Total 335 Health / Beauty / Fitness job vacancies in Work From Home - AZ

Why Covenant Care?
Are you a Healthcare Warrior? Want a competitive, engaging job with great perks? Want a seat at the table to discuss strategy? Want to see your ideas put into action? Then you want to look closely at a career with Covenant Care.

Covenant Care is one of the largest non-profit providers of home health, hospice, memory, palliative and private duty care in the regions we serve. Our collaborative team of more than 600 physicians, nurses, aides, therapists and professional staff and volunteers serve patients and families in communities throughout Florida and Alabama. For more information, visit choosecovenant.org, or visit us on Facebook, Instagram or LinkedIn.

Ready to join our family?
Our teammates enjoy a supportive environment and flexible schedule with advancement opportunities. Covenant Care’s engaging culture is founded upon mutual respect and trust. A place where employees feel valued and patients and residents feel the service is extraordinary. We recognize and celebrate the value of each teammate’s unique contributions and encourage a sense of ownership, sharing our mission with patients, families and our communities.

Position Description

Position:    Physical Therapist 

Position Summary:

Responsible for providing medically prescribed physical therapy to patients in the home in accordance with agency policies.  Participates in developing and implementing the plan of care with goals and documentation appropriate to discipline guidelines.  Provides supervision as needed to PTA per JCAHO/CHAP, Florida State and Federal practice act guidelines.

Qualifications:

BS degree and graduation from an accredited school of Physical Therapy required. Work experience of at least one year as a Physical Therapist. Able to prioritize and manage time effectively and make independent decisions when necessary. Current Florida Physical Therapist License.  CPR certification. Current driver’s license with access to an auto and required insurance coverage.

Job Relations:

Reports to:    Director of Clinical Services

Main Duties & Responsibilities:

Performs physical therapy procedures, evaluations, resumption of care, admissions, and diagnostic tests on patients for whom these have been medically prescribed and establishes measurable goals.

Teaches appropriate treatment procedures and supportive activities to patients and family members. Translates all exercises into functional activities or activities of daily living. Develops needed plan for modifying equipment, appliances, and the physical surroundings in patient’s home.

Interprets to the patient and family the implications of the treatment consistent with the actions and wishes of the physician. Helps the family accept responsibility for providing care.

Provides families with information, support and encouragement to help motivate them in their progress.

Helps individuals and families to accept and adjust positively to physical, mental, and social limitations and identifies barriers to desired outcomes.

Evaluates client’s progress towards goals on an ongoing basis, making changes in the therapy program as necessary, under the physician’s direction. Teaches basic principles of good posture and body mechanics in relation to changing needs of individuals in all age groups.

Maintains necessary records. Demonstrates rehabilitation procedures and supportive activities on selected patients to nurses responsible for follow-up services.

Supervises home health aide if no other health care discipline is going to the patient’s home. Participates in the recertification process and interdisciplinary team conferences.

Completes OASIS assessments accurately at appropriate time points. Notes progress towards discharge planning.

Communicates with physician and other disciplines regarding discharge planning.

Participates in the agency PI process as evidenced by performing multidisciplinary chart audits, recording and reporting quality improvement data retrieved on a routine basis.

Displays willingness to discuss weaknesses and make improvements in job performance. 

Demonstrates the ability to be flexible with workflow, department needs and work hours.

Updates management regarding potential problems or concerns. 

Also responsible for consulting with clinicians or managers as needed.

Maintains an understanding of the company’s scope of services. Understands the infrastructure and how and where to transfer calls in the company.  

Maintains a professional image.

Uses appropriate phone etiquette. Understands the infrastructure of Covenant Home Health Care to appropriately transfer calls within the agency Promotes a customer friendly atmosphere for all visitors and ensures patient confidentiality at all times.

Participates in accreditation program.

Performs other duties as assigned

Special Demands/Physical Requirements:

Office/Home Environment. May be exposed to biological hazards. 

Contact the Human Resources Department at 850.365.9642 or email jobs@choosecovenant.org for more information. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

Why Covenant Care?
Are you a Healthcare Warrior? Want a competitive, engaging job with great perks? Want a seat at the table to discuss strategy? Want to see your ideas put into action? Then you want to look closely at a career with Covenant Care.

Covenant Care is one of the largest non-profit providers of home health, hospice, memory, palliative and private duty care in the regions we serve. Our collaborative team of more than 600 physicians, nurses, aides, therapists and professional staff and volunteers serve patients and families in communities throughout Florida and Alabama. For more information, visit choosecovenant.org, or visit us on Facebook, Instagram or LinkedIn.

Ready to join our family?
Our teammates enjoy a supportive environment and flexible schedule with advancement opportunities. Covenant Care’s engaging culture is founded upon mutual respect and trust. A place where employees feel valued and patients and residents feel the service is extraordinary. We recognize and celebrate the value of each teammate’s unique contributions and encourage a sense of ownership, sharing our mission with patients, families and our communities.

Position Summary:

Responsible for providing medically prescribed Occupational Therapy to clients in the home in accordance with agency policies. Participates in developing and implementing the plan of care with goals and documentation appropriate to discipline guidelines. Demonstrates knowledge and skills necessary to perform evaluations, assessments, client care, and teaching specific to OT. Must be able to function as part of the team to promote quality care, as well as coordinating care and supervising other team members as needed. Able to adapt to unexpected/unusual situations and continue to function efficiently and effectively.

Qualifications:

1. BS degree and graduation from an accredited school of Occupational Therapy required.

2. Work experience of at least one year as a occupational Therapist.

3. Able to prioritize and manage time effectively and make independent decisions when necessary.

4. Current Florida Occupational Therapist License.

5. CPR certification.

6. Current driver’s license with access to an auto and required insurance coverage.

Job Relations:

Reports to: Director of Clinical Services

Main Duties & Responsibilities:

A. Performs occupational therapy procedures and evaluations on clients for whom these have been medically prescribed and establishes measurable goals.

B. Teaches appropriate treatment procedures and supportive activities to clients and family members.

C. Translates all exercises into functional activities or activities of daily living.

D. Develops needed plan for modifying equipment, appliances, and the physical surroundings in client’s home.

E. Confers periodically with the attending physicians regarding client’s progress. Reports to them the physical and emotional condition and reactions to treatment and interprets social and physical factors in the environment that affect client care.

F. Interprets to the client and family the implications of the treatment consistent with the actions and wishes of the physician and evaluates progress toward outcomes.

G. Helps the family accept responsibility for providing care.

H. Helps individuals and families to accept and adjust positively to physical, mental, and social limitations.

I. Evaluates client’s progress towards goals on an ongoing basis, making changes in the therapy program as necessary, under the physician’s direction. Teaches basic principles of good posture and body mechanics in relation to changing needs of individuals in all age groups.

J. Maintains necessary records.

K. Provides advisory and consultation services to staff.

L. Develops and revises plan of care in collaboration with client/family, physician, and other team members.

M. Demonstrates rehabilitation procedures and supportive activities on selected clients to nurses responsible for follow-up services.

N. Supervises Therapy Assistants and Home Health Aides as appropriate.

O. Participates in the recertification process and interdisciplinary team conferences.

P. Notes progress towards discharge planning. Communicates with physician and other disciplines regarding discharge planning.

Q. Completes OASIS assessments accurately at appropriate time points.

R. Maintains an understanding of the company’s scope of services.

S. Understands the infrastructure and how and where to transfer calls in the company.

T. Maintains a professional image.

U. Participates in interdisciplinary conferences as required.

V. Submits clinical documentation in a timely manner according to agency policy.

W. Uses appropriate phone etiquette.

X. Promotes a customer friendly atmosphere for all visitors and ensures client confidentiality at all times.

Y. Participates in accreditation program.

Z. Performs other duties as assigned.

AA. Participates in in-service program.

Special Demands/Physical Requirements:

Office/Home Environment. May be exposed to biological hazards.

Contact the Human Resources Department at 850.365.9642 or email jobs@choosecovenant.org for more information. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

Why Covenant Care?
Are you a Healthcare Warrior? Want a competitive, engaging job with great perks? Want a seat at the table to discuss strategy? Want to see your ideas put into action? Then you want to look closely at a career with Covenant Care.

Covenant Care is one of the largest non-profit providers of home health, hospice, memory, palliative and private duty care in the regions we serve. Our collaborative team of more than 600 physicians, nurses, aides, therapists and professional staff and volunteers serve patients and families in communities throughout Florida and Alabama. For more information, visit choosecovenant.org, or visit us on Facebook, Instagram or LinkedIn.

Ready to join our family?
Our teammates enjoy a supportive environment and flexible schedule with advancement opportunities. Covenant Care’s engaging culture is founded upon mutual respect and trust. A place where employees feel valued and patients and residents feel the service is extraordinary. We recognize and celebrate the value of each teammate’s unique contributions and encourage a sense of ownership, sharing our mission with patients, families and our communities.

Position Summary:

The Licensed Practical Nurse provides nursing care, treatment and procedures for clients in the home within the scope of training, State licensure and agency policy.  Performs duties as directed by Case Manager or Clinical Team Manager.

Essential Duties & Responsibilities:

• Assist the Registered Nurse or Physician in performing specialized procedures and duties.

• Provides prescribed nursing care procedures to assigned clients.

• Participates in assessing, planning, implementing and evaluating client care in collaboration with an RN.

• Provides health teaching and assist the clients and families in learning self-care techniques.

• Communicates and documents findings in a factual, concise and timely manner per agency policy. 

• Documents services, client condition and response to treatment.

• Demonstrates safety precautions in compliance with OSHA, CHAP, and Federal and State standards.

• Prepares clinical and progress notes.

• Operates medical equipment correctly for client care.

• Demonstrates knowledge and skills necessary to provide appropriate client care.

• Obtains medical orders which are carried out promptly.

• Recognizes and communicates changes and potential client problems in a timely manner, utilizing the proper chain of command.

• Uses good hand washing and aseptic techniques.

• Performs client care duties proficiently and safely; administering medications, performing procedures and treatments per agency policy.

• Demonstrates knowledge of the principles of growth and development over the life span.

• Participates in the PI program by utilizing suggestion boxes, customer service, and brings matters to attention of management staff.

• Updates management regarding potential problems or concerns.  Also responsible for consulting with clinicians or managers as needed.

• Maintains an understanding of the company’s scope of services.

• Participates in interdisciplinary conferences as required.

• Submits clinical documentation in a timely manner according to agency policy.

• Maintains a professional image.

• Uses appropriate phone etiquette.

• Promotes a customer friendly atmosphere for all visitors and ensures client confidentiality at all times.

• Participates in call schedule according to needs of the agency.

• Participates in accreditation program.

• Performs other duties as assigned.

• Participates in in-service program.

Skills:

• Self-Starter – Takes initiative identifies needs of co-workers and customers and solves problems.

• Reading Comprehension – Understanding written sentences and paragraphs in work related documents.

• Time Management – Managing one’s own time

• Speaking – Talking to others to convey information effectively.

• Writing – Communicating effectively in writing as appropriate for the needs of the audience.

• Critical Thinking – using logic and reasoning to identify the strengths ands weaknesses of alternative solutions, conclusions, or approaches to problems.

• Able to perform the essential functions of the job with or without accommodation.

Education/Experience:  

Graduate of an accredited LPN program required. Minimum one year nursing experience.  One year home care experience preferable

Licenses, Certifications and/or Registrations:

Current LPN license in the State of Florida.  Current CPR certification.  Current driver’s license and valid auto insurance.  Completion of 25 CEU’s bi-annually. 

Working Conditions:

Office/Home Environment. May be exposed to biological hazards. 

Benefits for Eligible Employees Include:

• Health insurance

• Paid time off for vacation, holiday, sick and bereavement leave

• Company paid and supplemental life insurance

• Retirement plan with company match

• Optional cafeteria plan benefits such as dental, vision, accident, cancer and hospital days

• Flexible spending accounts for healthcare and dependent care expenditures

• Continuing education, advance credential assistance and tuition reimbursement

• Employee assistance program for employees and families

• Mileage reimbursement and company fleet car program.

Contact the Human Resources Department at 850.365.9642 or email jobs@choosecovenant.org for more information. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

Why Covenant Care?
Are you a Healthcare Warrior? Want a competitive, engaging job with great perks? Want a seat at the table to discuss strategy? Want to see your ideas put into action? Then you want to look closely at a career with Covenant Care.

Covenant Care is one of the largest non-profit providers of home health, hospice, memory, palliative and private duty care in the regions we serve. Our collaborative team of more than 600 physicians, nurses, aides, therapists and professional staff and volunteers serve patients and families in communities throughout Florida and Alabama. For more information, visit choosecovenant.org, or visit us on Facebook, Instagram or LinkedIn.

Ready to join our family?
Our teammates enjoy a supportive environment and flexible schedule with advancement opportunities. Covenant Care’s engaging culture is founded upon mutual respect and trust. A place where employees feel valued and patients and residents feel the service is extraordinary. We recognize and celebrate the value of each teammate’s unique contributions and encourage a sense of ownership, sharing our mission with patients, families and our communities.

Position Summary:

The RN is responsible for the delivery of home health services to clients. The nursing process is used as a basis for assessing, planning, implementing, communicating, teaching, coordinating and evaluating services. The RN provides for the spiritual, emotional and psychological needs of the clients. The RN provides leadership to nursing staff and assures that nursing care complies with physician orders and meets client, HCFA and departmental requirements.

Qualifications:

Graduate of an accredited RN program required. Minimum one-year experience as an RN with one-year experience in home health (home health experience may be waived).  Experience in geriatrics helpful.  Work experience denoting communication and assessment skills Current RN license in the State of Florida.  Current CPR certification.  Current driver’s license and valid auto insurance. Completion of 25 CEU’s bi-annually. 

Main Duties & Responsibilities:

• Performs client assessment and identifies problems to be addressed.

• Evaluates client needs, families and home environment.

• Develops Plan of Care consistent with assessment findings, diagnosis and orders.

• Establishes goals which are attainable, specific and measurable. Communicates Plan of Care with the appropriate physicians.

• Evaluates progress toward goals.

• Identifies, documents and reports signs and symptoms of altered health status to physician. 

• Obtains appropriate orders to increase/decrease visit frequency.

• Obtains medical orders to alter treatment plan to refer to other services when appropriate (Rehab., Social Services).

• Administers meds and treatment according to Plan of Care.

• Teaches nursing care appropriate to client’s condition. Teaching based on client/caregiver level of understanding and is properly reflected in documentation.

• Assists in the coordination of care, to include preventative and rehabilitative therapy after consultation with client/family appropriate therapist or other health team member.

• Participates in intra-disciplinary team conferences as required.

• Documents client records according to agency policy. Completes clinical notes, Plan of Care and medication records in a timely, legible and accurate manner. 

• Completes OASIS assessments accurately at appropriate time points. Notes progress towards discharge planning.

• Communicates with physician and other disciplines regarding discharge planning.

• Completes all discharge summaries according to policy and procedures.

• Supervises the LPN and Home Health Aide to ascertain compliance with Plan of Care.

• Assist in assigning the Home Health Aide to a specific patient.

• Assists with supervision of Home Health Aides visits in home at least every 14 days and documents visit in the clinical record to ascertain quality of care rendered.

• Uses knowledge of nursing, biological, social science and payer reimbursement to assist with the development and revision of a medical plan of care.

• Demonstrates safety precautions in compliance with OSHA, CHAP, and Federal and State standards.

• Operates medical equipment correctly for client care.

• Documents services, client condition and response to treatment.

• Maintains current knowledge of nursing and home care agency’s policies and procedures.

• Participates in orientation of professional staff as requested by management.

• Supervises field staff with onsite visits and evaluations on an occasional basis.

• Participates in peer review, QM activities and chart audits as required.

• Participates in the PI program by utilizing suggestion boxes, customer service, and brings matters to attention of management staff.

• Maintains an understanding of the company’s scope of services. Maintains a professional image.

• Uses appropriate phone etiquette.

• Promotes a customer friendly atmosphere for all visitors and ensures client confidentiality at all times.

• Participates in accreditation program.

• Participates in call schedule according to the needs of the agency.

• Submits all clinical documentation in a timely manner according to agency policy.

• Performs other duties as assigned.

• Participates in in-service program.

• Participates in staff development programs.

Special Demands/Physical Requirements:

Office/Home Environment. May be exposed to biological hazards.

Great Benefits!

• Competitive Compensation

• Health, Dental and Vision Insurance

• Pre-tax Health and Dependent care flexible spending accounts

• Company provided life insurance and voluntary life insurance

• 403b Retirement plan with company match

• And much more!!

Contact the Human Resources Department at 850.365.9642 or email jobs@choosecovenant.org for more information. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

Will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance for interventional radiology and cardiac cath for facility coding. Under the direction of the coding manager—the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets.  

What You Will Need:

• 3-5 years ICD-10 and CPT coding experience

• 1-5 years minimum experience coding outpatient hospital interventional radiology and cardiac cath

• Must have one of the following credentials: CCS, CPC, RHIA, RHIT, or COC

• High school diploma or equivalent

What Would Be Nice To Have:

• Strong knowledge and application of government and other payer guidelines as they relate to compliant coding.

• Strong knowledge of Revenue Integrity and/or medical necessity requirements

• Experience in professional coding for intentional radiology and cardiac cath.

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What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Your Future Evolves Here

Sr Analyst, Operational Analytics

The Operational Performance Analytics team offers candidates the opportunity to work with key operational leaders to help our organization gain efficiencies and drive decision-making through analytics. We are strategic reporting analysts, advisors, and subject matter experts who accomplish our mission by using systematic approaches to measure performance and increase ROI. We value curiosity, creativity, and independence as we work collaboratively to solve complex problems.

Collaboration Opportunities: 

Your role works closely with clinical operations stakeholders to understand their operational challenges and to build analytics solutions to help them make informed, data driven decisions. These stakeholders include clinicians, operational leadership, and frontline staff. 

What You Will Be Doing:

• Working on an operational analytics team supporting Evolent’s clinical services (i.e., specialty care, utilization management, care management, appeals & grievances)

• Using analytical tools to integrate various data sources to solve challenging analytical problems that align with key strategic objectives. 

• Developing reports that assess the value of our clinical programs or create monitoring tools to identify members with complex health needs.

• Partnering with internal stakeholders to determine how to measure and report on key performance metrics for clinical services. This includes serving as a strategic partner who has a voice in determining the best path forward when faced with challenges or tradeoffs.

• Building and managing performance metrics and standard report production.

• Identifying data and reporting gaps and working with the appropriate teams to get those gaps addressed upstream.

Qualifications - Required and Preferred:

• BS or BA in Public Health, Epidemiology, Statistics, Economics, Computer Science, or equivalent years of experience with a quantitative emphasis-Required.

• 2-5 years of experience in an analytics role at a health plan, consulting firm, hospital system or other healthcare-related experience-Required.

• 2-5 years of experience using SQL or SAS (SQL preferred), and Excel-Required.

• Independent thinker with the ability to multitask and manage multiple long-term projects with varying timelines-Required.

• Willingness to develop and explore innovative approaches, adapt, execute quickly, and be comfortable with ambiguous project outlines-Required.

• Experience using a variety of data visualizations to deliver business insights clearly and succinctly- Required.

• Collaborative working style with the ability to work across different organizations and personalities-Required.

• Strong analytical abilities, with track record of identifying insights from quantitative and qualitative data-Required.

• Excellent communication skills, demonstrating professionalism and excelling at distilling complex data into digestible messages-Required.

• Experience with Python-Preferred

• Experience developing dashboards in Business Intelligence tools such as Power BI or Tableau-Preferred

Technical Requirements:

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. 

Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruiting@evolent.com for further assistance.

Company :

Job Description : 

JOB SUMMARY

This job provides Epic application software development management for IT projects. Creates plans and manages activities, within an assigned unit/area. Assesses viability of current direction/projects/operations and recommends strategies and tactics to satisfy current and future business needs. Foresees organizational impacts and understands the procedures associated with introducing new technologies.   Leads team in the areas of scheduling, direction, future planning and standard practices. Monitors and controls quality while actively seeking opportunities for improvement. Establishes and meets scheduled milestones for deliverables.

ESSENTIAL RESPONSIBILITIES

1. Communicate effectively with all levels of the organization by:

• Managing customer and expectations; facilitating, planning and meetings; translating customer expectations for staff and peers; representing Highmark with outside entities.
• Preparing written procedures, policies, reports and correspondence; collaborating and negotiating with departments corporate wide.
• Collaborating with company customers, staff, IT colleagues, and other stakeholders in identifying customer requirements, assessing impacts to other areas, considering available options, comparing costs and benefits, and recommending solutions.

2 Management Consulting

• Identify issues and recommend solutions.
• Create presentation and present concept to clients, tailoring presentation to audiences of varies levels, subject knowledge and size.
• Implement recommendations/solutions and ensure client receives the necessary assistance to carry out solutions.
• Liaising with clients to keep them informed of progress and to make relevant decisions.
• Advise clients on options, risks, cost vs benefit, impact on other business processes and system priorities.

3. Ensure continuous improvement of processes and delivery of results within assigned unit/area. 

• Organize, direct and coordinate cross-functional activities including staff not under direct managerial control.
• Encourage innovation and focus resources to ensure successful delivery of desired results.
• Apply quantitative risk assessment to team's assignments to understand potential threats and the probability they will occur.
• Lead team in mitigating risks and applying appropriate contingency plans to ensure minimal impacts to customers.

4. Provide leadership to the organization to respond to business opportunities/challenges, new technologies, legislation and other environmental factors. 

• Oversee analysis of issues or needs and review recommended solutions.
• Assess the impact of strategic business and technical changes on the environment.
• Responsible for managing all activities within an assigned business unit/area.
• Foresee organizational impacts and understand the procedures associated with introducing new technologies, while seeking ways to collaborate with other teams outside area of responsibility to facilitate transitions.

5. Optimize the utilization of resources by applying appropriate concepts, technologies and workflows

• Ability to accept direction and provide leadership to develop/maintain a high-performance work team.
• Respond to feedback and champion process improvement initiatives by empowering their team to deliver quality services/products to internal and external customers. 
• Implement solutions that are consistent with Highmark’s strategic direction.
• Keep abreast of current industry standards and trends.

6. Staff Management accountabilities to include but not limited to:

• Developing and providing input to skills assessment and oversee personal development plans as it relates to career development.
• Coaching, managing and developing employees by establishing clear goals, expectations, and strategies for employee performance.
• Develop and administer performance reviews with measurable goals.
• Provide opportunities for staff to maintain current industry knowledge.
• Provide opportunities for employees to build collaborative relationships with customers.

7. Departmental Management planning and administrative accountabilities to include, but not limited to:

• Departmental budgeting and fiscal responsibilities.
• Manage teams that span geographic areas or functional areas.
• Ensure compliance with corporate standards, policies and regulations (SOX, SSP, DIACAP, PHPLC, etc.).
• Establish and use metrics as a tool to benchmark and improve operational excellence
• Develop and implement short-term and long-term departmental plans.
• Consult and evaluate vendor solutions where appropriate.

8. Other duties as assigned or requested.

EDUCATION

Required

• Bachelor’s Degree in Information Technology, Management Information Systems, Computer Science or closely related discipline

Substitutions

• None

Preferred

• Master’s Degree in Information Technology, Management Information Systems, Computer Science or closely related discipline

EXPERIENCE

Required

• 5 years in a leadership / mentoring role
• 5 years of planning, implementing, maintaining and growing capabilities within relevant discipline
• 3 years of developing, communicating and presenting concepts to varying audience

Preferred

• Experience with Epic Hospital Billing, Epic Professional Billing, and/or Claims systems. 
• Familiarization with Epic processes and integration points with other Epic applications and 3rd party systems.
• Management experience in: employee development plans, performance evaluations, goals development
• Experience in budget administration and process improvement
• Knowledge and experience in developing strategic plans
• Demonstrated competency in the execution of multiple projects, including managing resources across multiple projects to meet goals

SKILLS

• Knowledge of company’s business practices and direction as well as familiarity with the company’s products and resources
• Knowledge of the assigned business unit/area's direction and practices
• This position is required to comply with all Highmark Corporate Policies and IT Procedures, Standards and Strategies

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:

Pay Range Maximum:

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

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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

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

The Health Information Management (HIM) Auditor ensures the integrity of data in the Electronic Health Record (EHR). Audits, analyzes and reports on data within the Electronic Health Record.

• Structures and organizes data integrity audits. Assists in the development of audit tools and data models in collaboration with appropriate technical groups. Develops any education tools necessary to ensure quality data is captured.

• Conducts and monitors audits and distributes audit tools. Works with clinics to ensure meaningful data capture. Educates staff, as needed, on the principles of meaningful use. Troubleshoots issues and adjusts audit processes, as necessary.

• Compiles and analyzes audit findings. Notes trends and patterns in EHR data. Develops standardized reports, incorporating data from other sources, as appropriate. Reports EHR data issues to management.

• Collaborates with other departments as requested to provide guidance and expertise related to data integrity issues.

• Performs other duties, as assigned.

What You Will Need:

• Bachelor's Degree

• 2+ years relevant/related previous experience (Work experience may not substitute for education experience)

What Would Be Nice To Have:

• Bachelor’s Degree in Health Information Management, Nursing or other related healthcare field

#Indeedsponsored

#LI-Remote

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Company :

Job Description : 

JOB SUMMARY

This job provides Information Security and Risk Management services for the Organization. Works with peers within security, HM Health Solutions customers and application teams to ensure alignment with current and future security needs. Manages activities of various Information Security personnel. Makes decisions on personnel actions (promotions, hiring, terminations, etc.). Develops talent, addresses resource management, cultivates capabilities of staff, planning and coordination of work, and managing performance. Conducts the oversight of security technology products for network, systems, and data. Controls expenses within the operating unit and is responsible for meeting budget goals. Actively contributes to the Information Security ans Risk Management (ISRM) strategic planning process by working with the Directors to develop and implement department strategic plans and action steps that support the corporate strategic objectives. Actively involved in the coordination, implementation, problem solving, communication, and training of new technologies and processes, as they are developed and moved into the environment. Develops and presents Information Security awareness and training programs.

ESSENTIAL RESPONSIBILITIES

• Perform management responsibilities including, but not limited to: involved in hiring and termination decisions; coaching and development; rewards and recognition; performance management and staff productivity.
• Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
• Provide oversight of all aspects of project management to ensure continuous improvement of processes: negotiate and collaborate with leadership and staff to develop security solutions and options; develop and adhere to internal standards and strategies; ensure adherence to approved methodologies; coordinate resources, time, contingency plans and risk management.
• Provide leadership to the department: lead and champion organizational change; encourage participation in activities that support relationship development; champion information security innovation; encourage and enforce proper training in regards to security issues.
• Ensure compliance to Corporate and Information Security policies, standards and  procedures.
• Communicate effectively with all levels of the organization: facilitate meetings; plan, design and provide presentations; represent HM Health Solutions with outside entities; prepare divisional procedures, policies, reports and correspondence;  spread awareness of new and existing security threats; provide oversight regarding metrics, funding, budgets and resources. 
• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor’s Degree in Information Security, Information Systems,  Information Assurance, Computer Science or related field

Substitutions 

• 6 years of relevant experience substitution for a Bachelor's Degree

Preferred

• Master’s Degree in Computer Science, Information Security or related field

EXPERIENCE

Required

• 7 - 10 years in Information Security and/or Information Risk Management and/or Information Technology
• 7 - 10 years in developing, communicating and presenting Information Security and Risk Management concepts to varying audiences                  
• 1 - 3 years in mentoring others in a leadership role                            
• 1 - 3 years in Staff Management  
• 1 - 3 years in developing and executing strategic plans to realize business objectives

Preferred

• 10 - 15 years in Information Security and/or Information Risk Management and/or Information Technology
• Experience managing an information security function using the HITRUST Common Security Framework (HITRUST CSF), or the NIST 800-83 cyber security framework                  
• Experience supporting SSAE 16 or SOC 2 Security Trust Principle audits                           
• Experience establishing budgets and meeting fiduciary goals
• Security industry organization participation/leadership (HITRUST, ISACA, InfraGard, ISC2, ISSA, etc.)

LICENSES AND CERTIFICATIONS

Required

• None

Preferred

• Certified Information Systems Security Professional (CISSP) OR
• Certified Information Security Manager (CISM) OR
• Certified in Risk and Information Systems Controls (CRISC) OR
• Information Technology Infrastructure Library (ITIL)

SKILLS

• Knowledge of regulatory requirements such as Health Insurance Portability and Accountability Act (HIPPA), Payment Card Industry Data Security Standards (PCI DSS), and FIPS-140
• Strong teamwork and interpersonal skills                              
• Experience in leading process improvement initiatives                      
• Ability to motivate high performance, multi-discipline teams                            
• Demonstrated competency in project execution
• Demonstrated abilities in relationship management

Languages (Other than English)

None

Travel Requirement
0% - 25%

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

Occasionally

Works primarily out-of-the office selling products/services (Sales employees)

Does Not Apply

Physical Work Site Required

Yes

Lifting: up to 10 pounds

Does Not Apply

Lifting: 10 to 25 pounds

Does Not Apply

Lifting: 25 to 50 pounds

Does Not Apply

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This 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:

Pay Range Maximum:

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

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

The HIM Tech II will process, analyze and ensure all medical records are complete within the required time frame. Will ensure the integrity of the electronic medical records through data analysis, review and reporting. Will provide a timely response for requests of medical information according to departmental and hospital release of information guidelines.

• Ensures the integrity of the electronic medical record through analysis and review. Interacts and communicates with medical and professional staff to assist with research, audits and timely completion of medical records

• Responds to requests for release of medical information for direct patient care from internal and external parties according to departmental and hospital guidelines

• Coordinates completion of patient’s medical record and ensures appropriate chart information is present and takes appropriate steps to secure any missing information

• Works with supervisor and/or manager to identify and solve problems, decrease any workflow restrictions, implement process improvements, and ensure timely completion of data collection

• Performs other duties as assigned

What You Will Need:

• High school diploma or equivalent

• 1-3 years prior relevant experience

What Would Be Nice To Have:

• Prior knowledge and experience in healthcare

• Excellent written and verbal communication skills

• Ability to multi-task

• Ability to problem solve

• Ability to maintain electronic records and filing systems

#Indeedsponsored

#LI-Remote

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Company :

Job Description : 

GENERAL OVERVIEW:

This job serves as the primary negotiator for Single Case Agreements related to non-contracted entities, while also being responsible for facility/ancillary credentialing for the entire Allegheny Health Network. It maintains compliance with the No Surprises Act by reviewing and  negotiating Qualified Payment Amounts, administering and serving as the subject matter expert (SME) for the Electronic Contract Repository, and maintaining Network Participation Tools for internal and external consumption.

            

ESSENTIAL RESPONSIBILITIES

• Negotiates and processes payor and employer single case agreements timely and accurately. Continually follows up on singe case agreements until complete and ensures compliance with terms of the single case agreement. Collaborates with Allegheny Health Network (AHN) Revenue Cycle and Managed Care team to ensure proper billing and timely follow-up on single case agreements. 40%
• Completes and submits facility credentialing and re-credentialing applications with all payors accurately and in a timely manner (including but not limited to hospital, ASC, and ancillary entities.) Resolves credentialing issues through collaboration with management, related departments, insurers and others as identified. Monitors and maintains key credentialing dates for all payors. 15%
• Manages Out-of-Network work queue and evaluates Qualified Payment Amounts. Ensures organizational compliance with No Surprises Act Requirements by negotiating single care agreements timely. 15%
• Administers the Contract Repository System and ensures that Managed Care Contracts are stored timely and accurately into Contract Repository system. Serves as primary intake for new contract documents and catalogs pertinent contracting language and events. Serves as department SME for Contract Repository System.  10%
• Maintains patient access matrix for internal consumption. Maintains and updates patient access matrix for external consumption. Collaborates with IT and Marketing to ensure timely updates to company websites.  10%
• Coordinates special projects and provides organizational support for the Managed Care department.  Ensures that project deadlines are met and project documentation is maintained appropriately. 10%
• Other duties as assigned or requested.

QUALIFICATIONS:
Minimum

• Bachelor's Degree in Finance, Accounting, Business Administration, Economics, Statistics, or related field , or 6 years of progressive healthcare related experience as determined by the company in lieu of bachelor's degree
• 3 years of healthcare related experience
• Advanced computer skills using Microsoft Office (Word, Excel, and PowerPoint, Adobe, etc.)
• Substantial organizational skills, including multitasking and time-management
• Reliable customer service, follow-up, and communication skills
• Ability to work effectively both independently and as part of a team
• Continuously searches for process improvements to achieve accuracy and efficiencies
• Strong critical thinking, problem solving abilities, and attention to detail

​

Preferred

• 1 year of Managed Care experience

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

Pay Range Maximum:

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

Company :

Job Description : 

JOB SUMMARY 

This job implements and administers information security policies and procedures as well as develops and maintains information systems used to uphold those security policies.  Performs various investigations into potential and existing security threats.  Enforces security policies and ensure compliance.  Troubleshoots security issues.  Evaluates security risk assessments and presents security information to workforce and management.  Assists workforce with security based questions and problems.

ESSENTIAL RESPONSIBILITIES 

• Perform operational support of information security technology.
• Perform analysis and resolve problems regarding information security.
• Complete project tasks to enable the on time, within budget and scope delivery of information security projects. 
• Present new and existing information security information to workforce and management.
• Assist in incident response procedures.
• Assist Change Management.
• Assist in conducting application risk assessments against Health Insurance Portability and Accountability Act (HIPAA) and Payment Card Industry (PCI).
• Assure compliance to required standards, procedures, guidelines and processes.
• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor’s Degree - Information Security, Information Systems,  Information Assurance, Computer Science or related field

Substitutions 

• 5 years of Information Security, Governance, Risk and/or Compliance, Information Technology or Business Analysis

Preferred

• None

EXPERIENCE

Required 

• 3 - 5 years of experience with Information Security and Systems Analysis                         
• 3 - 5 years of experience with Information Security and/or Information Risk Management and/or Information Technology
• 3 - 5 years of experience with Information Security Governance, Risk and/or Compliance functions and activities           
• 3 - 5 years of experience developing, communicating and presenting Information Security and Risk Management concepts to varying audiences                       
• 3 - 5 years of experience with technologies such as Intrusion Prevention Systems (IPS), firewalls, endpoint protection, web/email filtering, Data Loss Prevention (DLP), digital rights management, encryption, Security Event and Incident Management (SEIM), and virtualization platforms

Preferred

• 5 - 7 years of experience with information security and systems analysis                         
• Experience working within an information security function using the HITRUST Common Security Framework (HITRUST CSF), or the NIST 800-83 cyber security framework      
• Experience supporting SSAE 16 or SOC 2 Security Trust Principle audits                           
• IT/information security risk advisory experience 
• Governance Risk and Compliance (GRC) tool experience such as ARCHER                    
• In-depth understanding of network security architecture, network and networking protocol 

LICENSES AND CERTIFICATIONS

Required

• None

Preferred

• Certified Information Systems Security Professional (CISSP)
• Security+

SKILLS

• Knowledge of HITRUST CSF, NIST 800-83 cyber security framework, PCI, HIPAA, HITECH, COBIT, ISO 27001/2, and ITIL 3    
• Knowledge of NIST Risk Assessment methodology
• Familiarity with secure SDLC best practices
• Knowledge of Microsoft Apps and Suites, Windows server, SharePoint, etc.                 
• Strong teamwork and inter-personal skills

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

Travels 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)

Does Not Apply

Physical Work Site Required

Yes

Lifting: up to 10 pounds

Does Not Apply

Lifting: 10 to 25 pounds

Does Not Apply

Lifting: 25 to 50 pounds

Does Not Apply

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. 

Pay Range Minimum:

Pay Range Maximum:

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

Company :

Job Description : 

JOB SUMMARY

This job is responsible for configuring, rolling out, and supporting the assigned Epic application(s). Responsibilities include business/systems analysis, requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement solutions. 

ESSENTIAL RESPONSIBILITIES

• Plans, designs/builds, tests, implements, and supports the needs of Epic software.
• Analyzes and determines system requirements and specifications. Performs and documents workflow analysis while evaluating user experience. Supports and maintains environments or applications using domain knowledge. Creates and maintains documentation and training materials regarding the implementation of applications.
• Using knowledge of Epic, configures changes within the Epic environments to provide standardized, comprehensive workflows. Corrects issues, conducts routine maintenance, updates systems with new functionality to meet the end user's needs, and implements new technologies. Provides guidance and support to end-users to enhance the use of Epic, and offers solutions to resolve end-user system issues.
• Contributes to and manages small to medium projects independently. Updates stakeholders as appropriate on a timely basis regarding progress on assigned tasks, projects, and issues.
• Conducts problem-solving and root cause analysis to resolve routine to moderately complex problems. Identifies solutions and completes documentation.

EXPERIENCE

Required

• 3 years of systems administration experience within one or more Epic modules.

Preferred

• 3 years of experience in the healthcare industry

SKILLS

• Ability to handle analysis, design, system configuration and testing tasks at basic to moderate levels of complexity
• Excellent customer service skills
• Uses critical thinking skills for assigned tasks
• Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal teamwork. 
• Strong organizational skills in managing priorities
• Demonstrates knowledge of project management principles as they relate to assigned tasks

EDUCATION

Required

• Associates

Substitutions

• 2 years of relevant work experience in lieu of an Associate's Degree

Preferred

• Bachelor’s degree in Computer Science, Information Systems, Healthcare or relevant experience. 

LICENSES or CERTIFICATIONS

Required

• Epic Application Certification within 6 months.

Preferred

• None

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office- or Remote-based

Teaches / trains others

Occasionally

Travel from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

No

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

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:

Pay Range Maximum:

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

Company :

Job Description : 

JOB SUMMARY

This job will guide the strategy and coach a team in establishing an industry-leading design system for Highmark Health. Building scalable solutions and tools to enable design teams to create experiences that will transform healthcare and help our members live their best lives. This job will focus on developing components, documenting the design system, and supporting its growth and evolution.

ESSENTIAL RESPONSIBILITIES

• Lead cross-disciplinary teams (development, content, research, stakeholders) to solve complex experience needs by implementing an expressive, scalable, and intuitive design system across our platforms.
• Clearly define and document the decisions and design principles utilized while creating the components, including UI states, accessibility guidelines, and interactions.
• Guide and actively contribute to the creation of a scalable and elegant design system to ensure quality, speed, and innovation across the products and experiences we enable. 
• Mentor designers to understand the problems the system will solve, chunk their work into a manageable and clear plan, and properly leverage user research.
• Act as an ambassador for design championing and driving cultural change, unafraid to challenge the status quo and reimagine how we do business to deliver superior customer experiences.
• Foster collaboration by involving others as early as possible to understand their needs and determine how to improve the design process.
• Steward the system's evolution by creating efficient workflows to vet contributions and provide guidance and support to adopting design teams. 
• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor's Degree in UX Design, Human-Computer Interaction, or a design related field

Substitutions

• 6 years of related and progressive experience in lieu of Bachelor's degree

Preferred

• None

EXPERIENCE

Required

• 5 years in the Design industry with a proven track record leading designers to deliver successful products. 

To Include

• 1 year of creating and maintaining design systems

Preferred

• 1 year in highly regulated industries such as medical-device/healthcare or financial institutions 
• 1 year collaborating with Front-end engineers to support meeting the needs of a robust library and design system 
• 1 year creating accessible designs with experience working within regulations and guidelines (i.e., WCAG) to advocate for inclusive design for all users
• 1 year utilizing strong facilitation, collaboration, and consensus-building skills, with extensive experience in presenting to large cross-functional teams and Senior/Executive leaders 

LICENSES or CERTIFICATIONS

Required

• None

Preferred

• UX Certification Coursework

SKILLS

• Bring passion and curiosity about design systems, emerging technology, and design trends to help other designers understand potential pitfalls and opportunities of design systems
• Comprehensive understanding of best practices for design systems, user experience standards, and guidelines for building within digital platforms, including web, iOS, and Android
• Demonstrates strong competency of user-centered design process and execution of end-to-end product experiences and scalable design systems for medium – large organizations
• Advanced knowledge of current industry design and prototyping tools (e.g., Figma, Sketch, Principle), with a strong skillset in creating components and shared library functionalities 
• Highly organized, self-starter with the ability to work on multiple projects at once with little oversight and deliver high quality, pixel-perfect work on time in an Agile environment 
• Knack for design thinking exercises and human-centered (HCD) facilitation methods to solve complex challenges 

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

Pay Range Maximum:

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.

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PURPOSE AND SCOPE:

The registered professional nurse RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP).  This position is accountable and responsible for the provision and coordination of clinically competent care including assessment planning intervention and evaluation for an assigned group of patients. Assesses and manages patients’ response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. As a member of the End Stage Kidney Disease (ESKD) health care team this position participates in decision-making teaching leadership functions and quality improvement activities that enhance patient care outcomes and facility operations.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy procedures standards of nursing practice state and federal regulations.

• Performs all essential functions under the direction of the Supervisor with guidance from the Educator Preceptor or in collaboration with another Registered Nurse.
• Performs ongoing systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed.
• Assesses collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
• Directs and provides in collaboration with the patient home care partner direct and ancillary patient care staff all aspects of the provision of safe and effective delivery of dialysis therapy to assigned patients.
• Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness.
• Initiates or assists with emergency response measures.
• Serves as a resource for health care team participates in staff training and orientation of new staff as assigned.
• Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
• Identifies expected outcomes documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
• Ensures patient awareness related to transplant and treatment modality options.
• Assists in the identification evaluation selection and education of Dialysis candidates and Home Partners.
• Performs assessment and identifies barriers of the Dialysis candidate’s home environment and partner / family readiness and ability to perform dialysis treatments in the home. 
• Trains Home Dialysis patients and / or Home Partners on the safe effective operation and maintenance of all Dialysis equipment and treatment supplies through an organized and formal Dialysis Training Program.  
• Required to complete CAP requirements to advance.  
• Performs all other duties as assigned by Supervisor.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

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

• The position provides direct patient care that regularly involves heavy lifting moving of equipment patients and assisting with ambulation.  Equipment aids and/or coworkers may provide assistance.
• This position requires frequent prolonged periods of standing and the employee must be able to bend over.
• The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. 
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. 
• May be exposed to infectious and contagious diseases/materials.
• Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage.
• Position requires participation in on-call rotation night weekend holiday or as defined by individual program needs.
• The position may require travel to training sites other facilities or patient homes.
• May be asked to provide essential functions of this position in other locations including patient’s home with the same physical demands and working conditions as described above.
• Day to day work includes desk work computer work interaction with patients facility/hospital staff and physicians.

SUPERVISION:

Assigned oversight of LPNs/LVNs RNs Patient Care Technicians and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge after meeting all the following:

•  Successful completion of all FKC education and training requirements for new employees.
•  Must have a minimum of 12 months experience as a RN.
•  Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis.

EDUCATION and LICENSURE:

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure.
• Current or successful completion of CPR BLS Certification
• Must meet the practice requirements in the state in which he or she is employed.

EXPERIENCE AND REQUIRED SKILLS:

• Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN.
• Minimum of 1-year experience as a Registered Nurse (preferred)
• Home dialysis therapy experience (preferred).

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

"The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.
 
Hourly Rate:  $34.00 - $57.00"

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.