Nursing Jobs in Orange, CA

Temp Acute RN Supervisor - Mental Health Rehabilitation Center 378

$50.96 - $62.96 / hour

Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems. As part of the Telecare family, the Riverside County Mental Health Rehabilitation Center (MHRC) is licensed as a 79-bed sub-acute residential program located in Riverside, CA. The program provides longer-term mental health recovery services 24/7/365 within a supportive, structured, and secure inpatient environment designed to help clients prepare to move to the community and/or lower levels of care. Shifts Available: Sun - Thurs - 3:30 PM - 11:00 PM Expected starting wage range is $50.96 - $62.96. Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements. POSITION SUMMARY Implements and supervises the overall direct nursing care provided by the nursing department on their designated shift. Under general supervision, provides program planning development, review and evaluation of clinical and administrative activities; uses critical thinking and independent judgement to direct, coordinate and oversee the nursing and other health care services of a program to clients across the age spectrum and / or targeted populations; supervises an assigned multidisciplinary team including professional, para-professional support staff, nursing students and interns; assigns direct report employees to work with clients according to client needs and the skills and strengths of individual team members. QUALIFICATIONS Required: · Two (2) years of psychiatric direct care nursing experience and at least two (2) years of experience in a supervisory role. Completion of Telecare assigned Supervisory training within 12 months in lieu of supervisory experience. · Graduation from an accredited school of nursing and current licensure as a Registered Nurse by the State of California · Must be CPR, Crisis Prevention Institute (CPI), and First Aid certified on date of employment or within 60 days of employment and maintain current certification throughout employment. · Must be at least 18 years of age · All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification. If the position requires driving, valid driver license, a motor vehicle clearance, and proof of auto insurance is required at time of employment and must be maintained throughout employment. Additional regulatory, contractual, or local requirements may apply Preferred: · Current knowledge of psychiatric illnesses, regulatory requirements regarding the delivery of health care to persons with mental illness, and infection control requirements. ESSENTIAL FUNCTIONS · Applies management practices that include empowerment of staff, the provision of clear and concise expectations regarding duties assigned to employees, and frequent feedback focusing on both positive and problematic aspects of work performance and other management practices that are consistent with Continuous Quality Improvement. · Promotes and maintains harmonious and effective relationships and communications within the department and with other departments. · Provides functional and administrative supervision for assigned professional, para-professional, support staff, nursing students or interns. · Exercises independent judgment and discretion to provide day-to-day supervision of designated staff members, including: o Assigning staff to work with individual clients based on their individual needs and the individual skill sets of staff members o Directing staff in the performance of their job duties o Training and coaching staff o Evaluating job performance o Overseeing disciplinary process as needed for performance issues o Participating in the recruitment and selection of new staff members · Provides clinical assistance/oversight of staff performing case management and care coordination. · Investigates, gathers data and responds to issues and grievances; escalates matters as appropriate. · Works with other shifts to assure accurate and complete documentation in the medical record and timely referral to the attending physician. · May need to be available on a 24-hour basis in the event of an emergency. · May collaborate with the other administrative staff in strategic planning activities with the goal of ensuring ongoing effectiveness of the programs in the region. · Supports the recruitment, selection and on-boarding of nursing department employees. · Consults with the DON regarding staffing and methods of improving the delivery of services. · Coordinates the efforts of the Nursing Department with other departments. In the process of accomplishing this, promotes cost effective use of personnel, supplies and equipment. · Contingent upon program structure and needs, assumes charge or shift lead responsibility. · Collects data relevant to the care of members served; develops and implements nursing care plans. · Adheres to medication management policies and procedures. · Receives and presents change of shift reports, as assigned. · Documents the progress of members served toward their Recovery Plan goals. · M ust assist with restraint of members served in the event of assaultive behavior and pass assault crisis/crisis prevention training. Duties and responsibilities may be added, deleted and/or changed at the discretion of management. SKILLS · Demonstrated skill in leadership and supervision. · Ability to review and implement Recovery/Treatment plans. · Ability to administer oral and injectable medications. · Ability to provide input by reporting observations and concerns and ask appropriate questions. · Ability to implement crisis de-escalation techniques. · Knowledge of Infection Control policies and procedures. · Demonstrated knowledge of crisis management and intervention. PHYSICAL DEMANDS The physical demands here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee is occasionally required to sit, walk, bend, squat, kneel, twist, reach, push, pull and lift and carry items weighing 25 pounds or less as well as to frequently stand and do simple and power grasping. The position requires manual deviation, repetition and dexterity as well as Hazardous Exposure (Blood Borne Pathogens, Hospital Waste, Chemical & Infectious). EOE AA M/F/V/Disability If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.

Caregiver

Full-time

3 weeks ago

Customer Service Representative I (Cantonese or Mandarin Speaking)

Astrana Health El Monte, CA

$18.90 - $24.25 / hour

Customer Service Representative I (Cantonese or Mandarin Speaking) Department: Ops - Member Services Employment Type: Full Time Location: 9700 Flair Drive, El Monte, CA 91731 Reporting To: Liliana Felix Compensation: $18.90 - $24.25 / hour Description Job Title: Customer Services Representative Department: Operations - Member Services About the Role: Astrana is looking for a Customer Service Representative to join our fast and growing Dynamic team. This position requires speaking fluent in Cantonese or Mandarin. What You'll Do Answer all daily telephone calls from members, providers, health plans, insurance brokers, collection agents and hospitals Collect Elicit information from members/providers including the problem or concerns and provide general status information Verify authorization, claims, eligibility, and status only All calls carefully documented into Company’s customer service module & NMM Queue system Member/Provider Service/Representative assists Supervisor and Manager with other duties as assigned Member outreach communications via mail or telephone Assist Member appointment with providers Resolve walk-in member concerns Able to provide quality service to the customers Able to communicate effectively with customers in a professional and respectful manner Maintain strictest confidentiality at all times Specialist termination notifications sent to members Urgent Medicare Authorization Approval – Notification to Medicare members Transportation arrangement for Medicare & Medi-Cal members Outreach Project Assignments INBOUND CALLS: Member/Provider/Health Plan/Vendor/Hospital/Broker: All calls carefully documented into Company’s customer service module Annual Wellness Visit (AWV) – Gift card pick up and schedules Appointment of Representative (AOR) for Medicare Members Attorney / Third Party Vendor calls Authorization status/Modification/Redirection/CPT Code changes/Quantity adds/Explain Denied Auth/Peer to Peer calls/Extend expired auth/Pre-certified auth status/Retro/2ndor 3rd opinion/ Conduct 3 way conference call to Health Plan with member Conference call with Providers – Appointments, DME, COVID – 19 related questions (Tests & Vaccines) Direct Member Reimbursement (DMR) Eligibility – Demographic changes: Address/Phone/Fax Changes/Name change Escalated calls from providers/members Health Diary Passport Health Source MSO – Assist & arrange inquiries on Eligibility/Change PCP/Benefit with AHMC HIPPA Consent – Obtain Member Consent verification Inquiries on provider network/provider rosters Lab locations Member & Provider Complaints/Grievances Member bills Miscellaneous calls Pharmacy – Drug/medication pick up and coverage Provide authorization status for Hospital /CM Dept Self-Referral Request for Medicare Return Mail Track Mail Packages/ Certified mail status Translations – Spanish / Chinese Urgent Care / locations/ operations hours OUTBOUND CALLS: Member/Provider/Health Plan/Vendor/Hospital/Broker: Assist Case Management on CCS – age in 21 years for change of PCP from Pediatrics to FP/IM Assist Marketing on email inquiries Assist PR/ Elig – Members assigned to wrong PCP/with no PCP status Assisted UM / Medical Directors on urgent member appointment from escalated cases Authorization status response call back Benefits – return call once information is obtained / verified Complaints/Grievances – return calls once resolution is obtained DME – Translation support in Spanish and Chinese to confirm item / appointment set up for DME department Eligibility – return call to providers/labs when member is added to system while waiting at the office. Member bills – return calls once resolution is obtained Member Survey – Annually: every 4thquarter Outreach project from internals – QCIT Resolve walk in members concerns Specialist Termination notification sent to members Transportation arrangement for Medicare / Medi-Cal members Voice mail – return calls back to callers CONCIERGE SERVICES – ESSENTIALS DUTIES AND REQUIREMENTS: Assist to contact new members/IPA member transfer on new PCP assignment as needed Work group discussions on work status/progress on new member/IPA transfer Update call log and provide daily/weekly status as needed Facilitate members with complex pre-existing conditions, medications, PCP/SPC network reviews Conference call with PCP selection / change Help member to identify member bill status, connect provider with on billing and claim submission Responsible for experience of the membership associated with new member/IPA transfer Responsible for to interact with Health Plan’s Customer Service Team to serve new member/IPA transfer Problem Solving complex cases/ brain storm with MS management team for resolution Other duties as assigned Qualifications High School Diploma or GED Experience using Microsoft applications such as Word, Excel and Outlook Experience working in customer service One year related experience and/or training; or equivalent combination of education and experience You are fluent in Cantonese or Mandarin You're a great for this role if: You have previous work experience working in a healthcare setting Job Benefits This is a remote role. The home office is aligned with your department at 9700 Flair Drive, El Monte, CA 91731 This position will typically work Monday - Friday from 8:30am to 5:00pm PST. The target pay range for this role is $18.90 - $24.25 per hour. This salary range represents national target range for this role. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.