Crozer Health Remote jobs

UPMC Health Plan has an exciting opportunity for a QA Anlyst, Associate in the Operatonal Risk Integrity department. This is a full time position working Monday through Friday daylight hours. The will be a hybrid shift consisting of working from home and in the office two days per week. The Insurance Auditor Associate is primarily responsible for the review of high dollar claims and associated reporting. Responsibilities: + Maintains employee/insured confidentiality. + Understands customers including internal Health Plan Departments (i.e. claims staff, customer service, Marketing, etc.) and external customers (i.e. Health System Internal Audit, Client Audit teams) and respond to customers' requests. + Audits high dollar claims on a prospective and/or retrospective basis. + Works with Reimbursement and Configuration Specialists to ensure correct payments and identify/resolve payment inaccuracies. + Assesses, investigates and resolves difficult issues to ensure customer satisfaction. + Compiles and reports statistical data to internal and external customers. + Participates in all training programs to develop a thorough understanding of the materials presented to the claim and service staff. + Leads process improvement activities, target potential problems. + Identifies root causes and associated error trends to determine appropriate training needs and suggest modifications to policies and procedures. + Devises sampling methodology and retrieves audit samples from appropriate sources. + High school and 4 years of claims processing, experience in physician, ancillary and/or hospital reimbursement delivery systems or insurance reimbursement, including subrogation and overpayment recovery + or a Bachelor's degree required. + Basic understanding of managed care delivery systems. + Experience and knowledge of reimbursement mechanisms and clinical/procedural coding or five years of claims processing experience, including commercial and government health insurance plans and other insurance/network products. + Excellent analytical skills, familiarity with basic statistical analysis, and proficiency in utilizing PC based applications (i.e. Excel, MS access, COGNOS). + Detail-oriented individual with excellent organizational skills. + High level of oral and written communication skills. + Intermediate proficiency with Excel. + Intermediate proficiency with MS Office products.Licensure, Certifications, and Clearances:UPMC is an Equal Opportunity Employer/Disability/Veteran

Community Care Behavioral Health (CCBH) is seeking a qualified individual to fulfill the role of Regional Medical Director in Delaware County, PA. The Regional Medical Director is responsible for assuring the quality and efficiency of the health care delivered to Community Care members. This includes significant responsibility for quality management and utilization management and for assuring the adequacy of the provider network for the clinical needs of Community Care members. The Medical Director also participates in regional leadership policy decisions and strategic planning. In addition, the Regional Medical Director is a resource to participating providers in the provision of quality medical care. The Regional Medical Director would join a highly educated and motivated team of physician advisors at CCBHO who advocate well for the recovery from mental health and substance use disorders for nearly a million individuals across Pennsylvania. He or she would have the opportunity to be involved in many new initiatives some of which lend towards research and journal inclusion. This position is Hybrid and will require an in-person presence in Media, PA at least 2 days per week. The selected candidate will have some flexibility in their schedule availability (28/hrs weekly) Responsibilities: Reviews of complaints and grievances in accordance with Community Care procedures, and to assure prompt response and action at all stages of the complaint and grievance process. Works with Provider Relations to enhance the working relationship between Community Care and the providers in its network. Ensures the quality of clinical care provided to Community Care members. Focus on quality and utilization from a regional perspective to include UPMC Passavant and UPMC St. Margaret. Assures the quality of treatment and related services provided by Community Care professional staff, through participation (directly or by designee) in the ongoing quality management and audit processes. Interfaces with physician consultants and provides direction for the physician consultants. Interfaces with the Physical Health MCO's through Medical Director to Medical Director meetings and sits on appropriate committees of the PH MCOs. Reviews the medical aspects of cost and utilization reports generated by Medical Management Information System. Acts as a liaison for Community Care with community physicians, hospital staff, and other professionals and agencies with regard to psychiatric services. Serve as advisor to quality departments from a regional perspective. Supports member satisfaction with the care management process. Implements quality management programs and continuing education activities. Develops and maintains effective relationships with providers. Serves as physician advisor for UPMC Passavant McCandless and UPMC Passavant Cranberry and serves as a backup for other business units Advises the Regional Director on the development and review of programs, positions, and budgets having an impact on clinical services. Effectively reduce observation rates, length of stay, and readmission rates. Work in tandem with the UPMC Health Plan. Acts as a physician reviewer for cases referred by care management staff. Focus on clinical documentation improvement efforts thereby improving reimbursement rates. Interfaces with the Counties and DPW as indicated. Works with Quality Management in designing and evaluating protocols. Assures effective and appropriate utilization of the various levels of care in the provider network. Meets or exceeds NCQA, URAC or other regulatory standards. Participates in the appropriate committees of physical health HMO's where applicable, such as a pharmacy and therapeutics committee. Works closely with the medical directors of physical health HMO's to assure coordination between physical health and behavioral health needs and services. Qualifications: Minimum 10 years clinical experience required. Doctor of Medicine or Doctor of Osteopathy from an accredited school. Unrestricted License in Pennsylvania. Post residency clinical experience. Experience in Behavioral Health treatment and program development. Board certified in addiction medicine or board certified in addiction psychiatry preferred. At least 5 years of management experience preferred. Experience in managed care setting preferred. Ability to implement medical policies, and to enforce those policies through appropriate action. Ability to maintain effective professional liaison with all levels of executive and medical staff, including professional and institutional providers of care. Ability to implement programs of quality care analysis, peer review, and professional education. Licensure, Certifications, and Clearances: Doctor of Medicine or Doctor of Osteopathy UPMC is an Equal Opportunity Employer/Disability/Veteran RequiredPreferredJob Industries Other

Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No This is a specialty position that integrates data science, information science, and quality assurance responsible for interpreting complex medical information in electronic medical records to support critical program activities including direct patient care, regulatory, and accreditation requirements. This position is responsible for abstraction of clinical data into Geisinger's cancer registry. Conducts through review of medical data in the electronic medical record including: medical history physical findings, screening information, and any history of a previous cancer; diagnostic findings types, dates, and results of procedures used to diagnose cancer; cancer identification primary site, cell type, and extent of disease; cancer treatment surgery, radiation therapy, chemotherapy, hormone, or immunotherapy; patient identification; outcomes annual follow-up information regarding patient status, recurrence and treatment. Maintains a thorough understanding of anatomy and physiology, medical terminology, disease processes, and surgical/radiation techniques. Will ensure adherence to data management protocols as set forth in state and national requirements, in addition to Geisinger registry standards, to assist in the achievement of Geisinger's strategic goals. Job Duties: Identifies malignant, reportable-by-agreement benign or borderline disease cases as defined by the American College of Surgeons Commission on Cancer Facility Oncology Registry Data Standards (FORDS) Manual, Pennsylvania Cancer Registry Manual, and Geisinger Cancer Committees for suspense file using multiple search methodologies. Reviews and interprets clinical information in electronic and hard copy medical record to extract and maintain data in accordance with operational standards as well as state and national reporting requirements. Abstracts primary and recurrence and metastasis site data including demographics, diagnosis, history of cancer, comorbidities, stage and extent of disease, diagnostic procedures, treatments and provider information utilizing the current Facility Oncology Registry Data Standards manual. Inputs information directly into the computerized cancer registry. Completes case-finding, including review of pathology reports, the disease index, suspense list in computerized cancer registry. Codes stage of disease using the TNM Classification of Malignant Tumors (TNM) staging system in the appropriate American Joint Commission on Cancer Staging Manual. Maintains accession file on all patients entered into the cancer registry. Performs follow-up for all living patients on an annual basis to determine current disease status in accordance with FORDS guidelines. This may include medical record review, communication with physicians, other medical facilities or patients. Performs the weekly Pennsylvania Cancer Registry file submissions and quarterly correction file submissions to the state for all facilities. Crafts policies, procedures, standards, and guidelines for the Health Information Management department. Collects data from various sources, generates graphic, statistical and data table reports, composes cancer registry narrative for Cancer Center Annual Report and Cancer Center survey. Partners with various Cancer Center Committee members to ensure standards for accreditation are met and actively participates in Cancer Center survey by American College of Surgeons (ACoS). Prepares and distributes Cancer Registry Subcommittee meeting minutes. Assists with annual Survey Application Record updates as assigned. Submits data to the Pennsylvania Cancer Registry (PCR) and National Cancer Database (NCDB) via appropriate media to maintain regulatory compliance and accreditation. Develops and precepts Oncology Data Analysts Assists with duties as assigned by Health Information Management (HIM) leadership. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. * Relevant experience may be a combination of related work experience and degree obtained (Associate's Degree = 2 years; Bachelor's Degree = 4 years) Position Details: Cancer Registry Management Certificate (from an NCRA accredited program) and/or has maintained ODS credential for the past 5 years and actively working in a hospital cancer registry, required Minimum 3 years of experience in tumor registry Work from Home Eastern Standard Time (EST) or Central Standard Time Zone (CST)- Preferred Education: High School Diploma or Equivalent (GED)- (Required), Bachelor's Degree- (Preferred) Experience: Minimum of 1 year-Related work experience (Required) Certification(s) and License(s): Oncology Data Specialist(ODS) - National Cancer Registry (NCRA) Skills: Cancer Registry, Computer Coding, Computer Literacy, Critical Thinking, Working Independently OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

Are you looking to start your recruitment career? If so, the opportunity is right here! We are hiring a Recruitment Researcher to join the team! The Recruitment Researcher is a regular, full-time position that works daylight hours, Monday through Friday. A perk of this position includes a weekly hybrid work schedule that allows you to spend a portion of your week working at home! The Recruitment Researcher plays a crucial role in supporting the UPMC Presbyterian & Shadyside Talent Acquisition team. They are responsible for reviewing applications, conducting phone screens, and scheduling manager interviews. Additionally, they may help with recruitment events and new hire orientation. The ideal candidate is detail oriented and thrives in a fast-paced work environment. If you're looking to start your recruitment career and benefit from a rewarding career ladder, apply online today for your chance to join our team! Responsibilities: + Qualifying candidate calls and phone interviews. + Assist with scheduling candidates for department interviews. + Data entry for proactive candidate pipelines. + Point of contact for departmental queries. Running regular reports on a weekly, monthly and quarterly basis in addition to ad hoc reporting. + Candidate generation through online sourcing methods. + Assist in the development and execution of Talent Acquisition events. + High school diploma or equivalent required and three years of progressively responsible administrative experience required (preferably in a talent acquisition environment). + OR Bachelor's degree in Human Resources, Business, or related field required + OR successful completion of the UPMC Summer Associate Program/Pittsburgh Fellows Program required. + Experience with the MS Office package is required. + Ability to multiple tasks and projects, and forge strong interpersonal relationships within the department, with other departments, and with external audiences required. + Attention to detail, with skills in customer orientation and the ability to deal with ambiguity required.Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

UPMC Corporate Quality is hiring a Data Validaton Coordinator to join our team! This position will work Monday through Friday during standard daylight hours. After training and the orientation period has been complete, the position does allow flexibility on start and end times. Under the direction of the Senior.Manager, the Data Validation Coordinator monitors, validates, tracks and/or corrects data generated from the Cerner, CMS eCQM and Core Measurement System, GWTG/Get with The Guidelines with The Joint Commission. Completes a detailed review to validate data of downloads, accuracy statistics and quarterly/annual Patient Level Data and Error Reports. Maintains the accuracy of data reported to CMS/Centers for Medicare & Medicaid and TJC/The Joint Commission as well as PHC4 realizing the high visibility in the public eye. This information compares UPMC with external hospitals. Reporting may impact consumer hospital choices within comparing patient/physician outcomes. This position provides ongoing training and monitoring of the UPMC Abstraction Team and new Quality Nurses to ensure quality data is abstracted and submitted for comparison and reporting. The coordinator is also responsible to help transition UPMC manual abstraction to the new MU/eCQM/electronic Clinical Quality Measures while working with eMeasures Specifications to help track/identify/build/validate discrete Electronic Health Records discrete locations to help move UPMC forward with MU (Meaningful Use/governmental) requirements.Scope of the Data Validation Coordinator: Manage the overall abstraction results and eCQM reports after abstraction and before the data is released to Quality Teams at UPMC. Validating the UPMC Core Measure Data, Stroke Data, and eCQM data before that data is submitted to CMS, TJC/The Joint Commission. Responsible for alerting UPMC Quality Teams and UPMC Stroke Coordinators of any ?missed opportunities? to address front end clinical results in order to drive process improvements. The data coordinator is responsible for the training of new abstraction staff/quality nurses. Along with the continual education of the trained staff with each set of Specifications released by the government on a bi-annual basis. This requires knowledge of 16 sets of specifications across three different governmental agencies. CMS/Center for Medicare and Medicare IQR/Inpatient specifications, IPFQR/Inpatient Psychiatric Facility specification, OQR/Outpatient specifications, TJC/The Joint Commission specifications, eCQM/electroinic Clinical Quality Measures specifications, and AHA/GWTG (American Heart Association/Get With The Guidelines). This position requires continual monitoring and education of the UPMC Abstraction Team, UPMC Quality Teams, UPMC Stroke Teams, and UPMC Specialized Clinical Quality Teams to keep everyone updated and familiar with any changes needed to improve clinical quality processes. If you have prior experience with all core measures and AHA/GWTG strokes, this could be the next step in your abstracting career. Apply today! Responsibilities: + Demonstrates a service-oriented approach to the position by conveying courtesy, respect, enthusiasm and positive attitude for work responsibilities. Work closely with physicians, nurses, clinical quality staff, stroke coordinators, and informatics to assure a more robust and accurate EHR/Electronic Health Record. Show initiative and offer assistance to all department customers and UPMC Health System personnel in the completion of the department's goals. Patient care issues and inter-departmental service are the first priority as a staff member while protecting confidentiality of all patient related information by adhering to UPMC Health System and Health Information Management Department policies.? Responsible for review and validation of patient level data reports, including but not limited to, national clinical initiatives such as the CMS programs for Inpatient (IP) Quality Reporting (IQR), Outpatient (OP) Quality Reporting (OQR), Inpatient Psychiatric Facility Quality Reporting (IPFQR), all of which are required to financially maintain the CMS Annual Payment Update (APU), also known as the Market Basket Update, for UPMC hospitals. ? Reports discrepancies found in the medical record to alert upstream clinical users as appropriate (Supervisor, Sr. Manager, Quality Team(s), and Stroke Team(s). ? Attends/Contributes to UPMC Departmental meetings, Tami Minnier Monthly Team Meetings, Sepsis System Committee meetings, Bi-Monthly eCQM/electronic Clinical Quality Measures Meeting, AHA and TJC National Stroke training/educational webinars as required. Partners with Cerner/vendor to beta test software packages prior to production. + Reviews, edits, completes PHC4 Error Report which impacts our UPMC hospitals within CMS Care Compare in the public domain.? Adheres to department standards. Communicates any barriers affecting expected standards and works collaboratively with management team to meet department abstraction goals and deadlines. Directly responsible for monitoring 2-5 assigned abstractors work performance and providing extensive training on a one-on-one basis to assist abstractors with meeting system standards. Redirects abstractors on a weekly basis to help meet departmental deadlines. + Autonomously adapts to changes in the work environment and refocuses his/her team to complete work in a timely manner. ? Trains and orients new abstractors and quality staff regarding the abstraction team department policies and procedures, as well as educating on the electronic record, clinical documentation, abstraction guidelines, and validation processes.? Balance team and individual responsibilities. Contributes to team building during monthly abstraction team meetings ensuring a positive team spirit.? Performs in accordance with system-wide competencies/behaviors.? Performs other duties as assigned. + Responsible for required data capture for the Joint Commission Accreditation and Certification programs, in addition to the AHA/American Heart Association-GWTG/Get with the Guidelines-Stroke programs. + Patient care issues and inter-departmental services are the priority of this position while protecting confidentiality of all patients related information. + Responsible for understanding how the different technical systems interact within UPMC's MyApps in order to correctly direct work from home abstractors prior to reaching out to the HELP DESK. Must maintain a strong knowledge of technical systems to guide and direct staff on how to self-solve simple technical problems. + Maintains a strong knowledge base of the CMS Quality Measure Specifications with each new versions that are released twice per year through continuous maintenance of the glossary, webinars, and continuous education for Inpatient, Outpatient, Psych, Stroke, and eCQM data collection. + Maintains a strong knowledge of the current AHA/GWTG Stroke Specifications for all three levels of Stroke abstraction, Primary/Comprehensive/Acute Stroke Ready, Stroke Center facilities.? Able to create and manipulate Excel spreadsheets in order to facilitate data analysis across multiple clinical quality measures. + Create work lists for 2-5 abstractors weekly. + Autonomously thinks thorough and combines technical and clinical requirements to be able to communicate team needs to both clinical and technical partners. + Daily monitors the EHR/Electronic Health Record for changes and alerts technical team of any issues identified. + Evaluates data abstraction software performance prior to putting softwaree packages into production. Alerts technical team to any potential issues to get changes implemented prior to putting new software into production. + Performs mathematical calculations for the SEP-1 Crystalloid fluid collection and trains others to follow the step-by-step method as required in the specifications. + Biannually conducts IRR/Interrater Reliability studies on 2-5 abstractors for up to 16 abstracted measures. Re-educate on specifications based on staffing IRR results. + Works closely with Quality nurse at multiple facilities to identify opportunities to receive greater recognition from AHA/GWTG Stroke Abstraction which links directly to each UPMC Stroke hospital and their Awards of Gold/Silver/Bronze for excellence in patient care and clinical standards (AHA and TJC) Required: + A high school graduate with a minimum of two years of CMS Core Measure Abstracting experience >=2015 calendar year. + A strong knowledge of anatomy, physiology, pharmacology and medical terminology is required. + Good written and oral communication and organizational skills is required. + Analytical ability and a high degree of attention to detail are necessary to assure thorough and precise data collection and correction. Strong computer skills, including, but limited to MS Word, MS Power Point, Windows, and MS Excel applications. Ability to clearly and concisely communicate. Ability to effectively communicate and instruct new abstractors on how to read and interpret the governmental guidelines. Must be able to work with minimal supervision. + Must be able to analyze data and report trends to upper management. Internet use required.Preferred: Knowledge of IQR/Inpatient Quality Reporting, OQR/Outpatient Quality Reporting, IPFQR/Inpatient Psychiatric Facility Quality Reporting, Stroke (ASR/PSC/CSC), and eCQM/electronic Quality Measures. + A graduate of an Accredited Health Information Management Program (RHIA or RHIT is eligible). + Medical terminology, ICD-10-CM diagnosis and procedure codes and Diagnostic Related Groups (DRG). + The ability to elicit and practice cooperation and demonstrate positive morale and team effort. Must demonstrate the ability to work under pressure in a positive team-oriented manner with diplomacy and tact. Cerner or similar electronic health record system.Licensure, Certifications, and Clearances:UPMC is an Equal Opportunity Employer/Disability/Veteran

UPMC is seeking a motivated individual to join our team as an intern and gain hands-on experience in health care marketing and digital communications. In this role, you will contribute to high-visibility initiatives that elevate UPMC's clinical excellence, breakthrough research, and cutting-edge innovation. You will collaborate with two dynamic teams: UPMC Enterprises Marketing, which supports the innovation and commercialization arm of UPMC by developing marketing strategies and communications that showcase emerging digital health solutions, artificial intelligence platforms, medical technologies, and life science ventures to investors, partners, and health care leaders; and UPMC Clinical Marketing, which develops compelling campaigns and educational content to promote UPMC's world-class clinical programs and services. Together, these groups shape UPMC's mission to improve patient outcomes and define the future of medicine. As a marketing associate, you will help create impactful content, support strategic marketing campaigns, and tell powerful stories about health care innovation. This internship offers valuable hands-on experience in a professional environment, with flexibility to work remotely up to two days per week depending on departmental needs. The paid internship will be at the hourly rate of $20/hour. Apply today! Responsibilities: + Develop patient-centered stories and digital content for UPMC channels + Produce marketing materials such as physician profiles, brochures, and fact sheets + Draft and publish blog content for UPMC HealthBeat and UPMC Enterprises Insights + Assist with social media strategy, planning, and content creation + Assist in planning, organizing, and coordinating corporate events + Support multi-channel marketing campaigns across print, digital, and web platforms + Research industry trends and competitive positioning to inform strategy + Ensure brand consistency, accuracy, and compliance across all materials + Track, analyze, and report key campaign performance metrics + Contribute creative ideas during planning and brainstorming sessions + Current enrollment in a bachelor's or master's program in marketing, communications, journalism or business field preferred. + Looking for individuals entering their junior or senior year as well as those within a master's program. + Exceptional writing, editing, and storytelling skills with strong attention to detail preferred. + Familiarity with digital marketing tools and major social media platforms preferred. + Ability to manage multiple assignments and meet deadlines in a fast-paced environment. + Proficiency in Microsoft Office; experience with Canva or Adobe Creative Suite preferred. + Interest in health care, technology, innovation, and emerging digital trends. + Strong communication, organization, and collaboration skills. + Ability to work both independently and as part of a team.Licensure, Certifications, and Clearances: + Act 34UPMC is an Equal Opportunity Employer/Disability/Veteran

Provides Human Resources leadership and consultation to an assigned entity. Implements and develops appropriate Human Resources strategies in support of the goals and objectives of the entity and/or region. Consults on complex employee relations matters, drives employee engagement, provides planning, information and advice on Human Resources topics (e.g., compensation, benefits, recruitment, Human Resources policies and procedures, etc.), and serves as a conduit to the corporate Human Resources Centers of Excellence. Responsibilities Duties and Responsibilities Remote Work Capable Essential Functions: Consults with entity and human resources leaders to develop and align human resources strategy. Models and drives regional and system thinking and standardization. Supports and executes on entity and/or regional People Plans to address the Human Resources needs of the entity. Supports human resources related programs to drive organizational capabilities to meet the goals and objectives of the entity. Provides guidance and expertise to employees and management in resolving complex Human Resources issues. Along with entity senior leadership and other key stakeholders, monitors and continuously works to elevate the strength of leadership within the entity. Ensures compliance with all regulatory and legal requirements related to Human Resources activities. Serves as the entity resource for the Human Resources components of all accreditation efforts. Manages the Human Resources services of the organization in an effective manner by reducing risk and preventing litigation or costly employee relations claims. May provide direct supervision to Human Resources Business Partners. If applicable supports contract negotiations and administration, grievance and arbitration management while interfacing with union. Common Expectations: Supports human resources division and entity stewardship efforts. Maintains established policies and procedures, objectives, quality assessment, and safety standards. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. Maintains departmental reports and records and collects statistical data for administrative and regulatory purposes. Qualifications Qualifications Minimum Education: Bachelors Degree Required Masters Degree Preferred Work Experience: 5 years Progressive Human Resources experience in a large and complex healthcare delivery systems. Required

Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes The Clinical Documentation Improvement Program (CDI) is designed to improve the physician's documentation in the patient's medical record, supporting the appropriate severity of illness, expected risk of mortality and complexity of care of the patient. The role of the Clinical Documentation Improvement Specialist (CDIS) is to assist the providers with accurately identifying and documenting the healthcare services provided to the patient. This is accomplished with the recognition of complete and accurate diagnoses, procedures performed, and the treatment provided. The core of the program uses highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to be coded post discharge in a timely and accurate manner. A highly successful CDI program is based on a highly interactive process between physicians, CDIS staff and other support services. The program does not challenge the provider's medical judgement, but rather provides a methodology in which to clarify existing documentation. Acts as a liaison between the clinical and coding functions. Provides education to the medical staff and other clinical professional on documentation relevant to the Revenue Management processes and Discharge Not Final Billed reduction. Provides daily interactions with physicians and clinical professionals regarding documentation clarification and optimization. It is expected that the CDIS have previous clinical skills, including an understanding of Anatomy and Physiology in order to appropriately discuss with the physician such issues as the underlying etiology, principal diagnosis, diagnostic studies, treatment modalities, to name a few. The essential focus of this position is to analyze the clinical information, using the documentation as the primary driver for overall System Case Mix Index. Job Duties: Applicants must currently hold the required CDI certification in order to be considered for this position. Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP). This is a work from home position. The position is full-time, 40 hours weekly; Dayshift; Monday through Friday. Candidates must hold a Registered Nurse license in Pennsylvania or a Multistate License. A minimum of 3 years RN work experience is required; BSN is strongly preferred. Benefits at Geisinger: We offer a comprehensive benefits package starting on day one, including: Health, dental, and vision insurance Three medical plan choices, including expanded network options Pre-tax savings plans (FSA & HSA) Company-paid life, short-term, and long-term disability insurance 401(k) with automatic Geisinger contributions Generous PTO that accrues quickly Up to $5,000 in tuition reimbursement per calendar year MyHealth Rewards wellness program with financial incentives Family-friendly support: adoption/fertility assistance, parental leave, military leave, and Care.com membership Employee Assistance Program (EAP): mental health, legal guidance, childcare/eldercare referrals, and more Voluntary benefits: accident, critical illness, hospital indemnity, identity theft protection, pet insurance, and more The Senior CDI Specialist improves the physician's documentation in the patient's medical record, supporting the appropriate severity of illness, expected risk of mortality and complexity of care of the patient. Assists the providers with accurately identifying and documenting the healthcare services provided to the patient. The position will, through ongoing education, support the improvement and continue to sustain clinical documentation related to relative patient acuity, risk reduction, ad overall improvement and accuracy of Case Mix Index. Acts as documentation liaison to physician staff as a means of finalizing information in the medical record. Job Duties: Reviews inpatient medical records within 24-48 hours of admission for a specified patient population to: evaluate the documentation in order to assign the principal diagnosis, relevant secondary diagnoses, and procedures for accurate DRG assignment, risk of mortality, severity of illness Formulates queries when it is determined there is missing documentation, conflicting documentation or unclear documentation. Attends physician rounds on assigned units, as well as interdisciplinary team meetings as appropriate to daily patient assignment. Provides on-going education to physicians and essential healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the patient's record. Collaborates with the nursing staff, clinical nutrition, pharmacist, along with the physicians on documentation in an attempt to resolve queries prior to the patient's discharge. Identifies strategies for sustained work process changes that facilitate complete, accurate clinical documentation. Maintains the confidentiality of all information acquired, pertaining to the patient, physician, associates, and visitors to Geisinger. Promotes a partnership with the Inpatient Coding staff, to provide clinical education, to assure documentation of discharge diagnosis and any secondary diagnoses' to reflect the accuracy of the patient's clinical status and care. Acts as a resource person for the interdisciplinary team in order to promote collaboration and coordination of patient care considering age specific, developmental, cultural, and spiritual needs of the patient. Complies with established hospital and Department Policies, Procedures Assists the Director with daily organization of CDI work flow at all Geisinger facilities. Communicates and partners with the CDI Director regarding issues in need of a coordinated resolution. Position Details: Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position. Education: Bachelor's Degree-Healthcare Related Degree (Required) Experience: Minimum of 3 years-Nursing (Required) Certification(s) and License(s): Basic Life Support Certification - Default Issuing Body, Certified Clinical Documentation Specialist - Default Issuing Body, Clinical Documentation Improvement Practitioner - Default Issuing Body, Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania Skills: Communication, Computer Literacy, Medical Records Management, Medical Records Systems, Teamwork, Working Independently OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

**UPMC OPR Hospital Operators is hiring a full-time Telephone Operator to join their team! Our OPR Hospital Operators team is the largest group and reach of operators in Western PA. This position will answer inbound calls into the UPMC tollfree line, Children's, Magee, Presbyterian, and Shadyside, with a partnership with Passavant's McCandless and Cranberry campus for overnight calls, which, on average, is a 2.1 million call volume annually, to send pages and to connect to patients and offices.** **You will also facilitate codes and medical consults for our hospitals.** This position will work the afternoon shift, which operates from 3:00 pm to 11:00 pm. Rotating holidays are required. This position will offer a hybrid work-from-home opportunity, after specific training and benchmarks are met, but applicants must be located or willing to relocate within 1-hour of Pittsburgh. Previous call center experience is highly preferred! **Responsibilities:** + May train new operators. + May be required to do system data entry on request. + Provide service to multiple answering service clients utilizing individualized protocols. + Process the appropriate emergency code or STAT page. + Initiate voice pages when required. + Provide physician-on-call information to requesting individuals. + Use required phrasing at all times when answering telephone calls. + Provide dialing instructions to patients when requested. Answer multiple lines while maintaining good customer service. + Determine caller's requirements (extension desired, information requested, etc.) and transfer call. + Provide a status report on any page in progress to the individual requesting the page. High school graduate or equivalent. 1 year of experience answering and processing calls through automated phone system or 1 year of customer service experience. Must be able to work all shifts, 7 days a week. Ability to interpret procedure manuals (i.e., fire, trouble, disaster, etc.). **Licensure, Certifications, and Clearances:** + Act 34 **UPMC is an Equal Opportunity Employer/Disability/Veteran**

The Application Analyst is responsible for supporting and enhancing TUHS applications. This includes adding new features, testing applying vendor releases/system upgrades, and addressing system defects. Additionally, will analyze the technical and functional aspects of the application, define system requirements, and develop logical data models. Will also educate cross-functional application teams and TUHS stakeholders on system functionality, adhere to change management procedures, thoroughly document assigned applications, and communicate all application changes to internal department teams. This role requires three days on-site (Tuesday, Wednesday and Thursday) at Temple Health Women's and Families Hospital. Education High School Diploma or Equivalent Required Bachelor's Degree in relevant field Preferred Experience 2 years experience in related role with proficient ability to troubleshoot, research, and solve complex problems Required General Experience and knowledge of basic hardware configurations, database management tools, and query language Required General Experience in Healthcare IT Preferred Licenses Your Tomorrow is Here! Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University. To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here! Equal Opportunity Employer/Veterans/Disabled An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Your Tomorrow is Here! Temple Health is committed to setting new standards for preventing, diagnosing and treating major diseases in our community and across the nation. Achieving that goal means investing in our employees' success through staff and leadership development. Our recruitment strategy is to attract and retain a diverse, high performing workforce that fosters a healthy, safe and productive environment for our patients and colleagues alike.

Cash Posting Analyst-Hybrid - (256821) Description The Cash Posting Analyst is responsible for receiving and accurately applying payments from patients and insurance companies to the patient and/or clearing accounts. Will reconcile transactions to ensure proper balancing and identify discrepancies. Will work in the clearinghouse system and payor portals to match remittance and cash deposit files. Resolve any errors and run reports on remittance work queues. Assist with ensuring that PLB payments are routed and matched appropriately. EducationBachelor's Degree Business, Healthcare or related field Required or Combination of relevant education and experience may be considered in lieu of degree RequiredExperience4 years experience in Healthcare Business, Accounting, and/or Finance RequiredGeneral Experience working in cash office, billing and invoicing, operations or finance RequiredLicenses Your Tomorrow is Here!Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc. , and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University. To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here!Equal Opportunity Employer/Veterans/DisabledAn Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Your Tomorrow is Here!Temple Health is committed to setting new standards for preventing, diagnosing and treating major diseases in our community and across the nation. Achieving that goal means investing in our employees' success through staff and leadership development. Our recruitment strategy is to attract and retain a diverse, high performing workforce that fosters a healthy, safe and productive environment for our patients and colleagues alike. Primary Location: Pennsylvania-PhiladelphiaJob: FinanceSchedule: Full-time Shift: Day JobEmployee Status: Regular

Purpose: UPMC Hillman Cancer Center is internationally recognized for its leadership in the prevention, detection, diagnosis, and treatment of cancer and is the region's only comprehensive cancer center designated by the National Cancer Institute. As the preeminent institution in western Pennsylvania for the delivery of cancer care, the performance of basic, translational, and clinical research, and the education of the next generation of cancer researchers and physicians, UPMC Hillman Cancer Center is exceptionally well-positioned to contribute to the global effort to reduce the burden of cancer. UPMC Hillman Cancer Center is currently hiring for a regular Full-Time Staff/Sr. Medical Dosimetrist to support the St. Clair Health Cancer Center, affiliated with UPMC Hillman Cancer Center located in Mt. Lebanon/Pittsburgh, PA. This role offers a hybrid work arrangement with on-site duties, work-from-home capability and will work a regular Full-Time schedule Monday through Friday. The candidate will join a local team of two physicists, one other dosimetrist, and two radiation oncologists treating patients on Varian TrueBeam and IX linear accelerators supported by an integrated ARIA/Eclipse infrastructure. Treatment techniques at St. Clair Health include 3DCRT, IMRT, VMAT, SBRT, respiratory gating, and deep inspiration breath hold. This position is supported by a larger team of 30+ dosimetrists across the UPMC Hillman Cancer Center Network and provides competitive salary and benefits. St. Clair Health is in a beautiful suburb south of Pittsburgh with access to nearby parks, restaurants, shopping, and some of the best school districts in Pennsylvania. The medical dosimetrist is responsible for generating clinically optimal treatment plans for radiation therapy patients in collaboration with radiation oncologists, radiation therapy technologists, and medical physicists. This includes participating in CT simulation, radiation treatment planning, quality management for radiation oncology patients, and communicating with the clinical team during treatment planning and treatment plan implementation. We offer a Dosimetry career ladder which allows our staff to grow within the field at UPMC Hillman Cancer Center. The incumbent will be placed into the appropriate level of our Dosimetry Career ladder based on education and experience. + Staff/Sr. Dosimetrist salary range between $48.08/hr. to $69.76/hr. + Sr. level requires three (3) years of post-graduate clinical medical dosimetry experience. Responsibilities: + Participates in acquisition of patient data via computer generated data sets from medical imaging devices such as CT, PET, MR, etc., or manual methods such as physical measurements and wire contours, and incorporation of these data into radiation treatment plans, calculations, and treatment devices. + Assists the RTT in the treatment simulation process including the use or necessity of ancillary treatment devices, patient immobilization techniques, and other patient positioning techniques as needed for simulation and treatment. Assists in fabrication of these ancillary treatment devices. + Contours and delineates clearly discernable normal critical structures and expanded planning structures using different imaging modalities. + Performs rigid and deformable image registration for multi-modality image sets. + Applies the principles and concepts of radiation physics in radiation treatment planning, which includes, but is not limited to: 2D treatment planning, 3D conformal treatment planning, intensity modulated radiation therapy (IMRT) treatment planning, 4D treatment planning, volumetric modulated arc therapy (VMAT) planning, stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT) planning, and brachytherapy treatment planning. + Applies knowledge of radiobiology with respect to dose tolerances, time dose fractionation calculations, hypofractionation, BED and EQD2 calculations and other applications of radiobiology to the radiation therapy treatment process. + Accurately performs radiation dose calculations, both manual and computer generated, for treatment delivery including the effects of beam modifying devices, irregular fields, gaps for adjacent fields, and off-axis calculations. + Participates in special treatment procedures including, but not limited to, total body irradiation (TBI), total skin electron irradiation (TSEI), intra-operative radiation therapy (IORT). + Assists with quality assurance procedures as directed by a qualified medical physicist. + Performs or assists with patient-specific radiation measurement including, but not limited to diodes, optically stimulated luminescent dosimeters (OSLD), ion chambers, thermo-luminescent dosimeters (TLD), or film measurements as directed by the MP. + Assists with high dose rate (HDR) and low dose-rate (LDR) brachytherapy procedures including patient set up, simulation, and treatment planning. + Participates in quality management in accordance with departmental policies, national guidelines, and accreditation standards. + Performs routine chart checks per departmental policy. + Participates in charge capture and generates documentation for billing in accordance with departmental policies. + Participates in clinical research for the development and implementation of new techniques in radiation therapy. + Participates in educational activities such as providing instruction and training to new staff members, physician residents, physicist residents, RTT trainees, and medical dosimetrist trainees. + Maintains an atmosphere of caring, concern, and support for patients, visitors, medical staff, and colleagues. + Performs miscellaneous job-related duties as directed by supervising medical physicists. + Adheres to high ethical standards in relation to patients, students, trainees, and colleagues. + Ensures accurate data transfer of patient and treatment plan information to clinical systems including but not limited to record and verify systems, imaging guidance systems, surface guidance systems, treatment delivery systems, and electronic medical record systems. + Utilizes critical thinking skills when performing radiation treatment planning, plan evaluation, recognizing and resolving equipment problems and treatment discrepancies. + Maintains a commitment to a high degree of accuracy, attention to detail, and safety. + Communicates with the radiation oncologist during the treatment planning process and participate in communicating the plan to the medical physicist and radiation therapy technologists for plan implementation. + Generates clinically optimal treatment plans utilizing knowledge of anatomy and physiology, radiation biology and oncology, radiation safety and protection, mathematics, radiation therapy techniques, physics, and technology. + Bachelor's degree preferred. + Completion of a Medical Dosimetry educational program accredited by the Joint review Committee on Education in Radiologic Technology (JRCERT) + Board certified by the Medical Dosimetrist Certification Board (MDCB). + Board eligible candidates must become board certified within two attempts in the first two consecutive years of employment.Licensure, Certifications, and Clearances:Certified Medical Dosimetrist (CMD) or board eligibility required. Must maintain adequate CE credits to retain certification. CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Join our team and be a dedicated supporter of patient access and care. Our team receives and places calls to schedule medical appointments for our patients, ensuring alignment with patient preferences and physician-specific guidelines. We collect and maintain accurate, essential patient information related to registration and insurance. We respond to non-scheduling inquiries and route calls appropriately. Geisinger is proud to offer a minimum starting rate of $15.25 per hour for full-time Patient Contact Specialist positions. Higher starting rates are available based on relevant experience. Our shifts that include evening hours receive shift differential of $2.00 per hour during those hours. Job Duties: Work Schedule: Shifts will be assigned based on business and specialty need and may vary within the Patient Contact Center's hours of operation, which are Monday through Sunday, 7:00 AM to 9:00 PM. Skills required: Proficiency in computer operations, including the ability to efficiently navigate and manage tasks across multiple monitors. Candidates should demonstrate adaptability in learning and using various software applications and programs, with a strong aptitude for quickly mastering new digital tools and systems. This includes familiarity with standard office software, web-based platforms, and proprietary systems, as well as the ability to troubleshoot basic technical issues independently. Preferred Experience: Familiarity with medical terminology is strongly preferred, as it supports effective communication and understanding within a healthcare environment. Job Description: Completes all appointment scheduling, cancellation and confirmation requests by matching patient preferences with documented, physician or diagnostic specific scheduling guidelines to provide the first available appointment in conjunction with patient preferences for time, date and location of each appointment. Respond to non-scheduling inquiries and route calls appropriately. Coordinates and completes accurate basic registration, demographic and insurance information to ensure timely and accurate payment for services while scheduling appointments. Provides one-call resolution whenever possible. Processes multi-channel messages related to patient and physician requests such as appointments, referrals, prescriptions and complaints. Achieves and maintains quality and service goals related to contact center metrics. Functions as a team member to organize and prioritize responsibilities to complete daily work assignments. Assists with training initiatives for new hires. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Position Details: Work at Home requirements: To ensure a productive and secure remote work environment, the following conditions must be met: Quiet, Dedicated Workspace: A private, distraction-free area within your home to support focused work. Adequate Workstation Setup: Sufficient space to accommodate all employer supplied equipment, including monitors, keyboard, and other peripherals. High-Speed Internet Connection: Connection Type: Cable modem only (DSL, wireless cellular, and satellite services are not permitted). Minimum Speed Requirements: Download: 75 Mbps Upload: 25 Mbps Ping: Less than 150 ms Jitter: Less than 30 ms Connectivity: The computer must be connected via Ethernet cable. Wi-Fi is not permitted unless a Virtual Private Network (VPN) is used to secure the connection. Education: High School Diploma or Equivalent (GED)- (Required) Experience: Minimum of 1 year-Related work experience (Required) Certification(s) and License(s): Skills: Communication, Computer Literacy, Customer Service OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

Position Overview: Join a dynamic and collegial radiology team delivering high-quality imaging services across community-based sites in the greater Philadelphia area. This position offers the best of both worlds: the autonomy and patient connection of community practice, backed by the resources, subspecialty support, and academic prestige of a nationally recognized hospital system. Key Responsibilities: * Interpret a broad spectrum of imaging studies including X-ray, CT, MRI, and ultrasound * Provide timely and accurate diagnostic reports for outpatient and inpatient settings * Collaborate with referring physicians to optimize patient care * Participate in quality improvement initiatives and multidisciplinary conferences * Optional academic engagement including teaching, research, and subspecialty collaboration Qualifications: * Board-certified or board-eligible in Diagnostic Radiology * Eligible for medical licensure in Pennsylvania * Fellowship training welcomed but not required * Strong communication skills and a commitment to patient-centered care What We Offer: * Competitive compensation and comprehensive benefits package * Flexible scheduling with opportunities for remote work * Access to cutting-edge technology and subspecialty consultation * Support for professional development and CME * Pathways to academic involvement through the affiliated medical school About Us: This position is part of a robust radiology network integrated with one of Philadelphia's premier academic health systems. Our community sites serve diverse populations and maintain close ties to the academic flagship, ensuring continuity of care and access to advanced imaging and specialty expertise. Location Perks: * Vibrant city life with rich history, arts, and culture * Excellent schools and family-friendly neighborhoods * Easy access to New York City, Washington D.C., and the Jersey Shore Ready to make an impact in a community setting with academic support? Submit your CV and cover letter to Shawn Hartigan: ****************************** We look forward to welcoming you to our team!

Temple Health is seeking Body Imaging Radiologists to join our esteemed faculty. Temple radiology specialists use state of the art imaging technology to help diagnose and treat a variety of health conditions. As part of our welcoming team of more than 45 world class radiology specialists, you will work in a collaborative environment that fosters professional growth and camaraderie. This role provides a unique opportunity to enjoy a fulfilling career while maintaining a flexible and rewarding schedule. Additional information about the Radiology program can be found here: Temple Department of Radiology Why Temple? * Work remote 1 day/week * Academics: teach residents, medical students * Early sign-on bonus * Located in Philadelphia, a vibrant city known for its rich history, culture, and entertainment. The city offers easy access to a range of amenities and attractions, making it a desirable place to live and work * We are especially interested in candidates from diverse backgrounds and underrepresented groups. For more information about diversity at the Lewis Katz School of Medicine, please visit the Office of Health Equity, Diversity, and Inclusion. Candidate Qualifications: * MD, DO, or international equivalent * Successful completion of residency in Radiology and fellowship in Abdominal Imaging from ACGME-accredited programs prior to the start date * Board eligibility or certification in Radiology * Ability to obtain an unrestricted medical license & DEA from the Commonwealth of Pennsylvania prior to employment Features and Benefits * Compensation consistent with leading academic institutions and CME Funds * Vacation, Holiday, Sick and CME Time * Generous 403b retirement match * 457b * Health, dental, and vision * Malpractice * Tuition remission * Savi- student loan repayment program We are committed to fostering a welcoming environment for students, faculty, and staff. We believe that diversity (of experiences, thought, etc.) enriches our learning environment and strengthens our academic community. We encourage applications from individuals whose backgrounds, experiences, and perspectives will enhance our commitment to these values. About Temple Health: Temple Health is a major Philadelphia-based academic health system that is driving medical advances through clinical innovation, pioneering research and world-class education. The health system's 1,550+ physicians and scientists share a common mission of bringing tomorrow's treatments to the bedside today, helping them achieve outcomes once thought impossible. Temple Health is an educational partner with the Lewis Katz School of Medicine at Temple University, providing medical education to the next generation of physicians and biomedical scientists. About Philadelphia: Located in the heart of Philadelphia, TUHS provides access to a diverse and culturally rich city with thriving neighborhoods, arts, and cuisine. "Philadelphia is a city of firsts: first hospital, first library, first medical school. It's a place where big ideas come to life." - Alexander Hamilton Procedure for CandidacyTo be considered for this position, you must complete an online application. Your application will not be considered complete until you have submitted all the required documents and information. Application materials should include: a curriculum vitae; a personal statement stating your qualifications, professional goals, three professional references, names/contact information, and a statement describing working effectively in an urban environment is strongly encouraged. Please address your application to: Gary Cohen, MD, Professor and Chair, Department of Radiology, Temple University Health System, C/O Bill Mawhinney, Senior Recruiter, Office of Physician/Faulty Recruitment and Retention, Lewis Katz School of Medicine at Temple University, Email: ********************************* Equal Employment Opportunity Statement Temple University values diversity and is committed to equal opportunity for all persons regardless of age, color, disability, ethnicity, marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status protected by law.

UPMC Health Plan is looking for Pharmacy Clinical Review Specialist I positions in the Pharmacy Services department. This is a full time position working Monday through Friday 11:30am to 8:00pm and weekend rotations. The Clinical Review Specialist will oversee administrative and system processes that relate to pharmacy prior authorizations. Manage the first line clinical review of prior authorization requests on behalf of physicians and UPMC Health Plan members. Collaborate with clinicians regarding supporting medical documentation in accordance with formulary guidelines. Manage the quality review of requested prior authorizations. Schedule is 1130am-8pm, Monday-Friday with a Saturday rotation monthly. Training schedule will be 830am-5pm Monday-Friday. Equipment will be provided. As this position is remote, please understand that we do have the ability to have staff report to and work from our primary location, US Steel Tower as well. Responsibilities: + Provide excellent internal and external customer service maintaining a second requests for information and customer complaint goal of zero. + Act as a conduit of information between the Pharmacy Service Representatives and the clinical staff + Subject matter expert on formulary exceptions and prior authorization requirements/time frames according to line of business. + Perform peer reviews of prior authorization requests. + Maintain or exceed designated quality and production standards. + Develop and maintain the pre-logic and clinical criteria in support of the prior authorization determination process. + Interface with other departments and identify medical documentation in support of prior authorization requests. + Complete standard/expedited pharmacy coverage determinations according to departmental/government guidelines. + Report and respond to escalate issues and concerns in a within twenty-four hours. + Process requests and inquiries in accordance with all governing regulatory agencies including but not limited to CMS, DPW, DHHS, HCFA, DOI and NCQA laws and standards. + HS diploma and pharmacy claims, pharmacy tech, and/or other related experience in a physician practice, ancillary provider, or other relevant healthcare setting required. + Competent in pharmacy claims process operating system. + Excellent knowledge in UPMC's Health Plan internal department functions. + Excellent knowledge of medical terminology, coordination of benefits, complaints and grievance guidelines and prescription drug utilization management requirements. + Thorough knowledge in MS Office and PC skills required. + Organizational, analytical, interpersonal, and communication skills. + Ability to prioritize and perform multiple tasks while maintaining designated production and quality standards. + Staff is required to work scheduled overtime and be available for emergency overtime as business needs dictate. + Staff is required to work a temporary, alternative schedule or shift as requested by supervisor.Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

The University of Pittsburgh Medical Center (UPMC) in Altoona, PA is seeking a General Radiologist to join our world class health system. Option for tele-radiology or on-site as well as full-time or part-time positions. Candidate must be residency trained in general radiology. About the Position + Flexible Scheduling + Full or part time + Join a group of 19 Radiologists including, 6 Neuroradiology/MSK/Body Imaging, 2 Mammographers (one part time), 2 Interventional Radiologists, 2 Nuclear Medicine/PET Radiologists, Physician extenders and several nurses + Option for an academic appointment if desired + Live in a great community while having the support of UPMC through teleradiology. The UPMC Department of Radiology is one of the largest academic departments in the country with over 184 Radiologists, 31 research faculty, 67 residents and fellows. + Visa sponsorship + Phillips iSite and Powerscibe which will convert to Phillips Vue PACS. Cerner is used as the inpatient EMR and EPIC as the outpatient. Will be all EPIC fall 2025. What we Offer + Earning potential $700K plus + Sign-on bonus + Competitive base salary commensurate with experience plus lucrative incentive plan + Relocation expenses + Outstanding benefit package including health, dental, vision and pension + Option to earn significant additional income + CME allowance + Work at a busy community hospital + Employed by UPMC Altoona Regional Health System About UPMC Altoona and UPMC + Part of the University of Pittsburgh Medical Center's 40+ hospital network + 400-bed regional tertiary health care system for residents in central Pennsylvania + Joint Commission certified thrombectomy capable stroke center with 24/7 care and a renowned interventional neurology program + Other signature services include Level lll Trauma Center, UPMC Hillman Cancer Center, UPMC Heart & Vascular Institute, UPMC Magee Womens + 400 primary care and specialty credentialed physicians on medical staff + 'A' patient safety grade in Leapfrog's most recent hospital safety survey + 4-star quality hospital, as rated by Centers for Medicare and Medicaid services (CMS). + HeartCARE Center National Distinction of Excellence award recipient by the American College of Cardiology. + UPMC is a $23 billion world-renowned health care provider and insurer + 92,000 employees, including 4,900 physicians + Over 40 academic, community and specialty hospitals + Over 800 doctors' offices and outpatient sites + UPMC is inventing new models of accountable, cost-effective, patient-centered care + Closely affiliated with the University of Pittsburgh About the Community + Choose to live in the Altoona/Hollidaysburg area or State College (hometown of Penn State University's main campus). Both communities offer safe and enriching environments to enjoy work/life balance + Located in the Altoona/Blair County/Central Pennsylvania region + Very reasonable cost of living + Excellent school systems + Abundant cultural amenities including theatre, symphony, minor league baseball, transportation history, festivals, Big10 sports and national touring performing artists + Centrally located with easy access to larger, neighboring cities. Between 40 minutes to 4.5 hours to major cities including Pittsburgh, State College, Philadelphia, DC, and NYC. + Mountains to climb and ski, rivers and lakes to paddle and fish, trails and roadways to bike, numerous golf courses, tennis and pickle ball courts - right here! + Everything you need within a 15-minute drive - no rush hour traffic, no parking fees Must have an MD or equivalent, be BC or BE in Radiology with the ability to obtain an unrestricted PA license.

UPMC Health Plan and WorkPartners is looking for an Integrated Data Analyst, Associate to produce in-depth reporting and analytics for employer group clients, internal business line leaders and executive management. This role will work remotely and may reside anywhere within the US. Candidates must be available to work ≥75% of standard business hours aligned with the Eastern Time Zone. The Analyst will help identify and monitor health and absence risks in populations and evaluate the impact of implementing integrated health and productivity solutions. As a support for business line leaders, the Analyst will demonstrate the ability to deconstruct existing business processes and make specific recommendations for operational improvements. The position has potential for exceptional career growth opportunities. Additionally, the Analyst must be willing and comfortable presenting and actively engaging in meetings. The ideal candidate will possess: + Proven experience in data analysis + Hands-on experience with data mining and data manipulation + Strong technical aptitude; experience with PowerBI, Python, SQL, SAS, and/or SSRS is a plus Responsibilities: + Meet deadlines and turnaround times set by managers and department director (these deadlines and turnaround times will, at times, require the employee to work until the project is completed, meaning extended daily work hours, extended work weeks, or both). + Design, construct and summarize in-depth analyses. + Apply data-mining, statistical and advanced modeling techniques. + Create and maintain operational and customer-facing reports supporting UPMC Health Plan and WorkPartners products. + Compare performance against regional, national and international benchmarks. + Document requirements and define project scope and objectives under the direction of senior-level Analysts. + Regularly collaborate with team members and see projects through to completion. + Complete tasks with an emphasis on quality and accuracy. + Explain findings to both technical and non-technical audiences, including customers and senior management. + Bachelor's degree in analytics, economics, mathematics, computer science, statistics or a related field required. Equivalent work experience will be considered in place of the degree. + Data analytics experience strongly preferred. + Strong computer skills preferred + Experience with Microsoft Office Suite (specifically Excel) is critical. + Experience with PowerBI, Python, SQL, SAS, and/or SSRS is a bonus. + Previous data mining and/or data manipulation experience is a bonus. + Previous coding experience is a bonus. + High degree of professionalism, enthusiasm, autonomy and initiative. + Ability to work in a fast-paced environment. + Ability to manage multiple tasks and projects, and forge strong interpersonal relationships within the department, with other departments, and with external audiences. + Attention to detail is critical to the success of this position. + Interpret and communicate to management and colleagues, verbally and through written reports, the results of complex, quantitative analysis.Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Part Time (48 Hours Biweekly) Shift: Evening/Night 6:30 p.m. - 7:00 a.m. Two 12-hour shifts per week Every third weekend (Saturday & Sunday) and one major and one minor holiday per year Inpatient Central Monitoring Services Inpatient Central Monitoring Services (IP CMS) is a system-based, remote surveillance team that monitors ECG/EKGs, pulse oximetry, and other vital signs. IP CMS also provides tele-sitting (video monitoring) services. IP CMS is committed to standardizing and improving telemetry and video monitoring services to improve patient outcomes. General Summary Uses specialized software to monitor cardiac rhythms, pulse oximetry, and/or other vital signs as ordered. Communicates routine and unpredicted findings to the direct care providers in a timely manner, as appropriate. Documents findings and notification of findings in the patient's electronic health record. Duties and Responsibilities Essential Functions: * Monitors assigned patients for changes to baseline cardiac rhythm, oxygenation, or other vital signs as ordered. * Responds to alarms and/or changes from baseline in a timely manner and communicates changes promptly to direct care staff. * Documents interpretation of cardiac rhythms and event-associated communications with highest quality. * Exercises professional levels of verbal and written communications. * Utilizes a variety of computer applications to handle data as it pertains to telemetry utilization, patient management, patient acuity, etc.. * Efficiently supports the management of telemetry devices at specified entities as applicable. * Collaborates with the direct care staff to ensure ordered monitoring parameters are accurately and continuously monitored with the least amount of disruption to visualization of waveforms. * Serves as a resource to others for multiple applications and technology by maintaining knowledge base of such. (e.g., Epic, Microsoft teams, cardiac rhythm monitoring software, technology required to support continuous monitoring, etc.). * Accurately "enters tickets" for equipment and/or application malfunctions. * Serves alternate roles that aim to support team members who are actively monitoring patients (assisting with rhythm interpretation, providing break coverage, etc.). Common Expectations: * Demonstrates commitment to the ongoing acquisition of knowledge as it pertains to the principles of cardiac dysrhythmias and oxygen saturation related monitoring. * Demonstrates a commitment to patient, visitor and staff by: complying with all applicable patient safety regulations and precautions; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and "error proof" systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required. * Demonstrates interpersonal communication to enhance/maintain good relationships. Displays a positive attitude as demonstrated through verbal and non-verbal communication. * Takes a proactive approach to solving problems or behaviors, and in continuous improvement. * Demonstrates behavior consistent with System mission, vision, goals, objectives and patient care philosophy. * Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation. Qualifications Minimum Education: * High School Diploma or GED Required Work Experience: * Less than 1-year Relevant experience. Required Licenses: * Basic Life Support Upon Hire Required * Certified Rhythm Analysis Technician Upon Hire Preferred Courses and Training: * Successful completion of EKG course and associated competency exam Upon Hire Required * Previous training in rhythm analysis and recognition training Upon Hire Preferred Knowledge, Skills, and Abilities: * Excellent communication/interpersonal skills. * Advanced computer skills and ability to use various software applications in a windows environment. * Ability to multitask and prioritize competing high priorities * Basic understanding of medical terminology Benefits Offered: * Comprehensive health benefits * Flexible spending and health savings accounts * Retirement savings plan * Paid time off (PTO) * Short-term disability * Education assistance * Financial education and support, including DailyPay * Wellness and Wellbeing programs * Caregiver support via Wellthy * Childcare referral service via Wellthy Benefits & Incentives | WellSpan Careers (joinwellspan.org) WellSpan Health's vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest. WellSpan York Hospital Built on a solid 140-year legacy of providing high-quality, high-volume, community-based care, WellSpan York Hospital, the largest of WellSpan's eight hospitals, is a 596-bed acute care community teaching hospital that employs nearly 5,000 people, making WellSpan the largest employer in York County. Driven by a mission to provide exceptional care to all, WellSpan York Hospital serves a diverse population of more than 520,000 residents from the greater York County area. WellSpan York Hospital was one of several WellSpan Health hospitals honored by U.S. News & World Report with the High Performing recognition for 2022-23. The hospital offers services and programs that feature highly skilled clinical staff, life-saving technology and state-of-the-art facilities to address some of the most complex medical, surgical and behavioral health conditions. WellSpan York Hospital's Regional Resource/Level 1 Trauma Center has been accredited by the Pennsylvania Trauma Systems Foundation and is the only accredited trauma center in York, Adams and Franklin counties. It is a nationally recognized teaching hospital with nine residency programs, six allied health schools and other training programs. More than 700 physicians and other professionals are members of WellSpan York Hospital's medical and dental staff. WellSpan York Hospital in embarking on a significant five-year project. The centerpiece will be a new, eight-story surgical and critical care tower, which will dramatically expand the hospital's intensive care unit as well as develop new state of-the-art surgical suites, making it one of the top 10 largest hospitals in Pennsylvania with approximately 600 beds.