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Brighter Beginnings
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  • Job DescriptionJob DescriptionJOB POSTINGTITLE: FAMILY NURSE PRACTITIO... Read More
    Job DescriptionJob Description

    JOB POSTING

    TITLE: FAMILY NURSE PRACTITIONER OR PHYSICIAN ASSISTANT

    REPORTS TO: DIRECTOR OF PRIMARY CARE & QUALITY

    STATUS: PER DIEM/ PART-TIME

    LOCATION: ANTIOCH, CA and/or RICHMOND, CA

    OUR MISSION AND VISION

    The Brighter Beginnings mission is to "support healthy births and successful development of children by partnering with parents and helping to build strong communities". Our mission gains its strength from our core belief that "Every family matters, and every child deserves a happy, healthy future".

    OUR HISTORY

    Brighter Beginnings is a 501c3 nonprofit organization and has been responding to the needs of families in resource-poor neighborhoods since 1984 when our work began in response to the alarming differences in mortality and illness rates among African American babies compared to other children.

    Brighter Beginnings has grown into a respected and well-connected organization with locations in Oakland, Richmond, Bay Point, and Antioch. We have a multi-cultural, bilingual staff of passionate and committed family service professionals; in fact, many of our staff came to this work because of the challenges they faced in their own families.

    POSITION SUMMARY

    The Family Nurse Practitioner (FNP) or Physician Assistant (PA) will be responsible for direct patient care and for other administrative duties as designated by the Director of Primary Care & Quality. The Medical Doctor will provide the overall direction for all patient care activities, and the Director of Primary Care & Quality will provide you with administrative supervision.

    QUALIFICATIONS: 

    JOB QUALIFICATIONS AND EXPERIENCE 

    A valid license to practice as a Registered Family Nurse Practitioner (FNP) or Physician Assistant (PA) in the State of California, National Licensure for Nurse Practitioner (FNP-C) or National Physician Assistant license (PA-C), with the ability to sign prescriptions and furnish medications Master’s Degree or higher. A certificate of completion from an accredited Nurse Practitioner program or Physician Assistant Program. Board Certification requirement.Current BLS certification. Current DEA Certification Valid California driver’s license. Proof of auto insurance. Must demonstrate knowledge of the rationale of appropriate patient care. Demonstrate the ability to maintain good interpersonal relationships with co-workers and health team members Skilled in Microsoft Office, Microsoft Access, data entry, and the use of business email. Passed Physical exam, TB test. 

    RESPONSIBILITIES: 

    Primary Job Functions 

    Primary Care Provider providing complete patient history, physical examinations, diagnosis, and plan for treatment of primary, secondary, and tertiary care services as outlined in, and in compliance with the standardized protocols for Nurse Practitioners and Physician Assistants.Primary care delivery includes communicating with patients or guardians of patients regarding care plans, results of diagnostic studies, and answering patient and family questions. Also included is organizing and delivering health education for patients, including preventative health information and disease-specific education. The primary care provider coordinates patient referrals for specialized health care to public health care agencies. Reviews patient file/record, including allergies, problems, medications, and immunization status. Orders or executes various tests, analyses, and diagnostic images to provide information on a patient's condition. Analyzes reports and findings of tests and examinations, and diagnoses the condition of patients. Administers or prescribes treatments. Determines and prescribes medication, dosage and schedule given the patient’s condition and allergies. Prescribes vaccinations to immunize patients from communicable diseases. Provides prenatal care to pregnant women. Provides postnatal care to mothers and infants. Perform the care services listed below (or be willing to learn those services). Services may include:      Minor surgery (toenail removal, mole and cyst removal, foreign object removal, etc.), Suturing, General Orthopedic Evaluations/Management, Basic rehabilitation for musculoskeletal injuries, General internal medicine, family medicine, and pediatrics, General Dermatology, General Eye Problems General EKG interpretations Emergency management skills General GYN Expertise Communicate with the Medical Doctor regarding quality care and treatment issues of patients at BBFHC.Conduct Clinical Pertinence Chart Review studies in order to assess and enhance patient outcomes. Serves as a resource for community agencies. Use technology tools for research, data entry, record keeping, and business communication via email. Meet all clinical obligations of the medical practice: Accrediting Agency compliance, CLIA compliance, drug prescription compliance, HIPAA, State and Federal regulations, Safety Regulations, etc. Follow all internal policies and procedures; be accountable for completion of all operational tasks according to departmental guidelines to ensure appropriate clinical processing/documentation. See patients in a timely and efficient manner, stay reasonably on time for scheduled appointments in family practice throughout the day, unless exceptional circumstances occur. The financial viability of Brighter Beginnings requires that all providers be held accountable for their actions with regard to proper coding and appropriate charging for all services rendered. Charting in the patient’s medical record is routinely completed within 48 hours of the patient’s visit. Establish and maintain a confidential medical record for each patient. Communicate with the Director of Primary Care & Quality, reporting on issues related to the functioning of the BBFHC, and the Director of Primary Care & Quality reports to the CEO and partner agencies of BBFHC. 

    Administrative Job Functions 

    Demonstrate ongoing support and respect for administration in all communications, either privately with staff or in a group setting. Address any administrative issues directly and in private with those concerned. Time management: Routinely see patients in the time allotted, adjusting to daily patient flow issues to remain on schedule.Work productivity must demonstrate the ability to see a minimum caseload of 18-20 patients per day (8-hour shift), effectively work patients into their schedules as caseload demands and respond to a variety of unforeseen daily circumstances, including emergency care of patients. Reporting: FNPs report directly to the Medical Doctor and his/her designees, which include the Chief Executive Officer.Complete patients' charts and submit medical bills daily. Must be flexible, adapt to change, and serve as a role model for staff through interactions; should at times think outside the box, providing possible resolutions/solutions to issues/concerns, rather than simply pointing out a problem area.Comply with all HIPAA rules and regulations. This position has no supervisory responsibilities.

    SUPERVISORY RESPONSIBILITIES 

    This position has no supervisory responsibilities.

    SPECIAL ADA REQUIREMENTS

    Brighter Beginnings is in full compliance with the Americans with Disabilities Act (ADA) and does not discriminate with regard to applicants or employees with disabilities, and will make reasonable accommodations when necessary

    For the purposes of ADA, the “Responsibilities” and “Qualifications” are essential job functions. Work is normally performed in a typical interior/clinic work environment, with typical office noise and other disruptions.Limited physical effort is required. Both standing and sitting are required, with most of the job time spent sitting. Approximately three-quarters of the time is spent using a computer keyboard. Various types of clinic equipment/supplies are used to accomplish the job requirements and include, but are not limited to, pens, pencils, calculators, computer keyboards, telephones, printers, etc. Required to drive to other work sites for meetings, conferences, etc.

    BENEFITS
    We are proud to offer competitive wages and benefits to our employees. Please feel free to inquire during the interview process. As a summary, we offer:

    100% employer-paid health, dental, vision, life, and disability insurance for employees working 30+ hours per week!Competitive wages and a friendly environmentTwo weeks of vacation (increase after 1 year of employment) if working 30+ hours per week13 paid holidays if working 30+ hours per weekSick leave accrualOptional employee-paid dependent health coverage403b retirement account with matching if working 20+ hours per weekFlexible Spending Account (FSA) (30+ hour per week)Employee Assistant Program (EAP)HRSA Loan Repayment Program, eligible for $75,000 for qualifying individuals (see HRSA SLRP information on their website)Required to drive to other work sites for meetings, conferences, etc.

    Brighter Beginnings is an Equal Opportunity Employer committed to diversity and inclusion. At Brighter Beginnings, employment decisions are made regardless of sex, gender identity or expression, sexual orientation, race, ethnic origin, color, creed, religion, national origin, citizenship, age, marital status, physical or mental disability, genetic information or ancestry, protected Veteran or military status, or other characteristics protected by law.

    If you require alternative methods of application or screening, you must approach the employer directly.

    All applicants that are offered a conditional offer of employment will need to complete a background check. For positions with client/patient contact, you must have a TB clearance and a physical assessment by a physician of your ability to complete job duties. Additional requirements are an immunization records (including MMR, Hep B, Varicella, TDAP, Covid-19). All positions require applicants to have a valid California driver’s license, be listed under car insurance as a driver, and a clean driving record (as defined by our insurance carrier).

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  • Job DescriptionJob DescriptionJOB POSTINGTITLE: FAMILY NURSE PRACTITIO... Read More
    Job DescriptionJob Description

    JOB POSTING

    TITLE: FAMILY NURSE PRACTITIONER OR PHYSICIAN ASSISTANT

    REPORTS TO: DIRECTOR OF PRIMARY CARE & QUALITY

    STATUS: PER DIEM/ PART-TIME

    LOCATION: ANTIOCH, CA and/or RICHMOND, CA

    OUR MISSION AND VISION

    The Brighter Beginnings mission is to "support healthy births and successful development of children by partnering with parents and helping to build strong communities". Our mission gains its strength from our core belief that "Every family matters, and every child deserves a happy, healthy future".

    OUR HISTORY

    Brighter Beginnings is a 501c3 nonprofit organization and has been responding to the needs of families in resource-poor neighborhoods since 1984 when our work began in response to the alarming differences in mortality and illness rates among African American babies compared to other children.

    Brighter Beginnings has grown into a respected and well-connected organization with locations in Oakland, Richmond, Bay Point, and Antioch. We have a multi-cultural, bilingual staff of passionate and committed family service professionals; in fact, many of our staff came to this work because of the challenges they faced in their own families.

    POSITION SUMMARY

    The Family Nurse Practitioner (FNP) or Physician Assistant (PA) will be responsible for direct patient care and for other administrative duties as designated by the Director of Primary Care & Quality. The Medical Doctor will provide the overall direction for all patient care activities, and the Director of Primary Care & Quality will provide you with administrative supervision.

    QUALIFICATIONS: 

    JOB QUALIFICATIONS AND EXPERIENCE 

    A valid license to practice as a Registered Family Nurse Practitioner (FNP) or Physician Assistant (PA) in the State of California, National Licensure for Nurse Practitioner (FNP-C) or National Physician Assistant license (PA-C), with the ability to sign prescriptions and furnish medications Master’s Degree or higher. A certificate of completion from an accredited Nurse Practitioner program or Physician Assistant Program. Board Certification requirement.Current BLS certification. Current DEA Certification Valid California driver’s license. Proof of auto insurance. Must demonstrate knowledge of the rationale of appropriate patient care. Demonstrate the ability to maintain good interpersonal relationships with co-workers and health team members Skilled in Microsoft Office, Microsoft Access, data entry, and the use of business email. Passed Physical exam, TB test. 

    RESPONSIBILITIES: 

    Primary Job Functions 

    Primary Care Provider providing complete patient history, physical examinations, diagnosis, and plan for treatment of primary, secondary, and tertiary care services as outlined in, and in compliance with the standardized protocols for Nurse Practitioners and Physician Assistants.Primary care delivery includes communicating with patients or guardians of patients regarding care plans, results of diagnostic studies, and answering patient and family questions. Also included is organizing and delivering health education for patients, including preventative health information and disease-specific education. The primary care provider coordinates patient referrals for specialized health care to public health care agencies. Reviews patient file/record, including allergies, problems, medications, and immunization status. Orders or executes various tests, analyses, and diagnostic images to provide information on a patient's condition. Analyzes reports and findings of tests and examinations, and diagnoses the condition of patients. Administers or prescribes treatments. Determines and prescribes medication, dosage and schedule given the patient’s condition and allergies. Prescribes vaccinations to immunize patients from communicable diseases. Provides prenatal care to pregnant women. Provides postnatal care to mothers and infants. Perform the care services listed below (or be willing to learn those services). Services may include:      Minor surgery (toenail removal, mole and cyst removal, foreign object removal, etc.), Suturing, General Orthopedic Evaluations/Management, Basic rehabilitation for musculoskeletal injuries, General internal medicine, family medicine, and pediatrics, General Dermatology, General Eye Problems General EKG interpretations Emergency management skills General GYN Expertise Communicate with the Medical Doctor regarding quality care and treatment issues of patients at BBFHC.Conduct Clinical Pertinence Chart Review studies in order to assess and enhance patient outcomes. Serves as a resource for community agencies. Use technology tools for research, data entry, record keeping, and business communication via email. Meet all clinical obligations of the medical practice: Accrediting Agency compliance, CLIA compliance, drug prescription compliance, HIPAA, State and Federal regulations, Safety Regulations, etc. Follow all internal policies and procedures; be accountable for completion of all operational tasks according to departmental guidelines to ensure appropriate clinical processing/documentation. See patients in a timely and efficient manner, stay reasonably on time for scheduled appointments in family practice throughout the day, unless exceptional circumstances occur. The financial viability of Brighter Beginnings requires that all providers be held accountable for their actions with regard to proper coding and appropriate charging for all services rendered. Charting in the patient’s medical record is routinely completed within 48 hours of the patient’s visit. Establish and maintain a confidential medical record for each patient. Communicate with the Director of Primary Care & Quality, reporting on issues related to the functioning of the BBFHC, and the Director of Primary Care & Quality reports to the CEO and partner agencies of BBFHC. 

    Administrative Job Functions 

    Demonstrate ongoing support and respect for administration in all communications, either privately with staff or in a group setting. Address any administrative issues directly and in private with those concerned. Time management: Routinely see patients in the time allotted, adjusting to daily patient flow issues to remain on schedule.Work productivity must demonstrate the ability to see a minimum caseload of 18-20 patients per day (8-hour shift), effectively work patients into their schedules as caseload demands and respond to a variety of unforeseen daily circumstances, including emergency care of patients. Reporting: FNPs report directly to the Medical Doctor and his/her designees, which include the Chief Executive Officer.Complete patients' charts and submit medical bills daily. Must be flexible, adapt to change, and serve as a role model for staff through interactions; should at times think outside the box, providing possible resolutions/solutions to issues/concerns, rather than simply pointing out a problem area.Comply with all HIPAA rules and regulations. This position has no supervisory responsibilities.

    SUPERVISORY RESPONSIBILITIES 

    This position has no supervisory responsibilities.

    SPECIAL ADA REQUIREMENTS

    Brighter Beginnings is in full compliance with the Americans with Disabilities Act (ADA) and does not discriminate with regard to applicants or employees with disabilities, and will make reasonable accommodations when necessary

    For the purposes of ADA, the “Responsibilities” and “Qualifications” are essential job functions. Work is normally performed in a typical interior/clinic work environment, with typical office noise and other disruptions.Limited physical effort is required. Both standing and sitting are required, with most of the job time spent sitting. Approximately three-quarters of the time is spent using a computer keyboard. Various types of clinic equipment/supplies are used to accomplish the job requirements and include, but are not limited to, pens, pencils, calculators, computer keyboards, telephones, printers, etc. Required to drive to other work sites for meetings, conferences, etc.

    BENEFITS
    We are proud to offer competitive wages and benefits to our employees. Please feel free to inquire during the interview process. As a summary, we offer:

    100% employer-paid health, dental, vision, life, and disability insurance for employees working 30+ hours per week!Competitive wages and a friendly environmentTwo weeks of vacation (increase after 1 year of employment) if working 30+ hours per week13 paid holidays if working 30+ hours per weekSick leave accrualOptional employee-paid dependent health coverage403b retirement account with matching if working 20+ hours per weekFlexible Spending Account (FSA) (30+ hour per week)Employee Assistant Program (EAP)HRSA Loan Repayment Program, eligible for $75,000 for qualifying individuals (see HRSA SLRP information on their website)Required to drive to other work sites for meetings, conferences, etc.

    Brighter Beginnings is an Equal Opportunity Employer committed to diversity and inclusion. At Brighter Beginnings, employment decisions are made regardless of sex, gender identity or expression, sexual orientation, race, ethnic origin, color, creed, religion, national origin, citizenship, age, marital status, physical or mental disability, genetic information or ancestry, protected Veteran or military status, or other characteristics protected by law.

    If you require alternative methods of application or screening, you must approach the employer directly.

    All applicants that are offered a conditional offer of employment will need to complete a background check. For positions with client/patient contact, you must have a TB clearance and a physical assessment by a physician of your ability to complete job duties. Additional requirements are an immunization records (including MMR, Hep B, Varicella, TDAP, Covid-19). All positions require applicants to have a valid California driver’s license, be listed under car insurance as a driver, and a clean driving record (as defined by our insurance carrier).

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  • Temporary Medical Assistant  

    - Contra Costa County
    Title: Temporary Medical Assistant Reports to: Front Line Supervisor S... Read More
    Title: Temporary Medical Assistant Reports to: Front Line Supervisor Status: Non-Exempt / Hourly / Full-Time / In-person / Temporary Location: Based at our Health Clinic in Richmond, CA . Occasional work at our clinics in Oakland and Antioch. Pay: $22/ hour Start date: Estimated to begin in early August End date: Estimated to end December 2026- January 2027 Our Mission in fact, many of our staff came to this work because of the challenges they faced in their own families. Position Summary This is a full-time Medical Assistant position based at our Community Health Clinic in Richmond, with twice montly at our Oakland site, and occasionatlly at the Antioch site. You will be directly serving the community, providing affordable family healthcare to individuals and families who need it most. You will perform administrative and clinical duties under the direction of the Front Line Supervisor. Candidate Requirements: Bilingual (English- Spanish) Minimum of High School Diploma or Equivalent Medical Assistant Associate Degree or Medical Assistant Certificate Preferred: 1 Year of customer service in a medical office Skilled in Microsoft Office, data entry, and business email, with the ability to learn more programs Valid California Driver's License, a good DMV record, and transportation available to meet job requirements with vehicle insurance. Must be willing to work a flexible schedule and occasionally work at an alternative site We're looking for someone with: Ability to work as a team by communicating, collaborating, and cooperating with team members Professional presentation and positive attitude! Flexibility to fill in at our Oakland and Antioch clinics as needed Good verbal and written communication skills, including spelling and English grammar with the ability to understand and complete oral and written instructions. Summary of Responsibilities: Clinical Support: Record patient medical history, vital signs (weight/height), and test results accurately in Electronic Health Records (EHR). Patient Intake: Greet and escort patients to exam rooms, ensuring they are properly prepared for their visit with the provider. Laboratory Services: Perform capillary blood tests, collect and log laboratory specimens (blood, tissue, etc.), and prepare them for testing. Medication Administration: Administer medications, vaccinations, and injections as directed by providers and within the MA scope of practice. Diagnostic Screening: Conduct EKGs, vision screenings, and hearing screenings as required Provider Assistance: Assist MDs, FNPs, and RNs with clinical procedures and serve as a chaperone for male providers during exams of female or pediatric patients. Pharmacy Coordination: Communicate prescription information and authorized refills to pharmacies at the provider's request. Patient Education: Explain treatment procedures, medications, diets, and health education instructions to patients. Room Maintenance: Prepare, stock, and sterilize treatment rooms and instruments; ensure proper disposal of contaminated supplies. Quality Control: Perform routine control tests for Point of Care (POC) machines to ensure equipment accuracy. Scheduling Read Less
  • Lead Family Nurse Practitioner  

    - Richmond
    Job DescriptionJob DescriptionTitle: Lead Family Nurse Practitioner Re... Read More
    Job DescriptionJob Description

    Title: Lead Family Nurse Practitioner 
    Reports To: Chief Medical Officer
    Status: Full-time, Exempt
    Location: Richmond, CA, with some days in Antioch, CA
    Pay: $135,000- $150,000 salary

    Our Mission and Vision
    The Brighter Beginnings mission is to "support healthy births and successful development of children by partnering with parents and helping to build strong communities". Our mission gains its strength from our core belief that "Every family matters, and every child deserves a happy, healthy future".

    Our History
    Brighter Beginnings is a 501c3 nonprofit organization and has been responding to the needs of families in resource-poor neighborhoods since 1984 when our work began in response to the alarming differences in mortality and illness rates among African American babies compared to other children.

    Brighter Beginnings has grown into a respected and well-connected organization with locations in Oakland, Richmond, Bay Point, and Antioch. We have a multi-cultural, bi-lingual staff of passionate and committed family service professionals; in fact, many of our staff came to this work because of the challenges they faced in their own families.

    Position Summary

    The Lead Family Nurse Practitioner (LFNP) will be responsible for supporting our NP with training and other administrative duties as designated by the supervisor, in addition to providing direct patient care and for other administrative duties. 

    Qualifications

    1. A valid license to practice as a Family Nurse Practitioner (FNP) in the State of California, with the ability to sign prescriptions and furnish medications 

    2. Master’s Degree or higher. 

    3. National Board certification (ANCC or AANPCB) NP-C certification required.

    3. A certificate of completion from an accredited nurse practitioner program. 

    4. Experienced FamilyNP with a minimum of 3 years as a NP.

            5. Current BLS certification. 

    6. Current DEA License or Eligible

    7. Valid California driver’s license and proof of auto insurance.

    8. Must demonstrate knowledge of the rationale of appropriate patient care. 

    9. Demonstrate the ability to maintain good interpersonal relationships with co-workers and health team members 10. Skilled in Microsoft Office, Google Suite, data entry, and use of business email. 

    11. Passed Physical exam, TB test 

    Responsibilities
    Primary Job Functions 

    Primary Care Provider providing complete patient history, physical examinations, diagnosis, and plan for treatment of primary, secondary, and tertiary care services as outlined in, and in compliance with the standardized protocols for Nurse Practitioners and Physician Assistants.

    Primary care delivery includes communicating with patients or guardians of patients regarding care plans, results of diagnostic studies, and answering patient and family questions. Also included is organizing and delivering health education for patients, including preventative health information and disease-specific education. The primary care provider coordinates patient referrals for specialized health care to public health care agencies. Reviews patient file/record, including allergies, problems, medications, and immunization status. Orders or executes various tests, analyses, and diagnostic images to provide information on a patient's condition. Analyzes reports and findings of tests and examinations, and diagnoses the condition of patients. Administers or prescribes treatments. Determines and prescribes medication, dosage and schedule given the patient’s condition and allergies. Prescribes vaccinations to immunize patients from communicable diseases. Provides prenatal care to pregnant women. Provides postnatal care to mothers and infants. Perform the care services listed below (or be willing to learn those services). Services may include:      Minor surgery (toenail removal, mole and cyst removal, foreign object removal, etc.), Suturing, General Orthopedic Evaluations/Management, Basic rehabilitation for musculoskeletal injuries, General internal medicine, family medicine, and pediatrics, General Dermatology, General Eye Problems General EKG interpretations Emergency management skills General GYN Expertise Communicate with the Medical Doctor regarding quality care and treatment issues of patients at BBFHC.Conduct Clinical Pertinence Chart Review studies in order to assess and enhance patient outcomes. Serves as a resource for community agencies. Use technology tools for research, data entry, record keeping, and business communication via email. Meet all clinical obligations of the medical practice: Accrediting Agency compliance, CLIA compliance, drug prescription compliance, HIPAA, State and Federal regulations, Safety Regulations, etc. Follow all internal policies and procedures; be accountable for completion of all operational tasks according to departmental guidelines to ensure appropriate clinical processing/documentation. See patients in a timely and efficient manner, stay reasonably on time for scheduled appointments in family practice throughout the day, unless exceptional circumstances occur. The financial viability of Brighter Beginnings requires that all providers be held accountable for their actions with regard to proper coding and appropriate charging for all services rendered. Charting in the patient’s medical record is routinely completed within 48 hours of the patient’s visit. Establish and maintain a confidential medical record for each patient. Communicate with the Director of Primary Care & Quality, reporting on issues related to the functioning of the BBFHC, and the Director of Primary Care & Quality reports to the CEO and partner agencies of BBFHC. 

    Administrative Job Functions The Lead Family Nurse Practitioner (LFNP) will be responsible for supporting our NPs with training and other administrative duties as designated by the supervisor.Provide procedural instruction to clinicians while on site, and necessary clinical support to providers with a focus in Richmond, but able to visit both sites. Checking in weekly or bi-weekly with newly hired clinician staff as determined by the CMO.Work closely with the CMO and Clinic Managers to improve health clinic services and coordination of care with partner agencies. Demonstrate ongoing support and respect for administration in all communications, either privately with staff or in a group setting. Address any administrative issues directly and in private with those concerned. Time management: Routinely see patients in the time allotted, adjusting to daily patient flow issues to remain on schedule.Work productivity must demonstrate the ability to see a minimum caseload of 18-20 patients per day (8-hour shift), effectively work patients into their schedules as caseload demands and respond to a variety of unforeseen daily circumstances, including emergency care of patients. Reporting: FNPs report directly to the Medical Doctor and his/her designees.Complete patients' charts and submit medical bills daily. Must be flexible, adapt to change, and serve as a role model for staff through interactions; should at times think outside the box, providing possible resolutions/solutions to issues/concerns, rather than simply pointing out a problem area.Comply with all HIPAA rules and regulations. 

    Supervisory Job Functions 
    This position Administratively supervises NPs, PAs with support of our MD for the Clinical supervision and RNs.

    Special ADA Requirements
    Brighter Beginnings is in full compliance with the Americans with Disabilities Act (ADA) and does not discriminate with regard to applicants or employees with disabilities, and will make reasonable accommodations when necessary. 

    Work is normally performed in a typical interior/clinic work environment, with typical office noise and other disruptions. Limited physical effort is required. Both standing and sitting are required, with most of the job time spent sitting. Approximately three-quarters of the time is spent using a computer keyboard. Various types of clinic equipment/supplies are used to accomplish the job requirements and include, but are not limited to, pens, pencils, calculators, computer keyboards, telephones, printers, etc.Required to drive to other work sites for meetings, conferences, etc.

    Benefits
    We are proud to offer competitive wages and benefits to our employees. Please feel free to inquire during the interview process. As a summary, we offer:

    100% employer-paid health, dental, vision, life and disability insurance!$10,000 sign-on bonus for licensed and bilingual (Spanish/English) provider. Payment schedule: $2,000 after 1 month of employment, $4,000 after 6 months and a routine performance evaluation, and $4,000 after first year of employment.$5,000 sign-on bonus for a licensed provider.
    Payment schedule: $1,000 after 1 month of employment, $2,000 after 6 months and a routine performance evaluation, and $2,000 after first year of employment.Competitive wages and a friendly environmentTwo weeks of vacation on an accrual basis (accrual rate increases regularly with tenure)13 paid holidaysSick leave accrualOptional employee-paid dependent health coverage403b retirement account with matchingFlexible Spending Account (FSA)Employee Assistant Program (EAP)HRSA Loan Repayment Program, eligible for $50,000

    Brighter Beginnings is an Equal Opportunity Employer committed to diversity and inclusion. At Brighter Beginnings, employment decisions are made regardless of sex, gender identity or expression, sexual orientation, race, ethnic origin, color, creed, religion, national origin, citizenship, age, marital status, physical or mental disability, genetic information or ancestry, protected Veteran or military status, or other characteristics protected by law.

    If you require alternative methods of application or screening, you must approach the employer directly.

    All applicants that are offered a conditional offer of employment will need to complete a background check. For positions with client/patient contact, you must have a TB clearance and a physical assessment by a physician of your ability to complete job duties. Additional requirements are an immunization records (including MMR, Hep B, Varicella, TDAP, Covid-19). All positions require applicants to have a valid California driver’s license, be listed under car insurance as a driver, and a clean driving record (as defined by our insurance carrier).

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  • Call Center Associate  

    - Antioch
    Job DescriptionJob DescriptionJOB POSTINGTITLE: CLINIC CALL CENTER ASS... Read More
    Job DescriptionJob Description

    JOB POSTING

    TITLE: CLINIC CALL CENTER ASSOCIATE

    REPORTS TO: CALL CENTER LEAD

    STATUS: NON-EXEMPT

     

    OUR MISSION & VISION 

    The Brighter Beginnings mission is to “support healthy births and successful development of children by partnering with parents and helping to build strong communities”. The Brighter Beginnings community gains its strength and aspiration from our core belief and vision that “every family matters, and every child deserves a happy, healthy future.” 

    OUR HISTORY 

    Brighter Beginnings is a 501c3 nonprofit organization and has been responding to the needs of families in resource-poor neighborhoods since 1984, when our work began in response to the alarming differences in mortality and illness rates among African American babies compared to other children. 

    Brighter Beginnings has grown into a respected and well-connected organization with locations in Oakland, Richmond, Bay Point, and Antioch. We have a multicultural, bilingual staff of passionate and committed family service professionals; in fact, many of our staff came to this work because of challenges they faced in their own families.
     

    POSITION SUMMARY

    The Call Center Associate is responsible for ensuring a positive and effective experience for every patient who has telephone contact with Brighter Beginnings. They answer calls in a timely manner and identify and address patients’ needs. This requires exceptional critical thinking, customer service, organizational, and time management skills. Duties include, but are not limited to, receiving incoming calls, answering patients’ questions, sending patients’ messages to their medical providers, and all aspects of appointment scheduling. The Call Center Associate is expected to meet specific performance targets related to caller wait times, call handling time, high-quality customer service, and quality of telephone encounters created.  
     

    QUALIFICATIONS:

    JOB QUALIFICATIONS AND EXPERIENCE

    Required Qualifications:    

    • High School Diploma or GED 

    • Experience and/or interest in health care 

    • Bilingual in Spanish/English 

    • Excellent patient/customer service, verbal and written communication, and follow-through skills 

    • Ability to work independently and to use good judgment.  

    • Ability to work effectively and harmoniously with co-workers.

    • Strong computer skills. 

    Preferred Qualifications:   

    • Certificate or AA college coursework related to health care. 

    • 1 year of related work experience in a health care or customer service field.

    • Multi-line phone experience

    • Experience scheduling appointments and checking insurances.

    • Previous experience in a primary care healthcare setting, with knowledge of healthcare terminology, procedures, and practices.

    • Experience working on computers and knowledge of Google software products.  
     

    RESPONSIBILITIES: 

    • Schedules patient appointments appropriately according to scheduling and payor protocols  

    • Gathers information and relates that information efficiently and effectively to appropriate departments 

    • Monitors provider schedules to identify errors or opportunities for improved schedule efficiencies 

    • Acts as a patient liaison with other departments     

    • Attends to requests and actions from other departments in a timely and professional way 

    • Monitors and responds to department voicemail, patient portal messages, and after-hours messages 

    • Get patient records from hospitals or other referral sources when scheduling appointments.

    •Refer patients to Octavia triage nurses as indicated by patient need.

    •When taking referrals for appointments from outside sources, to have referral sources, ensure that records for appointments are available.

    • Stays up to date on organizational changes as it relates to core responsibilities 

    • Seeks and supports changes in department workflow processes, suggests improvements, and participates in organized efforts to improve service levels 

    • Uses EHR system efficiently and effectively  

    • Maintains patient confidentiality as required by HIPAA in all daily work 

    • Call patients when due for a visit. and schedule appointments

    • Other tasks as assigned.
     

    Customer Service 

    • Provides patient-centered customer service at all times 

    • Demonstrates the ability to anticipate patients' needs and deliver services and respond to patients in a timely, accurate, courteous, respectful and friendly manner

     • Demonstrates ownership, initiative, attention to detail, and follow-through  

    • Approaches problem-solving by focusing on patients first 

    • Advocates for care that best serves the patient  

    • Addresses customer complaints/problems in a timely manner 
     

    Communication Skills 

    • Oral and written communication is clear, concise, accurate, positive, and respectful 

    • Demonstrates comprehension of oral and written questions, instructions, and information rapidly, thoroughly, and accurately 

    • Response to oral and written questions, instructions, and information is timely and appropriate 

    • Written communication is well-organized, legible, concise, neat, and in proper grammatical form 

    • Checks work-related email and mailbox on a daily basis 
     

    Teamwork and Interpersonal Skills 

    • Dealings with others are characterized by fairness, courtesy, diplomacy, honesty, firmness, empathy and confidence 

    • Effective in offering support and assistance to others, in obtaining information from others, and in supplying information to others 

    • Demonstrates a positive attitude, flexibility, and ability to develop effective relationships by helping others accomplish tasks and using collaboration and conflict resolution skills 
     

    Judgment and Problem Solving 

    • Uses critical thinking and common sense to analyze situations, make timely and valid decisions, and take appropriate actions 

    • Demonstrates good judgment in making decisions 

    • Resolves issues independently and only seeks assistance as needed 
     

    Reliability 

    • Completes assigned duties & responsibilities in an accurate, timely and efficient manner

    • Arrives to work on time and maintains consistent attendance 

    • Follows instructions and appropriate procedures 

    • Maintains patient confidentiality as required by HIPAA
     

    Behavioral Health Responsibilities

    The Call Center Associate will be trained to be backup personnel for the Behavioral Health tasks below:

    • Review ACCESS LINE referrals on ccLink. Create patient charts as needed, run insurance enrollment, and schedule intakes with BH providers.

    • Support 4 BH provider schedules; Fill BH appointment slots on a daily basis

    • Daily confirmation of patient appointments. 

    • Keep track of patients willing to have last-minute sessions (telehealth) and fill any last-minute cancellation slots.

    • Review BH caseload for all 4 providers to ensure patients are staying on the calendar or closed out.

    • Send close-out letters to patients as needed.

    • Follow up on ROI requests for BH patients.

    • Review PHQ-9 and GAD7 referrals to ensure BH intake and follow-up.

    • Ensure measurements (GAD7, PHQ9, PRAPARE, CAGE-AID, Columbia) are documented in patient charts (using SMART FORM).

    • Ensure consents and custody for minors are documented in the patient chart.

    • Review BH referrals for a higher level of care and/or psychiatry. Work with the referrals team to ensure the patient is being connected with services.

    • Review BH referrals for insurance support with the insurance team to ensure issues are resolved, and the patient is scheduled for BH sessions as needed.

    • CARES 2.0 patients: ensure patients are informed their insurance only covers twice per month, and otherwise schedule with the insurance team to establish self-pay.

    • Review BH referrals for case management and provide light case management, as well as refer any patients who qualify for the BB ECM program.

    • Create/Send Google invites for BH Sessions (for all BH providers except Lila)

    • Support in collateral contacts to outside providers

    • Support with updating Excel and eCW tracking of BH services

    • Other tasks as assigned.
     

    SUPERVISORY RESPONSIBILITIES

    No supervisory responsibilities.
     

    SPECIAL ADA REQUIREMENTS

    Brighter Beginnings is in full compliance with the Americans with Disabilities Act (ADA) and does not discriminate with regard to applicants or employees with disabilities, and will make reasonable accommodations when necessary.  

    For the purposes of ADA, the “Responsibilities” and “Qualifications” are essential job functions. Work is normally performed in a typical interior/office work environment, with typical office noise and other disruptions. Limited physical effort is required.Both standing and sitting are required, with most of the job time spent sitting.  Approximately three-quarters of the time is spent using a computer keyboard.Various types of equipment/supplies are used to accomplish the job requirements and include, but are not limited to, pens, pencils, calculators, computer keyboards, telephones, printers, etc.Required to drive to other work sites for meetings, conferences, etc. 

    To apply or request accommodations, please email your resume to jobs@brighter-beginnings.org.

    Brighter Beginnings is an Equal Opportunity Employer committed to diversity and inclusion. At Brighter Beginnings, employment decisions are made regardless of sex, gender identity or expression, sexual orientation, race, ethnic origin, color, creed, religion, national origin, citizenship, age, marital status, physical or mental disability, genetic information or ancestry, protected Veteran or military status, or other characteristics protected by law.

    If you require alternative methods of application or screening, you must approach the employer directly.

    All applicants that are offered a conditional offer of employment will need to complete a background check. For positions with client/patient contact, you must have a TB clearance and a physical assessment by a physician of your ability to complete job duties. Additional requirements are an immunization records (including MMR, Hep B, Varicella, TDAP, Covid-19). All positions require applicants to have a valid California driver’s license, be listed under car insurance as a driver, and a clean driving record (as defined by our insurance carrier).

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  • Temporary Medical Assistant  

    - Richmond
    Job DescriptionJob DescriptionTitle: Temporary Medical  AssistantRepor... Read More
    Job DescriptionJob Description

    Title: Temporary Medical  Assistant
    Reports to: Front Line Supervisor
    Status: Non-Exempt / Hourly / Full-Time / In-person / Temporary
    Location: Based at our Health Clinic in Richmond, CA . Occasional work at our clinics in Oakland and Antioch. 
    Pay: $22/ hour
    Start date: Estimated to begin in early August
    End date: Estimated to end December 2026- January 2027 

    Our Mission & Vision

    The Brighter Beginnings' mission to “support healthy births and successful development of children by partnering with parents and helping to build strong communities“ gains its strength and aspiration from our core belief and vision that “Every family matters, and every child deserves a happy, healthy future.”

     

    Our History

    Brighter Beginnings is a 501c3 nonprofit organization and has been responding to the needs of families in under-resourced neighborhoods since 1984, when our work began in response to the alarming differences in mortality and illness rates among African American babies compared to other children.

    Brighter Beginnings has grown into a respected and well-connected organization with locations in Oakland, Richmond, Bay Point, and Antioch. We have a multi-cultural, bi-lingual staff of passionate and committed family-service professionals; in fact, many of our staff came to this work because of the challenges they faced in their own families.

     

    Position Summary

    This is a full-time Medical Assistant position based at our Community Health Clinic in Richmond, with twice montly at our Oakland site, and occasionatlly at the Antioch site. You will be directly serving the community, providing affordable family healthcare to individuals and families who need it most. You will perform administrative and clinical duties under the direction of the Front Line Supervisor. 
     

    Candidate Requirements:

    Bilingual (English- Spanish) Minimum of High School Diploma or EquivalentMedical Assistant Associate Degree or Medical Assistant Certificate Preferred: 1 Year of customer service in a medical officeSkilled in Microsoft Office, data entry, and business email, with the ability to learn more programsValid California Driver’s License, a good DMV record, and transportation available to meet job requirements with vehicle insurance.Must be willing to work a flexible schedule and occasionally work at an alternative siteWe're looking for someone with:Ability to work as a team by communicating, collaborating, and cooperating with team membersProfessional presentation and positive attitude!Flexibility to fill in at our Oakland and Antioch clinics as neededGood verbal and written communication skills, including spelling and English grammar with the ability to understand and complete oral and written instructions. Summary of Responsibilities:Clinical Support: Record patient medical history, vital signs (weight/height), and test results accurately in Electronic Health Records (EHR).Patient Intake: Greet and escort patients to exam rooms, ensuring they are properly prepared for their visit with the provider.Laboratory Services: Perform capillary blood tests, collect and log laboratory specimens (blood, tissue, etc.), and prepare them for testing.Medication Administration: Administer medications, vaccinations, and injections as directed by providers and within the MA scope of practice.Diagnostic Screening: Conduct EKGs, vision screenings, and hearing screenings as requiredProvider Assistance: Assist MDs, FNPs, and RNs with clinical procedures and serve as a chaperone for male providers during exams of female or pediatric patients.Pharmacy Coordination: Communicate prescription information and authorized refills to pharmacies at the provider's request.Patient Education: Explain treatment procedures, medications, diets, and health education instructions to patients.Room Maintenance: Prepare, stock, and sterilize treatment rooms and instruments; ensure proper disposal of contaminated supplies.Quality Control: Perform routine control tests for Point of Care (POC) machines to ensure equipment accuracy.Scheduling & Registration: Register new and returning patients, schedule appointments, and perform daily appointment confirmation calls.Financial Processing: Collect co-pays and self-pay assessments, and accurately enter charges into the electronic system.Insurance Verification: Verify insurance and assist with enrollment in special programs (PE4PP, CPE, FPACT) and Sliding Fee Scale Discount programs.Records Management: Maintain medical records, ensure accurate coding for insurance purposes, and collect necessary demographic and financial data.Administrative Support: Provide general administrative assistance to the Front Line Supervisor and Clinic Manager as needed, including Front Desk coverage as needed, calling patients, and preparing the schedule for the following day. Translation: Provide bilingual translation services between providers and Spanish-speaking patients.Compliance: Adhere strictly to all BBFHC Policies and Procedures, including safety and admission guidelines.Other duties as assigned.

    Other Job Requirements

    This job requires passing an evaluation of a background check, a negative TB test or clear chest x-ray (less than 1 year old), Physical Exam (less than 6 months old), and providing updated vaccination records, including Hepatitis B vaccination, annual flu vaccination, and Covid-19 vaccination. The Physical examination must indicate that the employee can meet the physical requirements of the job including Lifting, Walking, Stooping, Bending, and Twisting.


    Benefits

    We are proud to offer competitive wages and benefits to our employees. Please feel free to inquire during the interview process. As a summary, we offer for temporary staff:

    Competitive wages and a friendly environment13 unpaid holidaysSick leave accrualOpportunity to enroll in medical insurance after 90 days of employment

     

    Brighter Beginnings is an Equal Opportunity Employer committed to diversity and inclusion. At Brighter Beginnings, employment decisions are made regardless of sex, gender identity or expression, sexual orientation, race, ethnic origin, color, creed, religion, national origin, citizenship, age, marital status, physical or mental disability, genetic information or ancestry, protected Veteran or military status, or other characteristics protected by law.

    If you require alternative methods of application or screening, you must approach the employer directly.

    All applicants that are offered a conditional offer of employment will need to complete a background check. For positions with client/patient contact, you must have a TB clearance and a physical assessment by a physician of your ability to complete job duties. Additional requirements are an immunization records (including MMR, Hep B, Varicella, TDAP, Covid-19). All positions require applicants to have a valid California driver’s license, be listed under car insurance as a driver, and a clean driving record (as defined by our insurance carrier).

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  • Job DescriptionJob Description Title: Family Practice PhysicianReports... Read More
    Job DescriptionJob Description

     Title: Family Practice Physician
    Reports To: Chief Medical Director
    Status: Full-Time/Part-Time (2 or 3 days per week)
    Location: Antioch, CA
    Pay: $110.00- $120.00/ Per hour

    OUR MISSION & VISION
    The Brighter Beginnings mission is to "support healthy births and successful development of children by partnering with parents and helping to build strong communities". Our mission gains its strength from our core belief that "Every family matters, and every child deserves a happy, healthy future".

    OUR HISTORY
    Brighter Beginnings is a 501c3 nonprofit organization and has been responding to the needs of families in resource-poor neighborhoods since 1984 when our work began in response to the alarming differences in mortality and illness rates among African American babies compared to other children.

    Brighter Beginnings has grown into a respected and well-connected organization with locations in Oakland, Richmond, Bay Point, and Antioch. We have a multi-cultural, bi-lingual staff of passionate and committed family service professionals; in fact, many of our staff came to this work because of the challenges they faced in their own families.

    POSITION SUMMARY 
    The Family Practice Physician (Physician/MD/DO) provides primary and continuing medical care for patients seen at the Brighter Beginnings Family Health Clinics (BBFHC).  Physicians take account of physical, emotional and social factors when diagnosing illness and recommending the required treatment. Patients may be referred to hospital clinics for further assessment and possibly for treatment, working with the Brighter Beginnings Family Health Clinic providers to ensure quality outcomes.
     

    QUALIFICATIONS:

    Licensed by the State Board of Medical Examiners to practice medicine in the state of California.Certified by an appropriate American Medical Specialty Board (preventive medicine, family practice, pediatrics, or internal medicine) preferred. Current BLS certification. Current DEA certification Valid California driver’s license. Proof of auto insurance. Skilled in practicing evidence-based medicine across the lifespan.Demonstrate the ability to maintain good interpersonal relationships with co-workers and health team members Skilled in Google Workplace, Electronic health records,  data entry, and the use of business email. Passed Physical exam, TB test.

    ESSENTIAL DUTIES AND RESPONSIBILITIES OF FAMILY PRACTICE PHYSICIAN:

    Provide Holistic Care to Patients: Family physicians see patients at our Family Health Clinic sites as well as provide telehealth services when necessary or desired. Their job is to attend to a panel of patients as their assigned Primary Care Provider and provide comprehensive medical care. They order prescriptions or additional therapy for patients when necessary.Order and Interpret Diagnostic Tests: Family practice physicians request, perform, and interpret diagnostic and clinical tests. They analyze test images and results in light of their patient’s medical history to inform their examinations and make accurate diagnoses. Family physicians then explain test results to patients and implement a care plan.Advise Patients on Needed Health Changes: Patients look to BBFHC Family Medicine Physicians to provide expert advice concerning disease prevention. They may suggest critical changes in diet, activity levels, and hygiene. The lifestyle changes physicians recommend help patients improve their quality of life.Monitor Patient Progress and Records: Another critical activity for the BBFHC Family Practice physician is keeping accurate and detailed records that document their observations from medical exams. Over time, Physicians monitor patient progress and treatment responses. They continually evaluate their patients’ overall health and adjust individual treatments as necessary.Collaborate with Other Healthcare Professionals: Consulting with additional medical and nonmedical specialists about patient needs is another vital task for our physicians. Other healthcare professionals can offer different perspectives on client diagnoses and treatment options. Physicians commonly coordinate care with physical therapists, pharmacists, psychologists, nurses, and social workers. They also refer patients to other specialists when further diagnosis or treatment is needed.

    Professional Expectations:

    Respond to medical/health problems presented by patients, including history taking, diagnosis, investigation, treatment, and referral to secondary and tertiary care as appropriate;Maintain patient confidentiality in accordance with HIPAA regulations. Organize preventative medical programs for individual patients; Provide specialist clinics for specific conditions or for certain groups, e.g., diabetes, pregnancy, post-partum, and pediatrics. Experienced in practicing evidence-based medicine as outlined by guidelines from professional medical associations.Use Electronic Health Records to keep track of patient visits, billing, and clinical outcomes;Keep up to date with medical developments, new drugs, treatments, and medications, including complementary medicine;Observe and assess the work of other providers in the clinic. Participate in quarterly clinical chart reviews to improve patient outcomes.Review any medical records as requested by providers for quality care and treatment issues.Commissioning healthcare by liaising with medical professionals in the community and hospitals;Promote health education in conjunction with other health professionals;Discuss the development of new pharmaceutical products with pharmaceutical sales representatives.Maintain a portfolio of continuing professional development (CPD) activities.Complete medical charts and bills on time.Provide indirect patient care through collaboration with providers by phone or in person and be available for consultation by electronic communication at all times.Assist in reviewing all practice protocols for nurse practitioners and clinic policies and procedures. Will report concerns regarding quality assurance or practice issues to the CMO and Quality Committee.In coordination with the health management team, initiate and develop special clinics and programs to meet the needs of the community, including diabetes, asthma, or other chronic disease management programs.Establish and maintain understanding and cooperation with local organizations toward effective community health.Provide direct leadership for Quality Assurance, Utilization Review, and Medical Advisory Committees.Initiate and develop special clinics and programs to meet the needs of the community, including diabetes, asthma, or other chronic disease management programs.Meet the clinic’s target number of patient visits per shift (target is 18-22 per day) with complete charts signed and submitted for billing within two days of the visit.

    SUPERVISORY RESPONSIBILITIES

    This position supervises up to 4 Nurse Practitioners or Physician Assistants as assigned and supports them with their assigned patients.
     

    OTHER JOB REQUIREMENTS 

    This job requires the passing of a background check,  a negative TB test or clear chest x-ray (less than 1 year old), Physical Exam (less than 6 months old), provide updated vaccination records, Hepatitis B vaccination, annual flu vaccination, and maintain a current BLS card.
     

    WORKING CONDITIONS

    Occasional exposure to disagreeable odors, fumes or airborne particles, communicable diseases. This position involves exposure to infectious wastes such as blood and body fluids that mandate the wearing of gloves, masks, gowns and goggles for every actual or potential exposure. Potential for strains and injuries due to equipment/patient causes. The noise level is usually moderate.

    SPECIAL ADA REQUIREMENTS
    Brighter Beginnings is in full compliance with the Americans with Disabilities Act (ADA) and does not discriminate with regard to applicants or employees with disabilities, and will make reasonable accommodations when necessary. 

    Work is normally performed in a typical interior/clinic work environment, with typical office noise and other disruptions. Limited physical effort is required. Both standing and sitting are required, with most of the job time spent sitting. Approximately three-quarters of the time is spent using a computer keyboard. Various types of clinic equipment/supplies are used to accomplish the job requirements and include, but are not limited to, pens, pencils, calculators, computer keyboards, telephones, printers, etc.Required to drive to other work sites for meetings, conferences, etc.​​​​​​​

    BENEFITS
    We are proud to offer competitive wages and benefits to our employees. Please feel free to inquire during the interview process. As a summary, we offer:

    100% employer-paid health, dental, vision, life and disability insurance! For full-time staffCompetitive wages and a friendly environmentTwo weeks of vacation (increase after 1 year of employment)  (for staff working more than 30 hours/ week)13 paid holidays (for staff working more than 30 hours/ week)Sick leave accrualOptional employee-paid dependent health coverage403b retirement account with matchingFlexible Spending Account (FSA)Employee Assistant Program (EAP)HRSA Loan Repayment Program (20 hours & 40 Hours available) 

    Brighter Beginnings is an Equal Opportunity Employer committed to diversity and inclusion. At Brighter Beginnings, employment decisions are made regardless of sex, gender identity or expression, sexual orientation, race, ethnic origin, color, creed, religion, national origin, citizenship, age, marital status, physical or mental disability, genetic information or ancestry, protected Veteran or military status, or other characteristics protected by law.

    If you require alternative methods of application or screening, you must approach the employer directly.

    All applicants that are offered a conditional offer of employment will need to complete a background check. For positions with client/patient contact, you must have a TB clearance and a physical assessment by a physician of your ability to complete job duties. Additional requirements are an immunization records (including MMR, Hep B, Varicella, TDAP, Covid-19). All positions require applicants to have a valid California driver’s license, be listed under car insurance as a driver, and a clean driving record (as defined by our insurance carrier).

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