Location: Bridgeville, CA
nursing backssment, prioritizes patient needs, and refers to the appropriate level of care that will ensure an optimal outcome. Provides comprehensive backssment and utilizes evidence based guidelines, along with insight of the nursing process, and a proven ability to critically analyze information from the patient and available medical records in the decision making process.
Ensures access to care. Serves as the primary point of contact for telephone patients with a variety of health-related question or concerns. Collects subjective data related to the presenting problem and medical history. Utilizes critical thinking and problem solving skills to recognize and match symptoms to protocol,
assigning acuity (emergent, urgent, acute and non-acute) and ensuring safe, timely disposition of health related calls. Documents encounter and decision making in a concise and accurate manner, utilizing the patient's own words as appropriate.
Recalls knowledge of the teaching principles of health care information to pediatric, adult and geriatric populations. Ensures that the caller comprehends health information and clinical advice to make informed healthcare decisions. Establishes an immediate therapeutic rapport with callers, making every effort possible to resolve the problem. Listens, communicates and documents simultaneously while navigating computer programs to backss, process,
educate and document all information in a professional manner.
Demonstrates knowledge and use of the nursing process to identify physical, psychosocial, and developmental needs and interventions to promote favorable outcomes. Meets established quality standards, competencies, and educational training and requirements. Participates in staff meetings, in-services, committees, and continuing education opportunities. Adheres to organizational and departmental policies, procedures, and established best practices. Demonstrates a commitment to patient centered care. Shifts may include alternating shifts and/or on call, or a combination. Proficiency at directing patients to various resources/knowledge of available patient resources, working with offices/staff to accommodate patient needs and working with afterhours/answering services to ensure patients are triaged appropriately and needs are met timely.
Proficiency at obtaining medical records, obtaining authorizations, and developing any skills necessary to expedite and facilitate access and allocation of patient services. Proficiency to navigate necessary databases and resources. Proficiency with navigation across diagnoses and treatments, as well as knowledge of applicable resources with ability to triage, document and assist appropriately patient appropriately.
Graduate from an accredited school of professional nursing Registered Nurse with 3 or more years of experience in a medical-surgical, primary care, pediatric, ED, case management, or clinical environment Skilled at navigating EMR preferably EPIC, MS Word, and prior job experience with typing and computer usage Bachelor's Degree in Nursing Certification in nursing specialty Telephone triage experience Expertise in crisis intervention, teaching/coaching, disease management and diagnostic monitoring It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, interaction, national origin, interactionual orientation/gender identity or any other category protected by applicable federal, state or local law.
Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, interaction, national origin, interactionual orientation/gender identity, protected veteran status or disability. Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/interactionual Orientation/Gender Identity ( If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at rnia Consumer Privacy Act Employees, Contractors, and Applicants Notice For more details: jobs-search. org/insurance_bridgeville-c425658/medical-records-nurse-bridgeville_i1949643158
Insurance jobs encompass a variety of roles within the industry focused on assessing risk, providing financial protection, and supporting clients. These positions can range from actuaries who analyze data to predict risk, to claims adjusters who evaluate and process insurance claims. Insurance agents and brokers are also key, selling policies and advising customers on coverage options. The field is known for its stability, as insurance is a necessary service in both good and bad economic times. Moreover, these jobs often require strong analytical skills, attention to detail, and excellent communication abilities, as professionals navigate complex regulations and provide vital assistance to policyholders.
other IMPORTANT information. WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the web at Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I) DIVISION? A description of the business units can be found at: Vacancies will be filled in the following specialty areas: Large Business and International Director Enterprise Activities The following are the duties of this position at the full working level.
If this vacancy includes more than one grade and you are selected at a lower grade level, you will have the opportunity to learn to perform these duties and receive training to help you grow in this position. Analyzes unusually difficult and complex actuarial problems and issues
involved in tax law, rulings, and court case decision in determinations of tax liability under the Internal Revenue Code in a number of areas of taxation, including valuation of complex life and insurance reserves, considering the tax implications in acquisitions, reorganizations, and liquidations.
Represents the Service in conferences with taxpayers, their legal representatives, representatives of the insurance industry and actuarial consultants on proposed tax issues and procedures and problems of common interest and proposes solutions to highly technical problems that arose in connection with issues that are not adequately covered by the laws, regulations, and revenue rulings. Travels
to various sites throughout a specified geographical area, and, as a member of the examination team, conducts specific and in-depth audit work in areas commensurate to his/her expertise, serves as a consultant to examiners concerning audit approaches, studies, and research techniques relating to actuarial methods used by the taxpayer, and provides service as an expert witness in tax litigation cases involving life insurance issues.
Develops text material for training manuals, position papers of complex actuarial policy issues, technical portions of regulations and rebuttals to taxpayers' position on issues that are unresolved. Acts as loss reserve specialist in the examination of life insurance companies.
Assists insurance examiners in performing basic loss reserves testing and performs independent analysis of loss reserves. Requirements Conditions of Employment If you are in a telework eligible position, you may be directed to temporarily telework on a full-time basis due to COVID 19. Employees must be within a 200-mile radius of their official assigned post-of-duty (POD) while in a telework status. Once normal operations resume, employees may be directed back to the office to perform the duties of their position. Telework eligibility does not guarantee telework; employees must meet and sustain IRS telework eligibility requirements and supervisor's approval to participate in the IRS Telework Program.
As a reminder - If you are selected for a position, you are responsible for reporting to your designated POD (location) on the negotiated start date or as directed by management. Must be a U. S. Citizen or National and provide proof of U. S. Citizenship. (Birth certificate showing birth in the U. S; Unexpired U. S. Passport; Certificate of Citizenship or Naturalization; or Report of Birth Abroad of a U. S. Citizen (Form FS-240)) Undergo a review of prior performance/conduct and an income tax verification.
Refer to " Get Your Tax Record" at () to check the status of your account, balance owed, payment history, make a payment, or review answers to tax questions. If you are not in compliance, you will be determined unsuitable for employment with IRS. Must successfully complete a background investigation, including a FBI criminal history record check (fingerprint check). Complete a to determine your suitability for Federal employment, at the time requested by the agency. Go through a Personal Identity Verification (PIV) process that requires two forms of identification from the.
Federal law requires verification of the identity and employment eligibility of all new hires in the U. S. These must be unexpired original or certified copies. Qualifications Federal experience is not required. The experience may have been gained in the public sector, private sector or One year of experience refers to full-time work; part-timework is considered on a prorated basis. To ensure full credit for your work experience, please indicate dates of employment by month/year, and indicate number of hours worked per week, on your resume.
You must meet the following requirements by time of referral: BASIC REQUIREMENT: To be basically qualified for an Actuary position, you must meet the basic requirement (positive education requirement) below. You must have a Bachelor's degree that included courses in actuarial science, mathematics, relevant statistics, business, finance, economics, insurance, or computer science totaling at least 24 semester hours. This course work must have included a minimum of 12 semester hours of mathematics that included differential and integral calculus and one or more courses in mathematics for which these calculus courses were prerequisites.
OR A combination of education and experience that includes BOTH of the following requirements: (1) Technical work experience in actuarial support work or in mathematics, AND (2) Completion of a minimum of 24 semester hours of courses in actuarial science, mathematics, relevant statistics, business, finance, economics, insurance, or computer science at a four-year college or university. This course work must have included a minimum of 12 semester hours of mathematics that included differential and integral calculus and one or more courses in mathematics for which these calculus courses were prerequisites.
In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: SPECIALIZED EXPERIENCE-GS-15: Applicants must have one year of specialized experience at a level of difficulty and responsibility equivalent to the GS-14 level in the Federal Service. Specialized experience for this position includes: A wide range of experience with actuarial & accounting requirements, processes and techniques pertinent to the statutory and tax valuation of life insurance and annuities reserves and the Federal income tax examinations of life insurance companies; experience working in a life insurance company, an accounting firm, or an actuarial consulting firm, or in the public sector, where you were involved in the preparation and/or audit of the 1120L tax return, and in particular, life insurance, annuity or other life reserves; experience preparing written and/or oral presentations for clients, taxpayers, other actuaries, auditors, professional consultants, counsel, and management that demonstrate expertise relating to state and federal tax laws, regulations, and rulings, and actuarial and accounting guidelines and principles applicable to life insurance companies.
For more information on qualifications please refer to. How You Will Be Evaluated You will be evaluated for this job based on how well you meet the qualifications above. This position will be filled through the Direct Hire Authority. Under this authority, competitive rating, ranking, and veterans' preference procedures do not apply. Your application will be considered based on education, training, and quality of your experience. For more information on Direct-Hire Authority visit:Your application must include your resume, responses to the online questions, and required supporting documents.
Please be sure that your resume includes detailed information to support your qualifications for this position; failure to provide sufficient evidence in your resume may result in a " not qualified" determination. Referral: Applicants who meet the basic qualification requirements may be referred to a selecting official for consideration. Candidates may be required to participate in a selection interview (telephonic and/or in person at the discretion of the Selecting Official in accordance with hiring practices).
We will not reimburse costs related to the interview such as travel to and from the interview site. If you are a displaced Federal employee (eligible for the , you must be found " well qualified" for the position. Well qualified is defined as: experience that exceeds the minimum qualifications of the position, demonstrated by meeting all the competencies for this position. Required Documents The following documents are required and must be provided with your application. All application materials, including transcripts, must be in English. Resume - Your resume MUST contain dates of employment (i.
e. month/year to month/year or to present). To ensure you receive full credit for relevant experience, include the hours worked per week. We recommend that your resume not exceed 5 pages, only the first 5 pages will be reviewed to determine your eligibility/qualifications. If including Federal service experience, provide pay plan, series and grade, i. e. GS-0301-09. Your resume must NOT include photographs, inappropriate content, or personal information such as age, gender, religion, social security number. If your resume does not contain the required information specified, or contains prohibited information as listed above, your application will be determined incomplete, and you will not receive consideration for this position.
( are optional. ) Please view Online Application - Questionnaire Education - See Education Section above Registration/License (If Applicable) - active, current registration/license Veterans' Preference (If Applicable) - If claiming veterans' preference, you must submit a copy of your DD-214 (Member 4 copy), or other official documentation from a branch of the Armed Forces or the Department of Veterans Affairs showing dates of service and type of discharge.
Ten-point preference eligibles must also submit an , along with the required documentation listed on the back of the SF-15 form. For more information on veterans' preference view Military Spouses (If Applicable) - You MUST submit verification of the marriage to the service member(i. e. a marriage license or other legal documentation verifying marriage) AND (1) a copy of your spouse's active military orders; OR (2) verification of your spouse's 100% service-connected disability (e. g. VA Letter and/or DD-214); OR (3) verification of the service member's death while on active duty (DD-1300/Death Certificate).
You are not eligible if you were not married to the veteran at the time of death or have since remarried. Current and Former Federal Employees Documentation (If Applicable) - You MUST submit a copy of your most recent SF-50 (Notification of Personnel Action) or equivalent personnel action form which shows your current grade and competitive service status. (The " position occupied" block on the SF-50 reflects "1" and your " tenure" block reflects "1" or "2") If you are applying for a higher grade, it is recommended to provide an SF-50(s) (or equivalent) which clearly demonstrates you meet the 52-week time-in-grade requirement (e.
g. Promotion with an effective date more than one (1) year old, Within-Grade-Increase at the highest grade held). Career Transition Assistance Plan (CTAP) (If Applicable) - IRS CTAP eligibles can apply for jobs within and outside the commuting area. Treasury CTAP eligibles can apply for jobs within the commuting area. Find required documentation at: Interagency Career Transition Assistance Plan (ICTAP) (If Applicable) - If you are a displaced or surplus Federal employee, click for eligibility and a detailed list of required documents.
High School Diploma (or equivalent) - If you are 16 or 17 years of age, you MUST submit documentation of graduation from high school (or equivalent); OR completion of a formal vocational training program; OR statement from school authorities agreeing with your decision to pursue employment rather than continuing your education. Please note that if you do not provide all required information, as specified in this announcement, you will not be considered for this position (or may not receive the special consideration for which you may be eligible). PDN-98542f61-aaf5-43eb-b265-6ba48a57b545
in the self-storage industry, and given our number of tenants, we may very well be the world's largest landlord. We've experienced unprecedented growth over the past four decades, and it's in no small part due to the dedicated team that has helped us become an S&P 500 industry leader, the country's largest real estate investment trust (REIT), and the most recognizable name in self-storage.
We currently have an exciting opportunity for a Property & Casualty Insurance Manager to be based out of our corporate office in Glendale, CA reporting to the Senior Vice President of Risk Management. The Property & Casualty Insurance Manager manages the insurance claims process for corporate-wide property,
casualty, and automobile liability and other related insurance plans. The selected candidate will foster and maintain relationships with third party administrators (TPA); develop, train and monitor internal claims handling policies and procedures; develop monthly reports to management; review contracts and certificates of insurance for compliance; and manage staff of up to two employees.
-KEY RESPONSIBILITIES Administer and supervise the claims functions of the risk management program for the Company including corporate-wide property, casualty, automobile liability and other corporate risks, to ensure effective and timely claims processing. Report applicable claims to TPA and work closely
with TPA until resolution. Review appropriateness of reserve levels.
Follow up for information required from field to adjust claim. Track property and liability losses against TPA loss runs, provide monthly reports and updates on open claims. Develop guidelines and procedures for incident reporting and claims handling. Approve payments and denials to claimants. Monitor service provided by TPA. Oversee annual issuance of certificates of insurance by broker. Review lease and loan documents for insurance requirements and order necessary Certificates of Insurance. Review vendor certificates of insurance for compliance with Master Service Agreements. Coordinate and participate in bi-annual Claims Review Meetings.
Work with Legal Department on litigated claims and provide with appropriate documentation as required. Review Legal Litigation Payment Logs and Invoices Monthly and provide to TPA for Logging. Coordinate with Facilities and Manage process for Vendor related tenant claims. Supervise Subrogation Claims Adjuster - review and analyze claims with adjuster, maintain Subrogation logs and prepare reports for management. Support to DMs, RMs, RVPs and field personnel with training and support of claims handling process and procedure. Prepare and analyze reports on monthly and quarterly basis.
Evaluate trends to support loss prevention. Attend monthly P&L Meeting. Review TPA and other vendor billings for accuracy. Compensationn Base Pay Range: $105,000 - $120,000n Compensation may vary outside of this range depending on a number of factors, including a candidate's qualifications, skills, competencies and experience, and location. Base pay is one part of our total awards approach to compensation which is provided to compensate and recognize employees for their work, and this role may be eligible for additional discretionary bonuses or incentives.
polish with pugnacity to achieve the best possible resolutions for its clients, this firm represents individuals, organizations, and companies in the biggest industries in the US, ranging from energy to finance to medicals. With offices throughout the country, this full-service firm's divisions deal with insurance recovery, corporate and commercial litigation, securities, construction, real estate, and employment law.
The firm emphasizes diversity, and its intelligent, personable, well-rounded attorneys bring to bear their well-honed expertise in crafting legal, cost-effective solutions to clients' problems. Top legal review organizations have recognized several of the firm's attorneys year after year. Working at this firm offers tremendous opportunities for growth, and the remuneration and compensation packages are slightly higher than the industry average.
