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Position Summary:   Responsible for supporting administrative activities through various projects and continual monitoring of those projects. The business office analyst will be assigned to either one or multiple leaders within DHMSO. Maintain all components required to support the departmental needs in preparing accurate, timely and actionable analysis. Provides support to Director and/or Manager of a specific assigned department or multiple departments. This includes performing a wide variety of administrative support. This position demands an exceptionally high level of organizational skills to balance many projects with varying degrees of priority.
Job ID
2020-136623
Department
Information Technology
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
Provides strategic direction to implement a transformative clinical vision and agenda across DHMSO diverse constituencies. Serves as a catalyst for the advancement of clinical excellence, clinical performance/accountability and clinical alignment of the Service Areas hospitals, outpatient centers and physicians. Will set and follow standards for excellence in operations and oversight of strategic planning, growth, development, and physician relations. Includes health plan operations, contract negotiation, physician group operations, business plan development, risk contracting methodologies, operational development of physician organizations, care management, staff development/management, needs assessment, work planning & prioritization, risk adjustment and strategic planning. The Chief Physician Executive has direct oversight of all assigned medical directors for DHMSO. Also partners closely with the Utilization Management department along with collaborating with the quality/clinical informatics, provider relations, compliance and contracting departments to bring uniformity and cohesiveness to the services provided to our communities.
Job ID
2020-143772
Department
Administration
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
The End User Technician II provides desktop hardware support for the user community. Works on multiple functional systems that tend to be of moderate to high complexity. Responsible for desktop hardware support to the user community for functional area(s) and ensure reliability of the devices.  
Job ID
2020-113118
Department
Information Technology
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
The End User Technician II provides desktop hardware support for the user community. Works on multiple functional systems that tend to be of moderate to high complexity. Responsible for desktop hardware support to the user community for functional area(s) and ensure reliability of the devices.  
Job ID
2020-106691
Department
Information Technology
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
What You’ll be Responsible For in this Role – Your Contribution & Career Journey The Project Manager leads internal teams/task forces on enterprise wide projects.  Responsible for planning, executing and managing multiple and/or large projects according to pre-determined timelines and budgets; assigning the project teams; building project plans; reporting status to the client and internal teams; and ensuring quality control throughout the project life cycle. What We’re Looking For - Ability to create a comprehensive project plan which includes outlines the scope and project requirements, acknowledges critical milestones, and identifies resources, systems, and individuals needed to successfully execute the plan. - Ability to communicate effectively with clients to identify needs, evaluate alternative business solutions, and make sound recommendations. - Ability to effectively facilitate team and client meetings in order to understand the full scope of the project, assign tasks appropriately and ensure the project is progressing according to the project plan. - Knowledge of tools and methodologies that will best support the plan at each stage through completion. - Ability to delegate tasks and projects to appropriate team members and follow up to ensure timely completion. - Ability to provide feedback to team members; uses effective coaching and instruction to ensure individuals are participating and engaging in the project plan.  - Ability to drive technology project delivery from planning to execution
Job ID
2020-134418
Department
Information Technology
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
What You’ll be Responsible For in this Role – Your Contribution & Career Journey The System Administrator II provides evaluation and implementation services for new products, technologies and solutions to address corporate business requirements. Works beyond the routine utilizing specialized knowledge and analysis of multiple variables. Has a comprehensive understanding and skillsets for supported platforms/products and environments. Effort and activities are divided between maintenance and support of existing environments, and implementation tasks. Project assignments can be large in scope but are typically of medium complexity. What We’re Looking For: - Provide exceptional customer service to DHMSO end users, Business Stakeholders and other members of DHMSO IT. - Perform daily production support activities - Participate in team on-call rotations. - Perform patching and code deployments across all environments - Participate in projects associated to the enhancement, upgrade/patching, or implementation of new or existing software solutions. - Coordinate implementation and support efforts between ETS and other DHMSO IT teams. - Provide oversight and facilitation of the DHMSO IT change management process as it applies to the System Administration team. - Perform source code/versioning management function adhering to technical management guidelines. - Perform source code/versioning management function adhering to technical management guidelines. - Provide ownership of technical issues within the System Administration group. - Assist with strategic planning activities (capacity planning, process improvement, maintenance, upgrade and end-of-life planning, roadmap development). - Conduct performance tuning and troubleshooting. - Build new test and production environments on existing or new hardware as required. - Assist with the design and implementation of a comprehensive monitoring and alerting process across all ETS platforms. - Identify automation opportunities and implement scripted solutions. - Assist with the implementation of a comprehensive and ongoing release management and planning effort. - Utilize standard tools and methodology to develop system and support performance metrics - Perform technical mentoring and cross training with other team members. - Demonstrate a basic knowledge & expertise with DHMSO business processes and routines. ~LI-DH
Job ID
2020-94713
Department
Information Technology
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
Conducts medical reviews for necessity, level of care, and benefit reviews rendered in the inpatient and outpatient setting to ensure the patient receives the highest level of care.  Coordinates with providers, provider staff, and hospital staff, patients and patient family members to establish an appropriate level of care. - Responsible for meeting all of the DHMSO Job Standards described below. - Plans for and ensures that all post discharge care is coordinated appropriately according to the needs of the patient and ensures continuity of care. - Conducts prior authorization review on all services that require nurse review. - Travels to various hospital within established areas to conduct patient visits. - Analyzes inpatient clinical data and conducts skill nursing facility level of care review on a concurrent basis. Refers cases that do not meet the criteria to the Medical Director and UM committee and assists in coordinating the review process. - Refers known or suspected problems of under-utilization or over-utilization or inappropriate scheduling of services to the attention of the Medical Director, UM Committee and Quality Management Department. Examples include avoidable bed days, inappropriate admissions and delayed procedures. - Provides technical support and serves as resource to PCP and specialists offices, providers, and members regarding healthcare needs and authorization process. - Ensures identification of patients and maintenance of information regarding high risk/high cost utilizers such as ESRD patients, long-term care patients, third party liability patients and transplant candidates. Identifies ways in which UM process impacts other departments internally as well as external customers and works to facilitate effective interactions. - Collects in-depth information about a patient’s situation and function. Identifies individual needs and develops comprehensive case management plan to address patient needs.  Creates plans that are action-oriented and time-specific.  Monitors care to ensure plan is achieving desired outcome, and makes revisions as needed to affect outcome.  Utilizes all relevant sources of information to ascertain the efficiency to the plan. - Coordinates all discharges from inpatient and skilled nursing facilities. - Makes outbound calls to patients according to care management queue assignment and care management policies and procedures. - Tracks barriers to appropriate inpatient and SNF utilization according to policy and procedure. - Attends Utilization Management and/or Quality Management meetings as needed. - Other duties as directed by supervisor or administration. RN, Registered Nurse, California License, Managed Care, Hospital, Quality Management, QM, Quality Assurance, QA, Supervisor, Manager, UM, Utilization Management, Inpatient, Outpatient, CM, Case Management #QMNurse   #MISSIONCRITICAL #DHLeader
Job ID
2020-133912
Department
Utilization Review
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
The Valley Integrated Physician Network (VIPN) is a clinically integrated physician network sponsored by Dignity Health. The Program Manager Clinical Integration reports to the VIPN Executive Director and is an employee of Dignity Health Management Services Organization. The Program Manager Clinical Integration supports the Clinical Integration program through ongoing support of the operational aspects of VIPN. This position supports the Executive Director with the development and implementation of VIPN initiatives and programs, and will serve to assist in managing the daily operations of such programs including needs analysis and researching trends in Clinical Integration service delivery.   Responsibilities   - Liaison with Executive Director, Board Chair, VIPN Committees, and payers/employers to identify operational needs within clinical integration for improved health and health related service. - Under the direction of the VIPN Executive Director, provides leadership, motivation and direction across VIPN to ensure the network supports best practices for clinical integration. - Interfaces/liaison with VIPN and payers for integration of programs in support of VIPN payer contracts. - Works in conjunction with Physician Practice Liaisons and Quality Nurses to monitor documentation of population health clinical components and assists in quality rapid improvement cycles in practices. - Interfaces with care coordination services including development and implementation of services and communication of clinical reports to support VIPN programs. - Works in conjunction with care coordination to identify opportunities to improve outcomes and reduce cost through information in the patient claim and electronic health record data. - Assists in the development and implementation of population health solutions that may include adoption of clinical guidelines in practices. - Analyzes payer quality and utilization data for presentation to VIPN Directors and committees and practices to: Identify trends in care, Gaps in care, Assist in care coordination activities, Assist in Quality program development - Ensures program implementation is supported by an appropriate evaluation cycle utilizing a mix of evaluation methods. - Performs other duties as assigned by Management.
Job ID
2020-108731
Department
Quality Management
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
  The Project Manager leads internal teams/task forces on enterprise wide projects. Responsible for planning, executing and managing multiple and/or large projects according to pre-determined timelines and budgets; assigning the project teams; building project plans; reporting status to the client and internal teams; and ensuring quality control throughout the project life cycle.   - Create a comprehensive project plan which includes outlines the scope and project requirements, acknowledges critical milestones, and identifies resources, systems, and individuals needed to successfully execute the plan. - Communicate effectively with clients to identify needs, evaluate alternative business solutions, and make sound recommendations. - Effectively facilitate team and client meetings in order to understand the full scope of the project, assign tasks appropriately and ensure the project is progressing according to the project plan. - Use of of tools and methodologies that will best support the plan at each stage through completion. - Delegate tasks and projects to appropriate team members and follow up to ensure timely completion. - Provide feedback to team members; uses effective coaching and instruction to ensure individuals are participating and engaging in the project plan.
Job ID
2020-106026
Department
Project Management Office
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
The Quality Management Nurse provides direct local service area support to the Clinical Integration (CI) program.  The QM Nurse reports to the SCQCN Executive Director and is an employee of Dignity Health Managed Services Organization. The QM Nurse provides local support to the CI Program through continuous interaction and education with the participating physicians and mid-level providers, as well as hospital QM staff.   PRINCIPLE DUTIES AND RESPONSIBILITIES: - Serve as a key interface and liaison for the local participating physicians through collaboration with the Executive Director, physician practice liaison, and other key members of the SCQCN leadership team. - Responsible for physician education and training on processes and workflow related to clinical initiatives undertaken as a part of the CI Program, including CPTII and HCPCS coding, documenting quality data in paper and electronic charts, and reporting via the dashboard. This requires travel to provide on-site training in physician offices. - Working closely with Physician Practice Liaison to provide physician office staff education regarding support for physician in implementing clinical initiatives undertaken within the physician’s area of specialty. - Collaborate with Physician Practice Liaison by developing proficiency in understanding quality data extracts and reporting. - Collaborate with the Physician Practice Liaison in analysis, monitoring and interpretation of ambulatory clinical quality data, using dashboard reports. - Provide one-on-one education on use of dashboard reports and other communications as appropriate to identify potential improvements and assist physicians in understanding methods and processes required to achieve measurable results. - Collaborate with the Executive Director and SCQCN Chief Medical Officer (CMO)/Medical Director in preparing analyses, as well as monitoring, interpreting, and educating on results of clinical (ambulatory and hospital) quality, cost and utilization data. - Responsible for monitoring and evaluating physician compliance and performance with quality standards, as identified in weekly, monthly and quarterly reports and provide feedback to the Executive Director. - Perform patient chart review to reconcile quality reporting results with chart documentation, using a sampling methodology approved by the Board of Managers. - Provide Executive Director with support on performance improvement and development of remediation plans at the local service area level. - Support marketing and communications with materials relating to disease management programs. - Attend local quality management committee meetings, if requested by the Executive Director. - Assists the Executive Director with other duties as assigned.     #MISSIONCRITICAL
Job ID
2020-118073
Department
Quality Management
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Scotts Valley
Position Summary:   Evaluates, develops, and coordinates social care plans to meet the needs of patients and their families.  Provides crisis intervention and assists families in understanding the implications and complexities of a patient’s medical condition and on-going care needs.
Job ID
2020-129890
Department
Care Coordination
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
Under the direction of the UM Manager and UM Supervisor, the UM Referral Coordinator is responsible for all aspects of handling patient referrals for medical review.   - Receives referral requests via electronic transmission, fax or mail from Primary Care Physician (PCP’s) and Specialists. - Reviews referral request for required information to input into EZCAP and/or GE Centricity/IDX authorization module, including  Current Procedural Technology (CPT),  Internal Classification of Diseases (ICD)-9 and/or ICD-10 Codes as needed. - Communicates with PCP or specialist office to obtain additional information regarding the referral request, if necessary. - Understands and interprets Division of Financial Responsibility (DOFR) per Health Plan Contract Matrix. - Understands and interprets provider contracts. - Processes the referrals per established Medical Group protocols and dictated by the health plans. - Enters referrals on a daily basis for Medical Director review. - Places authorization status to pended, modified, approval or denial per direction of Medical Director. - Distributes pended, modified and/or denied referrals to UM Supervisor. Distributes second opinion copies to UM Supervisor for tracking. - Follows up on pended referrals per Medical Group Policy and Procedure to include obtaining additional information necessary so that Medical Director can either approve or deny referral. - Places tracking/authorization number on the referral. Prepares referral document and applicable attachments to PCP and/or Specialist office. - Faxes individual referrals to the PCP’s, specialists and ancillary providers. - If necessary, telephonically communicate with members, providers, vendors or health plans concerning status of referrals. - All other duties as assigned.
Job ID
2020-134479
Department
Utilization Review
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield

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