prevention Trainings presented in the appropriate language(s) to accommodate the production</li></ul></li><li>Manage accommodation requests, ensuring all documentation is compiled, filed, and trackers have been updated, and aid in the communication, tracking, and verification of various documentation</li><li>Partner with Production Accounting teams to initiate and monitor background screenings for all incoming accounting crew members, and follow-up as necessary</li><li>Schedule meetings, handle travel arrangements, complete expense reporting, and execute a variety of other administrative tasks in support of the SVP and Director</li><li>Maintain Employee Relations Case Management System to ensure that all confidential HR files are organized and accessible (conflict of interest forms, investigation summaries, incident reports)</li><li>Report on Employee Relations Trends to identify patterns, and partner with Production HR to suggest future preventative measures or improvements</li><li>Further memorialize Production HR processes and procedures via process maps</li></ul></li><li>Participate in broader HR projects in support of operational process improvements</li></ul><h4><b>Qualifications and Skills</b></h4><ul><li>1-2 years of administrative experience</li><li>Must have strong interest in a long-term career in Human Resources</li><li>Ability to manage multiple projects with competing deadlines</li><li>Excellent verbal and written communication skills</li><li>Solid organizational skills and keen attention to detail</li><li>Proven skills building &amp; maintaining professional relationships</li><li>Must be flexible and willing to work outside of business hours</li><li>Good judgment and decision-making skills, and ability to maintain confidentiality</li><li>Proficiency with Microsoft Office Suite (Outlook, Word, Excel, PowerPoint)</li><li>Works well in dynamic, team-oriented environment</li></ul><h4><b>Nice to Haves</b></h4><ul><li>Previous experience working in human resources</li><li>Familiarity with Success Factors, Concur, Airtable, First Advantage, and/or Labor Soft</li></ul><h4><b>About Lionsgate</b></h4><p>Lionsgate (NYSE: LION) is one of the world’s leading standalone, pure play, publicly traded content companies. It brings together diversified motion picture and television production and distribution businesses, a world-class portfolio of valuable brands and franchises, a talent management and production powerhouse and a more than 20,000-title film and television library, all driven by the studio’s bold and entrepreneurial culture.</p><h4><b>Our Benefits</b></h4><ul><li>Full Coverage – Medical, Vision, and Dental</li><li>Work/Life Balance – generous sick days, vacation days, holidays, and Impact Day</li><li>401(k) company matching</li><li>Tuition Reimbursement (up to graduate degree)</li></ul><h4><b>Compensation</b></h4><p>$47,000 - $50,000</p><h4>EEO Statement</h4><p><em>Lionsgate is an equal employment opportunity employer. All employees and applicants are evaluated on the basis of their qualifications, consistent with applicable state and federal laws. In addition, Lionsgate will provide reasonable accommodations for qualified individuals with disabilities. Lionsgate will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable state and federal law. &nbsp;</em></p>

Lionsgate

HR Coordinator (TV + Productions)

<p><b>Salary Range:&nbsp;</b>&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&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 Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that meet established criteria. Assures timely and accurate determination and notification of referrals and reconsiderations based on the referral determination status. Generates approval, modification and denial communications, to include member and provider notification of referral determination. Actively monitors for admissions in any inpatient setting. Performs telephonic and/or onsite admission and concurrent review, and collaborates with onsite staff, physicians, providers, member/family interaction to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and retrospective claims medical review. Monitors and oversees the collection and transfer of data (medical records) and referral requests by Providers. Acts as a department resource for medical service requests /referral management and processes. Receives incoming calls from providers, professionally handles complex calls, researches to identify timely and accurate resolution steps. Follows up with caller to provide response or resolution steps. Answers all inquiries in a professional and courteous manner.</p><h4>Duties</h4><p>Promote and support team engagements, programs and activities to create and ensure a positive and productive workplace environment.</p><p>Perform telephonic and/or onsite admission and concurrent review, and collaborates with onsite staff, physicians, providers, the member and significant others to develop and implement a successful discharge plan. Process, finalize and facilitate inbound requests that are received from providers. </p><p>Generate appropriate member and provider communication for all determinations within the required timelines as defined by the most current department policy.</p><p>Facilitate/review requests for Higher level of care or skilled nursing/discharge planning needs. Research for appropriate facilities, specialty providers and ancillary providers to utilize for all lines of business. Identification of potential areas of improvement within the provider network.</p><p>Identify and initiate referrals for appropriate members to the various L.A. Care programs/processes and external community based programs or Linked and Carve Out Services (e.g. DDS/CCS/MH). Potential quality of care/potential fraud issues are identified and documented per L.A. Care policy. High risk/high cost cases and reports are maintained and referred to the Physician Advisor/UM Director. Document in platform/system of record. Utilize designated software system to document reviews and/or notes. </p><p>Receive incoming calls from providers, professionally handle complex calls, research to identify timely and accurate resolution steps. Follow up with caller to provide response or resolution steps. Answer all inquiries in a professional and courteous manner.</p><h4>Perform other duties as assigned. </h4><h4>Duties Continued</h4><h4>Education Required</h4>Associate's Degree in Nursing<h4>Education Preferred</h4>Bachelor's Degree in Nursing<h4>Experience</h4><p><b>Required:</b><br>At least 5 years of varied RN clinical experience in an acute hospital setting.</p><p>At least 2 years of Utilization Management/Case Management experience in a hospital or HMO setting .&nbsp;</p><p><b>Preferred:</b><br>Managed Care experience performing UM and CM at a medical group or management services organization.</p><p>Experience with Managed Medi-Cal, Medicare, and commercial lines of business.</p><h4>Skills</h4><p><b>Required:</b><br>Must be computer literate, with expertise in Outlook, Word, Excel, PowerPoint. &nbsp;Effectively utilizes computer and appropriate software and interacts as needed with L.A. Care Information System. Knowledge of personal computer, keyboarding, and appropriate &nbsp;software to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Prepare clear, comprehensive written and oral reports and materials.&nbsp;</p><p>Provision of excellent customer service required due to frequent communication with providers and other members of the interdisciplinary team &nbsp;<br><br>Excellent time management and priority-setting skills.</p><p>Maintains strict member confidentiality and complies with all HIPAA requirements.</p><p>Strong verbal and written communication skills. &nbsp; &nbsp;</p><p><b>Preferred:</b><br>Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM).&nbsp;</p><p>Knowledge of Department of Health Care Services (DHCS) or Centers for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM or CM.</p><h4>Licenses/Certifications Required</h4>Registered Nurse (RN) - Active, current and unrestricted California License<h4>Licenses/Certifications Preferred</h4>Certified Case Manager (CCM)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>May work on occasional weekends and some holidays depending on business needs.</p><p><b>Salary Range Disclaimer:</b> 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><b>L.A. Care offers&nbsp;a wide range of benefits including</b></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, Medicare, Medicaid, Claims, Healthcare, Insurance                                                    </p>

Utilization Management Nurse Specialist RN II

<p><b>Salary Range:&nbsp;</b>&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><b>Required:</b><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><b>Preferred</b>: &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><b>Required:</b><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><b>Preferred:</b><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><b>Preferred:</b><br>Motivation Interviewing&nbsp;</p><p>Trauma Informed Care</p><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p><b>Salary Range Disclaimer:</b> 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><b>L.A. Care offers&nbsp;a wide range of benefits including</b></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

<h4><b>Summary of Position</b></h4><p>Lionsgate is seeking a Coordinator, Human Resources, to support the VP, HR Business Partner - Motion Picture Group (MPG) and VP, HR Business Partner – Corporate. In partnership with the VPs, the role provides strategic Human Resources support across Lionsgate’s Motion Picture Group and Corporate functions. This role offers an exciting blend of Human Resources support, with opportunities to contribute to a variety of objectives and to serve as a central HR point of contact for the Motion Picture Group and Corporate functions.</p><h4><b>Responsibilities</b></h4><ul><li>Provide direct support to the VPs acting as a liaison between HR and the Motion Picture Group and Corporate functions:<br><ul><li>Schedule meetings, handle travel arrangements, complete expense reporting, and execute a variety of other administrative tasks</li></ul></li><li>At the direction of the VPs, the Coordinator provides support across MPG and Corporate functions:<br><ul><li>Partner with hiring managers and Talent Acquisition to support all recruitment efforts, ensuring job descriptions are properly created and/or updated and that new positions are created/updated/routed within Success Factors, Lionsgate’s Human Capital Management (HCM) software&nbsp;</li><li>Partner with the business to field and fulfill requests for the placement of contingent workers including: on-boarding, off-boarding, invoice processing, and data entry</li><li>Coordinate various employee life-cycle actions, including but not limited to coordinating incoming new hire requests, maintaining the orientation tracker, conducting 30-day check-ins for early career employees, the exit communication and scheduling process, and the creation and delivery of promotion letters</li><li>Complete and submit EDD claims, maintain and update employee files, and conduct monthly I-9 audits for MPG &amp; Corporate functions</li><li>Manage system aspects for all employee changes, including the creation of new positions, promotions, and terminations</li><li>Organize and maintain Human Resources files to ensure easy access to up-to-date HR documents (code of conduct, policies, etc.)</li><li>Track completion of mandatory trainings and follow up with teams to ensure outstanding training is completed</li><li>Manage accommodation requests, ensuring all documentation is compiled, filed, and trackers have been updated, and aid in the communication, tracking, and verification of various documentation</li><li>Maintain Employee Relations Case Management System to ensure that all confidential HR files are organized and accessible (conflict of interest forms, investigation summaries, incident reports)</li><li>Report on Employee Relations trends to identify patterns, and partner with VPs to suggest future preventative measures or improvements</li><li>Further memorialize HR processes and procedures via process maps</li><li>Ad hoc responsibilities as requested in support of the team’s initiatives and overall success</li></ul></li><li>Participate in broader HR projects in support of operational process improvements</li></ul><h4><b>Qualifications and Skills</b></h4><ul><li>1-2 years of administrative experience</li><li>Must have strong interest in a long-term career in Human Resources</li><li>Ability to manage multiple projects with competing deadlines</li><li>Excellent verbal and written communication skills</li><li>Solid organizational skills and keen attention to detail</li><li>Proven skills building &amp; maintaining professional relationships at all levels of the organization, and with outside partners</li><li>Must be flexible and willing to work outside of business hours</li><li>Good judgment and decision-making skills, and ability to maintain confidentiality</li><li>Proficiency with Microsoft Office Suite (Outlook, Word, Excel, PowerPoint)</li><li>Works well in dynamic, team-oriented environment</li></ul><h4><b>Nice to Haves</b></h4><ul><li>Previous experience working in human resources</li><li>Familiarity with Success Factors, Concur, Airtable, First Advantage, and/or Labor Soft</li></ul><h4><b>About Lionsgate</b></h4><p>Lionsgate (NYSE: LION) is one of the world’s leading standalone, pure play, publicly traded content companies. It brings together diversified motion picture and television production and distribution businesses, a world-class portfolio of valuable brands and franchises, a talent management and production powerhouse and a more than 20,000-title film and television library, all driven by the studio’s bold and entrepreneurial culture.</p><h4><b>Our Benefits</b></h4><ul><li>Full Coverage – Medical, Vision, and Dental</li><li>Work/Life Balance – generous sick days, vacation days, holidays, and Impact Day</li><li>401(k) company matching</li><li>Tuition Reimbursement (up to graduate degree)</li></ul><h4><b>Compensation</b></h4><p>$47,000 - $50,000</p><h4>EEO Statement</h4><p><em>Lionsgate is an equal employment opportunity employer. All employees and applicants are evaluated on the basis of their qualifications, consistent with applicable state and federal laws. In addition, Lionsgate will provide reasonable accommodations for qualified individuals with disabilities. Lionsgate will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable state and federal law. &nbsp;</em></p>

HR Coordinator (Motion Picture Group + Corporate)

<p><b>Salary Range:&nbsp;</b>&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&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 Care Management Specialist II utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines.</p><p>Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases, which are those with the severest acuities or care needs and requiring the highest clinical skills and judgement. &nbsp;Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner.&nbsp;</p><p>Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit: Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team. Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member information, document contacts, and track member progress.&nbsp;</p><h4>Duties</h4><p>Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs.</p><p>Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives; reviewing member claims histories and identifies intervention opportunities through the professional standards of practice; contacting and interviewing members to conduct a baseline assessment, assess self-care ability, assess knowledge and adherence deficits; conducting comprehensive clinical assessments as indicated; developing a member centric plan of care. Maintains assigned care management caseload for with a focus on the most complex, highest-risk members particularly those with advanced chronic conditions, co-occurring mental and/or substance abuse and complex social issues (e.g. homelessness, domestic violence).&nbsp; </p><p>Collaborates with primary care physician and other treating professionals as appropriate. Authorizes initiation of care management services and specialized program services for members and specific populations, and develops interventions designed to meet member or population desired outcomes. Provides comprehensive education and resources to members about accessing services, in-network use, national guidelines for care, community resources, and self-management skills and strategies.</p><p>Employs engagement techniques to build relationships with members and their authorized representatives. Encourages participants to participate in their health care decisions and assists member with researching treatment options in order to communicate effectively with providers and to make informed decisions.</p><h4>Notifies Care Coordinators and CHWs of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines.</h4><h4>Performs field assessment and care coordination functions in community settings with members, such as at the L.A. Care Community Resource Centers, medical clinics, and member homes.</h4><h4>Duties Continued</h4><h4>Meets and assesses members at L.A. Care Community Resource Centers, as needed.</h4><h4>Provides effective care management for Individualized Care Plan summary and interventions during the Interdisciplinary Care Team meetings based on department guidelines.</h4><h4>Facilitates appropriate use of resources and coordinates necessary services to improve health status and impact the cost of care. Identifies member needs for and refers to appropriate internal and external programs, as appropriate.</h4><h4>Encourages member and family empowerment through education and use of reliable resources.</h4><h4>Monitors and evaluates member progress: evaluates member response to interventions and refines action plan to produce desired outcomes. Identifies complex care management issues and discusses possible solutions with management. Assesses effectiveness of care plan’s goals and interventions on a regular basis.</h4><h4>Uses claims and care management software to document interactions and interventions with members, vendors, and providers. Maintains case information in the member's clinical records to promote care coordination. </h4><h4>Provides ongoing direction and support to internal customers regarding Care Management programs, processes, and benefit coverage.</h4><h4>Responsible for staying current with best practices, identifying areas for personal growth opportunities and works with management to develop a plan for obtaining the necessary training.</h4><h4>Performs other duties as assigned.</h4><h4>Education Required</h4>Associate's Degree in Nursing for Registered NursesMaster's Degree in Social Work for Licensed Clinical Social Workers<h4>Education Preferred</h4>Bachelor's Degree in Nursing for Registered Nurses<h4>Experience</h4><p><br><strong>Required:</strong><br>Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments. &nbsp;</p><p>Experience providing care management with complex/catastrophic conditions.</p><h4>Skills</h4><p><br><b>Required:</b><br>Current knowledge of clinical standards of care and disease processes.</p><p>Critical thinking skill.&nbsp;</p><p>Excellent customer service skills.</p><p>Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions.</p><p>Ability to triage immediate member health and safety risks.</p><p>Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping.</p><p>Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders. &nbsp;</p><p>Ability to use a personal computer, and knowledge of medical information systems.</p><p>Knowledge of and ability to comply with HIPAA compliance.</p><p>Ability to interview, assess and coordinate care. Ability to prioritize caseload.</p><p>Knowledge of community resources.</p><p>Knowledge of Medi-Cal and Medicare regulations.</p><p>Ability to work as a part of a diverse team and gain consensus and resolution of problems.</p><p><b>Preferred:</b><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>Registered Nurse (RN);current and unrestricted California License OR Licensed Clinical Social Worker; current and unrestricted California License.<h4>Licenses/Certifications Preferred</h4>Certified Case Manager (CCM)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p><b>Required:&nbsp;</b><br>Travel to offsite locations for work.</p><p><b>Salary Range Disclaimer:</b> 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><b>L.A. Care offers&nbsp;a wide range of benefits including</b></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>                    Social Worker, Nursing, Registered Nurse, Behavioral Health, Substance Abuse, Service, Healthcare                                                    </p>

Care Management Specialist II (D-SNP)

<p><b>Salary Range:&nbsp;</b>&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>The Manager, Care Management is directly responsible for the oversight and monitoring of care management functions, organization, direction and staffing of L.A. Care's Case Management function(s) including but not limited to Complex Case Management/Case Management, Care Coordination and Special Programs Outreach. Responsibility includes regulatory compliance, accreditation compliance, oversight of Plan Partners' and Delegated Provider Groups related operations, oversight of&nbsp; care management related delegated functions, operations for direct lines of business and/or management services agreement functions, and interfacing with external agencies including other Local Initiatives, Plan Partners and external organizations. The Manager, Case Management is further responsible to assure all functions are operating in accordance with the organization's mission, values and strategic goals and are provided in a manner that is responsive and sensitive to the needs of L.A. Care's culturally diverse membership. This position manages all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports.</p><h4>Duties</h4><p>General Essential functions: Responsible for the ensuring overall staff management and operational functions &nbsp;associated with the Care Management department. Functions include Complex Case Management, Case Management, Care Coordination, and Special Programs (i.e. CCS, Regional Center) functions. Assures departmental compliance with: &nbsp;All contracts (i.e. CMS, DHCS, Covered California, PASC-SEIU, First 5LA, etc.), DMHC regulations, applicable state and federal regulations, Management Services Agreements &amp; Other Contracts. Oversees and monitors operational compliance with organizational standards, policies and procedures and regulatory requirements. Assures department meets all regulatory time frames on CM. Develops and implements departmental policies and procedures. Develops and maintains departmental statistical and performance reports. Develops, implements and monitors performance standards. Develops and maintains effective communication mechanisms at various levels of the organization and with external organizations. Develop and maintain departmental budgets in line with organizational goals. Ensuring the maintenance of positive relationships between Plan Partners and PPGs. Identifies and implements, with approval, programs that improve the provision of services to members. Directs measurement and analysis of Plan Partner and delegated PPG functions. &nbsp;Assures completion of ongoing monitoring, audits, corrective action plan and necessary follow-up. Facilitates communication to and involvement of Plan Partners. Assures appropriate communication and coordination with CBOs and other external agencies. Facilitates data flow, analyzes, reports, design formats, interprets data and recommends alternatives/solutions internally and externally. Requests assistance from Director as needed to accomplish goals.</p><p>Maintains confidentiality in compliance with all HIPAA requirements. Communicates to supervisors any barriers to completing assignments or daily work in an efficient and effective manner. Demonstrates reliability and good attendance and punctuality standards.</p><p>Human Resource Management: Daily staff supervision and oversight. Develops and maintains a culturally sensitive work environment that promotes staff growth and education. Completes performance appraisals in accordance with established policies and based upon achievement of the L.A. Care mission, value, objectives and management expectations. Assures staff have access to appropriate training and educational opportunities. Recruits appropriately qualified candidates, with approval of Director. Counsels and coaches staff in consultation with Director and in conjunction with HR. Participates in the hiring and termination of staff with Director and in conjunction with HR.</p><p><br>In conjunction with Director of CM, responsible for oversight and adequate performance of direct line of business PPG delegated activities. Develops and sustains active communications with PPGs. Identifies performance issues or opportunities for improvement within PPG UM operations that impact compliance. Collaborates with Oversight Staff on identifying topics and agenda items for the PPG trainings/JOMs.</p><p>Performs other duties as assigned.</p><h4>Duties Continued</h4><h4>Education Required</h4>Master's Degree in Social WorkOr Associate's Degree in Nursing<h4>Education Preferred</h4>Bachelor's Degree in Nursing<h4>Experience</h4><p><b>Required:&nbsp;</b><br>At least 4 years of recent care management experience in a hospital or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments.</p><p>At least 3 years of management/supervisory experience and relevant health plan experience.</p><p>Experience with Medi-Cal and Medicare populations and regulatory requirements.</p><p><b>Equivalency:</b>&nbsp; Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.</p><p><b>Preferred:&nbsp;</b><br>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><strong>Required:&nbsp;</strong><br>Excellent verbal and written communication skills.</p><p>Strong problem solving, planning, and organizational skills.</p><h4>Licenses/Certifications Required</h4>Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse (RN); current and unrestrited California License.<h4>Licenses/Certifications Preferred</h4>Certified Case Manager (CCM)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p><br>Please note that a Licensed Clinical Social Worker is only required when Master's Degree in Social Work. Licensed Clinical Social Worker not required with Associate's or Bachelor's Degree in Nursing.&nbsp;</p><p><b>Salary Range Disclaimer:</b> 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><b>L.A. Care offers&nbsp;a wide range of benefits including</b></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>                    Social Worker, Registered Nurse, Nursing, Palliative, Medicare, Service, Healthcare                                                    </p>

43 Project Management / Professional Services Jobs in Santa Monica, CA, USA