protected status, such as race, religion, color, national origin, interaction, interactionual orientation, gender identity or age. Diversity and Inclusion: Pacific Source values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
Supervise and provide guidance to Case Management Member Support Services team members including Member Support Services, Representatives, and other support staff regarding company policies, procedures, and workflow. Responsible for hiring,
training, coaching, counseling, and evaluating team member performance. Demonstrate effective leadership by coaching to improve individual performance, develop teamwork and team support, manage change and encourage innovation, build collaborative relationships, encourage involvement and initiative, and develop increased vision and commitment to goals in others.
Assist in resolution of provider/community partner and member issues referred to Case Management Department services. Essential Responsibilities: Provide supervision, coaching, training, performance evaluation and leadership to assigned staff. Assist with hiring, corrective actions, and termination of employees. Assure Medicaid
Case Management Member Support Services processes, production and quality meet department and company standards.
Evaluate performance of team members. Analyze results of performance reports for each team member to determine training needs related to personal performance and department goals. In coordination with the member's case manager, assist team to develop and implement goals and/or plans tailored to assist members in navigating the complexities of health care and social systems. Create, evaluate, and track departmental metrics to measure departmental and staff performance. Oversee and assist team in identifying and creating exceptional external and internal customer communication networks and educational opportunities regarding community resources and social determinants of health.
Utilize motivational interviewing and engagement techniques to support internal and external customers in utilizing health care/community resources and interagency supports. Serve as liaison between members, providers/agencies, and other community partners. Identify members for coordination and case management services through a variety of methods, including claims data and reports. Screen requests to identify appropriate referrals to case management from multiple internal and external sources.
Work collaboratively with the case management team to help facilitate case management processes, Integrated Care Management meetings and assist in other case management/care coordination meetings. Participate in the development and maintenance of the Case Management Department Manual, policies/procedures and processes. Perform provider/community partner and staff education and introductory meetings and presentations, including Pacific Source mission and business, Intensive Care Coordination Services and Special Health Care Needs, Case Management processes, community resources and social determinants of health, member plan information, as well as contacting appropriate Pacific Source representatives for assistance.
Prepare materials and presentations for the meetings. Investigate and settle issues not resolvable by Member Support Specialist and Case Management staff. Relay information for dispute resolution to appropriate departments and personnel. Ensure compliance with applicable state and federal regulations and guidelines in day-to-day activities, including maintaining HIPAA standards and confidentiality of protected health information.
Ensure accurate and timely documentation. Supporting Responsibilities: Meet department and company performance and attendance expectations. Manage electronic mailing lists and outgoing mailings. Assist with the development of departmental procedures, reports and projects. Enter and collate electronic data: prepare reports as assigned. Follow the Pacific Source privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILEWork Experience: A minimum of four years of experience in community services or healthcare agencies focused on coordination services required.
Supervisory experience preferred. Education, Certificates, Licenses: High school diploma or equivalent. Personal Health Navigator (PHN) certification as accredited by Oregon Health Authority (OHA) required within two years of hire or promotion. Knowledge: Excellent verbal and written communication skills and ability to work independently as well as to work effectively on a team. Microsoft Office, including Word, Excel, Power Point, medical management software. Good working knowledge of how to access community resources and healthcare system.
Basic math skills required, including percentages, ratios, graphing and spreadsheet skills. Strong work ethic and ability to work effectively with a variety of personalities at varying skill levels. Competencies: Building Trust Building a Successful Team Aligning Performance for Success Building Customer Loyalty Building Strategic Work Relationships Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 20% of the time.
May be required to use personal vehicle for work-related purposes and to meet with members/community partners/providers in the community setting. May need to work outside normal work hours. Skills: Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal.
We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions.
Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
for the Oregon location while interacting with the HR team in Ohio. This position will involve hiring and interviewing staff, employee relations, assisting with payroll, benefit administration, FMLA, and other various HR duties. This position requires on-site Human Resources oversight in Salem with occasional regional site visits, initially.
Duties/Responsibilities: Build solid relationships with employees at all levels of the organization. Recruit, interview, and facilitate the hiring of qualified job applicants for open positions. Collaborate with departmental managers to understand skills and competencies required for openings. Onboard employees to set them up for success! Responsible
for employee relation issues. Conduct investigations on employee issues, this includes working with both employees and managers to ensure the issue is effectively resolved.
Partner with the department leaders on HR related matters. Coordinate employee activities and administer employee recognition programs. Administer and execute human resource programs including but not limited to compensation, benefit administration, FMLA and other HR programs. Review and assist with payroll processing. Administer and participate in employee corrective actions, terminations, and investigations. Maintain compliance with federal, state, and local employment laws and regulations, and recommends best practices.
Ensure company policies and practices are followed. Education and Experience: Bachelor’s Degree in Human Resources, is preferred.
At least 3 years’ Human Resources experience is preferred. SHRM certified is a plus! Experience working with ADP or other HRIS systems. Ability to build strong and trusting relationships with employees at all levels of organization. Detail oriented is a must. Excellent follow-up skills. Organization and time management skills are needed. Act with integrity to uphold our company core values. Excellent Microsoft office skills. Offering: Competitive Base Salary Benefits: PTO/Medical/Dental/Vision/Life Ins/401(k)
themselves and their family. Successful candidates for this position will provide incredible service while solving the insurance needs of the people and families they help. In addition to serving prospects referred by the owners of the Comma branch, Insurance Advisors build prospect pipelines through networking, client referrals, and social channels.
role is key in reaching out to members of communities, including those of Black and Indigenous People of Color (BIPOC), Veterans, and other qualified individuals with a desire and the skills needed to achieve the agency mission. Candidates must apply by 12/22/23 in order to be considered for first round interviews.
MINIMUM QUALIFICATIONS The requirements listed below are representative of the knowledge, skill, and/or ability required. EDUCATION and/or EXPERIENCE High School Diploma or GED and a Bachelor's Degree plus three or more years of HR related or administrative experience. An equivalent combination of education and experience may be accepted. CERTIFICATES, LICENSES, REGISTRATION
Driver Qualification Status not required for this position. Candidate must pass a comprehensive MWVCAA background screening prior to employment. ESSENTIAL DUTIES AND RESPONSIBILITIES This job description is not intended to be all-inclusive.
Creates, edits and posts jobs on various job boards, websites, community locations, and at schools. Attends and/or holds job fairs to recruit for open positions. Creatively sources applicants to achieve applicant outcomes. Advises hiring managers to interview qualified candidates as required under HR guidelines. Reviews and edits interview questions for appropriateness and job-related questions. Assists with pre-screening, phone/video or in-person
interviews as requested. Prepares interview panel packets as needed.
Collects application materials, interview notes, scoring sheets, testing documents for completeness and filing once position is filled and candidates have been notified. Meets with candidates to assist with the completion of pre-employment screening items, such as drive records, reference checking, and background checks. Meets with new staff to on their 1st day for employee onboarding. Performs I-9 Identification checks, administers W4s for staff to complete, and assists with other 1st day onboarding tasks. RELATIONSHIPS WITH OTHERS The employee in this is position is in regular contact by telephone, video or in person with all levels of agency staff to provide information and answer questions regarding employment related matters.
Diplomatically and calmly handles reactive applicants, employees and/or managers if the situation arises. Develops rapport with candidates and presents career opportunities that may be attractive and rewarding. Refers to HR Manager and COO for complex issues, processes, and policies as they arise. Checks with Lead Recruiter on processes and work assignments. Communicates key information in a concise, timely manner. WORK ENVIRONMENT Indoor, office work environment with frequent interruptions and demands.
Working with coworkers/clients over the phone, via video conferencing and in-person. Occasional noise and distractions in work spaces. PHYSICAL DEMANDS Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities. Specific vision abilities required by this job include close vision and ability to adjust focus; hearing abilities required. Occasionally lift up to 25 pounds. Manual dexterity for handling office equipment, documents and phone. May require use of headset for answering phones.
Mobility within the office and between agency sites required. Occasional driving may be required. MWVCAA is committed to promoting and achieving diversity, equity, and inclusion with employees and with those we serve. The agency strives to be an employer of choice with a vision for all people to be respected for their infinite worth and supported to envision and reach a positive future. MWVCAA is proud to be an Equal Opportunity Employer. We do not discriminate based upon race, religion, color, national origin, interaction, interactionual orientation, gender expression, age, veterans, and people with disabilities, or any other protected category.
We welcome all people to join us in achieving our Mission. If you require any assistance in the application process, or reasonable accommodations to perform the essential duties of the position, please notify a member of our team at (503) 585-xyz X. If you need ADA accommodations to apply for MWVCAA job openings, please contact Human Resources at or call 503-585-xyz X to ask for a HR Team Member. This is a partial list of essential duties and responsibilities. To review the full job description, please apply at mwvcaa. org/careers/. Job Posted by Applicant Pro
