Medical and Health Services Managers

APPLICATION INSTRUCTIONS:

+ CURRENT PENN STATE EMPLOYEE (faculty, staff, technical service, or student), please login to Workday to complete the internal application process (https://pennstateoffice365.sharepoint.com/:b:/s/KnowledgeBaseArticlesSharing/EfiwgKReZ4VAjprFZPKWUm0Bq\_sU3KzTmERfpryq0esPKQ) . Please do not apply here, apply internally through Workday.

+ CURRENT PENN STATE STUDENT (not employed previously at the university) and seeking employment with Penn State, please login to Workday to complete the student application process. (https://pennstateoffice365.sharepoint.com/:b:/s/KnowledgeBaseArticlesSharing/Eeys15Xva4hFokHVtbP1eGIB5i1WFLc-J3k9KHgrFYZ7mg) Please do not apply here, apply internally through Workday.

+ If you are NOT a current employee or student, please click “Apply” and complete the application process for external applicants (https://hr.psu.edu/sites/hr/files/Application\_Process\_for\_External\_Applications\_Non-Penn\_State\_Employees\_.pdf) .

Approval of remote and hybrid work is not guaranteed regardless of work location. For additional information on remote work at Penn State, see Notice to Out of State Applicants (https://hr.psu.edu/current-employee/flexible-work-arrangements/out-of-state-notice?utm\_source=workday&utm\_medium=req&utm\_campaign=Oct23&utm\_id=out-of-state) .

JOB DESCRIPTION AND POSITION REQUIREMENTS:

Penn State Abington is searching for a part-time Summer Youth Program Director in the Continuing Education Department. The Director would be responsible for the planning and onsite administration of the summer youth programs. Continuation of planning would commence in May 2024 and programs would run in late-June to early-August. Planning responsibilities can mostly be performed remotely with flexible working hours. Onsite administration would take place 7:30 a.m. to 4:30 p.m., Monday-Thursday from late-June to early-August. Camps are not in session the week of 4th of July.

Job Duties Planning

+ Selection of camp topics aligning with academic majors/minors and college readiness as much as possible.

+ Identification of potential new topics

+ Coordination of curriculum development for new topics working with faculty and students working within budget

+ Scheduling of camp sessions.

+ Hiring of instructors and counselors.

+ Scheduling of camp staff.

+ Coordination of room reservations, registration intake forms, camper lunches, and supply orders.

+ Ensure youth compliance for camps according to Penn State policies.

+ Train camp staff including general orientation as well as classroom management/inclusive classroom practices skills.

+ Communicate with parents during registration process.

+ Meet with and maintain relationships with key campus partners (police department, catering, IT, etc.).

+ Support marketing efforts.

Onsite Administration

+ Day-to-day administration of camps.

+ Ensure youth compliance procedures including staff ratios.

+ Oversee pick-up and drop-off of campers.

+ Coordinate camper lunch orders.

+ Manage communication with parents.

+ Manage camp staff.

+ Manage disciplinary issues that may arise with campers.

+ Manage communication with key campus partners.

+ Oversee camper special circumstances such as medical, behavioral, etc.

Requirements/Qualifications

+ Training and experience in working with children, teens, and young adults.

+ Experience with curriculum development and classroom management.

+ Strong communication, organizational, and computer skills.

+ Ability to work independently as well as collaboratively on tasks.

+ Employment with the University for this job will require successful completion of the Pennsylvania (PA) Publicly Available Clearances: PA Child Abuse History Clearance, PA State Police Criminal Record Check, and the FBI Criminal History Background Check.

The Pennsylvania State University is committed to and accountable for advancing diversity, equity, inclusion, and sustainability in all of its forms. We embrace individual uniqueness, foster a culture of inclusion that supports both broad and specific diversity initiatives, leverage the educational and institutional benefits of diversity in society and nature, and engage all individuals to help them thrive. We value inclusion as a core strength and an essential element of our public service mission.

CAMPUS SECURITY CRIME STATISTICS:

Pursuant to the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act and the Pennsylvania Act of 1988, Penn State publishes a combined Annual Security and Annual Fire Safety Report (ASR). The ASR includes crime statistics and institutional policies concerning campus security, such as those concerning alcohol and drug use, crime prevention, the reporting of crimes, sexual assault, and other matters. The ASR is available for review here (https://police.psu.edu/annual-security-reports) .

Employment with the University will require successful completion of background check(s) in accordance with University policies.

EEO IS THE LAW

Penn State is an equal opportunity, affirmative action employer, and is committed to providing employment opportunities to all qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. If you are unable to use our online application process due to an impairment or disability, please contact 814-865-1473.

Federal Contractors Labor Law Poster (https://affirmativeaction.psu.edu/files/2022/01/Federal-Contractors-Labor-Law-Poster.pdf)

PA State Labor Law Poster

Affirmative Action (https://policy.psu.edu/policies/hr11)

Penn State Policies

Copyright Information (https://www.psu.edu/copyright-information)

Hotlines

Abington, PA

Salary: $30 - $35 / per hour

Requirements:

+ Current Registered Nurse (RN) License for the state in which the nurse practices.

+ Current Health Certificate (per facility Registered Nurse (RN) contract or state regulation).

+ Current PPD or Chest X-Ray.

+ Current BLS card.

+ One year prior Registered Nurse (RN) experience preferred.

Maxim Healthcare in (insert location) is hiring for a Registered Nurse to work with Pediatric and/or Adult patients in their own homes.

Why Join Maxim:

+ Competitive Pay & Weekly Paychecks

+ Health, Dental, Vision, HSA and Life Insurance

+ Paid Time Off

+ 401(k) Savings Plan

+ Maxcares Awards Program

Responsibilities:

+ Utilizes the nursing process to plan, implement, and evaluate patient/client care and/or services provided to client(s) receiving contracted services, as required

+ Initiates the plan of care when directed and requests from prescriber any necessary revisions as patient status and needs change

+ Incorporates therapeutic, preventive, and rehabilitative nursing actions based on patient diagnosis and established goals

+ Intervenes as applicable in response to changes in patient/client condition and reports such changes to appropriate physician or supervisor

+ Administers medications and treatments as prescribed, as well as, monitors and documents effectiveness of intervention

+ Reviews plan of care and program protocols and identifies areas for healthcare teaching/education, care coordination, goal setting and discharge planning needs, as applicable

Requirements:

+ Current Registered Nurse (RN) License for the state in which the nurse practices.

+ Current Health Certificate (per facility Registered Nurse (RN) contract or state regulation).

+ Current PPD or Chest X-Ray.

+ Current BLS card.

+ One year prior Registered Nurse (RN) experience preferred.

About Maxim Healthcare Services

Maxim Healthcare Services has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.

Maxim Healthcare Services is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Salary: $33 - $36 / per hour

Maxim Healthcare in New Wilmington, PA is hiring for a Registered Nurse to work with Pediatric and/or Adult patients in their own homes.

Why Join Maxim?

+ Competitive pay & weekly paychecks

+ Paid training and licensing

+ Flexible scheduling – PT and FT

+ College Partnership programs & opportunities for continuing education

+ Benefits*: Health, dental, vision, and life insurance. 401(k) savings plan. PTO.

Responsibilities:

+ Utilizes the nursing process to plan, implement, and evaluate patient/client care and/or services provided to client(s) receiving contracted services, as required

+ Initiates the plan of care when directed and requests from prescriber any necessary revisions as patient status and needs change

+ Incorporates therapeutic, preventive, and rehabilitative nursing actions based on patient diagnosis and established goals

+ Intervenes as applicable in response to changes in patient/client condition and reports such changes to appropriate physician or supervisor

+ Administers medications and treatments as prescribed, as well as, monitors and documents effectiveness of intervention

+ Reviews plan of care and program protocols and identifies areas for healthcare teaching/education, care coordination, goal setting and discharge planning needs, as applicable

Requirements:

+ Current Registered Nurse (RN) License for the state in which the nurse practices.

+ Current Health Certificate (per facility Registered Nurse (RN) contract or state regulation).

+ Current PPD or Chest X-Ray.

+ Current BLS card.

+ One year prior Registered Nurse (RN) experience preferred.

About Maxim Healthcare Services

Maxim Healthcare Services has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.

Maxim Healthcare Services is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Salary: $33.00 - $35.00 / per hour

Position Description: RN

The Registered Nurse (RN) is responsible for providing and documenting skilled nursing care in accordance with the care plan developed for each individual patient and within the physician’s orders. The Registered Nurse is also responsible for providing services, as directed by contract and/or program, while under the supervision of a contract/program clinical designee. The RN provides service in accordance with Maxim’s philosophy, standards and policies.

Essential Duties and Responsibilities:

+ Assesses and evaluates patient nursing needs regularly

+ Utilizes the nursing process to plan, implement, and evaluate patient/client care and/or services provided to client(s) receiving contracted services, as required

+ Initiates the plan of care when directed and requests from prescriber any necessary revisions as patient status and needs change

+ Incorporates therapeutic, preventive, and rehabilitative nursing actions based on patient diagnosis and established goals

+ Intervenes as applicable in response to changes in patient/client condition and reports such changes to appropriate physician or supervisor

+ Administers medications and treatments as prescribed, as well as, monitors and documents effectiveness of intervention

+ Assures patient/client safety at all times

+ Monitors the safety and effectiveness of the care/services environment and equipment used, including universal precautions

+ Reviews plan of care and program protocols and identifies areas for healthcare teaching/education, care coordination, goal setting and discharge planning needs, as applicable

+ Documents all physician collaboration/coordination of care in the medical record and communicates this information as needed

+ Adheres to the following professional practice standards:

+ Nurse Practice Act

+ Standards of Nursing Practice

+ Standards of Patient Care

+ Standards of Accrediting Body

+ State and Local Laws

+ Patient Bill of Rights

+ Policies and procedures of contracted customers

+ Adheres to Maxim policy, procedure and applicable protocols

+ Attends case conferences, team meetings and education in-services, as required

+ Performs other duties as assigned/necessary

Minimum Requirements:

+ Graduate of an accredited school of nursing preferred

+ Currently licensed as a Registered Nurse in specific state required

+ Complies with accepted professional standards and practice

+ One year prior professional nursing experience preferred

+ Current CPR, as applicable, for direct patient care

+ PPD or chest x-ray if applicable

+ Successful completion of Maxim Orientation and Compliance training, and all other assigned trainings as applicable required

+ Successful completion of Maxim’s Competency Program

+ Proficiency in the English language required

+ Current Health Certificate (per facility contract or state regulation) required

+ Must meet all federal, state, local and contract requirements

About Maxim Healthcare Services

Maxim Healthcare Services has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.

Maxim Healthcare Services is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Rates starting at $30 per hour. We are offering a $6,000 Sign On Bonus (to be paid throughout the first year of employment). Lutheran SeniorLife provides a comprehensive array of community based health and social service programs throughout western Pennsylvania. Our services include LIFE (Living Independence for the Elderly); skilled nursing, home health; personal care; adoption & foster care; assisted living; adult day services; memory care; hospice; palliative care; residential living; affordable housing; home safety monitoring; Meals on Wheels; rehabilitation services and private duty. LIFE is a program that serves county residents living in Armstrong, Butler, Beaver and Lawrence Counties. It is an all-inclusive comprehensive program that helps individuals maintain their independence in their home and community through supportive services. The LIFE programs offer an array of person-centered services from medical care to adult day supports with the primary goal of allowing individuals to remain in their own home. Under the supervision of the Director, Clinical & Home Care Services and working closely with the Interdisciplinary Team (IDT), the Home Care RN provides the technical, organizational, and communication skills necessary to efficiently assess the need for and coordinate delivery of home care and clinic services. The Home Care RN must demonstrate the knowledge and skills necessary to assess, plan care for and provide service to frail elders according to assigned responsibilities and LIFE-Program standards. Qualifications A registered nurse must be a graduate of a school of professional nursing. Minimum of one (1) years' experience working with the frail or elderly. Working knowledge of computers, Microsoft Word and Excel required. Benefits Lutheran SeniorLife offers growth opportunities and a variety of benefits including but not limited to: *based on employment status* FREE** Benefit Model for Full-time Employees Includes: Medical, Dental, Vision, Life Insurance and Long-Term Disability. (**No per-pay contributions for Single Coverage) Competitive Wages, Hiring Incentives, Generous Paid Time Off, Bereavement Leave & Paid Holidays Low-Cost Benefit Model for Eligible Part-time Employees Includes: Medical, Dental, Vision, Life Insurance, Long-Term Disability Additional Medical, Dental, Vision Options for Employees and Family Members Voluntary Suite of Benefits Available at Low Group Rates including Short-Term Disability, Critical Illness, Hospital Indemnity, Accident Insurance, Identity Theft Protection, Legal Services, Pet Insurance, and Additional Life Insurance Options Immediate eligibility to participate in the employer sponsored retirement savings plan Optional enrollment in a Flexible Spending Account Total Wellness and WorkLife Balance resources, discounts, programs Tuition Reimbursement, Mileage Reimbursement or Vehicle Program for Eligible Employees Career Success - coaching, training, internships and recognition program Flexible Schedule – **FT/PT Weekend and Week Day Positions, 3-12 Shifts and Casual Positions offered. **Available to specific positions. Lutheran SeniorLife and its affiliates are equal opportunity employers.

**Job ID: 109742**

The Leonardo DRS Naval Electronics business provides leading naval computing infrastructure, network and data distribution and middleware enterprise services, as well as world-class manufacturing and support capabilities.

**Job Responsibilities**

Manages and ensures the timely completion of contract requirements for production programs from start to completion to ensure that costs, schedule, lead times, capacity and goals are met, and works closely with Operations and Supply Chain. Assists in providing contractual interface, communication and coordination with internal and external customer on matters pertaining to existing production operations contracts. Uses specific knowledge in production operations and planning to research, plan, communicate and achieve objectives through program/project team. Facilitate the input from Operations to assure production readiness for new programs and awards. Engage in production engineering decisions during new product integration.

+ Manage and direct the daily execution of multiple programs within contract requirements to assure that cost, schedules and performance goals are met

+ Track all program cost, schedules and performance against established program milestones; reporting the status to management stakeholders on a regular basis

+ Develop and implement recovery plans for yellow and red programs (i.e. schedule, technical performance)

+ May be required to ensure the overall execution of material on schedule and on budget for a business area

+ May be required to collaborate on various tasks with various project teams

+ May be required to various tasks/team/project/Engineering

+ Ensures program methodologies for the LOB and/or CO and the program management directives are followed

+ Work closely with existing customers, and obtain feedback on the company’s performance

+ Work closely with business development, marketing and sales to enhance the business portfolio

**Job Responsibilities Part II**

+ Develop internal relationships with management stakeholders

+ Conducts program reviews that identify root-cause and corrective action as well as continuous improvement and financial performance

+ Work closely with Business Development to provide future opportunities for existing customers and solutions for new customers

+ Understand and develop methodologies that allow program managers to apply leading verses lagging indicators

+ Develop processes for identifying, assessing, monitoring and mitigating risk throughout the program lifecycle

+ May partner with various stakeholders on planning process and system improvements

+ Develop and understand cash flow management principles

+ Support, communicate, reinforce and defend the mission, values and culture of the organization

+ Develop and understand principles of process improvement (i.e. Lean Six Sigma)

+ May require 10+ year in the in DoD program and/or materials management and in production manufacturing operation utilizing MRP/ERP depending upon the job discipline

+ May require knowledge of DoD FAR procurement regulations

+ May require knowledge of MRP/ERP with a solid understanding of electro-mechanical assembly operations, bills of material, demand material planning, and the supply chain purchasing process

**Qualifications**

+ 10+ years relevent experience.

+ Bachelor's degree or equivalent combination of education and experience. Engineering, Finance, Supply Chain or Business degree may be preferred or equivalent combination of education and experience depending upon the job discipline

+ Knowledge of program management tools and procedures

+ Solid leadership and management skills

+ Experience throughout the program lifecycle from development through sustainment to include: proposal development, requirements decomposition, generation of system and subsystem statements of work and subcontracts, risk management, and continuous improvement efforts including implementation cost reduction and performance improvement efforts

+ Experience with earned value cost accounting and reporting; experience with metrics for assessing and reporting program progress, productivity and variance analysis

+ Experience in finance, contracting, export regulations, engineering, logistics, manufacturing and supply chain management

+ Solid problem solving skills

+ Strong presentation skills

+ Experience with managing manpower planning, project reviews, scheduling and budget control

+ Ability to manage aerospace/defense programs as a prime or subcontractor to a domestic or foreign military organization

+ Strong oral and written communication skills

+ Program Management certification preferred (i.e. PMP or DAU)

\#NEL #LI-AS1

**U.S. Citizenship required. This position requires an active DOD security clearance or the ability to obtain such clearance within a reasonable time after commencement of employment.**

_Taking care of our people is a top priority at Leonardo DRS. We are proud to offer competitive salaries and comprehensive benefits, including medical, dental, and vision coverage, a company contribution to a health savings account, telemedicine, life and disability insurance, legal insurance, and a 401(k) savings plan. We champion wellness programs that focus on physical, emotional, and financial well-being. We develop our talent by offering programs and activities to support career-growth, professional development, and skill enhancement. And we understand there is more to life than work, and the importance of offering flexible work schedules with our 9/80 program, competitive vacation, health/emergency leave, paid parental leave, and community service hours._

_*Some employees are eligible for limited benefits only_

_Leonardo DRS, Inc. and its subsidiaries and affiliates are equal opportunity employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law._

**Company :**

Allegheny Health Network

**Job Description :**

**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 permit

+ 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

Req ID: J233527

Benefits We Offer:

+ Comprehensive health, prescription, dental, vision, life, and disability plans

+ Competitive pay rates

+ Referral opportunities ? Refer a friend & Cash in!

+ Travel reimbursement and per diem allowances

+ Employee discounts

+ Educational opportunities

Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare professionals and built for healthcare professionals. As your true advocates, we will always help you thrive and pave the path forward in your career. Our talented staffing team is committed to providing exceptional customer service, great opportunities with top pay and benefits.
From Per Diem to Travel Contracts, miles away or local to you, Health Advocates Network can find you just what you are looking for. Allow us to get you to you next adventure!

Health Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies. EOE including Veterans/Disability

Benefits We Offer:

+ Comprehensive health, prescription, dental, vision, life, and disability plans

+ Competitive pay rates

+ Referral opportunities ? Refer a friend & Cash in!

+ Travel reimbursement and per diem allowances

+ Employee discounts

+ Educational opportunities

Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare professionals and built for healthcare professionals. As your true advocates, we will always help you thrive and pave the path forward in your career. Our talented staffing team is committed to providing exceptional customer service, great opportunities with top pay and benefits.
From Per Diem to Travel Contracts, miles away or local to you, Health Advocates Network can find you just what you are looking for. Allow us to get you to you next adventure!

Health Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies. EOE including Veterans/Disability

**Company :**

Highmark Inc.

**Job Description :**

**JOB SUMMARY**

This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members on a proactive basis; and analyzes qualitative and quantitative data in developing strategies to improve provider performance/satisfaction and member satisfaction. Responds to customer inquiries and offers interventions and/or alternatives.

**ESSENTIAL RESPONSIBILITIES**

+ Implement care management review processes that are consistent with established industry and corporate standards and are within the care manager’s professional discipline.

+ Function in accordance with applicable state, federal laws and regulatory compliance.

+ Implement all care management reviews according to accepted and established criteria, as well as other approved guidelines and medical policies.

+ Promote quality and efficiency in the delivery of care management services.

+ Respect the member’s right to privacy, sharing only information relevant to the member’s care and within the framework of applicable laws.

+ Practice within the scope of ethical principles.

+ Identify and refer members whose healthcare outcomes might be enhanced by Health Coaching/case management interventions.

+ Employ collaborative interventions which focus, facilitate, and maximize the member’s health care outcomes. Is familiar with the various care options and provider resources available to the member.

+ Educate professional and facility providers and vendors for the purpose of streamlining and improving processes, while developing network rapport and relationships.

+ Develop and sustain positive working relationships with internal and external customers.

+ Utilize outcomes data to improve ongoing care management services.

+ Other duties as assigned or requested

**EDUCATION**

**Required**

+ None

**Substitutions**

+ None

**Preferred**

+ Bachelor’s Degree in Nursing

**EXPERIENCE**

**Required**

+ 3 years of related, progressive clinical experience in the area of specialization

+ Experience in a clinical setting

**Preferred**

+ Experience in UM/CM/QA/Managed Care

**LICENSES AND CERTIFICATIONS**

**Required**

+ Current RN state licensure required. Additional specific state licensure(s) may be required depending on where clinical care is being provided.

**Preferred**

+ Certification in utilization management or a related field

**SKILLS**

+ Working knowledge of pertinent regulatory and compliance guidelines and medical policies

+ Ability to multi task and perform in a fast paced and often intense environment

+ Excellent written and verbal communication skills

+ Ability to analyze data, measure outcomes, and develop action plans

+ Be enthusiastic, innovative, and flexible

+ Be a team player who possesses strong analytical and organizational skills

+ Demonstrated ability to prioritize work demands and meet deadlines

+ Excellent computer and software knowledge and skills

**Languages (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

Does Not Apply

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

Does Not Apply

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely, Occasionally

**_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:**

$50,200.00

**Pay Range Maximum:**

$90,300.00

_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

Req ID: J242969