UPMC Health System

Title: Administrator On Duty-UPMC Harrisburg Job ID: 7952181545 Status: Part-Time Regular/Temporary: Regular Shift: Night Job Work Arrangement: On-site Facility: UPMC Harrisburg Department: HH Nursing Admin Location: 111 South Front Street, Harrisburg, PA Union Position: No Salary Range: $ 48.75-61.61 USD Job Description: We are hiring an Administrator on Duty at UPMC Harrisburg! This is a nightshift part-time role working 24 hours per week. Accountable for proactively coordinating the activities of admission, discharge and transfer of patients thereby supporting throughput in the facility. Provides direction to department leaders to ensure safe levels of staffing while maintaining efficient hospital throughput. Serves as a resource for all staff and is able to apply competent knowledge and skills to achieve quality outcomes. Provides an interim leadership including but not limited to crisis management intervention as a representative of hospital administration. Channels pertinent patient/employee/department information to appropriate internal and external sources. Responsibilities: - Demonstrates interest in the development of others and positively impacts the lives of patients/families, peers, and members of the healthcare team through mentoring, education, and knowledge sharing Actively participates in the role of preceptor for student nurses, nurse interns, graduate and experienced nurses and assists with the development of new preceptors in their role. Mentors and role models quest for continuous learning through formal education and the development of others. Seeks opportunities to share expertise with other members of the healthcare team within and beyond the clinical unit/department. - Demonstrates good judgment and analytical ability to oversee and coordinate patient placement through facilitation of the Admission/Discharge/Transfer (ADT) process and collaborate with the physician and health care team. Uses critical thinking skills to effectively advise and direct health care providers in their delivery of patient care while maximizing the efficient use of resources. Identifies problems impacting effective hospital function and initiate corrective action independently and/or through contact with appropriate administrative persons including Risk Management, Legal Services, Patient Relations, Administrator, and/or the appropriate department director. Monitors and assists in maintaining a physical environment that supports patient, personnel, visitor safety; patient/family comfort; and staff efficiency. - Utilizes research and evidence-based practice to support improvement including but not limited to capacity management: identifies research issues or articles related to improving patient throughput, discusses opportunities for quality improvement and actively pursues opportunities for change - Coaches colleagues on cultural diversity and addresses workplace horizontal violence and impairment Develops and maintains productive working relationships internally and externally by building teams and relationships through mentoring and modeling uplifting and positive communication Demonstrates accountability to self and others for safe work hours, time management and healthy lifestyles Extends trust by acknowledging the contributions of others; listens first, creates transparency in communications, confronts reality, and clarifies expectations. - Serves as a leader supporting hospital administration by identifying and resolving patient and staff focused opportunities for improvement Involves staff and key stakeholders to achieve optimal patient experience and efficient hospital throughput. Uses appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one’s own behavior to accommodate tasks, situations and individuals involved. Supports staff during times of difficult transitions. Demonstrates ability to influence the external environment through participation in professional and advocacy organizations. Qualifications: - BS/BSN required. - If BS degree not in nursing, a Master’s or higher degree in Nursing is required. CNL/MSN preferred. - Minimum of 3 years clinical experience required with relevant leadership experience preferred. - Must maintain a solid/strong performer rating on annual performance review. Registered Nurse. Licensure, Certifications, and Clearances: ACLS preferredCPR 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) - Registered Nurse (RN) - Act 31 Child Abuse Reporting with renewal - Act 33 with renewal - Act 34 with renewal - Act 73 FBI Clearance with renewal *Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state.

Title: Environmental Svcs Associate-Part Time (Lititz) Job Description: Location: 1500 Highlands Drive, Lititz, PA Job ID: 7860029928 Employment Type: Part-Time, Onsite Schedule: variable day and evening shifts (every other weekend and holiday required) Purpose: Clean all aspects of assigned areas, including patient rooms, public areas, offices and equipment, to meet Hospital and Department standards in order to promote the quality of care rendered in the environment. Move equipment, furniture, boxes, etc. and remove and hang blinds and curtains. Responsibilities: - Make beds, following established cleaning procedures in all patient discharge rooms and on-call rooms as assigned. - Inspect and ensure that all assigned areas are properly cleaned and in good repair, report problems to the supervisor. - Replenish paper towels, toilet paper, and soap in all locations of assigned areas to assure adequate supply. - Clean all assigned areas, including patient rooms, public areas, toilets, procedure rooms, offices and equipment, following established procedures. - Maintain assigned equipment in clean, working condition, reporting problems and suggestions to the supervisor. - Remove trash from all assigned areas. - Follow all safety and sanitation regulations. - Move equipment, furniture, boxes, wash walls, spot carpets, etc. as assigned Qualifications: - Ability to follow written and verbal instructions in order to successfully complete housekeeping duties. - Ability to use housekeeping equipment. Preferences: - Housekeeping experience preferred. - Customer service experience preferred. Licensure, Certifications, and Clearances: Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Provide training and support to Revenue Cycle Analysts, analyze complex financial data to identify trends, lead the preparation of operational reporting metrics, and collaborate with teams to improve revenue cycle outcomes.

Account Representative Location: Altoona, PA United States Job ID: 7947962401 Status: Full-Time Regular/Temporary: Regular Shift: Day Job Work Arrangement: Hybrid Facility: Home Nursing Agency Department: Billing/Ins Ver/Auth Union Position: No Salary Range: $ 18.79-28.03 USD Job Description: Account Representative Hybrid Work from Home Manage all fiscal functions necessary to ensure the prompt and correct payment to the hospital of all monies owed to the provider by insurers and patients. Ensure claims are submitted accurately and timely, communicate with insurance companies, patients and physicians regarding payment issues, establish reasonable payment arrangements and recommend adjustments according to UPMC policies. Review the posting and balancing of payment/denial and adjustment transactions necessary for closing accounts. Identify and assign appropriate status codes. This position will work under Home Health and Hospice business unit. - Collections or medical billing experience with basic understanding of ICD9, CPT4, HCPCS, and medical terminology is preferred. - Work Monday-Friday (flexible work hours) mostly from home. Some office workdays required. - UPMC benefits and perks Responsibilities: - Understand Third Party Billing and Collection Guidelines. - Identify root cause issues and demonstrate the ability to recommend corrective action steps to eliminate future occurrences of denials. Assist in claim appeal process and/or perform follow-up in accordance with Revenue Cycle policies and procedures. - Perform duties and job responsibilities in a fashion, which coincides with the service management philosophy of UPMC Health System, including the demonstration of The Basics of Service Excellence towards patients, visitors, staff, peers, physicians, and other departments within the organization. - Evaluate and recommend referrals to agency, law firm, Financial Assistance and Bad Debt. - Verify accuracy of payment posting and reimbursement. Work with appropriate payer and/or department to resolve any payment discrepancies. - Demonstrate knowledge of the current functionality of the patient accounting systems. - Manage assigned book of business by ensuring the timeliness and accuracy of billing, collections, contractual postings, payments and adjustments of accounts based upon their functional area standards. - Meet quality assurance, benchmark standards and maintain productivity levels as defined by management. - Identify issues and submit corrective action recommendations. Qualifications: - High school graduate or equivalent. - Excellent interpersonal, organizational, communication and effective problem solving skills are necessary. - Ability to communicate with patients, payors, outside agencies, and general public through telephone, electronic and written correspondence. Working experience on personal computers, electronic calculators and various office equipment is needed. - Collections or medical billing experience with basic understanding of ICD9, CPT4, HCPCS, and medical terminology is preferred. - Familiarity with third party payor guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial. Licensure, Certifications, and Clearances: UPMC is an Equal Opportunity Employer/Disability/Veteran

Coordinate care for adult Health Plan members by conducting assessments, developing care plans, and addressing barriers to health services. Collaborate with providers and educate members on self-management and preventive care.

Coordinate comprehensive discharge plans by assessing patient needs, facilitating communication among care teams, and ensuring timely post-hospital arrangements to enhance patient outcomes and support effective transitions in care.

Support Women's Health services by accurately coding office visits and surgical services, resolving reimbursement issues, and providing training on code selection to ensure compliance and enhance revenue integrity within the department.

Title: Care Manager - Registered Nurse Location: Pittsburgh United States Salary Range: $ 34.49-56.83 USD Job Description: Are you an experienced nurse with a background in case management? Are you interested in the opportunity to work from home? UPMC Health Plan is looking for you! We are hiring a full-time Telephonic Care Manager to join the Home and Community-Based Services (HCBS) Command Team. This position will predominantly work remotely, standard daylight hours, Monday through Friday. The Telephonic Care Manager is responsible for care coordination and health education for identified Health Plan members through telephonic collaboration with members and their caregivers and providers. Identifies members' medical, behavioral, and social needs and barriers to care. Develops a comprehensive care plan that assists members to close gaps in preventive care, addresses barriers to care, and supports the member's self-management of chronic illness based on clinical standards of care. Collaborates and facilitates care with other medical management staff, other departments, providers, community resources and caregivers to provide additional support. Members are followed by telephone or other electronic communication methods. Responsibilities: - Present complex members for review by the interdisciplinary team summarizing clinical and social history, healthcare resource utilization, case management interventions. - Update the plan of care following review and communicate recommendations to the member and providers. - Contact members with gaps in preventive health care services and assist them to schedule required screening or diagnostic tests with their providers. - Review member's current medication profile; identify issues related to medication adherence, and address with the member and providers as necessary. - Refers member for Comprehensive Medication Review as appropriate. - Conduct comprehensive assessments that include the medical, behavioral, pharmacy, and social needs of the member. Review UPMC Health Plan data for services the member has received and identify gaps in care based on clinical standards of care. - Refer members to appropriate health plan programs based on assessment data. - Engage members in education or self-management programs. - Provide members with appropriate education materials or resources to enhance their knowledge and skills related to physical health, emotional health, or lifestyle management. - Successfully engage member to develop an individualized plan of care in collaboration with their primary care provider that promotes healthy lifestyles, closes gaps in care, and reduces unnecessary ER utilization and hospital readmissions. - Coordinates and modifies the care plan with member, caregivers, PCP, specialists, community resources, behavioral health contractor, and other health plan and system departments as appropriate. - Document all activities in the Health Plan's care management tracking system following Health Plan standards and identify trends and opportunities for improvement based on information obtained from interaction with members and providers. - Conduct member outreach in response to assist with member issues or concerns or facilitate specific population health goals. Seek input from clinical leadership to resolve issues or concerns. Qualifications: - Minimum of 2 years of experience in a clinical setting and case management nursing required. BSN preferred. - Ability to interact with physicians and other health care professionals in a professional manner required. - Excellent verbal and written communication and interpersonal skills required. - Computer proficiency required. Meet minimum internet system/service and speed/ latency requirements as set forth by UPMC. - Equipment must be connected directly or hard-wired to the internet modem/router with an ethernet cable. - Most cable and fiber optic providers can meet the requirement. - Private, secure designated workspace required in the home office setting or the ability to work from a designated UPMC office location daily. Licensure, Certifications, and Clearances: Case management certification or approved clinical certification preferred - Registered Nurse (RN) - Act 34 - Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state. UPMC is an Equal Opportunity Employer/Disability/Veteran

Casual Clinical Research Associate Location: 3550 Terrace Street, Pittsburgh, PA Union Position: No Regular/Temporary: Limited Shift: Day Job Work Arrangement: Hybrid Facility: University of Pittsburgh Physicians Department: 50605 UPP06 CCM Researchers Union Position: No Salary Range: $ 24.32-40.54 USD Job Description: UPMC is hiring a Casual Clinical Research Associate to join their Critical Care Medicine team as part of their Multidisciplinary Acute Care Research Organization (MACRO) in Pittsburgh, PA! The Multidisciplinary Acute Care Research Organization (MACRO) provides clinical trial services to principal investigators seeking to maximize the productivity and efficiency of acute care research, from the pre-hospital setting to the ICU and inpatient wards. MACRO offers a wide range of services, including 24/7 screening and enrollment into clinical trials and assistance in the conduct of prospective, observational, patient-oriented acute care research. The Clinical Research Associate will be working in the ICU setting, coordinating interventional clinical trials alongside the APP, bedside nurses, and physicians, and drawing/processing blood samples from patients, overseeing data management of large-scale trials. This is a casual position with no set schedule. This position will work daylight, evening, and overnight shifts depending on the type of patient enrolled into the clinical trial and protocol needs. This position is a hybrid work from home role, but all applicants must be located within 60 minutes of the Pittsburgh area or willing to relocate to this area for onsite needs. Responsibilities: - Create individualized study calendars and reviews them with the patient. - Meet with the principal investigator and Clinical Research Coordinator/Supervisor to review patient status on as needed basis. - Responsible for prompt and accurate data collection for protocols. - Assist coordinator in preparing, sending and tracking documents for re-consenting patients. - Participate in multi-disciplinary meetings to foster educational development by attending relevant seminars, conferences and sponsored educational events as required. - In addition, will contact patient/family members to obtain follow up or survival data information after study completion, and will review survival record data bases to provide follow up. All follow up information is to be documented onto study CRFs and entered into CTMA. - Assist in providing consent forms to coordinators and investigators so that the informed consent process is implemented with study subjects. - Meet monthly with disease center research program leader and research team to present subject trial status. - Facilitate entry of patient on to clinical trials by performing the following tasks. - Complete research requisitions to assist billing department to prevent billing of research procedures to third party payers. - Perform consenting process and study implementation of lab, registry, and non-therapeutic clinical trials. - Perform trial related responsibilities as required such as processing, storing and shipping trial specimens, administers study related questionnaires to study participants (i.e. quality of life, etc.). - Assist in entering subject trial registration and study status updates into CTMA. - Insure that patient's records, slides, radiology tests, lab work results, etc. are obtained and reviewed prior to patient entry onto a study. - Assist in verifying subject eligibility according to protocols by reviewing medical records, laboratory, and radiology or CT scan results. - Complete financial review forms of potential patients to determine insurance coverage for standard of care procedures and completion of requisition forms. - Create study specific source documents, case report forms and study visit checklists. - Facilitate the enrollment of subjects to trials open to the community network sites and will follow up on outstanding data collections. - Facilitate follow-up of protocol patients by developing maintenance-therapy data collection sheets for all protocol patients who require follow-up. - Assist in the coordination of initiation, site evaluation, monitoring visits, and audits required by the sponsor. - Monitor subject compliance of oral study medications. - Assist with obtaining tumor measurements from Radiologist or Investigators to determine response information as per protocol. Qualifications: - B.A. degree in Business, Healthcare, or related or LPN license with a minimum of 2 years of clinical research experience OR - High school graduate with current certification as a Clinical Research Associate from either the Society of Clinical Research Associates (SOCRA) or Association of Clinical Research Professionals (ACRP) along with a minimum of two years of clinical research experience Knowledge and use of MS office software products and the ability to work with PC database applications. Excellent organizational skills and be able to work on projects/tasks simultaneously. Highly motivated and be able to work with minimal supervision. Ability to adapt to multiple organizational structures. Ability to meet deadlines and be flexible in response to sudden workload changes. Licensure, Certifications, and Clearances: - Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Title: Mobile Professional Care Manager - Community Care Behavioral Health (Cambria/Somerset Counties) Location: Cambria/ Somerset Job ID: 7872073019 Status: Full-Time Remote Union Position: No Job Description: Salary Range: $ 29.29-48.21 USD UPMC Community Care Behavioral Health is seeking a full-time Mobile Professional Care Manager to support the Care Management Department in Cambria & Somerset Counties! The Mobile Professional Care Manager will work flexible hours, Monday through Friday, with travel throughout Cambria & Somerset Counties to meet with members within the community. This role is primarily community-based with the majority of time spent traveling in the community, with the remainder of the Care Manager's work completed remotely/from home! Responsibilities: - Conducts face-to-face member assessments by visiting the member in the member's community, place of residence, or facility. - Conduct on-site hospital coordination for discharge planning with facility staff if needed. - Coordinate with member's physicians to ensure follow-up and coordination of care - Collaborates with providers and others in order to obtain initial assessment, treatment planning and aftercare planning for members. - Conducts member assessments identifying behavioral, clinical, social, and environmental concerns and needs. - Facilitates linkages for members and families between primary care and behavioral health providers and other social service or provider agencies as needed to develop and coordinate service plans. - Ensures that cases are managed and documentation is within established timeframes in accordance with departmental standards. - Participates in case conferences, interagency and provider treatment planning and departmental meetings. - Makes referrals and provides expertise regarding community and governmental agencies. - Assesses member's knowledge of their clinical condition and the need for further education - Implements appropriate clinical interventions to ensure optimal clinical and quality outcomes for members. - Develops specific outreach plans for assigned members who do not maintain regular contact with their medical or behavioral health provider as recommended contributing to frequent crises, recidivism, and interfering with maximum benefit from available care. - Receives and responds to complex and crisis calls. - Coordinates care and services across the continuum of care with case management, physicians, pharmacy, behavioral health, and other providers or health plan departments as appropriate. - Identifies barriers to care and develops specific integrated plan of care in collaboration with the member, family, provider, and UPMC Health Plan staff. - Maintains contact with and refers members to community-based case management services as appropriate. - Identifies provider issues and recommendations for improvement. - Demonstrates knowledge of clinical treatment, case management and community resources. Qualifications: - Pennsylvania Licensure in health or human services field and master's degree OR licensed RN (BSN preferred) OR Paramedic/EMT with 6-8 year of experience. - Preference will be given to candidates with a Pennsylvania Licensure in health or human services field and master's degree OR licensed RN - Three years of experience in behavioral, clinical, utilization management, home care, discharge planning, and/or case management required. - Prior experience in behavioral health or SUD highly preferred. - Five years of experience with community-based case management, and behavioral health experience preferred. - General knowledge of best practices in working with special needs populations in the public sector preferred. - Detail-oriented with excellent organization skills required. - High level of oral and written communication skills required. - Proficiency in Microsoft Office products is preferred and ability to learn new software applications required. - Three years experience in a managed care environment preferred. - Experience with geriatric population preferred. Certification in substance use disorders helpful. Licensure, Certifications, and Clearances: - CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire - Automotive Insurance - Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) - Clinical Social Worker (CSW) OR Emergency Medical Technician (EMT) OR Licensed Clinical Social Worker (LCSW) OR Licensed Marriage & Family Therapist OR Licensed Professional Counselor (LPC) OR Licensed Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse (RN) - Driver's License - Act 33 with renewal - Act 34 with renewal - Act 73 FBI Clearance with renewal - *Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state. UPMC is an Equal Opportunity Employer/Disability/Veteran