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<h3>Job Description</h3>
Job Description
Job Title: Associate/Director, Clinical Operations
Job Location: San Francisco, CA, USA
Job Location Type: Remote
Job Contract Type: Full-time
Job Seniority Level: Director
About Jade Biosciences Jade Biosciences is focused on developing best-in-class therapies to address critical unmet needs in autoimmune diseases. Our lead asset, JADE-001, targets the anti-A PRoliferation-Inducing Ligand (APRIL) pathway for immunoglobulin A (IgA) nephropathy, with Investigational New Drug Application-enabling studies underway and initiation of a first-in-human trial expected in the second half of 2025. Jade’s pipeline also includes two undisclosed optimized antibody discovery programs, JADE-002 and JADE-003, currently in preclinical development. Jade was launched based on assets licensed from Paragon Therapeutics, an antibody discovery engine founded by Fairmount. For more information, visit JadeBiosciences.com and follow us on LinkedIn. POSITION This position will be responsible for directing the strategy, management, and oversight of clinical trial(s) and functional activities as assigned. Key Responsibilities 
<ul>
<li>Acts as Clinical Operations trial lead for assigned trial(s)</li>
<li>Leads cross-functional Study Execution Teams</li>
<li>Develops and executes trial operational strategy</li>
<li>Partners closely and effectively with other functions to drive trial forward</li>
<li>Provides strategic and technical recommendations to senior leadership</li>
<li>Directs the selection of CROs and other vendors (IxRS, Central Lab, ancillary/tech vendors)</li>
<li>Directs development of vendor Scopes of Work (SOW), scope changes, budgets, and vendor payments</li>
<li>Partners with CRO and other vendors to deliver on trial execution</li>
<li>Creates and tracks clinical trial budgets</li>
<li>Directs risk mitigation, escalation, and resolution activities both internally as well as with sites and vendors</li>
<li>Directs technical and strategic input into the development of clinical documents (protocols, monitoring plans, informed consent forms, investigator brochures, clinical study reports, etc.)</li>
<li>Builds relationships with clinical sites, vendors, and key stakeholders</li>
<li>Maintains understanding of external landscape and adjusts plans accordingly</li>
<li>Represents Clinical Operations in cross-functional activities as assigned</li>
<li>Supports development and management of the Clinical Operations function</li>
<li>Coaches and mentors more junior team members such as Clinical Trial Associates</li>
<li>Contributes to building the organization</li>
<li>Able to drive decisions forward in times of ambiguity or with incomplete information</li>
<li>Effective in promoting and maintaining productive internal and external relationships</li>
<li>Proven leadership and team building skills, along with success in proactive risk mitigation and problem solving</li>
<li>Flexible and creative to meet the needs and challenges of a growing, dynamic company</li>
<li>Demonstrated problem solving abilities</li>
<li>Proven ability to influence up, down, and across the organization</li>
<li>Strong financial acumen with outstanding track record of building budgets and managing expenses to budget</li>
<li>Thrives in a small company environment, where day-to-day duties go above and beyond this job description</li>
<li>May contribute to corporate activities, e.g. preparation for Board of Director meetings </li>
</ul>
Qualifications And Experience 
<ul>
<li>Bachelor's degree in a related field required</li>
<li>Advanced degree a plus</li>
<li>For the Associate Director level: 10+ years of clinical research experience including 7+ within a biopharmaceutical company and/or CRO; for the Director level: 15+ years of clinical research experience including 10+ within a biopharmaceutical company and/or CRO</li>
<li>Exceptional clinical trial management skills with a focus on strategic oversight of trial execution on time and on budget</li>
<li>Extensive experience selecting and managing vendors, including CROs, labs, IxRS, EDC, and ancillary technology/applications (e.g. eDiaries, eConsent, apps, etc)</li>
<li>Thorough knowledge and understanding of FDA and ICH Guidelines, GCP, medical terminology, and clinical trials</li>
<li>Study coordinator and/or site monitoring experience a plus</li>
<li>Detailed understanding of all aspects of clinical protocol design, implementation, IND/BLA/NDA submissions, and overall drug development</li>
<li>Experience managing, coaching, and mentoring personnel</li>
<li>Excellent communication, organizational, negotiation, and interpersonal skills with a strong reputation for collaboration </li>
</ul>
POSITION LOCATION This is a remote role based in Bay Area, CA or Seattle, WA; periodic travel to team and company events is required. The anticipated salary range for candidates for this role is $170,000-$190,000 for the Associate Director level and $210,000-$230,000 for the Director level position. The final salary offered will depend on several factors, which may include, but is not limited to relevant years of experience, educational background, and geography. As part of the I-9 verification of authorization to work in the United States, Jade Bioscience participates in E-Verify. To learn more about E-Verify please review this poster. Jade Biosciences is proud to be an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. 
This job is curated by Lifelancer.
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Please apply via Lifelancer platform to get connected to the application page and to find similar roles.

Associate/Director, Clinical Operations

<h3>Job Description</h3>
Job Description
Licensed Marriage and Family Therapist (LMFT) – California
Location: Downey, California
Employment Type: Full-Time
Salary: $140,000.00 - $160,000 per year + benefits 
Job Overview:
We are seeking a licensed Marriage and Family Therapist (LMFT) to join our mental health team in California. The ideal candidate is dedicated to helping individuals, couples, and families navigate emotional and psychological challenges. If you're passionate about supporting mental well-being and fostering healthy relationships, we’d love to hear from you.
What You’ll Do:
<ul>
<li>Provide individual, couples, and family therapy using evidence-based approaches.</li>
<li>Develop and implement personalized treatment plans.</li>
<li>Maintain accurate and confidential client records.</li>
<li>Collaborate with a multidisciplinary team to coordinate care.</li>
<li>Monitor client progress and adjust treatment strategies as needed.</li>
<li>Educate clients on coping mechanisms, conflict resolution, and communication strategies.</li>
</ul>
Requirements
<ul>
<li>Active LMFT license in the state of California.</li>
<li>Master’s degree in Marriage and Family Therapy, Psychology, Counseling, or a related field.</li>
<li>Strong interpersonal and communication skills.</li>
<li>Experience working with diverse populations and age groups.</li>
<li>Ability to maintain professional boundaries and ethics.</li>
</ul>
Benefits
<ul>
<li>Competitive compensation package.</li>
<li>Flexible scheduling options </li>
<li>Supportive work environment with opportunities for professional growth.</li>
<li>Paid time off, continuing education reimbursement, and health benefits.</li>
</ul>
Ready to help individuals and families thrive? Apply now!

Licensed Marriage and Family Therapist (LMFT)

<h3>Job Description</h3>
Job DescriptionBenefits: 
<ul>
<li>Materials Budget</li>
<li>Phone Bill Stipend</li>
<li>Employee Perks Program</li>
<li>Free Continuing Education Units (CEUs)</li>
<li>Employee Assistance Program (EAP)</li>
<li>Life Insurance</li>
<li>Dental insurance</li>
<li>Employee discounts</li>
<li>Health insurance</li>
<li>Opportunity for advancement</li>
<li>Relocation bonus</li>
<li>Training &amp; development</li>
<li>Vision insurance</li>
<li>Wellness resources</li>
</ul>
 Hiring now! School-Based Speech-Language Pathology Assistant (SLPA) in Richmond, CA for the 2025-2026 SY! Are you a dedicated and passionate Speech-Language Pathology Assistant eager to make a difference? Celebrations Speech Group is hiring for full-time salaried, in-person, school-based SLPA assignments in Richmond, CA. Join our supportive and collaborative team in a vibrant, inclusive school environment and help us provide exceptional services to our students across various grade levels. Why Join Us? Celebrations Speech Group is a private practice and Non-Public Agency with decades of experience providing quality special education and therapy services to children with special needs in schools, homes, and in-clinic. What makes us dynamic is our supportive, vibrant, and collaborative environment, where we give you the tools you need to succeed and be able to develop leadership and clinical skills. Responsibilities: 
<ul>
<li>Implement direct therapy and treatment plans under the supervision of an SLP.</li>
<li>Document and store treatment plans and progress reports.</li>
<li>Update student progress twice yearly.</li>
<li>Assist in scheduling IEP meetings and maintaining speech files.</li>
<li>Performs other related duties as assigned by management.</li>
</ul>
Qualifications: 
<ul>
<li>Required: Current California SLPA License.</li>
<li>In-person: Must be able to work on-site, in-person</li>
<li>Education: Associate's Degree in Speech Pathology or a Bachelors in Communication Disorders.</li>
<li>Strong ability to build rapport with staff and students.</li>
<li>Excellent written and verbal communication skills.</li>
<li>Positive, collaborative demeanor with a desire to work with diverse populations.</li>
<li>Exercise good judgment and prioritize tasks effectively.</li>
</ul>
We offer competitive compensation, extensive resources &amp; support, material stipends and professional development plans. Compensation: 
<ul>
<li>Competitive salary: $66,000.00 - $75,000.00 per year.</li>
</ul>
Benefits: 
<ul>
<li>Health Insurance: Medical, dental, and vision plans.</li>
<li>Professional Development: Free CEUs, ongoing training, and leadership opportunities.</li>
<li>Employee Assistance Program (EAP): Confidential support services.</li>
<li>Materials Budget: Annual budget for therapy resources.</li>
<li>Phone Bill Stipend: Monthly phone expense stipend.</li>
<li>Employee Perks Program: Discounts on various products and services.</li>
<li>Relocation Bonus: Assistance for relocating candidates.</li>
<li>Company Events and Wellness Programs: Regular team-building and wellness activities.</li>
<li>Career Advancement: Opportunities for leadership and professional growth.</li>
<li>Community Engagement: Paid volunteer days and participation in local events.</li>
</ul>
Company Culture: At Celebrations Speech Group, we prioritize creating a vibrant, supportive, and collaborative environment. Our core valuesCollaboration, Attentiveness, Relationship Building, Empathy, and Services (C.A.R.E.S)drive our mission to provide top-notch therapy services. We are dedicated to professional development and creating a workplace where you can thrive and make a difference. Don't miss this exciting opportunity to join a team that values your expertise and supports your professional growth. Apply today, and our School Staff Consultant team will reach out to you directly to discuss this incredible opportunity in Oakland, CA. Referral Program: Receive a $1,000 referral bonus for referring a qualified SLPA candidate who joins our team and completes 90 days of employment.

Speech Language Pathology Assistant SLPA

<h3>Job Description</h3>
Job DescriptionHealing Hands Home Therapy is based in Los Angeles, CA. We are seeking compassionate clinicians to deliver home health services. Through extensive experience we have developed our "Recipe of Success" to enable our therapists with the tools necessary to effectively and efficiently produce positive outcomes. We believe that a clinician's time is invaluable, therefore every clinician at Healing Hands Home Therapy will be given our "Tools of Success Kit" to make your patient care experience highly productive and rewarding. This position is for an independent contractor in Los Angeles and surrounding areas. Responsibilities 
<ul>
<li>Identify and meet patients goals and needs</li>
<li>Offer cost-effective treatments that help improve clients motion and mobility</li>
<li>Reduce the need for medications and provide alternatives to surgery</li>
<li>Develop care plans using a variety of treatment techniques</li>
<li>Create fitness- and wellness-oriented programs tailored to patients specific needs</li>
<li>Provide quality, personalized and evidence-based care and proven interventions</li>
<li>Motivate patients during treatment in order to help them function optimally</li>
<li>Promote clients healthy lifestyle by improving strength, flexibility, balance, and coordination</li>
<li>Consult and practice with other health professionals</li>
<li>Evaluate effects and monitor and communicate progress</li>
<li>Document patient care services</li>
</ul>
Requirements 
<ul>
<li>Graduate of an accredited Physical Therapy program</li>
<li>License to practice in the state of California</li>
<li>Valid California driver's license</li>
<li>Reliable transportation and proof of auto insurance</li>
<li>CPR Certified</li>
<li>Current Physical Health Exam and TB Test</li>
<li>Professional Liability Insurance</li>
<li>Business License</li>
</ul>

Home Health Occupational Therapist Assistant

<h3>Job Description</h3>
Job Description
Overview
Hourly during orientation &amp; Pay Per Point when seeing patients
Coverage Area: Central/Coastal
Shift: Full Time
On Call: RN: M-F 4pm-8am next day, Once every 7 to 8 weeks.

Offer Based on Years of Experience
Find Your Passion and Purpose as an RN Field Nurse.

Reimagine Your Career in Home Health
As a medical professional, you know that what you do impacts you as much as your patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it’s really special to be a part of our patient’s health journey and create incredible memories while providing world-class patient care.
 
Responsibilities
Our Investment in You
We are committed to offering comprehensive benefits and rewards to full-time employees who work over 30 hours per week and their families, including:
<ul>
<li>Medical, dental, and vision coverage</li>
<li>Paid time off and paid holidays</li>
<li>Professional development</li>
<li>Company-matching 401(k) </li>
<li>Flexible spending and health savings accounts</li>
<li>Company store credit for your first AccentCare-branded scrubs for patient-facing employees</li>
</ul>
 
Qualifications
Be the Best RN Field Nurse You Can Be
If you meet these qualifications, we want to meet you!
<ul>
<li>Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation.</li>
<li>One (1) year experience as a RN.</li>
</ul>
Required Certifications and Licensures:
<ul>
<li>Licensed to practice as a registered nurse in the state of agency operation.</li>
<li>Must possess and maintain valid CPR certification while employed in a clinical role.</li>
<li>Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Ability to travel to all business locations.</li>
</ul>
Come As You Are
At AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging.
AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person’s race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification.

Registered Nurse, Home Health

<h3>Job Description</h3>
Job Description
Occupational Therapist Assistant (COTA) Location: Santa Clarita and Surrounding Areas Pay: $65–$85 per visit Job Type: Full-Time | Part-Time | Per Diem
Join the Remedy Home Health Team At Remedy Home Health, we're more than just a care provider — we're a passionate team of healthcare professionals committed to helping patients thrive where they feel most comfortable: at home. We deliver personalized, high-quality therapy services that empower our patients and support their families every step of the way.
We're currently looking for a Certified Occupational Therapist Assistant (COTA) who's compassionate, proactive, and ready to make a real impact. If you're looking for a flexible opportunity in a supportive team environment, we'd love to hear from you!
What You'll Do:
<ul>
<li>
Work 1-on-1 with patients in the comfort of their homes under the guidance of a licensed Occupational Therapist
</li>
<li>
Carry out treatment plans focused on helping patients regain independence and improve daily living skills
</li>
<li>
Assist with therapeutic activities, exercises, and adaptive equipment use
</li>
<li>
Educate patients and caregivers on home-based routines and exercises
</li>
<li>
Track patient progress and communicate updates to the supervising OT
</li>
<li>
Collaborate with the full care team to ensure top-tier, coordinated care
</li>
</ul>
What You'll Need:
<ul>
<li>
Certified Occupational Therapist Assistant (COTA) license in the state of California
</li>
<li>
CPR certification (required)
</li>
<li>
Prior experience in home health is a plus — but not required
</li>
<li>
Strong communication skills and a passion for helping others
</li>
<li>
Reliable transportation and a valid driver's license
</li>
</ul>
Why You'll Love Working With Us:
<ul>
<li>
Flexible Scheduling – Work when it works for you
</li>
<li>
Competitive Per-Visit Pay – $65 to $85 based on experience
</li>
<li>
Ongoing Learning – Access to continuing education support
</li>
<li>
Team Culture – A collaborative, hands-on environment where you're supported and valued
</li>
</ul>
Make a difference — one visit at a time. Apply today and help us bring compassionate care into more homes across Orange County.

Occupational Therapist Assistant-Santa Clarita, CA

<h3>Job Description</h3>
Job Description
ABA Child Interventionist
(Behavior Technician / RBT)
Madera , Ca 
Butterfly Effects' Mission is to make a socially meaningful change in the lives of children and families by hiring passionate, caring people to serve children and families affected by autism.
We are seeking dedicated Child Interventionists/Behavior Technicians, both entry-level and experienced, to directly assist children with autism in honing vital skills like communication, social interaction, and self-care. Join us in collaborating with families to execute ABA based behavior intervention plans.
Are you passionate about positively impacting the lives of children and families? Explore our fulfilling part-time role at Butterfly Effects!
<ul>
<li>Competitive Compensation: Earn $18.00 - $24.00 hourly, based on your experience, education, and certifications.</li>
<li>Part-Time Flexibility: 12 - 20 hours per week, providing the ideal work-life balance.</li>
<li>Spanish Speaker is a PLUS </li>
<li>in home ABA therapy </li>
<li>Evening Hours 3pm- 7pm M-F </li>
</ul>
Why Join Butterfly Effects?
<ul>
<li>Impactful Work: Contribute to lifelong changes in a child's life.</li>
<li>Career Growth: Avail educational and training support, with opportunities to become an RBT or Board Certified Behavior Analyst, aided by our guidance and subsidies.</li>
<li>Supportive Environment: Join a team focused on bringing calm, protection, and joy to families affected by autism.</li>
</ul>
Position Duties:
<ul>
<li>Implements individualized treatment plans under the direction of a Board-Certified Behavioral Analyst (BCBA).</li>
<li>Observes, records, and reports client's progress, as well as the condition and</li>
<li>behavior of the client daily.</li>
<li>Manages challenging behaviors.</li>
<li>Applies behavioral principles consistently in all interactions with clients.</li>
<li>Assists clients, as needed, to acquire academic and/or appropriate life skills.</li>
<li>Communicates in a professional and respectful manner with parents, behavior analysts/consultants, trainers, and clients.</li>
<li>Functions as an active member of the treatment team.</li>
<li>Completes daily paperwork and data collection notes in a detailed, accurate, consistent and timely manner through our on-line database.</li>
<li>Actively participates in continuous training programs designed to increase overall skills.</li>
<li>Maintains confidentiality of client information.</li>
<li>Follows BE policies and procedures.</li>
</ul>
Qualifications:
<ul>
<li>Education: High school diploma or equivalent.</li>
<li>Passion for Children: A genuine love for working with children.</li>
<li>Positive Attitude: Strong interpersonal skills for working with children and families.</li>
<li>Experience: Prior experience with children is advantageous.</li>
<li>Continuous Learning: Interest in ongoing development.</li>
<li>Transportation: Must have reliable transportation.</li>
<li>Background: Must be able to satisfactorily pass a company background check.</li>
</ul>
Physical Requirements:
This role involves working in natural environments, occasionally requiring lifting or moving up to 50 lbs. and maintaining various postures for extended periods.
About Butterfly Effects:
Butterfly Effects' Mission is to make a socially meaningful change in the lives of children and families
Since our establishment in 2005, Butterfly Effects has positively impacted over 14,000 families. Our family-centric applied behavior analysis (ABA) approach aims to enhance the lives of children and families affected by autism spectrum disorder. Our mission is to deliver personalized ABA treatment in partnership with affected families, fostering a more joyous life.
If our mission resonates with you, explore more at Butterfly Effects to learn about this rewarding opportunity!
#INDCVAL
 Job Posted by ApplicantPro

Child Interventionist - Bilingual ( Spanish Speaker ) Madera, Ca

<h3>Job Description</h3>
Job Description
Put your clinical skills andcreativity to work—no home health experience required! Join one of California’sleading home health providers and take your career to the next level—with thefreedom to create your own schedule, the support of an experienced team, andthe opportunity to make a real difference in patients’ lives. Whether you're lookingfor full-time, part-time, or per diem work (minimum 6 visits/week), this roleoffers unmatched independence, flexibility, and earning potential.
 
Why You'll Love This Role:
<ul>
<li>Flexible Schedules – You setyour own hours</li>
<li>Unlimited earning potential</li>
<li>No home health experiencerequired – Paid training provided</li>
<li>Make a difference by helpingpatients recover in the comfort and safety of their homes</li>
<li>Independence + support –Enjoy autonomy with the backing of a trusted, well-established team</li>
</ul>
What You’ll Do:
<ul>
<li>Evaluate patients’ mobility,strength, and overall functional level</li>
<li>Create and implementcustomized treatment plans focused on strength, balance, and safe mobility</li>
<li>Assess home environments andrecommend equipment to improve safety and outcomes</li>
<li>Educate patients andcaregivers to support long-term success and independence</li>
<li>Collaborate with physicians,nurses, and families to deliver best-in-class care</li>
</ul>
Compensation &amp; BenefitsHighlights:
<ul>
<li>$110.00 per visit&nbsp;+ mileagereimbursement</li>
<li>Paid training + PPE provided</li>
<li>401(k) savings plan +Employee Assistance Program</li>
<li>Promotional opportunitieswithin a growing organization</li>
</ul>
Additional Benefits (forclinicians completing 24+ visits/week):
<ul>
<li>Company-provided cell phonewith data plan</li>
<li>Medical bag and therapytools</li>
<li>Full health, dental, andvision insurance</li>
<li>PTO + paid holidays</li>
<li>Voluntary life and accidentinsurance</li>
<li>Health Savings Account</li>
</ul>
What You Need:
<ul>
<li>Current Physical Therapylicense in the State of California</li>
<li>BLS certification</li>
<li>One year of PT experiencepreferred (new grads welcome to apply!)</li>
<li>Strong documentation skillsand attention to detail</li>
<li>Tech-savvy, with comfortusing Gmail and EMR systems</li>
<li>Excellent time managementand communication skills</li>
</ul>
Take control of yourschedule, your earnings, and your impact. Join us and help patients thrive athome—with the tools, training, and support you need to succeed.

Physical Therapist - Home Health - Unlimited Earning Potential

<h3>Job Description</h3>
Job DescriptionBenefits/Perks
<ul>
<li>Flexible Scheduling</li>
<li>Competitive Compensation</li>
<li>Career Advancement&nbsp;</li>
</ul>
Job SummaryWe are seeking a Medical Records Clerk to join our team. In this role, you will collect patient information and be responsible for the general organization and maintenance of patient records. The ideal candidate is highly organized and pays close attention to detail. Responsibilities&nbsp;
<ul>
<li>Follow all office procedures to maintain patient records accurately.</li>
<li>Deliver medical records to various office departments.</li>
<li>Ensure all patient paperwork is completed and submitted accurately and timely.</li>
<li>File patient medical records and information.</li>
<li>Maintain the confidentiality of all patient medical records and information.</li>
<li>Provide office departments with appropriate documents and forms</li>
<li>Process patient admissions and discharge records</li>
<li>Other administrative and clerical duties as assigned</li>
</ul>
Qualifications
<ul>
<li>Previous experience as a Medical Records Clerk or in a similar role is preferred.</li>
<li>Knowledge of medical terminology and administrative processes</li>
<li>Familiarity with information management programs, Microsoft Office, and other computer programs</li>
<li>Excellent organizational skills and attention to detail</li>
<li>Strong interpersonal and verbal communication skills</li>
</ul>

Bilingual-Medicals Records Clerk

<h3>Job Description</h3>
Job Description
Summary
Provides overall coordination in the delivery of medical services and discharge planning for a specified patient population.&nbsp; Performs concurrent review of patient medical records for purposes of utilization review, compliance with requirements of external review agencies including governmental and non-governmental payers and quality assurance agencies.&nbsp; Promotes a cooperative and supportive relationship as liaison with patient, family, facility staff, physicians, funding representatives and community agencies.&nbsp; Ensures continuity in the handoff of patient clinical information from the hospital to other involved healthcare entities.
Duties and Responsibilities
<ul>
<li>Screens calls for admissions against Milliman Care Guidelines (MCG) to determine if member required Observation admissions vs Inpatient admission to the acute care setting. Process inpatient denial and approving observation efficiently.</li>
<li>Facilitates patient’s transfer to contracted hospital when admitted to an out of network and needs continued hospitalization within 24 hours of admission.&nbsp; The nurse follows the Out of Network Transfer Protocol and documents the specific reason/s why patient is not repatriated back into network or capped facility. (Non-repatriation codes)</li>
<li>Facilitates Emergency Room (ER) transfers when patients require admission.&nbsp;&nbsp; The nurse assesses and verifies if the patient is stable for transfer if stable will proceed to Step 1a.&nbsp; If unstable or no bed is available, the nurse gives authorization to admit the patient. Coordinates transfers of patients for higher level of care (tertiary, quaternary)</li>
<li>Verifies if the attending physician assigned on the case is the contracted hospitalist. If assigned attending is not the correct hospitalist, the nurse switches the providers by calling the contracted hospitalist on the case, once accepted, the nurse informs the attending provider that IPA contracted hospitalist will be taking over the case.&nbsp;</li>
<li>Calls the hospital UR Department, SNF CM or hospitalist to request initial reviews, concurrent reviews, and discharge needs. Documents daily clinical reviews in the EZ-cap system and assigns the appropriate Level of Care (LOC) and approves the authorization if deemed medically necessary using MCG or Health Plan required guidelines.</li>
<li>Identifies potential CCS cases (contracted CCS hospital/provider), obtaining the SAR, referring cases to CCS</li>
<li>Identifies unnecessary or aberrant days and forwards the information to the Medical Director for final review and determination of potential denial of days. Forwards the case to the Notice of Action (NOA) Coordinator for denial or modification letter generation. The nurse ensures that the case is closed accurately, and documents ADMIT TYPE, ADMIT SOURCE, PATIENT STATUS on the Auth Details Field within the required ICE TAT.</li>
<li>Coordinates discharge needs and provides authorization i.e., home health care PT, OT, skilled nursing visits, home infusion, Self-injectable drugs, DME, medical supplies, etc.</li>
<li>Forwards to Realignment team/ Member Liaisons information of SNF patient who is admitted to long-term care and has resided in a nursing facility beyond 30 days after the month of admission to facilitate disenrollment of member from managed Care Medical back to Fee for Service Medi-cal.</li>
<li>Attends the daily inpatient meeting to go over daily bed day reports with the Medical Directors.</li>
<li>Refers potential readmissions to Outpatient High Risk Case Management (SPD, SNP, CMC) or Readmission Teammates (non-SPD, non-SNP, non-CMC) for follow-up post discharge. Refers any potential quality of care issues (PQI) identified to the QI Department for review of QI cases.</li>
<li>Provides coverage as needed.</li>
</ul>
Minimum Job Requirements
<ul>
<li>Current RN or LVN licensure; Preferred: BSN level of education.</li>
<li>Working knowledge of case management philosophy/process/role, needs assessment, principles of utilization review/quality assurance, use of Milliman or other clinical decision support criteria, discharge planning, and reimbursement structures (i.e. Government and non-governmental payers).</li>
<li>Ability to read, analyze and comprehend complex clinical data and its application to level of care criteria and discharge options; strong, broad-based clinical knowledge and understanding of pathology/physiology of disease processes; excellent critical thinking skills; assertive personality traits to facilitate ongoing physician communication; organize, prioritize and manage time efficiently.</li>
</ul>

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