One element that distinguishes Clinicas del Camino Real, Inc. from the rest is the compassion with which we deliver our services to the general and underserved population in our community. We are proud to have a family of professional and caring individuals who together comprise such a significant entity in the county of Ventura. Ever since our first health center opened its doors over forty years ago, we have continued to grow, improve and expand our services. It certainly would not be possible to accomplish this without the dedication, commitment and ownership that our workforce takes over this prestigious health care organization. If you are someone who wants to work for an organization that makes a difference and have a desire to make an impact on the wellbeing of our local community through your work, we encourage you to apply to become part of our team!
For the Provider Job Listing, please visit Provider Opportunities page.
The following job openings are currently available:
Business Intelligence Developer
Business Intelligence and Data Analytics
Camarillo
This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas Del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave.
*Please note we are a H1 cap-exempt non-profit organization.
JOB OBJECTIVE
As a member of Data Management Group, the developer will provide the expertise in SQL Server BI Development and work with various data repositories. The developer will be working to develop full stack BI solutions which include implementing of data warehouse, ETL process, data analytics, predictive analysis/trends/patterns, data quality, data governance, interactive visualization, and dynamic reporting. The developer is responsible for leading the development of reporting and analytics solutions for Clinicas’s electronic health record (EHR) system by gathering business needs, documenting requirements, identifying appropriate data sources, and developing reports and dashboards.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
Responsibilities:
The Data Warehouse/BI Developer II is responsible to perform all of, but not limited to, the following duties:
- Develops reports, self-service/interactive dashboards, and analytics packages using business intelligence suite of tools such as Tableau, SSAS, SSRS, SSIS, SSDT
- Calculates clinical metrics using healthcare data from various sources
- Extracts, integrates and processes data to support reporting of provider’s clinical performance, risks, outcomes, and population’s health
- Designs and automates data preparation and reporting programs
- Validates the integrity and accuracy of data
- Participates in project planning, report formats and statistical methodologies
- Investigates and evaluates alternative solutions to meet business needs
- Develops data models, architects and builds scalable/high availability data warehouse environments
- Supports the EMR, EPM, claim, and finance data warehouse
- Acts as an informed and thought partner with business users to analyze data to find answers to complex problems
- Acts as a liaison with end-users to collaborate on short and long term reporting requirements
- Determines project requirements for reporting activities and prepare project plans
- Translates requirements into repository and design; document all design specifications
- Assists in defining best practices and implementation standards for the data warehouse and across business intelligence and reporting delivery tools
- Independently and/or collaboratively develops solutions that are high performance
- Provides technical and administrative support of complex, enterprise-wide analytics systems to ensure data integrity and proper system functioning
- Adheres to and promotes best practices and standards work for all recurring activities.
- Mentors less experienced team members and business users on analytics principles and best practices
- Stays current on relevant industry developments – payment reform, regulations, quality measurement programs such as UDS, HEDIS, and Meaningful Use, performance improvement
Qualifications:
- 3+ years working experience in technical design of data analytics model such as SQL
- 3+ years working experience in developing ETL process and SQL programming skills
- 31+ years working experience in data warehouse environment performing implementation, integration and maintenance of online analytics platform.
- Proven hands-on technical experience with Microsoft Business Intelligence tools such as SSAS/SSIS/SSRS/SSDT and other visualization tools such as Tableau, QlikView, and power BI
- Understanding of database structures, theories, principles, and practices
- Understanding of ETL and data warehouse principles
- Working knowledge in T-SQL creating complex stored procedures and views
- Ability to translate business questions and requirements into reports, views, and BI query objects
- Experience in gathering, documenting, prioritize and tracking requirements
- Proven experience in standardizing process, setting up, supporting, and troubleshooting production systems
- An ability to be a self-motivated, high performance contributor
- Able to effectively work with ambiguity and incomplete information
- Ability to work with a minimal amount of direction while being pro-active in keeping their management informed of project related issues.
- Able to work well with people from all level within organization. Ability to respectfully question ideas and share a point of view with others in support of the business requirements and needs
- Ability to work well under pressure and adapt to changes in priority
- An excellent team player and willing to assist and train other team members to accomplish common goal
- Consistently demonstrate forward thinking.Strong aspiration to learn new technologies
- Possess strong interpersonal and written/verbal skills
- Consistently demonstrate excellent analytical, mathematical and problem solving skills
Additional Considerations:
- Working knowledge of various BI and visualization tools is a plus (Tableau, MicroStrategy, WebFocus, DataStage, Informatica etc.)
- Other programing language (.NET, C#, PowerShell, XML, Python) a plus
- Knowledgeable in predictive analytics (using SAS, R, or SPSS) a plus
Required education:
- A bachelor's degree in Computer Science or closely related field is required
Job Posting created: March 27, 2020.
Database Administrator
Information Systems
Ventura
This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas Del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave.
The DBA reports directly to the Sr. Manager of Application and Database. The DBA will provide the expertise in SQL Server. The DBA performs troubleshooting, maintenance and optimizing of existing applications and databases. The DBA also develops, tests and supports new applications, interfaces between applications and databases. The DBA must attain in-depth knowledge of the applications and operational workflows. The DBA works with other IT members to evaluate and recommend solutions to complex problems and requests.
Responsibilities
- Build database systems of high availability and quality depending on each end user’s specialized role
- Design and implement database in accordance to end users information needs and views
- Define users and enable data distribution to the right user, in appropriate format and in a timely manner
- Use high-speed transaction recovery techniques and backup data
- Minimize database downtime and manage parameters to provide fast query responses
- Provide proactive and reactive data management support and training to users
- Determine, enforce and document database policies, procedures and standards
- Perform tests and evaluations regularly to ensure data security, privacy and integrity
- Monitor database performance, implement changes and apply new patches and versions when required
- Bachelor's degree in Computer Science or related field required
- Understanding of database structures, theories, principles, and practices
- Working knowledge in T-SQL creating complex stored procedures and views
- Proven hands-on technical experience with Microsoft Business Intelligence tools such as SSAS/SSIS/SSRS/SSDT and other visualization tools such as Tableau, and power view
- 2+ years working experience in developing ETL process and SQL programming skills
- An ability to be a self-motivated, high performance contributor
- Able to effectively work with ambiguity and incomplete information
- Ability to work with a minimal amount of direction while being pro-active in keeping their management informed of project related issues
- Able to work well with people from all level within organization. Ability to respectfully question ideas and share a point of view with others in support of the business requirements and needs
- Ability to work well under pressure and adapt to changes in priority
- An excellent team player and willing to assist and train other team members to accomplish common goal
- Consistently demonstrate forward thinking
- Strong aspiration to learn new technologies
- Experience with Claim Adjudication system and database is a plus
Dental Back Office
Dental
Camarillo, Moorpark, Newbury Park, Oxnard, Ventura
This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas Del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave.
Looking for Dental Assistant or Registered Dental Assistant
The Dental Assistant provides support and assistance to our Dentists in providing quality care to our patients. Utilizes knowledge of dental instruments, equipment, and materials. Mixes amalgam and prepares dental accessories for patient visits. Communicates effectively with patients of all ages; provides information and instructions, as well as ease and comfort during appointments. Documents patient visit information utilizing electronic dental records system.
Must have a Dental Assistant certificate. Knowledge of and experience with common dental instruments, equipment, materials, names of the teeth and various surfaces of the crown of the tooth. Will excercise knowledge of principles and methods of sterilization, prophylaxis and dental hygiene. Ability to communicate effectively at a level required for successful job performance. Proficiency with use of computers and MS Word. Bilingual English/Spanish required.
Enrollment Specialist
Health Education
Simi Valley - East
This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas Del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave.
Under the general supervision of the Outreach Coordinator, Health Center Manager, and oversight of the Director of Health Education and Prevention Programs, the Enrollment Specialist performs a variety of registration and financial screening functions with the objective of determining eligibility for medical care coverage under the terms of various private and public health care and financial services assistance programs. This position will be primarily entail evening and weekend work out in the community. The Enrollment Specialist is responsible for performing the following duties: • Researches and verifies patient eligibility for different programs and insurance coverage • Registers and interviews patients to obtain accurate and complete demographic and financial information. • Informs patients about the availability of governmental funded and discount programs. • Properly completes enrollment applications through electronic and manual systems. • Provides case management services for individuals and families on public and private health insurance programs. • Provides excellent customer service to patients, vendors and employees. • Must have reliable transportation to be used during working hours for off-site appointments and outreach activities.
- High school diploma or GED Certificate required.
- Must have at minimum two years’ clerical experience.
- Must be bilingual, English/Spanish.
- Must become a Certified Application Counselor under Covered California.
- Experience in a medical setting providing health education to patients is preferred.
- Must possess excellent verbal and written communication skills, strong grammar and spelling with a high degree of accuracy.
- Proficiency with use of computers is required, as well as a proficient level of typing.
- Must be flexible with work schedule and be available to work weekends and evenings.
- Must have reliable transportation.
- Must have and maintain a valid driver’s license.
Finance Director
Finance
Ventura
This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas Del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave.
The Finance Director is responsible for assisting the CFO with monitoring, planning, budgeting, and reporting for Clinicas del Camino Real, Inc. Works under the supervision of the Chief Financial Officer. Interacts with Finance and Operations staff to gather data and information as required. Assists in the interpretation and implementation of funding sources accounting guidelines and for developing and maintaining fiscal policies and a system of internal control.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
-Analyzes the financial details of past, present, and expected operations to identify development opportunities and areas where improvement may be needed.
-Assist with annual corporate wide budget and HRSA Federal grant application budget.
-Maintain knowledge of organizational policies and procedures, Federal and State policies, and directives and current accounting standards
-Prepare/review State & Federal reports including: Medicare Cost Report, Rate Setting and Change of Scope reports as needed, Assist with Annual Medi-Cal Reconciliation Report.
- Reviews annual Federal and State tax returns
-Attends meetings as required and other duties as required
-Serves as liaison with day to day staff as necessary.
-Will assist with special projects, reports, data gathering, and analysis
Bachelor’s degree in Accounting. Must have a minimum of 2 years of experience working for a Federally Qualified Heath Center or Health Care entity. Must be proficient with Microsoft Office, particularly with Excel. Experience with Great Plains accounting software and NextGen Practice Management is desirable. The ideal candidate will be a strong communicator, highly motivated and analytical.
Health Center Manager
Administration, Operations
Ventura County
This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas Del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave.
Clinicas Del Camino Real, Inc. has been providing quality primary and preventative health care services to the residents of Ventura County since 1971. We have an exciting opportunity for a Health Center Manager (HCM) to join our team of professionals and direct the day-to-day operations. In this role, the HCM will report to the Operations Manager and will work collaboratively with the Management team and other staff to actively support and carry out Clinicas' mission. The HCM will interact with a multi-cultural population of diverse economic backgrounds, levels of education and ages. • The HCM hires, orients and trains staff • Provides instruction for functions unique to the health centers’ scope of services. • Identifies and analyzes operational issues, trends or progress in meeting performance measures and ensuring quality care. • Analyzes and monitors health center operations such as patient flow issues, reviewing appointment scheduling, bank deposits, daily charges, ordering supplies, etc. • Assures that all records (Clinical) are maintained to meet State Licensing Certification, HIPAA, Joint Commission and other State and National standards. • Reviews and monitors ICD-9 and CPT coding requirements. • Consults with Operations Managers, Medical Director, Clinical Leads and/or other management staff regarding clinical and operational issues. • Ensures maintenance, safety and cleanliness of the health center(s). • Supervises professional staff and consults with the Operations Manager and Medical Director regarding Provider performance. • Resolves and responds to complaints from patients and staff. • Evaluates staff based on performance standards and expectations. • Provides excellent customer service to patients, vendors and employees.
• A Bachelor’s Degree in Business, Public Administration or a health related field is required. • Must have considerable administrative support experience, strong verbal and written communication skills coupled with a minimum of two years of progressive management experience in a health center setting. • It is critical to the success of the HCM that he/she communicates openly, listens well, learns from others, and leads through persuasion and collaboration. • Experience should include fiscal and asset management, statistical report preparation, staffing and supervision of professional and support staff. • Must be a team player, be detailed oriented, self-motivated and work efficiently and independently with minimal supervision. • Bi-lingual (English/Spanish) required. • Must have reliable transportation.
Health Information Data Analyst
Information Systems
Ventura
This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas Del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave.
Local Candidates preferred.
The Health Information Data Analyst reports directly to and is under the supervision of the Senior Manager of Application and Database. The Analyst will provide the proficiency in Claim Adjudication system, and Clinical applications. The Analyst will support clinicians on EHR applications, work with Database Administrators to create and maintain customize reports, perform troubleshooting, identifying the issue, and resolve the issue. The Analyst is responsible for analyze, maintain and optimize clinical application and data, and developing reports.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
Duties and responsibilities for Health Information Data Analyst position include, but are not limited to the following:
- Reviews operational and clinical requirements
- Performs data auditing and validation to ensure accuracy of system data
- Understands data in the context of clinical process and work flow
- Engages clinicians and other end-users to capture required clinical data
- Provides expertise on application functionality
- Participates in workflow testing during system upgrades
- Reports end-user requirements to technical team for further designs and implementation
- Maintains score cards/reports to ensure readability and accuracy
- Ensures standardization of clinical data
- Develops, designs and maintains templates and documents in EHR system
- Develops and maintains customize reports using SQL SSRS
- Assists with the development of methods to monitor data integrity
- Performs other duties as assigned including participation in all safety programs which may include assignment to an emergency response team
EDUCATION, EXPERIENCE AND QUALIFICATIONS
Qualifications:
- Strong troubleshooting and customer service skills
- Ability to interact with clients and project team members, both internal and external, to understand requirements, develop methodology, deploy best practices, and execute deliverables
- Advanced understanding of report writer software such as SSRS and Crystal Reports
- Understands SQL scripting or related programming, with the ability to generate reports from the database
- Ability to analyze functional and technical requirements and translates these into practical solutions
- Ability to be a self-motivated, high performance contributor
- Able to work well with people from all level within organization
- Ability to respectfully question ideas and share a point of view with others in support of the business requirements and needs
- Bachelor’s degree in Information Technology or related field. A minimum of three years’ experience in the health care industry is preferred.
Lead Patient Services Representative
Administration, Medical
Newbury Park
This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas Del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave.
The Lead Patient Services Representative (Lead PSR) provides support to the Health Center Manager (HCM) and assists with the oversight of the health center during the absence of the HCM. The Lead PSR provides front office clerical and administrative support to the Health Center’s medical, dental, optometry and mental health departments. The Lead PSR works under the supervision of and reports to the Health Center Manager. Interacts with a multi-cultural population of diverse socioeconomic backgrounds, ages and levels of education.
The Lead PSR may be responsible for performing some or all of the following duties:
- Performs day-to-day functions of a PSR.
- Works with Health Center Manager to analyze and monitor health center operations such as patient flow issues, reviewing appointment scheduling, bank deposits, and billing functions.
- Orients and trains staff on items such as data collection procedures, telephone techniques, scheduling, filing and items unique to the health center.
- Serves as liaison between the health center and the billing department; reviews daily charges, ensures accurate daily deposits and corrections and assist with CHDP billing.
- Front desk scheduling; reviews and inputs Providers’ monthly schedules into health center calendar.
- Assists the front office staff as requested by the HCM
- Resolves and responds to patient and staff complaints.
- Monitors staff and bring concerns and suggestions to supervisor.
- Follows and enforces health center policies and procedures. Handles personnel issues and issues disciplinary action.
- Stays current with training and ongoing implementations.
- May participate in and coordinate Quality Assurance meetings and will help lead monthly health center staff meetings.
- Attends meetings in place of HCM when needed.
- Provides facility walk-through’s when necessary.
- Reviews electronic health record scanning.
- Ensures maintenance, safety and cleanliness of the health center.
- Interacts in a professional manner and works collaboratively Clinicas’ staff and patients.
- Provides excellent customer service to patients, vendors and employees.
- May assist patients with mental illness, substance abuse problems and or/emotional disturbance.
- Performs other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.
High school diploma or equivalent require; Associate’s Degree (AA or AS) or Bachelor’s Degree (BA or BS) is preferred. Formal coursework in the above mentioned areas is desirable, e.g. business communication, computer, ICD-9/CPT coding, etc. Must be enrolled or willing to enroll, in formal education in preparation for a future career as a Health Center Manager. Two years of experience working front desk or medical reception preferred; including experience with medical billing, scheduling systems, electronic health records, and medical recordkeeping systems. Must have the ability to supervise, train and lead staff. Proficiency with use of computers and basic programs is required. Must be able to communicate professionally and effectively in writing and verbally; accurate spelling and grammar. Strong public relations skills. Ability to work in a fast-paced environment and proactively analyze and resolve problems. Bilingual English/Spanish is required; ability to speak, read and write. Knowledge of Medi-Cal and insurance guidelines is desirable. Must have reliable transportation.
Lead Referral Coordinator
Referral Center
Camarillo
This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas Del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave.
The Lead Referral Coordinator provides support to the Referral Center Manager (RCM) with the daily operation of the unit and assists with the oversight of the referral center during the absence of the RCM. The Lead Referral Coordinator works under the supervision of and reports to the Referral Center Manager.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
The Lead Referral Coordinator may be responsible for performing some or all of the following duties:
- Serves as liaison and resource for Referral Center staff.
- Maintains provider relations. Troubleshoots issues and concerns related to, or from, Specialty/Diagnostic Providers.
- Assists in the training of new Referral Coordinators and other Referral Centers staff.
- Maintains, monitors, and edits Provider distribution list.
- Monitors productivity of Referral Coordinators.
- Generates productivity, status and other reports on a weekly and monthly basis, or as needed.
- Assists with monthly staff meeting preparation. May present on topics such as process changes, updates, company policies, etc.
- Coordinates Referral Coordinators’ schedules.
- Audits Referral Coordinator customer service calls for quality and accuracy. Conducts necessary follow up in the form of reinforcement, coaching, training and discipline when needed.
- Assists the RCM with timecard approvals and requests for time off as needed.
- Assists with writing and presenting of performance evaluations.
- With guidance from RCM, addresses performance and other disciplinary matters as needed.
- Provides excellent customer service to patients, vendors and employees.
- Interacts in a professional manner and works collaboratively Clinicas’ staff, departments, and patients.
- May be assigned duties as a Referral Coordinator including permanent assignment of referral orders according to business needs.
- May assist patients with mental illness, substance abuse problems and or/emotional disturbance.
- Performs other duties as assigned, including participation in all safety programs which may include assignment to an emergency response team.
EDUCATION, EXPERIENCE AND QUALIFICATIONS
- High school diploma or equivalent required; Associate’s Degree (AA or AS) or Bachelor’s Degree (BA or BS) is preferred.
- Three (3) years of medical office experience.
- Minimum of one (1) year as a referral care coordinator or equivalent.
- Demonstrated ability to supervise, train and lead staff.
- Demonstrated ability to effectively collaborate with other departments.
- Organized and able to manage competing priorities.
- Track record of making effective decisions using good judgment.
- Resourcefulness in problem solving.
- Able to take accountability and follow through with delegated tasks.
- Proficiency with use of computers and basic programs is required.
- Must be able to communicate professionally and effectively in writing and verbally; accurate spelling and grammar.
- Ability to work in a fast-paced environment and proactively analyze and resolve problems.
- Bilingual English/Spanish is required; ability to speak, read and write.
- Must have reliable transportation.
Operations Manager
Administration, Operations
Camarillo
This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas Del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave.
The Operations Manager reports to the Chief Operations Officer and will be responsible for overseeing the day-to-day management and operation of satellite clinic(s). The Operations Manager will implement the policies and procedures of the organization and work towards enhancing the development of clinic practices. Select, train, and supervise Health Center managers and employees. Assist in budget development and act as a liaison with local funding sources. Provide public relations representation at community functions and assist in the development and maintaining of corporate goals.
Bachelor’s degree, preferably in Business or Public Administration with at least two years of supervisory and management experience. Must have a thorough knowledge of business administration; supervisory, staffing and interviewing techniques and the ability to communicate effectively, both orally and in writing. Experience working with community organizations is desirable. Bilingual English/Spanish is highly desirable.
Patient Services Representative
Medical
Oxnard, Simi Valley - East
This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas Del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave.
The Patient Services Representative (PSR) works under the supervision of the Health Center Manager. The PSR is the first point of contact for our patients and some of the duties include: • Greeting patients upon arrival and assisting them through the registration process. • Receives payments. • Completes patient’s intake forms and determines eligibility for patients’ ability to pay or their qualification in assistance programs. • Schedules and confirms appointments and works closely with the back-office to ensure an efficient and pleasant visit for our patients.
• Must have a high school diploma or equivalent. • One year of experience working as a front desk receptionist in a medical setting. • Experience working with electronic health records and knowledge of Medi-Cal and insurance billing is highly desirable. • Must be bi-lingual English/Spanish. • The ideal candidate will embody strong customer service and have a sincere desire to provide the utmost professional service and care to our diverse patient population.
Quality Improvement Manager
Administration, Medical
Camarillo
This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas Del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave.
Under the supervision of the Chief Medical Officer, the Quality Improvement Manager will be responsible to oversee and direct a quality improvement program. This will include analyzing data, fulfilling documentation and reporting requirements. In addition, the QI Manager will develop educational and informational materials, promoting health issues and providing internal and external customer support. The QI Manager will develop and maintain a system for outcomes measurement and reporting to determine whether the organization is achieving its quality goals.
ESSENTIAL FUNCTIONS AND RESPONSIBLITIES
The QI Manager will oversee and monitor the development and implementation of the quality improvement program, in collaboration with the Chief Medical Officer, Chief Operations Officer, Compliance Officer and other staff. The QI Manager will:
- Establish performance improvement targets for quality, service, and efficiency.
- Implement systems to ensure that services conform to regulatory requirements, contractual obligations, and Clinicas policy.
- Design and conduct surveys to assess the achievements of Clinicas and provide feedback to the program.
- Work with Operations and Compliance to conduct quality control audits, ensuring that processes and documentation are compliant with required standards and, implement follow up actions.
- Investigate, monitor, document and report on quality of care and service.
- Recommend changes for quality improvement in clinical Policies and Procedures and Protocols based on updated findings and information.
- Assure that improvement activities are documented and reported within the organization to engage staff in continuous quality improvement.
- Assess quality improvement training needs; plans and implements training for support staff
- Performs other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.
EDUCATION, EXPERIENCE AND QUALIFICATIONS
- Bachelor’s degree in a related field required; Masters preferred.
- Knowledge of QI processes, strategic planning and health services research, design and implementation.
- Minimum three years of clinical work experience in a health care setting including experience managing a quality improvement program.
- Proven ability to achieve results.
- Ability to communicate clearly, both verbally and in writing, with a diverse group of staff. Strong analytical reasoning and ability to interpret and evaluate complex information.
Referral Coordinator
Referral Center
Camarillo
This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas Del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave.
Duties:
The Referral Coordinator is essential in obtaining medically appropriate services inside and outside of Clinicas del Camino Real, Inc. Patient needs, including referral to a Specialist, are identified by the Clinicas practitioner and processes through an established referral system. The Referral Coordinator is responsible for expediting the administrative requirements for the patient referrals for Clinicas Health Centers, ensuring that appropriate referrals are made to participating providers within the patients’ health plan, obtaining appointments for Specialist visits, and notifying the patient/member of the appointment. The Referral Coordinator acts as a resource regarding referrals and insurance plans guidelines. Work situations require an ability to interpret medical guidelines, benefits, policies, and procedures in support of their objective to expedite the referral process. Interacts with a multi-cultural population of diverse socioeconomic backgrounds, levels of education and ages.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
- Knowledgeable about the regulations of various payer sources including, but not limited to: Self Pay, Private Insurance, Medi-Cal, Medicare, Medi-Cal & Insurance Managed Care/HMO, Children’s Health and Disability Prevention (CHDP), Healthy Families, Family PACT, and California Children’s Services (CCS). Knowledgeable about the regulations regarding these various payer sources.
- Manages member/patient and provider inquiries regarding referral status, the authorization process and other issues in a courteous and professional manner.
- Data entry of authorization into Electronic Health Records and /or Utilization Review system, ensuring that all referrals are tracked through to a completed visit and a report is received.
- Collaborates with Providers, Health Center Nurses/Medical Assistants, and UM Nurses to obtain additional medical information and notifies UM Nurse of potentially urgent requests.
- Processes all referral requests according to Clinicas’ policies and procedures.
- Verifies member eligibility via insurance carrier and/or Medi-Cal web portal
- Participates in the introduction and implementation of new procedures.
- Makes recommendations regarding changes, improvements, or enhancements to appropriate staff.
- Assists with training and orienting new employees, as assigned.
- Coordinates and assists with obtaining surgery appointments and re-scheduling missed appointments as needed.
- Notifies patients of authorization status, as needed.
- Distributes denial letters to appropriate recipients.
- Attends meetings as assigned.
- Provides excellent customer service to patients, vendors and employees.
- May assist patients with mental illness, substance abuse problems and or/emotional disturbance.
- Due to the nature of the job, may work with or be exposed to information or material of a sexual nature.
- Performs other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.
Requirements:
- High school diploma or GED required; AS degree and/or Medical Assistant Certificate or Medical Billing Certificate preferred.
- Cognitive Skills (Language, Math and Reasoning Ability): High reasoning, high language skills including medical terminology, critical thinking and critical problem solving skills required. Bilingual English/Spanish speaking and writing is required.
- Ability to work in a team environment is required.
- Excellent organizational skills are required.
- Prefer 2 years’ work experience in a medical environment (IPA or HMO preferred), with pre-authorizations and reimbursement.
- Familiar with regulations pertaining to various payer sources.
- Computer Skills: Ability to effectively use Word, Excel, access specific sites on the internet, document within electronic health records and/or authorization system with minimal typing/spelling errors, send e-faxes and email.
- Ability to work with a diverse group of people; handle multiple issues that are time sensitive and to ask appropriate questions.
- Must have reliable transportation to work.
Systems Administrator
Information Systems
Ventura
This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas Del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave.
JOB OBJECTIVE
The Information Systems Administrator (ISA) reports directly to and is under the direct supervision of the IS Manager. The ISA will administer and support client workstation and server systems hardware, operating systems and applications software. The ISA will align with the IT objectives towards the delivery of effective IT solutions, systems security, reliability and performance. The ISA will adhere to and promote compliance with the organization’s information systems policies and procedures. The ISA will rely on instructions and established guidelines to perform the functions of the position.
ESSENTIAL FUNCTIONS AND RESPONSIBLITIES
Administer and support workstation and server hardware, server operating system software, application and office productivity software and network resources; administer data backup; troubleshoot and recover workstation, server and network functionality; support patient processing, clinical tracking and reporting activities; ensure proper and timely communication and resolution of systems issues; train employees on systems use, proper access to corporate network and available resources, use of office software tools and use of business software; other systems administration and support tasks as assigned. Additional duties may also include participation in all safety programs which may include assignment to an emergency response team.
EDUCATION, EXPERIENCE AND QUALIFICATION
- Minimum 4 years work experience as a systems administrator in a similar IT setting.
- Microsoft Server and Network Infrastructure, Microsoft Exchange, VMware, or Citrix desired.
- Work experience installing and supporting Microsoft Windows 10, Windows 2012/2016 Server OS, Exchange, and Active Directory 2012/2016.
- Work experience supporting Citrix 7.x and VMware 6.x environments.
- Work experience supporting Cisco or Dell networking technology devices.
- Bachelor’s degree in a related field or equivalent work experience preferred.
- Solid organizational, communication, interpersonal skills, and work ethics; ability to function in a team-oriented environment; show sensitivity to others; excellent judgment; ability to conceptualize, launch and manage multiple projects simultaneously.