Senior Linux Systems Administrator – Datacenter Infrastructure Job at ClearBridge Technology Group (Somerset)

New

Care Management Community Health Worker II

The Care Management Community Health Worker II (CHW) is part of the care managem...

Location

United States , Los Angeles

Salary:

55245.00 - 82867.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

High School Diploma/or High School Equivalency Certificate
At least 1 year of experience as a health navigator, peer support worker, outreach work, or promotora or working in a community setting and providing health education for chronic conditions, or equivalent
Knowledge of community resources in area of residence
Comfortable working with diverse populations
Exceptional ability to connect and engage with people
Ability to work in various environments including 1:1 in member’s homes, clinical settings, and/ or shelters
Excellent verbal and written communication skills
Detail oriented, organized and possess time management skills
Basic computer skills
Travel to offsite locations for work

Job Responsibility

Cultural Mediation Among Individuals, Communities, and Health and Social Service Systems: Educating individuals and communities about how to use health and social service systems
Providing Culturally Appropriate Health Education and Information: Conducting health promotion and disease prevention education
Care Coordination, Case Management, and System Navigation: Participating in care coordination and case management
Providing Coaching and Social Support: Providing individual support and coaching
Advocating for Individuals and Communities: Advocating for the needs and perspectives of communities
Building Individual and Community Capacity: Building individual capacity
Implementing Individual and Community Assessments: Participating in design, implementation, and interpretation of individual-level assessments
Conducting Outreach: Case-finding/recruitment of individuals, families, and community groups to services and systems
Attending regular staff meetings, on-site monthly trainings and other meetings as requested
Managing assigned caseload

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

New

Authorization Technician II

The Authorization Technician II supports the Utilization Management (UM) Special...

Location

United States , Los Angeles

Salary:

47840.00 - 68474.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

High School Diploma/or High School Equivalency Certificate
At least 6 months of health care experience
Experience working in a cross functional work environment
Demonstrated proficiency in Medical Terminology required
Strong verbal and written office communication skills
Proficient with Microsoft Office Suite and Adobe PDF
Excellent organizational, interpersonal and time management skills
Must be detail-oriented and an enthusiastic team player

Job Responsibility

Supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the authorization process including intake, logging, tracking and status follow-up
Collects information required by clinical staff to render decisions
Assists the Manager and Director of the Utilization Management department in meeting regulatory time lines by maintaining an accurate database inventory of referral authorizations, retrospective reviews, concurrent reviews and grievance/appeal requests
Prepares UM Activity and Weekly Compliance Reports
Performs data entry and processing of referrals/authorizations in the system
Authorizes request consistent with auto authorization criteria
Maintains confidentiality when communicating member information
Assists with the communication of determinations by preparing template letters for members/ providers
Processing of time sensitive authorization and pre-certification requests to meet department timeframes and regulatory requirements
Computer Input: Accurately and completely processing referrals/authorizations and distribute a complete file to UM Specialist within 2 hours of receipt

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

New

Utilization Management Nurse Specialist RN II

The Utilization Management Nurse Specialist RN II facilitates, coordinates, and ...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing
At least 5 years of varied RN clinical experience in an acute hospital setting
At least 2 years of Utilization Management/Case Management experience in a hospital or HMO setting
Registered Nurse (RN) - Active, current and unrestricted California License
Must be computer literate, with expertise in Outlook, Word, Excel, PowerPoint
Provision of excellent customer service required
Excellent time management and priority-setting skills
Maintains strict member confidentiality and complies with all HIPAA requirements
Strong verbal and written communication skills

Job Responsibility

Facilitates, coordinates, and approves medically necessary referrals that meet established criteria
Assures timely and accurate determination and notification of referrals and reconsiderations
Generates approval, modification and denial communications
Actively monitors for admissions in any inpatient setting
Performs telephonic and/or onsite admission and concurrent review
Collaborates with onsite staff, physicians, providers, member/family to develop and implement a successful discharge plan
Works with the UM Manager and Physician Advisor on case reviews
Monitors and oversees the collection and transfer of data (medical records) and referral requests by Providers
Acts as a department resource for medical service requests /referral management and processes
Receives incoming calls from providers, professionally handles complex calls

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

New

Grocery Merchandiser

This is your opportunity as a passionate merchandising representative to join ou...

Location

New Zealand

Salary:

Not provided

Vitaco Health Ltd

Expiration Date

January 11, 2026

Requirements

previous merchandising experience
highly motivated
ability to develop client relationships
some FMCG exposure
enjoy providing excellent customer service
require a vehicle

Job Responsibility

display our products and promotions
increase sales and proactively collect orders
identify and act on business opportunities
develop a sound rapport with our clients and sales colleagues

What we offer

competitive remuneration
great discounts on our products
wellness initiatives

Parttime

New

Care Management Specialist II

The Care Management Specialist II utilizes clinical skills and training to perfo...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing for Registered Nurses OR Master's Degree in Social Work for Licensed Clinical Social Workers
Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments
Experience providing care management with complex/catastrophic conditions
Current knowledge of clinical standards of care and disease processes
Critical thinking skill
Excellent customer service skills
Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions
Ability to triage immediate member health and safety risks
Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping
Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders

Job Responsibility

Utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines
Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases
Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner
Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit
Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team
Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines
Uses claims processing and care management software to look up member information, document contacts, and track member progress
Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary
Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives
reviewing member claims histories and identifies intervention opportunities through the professional standards of practice

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

New

Payment Integrity Nurse Coder RN III

The Payment Integrity Nurse Coder RN III is responsible for investigating, revie...

Location

United States , Los Angeles

Salary:

102183.00 - 163492.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing
At least 8 years of clinical RN experience
At least 3 years of experience in utilization management or clinical coding
Investigation and/or auditing experience
Knowledge in CPT, HCPCS, ICD-9, ICD-10, Medicare, and Medicaid rules and regulations
Knowledge of healthcare reimbursement concepts, health insurance business, industry terminology, and regulatory guidelines
Working knowledge of claims coding and medical terminology
Solid understanding of standard claims processing systems and claims data analysis
Strong project leadership and management skills required
ability to prioritize, plan, and handle multiple tasks/demands simultaneously

Job Responsibility

Investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects
Serving as a subject matter expert (SME), performing medical records reviews to include quality audits as well as validation of accuracy and completeness of all coding elements
Providing guidance related to Payment Integrity initiatives to include concept and cost avoidance development
Training and mentoring Payment Integrity Nurse Coder, RN staff
Acting as a Subject Matter Expert, serving as a resource and mentor for other staff
Performing Quality Audits to include validation of accuracy and completeness of ICD, Rev Code, CPT, HCPCs, APR, DRG, POA, and all relevant coding elements
Serving cross functionally with Utilization Management, Medical Directors, and other internal teams to assist in identification of overpayments as well as other projects
Serving as SME for all Payment Integrity functions to include both Retrospective Data Mining as well as Pre-Payment Cost Avoidance
Identifying trends and patterns with overall program and individual provider coding practices
Supporting the creation and execution of strategies that determine impact of opportunity and recover overpayments as well as prospective internal controls preventing future overpayments

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

New

Physical Accessibility Review Survey Reviewer II

The Physical Accessibility Review Survey (PARS) Reviewer II is responsible for t...

Location

United States , Los Angeles

Salary:

47840.00 - 68474.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

High School Diploma/or High School Equivalency Certificate
Minimum of 6 months of professional work experience interacting with professional level clients
Excellent writing and communication skills
Proficient in using Microsoft Word, Excel and others
Excellent organizational and time-management skills
Excellent attention to detail
Travel to offsite locations for work

Job Responsibility

Ensure SHCS compliance by inspecting and assessing physical site/facility for potential issues concerns using the DHCS Policy Letter 12-006 Attachment C and All Plan Letter 15-023 Attachments D and E and their respective guidelines or current versions
Data entry of plan-partner audits including but not limited to: PARS assessments, FSR Survey up to 150 points, and Medical Record Review up to 30 charts
Participation in PARS collaborative with plan-partners to improve efficiency and implementation of PARS assessment through various health plans
Educate L.A. Care's FSR staff on new policies and guidelines implemented by PARS collaborative
Monitor, track and distribute PARS assessment as they are tasked in
Ensure all PARS assessments are completed timely when first assigned and PARS assessments are redone every 3 years
Work with Plan Partners to ensure data is reconciled and duplicate work is not done
Complete audit reports accurately and timely
Provide technical assistance and resources and conduct education to providers and their staff regarding accessibility standards and Americans with Disabilities Act (ADA) requirements
Actively contribute to improve FSR department processes and outcomes

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

New

Transitional Care Services Community Health Worker II

The Transitional Care Services (TCS) Community Health Worker II (CHW) is respons...

Location

United States , Los Angeles

Salary:

55245.00 - 82867.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

High School Diploma/or High School Equivalency Certificate
At least 6 months of experience as a health navigator, peer support worker, outreach worker, promotora, or working in a community setting and providing health education for chronic conditions, or equivalent
Knowledge of community resources for Medi-Cal members
Comfortable working with diverse populations
Exceptional ability to connect and engage with people
Willingness to work in various environments including 1:1 in member’s homes, hospitals, skilled nursing facilities, other clinical settings, and/ or shelters
Excellent verbal and written communication skills
Detail oriented, organized and possess time management skills
Basic computer skills
Must have access to reliable transportation to carry out job-related essential functions

Job Responsibility

Cultural Mediation Among Individuals, Communities, and Health and Social Service Systems: Educating individuals and communities about how to use health and social service systems (including understanding how systems operate). Educating systems about community perspectives and cultural norms. Building health literacy and cross-cultural communication
Providing Culturally Appropriate Health Education and Information: Conducting health promotion and disease prevention education in a manner that matches linguistic and cultural needs of members. Providing necessary information to understand and prevent diseases and help members manage health conditions (including chronic disease)
Care Coordination, Case Management, and System Navigation: Participating in telephonic and/or in-person care coordination and case management with members, facility staff, and providers. Making post-transition referrals and providing follow-up. Coordinating transportation to services and helping address barriers to services. Documenting and tracking individual and population level data. Informing people and systems about community assets and challenges
Providing Coaching and Social Support: Providing individual support and coaching, including how to manage their health conditions following discharge and identifying critical symptoms. Motivating and encouraging people to obtain care and other services. Supporting self-management of disease prevention and management of health conditions (including chronic disease). Planning and/or leading support and health education groups
Advocating for Individuals and Communities: Advocating for the needs and perspectives of communities. Connecting to resources and advocating for basic needs (e.g. food and housing). Conducting policy advocacy for their communities
Building Individual and Community Capacity: Building individual and community capacity by training with peers and among CHW groups
Implementing Individual Assessments: Participating in design, implementation, and interpretation of individual-level assessments (e.g. Health Risk Assessments, medication reviews, home environmental and safety assessment)
Conducting Outreach: Telephonic and/or in-person recruitment of individuals and families to participate in Transitional Care Services and other supports. Follow up on health and social service encounters with individuals and families, in coordination with primary care providers and facility staff. Home visiting to provide education, assessment, and social support following a care transition, if appropriate
Perform other duties as assigned

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Senior Linux Systems Administrator – Datacenter Infrastructure

ClearBridge Technology Group

Location:
United States , Somerset

Category:
IT - Administration

Contract Type:
Contract work

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
December 07, 2025

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Senior Linux Systems Administrator – Datacenter Infrastructure

ClearBridge Technology Group

Location:United States , Somerset

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Job Description:

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Job Posted:December 07, 2025

Looking for more opportunities? Search for other job offers that match your skills and interests.

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Location:
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