Career Listings

*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

Under the general supervision of the Outreach Coordinator, Health Center Manager, and oversight of the Director of Health Education and Prevention Programs, the Health Educator Outreach 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.

Under the supervision of the Health Center Manager, the Healthcare Greeter (Greeter) will welcome and screen patients, employees and visitors at entrances to their assigned health center.   They will provide direction and general information to individuals entering the building.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

The Greeter will be responsible for performing some or all of the following duties:

• Stationed outside of the health center, the Greeter will provide a positive first impression to patients, employees, and visitors by displaying excellent customer service
• Interact in a professional manner and work collaboratively with Clinicas’ staff and patients
• Follow approved script asking individuals entering the facility questions to protect against COVID-19 exposure. The screening process will also include checking temperatures
• Must be able to wear Personal Protective Equipment (PPE) at times when required.
• Performs other duties as assigned including participation in all safety programs, which may include assignment to an emergency response team

This position is under the supervision of the controller with delegated responsibilities for specific accounting functions with minimal supervision. 

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

Review of all accounts payable invoices that have been vouched including general ledger account code, invoice dates, back up and approval signatures, purchase orders, and all audit requirements. Reviews purchase orders, maintenance and entry of general ledger charts of accounts. Assist with closing of accounts payable month end and general ledger month end. File all finance reports in good order. Assist with maintenance and control of weekly cash statues reports.  

Prepares monthly journal entries for submittal to controller for review and approval include depreciation, short and long term abilities, accounts payable accrual, payroll accruals, grants and contract accruals, and corporate allocation. Assist with preparation of schedules and spreadsheet to reconcile balance sheet accounts. Prepares bank reconcilements, reviews payroll and final report for General Ledger month end, year end, and monthly financial statement.

Invoice contracts on monthly basis including: Farmworkers contract, Rural Health, United way, and other state/local contracts as needed and submit to management for review approval. Prepares quarterly reports for Farmworker and Rural Health Contracts and submit to management for review and approval. Provide weekly report on status of al contracts. Update contract files with all correspondence, funds received and date of invoice.

Prepares monthly journal entries for submittal to controller for review and approval to include: Patient fees receivable, patient revenue accrual, patient fees adjustments, cash short/over and accounts receivables grants/contracts. Assists with preparation of schedules and spreadsheet to reconcile accounts receivable patient fees to general ledger. Supervises preparation of all. Accounts receivable or patient fees reports in Health Pro. Prepares daily cash receipts journal. Coordinate preparation of finance 3R Reports. 

• Provide nursing care to clinic patients • Prepare patients physically and psychologically for treatment examinations, and scheduling diagnostic studies • Teach patients to care for their particular needs • Responsible for recognizing and interpreting symptoms and reporting condition of patients to the attending physician • Responsible for keeping inventory of stock medicines available and making drug and medical supply orders bimonthly or as needed • Administer treatments and medication under physician’ orders • Responsible for preparing in-house monthly reports as well as immunization report • Provide supervision of appropriate personnel, coordinate patient flow activities and assist with peer review of patient records in their quality of care system.

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.

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.

Under the general supervision of the Chief Business Development Officer, the Program Manager is responsible for the overall direction, coordination, implementation, execution, control and completion of varying Business Development projects ensuring consistency with company strategy, commitments and goals. The Program Manager will manage multiple projects ensuring key objectives and project scopes are met.  Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery.

ESSENTIAL FUNCTIONS AND RESPONSIBLITIES

The Program Manager will be responsible for the following:

• Lead the planning and implementation of projects that are delegated or assigned by the CBDO.
• Manage multiple, ongoing Business Development project implementations to include the definition of project scope, goals and deliverables.
• Define project tasks and resource requirements.
• Develop and maintain detailed project plan to include milestones, tasks, and target/actual dates of completion.
• Assemble and coordinate project staff.  Schedule and conduct project meetings to include logistics, agendas, and meeting minutes.
• Plan and schedule project timelines and revise as appropriate to meet changing needs and requirements.
• Track project deliverables using appropriate tools. Prepare and submit project status reports to management and all stakeholders.
• Provide direction and support to project team.
• Implement project changes and interventions to achieve project goals.
• Conduct project evaluations and assessment of results.  Facilitate post implementation review meetings.
• Research new programs, standards, regulations and other information.
• Perform other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.

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.

Under the general supervision of the Compliance Officer, the Risk Manager will be responsible for the management of a comprehensive health and safety risk management program.  The Risk Manager will identify and manage potential risks and liabilities within the organization and develop appropriate procedures and processes to help mitigate those risks. 

ESSENTIAL FUNCTIONS AND RESPONSIBLITIES

The Risk Manager will be responsible for the following:

• Establish appropriate structures and processes in relation to risk reporting, incident management, and health and safety within Clinicas.
• Coordinate the development and review of relevant/required risk and incident management policies, procedures and guidelines.
• In conjunction with appropriate staff, assist in identification of potential risk through risk assessment, analysis of accidents/incidents and near miss incidents, periodic safety inspections and/or audits.
• Educate and train staff about potential risks.
• Develop and support systems and processes for incident management including communication and escalation of serious incidents (internally and to external agencies as applicable).
• Make recommendations to reduce, prevent or eliminate risks identified.
• Maintain a risk audit database and liaise with department heads in relation to issues arising
• Keep up to date with health & safety legislation and guidelines.
• Work with legal counsel in situations of filed claims (as applicable).
• Collect and analyze data to identify problems or vulnerabilities in Clinicas procedures.
• Perform other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.

Under the general supervision of the UM/QI Director, the UM Coordinator is responsible for processing phone, fax, and electronic authorization requests for medical services from physicians and hospitals (providers) in an efficient, accurate and customer-focused manner.  This position will also assist healthcare providers in ensuring compliance as established by program guidelines.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

Effectively handles authorization requests and inquiry phone calls from providers, balancing excellent customer service with efficiency and established turn-around times.  Follows appropriate procedures for checking member eligibility, authorization history, and the status of provider participation within the contracted network.  Based on the information provided by the provider and gathered from computer systems, determines the appropriate handling of each request.  Utilizing accepted protocol, determines authorization requirements based on the type of service requested, the location of the service, and the provider specifics.  Inputs review data into systems with minimal errors.  Based on authorization rules and urgency, either approves the authorization request, or sends the nurse for review.  Communicates authorization specifics to providers and members either verbally through phone calls or written through fax or mailed letters.  Interprets a variety of instructions furnished in written and oral forms.  Assists in preparing and submitting projects, reports or assignments as needed to meet department initiatives and/or objectives.  Assumes responsibility for professional development of self and assists with training other staff members to contribute to their professional development.  Attend meetings as assigned.  Meet with staff at various health centers as assigned.

Performs other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.