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location_0_addressCountryName

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jobPosting hiringOrganization as json hashed.

ADAPTED_NOW

HOUR

Actuarial Associate

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Generate and distribute routine reports to support IBNR calculations, pricing, and financial reporting.

KBSkills

ACTIVE

<div><div></div><div><p><strong>JOB DESCRIPTION</strong></p><p><strong>Job Summary</strong></p><p>Responsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.</p><p><strong>KNOWLEDGE/SKILLS/ABILITIES</strong></p><ul><li>Support the development of the IBNR estimates and rate adequacy studies. Document assumptions.</li><li>Analyze results to identify early signs of trends or other issues related to medical care costs.</li><li>Perform actuarial studies related to medical care costs and trends.</li><li>Generate and distribute routine reports to support IBNR calculations, pricing, and financial reporting.</li><li>Extract and compile information from various systems to support executive decision-making.</li><li>Support the development of reports and analysis for senior management; effectively communicate results.</li></ul><p><strong>JOB QUALIFICATIONS</strong></p><p><strong>Required Education</strong></p><p>Bachelor's Degree in Mathematics, Statistics, or Economics</p><p><strong>Required Experience</strong></p><p>0-1 Year</p><p><strong>Required License, Certification, Association</strong></p><p>Must have passed at least 1 actuarial exam.</p><p><strong>Preferred Experience</strong></p><p>Internship - 2 Years</p><p/><p>To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.</p><p>Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.</p><p>#PJCorp</p><p>#LI-AC1</p><p> Pay Range: $67,725 - $88,511 / ANNUAL <br/>*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.</p></div><div><div><h3>Required</h3><ul></ul></div><div><h3>Preferred</h3><ul></ul></div></div><div><h3>Job Industries</h3><ul><li>Other</li></ul></div></div>

Molina Healthcare

Assoc Actuarial Analyst (Medicaid Risk Adjustment) - REMOTE

salaryMin

salaryMax

payPeriod

currency

Actuarial Skills

Analysis Skills

Communication Skills

Compensation and Benefits

Data Analysis

Decision Support

Economics

Financial Analysis

Financial Reporting

Healthcare

Information Technology & Information Systems

Mathematics

Medicaid

Patient Care

Pricing

Reporting Skills

Risk Analysis

Statistics

jobget2

INTEGRATED

YEAR

Social Worker

License, Certification, RegistrationLicensed Marriage and Family Therapist (Washington) OR Licensed Advanced Social Worker License (Washington) OR Licensed Social Worker Associate-Independent Clinical (Washington) OR Licensed Independent Clinical Social Worker (Washington) OR Mental Health Counselor License (Washington) . Conducts comprehensive psychosocial assessment and partners with patient to identify needs and develop and implement individual plan of care based on mutually agreed upon goals in order to assist patients and families to cope and/or restore social, emotional, financial and environmental factors which affect and/or are affected by illness.

<p><b>Our commitment to our employees goes beyond the workplace, including competitive wages that reflect your value to the company! </b></p><br/><p>Additional pay benefits of the new contract for SEIU represented roles, full and part time (can be stacked):</p><br/><ul><li><br/></li><li>$2.50/hour Weekend Premium</li><li><br/></li><li>$2.00/hour Evening Differential</li><li><br/></li></ul><br/><p><i>Alternating Weekends and holidays</i></p><br/><p><b>Job Summary:</b></p><br/><p>Provides a wide range of clinical social work services in a primary care or home health setting, including support and consultation to</p><br/><p>care team in managing patients. Evaluate psychosocial assets and deficits for the purpose of enabling the pt to maintain the greatest</p><br/><p>level of independence. Coordinates with others to establish a plan of care. Provides short term counseling, teaching and brokering with other resources for care giving needs.</p><br/><p><b>Essential Responsibilities</b></p><br/><p>•         Provide appropriate social work interventions to all age patients and their families including but not limited to psychosocial assessment, brief individual or family, advocacy, linkage, referral, group work, case coordination, and long-term care planning and placement.<b></b></p><br/><p>•         Consultation and coordination with multidisciplinary team of care professionals and primary care site medical/nursery staff, to include family conferences, care conferences, team meetings and etc.</p><br/><p>•         Assesses patient and family needs for care and communicates with other health care providers appropriately. Collects data relevant to visit with ongoing assessment throughout the duration of care. Evaluate psychosocial assets and deficits for the purpose of enabling the pt to maintain the greatest level of independence.</p><br/><p>•         Evaluates patients/family needs through timely assessment, communication and observation. Modifies plan of care through assessment based upon patient/care systems response.</p><br/><p>Provides crisis intervention, grief/bereavement counseling, problem solving, stress reduction and developing healthy coping strategies to patients in home based, clinic, or inpatient care setting. Conducts comprehensive psychosocial assessment and partners with patient to identify needs and develop and implement individual plan of care based on mutually agreed upon goals in order to assist patients and families to cope and/or restore social, emotional, financial and environmental factors which affect and/or are affected by illness. Responsible for implementing this plan. Discuss options for care proactively including Kaiser resources and external community/government resources to assist patient and family in developing short- and long-term care plans as appropriate. Team with other disciplines in assessing, planning and providing services for patients utilizing biopsychosocial information. Assist patient in advocating for self to receive appropriate services within Kaiser and in the community. Takes, reviews, evaluates and prioritizes referrals and is responsible for daily scheduling of visits. Identifies appropriate levels of care and facilities for patients and obtains placements, where applicable. Collaborates with internal and external resources in Kaiser and the community to meet mutually agreed upon goals and objectives. Provides information and referral to community resources as requested. Coordinates exchange of information between Kaiser, families, members, and care facilities (including adult family home, assisted living and LTC/skilled nursing facilities). Determines application of Kaiser, Medicare and/or Medicaid benefits to specific patient situations. Assists in coordinating communication between home health/hospice, clinics, hospitals, and field staff to triage psychosocial needs of members. Performs other related duties as necessary.</p><br/><p><br/></p><div><b>Basic Qualifications:</b></div><div><u>Experience</u></div><br/><ul style="margin-top:0;margin-left:1px;margin-bottom:0"><li>Minimum one (1) year of previous social work experience.</li><li>Per the National Agreement, current KP Coalition employees have this experience requirement waived.</li></ul><div><u>Education</u></div><br/><ul style="margin-top:0;margin-left:1px;margin-bottom:0"><li>Masters degree in social work (MSW).</li></ul><div><u>License, Certification, Registration</u></div><ul style="margin-top:0;margin-left:1px;margin-bottom:0"><li>Licensed Marriage and Family Therapist (Washington) OR Licensed Advanced Social Worker License (Washington) OR Licensed Social Worker Associate-Independent Clinical (Washington) OR Licensed Independent Clinical Social Worker (Washington) OR Mental Health Counselor License (Washington) </li></ul><div><b>Additional Requirements:</b></div><br/><ul style="margin-top:0;margin-left:1px;margin-bottom:0"><li>Excellent written and verbal communication skills.</li><li>Demonstrated success as part of a multi-disciplinary team and commitment to diversity.</li></ul><div><b>Preferred Qualifications:</b></div><br/><ul style="margin-top:0;margin-left:1px;margin-bottom:0"><li>Two (2) years of post-masters experience.</li><li>Care coordination experience in managed care system, in-/outpatient setting, skilled nursing or long-term care facility.</li><li>Knowledge of social case management, conflict resolution and team building practices.</li><li>Familiarity with Microsoft Office.</li><li>Familiarity with electronic charting.</li></ul><br/>PrimaryLocation : Washington,Silverdale,St. Michael Medical Center - Silverdale<br/>HoursPerWeek : 30<br/>Shift : Day<br/>Workdays : Mon, Tue, Wed, Thu, Fri, Sat, Sun<br/>WorkingHoursStart : 10:00 AM<br/>WorkingHoursEnd : 08:30 PM<br/>Job Schedule : Part-time<br/>Job Type : Standard<br/>Employee Status : Regular<br/>Employee Group/Union Affiliation : J03|SEIU|SEIU Local 1199 Therapist<br/>Job Level : Individual Contributor<br/>Job Category : Behavioral Health, Social Services & Spiritual Care<br/>Department : Renton Admin Baker - UR-Discharge Planning - 1130<br/>Travel : No<br/>Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.<p>--s-p-m1--</p><p>By applying, you consent to your information being transmitted by Monster to the Employer, as data controller, through the Employer’s data processor SonicJobs.<br/>See Kaiser Privacy Policy at https://www.kaiserpermanentejobs.org/privacy-practices and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions</p>

At Kaiser Permanente, we are relentless in our pursuit of excellence. Driven by our mission to provide the highest quality preventive medicine, we are committed to eliminating health care disparities, and to making lives better through innovation, technology, and research.

Our desire to deliver the best possible care inspires us to promote wellness among our members, communities, and each other. It also fuels our belief that everyone — regardless of circumstance — deserves access to affordable care, which further drives our motivation to expand our reach.

Founded nearly 80 years ago, our unique business model sets us apart — positioning us to drive improvements across the industry and around the world.

Kaiser

MSW Social Worker-Emergency (ER)-Part Time-Day-Silverdale

Assisted Living

Bakery

Behavioral Health

Brokerage

Case Management

Community and Social Services

Conferences

Conflict Resolution

Crisis Intervention

Cross-Functional

Data Collection

Discharge Plans

Diversity

Establish Priorities

Genetics

Government

Health Plan

Healthcare Providers

Home Care

Hospice Care

Hospital

Licensed Clinical Social Worker (LCSW)

Licensed Marriage and Family Therapist (LMFT)

Licensed Mental Health Counselor (LMHC)

Long-Term Care

Managed Care

Medical Records

Medicare

Microsoft Office

Needs Assessment

Nursing

Outpatient Care

Patient Assessment

Presentation/Verbal Skills

Primary Care

Problem Solving Skills

Social Work

Strategic Planning

Team Building

Time Management

Training/Teaching

Treatment Plan

Writing Skills

SonicJobs

Physician Assistant

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

<div><div></div><div><p><strong>JOB DESCRIPTION</strong></p><p><strong>Job Summary</strong></p><p>Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.</p><p><strong>KNOWLEDGE/SKILLS/ABILITIES</strong></p><ul><li>Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.</li><li>Analyzes clinical service requests from members or providers against evidence based clinical guidelines.</li><li>Identifies appropriate benefits and eligibility for requested treatments and/or procedures.</li><li>Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and its members.</li><li>Processes requests within required timelines.</li><li>Refers appropriate prior authorization requests to Medical Directors.</li><li>Requests additional information from members or providers in consistent and efficient manner.</li><li>Makes appropriate referrals to other clinical programs.</li><li>Collaborates with multidisciplinary teams to promote Molina Care Model</li><li>Adheres to UM policies and procedures.</li><li>Occasional travel to other Molina offices or hospitals as requested, may be required. This can vary based on the individual State Plan.</li><li>Must be able to travel within applicable state or locality with reliable transportation as required for internal meetings.</li></ul><p><strong>JOB QUALIFICATIONS</strong></p><p><strong>Required Education</strong></p><p>Completion of an accredited Registered Nurse (RN).</p><p><strong>Required Experience</strong></p><p>1-3 years of hospital or medical clinic experience.</p><p><strong>Required License, Certification, Association</strong></p><p>Active, unrestricted State Registered Nursing (RN) license in good standing.</p><p/><p>To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.</p><p>Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.</p><p> Pay Range: $26.41 - $61.79 / HOURLY <br/>*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.</p></div><div><div><h3>Required</h3><ul></ul></div><div><h3>Preferred</h3><ul></ul></div></div><div><h3>Job Industries</h3><ul><li>Other</li></ul></div></div>

Care Review Clinician, PA (RN) (Working PST hours)

Clinical Practices/Protocols

Cost Control

Cost Effectiveness Analysis

Federal Laws and Regulations

Financial Management

Maintenance Services

Patient Care Authorizations

Registered Nurse (RN)

State Laws and Regulations

Willing to Travel

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