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    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Provides direct nursing care in accordance with established policies, procedures, protocols, and standards of the healthcare organization. ESSENTIAL RESPONSIBILITIES: Utilizes the nursing process in providing and coordinating the plan of patient care for the age appropriate population. (30%)Initiates interdisciplinary plan of care based on assessment findings and physician orders for the age appropriate population. (30%)Completes patient documentation in a comprehensive manner and promotes communication between caregivers. (10%)Contributes to Division, Hospital, and Department goals. (10%)Provides detailed and appropriate teaching to patients and families to effectively guide them through the episode of care as well as transition to another level of care and/or home. (10%)Collaborates and supports the development of students, new staff and colleagues. (10%)Performs other duties as assigned or required. QUALIFICATIONS: Minimum Temporary Practice PermitCPR – American Heart AssociationAct 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance Certificate 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 : 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. Allegheny Valley Hospital is a 188 bed community, union hospital serving the surrounding neighborhoods of Natrona Heights. Units include: Orthopedics, General Surgery, Cardiac Telemetry, Observation, Oncology, Critical Care Stepdown/Cardiac, Intensive Care, Inpatient Hospice, Inpatient Rehab, Inpatient Behavioral Health, Emergency Department GENERAL OVERVIEW: Provides direct nursing care in accordance with established policies, procedures, protocols, and standards of the healthcare organization. ESSENTIAL RESPONSIBILITIES: Utilizes the nursing process in providing and coordinating the plan of patient care for the age appropriate population. (30%)Initiates interdisciplinary plan of care based on assessment findings and physician orders for the age appropriate population. (30%)Completes patient documentation in a comprehensive manner and promotes communication between caregivers. (10%)Contributes to Division, Hospital, and Department goals. (10%)Provides detailed and appropriate teaching to patients and families to effectively guide them through the episode of care as well as transition to another level of care and/or home. (10%)Collaborates and supports the development of students, new staff and colleagues. (10%)Performs other duties as assigned or required. QUALIFICATIONS: Minimum Temporary Practice PermitCPR – American Heart Association Act 34 Criminal Background Clearance Certificate Act 33 Child Abuse Clearance Certificate Act 73 FBI Fingerprinting Criminal Background Clearance Certificate 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 : Jefferson Hospital Jefferson Hospital has Magnet® recognition for nursing excellence, private patient rooms, 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: Provides direct nursing care in accordance with established policies, procedures, protocols, and standards of the healthcare organization. ESSENTIAL RESPONSIBILITIES: Utilizes the nursing process in providing and coordinating the plan of patient care for the age appropriate population. (30%)Initiates interdisciplinary plan of care based on assessment findings and physician orders for the age appropriate population. (30%)Completes patient documentation in a comprehensive manner and promotes communication between caregivers. (10%)Contributes to Division, Hospital, and Department goals. (10%)Provides detailed and appropriate teaching to patients and families to effectively guide them through the episode of care as well as transition to another level of care and/or home. (10%)Collaborates and supports the development of students, new staff and colleagues. (10%)Performs other duties as assigned or required. QUALIFICATIONS: Minimum Temporary Practice PermitCPR – American Heart AssociationAct 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance Certificate 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 : AHN Grove City is actively considering new and future Graduate Nurses. Potential Units include: Acute Care/Med Surg, ICU, Emergency Room Apply today for more information! AHN Grove City AHN Grove City is a 67-bed community hospital that has been providing exceptional health care to the Grove City area, including Mercer, Butler, and Venango counties, since 1978. Grove City is a Level IV Trauma Center. 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: Provides direct nursing care in accordance with established policies, procedures, protocols, and standards of the healthcare organization. ESSENTIAL RESPONSIBILITIES: Utilizes the nursing process in providing and coordinating the plan of patient care for the age appropriate population. (30%)Initiates interdisciplinary plan of care based on assessment findings and physician orders for the age appropriate population. (30%)Completes patient documentation in a comprehensive manner and promotes communication between caregivers. (10%)Contributes to Division, Hospital, and Department goals. (10%)Provides detailed and appropriate teaching to patients and families to effectively guide them through the episode of care as well as transition to another level of care and/or home. (10%)Collaborates and supports the development of students, new staff and colleagues. (10%)Performs other duties as assigned or required. QUALIFICATIONS: Minimum Temporary Practice PermitCPR – American Heart AssociationAct 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance Certificate 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 : Date Posted: 20240612 Location: Allegheny General Hospital Department: Trauma ICU Status: Full Time Shift: 72 hours every two weeks Rotation with rotating weekends and holiday per policy Union: Yes THE UNIT: Allegheny General’s Trauma ICU is a 24 Bed Unit Variety in the types of patients we receive and the level of patient acuity prepares our nurses to care for the most critically ill of patients Teaching institution with implementation of most current evidence based practice Daily patient focused round that include family and all members of the health care team Part of a nursing team focused on team work Close collaboration with medical team Annual ongoing trauma education Allegheny General Hospital: AGH is a Level I Shock Trauma Center 5 state of the art ICU’s State of the art Cancer Center 550+ Beds 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: Responsible and accountable for a designated patient population for the purpose of providing care based upon enactment of the nursing process. Demonstrates clinical assessment skills and care planning skills. Provides safe and effective care for the age population served according to regulatory requirements. Professionally directs and manages the activities of the patient care delivery by the team members. Collaborates with the multidisciplinary team for the plan of care from admission through discharge. Assesses learning needs of patient and family and provides education based on age, culture and willingness to learn QUALIFICATIONS: Minimum Current 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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    Company :Allegheny Health NetworkJob Description : Date Posted: 20240612 Location: Allegheny General Hospital Department: MICU Status: Full Time Shift: 72 hours every two weeks Rotation with rotating weekends and holiday per policy Union: Yes THE UNIT: Allegheny General’s MICU is a 28 bed unit Primary diagnoses are respiratory failure, sepsis, and multi -system organ failure. Allegheny General Hospital: AGH is a Level I Shock Trauma Center 5 state of the art ICU’s State of the art Cancer Center 550+ Beds 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: Responsible and accountable for a designated patient population for the purpose of providing care based upon enactment of the nursing process. Demonstrates clinical assessment skills and care planning skills. Provides safe and effective care for the age population served according to regulatory requirements. Professionally directs and manages the activities of the patient care delivery by the team members. Collaborates with the multidisciplinary team for the plan of care from admission through discharge. Assesses learning needs of patient and family and provides education based on age, culture and willingness to learn QUALIFICATIONS: Minimum Current 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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    Company :Allegheny Health NetworkJob Description : 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 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 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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    Company :Allegheny Health NetworkJob Description : CRITICAL CARE/BURN UNIT: West Penn’s critical care/burn unit is a 16 bed unit caring for both adult and pediatric 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
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    Company :Allegheny Health NetworkJob Description : Date Posted: 20240612 Location: Allegheny General Hospital Department: 9A Oncology Status: Full Time Shift: 72 hours every two weeks Rotation with rotating weekends and holiday per policy Union: Yes THE UNIT: Allegheny General’s 9A Onc Unit is 32 beds RNs are both chemo certified and telemetry trained. Patient population Chemotherapy administration Management of sick oncology Management of palliative/hospice patients Medical telemetry Allegheny General Hospital: AGH is a Level I Shock Trauma Center 5 state of the art ICU’s State of the art Cancer Center 550+ Beds 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. Job Summary: Responsible and accountable for a designated patient population for the purpose of providing care based upon enactment of the nursing process. Responsibilities: Demonstrates clinical assessment skills and care planning skills. Provides safe and effective care for the age population served according to regulatory requirements. Professionally directs and manages the activities of the patient care delivery by the team members. Collaborates with the multidisciplinary team for the plan of care from admission through discharge. Assesses learning needs of patient and family and provides education based on age, culture and willingness to learn QUALIFICATIONS: Minimum Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). CPR certification 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. 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 : Date Posted: 20240612 Location: Allegheny General Hospital Department: 5A/5C Medicine Tele Status: Full Time Shift: 72 hours every two weeks Rotation with rotating weekends and holiday per policy Union: Yes THE UNIT: Allegheny General’s 5C is a 30 bed medical telemetry unit The diagnosis range from heart failure to G.I. bleeds. This is a very fast-paced unit and teamwork is a must. Diverse patient population Heart Failure MICU Stepdown/Post MICU and CCU Post Ventilator Patient 3% turnover CHF Exacerbation Altered Mental Status Dyspnea, SOB ALLEGHENY GENERAL HOSPITAL: AGH is a Level I Shock Trauma Center 5 state of the art ICU’s State of the art Cancer Center 550+ Beds 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: Responsible and accountable for a designated patient population for the purpose of providing care based upon enactment of the nursing process. Demonstrates clinical assessment skills and care planning skills. Provides safe and effective care for the age population served according to regulatory requirements. Professionally directs and manages the activities of the patient care delivery by the team members. Collaborates with the multidisciplinary team for the plan of care from admission through discharge. Assesses learning needs of patient and family and provides education based on age, culture and willingness to learn QUALIFICATIONS: Minimum Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). CPR certification 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 : Date Posted: 20240612 Location: Allegheny General Hospital Department: 5A/5C Medicine Tele Status: Full Time Shift: 72 hours every two weeks Rotation with rotating weekends and holiday per policy Union: Yes THE UNIT: Allegheny General’s 5C is a 30 bed medical telemetry unit The diagnosis range from heart failure to G.I. bleeds. This is a very fast-paced unit and teamwork is a must. Diverse patient population Heart Failure MICU Stepdown/Post MICU and CCU Post Ventilator Patient 3% turnover CHF Exacerbation Altered Mental Status Dyspnea, SOB ALLEGHENY GENERAL HOSPITAL: AGH is a Level I Shock Trauma Center 5 state of the art ICU’s State of the art Cancer Center 550+ Beds 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: Responsible and accountable for a designated patient population for the purpose of providing care based upon enactment of the nursing process. Demonstrates clinical assessment skills and care planning skills. Provides safe and effective care for the age population served according to regulatory requirements. Professionally directs and manages the activities of the patient care delivery by the team members. Collaborates with the multidisciplinary team for the plan of care from admission through discharge. Assesses learning needs of patient and family and provides education based on age, culture and willingness to learn QUALIFICATIONS: Minimum Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). CPR certification 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 : Date Posted: 20240612 Location: Allegheny General Hospital Department: 12A Telemetry Status: Full Time Shift: 72 hours every two weeks Rotation with rotating weekends and holiday per policy Union: Yes THE UNIT: Allegheny General’s 12A Unit is 24 beds Telemetry Unit Cares for patients post cardiac, thoracic, and vascular surgery Allegheny General Hospital: AGH is a Level I Shock Trauma Center 5 state of the art ICU’s State of the art Cancer Center 550+ Beds 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: Responsible and accountable for a designated patient population for the purpose of providing care based upon enactment of the nursing process. Demonstrates clinical assessment skills and care planning skills. Provides safe and effective care for the age population served according to regulatory requirements. Professionally directs and manages the activities of the patient care delivery by the team members. Collaborates with the multidisciplinary team for the plan of care from admission through discharge. Assesses learning needs of patient and family and provides education based on age, culture and willingness to learn QUALIFICATIONS: Minimum Current 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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    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. Allegheny Valley Hospital is a 188 bed community, union hospital serving the surrounding neighborhoods of Natrona Heights. GENERAL OVERVIEW: Responsible and accountable for a designated patient population for the purpose of providing care based upon enactment of the nursing process. ESSENTIAL RESPONSIBILITIES: Demonstrates clinical assessment skills and care planning skills. (25%)Provides safe and effective care for the age population served according to regulatory requirements. (35%)Professionally directs and manages the activities of the patient care delivery by the team members. (15%)Collaborates with the multidisciplinary team for the plan of care from admission through discharge. (15%)Assesses learning needs of patient and family and provides education based on age, culture and willingness to learn. (10%) 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 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 : 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. Allegheny Valley Hospital is a 188 bed community, union hospital serving the surrounding neighborhoods of Natrona Heights. GENERAL OVERVIEW: Responsible and accountable for a designated patient population for the purpose of providing care based upon enactment of the nursing process. ESSENTIAL RESPONSIBILITIES: Demonstrates clinical assessment skills and care planning skills. (25%)Provides safe and effective care for the age population served according to regulatory requirements. (35%)Professionally directs and manages the activities of the patient care delivery by the team members. (15%)Collaborates with the multidisciplinary team for the plan of care from admission through discharge. (15%)Assesses learning needs of patient and family and provides education based on age, culture and willingness to learn. (10%) QUALIFICATIONS: Minimum Current PA licensure as a RN or Temporary Practice PermitCPR certificationHighmark 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 Inc.Job Description : JOB SUMMARY This is a hybrid role if living within a 50 mile radius of a Highmark office (PA, NY, WV, DE) This position will help drive success of the strategic program relative to improving medical cost which is essential to the Organizations membership and margin goals. Provide analytical/strategic-thinking and leadership support that enables the program team to: 1) isolate business issues; 2) design and execute analytics for studying business issues (scenario planning, forecasting, market share, profitability, etc.); 3) develop and summarize technical content (competitive intelligence, market trend analysis); 4) Develop high-level summaries of emerging results outlining analytical details and potential areas of opportunity 5) support development of formal recommendations to senior levels of Highmark leadership; 6) create documents (go-to-market or operational strategies, etc.) that inform critical strategic issues and decisions. Goal of this position is to become a subject matter expert to key stakeholders on emerging results and operational strategy issues. ESSENTIAL RESPONSIBILITIES Work with business/ market owners to identify key business issues, apply right analytical framework, develop solution and recommendations, represent findings to stakeholders and own the outcome.Manage major strategy projects with the help of internal or external strategy consulting resources.Serve as subject matter expert to Strategic Operations staff and stakeholders on membership, growth and operational strategy issues.Provide periodic informal work guidance/direction to junior team members; Provide performance input and recommendations to management for development/ training plans. May have supervisory responsibilities on a project basis.Develop analytical frameworks, approach and methodology best practices to analyze strategy issues.Other duties as assigned or requested. EDUCATION Required Masters Degree in Business, Healthcare, Economics or related degree2 years of post-grad experience with strategy / management consulting firms (such as McKinsey, Boston Consulting Group, Booz & Company, Accenture (strategy Practice) or Deloitte (Strategy practice) ) or internal strategy groups of healthcare companies (such as Aetna, United Health Group, WellPoint, GE, )6 years of related experience in Business or Healthcare Substitution Bachelor's degree and 3 years of relevant progressive strategic experience in lieu of Master's degree Preferred Experience in medical economics and/or healthcare analyticsStrong understanding of financial drivers of health planExtensive knowledge of Health Insurance and/or Provider operations. Understanding of membership, rates, financial, economic and competitive data. Experience in operational improvement LICENSES or CERTIFICATIONS Required None Preferred None SKILLS Broad application of principles, theories, and concepts in strategic thinking, plus working knowledge of other related fieldsStrong PC application Skills (MS Office including PowerPoint and Excel)Knowledge of healthcare industry trends and challengesStrong critical thinking skillsGood communication and presentation skills 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 Never 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 Never 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: $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 :United Concordia DentalJob Description : JOB SUMMARY This job handles customer inquiries by telephone and/or email and/or in person from individual members, groups, providers and brokers in a customer service center. Troubleshoots and resolves customer complaints. Ensures that responses to inquiries are completed timely and according to established service and quality standards. Typically acts as a lead (e.g. provides subject-matter direction to and assists in orienting and training other representatives). ESSENTIAL RESPONSIBILITIES Resolve customer inquiries and complaints via written, telephonic and face-to-face communication in a timely and accurate manner.Prepare adjustments for services not properly processed, either systematically, or by forwarding to the appropriate area for follow up and resolution.Meet all production, quality, and adherence standards. Attend all required training classes.Elevate issues to next level of supervision, as appropriate.Maintain accurate records, including timekeeping records.Other duties as assigned or requested. EDUCATION Required High School Diploma/GED Substitutions None EXPERIENCE Required 5 years of related, progressive experience Preferred None LICENSES AND CERTIFICATIONS Required None Preferred None SKILLS Knowledge of principles and processes for providing customer service, including customer needs assessment and meeting standardsAbility to handle many tasks simultaneously and respond to customers and their issues promptly and professionallyAbility to take direction and to navigate through multiple systems simultaneouslyAbility to maintain composure under stressful and fast-paced conditionsStrong written and verbal communication skillsAbility to communicate complex information in a simple, customer facing way LANGUAGE REQUIREMENT (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 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: $21.53 Pay Range Maximum: $32.30 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 Inc.Job Description : JOB SUMMARY This job establishes overall strategic, financial, and tactical business and operational direction for the assigned areas. Functions as the business owner for all customer implementation and maintenance for all group and individual product business across all partner plans, inclusive of benefit project efforts and relevant technology support. Accountable for high quality customer satisfaction and outcomes across multiple health plans. Involved and engaged in proactive identification and resolution of customer contract issues. Accountable for the financial performance and service responsiveness related to benefit application and client administration. Accountable for the identification of enhancements and expanded capabilities of major enterprise systems supporting client implementation. Accountable for the implementation of and adherence to government regulations, corporate policy mandates, corrective action plans, and process improvement initiatives. Partners and works collaboratively with all related and matrixed areas across the Enterprise. ESSENTIAL RESPONSIBILITIES Performs 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.Plans, organizes, staffs, directs and controls the day-to-day operations of the department; develops and implements policies and programs as necessary; may have budgetary responsibility and authority.Directs end-to-end customer implementation operations with accountability for customer satisfaction, financial performance, proactive risk identification, issue resolution, process excellence and quality control. Continually identifies and implements strategic initiatives to improve and streamline operational capabilities and processes.Leverages automation, analytics metrics, and operational excellence to manage overall financial performance and drive customer satisfaction.Optimizes workforce mix and manage workforce development, capacity, and retention.Facilitates development of strategic and tactical solutions to diverse and complex business problems.Creates divisional and corporate strategic and tactical plans to grow the platform and the business.Develops and manage vendor relationships and contracts.Communicates effectively with all levels of the organization as well as developing reports and presentations and representing customer implementation to executive leadership, regulatory bodies, external customers, external auditors and other parties as necessary.Other duties as assigned or requested. EDUCATION Required: Bachelor's Degree - Business, Health Administration, or related field or relevant experience and/or education as determined by the company in lieu of bachelor’s degree Preferred: Master's Degree - Business, Health Administration, or related field EXPERIENCE 5 years of management experience7 years of experience in benefit operations, insurance industry, and/or other relevant experience to include experience in implementing and running new operational units and business process improvement KNOWLEDGE, SKILLS & ABILITIES Leadership skills and ability to relate to all levels of management and staff, as well as external customers and vendorsProven ability to develop and negotiate vendor relationships and contractsKnowledge of processes and procedures re-engineering and strong knowledge of change managementStrong business acumen with knowledge of financing and/or budgetingAbility to evaluate technology for implementation and gaining improved servicesStrong written and oral communication skillsExcellent leadership development, team building and professional development skillsStrong knowledge of service levels and service requirements LICENSURE & CERTIFICATIONS Required: None Preferred: None TRAVEL REQUIREMENT: 0% - 25% LANGUAGE REQUIREMENT (other than English)? PHYSICAL, MENTAL DEMANDS AND WORKING CONDITIONS Position Type: Office-Based Teaches/Trains others regularly Frequently Travels regularly from the office to various work sites or from site-to-site Does Not Apply Works primarily out-of-the office selling products/services (Sales employees)Does Not Apply Physical Work Site Required True Lifting: up to 10 pounds Does Not Apply Lifting: 10 to 25 pounds Does Not Apply Lifting: 25 to 50 pounds Does Not Apply ADDITIONAL INFORMATION Changes Approved By: Melanie Lysne 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: $108,000.00 Pay Range Maximum: $199,800.00 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 :Highmark Inc.Job Description : JOB SUMMARY This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare services. Advocates for the most appropriate care plan using sound clinical judgment; accurate planning, and collaboration with internal and/or external customers and contacts. Follows established regulatory guidelines, policies, and procedures in relation to member interventions and documentation of activities related to the member’s care and progress across the continuum of care. Facilitates and/or participates in interdisciplinary and/or interagency meetings, when necessary, to facilitate coordination of services/resources for members. ESSENTIAL RESPONSIBILITIES Communicate effectively while performing customer telephonic interviewing and communication with external contacts.Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts.Maintain knowledge of Medical Terminology and Medical Diagnostic Categories/Disease StatesEducate members in order to enhance member understanding of illness/disease impact and to positively impact member care plan adherence, pharmacy regimen maintenance, and health outcomes.Collaborate with Primary Care Physicians, Medical Specialists, Home Health and other ancillary healthcare providers with the goal being to coordinate member care.Collect member medical information from a variety of sources including providers and internal records and use appropriate clinical judgment, consultation with internal Physician Advisors and other internal cross-departmental consultation to determine unmet member needs.Work primarily independently to identify, define, and resolve a myriad of problem types experienced by the member.Develop an individualized plan of care designed to meet the specific needs of each member.Anticipate the needs of members by continually assessing and monitoring the member’s progress toward goals, care plan status, and re-adjust goals when indicated.Maintain a working knowledge of available resources for addressing identified member needs and to facilitate proactive and efficient provision of services. Be knowledgeable of and consider benefit design and cost benefit analysis when planning a course of intervention in order to develop a realistic plan of care.Communicate and collaborate with other payers (when applicable) to create a collaborative approach to care management and benefit coordination.Maintain a working knowledge of available community resources available to assist members.Coordinate with community organizations/agencies for the purpose of identifying additional resources for which the MCO is not responsible.Work within a Team Environment.Attend and participate in required meetings, including staff meetings, internal Rounds, and other in-services in order to enhance professional knowledge and competency for overall management of members.Participate in departmental and/or organizational work and quality initiative teams. Case collaborate with peers, Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts.Participate in interagency and/or interdisciplinary team meetings when necessary to facilitate coordination of member care and resources.Foster effective work relationships through conflict resolution and constructive feedback skills.Attend internal and external continuing education forums annually to enhance overall clinical skills and maintain professional licensure, if applicable.Educate health team colleagues of the role and responsibility of Case Management and the unique needs of the populations served in order to foster constructive and collaborative solutions to meet member needs.Other duties as assigned or requested. QUALIFICATIONS Minimum Bachelor’s degree in nursing or RN certification in lieu of bachelor's degree or Master’s degree in Social Work and 3 years experience in Acute or Managed Care/ experience with Medicaid or Medicare populations. ORBachelor’s degree in Social Work with five years experience in Acute or Managed Care/ experience with Medicaid or Medicare populations Preferred One year in home clinical or case management experienceExperience working with PDN/HHAExperience working with behavioral health populationExperience working with pediatricsMedicare and Medicaid experienceManaged care experienceWorking flexible hours to meet member’s needsProficiency in PC-based word processing and database documentation (Word, Excel, Internet, Outlook)Reliable transportation daily to be able to travel within assigned territoryAbility to meet regulatory deadlines.Has a dedicated home work space used only for business purposes and is able to comply with all telecommuter policies.Experience in geriatric special needs, behavioral health, home healthUnderstanding of the importance of cultural competency in addressing targeted populations.Experience with electronic documentation system(s) LICENSES AND CERTIFICATIONS Required Licensed Social Worker (LSW)-Non-Specific - State (OR) Registered Nurse - Non-SpecificPreferred None Skills None SCOPE OF RESPONSIBILITY Does this role supervise/manage other employees? No WORK ENVIRONMENT Is Travel Required? Yes 25% - 50% Travel to members’ homes, nursing facilities, and other community based settings in order to complete face to face needs assessments with subsequent telephonic contact with the member in accordance with state and national guidelines, policies, procedures, and protocols. 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: $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
    • Full Time
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    Company :enGenJob Description : JOB SUMMARY Within area of expertise (application, solution, information, technology, business), assists in design, development, implementation, support, and optimization of architecture strategy to meet business capabilities and needs. Assists in ensuring completeness of architecture by adequately addressing all the pertinent concerns of its stakeholders. Assists in ensuring integrity of architecture by connecting various views of stakeholders, reconciling conflicting concerns, and showing the trade-offs made in so doing. Considers practicality and fitness for purpose in determining architecture to develop. Leverages business and technology knowledge to enable and/or alter business processes, practices, organizations and systems. Maintains knowledge of emerging technologies and best in class industry business trends and practices. ESSENTIAL RESPONSIBILITIES Assists in providing strategic consultation to business customers in defining or designing less complex business processes, functions and organizational structures, as well as in researching, identifying and internally marketing enabling technologies based on customer capability requirements. Facilitates development of enterprise business solutions that combine knowledge of particular business processes and issues, general technological options, and process facilitation techniques. Participates in enterprise strategy development, including environmental analysis, opportunity identification, value cases and business innovation portfolio development. Assists in specifying and designing less complex systems, solutions, networks, infrastructure elements, or processes. Selects appropriate design standards, methods and tools and ensures that they are applied effectively. Reviews others’ system design to ensure selection of appropriate technology, efficient use of resources and integration of multiple systems and technology. Establishes policy for selection of architecture components. Evaluates and undertakes impact analysis on major design options. Ensures that the system architecture balances functional, service quality and systems management requirements. Assists in using appropriate tools, including models of components and interfaces, to contribute to the development of architectures. Produces detailed component requirements, specifications and translates these into detailed solutions/designs for implementation using selected products. Provides advice on technical aspects of system development, integration (including requests for changes, deviations from specifications, etc.) and processes. Ensures that relevant technical and business strategies, policies, standards and practices are applied correctly. Assists in selecting and using tools and methods to establish, clarify, and communicate the functional and non-functional requirements of system users, their characteristics, and tasks. Identifies the technical, organizational, and physical environment in which less complex products or systems will operate. Identifies, proposes, initiates, and leads improvement programs, taking responsibility for the quality and appropriateness of the work performed and the realization of measurable business benefits. Modifies existing process improvement approaches and/or develops new approaches to achieving improvement. Assists in ensuring the resolution of a variety of architecture and business problems and serves as a technical or business resource for less complex project initiatives. Communicates effectively with all levels of organization Manages expectations of customers, partners and management Participates in customer walkthroughs and plans; design and technical walkthroughs; and problem resolution and decision making Interacts with departments across the organization as necessary, including the development and interpretation of less complex requirements for peers and other staff. Maintains an in-depth knowledge of specific technical aspects in area of expertise and provides 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. Provides leadership in the areas of expertise and architecture to their peers, developers, management and business users including technical expertise, coaching, and ad-hoc training by: Preparing presentations on less complex issues on the area of expertise Presenting 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 related field Substitutions 6 years of related experience in lieu of a 4 year degree Preferred Master's Degree EXPERIENCE Required None Preferred Health insurance industry business knowledge LICENSES or CERTIFICATIONS Required None Preferred Industry certifications SKILLS An Architect is not required to have experience in all of these, but is required to have those needed to support applications they are responsible for supporting. Current skill set are reviewed every other year, new skills may be required to meet changing business needs. Skills: IMS, DB2, Oracle and Teradata Databases, Data Warehousing COBAL, Visual Basic, C C++, SAS Java/JavaScript Framework PEGA, CSS3, Mobile, JSON, Cognos, Hadoop, SQL, J2EE, HTML5/XML Project Management Tools: Waterfall Agile Certification in application areas such as: Java Developer DB2, Cogno, PEGA, Enterprise Architect(SCEA), Project Management 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. 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
    • Full Time
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    Company :enGenJob Description : JOB SUMMARY This job provides application development services typically as a of a project team or in an application support role. Developers analyze, design, code, test and implement systematic solutions to meet customer requirements that adhere to Highmark IT standards and policies. Developers provide general support to maintain applications that meet the service levels, system availability, performance and quality levels required by their customers. ESSENTIAL RESPONSIBILITIES Responsible for analyzing, designing, coding, testing and implementing application enhancements, as well as providing general production support, meeting defined scope, target dates and budgets with minimal or no defects.Utilizes and participates in the full system development life cycle, per current Highmark SDLC standards.Collaborates with customers, business analysts, partners, and IT team members to understand business requirements that drive the analysis and design of quality technical solutions. Concentrates on providing innovative solutions to business needs.Provides required technical support, including release implementations, on-call and 24x7 supports when necessary.Performs work in compliance with all Highmark and Highmark IT standards, policies and procedures.Actively participates on project teams in various project roles, including, but not limited to, Developer, Technical Lead and Project Manager, based upon level of experience.Effectively communicates with team members, customers, partners and management, including assisting with or conducting technical walkthroughs, reporting project status, enabling vendor solutions and providing accurate and concise documentation.Other duties as assigned or requested. EDUCATION Required Bachelor’s degree in Information Technology or closely related field Substitutions none Preferred None EXPERIENCE Required 3 years of experience as a developerExperience with Project Management toolsExperience with databasesExperience with multiple coding languages Preferred 1+ years of RESTful or SOAP web service1+ years of Hibernate experience1+ years of Axway and building API services1+ years of SQL experience2 + years of J2EE experience1 + years of experience with databases such as Oracle, DB2, SQL server, or Teradata LICENSES or CERTIFICATIONS Required None Preferred Certification such as JAVA Developer, SKILLS Problem solving, root cause analysis, and issue resolutionDemonstrated leadership skillsExperience in Healthcare or Health Insurance IndustryExperience with technology platforms, application development tools, business processes, software development life cycle used by Highmark enterprise Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Never 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 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: $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
    • Full Time
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    Company :Highmark Inc.Job Description : JOB SUMMARY This position is responsible for system configuration implementation of the strategic business and functional infrastructure of the underlying systems that support the respective business platforms for the Medicaid Business Unit market served by Highmark. Performs configuration change management activities related to benefits, business rules, screen design and functionality, templates, workflows, provider contracts, user task analysis, personalization to different plans, and user interface design and design requirements for systems setup, configurations and onboarding of new plans/providers. Translates configuration rules, fee schedules, contract terms, provider data code sets, and benefits into systems parameters to ensure accurate managed care operations (i.e. enrollment & billing, claims processing, etc.). This job supports one or more analytical aspects of the application product life cycle, including capability enablement with cross-team dependencies within a product scope. Uses significant independent judgement and discretion to collaborate with customers on the most complex issues in order to understand capability needs, gather project specifications, create business cases and cost sheet analysis, translate high-level business needs into detailed requirements for new capabilities (and change request/enhancements on existing capabilities), analyze data to determine business problems, trends, or opportunities for process improvements, create/execute test plans, provide root cause analysis and corrective action plan, verify delivery of customer needs, and ensure quality delivery. Identifies, documents, and resolves risks, defects and issues. Analyzes market trends for competitive insight to correlate into business value statements. Uses functional and organizational knowledge to mentor Associate, Intermediate, and Senior Business Systems Analysts, as well as others outside of immediate team. Leads project teams or actively participates as a SME on the most complex projects (cross functional, with potential regulatory risk exposure, customer service & financial impacts). Acts as face to the customer; primary customer contact; may negotiate project requirements versus resources with customer. Resolves the most complex issues (may involve multiple systems) and/or develops alternative solutions with understanding of potential regulatory risk exposure and customer service & financial impacts, ensuring that resolution addresses all potential impacts. Includes hands-on configuration in production and test environments, incident tracking and resolution, release management and project management. Act as a SME on how the most complex new enhancement/applications are developed using an expert level of understanding of end-to-end processes and potential integration issues. Requires expert level of understanding the end systems impact of changes across enterprise-wide systems (including regulatory risk exposure, customer service & financial impacts). Develops policies & procedures in support of standardized and accurate configuration and maintenance. Remains informed of all health plan contracts and amendments as well as code sets, fee schedule and pricing changes made by health plans, CMS and/or the states’ Medicaid programs. ESSENTIAL RESPONSIBILITIES Lead in working with customers, Software Engineers, Architects, Capability Managers, and other team members to capture capability needs and drive quality business solutions. Create and maintain deliverables such as business vision, requirements, testing plan, testing schedule, testing scenarios, testing outcomes, user task analysis, wire framing, usability testing, personalization to different clients, and user interface design.Participate in the full software development life cycle by actively leading or acting as lead in given area of expertise on agile scrum teams in various roles, including, but not limited to, Scrum Master, Business Technical Analyst, User Interface designer, Capability Manager, or Tester, based upon experience and need.Provide required business and/or subject matter expertise on most complex issues for both project and production related activities, including new strategic programs or initiatives impacting current and existing systems.Ensure compliance to required standards and all necessary approvals have been obtained throughout the project lifecycle.Interface with the business areas, customers, partners, vendors, technical staff and project teams to drive value, return on investments and innovative solutions. This includes providing alternative solutions, including vendor solution acquisitions, with maximum benefits while reducing cost (e.g. cost benefit analysis, pros/cons of solutions).Lead in supporting various aspects of requirements testing (e.g. testing plan, scenarios, documentation, defect management) to ensure minimal production defects are realized and completing analysis of the results tying back to customer impacts. Communicate in an exemplary manner with team members, customers, partners and management, including assisting with or conducting requirement walkthroughs and sprint reviews, reporting project status, enabling vendor solutions and providing accurate and concise documentation.Provide thought leadership and strategic direction in Product & Technology Solutions.Other duties as assigned. EDUCATION Required Bachelor's Degree in Business Management, Information Systems, or closely related discipline Substitutions None Preferred Master's Degree in Business Administration/Management or Information Systems EXPERIENCE Required 7 - 10 years in IS/IT3 - 5 years in Project Management3 - 5 years in the Health Insurance Industry3 - 5 years in the Healthcare Industry Preferred 5 - 7 years in Process ImprovementExperience with HealthEdge HRPHands on configuration experienceExperience working in a SaaS modelKnowledge of Medicare & Medicaid programs and their benefitsHealth Source – previously known as BurgessAgile LICENSES AND CERTIFICATIONS Required None SKILLS Analytical SkillsProblem-SolvingCommunication SkillsReport WritingSQLProject ManagementCustomer ServiceLeadershipAgile MethodolgyAgile Project Management Language (Other than English) None Travel Required 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches / trains others regularly Rarely 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 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. 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 : Allegheny Health Network’s (AHN) Women’s Institute is recruiting an AAGL Fellowship trained Minimally Invasive Gynecologic Surgeon to join our team at both Forbes and West Penn Hospitasl in Pittsburgh PA. This academic appointment offers the opportunity to work with AHN Ob/Gyn residents and has a close relationship with the REI, Gyn Onc and Urogyn departments. This is an opportunity to be part of a growing Gyn department, live in an amazing city and do meaningful work and research with great people. Job Duties: Laparoscopic Gynecologic Surgery including hysterectomies, myomectomies and endometriosisDa Vinci surgical system is available at both sitesInpatient and outpatient consultsResident educationAverage clinic patient census of 16 visits per dayNo prenatal care or obstetrics Job Qualifications: Board Eligible or Board Certified in Obstetrics and GynecologyEligible for a Pennsylvania Medical LicenseCompletion of an AAGL FellowshipPhD/MD Graduate of accredited medical school with degree of Doctor of Medicine (MD) or Doctor of Osteopathy (DO)Completion of accredited residency and fellowship if required by specialtyCurrent PA MD licensure in good standing; current unrestricted DEA certificate AHN Proudly Offers: Competitive Compensation Package Health, Dental & Vision InsuranceRetirement BenefitsGenerous PTO Plan & CME benefit Who we are: Allegheny Health Network is nationally recognized for innovative practices and quality care. With ten diverse hospitals, over 250 health care facilities it is one of the largest healthcare systems serving Western Pennsylvania, West Virginia, and eastern Ohio. Our not-for-profit, physician-led organization is a subsidiary of Highmark Health, the third largest integrated health care delivery and financing system in the nation. Pittsburgh is a vibrant and exciting city, offering diverse culture, world-class arts and music, prestigious colleges and universities, proximity to state and local recreational parks, and a nationally recognized culinary scene. It is home to major sports teams as well as key players within an ever-growing tech industry. Pittsburgh was recognized by Reader’s Choice Awards as one of the top 10 large cities in the U.S. It also ranks in the top 20 big cities to live in reported by WalletHub. Pittsburgh is ranked among the top best cities in the U.S. for first-time homebuyers according to Lending Tree. There is an academic affiliation with both the Drexel University School of Medicine and a research and collaborative affiliation with The John’s Hopkins School of Medicine. The Talent Attraction Program Pittsburgh (TAPP) Loan Repayment & Retention Program offers loan repayment up to $60,000 per year to qualifying applicants. 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 provides primary, or acute and/or behavioral healthcare services for certain acute or chronic health conditions in specific populations in accordance with applicable scope and standards of practice and with the policies, values, and mission of the organization. This position involves a rotation of shifts, including weekends and holidays. ESSENTIAL RESPONSIBILITIES: Provides appropriate patient care to include recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning and providing accurate medical record documentation. (35%)Communicates and coordinates patient care with patient, family, community health services and interdisciplinary team. Involves attending physician regarding plan of care and involves physician in clinical decision making of any issues that are outside the CRNP's knowledge base or scope of practice. (15%)Prepares written prescription orders for drugs and controlled substances, administers medication and injections, sutures wounds and provides wound care. (10%)Educates patients and family members regarding health and preventive medicine, medications prescribed, treatment instructions and recommends community resources as appropriate. (10%)Triages patient telephone calls, provides monitoring and continuity of care. (10%)Participates, develops, and implements performance and/or quality improvement initiatives. Ensures compliance with all regulatory agencies. (10%)Serves as the clinical expert and acts as a clinical resource. (10%)May perform other duties such as daily rounding of patients, manage outpatient concerns and any other duty specific to specialty. QUALIFICATIONS: Minimum MSN from the practicing State Board of Nursing Approved Master’s ProgramNational Board Certification for Nurse Practitioners through the American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC)Current State Certified Registered Nurse Practitioner LicenseCurrent State RN LicensePrescriptive Authority from the practicing state within 60 days of hireDrug Enforcement Agency Licensure within 60 days of hireCPR – American Heart AssociationAct 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance Certificate Preferred Post Master’s program, DNPACLS certificationFor Behavioral Health areas: Board Certified Psychiatric and Mental Health Nurse Practitioner (PMHNP-BC) by American Nurses Credentialing Center (ANCC), obtained within 2 years of hire. 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 : $1,000 Sign-On Bonus *Sign-On bonus is for External Hires only Recipient must stay with AHN for a minimum of 1 year Re-Hires may not have worked for AHN within the previous 12 months to qualify GENERAL OVERVIEW: This job completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within Patient Access and creates the first impression of AHN's services to patients and families and other external customers. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient. Trains and assists other team members as necessary. ESSENTIAL RESPONSIBILITIES: Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary data to assure timely, accurate bill submission.Verifies insurance information through payor contacts via telephone, online resources, or electronic verification system. Identifies payor authorization/referral requirements. Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization/referral deficiencies.Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay and complex liability calculations and escalates account to Financial Counselors as appropriate.Delivers positive patient experience. Cooperates with and maintains excellent working relationships with patients, AHN leadership and staff, physician offices and designated external agencies or vendors. Performs any written or verbal communication necessary to exchange information with designated contacts and promote working relationships.Maintains focus on attaining productivity standards, recommending innovative approaches for enhancing performance and productivity when appropriate.Adheres to AHN organizational policies and procedures for relevant location and job scope. Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes.Communicates team barriers, process flow or productivity issues to team lead. Assists team members with operational support and training. Assists in resolving patient issues requiring additional oversight in a concise and informative manner as required.Performs other duties as assigned or required. QUALIFICATIONS: Minimum High school diploma or GED; or one – three months related experience and/or training; or equivalent combination of education and experience.Two previous years of related experience, preferably within a medical setting, financial services setting, and/or a demanding customer service environmentExperience operating a PC and using software applications Preferred Certification with Healthcare Financial Management Association or Certified Revenue Cycle Representative.Call/Service Center 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. 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: Supervises the daily operations of a physician practice. ESSENTIAL RESPONSIBILITIES: Supervises the day to day operations of the physician practice, including front and back office functions. (45%)Under the direction of the manager, supervises staff, resolves problems and implements approved disciplinary action. Interviews, hires, trains and conducts performance evaluations. (20%)Works collaboratively with physicians, leadership and health professionals to accomplish organization and practice goals. (15%)Assists manager with managing key financial and revenue cycle metrics, including staff hours, resource allocation, expense budget, patient volumes, and the revenue cycle process. Provides primary (or secondary) review of reconciliation of monies being collected and deposited. (10%)Ensures compliance with all regulatory requirements. (10%). QUALIFICATIONS: Minimum High school diploma or GED; or six months to one year related experience and/or training; or equivalent combination of education and/or experience.1-3 practice experience or related experience.Knowledge of medical terminology, insurance theory, and ICD-9 / ICD-10 and CPT coding.. Preferred Associate’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
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