Facilities Clerk

Summary

Under the general supervision of the Facilities Manager, the Facilities Clerk is responsible for the daily distribution of all incoming / outgoing mail, primary backup switchboard operator and assist with the maintenance of our internal project tracking system.

Essential Duties and Responsibilities

Essential duties and responsibilities include, but are not limited to:
1. Responsible for the daily distribution of all incoming mail and processing of all outgoing mail including Fed Ex/ Ups etc.
2. Ensure postage machine has sufficient supplies such as, sealer, postage ink etc.
3. Answering incoming phone calls and routing them appropriately. Greeting and assisting visitors and internal staff.
4. Assist in maintaining office supplies at a level necessary for proper day-to-day operations.
5. Required to move items (i.e. furniture, water bottles and boxes) upon request
6. Assist internal departments as necessary with special projects and/or miscellaneous assignments.
7. Assist with Track IT ticket monitoring that come in.
Assign the ticket and ensure it gets completed (would serve as back up to Sylvia)
8. Assist with build-outs as required.
Our department takes care of building cubicles for the desk areas, or rearranging offices as needed.
9. Perform other duties as required by the Facilities Director or Manager.

Supervisory Responsibilities

There are no supervisory responsibilities.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Education and/or Experience:
High school diploma or general education degree (GED); or at least six months related experience and/or training; or equivalent combination of education and experience.
2. Certificates, Licenses, Registrations:
None required.
3. Other Qualifications:
Previous experience as a clerk or similar position.

Skills and Abilities

1. Language Skills:
Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.
Ability to write routine reports and correspondence.
Ability to speak effectively before groups of customers or employees of the organization.
2. Mathematical Skills:
Ability to add and subtract two digit numbers and to multiply and divide with 10s and 100s.
Ability to perform these operations using units of American money and weight measurement, volume, and distance.
3. Reasoning Skills:
Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
Ability to deal with problems involving a few concrete variables in standardized situations.
4. Computer Skills:
Basic skills required.
5. Other Skills and Abilities:
6.
1. Good organizational skills.
2. Ability to reason and carry out instructions.
3. Good interpersonal skills.
4. Ability to type 40+ words per minute.
5. Read, write, and speak English fluently.
6. Speak Spanish fluently
7. File systematically.
8. Self-motivation.
9. Strong Customer Services skills.

1. Must have own transportation w/ valid Insurance

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear.
2. The employee is frequently required to reach with hands and arms.
3. The employee is occasionally required to stand; walk; climb or balance and stoop, kneel, crouch, or crawl.
4. The employee must occasionally lift and/or move up to 30-50 pounds.
5. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Working Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Appliance Sales Consultant

What does the Best Buy Appliance Sales Consultant do?

Best Buy Appliance Sales Consultants excel at selling products and services, working closely with other members of the sales team.

They accumulate the appropriate knowledge and expertise through continuous learning and self-development. Then, armed with the right tools and knowledge, they create ease and add value to the Best Buy shopping experience, ensuring customers end-to-end needs are met. As a trusted advisor and partner, Best Buy Sales Consultants deliver unique customer value by developing strong relationships with customers, bringing them a little closer to family and friends by helping them close the gaps with technology.

As a Best Buy Appliance Sales Consultant you will:
* Inspire customers by showing them whats possible with technology.
* Accumulate and apply the appropriate knowledge and expertise through continuous learning and self-development, enabling you to provide an excellent customer shopping experience
* Use innovative training tools to stay current, confident and complete, driving profitable growth and achieving individual and department goals.
* Maintain your departments merchandising and readiness to serve customers.
* Back up the sales team for phone and store pickup.

What are the Professional Requirements of the Best Buy Appliance Sales Consultant?

Basic Qualifications
* Ability to work successfully as part of a team
* Ability to work a flexible schedule inclusive of holidays, nights and weekends

Preferred Qualifications
* 3 months experience working in customer service, sales or related fields

Case Manager

Responsible for health care management and coordination within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Coordinates and monitors Alignment Healthcare members progress and services to ensure consistent cost effective care that complies with Alignment policy and all state and federal regulations and guidelines. Performs duties mostly telephonically.

General Duties/Responsibilities:

(May include but are not limited to)

1. Ensures member access to services appropriate to their health needs.
2. Identifies, assesses and manages members per established criteria.
3. Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. Uses independent judgment to determine appropriateness of such authorizations. Deploys internal and external resources to meet identified needs.
4. Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
5. Interfaces with Primary Care Physicians, Hospitalists, Nurse Practitioners and specialists on the development of care management treatment plans.
6. Negotiates rates of reimbursement, as applicable.
7. Assists in problem solving with providers, claims or service issues.
8. Measures the effectiveness of interventions to determine case management outcomes.
9. Participates and provides feedback in the development of utilization/care management policies and procedures.
10. Counsels and engages in personal discussions with patients and their families on available care options. Helps them to determine their appropriate and preferred course of action.

Supervisory Responsibilities:

None.

Minimum Requirements:

1. Minimum Experience:
1. 5 years of “preferred” clinical case management experience; or any combination of education and experience, which would provide an equivalent background.
2. Education/Licensure:
1. BA/BS in a health related field (preferred)
2. Current, unrestricted RN license in the state for which you are applying
3. Other:

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Clinical Documentation Improvement (CDI) Specialist

Position Summary:
To successfully monitor and implement clinical coding strategies. Audit documentation and coding practices to ensure accuracy in the data provided to CMS. Provide coding expertise as well as administrative oversight to ensure successful integration of AHC’s HCC initiatives.

General Duties/Responsibilities:
* Monitors coding & abstracting quality by conducting &/or coordinating ongoing audits to ensure coding quality & performance improvement standards are maintained, achieved & improved.
* Track and report progress of the audits performed on the coding vendors in order to assure the coding accuracy and quality of the data submitted to CMS.
* Develop, implement, evaluate & improve IPAs educational tools for their respective providers in order to accurately capture acute and chronic conditions.
* Tracks & reports progress of the audits performed on the coding vendors in order to assure the coding accuracy and quality of the data submitted to CMS.
* Work with Risk Adjustment Management on any Data Validation and /or RADV coding audit to ensure completeness and coding accuracy of all submissions to CMS.
* Maintain a comprehensive tracking and management tool for assigned IPAs within Alignments Healthcare provider network.
* Ensures compliance with all applicable federal, state &local regulations, as well as with institutional/organizational standards, practices, policies & procedures.
* Develop implement annual audit and monitoring of network providers documentation practices.
* Work with management on the monitoring of HCC Corrective Action Plans as needed.
* Assist with CMS Data Validation activities, including suggested record selections, tracking and submission, in conjunction with Risk Adjustment Healthcare Management.
* Regularly update all Risk Adjustment materials for clinical and official guideline changes.
* Update all education materials based on CMS-HCC Model and ICD-9/ ICD-10 annual changes.
* Suggest, update, and enhance clinical educational materials to assist in training physicians and clinical staff on Risk Adjustment Healthcare Programs including CMS-HCC Models, Clinician Chart Reviews, and Encounter Documentation.
* Suggest customizations of Risk Adjustment education for various audiences; Support Staff, PCPs, Specialists, Employees vs. contracted and Central Departments
* Stay current of industry coding, compliance and HCC issues.
* Utilize, protect, and disclose Alignment Healthcare patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
* Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; and participating in professional societies.
* Other duties as assigned to meet the organizations needs.

Minimum Requirements:
1. Minimum Experience:
1. Three-five years of coding in a medical group or health plan setting required; Professional Coding experience required.
2. Previous use of Epic, Allscripts, EZCap a plus
3. Proficient user in MS office suite, MS access a plus
2. Education/Licensure:
1. Bachelors degree in Business Administration, health Care Management or in a related field or equivalent experience desired.
2. Certified Coder required, CCS, CCS-P, CPC, Certified Auditor a plus.

1. Other:
1. Experience with strategic planning in risk mitigation.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
* The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.