RN, Risk Management Coordinator

Overview: *All positions are located in Fresno/Clovis CA*Opportunities for you!Join a Forbes Top 10 CA Employer!Tuition reimbursement, education programs, and scholarshipsVacation time starts building on Day 1, and builds with your seniority403(b) retirement plan with up to 8% matching contributions Free parking and electric chargingGreat food options with...

Overview: *All positions are located in Fresno/Clovis CA**Up to $25K in bonus incentives (sign-on and relocation)*Opportunities for you!Join a Forbes Top 10 CA Employer!Direct impact on quality patient careTime and a half after 8 hrs + weekend and night differential (call pay for procedural areas)Free Continuing Education and certification including BLS,...

Overview: *All positions are located in Fresno/Clovis CA*Opportunities for you!Join a Forbes Top 10 CA Employer!Direct impact on quality patient careTime and a half after 8 hrs + weekend and night differential (call pay for procedural areas)Free Continuing Education and certification including BLS, ACLS and PALSTuition reimbursement, education programs, and...

Job Summary: Manages 24-hour departments providing patient care services. Ensures staff provide high quality, accessible, cost effective care, and patient focused services to members across the continuum, which comply with local, state, and federal requirements. Develops and maintains clinical standards of care and practice; responsible for all resource...

Overview: *All positions are located in Fresno/Clovis CA*Opportunities for you!Direct impact on quality patient care in a system with over 1,000 bedsFree Continuing Education and certification including BLS, ACLS and PALSTuition reimbursement, education programs, and scholarshipsVacation time starts building on Day 1, and builds with your seniority403(b)...

Overview: *All positions are located in Fresno/Clovis CA*Opportunities for you!Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas)Free Continuing Education and certification including BLS, ACLS and PALSTuition reimbursement, education programs, and scholarshipsVacation time starts building on Day 1, and builds with...

Your Role The ACA Chart Program team conducts the following functions (1) identify medical records with unreported diagnosis codes, (2) retrieve those medical charts, (3) perform medical coding to convert them into risk adjustable diagnosis codes, and (4) submit to CMS via the EDGE pathway. The Risk Adjustment, Consultant will report to the Senior Manager....

Your Work In this role, you will: Be responsible for converting pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Create value for the Growth team General Managers by ensuring they have a voice when it comes to key network decisions and network...

Your Role The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager of Reserving. In this role you will collaborate with partners in Accounting,...

Your Role The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Experienced Actuarial Analyst will report to the Senior...

Salary Range : $105K - 135K/annuallyCalifornia RN license and Dialysis experience requiredThe Dialysis Program Manager is independently responsible for directing, organizing, and developing the hospitals' hemodialysis program. In this role, the individual will implement policies and procedures to ensure safe and effective dialysis program, including...

Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians. The Behavioral Health Registered Nurse Case Manager...

Your Work In this role, you will: Be responsible for analytic work required to convert pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Build and update models that allow the actuarial team to quantify financial gaps and opportunities at a provider...

Your Role The Actuarial Pricing Shared Services team is responsible for collaborating with different Finance and Actuarial teams to support enterprise financial tracking and forecasting and drive the pricing target setting and planning to meet Company’s operating and growth goals. The Senior Actuarial Analyst will report to the Senior Manager of the...

We are seeking a highly organized and experienced Property Manager to oversee the daily operations of our properties in Santa Rosa.The ideal candidate will have excellent communication and problem-solving skills, as well as a strong understanding of property management principles and practices.Duties:- Manage all aspects of property operations, including...

The Perioperative Registered Nurse uses the nursing process, to design, coordinate, and deliver patient care that meets the identified needs of patients having operative procedures. May act as scrub or circulating nurse in various procedures. Demonstrates thorough knowledge and application of aseptic techniques, and defined practice standards for operating...

The Behavioral Health Charge Nurse oversees clinical functions related to the delivery of patient care, the quality of nursing practice and the standards of care for the assigned shift. Directs patient care activities by assigning staff and functions on the unit based on the Charge RN’s assessment of patient needs and the relative skills and abilities of...

The Registered Nurse - Med/Surg collaborates with interdisciplinary teams to develop and implement a plan of care for a specific group of assigned patients, ensuring the coordination of care between other disciplines, physicians, and support staff. Performs professional nursing duties that incorporate the psychosocial, psychomotor and age appropriate...

Unit Description: Are you seeking a rewarding and challenging careerthat allows you to make a difference? Sodexo Energy and Resource is seeking a Design and Construction Project Manager II in Richmond, CA who will become a key member of Sodexo’s Design and Construction management team at one of our largest energy accounts. At Sodexo, we are in the business...

Your Role The Cost of Healthcare Trendsetters & Pharmacy Support team analyzes and provides emerging healthcare cost trend drivers. The Medical Informatics Analyst IV will report to the Actuarial Manager. Your Work In this role, you will: Conduct independent analysis of high complexity under minimal supervision and guidance Develop analytical...