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    Company :Allegheny Health NetworkJob Description : At AHN, employees trust working together and place patients at the center of all they do. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients and communities. AHN has commitment and dedication to being inclusive, valuing fresh perspectives, and offering the best growth and educational opportunities to employees. Forbes Hospital is a 315 bed, Level II trauma hospital located in the community of Monroeville. Our hospital offers the service lines of a city hospital, inclusive of trauma, neurosurgery, cardiothoracic surgery, interventional cardiology, obstetrics and psychiatry, while also building relationships across the organization in a community setting. GENERAL OVERVIEW: The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse is fully responsible for all actions as a licensed nurse and is accountable to patients for the quality of care delivered. ESSENTIAL RESPONSIBILITIES: The registered nurse provides leadership in a professional practice setting.Team player who contributes to building the team by helping others succeed through role modeling and mentoring.Assigns or delegates tasks based on the needs of the patient and skill level of the RN, LPN or support staff. Assigns duties and lunches for staff when performing charge role.Considers maintenance of a safe environment, patient condition, complexity of the intervention and predictability of the outcome.Provides peers with both verbal and written feedback regarding clinical practice and role performance.Shares knowledge and skills with peers and colleagues.Willingly accepts mistakes of self and others, creating a culture in which risk taking is not only safe but expected.Participates on interdisciplinary team to evaluate clinical care or health services.Promotes patient safety initiatives (ex: National Patient Safety Goals).Participates in department specific quality initiatives ( ex: EBP population specific). Assures appropriate order sets are used.Supervises delegates and evaluates assigned LPN scope of practice as appropriate.Utilizes the nursing process to assess, plan, evaluate and implement a patient plan of care according to the individual needs of the patient as prescribed by physician, nurse and hospital policy including patient and family.Derives culturally and age appropriate expected outcomes involving the patient, family and other health care providers.Analyzes the health status of the individuals and families comparing the data with the norm, when possible, to determine patient care needs.Assesses patient reports/records change of condition and notifies physician and/or supervisor and intervenes appropriately and documents accordingly.Accepts assignments in areas other than primary unit, and performs duties within individualized competency.Demonstrates a commitment to continuous lifelong learning for self and others.Promotes advancement of the profession through participation in professional organizations.Seeks both formal and independent learning activities using current research findings and other evidence to maintain and develop clinical and professional skills and knowledge.Participates in systematic peer review and obtains informal feedback regarding one’s own practice from patients, peers, professional colleagues and others. Identifies areas of strength, as well as, areas in which professional development would be beneficial.Meets time and attendance guidelines per hospital policy.Continuously evaluates and assesses patient and family satisfaction.Participates I department specific patient satisfaction initiatives.Promotes compassionate communication that is patient and family centered.Assesses for and attempts to resolve patient/family concerns.Utilizes effective time management skills to complete assigned duties and responsibilities within established work shift. QUALIFICATIONS: Minimum Act 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance CertificateCurrent State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).CPR certification Preferred Certification in area of specialty Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
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    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Provides clinical support between patients and physicians. ESSENTIAL RESPONSIBILITIES: Assesses Electrophysiology device telemonitoring results with physicians and ensures patient communication regarding results and/or recommendations per physician order. (30%)Provides clinical support during office hours on the Allegheny General Hospital campus and outreach timeshare locations. (30%)Assess health status/needs during the clinic visit. Formulates and communicates an action plan. Implements plan and/or action after discussion with responsible physician. (15%)Coordinates Electrophysiology telemonitoring schedule. (15%)Assesses learning needs of patient and family and provides education based on age, culture and willingness to learn. (10%) QUALIFICATIONS: Minimum Nursing School DiplomaTwo years experience with Electrophysiology device telemonitoringCPR – American Heart AssociationAct 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance Certificate Preferred BA/BS DegreeAmbulatory experience, cardiovascular experience, outpatient setting experience and experience as an RN in the same area of specialty Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Highmark HealthJob Description : JOB SUMMARY This job establishes and cultivates relationships with assigned areas related to information technology, security, system implementations, and data privacy, to assist in the development of the annual Internal Audit plan and the planning and execution of audit activities to determine whether Highmark Health and its subsidiaries' network of risk management, control, and governance processes, as designed and operated by management, are adequate and functioning. Executes to ensure the IT Assurance and Advisory programs aligned with the overall Internal Audit strategy. Assesses whether the processes and controls provide reasonable assurance that information technology and security risks are identified and managed, and that significant financial, operational, and protected information is secure, accurate, reliable, and processed timely. Determines and recommends improvements in the implementation of business process and systems changes and project management controls. Prepares reports for management summarizing the results of the audit and/or project, including providing recommendations on improvement opportunities. Interfaces and assists the independent auditors during external audit assessments, where necessary. Must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and Privacy Policies and Procedures. As a component of job roles and responsibilities, employees in this role may have access to covered information, cardholder data, or other confidential customer information which must be protected at all times. In connection with this responsibility, employees in this role must adhere to all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. ESSENTIAL RESPONSIBILITIES Lead teams, supervises staff, and creates a positive working environment through the building of solid relationships with team members; monitoring of workloads of all team members; adjustment and redistribution of assignments accordingly to promote work/life quality, the taking into account of team members 'capabilities and needs and meeting of client expectations.Facilitates the planning and execution of information technology, security, system implementations, and data privacy audit activities across the Highmark Health enterprise, while maintaining independence and adhering to professional industry standards.Manage appropriate budgets and time frames to close-out and finalize audits / projects, including the identification and assessment of issues, development of audit reports, and review of supporting documentation and workpapers in accordance with Departmental standards.Identify and assess the organization’s key information technology, security, and data privacy risk areas; assist the IA management team by contributing to the development of the annual internal audit plan. Manage and mentor other internal audit resources through the execution of their work, providing constructive feedback and assistance.Provide technical and operational assistance to functional business areas in development, refinement, and documentation of IT controls, leveraging data analytics to facilitate effective and efficient audit work.Serve as departmental IT subject matter expert and enhance internal knowledge of IT controls and IT auditing concepts.Other duties as assigned or requested. ​ EDUCATION Required Bachelor's Degree in Accounting, Finance, Business Administration/Management, Information Systems or related field, or relevant experience and/or education as determined by the company in lieu of bachelor's degree. EXPERIENCE Required 7 years of experience in Information Systems auditing OR 7 years in auditing and an Information Systems related discipline, such as Information Security, Change Management, Systems Development, etc. Preferred Familiarity with a wide variety of computer application platforms, including but not limited to: Oracle, SQL Server, DB2, RACF, Linux, and Windows. Cybersecurity/ IT risk assurance expertise Experience with Archer Governance, Risk, and Compliance (GRC) suite of products LICENSES OR CERTIFICATIONS Required None Preferred Certified Information System Audit (CISA)Certified Internal Audit (CIA)Certified Public Accountant (CPA) SKILLS Knowledge of internal audit functions, particularly as applied to information technology and data securityAbility to apply auditing (GAAS), accounting (GAAP) and/or IS industry standards to the evaluation of systems environments and processes (i.e., data center operations, information security, input, output and processing controls, back-up and recovery, business contingency planning, systems development, and the implementation of advanced technologies)Effective resource and project planning, decision making, results delivery, team building, and staying current with relevant technology and innovationOral and written communication skills when interfacing and collaborating with clients, peers, and management to develop solutions, emphasizing a client-based focus to understand and respond appropriately to business requirementsStrong relationship building skillsSelf-starter with the ability to work under pressure independently and as part of a teamAbility to think strategically and act proactively to create strong trust and confidence with business unitsAbility to interact, build credibility and long-term relationships with senior management to understand the company’s culture, strategic direction, and goals.Ability to interact, build credibility and long-term relationships with senior management to understand the company’s culture, strategic direction, and goals.Ability to manage multiple projects, meet deadlines while ensuring quality and exceeding client expectations.​ LANGUAGE REQUIREMENT (other than English) None TRAVEL REQUIRED 0% - 25% PHYSICAL, MENTAL DEMANDS, AND WORKING CONDITIONS Position Type Office Based Teaches / trains others regularly Frequently Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Never Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $78,900.00 Pay Range Maximum: $146,000.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
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    Company :Highmark Inc.Job Description : JOB SUMMARY ***This is a Hybrid Position and will require you to be onsite up to 3 days a week at one of our PA, NY, WV or DE campuses*** This job analyzes all relevant data to assess the risk and adapt pricing for a book of business consisting of large complex clients. Applies judgment, backed by a clear rationale, to negotiate appropriate rating actions. Is recognized as an expert within the department and provides guidance to lower level staff. Externally, accountable for representing the department in corporate work groups. ESSENTIAL RESPONSIBILITIES Responsible for a block of business (new or renewal) or for those new/renewing accounts assigned, including all rating methods.Guide, assist and train lower level staff to successfully underwrite accounts requiring rating adjustment factors. Train, coach and provide experiences to lower level staff with the purpose of developing skills, knowledge and performance.Support Management in maintaining/developing effective Underwriting Guidelines, processes and tools. Represent department's perspectives and needs in systems development. Expected to evaluate proposals, clearly communicate impact and negotiate appropriate compromises and solutions.Other duties as assigned. EDUCATION Required Bachelor's Degree in Mathematics, Actuarial Science, Finance, Business, Computer Science or other related field Substitutions 6 years of related experience in lieu of a Bachelor's Degree Preferred None EXPERIENCE Required 6 years of relevant underwriting experience Preferred 7 years of relevant underwriting experience LICENSES OR CERTIFICATIONS Required Producer's License Accident & Health - PARelevant professional designation from an organization such as (but not limited to) HIAA/AMHC, CEBS, SOA. Preferred None SKILLS Ability to work independently, complete complex renewal calculations including appropriate modifications for questionllbe patterns without additional guidanceDemonstrates an understanding of Corporate financial goals and Department objectivesEffectively presents complex subjects to broad audiencesDistinguishes between critical and noncritical informational needs in risk management negotiations, modifies arrangements accordingly and provides solid, persuasive arguments to support appropriate pricing decisionsDevelops relationships with decision makers to enhance influence on pricing decisionsInitiates effective communications to move Sales and external audiences toward appropriate pricing decisions while identifying issues that may lead to miscommunication Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Never Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
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    Company :HelionJob Description : JOB SUMMARY This job will transform the post-acute care space by increasing quality, service, and value for the diverse set of customers we serve. This job will help drive day-to-day strategic efforts. This job will drive clinical strategies to meet organizational goals and demonstrate a thorough understanding of clinical program management principles in support of complex clinical initiatives. The job will be well versed in understanding how an integrated approach to care can be delivered to benefit patients. ESSENTIAL RESPONSIBILITIES Design clinical program solutions that work to improve/drive patient outcomes in alignment to business objectives and plans and create improved clinical care strategies that improve patient outcomes.Identify, analyze, and interpret appropriate sources of PI data, quality indicators, benchmarks and best practices to ensure the collection of meaningful data demonstrates processes and outcomes of post-acute care programs.Develop program scope, goals, objectives, and metrics ensuring they align with the organizational strategy.Drive continuous process improvement activities to enhance performance and reduce costs and identify opportunities to manage processes and care costs in a more effective manner. This should be accomplished by the incumbent playing a vital role in the coordination of activity and decision-making to ensure that day to day operational decisions are made to support the overall goal, vision and desired outcome of the clinical program or solution.Link the development of clinical solutions to the contracting and account management strategies to meet or exceed HM HCS Helion objectives.Coordinate clinical program teams to establish processes for measuring and comparing program performance. Assure quality of information through business case and application-level testing and validate results.Support provider education and resources to ensure adoption of programs.Organize, display and report data in a manner that facilitates the planning, development and evaluation of projects and programs.Other duties as assigned or requested. REQUIRED EDUCATION Bachelor's Degree in Nursing, Medicine, Health Science or related discipline SUBSTITUTIONS 5 years of clinical practice, program management or related experience in lieu of bachelor's degree. PREFERRED EDUCATION Master's Degree in Nursing, Science or related discipline EXPERIENCE Minimum 5 years of healthcare setting experience with complex/matrixed organization5 years of leading complex clinical program/projects in a clinical/health care setting Preferred 5 years of Developing clinical programs with demonstrated improved clinical quality and outcomes in post-acute care space. LICENSES or CERTIFICATIONS Required None Preferred None SKILLS Demonstrate leadership skills, and develop, communicate, and implement solutions to meet the needs of the businessRequires ability to visualize, articulate, and solve highly complex problems/issuesKnowledge of healthcare structure and operations, utilization and quality improvementExcellent written, presentation, and verbal communications skills required for all audience levels/types Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :EndorsedJob Description : GENERAL OVERVIEW The Medical Director will provide qualified medical direction and consultation for the delivery care and complex case management. In addition, this role will provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards of care are practiced. This position will take an active role in quality improvement including tracking and trending of metrics, establishment of quality improvement projects and engagement with process improvement. The role includes recognizing clinical gaps and opportunities among the team and to work with the clinical directors and APPs to educate and maximize the team to perform at the top of their scope. The medical director will partner with the APP, RN and SW as needed to interact/ communicate with the primary care physician as necessary for appropriate medical care. The role will provide oversight of physician services by complementing the primary care physician, acting as a medical resource to the interdisciplinary group, assuring continuity of care, establishment of goals of care, care plans and through patient centered evaluation and engagement. The medical director will serve as a clinical champion – promoting and representing the program to physicians, physician groups, discharge planners, other referral sources, community health organizations, and potential donors, as appropriate. ESSENTIAL RESPONSIBILITIES: Provide overall medical direction to the interdisciplinary team. Devote their best ability to the proper management of the programAssure that the established policies, bylaws, rules, and regulations of the organization are followed in the programDevelop and continually review the education programs provided to the interdisciplinary team in cooperation with the Executive Medical DirectorEvaluate quality assurance and performance improvement plans and monitoring to identify medical education needs in cooperation with the Executive Medical DirectorServe as a clinical champion in the communityAct as a liaison to community physicians by providing consultation and education to colleagues and attending physicians related to care and complex care managementParticipate in team meetings as scheduled. Join APP and RN on visits as needed. Cross cover other physicians during vacations and time offOther duties as assigned or requested. ​EDUCATION Doctorate, Medical Doctor or Doctor of Osteopathic Medicine (DO) ​Required None Preferred None EXPERIENCE Minimum 5 years of Board Certified Physician experience Preferred 5 years related, progressive clinical experience in the area of specialization5 years experience as an actively practicing physician in field of specialty 3 experience in all aspects of medical cost management, care management, quality and medical policyExperience working in a highly matrixed clinical structure LICENSES AND CERTIFICATIONS Required Board Certified MD or DO with a current, unrestricted medical license in any US State and the ability to obtain a PA medical license within the first 6 months of employment. May be required to obtain licensure in additional states after hire Preferred None SKILLS Highly motivated with exceptional organizational skills, including the ability to effectively and competently handle multiple responsibilities simultaneously and the flexibility and ability to quickly adapt to changes in work objectives, promotions, and available technology.Independently and in a team, be able to identify the root issues and formulate potential solutions and/or goal-oriented action plans in a professional environment.Accurately use logic and reasoning in identifying alternate solutions, conclusions or approaches to problems. Potential solutions should be synthesized into presentation, timetable to resolution and appropriate follow up with measurable outcomes.Leads with a customer and clinician-centric lens and advocates for a combined customer and clinician view in all interactions.Superior communication skills to lead the team in care coordination across multiple settings on the care continuum. Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Most On-The-Road Positions Non-Office Based Positions Position Type Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $170,000.00 Pay Range Maximum: $342,274.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
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    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Assists physicians and extenders in providing proper medical care for patients. May assist as receptionist if working in a physician practice setting. ESSENTIAL RESPONSIBILITIES: Rooms and interviews patients to obtain medical information and to measure their vital signs, weight, and height. Records information in the medical record. (40%)Helps physicians examine and treat patients, handing them instruments and materials or performing such tasks as giving injections. (25%)Prepares treatment rooms for patient examinations, keeping the room stocked and cleaned, reordering supplies, and disposing of biohazard supplies. (10%)Schedules procedures and obtains authorizations as necessary. (15%)May collect blood, tissue, or other laboratory specimens, log the specimens, and prepare them for testing; give injections. (5%)Utilizes EHR system to perform front-office duties. (5%). QUALIFICATIONS: Minimum High School / GED1 year in a Direct Patient care role, including vital signs. (Candidate experience must align with expected clinical functions (i.e., injections, phlebotomy, EKG's) CPR – American Heart Association Act 34 Criminal Background Clearance Certificate Act 33 Child Abuse Clearance Certificate Act 73 FBI Fingerprinting Criminal Background Clearance Certificate Preferred None Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: This job provides direct care to patients and assists with non-direct patient care unit coordination. The incumbent is expected to perform basic nursing procedures related to care and comfort of patients in stable condition, and have knowledge of patient population needs in the assigned work area. Is expected to assist the RN in the care of acutely ill patients. He/she is expected to practice medical asepsis, respect the dignity and privacy with every patient and family, and to maintain objectivity during patient care. He/she is expected to know and adhere to all basic hospital policies and procedures, and respond appropriately during emergency situations. He/she is expected to maintain the patient/family environment and perform general unit upkeep. He/she is expected to use accurate verbal and written communication, and to document patient care appropriately in the electronic medical record. Works under the general supervision of the Registered Nurse for patients in stable condition. He/she will work under the direct supervision of the Registered Nurse in the care of the acutely ill and/or complex patient. This job receives specific work assignments from the Charge Nurse and/or Care Team Leader which are both written and verbal. Is expected to demonstrate evidence of efficient time management by completing the work within the scheduled time. In addition to clinical responsibilities, the incumbent is expected to perform a variety of duties related to the coordination of activities on the inpatient unit. This includes activities related to patient admissions, discharges, and transfers. ESSENTIAL RESPONSIBILITIES Provides, obtains or performs and documents direct patient care and activities such as: activities of daily livings, encouraging and observing patient on incentive spirometer and/or cough and deep breath, skin survey, vital signs, specimen collection, phlebotomy, intake and output, meal consumption, height and weight, 12 lead EKG testing, blood glucose testing/monitoring, point of care testing, bladder scanning, transporting of patient and their medical record, documentation of O2, early mobility/ambulation protocols, clean catheterization technique (per hospital protocol), simple dressing change, dry dressing change, removal of Foley catheter, collection of urine specimen from Foley catheter (per hospital protocol), removal and documentation of IV access, assistance with exams, treatments and procedures. (50%)Participates in quality and patient satisfaction initiatives which may include bedside shift report, purposeful hourly rounding promoting safety such as falls prevention, hand washing, isolation protocols and maintaining a clean and orderly environment, precepts newly hired PCTs. (20%)Accurately documents vital signs, weights, I&O, restraints, specimen collection, EKG completion and all other treatments. Report changes in patient's physical, mental and emotional conditions, as well as any issues or concerns identified to nursing staff. (15%)Participates in unit activity such as supply stocking and equipment/appliance cleaning, checks and retrieval. (15%)Performs other duties as assigned or required. QUALIFICATIONS: Minimum High School/GEDExperience as a PCA, PCT, NA, LPN, EMT, Military experience as a Hospital Corpsman (HM), Combat medic (68W), or Medical Service Technician (4N0X1) 1 year in an acute or long-term care facility OR enrolled in an Associate's in Nursing (halfway through program) or Bachelor's in Nursing (Junior year) programBasic computer skillsProficient in: Phlebotomy and straight catherizationCPR – American Heart AssociationAct 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance CertificatePreferred None Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : At AHN, employees trust working together and place patients at the center of all they do. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients and communities. AHN has commitment and dedication to being inclusive, valuing fresh perspectives, and offering the best growth and educational opportunities to employees. Forbes Hospital is a 315 bed, Level II trauma hospital located in the community of Monroeville. Our hospital offers the service lines of a city hospital, inclusive of trauma, neurosurgery, cardiothoracic surgery, interventional cardiology, obstetrics and psychiatry, while also building relationships across the organization in a community setting. GENERAL OVERVIEW: The hospital-based Wound Ostomy Nurse serves as a clinical resource and consultant for the acute and rehabilitative care of patients with selected disorders of the gastrointestinal, genitourinary, and integumentary systems such as acute and chronic wounds (e.g., complex draining wounds, fistulae, pressure ulcers, vascular ulcers), ostomies, percutaneous tubes, and continence disorders. Professional responsibilities are carried out through direct patient care, clinical consultation, education, research, and administration. ESSENTIAL RESPONSIBILITIES: Utilizes the nursing process when directing or delivering care to patients with WOC needs, including assessment, diagnosis, outcomes identification, planning, and implementation (e.g., coordination of care delivery, health teaching and promotion, consultation), and evaluationUtilizes and maintains current physical, psychosocial, clinical assessment, and therapeutic communication skills to determine individual patient needs and expected outcomesParticipates in committees or task forces related to wound, ostomy, and continence issuesProvides consultation for individuals with altered skin integrity (e.g., pressure ulcers, draining wounds, fistulae) to develop individualized plans of care and attain expected outcomesProvides guidance to staff in implementing protocols to identify, control, or eliminate etiologic factors for skin breakdown, including selection of appropriate support surfacesAs applicable, with a physician’s order, provides appropriate debridement of devitalized tissue (e.g., conservative sharp debridement, silver nitrate [AgNO3] cauterization of nonproliferative wound edges, hypergranulation tissue, or to control minor bleeding)Provides appropriate education to patients, caregivers, and staff regarding skin care, wound management, care of percutaneous tubes, and draining wound/fistulae managementValidates pressure ulcer data collection for nursing quality indicators (e.g., pressure ulcers and restraint use)Provides pre- and postoperative education to patients who are undergoing ostomy surgery (and their families), with consideration of the need for physical and psychological adaptationAs applicable, marks the stoma site preoperatively by determining the appropriate site for stoma placement with consideration of the patient’s anatomical markings, physical capabilities, and lifestyleAssesses the stoma and stoma functioning and initiates appropriate procedures for stoma care (e.g., removes rod/sutures, measures/fits a pouching system, teaches care of stoma/peristomal skin and pouch)Provides appropriate educational information to patients, including postoperative and discharge instructions about care, referrals, and supply needs.Serves as a resource for patients after discharge through telephone consultation or outpatient servicesIdentifies risk factors for urinary or fecal continence disordersAssesses patients with urinary and/or fecal continence disordersEstablishes an appropriate management program to include dietary and fluid management; bowel training or stimulated defecation program; bladder retraining, prompted voiding, or a scheduled voiding program; pelvic muscle reeducation without biofeedback; indwelling catheter management; recommendations regarding containment/absorptive products and devices and skin care; and education and counseling for patients/caregivers.Identifies patients requiring referral for assessment/management of complex urinary or fecal continence disorders.Participates in developing and implementing procedures and protocols, based on current national guidelines, to deliver care to patients with the following: Urinary or intestinal disorders resulting in the need for an ostomy; Conditions requiring wound management; Impaired or altered skin integrity; Urinary and/or fecal continence issuesAssists the nursing and medical staff in maintaining current knowledge and competence in WOC care by providing the following: Formal or informal continuing education programs; Clinical rounds; Lunch and learn sessions; Orientation sessions; Collaborative practice committees; Nursing councils Attends continuing education programs related to WOC nursing to maintain current knowledge and skillsCollaborates with leadership and multidisciplinary clinical practice teams to establish protocols which support best practices to achieve optimal clinical benefits for patients needing WOC care.Maintains and submits required activity and statistical reports to the appropriate department supervisorContributes to the selection of cost-effective supplies and equipment related to WOC care, which might need to be individualized for different units/departments.Participates in policy review and development as it relates to wound, skin care and ostomies.Collaborates with frontline managers and staff on data collection including prevalence studies and the review of reports related to hospital acquired pressure injuries for purposes of determining accuracy, recommending interventions and educational opportunities. QUALIFICATIONS: Minimum Bachelor’s degree in Nursing or relevant experience and/or education as determined by the company in lieu of bachelor's degreeGraduation from a WOCN-accredited wound, ostomy and continence (WOC) nursing education program, or satisfactory completion of an accredited program within 6 months after assuming the position OR Completion and certification from a WCC, OMS program—Wound Care Certified and Ostomy Management SpecialistAct 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance CertificateCurrent State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).CPR certificationCurrent certification in cardiopulmonary resuscitation Preferred MSNTwo to four years of recent, relevant nursing experienceCurrent certification in tri-specialty (CWOCN) by the Wound, Ostomy and Continence Nursing Certification Board Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : PCU/BMT/ONCOLOGY UNIT:West Penn’s Surgical Oncology Unit (E7 PCU) is a 16 bed unit for oncology step-down patients. WEST PENN HOSPITAL: West Penn Hospital has Magnet® recognition, private patient rooms, free employee parking and a generous benefit package (for full-time and part-time status employees). ALLEGHENY HEALTH NETWORK: At AHN, employees trust working together and place patients at the center of all they do. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients and communities. AHN has commitment and dedication to being inclusive, valuing fresh perspectives, and offering the best growth and educational opportunities to employees. GENERAL OVERVIEW: The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse is fully responsible for all actions as a licensed nurse and is accountable to patients for the quality of care delivered. ESSENTIAL RESPONSIBILITIES: The registered nurse provides leadership in a professional practice setting.Team player who contributes to building the team by helping others succeed through role modeling and mentoring.Assigns or delegates tasks based on the needs of the patient and skill level of the RN, LPN or support staff. Assigns duties and lunches for staff when performing charge role.Considers maintenance of a safe environment, patient condition, complexity of the intervention and predictability of the outcome.Provides peers with both verbal and written feedback regarding clinical practice and role performance.Shares knowledge and skills with peers and colleagues.Willingly accepts mistakes of self and others, creating a culture in which risk taking is not only safe but expected.Participates on interdisciplinary team to evaluate clinical care or health services.Promotes patient safety initiatives (ex: National Patient Safety Goals).Participates in department specific quality initiatives ( ex: EBP population specific). Assures appropriate order sets are used.Supervises delegates and evaluates assigned LPN scope of practice as appropriate.Utilizes the nursing process to assess, plan, evaluate and implement a patient plan of care according to the individual needs of the patient as prescribed by physician, nurse and hospital policy including patient and family.Derives culturally and age appropriate expected outcomes involving the patient, family and other health care providers.Analyzes the health status of the individuals and families comparing the data with the norm, when possible, to determine patient care needs.Assesses patient reports/records change of condition and notifies physician and/or supervisor and intervenes appropriately and documents accordingly.Accepts assignments in areas other than primary unit, and performs duties within individualized competency.Demonstrates a commitment to continuous lifelong learning for self and others.Promotes advancement of the profession through participation in professional organizations.Seeks both formal and independent learning activities using current research findings and other evidence to maintain and develop clinical and professional skills and knowledge.Participates in systematic peer review and obtains informal feedback regarding one’s own practice from patients, peers, professional colleagues and others. Identifies areas of strength, as well as, areas in which professional development would be beneficial.Meets time and attendance guidelines per hospital policy.Continuously evaluates and assesses patient and family satisfaction.Participates I department specific patient satisfaction initiatives.Promotes compassionate communication that is patient and family centered.Assesses for and attempts to resolve patient/family concerns.Utilizes effective time management skills to complete assigned duties and responsibilities within established work shift. QUALIFICATIONS: Minimum Completed RN training program and have PA RN licensure or have applied for practice permitCPR Certification Preferred Certification in area of specialty Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : RADIOLOGY DEPARTMENT: DICOE center (Diagnostic Imaging Center of Excellence)Multi-faceted nursing support of Interventional radiology; CT scan; Ultrasound department; MRI department; General X-ray and BDIC (Breast Diagnostic Imaging Center).Care of both in and outpatient populationsInnovative diagnostic and procedural department involved in new modality treatments in the care of a diverse patient population including oncology and vascular patients. $15,000 Sign On Bonus for Eligible Candidates WEST PENN HOSPITAL: West Penn Hospital has Magnet® recognition, private patient rooms, free employee parking and a generous benefit package (for full-time and part-time status employees). ALLEGHENY HEALTH NETWORK: At AHN, employees trust working together and place patients at the center of all they do. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients, and communities. AHN has commitment and dedication to being inclusive, valuing fresh perspectives, and offering the best growth and educational opportunities to employees. GENERAL OVERVIEW: The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse is fully responsible for all actions as a licensed nurse and is accountable to patients for the quality of care delivered. ESSENTIAL RESPONSIBILITIES: The registered nurse provides leadership in a professional practice setting.Team player who contributes to building the team by helping others succeed through role modeling and mentoring.Assigns or delegates tasks based on the needs of the patient and skill level of the RN, LPN or support staff. Assigns duties and lunches for staff when performing charge role.Considers maintenance of a safe environment, patient condition, complexity of the intervention and predictability of the outcome.Provides peers with both verbal and written feedback regarding clinical practice and role performance.Shares knowledge and skills with peers and colleagues.Willingly accepts mistakes of self and others, creating a culture in which risk taking is not only safe but expected.Participates on interdisciplinary team to evaluate clinical care or health services.Promotes patient safety initiatives (ex: National Patient Safety Goals).Participates in department specific quality initiatives ( ex: EBP population specific). Assures appropriate order sets are used.Supervises delegates and evaluates assigned LPN scope of practice as appropriate.Utilizes the nursing process to assess, plan, evaluate and implement a patient plan of care according to the individual needs of the patient as prescribed by physician, nurse and hospital policy including patient and family.Derives culturally and age appropriate expected outcomes involving the patient, family and other health care providers.Analyzes the health status of the individuals and families comparing the data with the norm, when possible, to determine patient care needs.Assesses patient reports/records change of condition and notifies physician and/or supervisor and intervenes appropriately and documents accordingly.Accepts assignments in areas other than primary unit, and performs duties within individualized competency.Demonstrates a commitment to continuous lifelong learning for self and others.Promotes advancement of the profession through participation in professional organizations.Seeks both formal and independent learning activities using current research findings and other evidence to maintain and develop clinical and professional skills and knowledge.Participates in systematic peer review and obtains informal feedback regarding one’s own practice from patients, peers, professional colleagues and others. Identifies areas of strength, as well as, areas in which professional development would be beneficial.Meets time and attendance guidelines per hospital policy.Continuously evaluates and assesses patient and family satisfaction.Participates I department specific patient satisfaction initiatives.Promotes compassionate communication that is patient and family centered.Assesses for and attempts to resolve patient/family concerns.Utilizes effective time management skills to complete assigned duties and responsibilities within established work shift. QUALIFICATIONS: Minimum Act 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance CertificateCurrent State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).CPR certification Preferred Certification in area of specialty Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    • 0
    Company :Allegheny Health NetworkJob Description : 4NE Tele/Obs Unit 4NE is a 23-bed Telemetry Observation unit. Patients are from the ED who are unable to be discharged and require further work up under observation status. These patients are medical/surgical, telemetry, orthopedic, and more. 4NE also take extended recovery cardiology patients including cardiac catheterizations, pacemaker/AICD implants, and ablations. St. Vincent Hospital St. Vincent Hospital is a Magnet®-designated hospital for excellence in nursing, serving the people in the Lake Erie region since 1875 with a quality of care and service second to none! Allegheny Health Network At AHN, employees trust working together and place patients at the center of all they do. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients and communities. AHN has commitment and dedication to being inclusive, valuing fresh perspectives, and offering the best growth and educational opportunities to employees. GENERAL OVERVIEW: The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse is fully responsible for all actions as a licensed nurse and is accountable to patients for the quality of care delivered. ESSENTIAL RESPONSIBILITIES: The registered nurse provides transformational leadership in a professional practice setting by striving to create and participate in the future of healthcare.Team player who contributes to building the team by helping others succeed through role modeling and mentoring.Assigns or delegates tasks based on the needs of the patient and skill level of the RN, LPN or support staff. Assigns duties and lunches for staff when performing charge role.Considers maintenance of a safe environment, patient condition, complexity of the intervention and predictability of the outcome.Provides peers with both verbal and written feedback regarding clinical practice and role performance.Shares knowledge and skills with peers and colleagues and cultivates a work environment that promotes positive employees attitudes, effective communications, trust, and collaboration.Willingly accepts mistakes of self and others, creating a culture in which risk taking is not only safe but expected and creativity, flexibility, resiliency, and adaptability are key.Collaborates with an interdisciplinary team to evaluate clinical care or health services.Promotes patient safety initiatives (ex: National Patient Safety Goals).Participates in department specific quality initiatives ( ex: EBP population specific). Assures appropriate order sets are used.Supervises delegates and evaluates assigned LPN scope of practice as appropriate.Utilizes the nursing process to assess, plan, evaluate and implement a patient plan of care according to the individual needs of the patient as prescribed by physician, nurse and hospital policy including patient and family.Derives culturally and age appropriate expected outcomes involving the patient, family and other health care providers.Analyzes the health status of the individuals and families comparing the data with the norm, when possible, to determine patient care needs.Assesses patient reports/records change of condition and notifies physician and/or supervisor and intervenes appropriately and documents accordingly.Accepts assignments in areas other than primary unit, and performs duties within individualized competency.Demonstrates a commitment to continuous lifelong learning and professional development for self and others.Promotes advancement of the profession through participation in professional organizations.Seeks both formal and independent learning activities using current research findings and other evidence to maintain and develop clinical and professional skills and knowledge.Participates in systematic peer review and obtains informal feedback regarding one’s own practice from patients, peers, professional colleagues and others. Identifies areas of strength, as well as, areas in which professional development would be beneficial.Meets time and attendance guidelines per hospital policy.Places the patient at the center of everything they do by continuously evaluating and assessing patient and family satisfaction and performing as an advocate for patients and customers.Participates in department specific patient satisfaction initiatives.Promotes compassionate communication that is patient and family centered.Assesses for and attempts to resolve patient/family concerns.Utilizes effective time management skills to complete assigned duties and responsibilities within established work shift. QUALIFICATIONS: Minimum Completed RN training program and have PA RN licensure or have applied for practice permitCPR Certification Preferred Certification in area of specialty Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW Coordinates the administrative component of a Residency or Fellowship Program. ESSENTIAL RESPONSIBILITIES Coordinates daily operations of Residency or Fellowship Program. (30%)Coordinates residency or fellowship recruitment activities, including screening electronic applications, determining interview days, inviting selected applicants, asking attending physicians to interview applicants, compiling applicant transcripts, organizing debriefs to rank applicants, submitting applicants to the National Resident Matching Program and arranging receptions. (25%)Provides administrative support for the program. (15%)Ensures compliance with regulatory standards including credentialing and continuing medical education requirements. (10%)Coordinates & monitors budgetary information. (10%)Prepares, maintains and distributes conference & rotation schedules. (10%)Performs other duties as assigned or required. QUALIFICATIONS Minimum Experience with windows based computer programs required.Act 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance Certificate Preferred Associate's Degree preferred.Experience as a residency/fellowship coordinator or supervisory level secretary preferred.Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: This job performs direct and indirect technical tasks for patients before, during, and after surgical interventions. ESSENTIAL RESPONSIBILITIES: Assists in setting up the surgical operating suite with appropriate instruments and supplies. (20%)Utilizes proper aseptic techniques and practices standard precautions. Follows policy for medication and specimen handling. (20%)Assists with preparing, positioning and draping patients and participates in the surgical pause to assure correct patient and surgical site. (20%)Understands, anticipates and adapts to surgeon preference and patient care variables, and contributes to updating surgeon preference materials. (20%)Performs sponge, needle, and instrument count. (10%)Cares for and utilizes resources to promote cost effective and efficient environment for patients. (10%)Performs other duties as assigned or required. QUALIFICATIONS: Minimum One year certificate from a college or technical school; or three to six months related experience and/or training; or equivalent combination of education and experience.Surgical Technologist (ST) hired after 12/29/2020 must:Successfully complete a Surgical Technologist program sponsored by an entity holding nationally recognized institutional or programmatic accreditation and maintain a surgical technologist certification from an accredited certification program (including military completed programs). Nationally recognized surgical technologist certification required within 6 months of completion of Surgical Technologist program. -OR-Be employed to practice surgical technology by the health care facility on or before December 29, 2020 -OR-Been employed to practice surgical technology as the individual's primary function in another health care facility at any time during the two years immediately preceding December 29, 2020CPR – American Heart Association Act 34 Criminal Background Clearance Certificate Act 33 Child Abuse Clearance Certificate Act 73 FBI Fingerprinting Criminal Background Clearance Certificate Preferred 1-3 years of Surgical Technologist experience. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $20.15 Pay Range Maximum: $30.93 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Highmark HealthJob Description : JOB SUMMARY This is a highly strategic role that provides opportunities to oversee and manage the social media strategy, content development and execution and manage relationships with key business partners. Strategizes and creates comprehensive, cross-platform, high-quality social-media communications for Highmark health plan members and other target audiences. Assists in all aspects of social-media marketing, including content/SEO strategy, content calendaring and publishing, social networking and client management, and reporting/analytics. Consults with internal departments and programs to develop marketing plans and content for social channels. Develops and shares expertise in social platforms, trends and technologies. Job Description JOB SUMMARY Strategizes and creates comprehensive, cross-platform, high-quality social-media communications for Highmark health plan members and other target audiences. Assists in all aspects of social-media marketing, including content/SEO strategy, content calendaring and publishing, social networking and client management, and reporting/analytics. Consults with internal departments and programs to develop marketing plans and content for social channels. Develops and shares expertise in social platforms, trends and technologies. ESSENTIAL RESPONSIBILITIES Strategizes social-media marketing plans and activities for Highmark health services -- including content strategy, SEO, advertising, and “voice” on different social platforms -- to meet business objectives and customer needs. Applies market-research, social-listening, and health-plan member insights to develop and execute customer-centric content strategy. Develops innovative approaches to drive social engagement, brand affinity and customer loyalty, especially in a health-reform marketplace. Advises and collaborates with a wide range of internal and external clients, including program managers, subject matter experts, digital/marketing specialists, and community partners, on social-media marketing. Meets regularly with clients and other stakeholders to understand business objectives, develop targeted social campaigns or content, and report on tactics and outcomes. Markets social media platforms and capabilities internally and externally. Represents social media team at workshops, conferences, and other sessions. Serves as lead or editor of a social channel, managing daily content and interactions, while also contributing ideas and content across other social platforms. Conceptualizes, researches, drafts, circulates for review, and/or publishes daily social content. Sources and selects photos, videos, and other multimedia for social. Launches and tracks social campaigns and promotions. Ensures that all content adheres to business objectives, SEO principles, voice guidelines and brand standards. Manages social listening as well as conversations with customers and other stakeholders in social channels. Responds to and tracks inquiries, including after business hours as needed, and collaborates with customer-service teams and other internal teams to address them. Participates in online communities and also networks with peers, partners, thought leaders, and influencers on social. Evolves Highmark’s social platform, helping to prioritize and launch new channels, including submitting proposals to social governance committee, collaborating with digital and IT teams, and developing launch plans and best practices or instructional documentation. Benchmarks peers, competitors, and other high performers on social. Researches and reports on emerging social platforms and technologies as well as social, digital, and healthcare trends. Measures social activities, analyzes metrics and develops monthly reports for clients, peers and management. Other duties as assigned. QUALIFICATIONS Minimum Bachelor’s degree 5 years in Social media 5 years of Writing and Editing 5 years Marketing Preferred Master’s degree Digital or other advertising agency experience Health care industry experience Retail marketing experience Blogging experience Graphic design experience HTML experience HootSuite Enterprise, ShortStack, WordPress, and/or PhotoShop experience SKILLS Knowledge of social media platforms and digital marketing Strategic-, creative- and critical-thinking skills Research, interviewing, writing, editing and proofreading skills Organizational and project management skills Interpersonal, communication and client -management skills Resourceful and detail oriented Customer and client focused Ability to multitask, prioritize and work under pressure in fast-paced environment Ability to work independently but with strong process and team orientation Ability to problem-solve and deal with urgent communication issues Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Constantly Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Provides initial needs assessment of individuals with possible mental health and/or chemical dependency problems. Determines appropriate services and facilitates referrals. Provides information and referrals to individuals or agencies about mental health problems, treatment, community resources and legal procedures. Assists the general public, police agencies and physicians in initiating and processing involuntary commitments. ESSENTIAL RESPONSIBILITIES: Utilizes AHN’s Core Behaviors to collaborate for appropriate assessment, plan, and disposition ( 40%)Engages as part of the unit team to provide coverage per Hospital responsibility. (10%)Provides backup coverages to units including responding to organizational codes. (10%)Effectively communicates all aspects of patient needs utilizing team collaboration, identifying appropriate referral, and disposition ( 40%) QUALIFICATIONS: Minimum Bachelor's Degree in Mental Health, Counseling, Social Work, psychology or related field3-5 years’ experience in assessment, crisis intervention, working with individuals with mental health problems, addiction or developmental disabilities Preferred Master's degree. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Highmark HealthJob Description : The Executive Total Rewards (ExTR) Program Manager plays a key role in designing, implementing and administration of executive compenation and benefit programs that align with business stategy and attract, retain and motivate executive leadership. This role provides consultative services to executives throughout their employment life cycle, from hiring and onboarding to termination and retirement. Successful delivery of ExTR services involves collaboration with the ExTR team, Benefits COEs and shared services, Exec Talent Acquisition (ExTA), Payroll, Legal, Finance, Audit and Talent Engagement Leaders (TELs). Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :EndorsedJob Description : JOB SUMMARY This job is responsible for the operation and alignment of direct reports within budgetary and strategic constraints. This includes planning, organizing, and controlling their resources to ensure that proper skill to task alignment is carried out, for the most effective and efficient completion of tasks. A key focus of this position level is implementation of tactical action plans to support day to day and near term objectives. Managers are to ensure that policies and procedures that have been developed by leadership are adhered to, and carried out by their direct reports. ESSENTIAL RESPONSIBILITIES Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority. Ensures that operational, and strategic, policies are followed, and respective business objectives are achieved. Manages, and controls, activities within multi-functional areas or sections. Oversees a team that handles a number of projects, processes, or programs varying in complexity- and requiring an adept technical/business expertise. Focuses on best practices and process improvements ensuring effective execution of operational plan and meeting company requirements. Plans, implements, and maintains budget for functional area or sections. Inspires and engages team to deliver with a sense of urgency on expected results. Works cross-functionally to drive execution and hold teams accountable for their deliverables. Provides regular updates to leadership, and highlight critical issues that have arisen from the supervisors for input or executive/leadership buy-in. Management of end-to-end workflows to ensure operational excellence, as well as the appropriate tracking of process KPIs. Ensures quality, and compliance, from themselves and their collective team members. Other duties as assigned or requested. EDUCATION Required Bachelor's Degree Substitutions 6 years of related and progressive experience in lieu of Bachelor's degree Preferred Master's Degree EXPERIENCE Required 7 years in Strategic Planning, Technology, Project Management, or Program Management 3 years in a leadership or management role Preferred 5 years in the Healthcare or Health Insurance Industry LICENSES or CERTIFICATIONS Required None Preferred Six Sigma SKILLS Excellent ability to motivate team members Exceptional communication skills Vision centered around strategic initiatives Change agent Ability to evaluate impact of changes to existing products or processes Proficient software skills (Microsoft 365, etc.) Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Frequently Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $92,300.00 Pay Range Maximum: $170,800.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Provides emergency medical care to the sick and injured patients in the prehospital and hospital environment; effectively communicates with all persons and departments involved in the administration of emergency medical care. Performs basic and advanced EMS skills which include interventions and administration of medications and vaccines with basic and advanced equipment found on an EMS vehicle or within an AEMT's scope of practice. ESSENTIAL RESPONSIBILITIES: Drives emergency vehicle. (20%)Determines nature and extent of illness or injury; provide advanced life support and transport to the critically ill and injured in the prehospital setting. Advanced life support to include airway/ventilation/oxygenation, cardiovascular circulation, immobilization, medication administration--routes, and IV initiation/maintenance fluids. (50%)Completes required documentation according to regulatory standards. (15%)Maintains equipment and inventory of supplies including BLS and ALS and has accountability for medications on every EMS unit per regulatory standards. (15%)Performs other duties as assigned or required. QUALIFICATIONS: Minimum High school diploma or GED; or one to three months related experience and/or training; or equivalent combination of education and experience.PA Advanced Emergency Medical Technician (AEMT) EMSVO within 30 days of hireValid Driver's License CPR – American Heart AssociationAct 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance Certificate Preferred ITLS/PHTLS, ABLS, ASLS. 1 year experience in the field of prehospital care Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Recognizes, manages and rehabilitates injuries to professional, amateur and recreational athletes. Provides techniques for prevention of injuries. Works independently, but under the direction of Senior Staff, Sports Medicine Supervisor, and Team physicians to manage the daily operations within a school districts' athletic medicine program. Acts as a point of contact for AHN to the district for communication of the management of injuries within the athletic program by communicating with athletic directors, coaches, school nurses, physicians, parents, athletes and sports medicine staff as needed. Also develops exercise programs, performs data entry/recordkeeping, assists with cleaning the facility, and monitoring supplies for the athletic program. ESSENTIAL RESPONSIBILITIES: Evaluates and manages injuries and determines whether a referral is necessary. Maintains a medical file on each athlete and acts as a liaison between the physician and the athlete or athlete's parent. Prepares athletes for practice or competition. (50%)Acts as a liaison between school administrators, school nurses, guidance counselors, coaches, athletes and parents to appropriately manage, educate and return athletes back to play/activity. Additionally, coordinates all communication to return athletes with concussions back to play in coordination with the Pennsylvania State Law. (20%)Implements treatment and rehabilitation programs under the supervision of a physician and guidance of Athletic Trainer II or Senior Staff. Develops functional training programs and conditioning programs for injured and non-injured athletes. (20%)Cleans Facility: Assists with cleaning the facility each night and putting equipment back in place. (10%)Performs other duties as assigned or required. QUALIFICATIONS: Minimum Bachelor’s Degree or equivalent; or one to two years related experience and/or training; or equivalent combination of education and experience0-1 years’ experienceCurrent state licensure as a certified Athletic Trainer or eligibleNational Athletic Trainer's Association (NATA) certificationCPR – American Heart AssociationAct 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance Certificate Preferred 1-3 years’ experienceExperience with concussion base line testing softwareExperience with Electronic Medical Records (EMR)Current state driver’s license Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Highmark HealthJob Description : JOB SUMMARY Perform professional accounting work involving compilation, consolidation, and analysis of accounting and finance information for the production of financial statements and reports. Apply accounting techniques and standard practices to the classification and recording of financial transactions. Specific duties vary by department and may include, but are not limited to, one or more of the following: preparation of journal entries, preparation of trial balances or financial statements, account reconciliations, accurate tracking and recording of various income and expense activity, proper tracking and recording of receivables (including invoicing activities), proper tracking and recording of payables (including check request and purchase order review), etc. ESSENTIAL RESPONSIBILITIES Communicate effectively. Display effective communication skills. Coordinate with other departments, locations, and divisions. Communicate with other departments and/or outside agencies to resolve problems. Communicate with Management at Highmark, subsidiaries, affiliates, other third parties, etc. as to project status and completion deadlines. Advise management of expected outcomes, and recommending ways to improve the outcomes. Conduct presentation to all levels of management in order to provide a summary of analysis regarding financial results and trends. Communicate with Management as to project status and completion deadlines. Perform financial and business related analysis. Analyze, evaluate and interpret appropriate financial and statistical data. Develop and/or document business policies, conducts special financial and business related studies and cooperate with other departments in the preparation of analyses. Conduct financial and business related analyses and research including the preparation of forecasts and/or analysis of trends. Analyze financial reports and records. Provide reasoning for variances and make recommendations relative to the accounting of reserves, assets, and expenditures. Advise management of expected outcomes, and recommend ways to improve the outcomes. Independently pursue fundamental problem solving and documents the recommendations to management. Facilitate analysis and reporting Utilize computer to input, retrieve or display accounting information. Develop and maintain spreadsheets and databases. Utilize PC and/or mainframe based systems and software, compile and prepare reports, graphs and charts of data developed. Serve as a project lead for special projects within the department. Lead and document financial analysis projects including the preparation of ad hoc reports; to include but not limited to; gathering of data, analysis, documentation of findings, and calculation of results and generation of reports for distribution. Coordinate activities to ensure the project is advancing properly and to ensure the project is completed within the timeframes established. Included in this process will be communication with Management at Highmark, subsidiaries, affiliates, other third parties, etc. as to project status and completion deadlines. Make recommendations based on findings when necessary. Other duties as assigned or requested. EDUCATION Minimum Bachelor’s degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree Preferred None EXPERIENCE Minimum 3-5 years of relevant, progressive experience in Accounting and/or Finance. Experience with various computer applications to include MS Excel and/or MS Access Preferred None SKILLS Strong written and oral communication skills Strong relationship building skills Client focused with strong business acumen Self-starter with the ability to work under pressure independently and as part of a team. Ability to think strategically and act proactively to create strong trust and confidence with business units Strong innovative problem-solving capabilities SCOPE OF RESPONSIBILITY Does this role supervise/manage other employees? No WORK ENVIRONMENT Is Travel Required? 0-10% Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Highmark HealthJob Description : JOB SUMMARY This job is responsible for managing the financial accounting and reporting activities for the various health insurance subsidiaries of the Organization in accordance with Statutory Accounting Principles (SAP). The insurance operations comprise a $16B enterprise which underwrites health insurance, dental, & stop-loss insurance directly or through various subsidiaries. This job is focused on the health insurance operations. Accountabilities include managing the financial reporting department, coordinating the financial filings for the Insurance Departments, and statutory-basis audited financials, maintenance of general ledgers, monitoring of risk based capital and research of applicable statutory technical guidance and communicating implications of guidance to management. This position manages various direct reports consisting primarily of lead financial accounting and reporting analysts and senior financial accounting and reporting analysts that comprise the financial reporting department focused on SAP reporting. ESSENTIAL RESPONSIBILITIES Perform management responsibilities including, but not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority. Effectively develop financial accounting policies and manages the financial accounting functions of the Organization and assigned subsidiaries. Accountable for the statutory general ledgers of the Organization and assigned subsidiaries. This includes but is not limited to maintenance/deployment of the systems statutory general ledger, the statutory reporting software, and review of the general ledger activity. Manage the quarterly/annual insurance department & National Association of insurance Commissioners (NAIC) financial filings process. Oversee the statutory reporting activities of the financial reporting department, support finance departments such as treasury, shared services, operational accounting, cost accounting and tax, and subsidiary/affiliate finance units. Ensure timely and accurate issuance of various externally issued audited statutory financial statements for the Organization and its health insurance subsidiaries. Coordinate external audit process/activities with external audit firm. External auditors include Commonwealth of Pennsylvania & other State Insurance Department auditors, various government program auditors, the Organization's external CPA auditors, and Blue Cross Blue Shield Association auditors. Ensure proper recording and maintenance of accounting records in accordance with SAP. This includes determining the appropriate accounting treatment for the organization’s most complex financial transactions including merger & acquisition activity. Support other finance or business areas with technical accounting research and interpretation support. Stay abreast of new accounting pronouncements that impact the Organization’s business lines and advises senior management of their impact to the organization. Oversee the adoption of the new guidance, periodically in conjunction with the impacted finance or business areas. Manage the Medical Loss Ratio reporting activities in compliance with Health and Human Services (HHS) regulations for applicable entities. Ensure the organization is compliance with other required Healthcare Reform filing and regulation requirements, ensure monitoring and forecasting of Risk Based Capital for the Organization & insurance subsidiaries. Other duties as assigned. EDUCATION Required Bachelor’s degree in Finance, Business Administration, Accounting or related field OR relevant experience and/or education as determined by the company in lieu of bachelor's degree. Preferred Master's Degree in Finance, Business Administration, Accounting or related field EXPERIENCE Required 5 - 7 years Finance or Accounting To Include 3 - 5 years Management Preferred 3 - 5 years Big 4 Public Accounting Experience or comparable experience with large regional CPA Firm, preferably in the Insurance or Healthcare Industry 3 - 5 years in Statutory Accounting & Reporting 1 - 3 years in Computerized accounting systems (e.g. SAP, Oracle) 1 -3 years in Healthcare Reform compliance and filing requirements for health insurance entities (e.g. MLR) LICENSES OR CERTIFICATIONS Required None Preferred Certified Public Accountant (CPA) SKILLS Strong technical abilities and must be able to interpret and clearly understand authoritative accounting guidance. The incumbent must also possess an in-depth knowledge of insurance business in general, as well as the Organization, in order to analyze and apply guidance to specific situations Ability to meet deadlines, to manage multiple processes, to supervise staff and to communicate effectively with all levels of management Proven leadership skills – ability to motivate others to quickly achieve results in a matrixed environment Uses knowledge of industry and market trends to develop and champion long-term strategies Demonstrates the ability to effectively persuade others to listen, commit, and act on a new approach; Strong and effective verbal and written communication skills Self-confident with an ability to accept and respond to challenges in a positive manner Effectively presents complex topics in a concise manner to audiences at various levels and in various sizes; Broad understanding of business issues, metrics, organizational linkages and customer value Successful experience in achieving results through people in a complex environment; Strong organizational and analytical skills in addition to project leadership and management skills Language (other than English) None Travel Required 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Does Not Apply Lifting: 25 to 50 pounds Does Not Apply Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. ​ Pay Range Minimum: $78,900.00 Pay Range Maximum: $146,000.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Highmark Inc.Job Description : JOB SUMMARY This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members ESSENTIAL RESPONSIBILITIES Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care.Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise.Participate in protocol and guidelines development to ensure consistency in the review process.Actively manage projects and/or participate on project teams that require a physician subject matter expert.Other duties as assigned. EDUCATION Required Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) Substitutions None Preferred Master's Degree in Business Administration/Management or Public Health EXPERIENCE Required 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice) Preferred 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry LICENSES AND CERTIFICATION Required Medical Doctor or Doctor of Osteopathic Medicine (DO)Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying BoardsActive medical state licensure required. Additional specific state licensure(s) may be required based on business need. Preferred None SKILLS Critical ThinkingCase ManagementCustomer ServiceOral & Written Communication SkillsCollaborationListeningTelephone SkillsGeneral Computer SkillsClinical SoftwareManaged Care Language (Other than English) None Travel Required 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $170,000.00 Pay Range Maximum: $342,274.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :enGenJob Description : JOB SUMMARY The position requires a highly knowledgeable member of a team responsible for designing and implementing Contact Center Solutions and standards that align to business strategy and objectives. The position is responsible for creating detailed solution designs and documentation that supports the development, implementation and operations of enterprise-class contact solutions used by the Contact Center supporting our Contact Center of the Future programs. ESSENTIAL RESPONSIBILITIES Lead to provide strategic consultation to business customers in defining or designing business processes, functions and organizational structures, as well as in researching, identifying and internally marketing enabling technologies based on customer capability requirements. Facilitate development of the most complex enterprise business solutions that combine knowledge of particular business processes and issues, general technological options, and process facilitation techniques. Lead and participate in enterprise strategy development, including environmental analysis, opportunity identification, value cases and business innovation portfolio development.Specify and design large or the most complex systems, solutions, networks, infrastructure elements, or processes. Select appropriate design standards, methods and tools and ensures that they are applied effectively. Lead reviews of others’ system design to ensure selection of appropriate technology, efficient use of resources and integration of multiple systems and technology. Establish policy for selection of architecture components. Evaluate and undertake impact analysis on the most complex major design options. Ensure that the system architecture balances functional, service quality and systems management requirements.Use appropriate tools, including models of components and interfaces, to contribute to the development of the most complex architectures. Produce detailed component requirements, specifications and translates these into detailed solutions/designs for implementation using selected products. Provide advice on technical aspects of system development, integration (including requests for changes, deviations from specifications, etc.) and processes. Ensure that relevant technical and business strategies, policies, standards and practices are applied correctly.Select and use tools and methods to establish, clarify, and communicate the functional and non-functional requirements of system users, their characteristics, and tasks. Identify the technical, organizational, and physical environment in which the most complex products or systems will operate. Identify, propose, initiate, and lead significant improvement programs, taking responsibility for the quality and appropriateness of the work performed and the realization of measurable business benefits. Modify existing process improvement approaches and/or develop new approaches to achieving improvement.Lead the resolution of a variety of architecture and business problems and serve as a technical or business lead for highly complex project initiatives.Communicate effectively will all levels of organizationManage expectations of customers, partners and managementParticipate in customer walkthroughs and plans; design and technical walkthroughs; and problem resolution and decision makingInteract with departments across the organization as necessary, including the development and interpretation of highly complex requirements for peers and other staff.Maintain an in-depth knowledge of specific technical aspects in area of expertise and provides expert advice regarding their application. The area of specific expertise may be any aspect of information or communication technology, technique, method, process, product, or application area.Provide leadership and mentoring in the areas of expertise and architecture to their peers, developers, management and business users including technical expertise, coaching, and ad-hoc training by:Prepare presentations on complex issues on the area of expertise.Present to their peers to ensure consistency to Highmark's strategic direction.Other duties as assigned or requested. EDUCATION Required Bachelor’s Degree in Information Technology or closely related field Substitutions None Preferred Master's Degree EXPERIENCE Required 7 years in an IT discipline 7 years n a Business discipline Preferred Health insurance industry business knowledge LICENSES AND CERTIFICATIONS Required None Preferred Industry certifications such as Java Developer, DB2, Cogno, PEGA, Enterprise Architect(SCEA), Project Management SKILLS Experience in designing and implementing contact center technologies aligned to business objectives for on-prem and CCaaS environmentsDevelop technology roadmaps that align with business priorities and future initiativesIdentify optimization opportunities in current environmentResearch and evaluate new concepts in contact center technologiesPartner with business to prioritize programs aligned to critical path strategy deliverablesExperience in supporting multiple customersExperience with Agile a plus Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $92,300.00 Pay Range Maximum: $170,800.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :enGenJob Description : JOB SUMMARY Uses specialized knowledge and expertise to implement, maintain, monitor, and ensure performance of databases. Plans and implements upgrades or installation of new components, if required. ESSENTIAL RESPONSIBILITIES Create, develop, and review the physical model created from the logical model, ensuring that the detailed physical design of data structures and databases complies with standards, guidelines and procedures recommended for all aspects of data modeling, database design, and maintenance. Provide support for application staff and business areas regarding database implementations, which could include a customized in-house database and/or a third party application package. Establish automated monitor mechanism for space and database availability conditions. Establish best practices for database and application high availability through the use of third party technologies and through the exploitation of various database features.Provide applications support for staff, as well as, outside division to answer questions and resolve problems related to the DBMS technology and computing platform such as Z/OS, UNIX, Linux, and Windows. Conduct root cause analysis to identify and resolve problems impacting application and/or database availability and service levels. Contact vendor support when necessary to facilitate application development and client problem resolution with optimum speed and efficiency.Provide after hours and weekend support as required for on call responsibilities, database refreshes, testing, technology upgrades, and other off hour assignments.Participate in establishing and maintaining technical standards, departmental procedures, and other technical documentation as required. Assure compliance to required Corporate standards, procedures, guidelines and processes, including audits.Assist in identifying, developing, and providing technology training to the application developers of the organization (formal and informal). Participate in staff training opportunities (formal and informal) relative to rules, procedures, and standards for the access and maintenance of shared data resources.Participate as assigned to intra and inter-departmental project initiatives. Participate as assigned in the testing and recommendation of tools and utilities to improve the effectiveness of managing and supporting the database environments.Maintain contacts with other DBA professionals externally in other Health Insurance/Health Care industries and/or other industries to maintain a perspective of current trends and best practices.Other duties as assigned or requested. QUALIFICATIONS Minimum High school diploma GED1-3 years of experience in Information Technology Preferred Licenses or Certifications: Vendor DBA Certifications for the relevant DBMSWork Experience: Health insurance business knowledge. Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $57,700.00 Pay Range Maximum: $106,700.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
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