Pay Rate $94,987.00 to $121,190.00 per year Telecommute Status Remote with Travel Announcement PRIDE Industries is a fast-paced company with a mission: To Create Jobs for People with Disabilities while providing high quality, value-added solutions to our nationwide customers. We are currently recruiting to fill the following position: Job Description PRIDE Industries Job Description Job: Operations Director - JCC Job Code: E10 - PR-Operations Dir - JCC HR Title Group: Commercial Contracts (Facilities) Salary Grade: E18 FLSA Status: Exempt Approval Date: August 2017 SUPERVISES: There are direct reports with this position. POSITION SUMMARY: Under minimal supervision, the Operations Director - JCC is responsible for providing day to day guidance, organization, direction and supervision to skilled laborers (building maintenance technicians, HVAC Technicians and engineers) within a geographic location. Employees in this job class will oversee service orders, routine and preventative maintenance tasks, equipment projects and repairs and will ensure established time schedules are met and will manage and oversee subcontractors, contractors and other service providers. This job class requires comprehensive knowledge of safety/environmental, building code requirements, electrical, heating and air conditioning (HVAC), plumbing, and carpentry. TYPICAL DUTIES: 1. *Inspects the work of crews while in progress and provides advice and assistance to subordinates.2. *Investigates complaints and recommends corrective actions as necessary.3. *Supervises employees; ensures a competent, motivated team through hiring, training, development, counseling and reviewing the performance of employees.4. *Schedules and prioritizes tasks, and ensures adherence to procedures, regulations and guidelines while minimizing errors and safety risks.5. *Prepares sketches of proposed work and assists in the design and specifications of planned jobs or contracts.6. *Oversees outside contractors.7. *Monitors status and results of maintenance projects and energy management programs.8. *Acts as a technical resource to field personnel and actively engages in field issues.9. *Participates in a variety of departmental and other meetings on a regular basis.11. Performs other duties and special projects as assigned. *Denotes Essential Job Function MINIMUM QUALIFICATIONS: • Five or more years of repair and maintenance experience including at least three years in a supervisory role;• Knowledge of operation, maintenance and repair of HVAC/refrigeration equipment;• Skill in estimating time and materials and drafting proposals;• Supervisory skills to hire qualified employees, provide for their professional development, administer performance management and disciplinary processes effectively, and address employee relations appropriately;• Ability to effectively supervise and develop assigned team to meet production/service goals while adhering to safety policies and rules;• Ability to communicate effectively both orally and in writing; to make presentations and respond to inquiries by senior management, customers and/or employees;• Demonstrated leadership, organizational, reasoning, problem solving and analytical skills;• Exceptional customer service skills;• Human relation skills to build effective relationships with team, customers and public;• Advanced computer literacy including knowledge of word processing, spreadsheet, database and presentation software;• Knowledge of business English including vocabulary, spelling, and correct grammatical usage and punctuation;• Mathematical skills to include the ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations;• Ability to establish priorities and solve a wide range of business, operational and strategic management problems;• Flexibility to respond to changing work priorities and handle numerous projects at the same time. EDUCATION REQUIREMENTS: Associates A comparable combination of formal education and work experience will be considered. CERTIFICATES OR LICENSES REQUIRED: The following licenses or certificates may be required depending on local, state and/or contract requirements: Valid Driver's License PHYSICAL REQUIREMENTS: Employees must have the ability to perform the following physical demands for extended periods of time with or without assistance: • Utilizing keyboard • Viewing computer screen • Bending, kneeling, stooping, squatting and reaching• May require climbing ladders and/or step stools• Standing and walking • Maneuvering in and around the worksite WORK ENVIRONMENT: Work is performed primarily in an office environment with limited privacy and exposure to noise from others conducting business. The remainder of work is performed on job sites in the field, driving to and from worksite. Employees may be exposed to hazardous equipment, toxic substances, noise from equipment, and depending on external weather conditions, wind, rain, cold, and heat. Employees may be required to work in excess of 8 hours in a day and/or 40 hours per week. DISCLAIMER: The above information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to this job. Employees are expected to follow their supervisor’s instructions and to perform the tasks requested by their supervisors. At PRIDE, we make a difference in the lives of many, one job at a time. How to Apply Ready to make an impact?Join an organization where business meets purpose and every role contributes to a greater mission. Apply today at PRIDE Careers and be part of something meaningful. Learn more about who we are and what we stand for at www.prideindustries.com. PRIDE Industries is an Equal Opportunity Employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, veteran status, or any other characteristic protected by law. Thank you for considering a career with us—we look forward to connecting with you!

Pay Rate $94,987.00 to $121,190.00 per year Telecommute Status Remote with Travel Announcement PRIDE Industries is a fast-paced company with a mission: To Create Jobs for People with Disabilities while providing high quality, value-added solutions to our nationwide customers. We are currently recruiting to fill the following position: Job Description PRIDE Industries Job Description Job: Operations Director - JCC Job Code: E10 - PR-Operations Dir - JCC HR Title Group: Commercial Contracts (Facilities) Salary Grade: E18 FLSA Status: Exempt Approval Date: August 2017 SUPERVISES: There are direct reports with this position. POSITION SUMMARY: Under minimal supervision, the Facilities District Manager is responsible for providing day to day guidance, organization, direction and supervision to skilled laborers (building maintenance technicians, HVAC Technicians and engineers) within a geographic location. Employees in this job class will oversee service orders, routine and preventative maintenance tasks, equipment projects and repairs and will ensure established time schedules are met and will manage and oversee subcontractors, contractors and other service providers. This job class requires comprehensive knowledge of safety/environmental, building code requirements, electrical, heating and air conditioning (HVAC), plumbing, and carpentry. TYPICAL DUTIES: 1. *Inspects the work of crews while in progress and provides advice and assistance to subordinates.2. *Investigates complaints and recommends corrective actions as necessary.3. *Supervises employees; ensures a competent, motivated team through hiring, training, development, counseling and reviewing the performance of employees. 4. *Schedules and prioritizes tasks, and ensures adherence to procedures, regulations and guidelines while minimizing errors and safety risks.5. *Prepares sketches of proposed work and assists in the design and specifications of planned jobs or contracts. 6. *Oversees outside contractors.7. *Monitors status and results of maintenance projects and energy management programs.8. *Acts as a technical resource to field personnel and actively engages in field issues.9. *Participates in a variety of departmental and other meetings on a regular basis. 11. Performs other duties and special projects as assigned. *Denotes Essential Job Function MINIMUM QUALIFICATIONS: • Five or more years of repair and maintenance experience including at least three years in a supervisory role;• Knowledge of operation, maintenance and repair of HVAC/refrigeration equipment; • Skill in estimating time and materials and drafting proposals; • Supervisory skills to hire qualified employees, provide for their professional development, administer performance management and disciplinary processes effectively, and address employee relations appropriately;• Ability to effectively supervise and develop assigned team to meet production/service goals while adhering to safety policies and rules;• Ability to communicate effectively both orally and in writing; to make presentations and respond to inquiries by senior management, customers and/or employees;• Demonstrated leadership, organizational, reasoning, problem solving and analytical skills;• Exceptional customer service skills;• Human relation skills to build effective relationships with team, customers and public;• Advanced computer literacy including knowledge of word processing, spreadsheet, database and presentation software;• Knowledge of business English including vocabulary, spelling, and correct grammatical usage and punctuation;• Mathematical skills to include the ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations;• Ability to establish priorities and solve a wide range of business, operational and strategic management problems; • Flexibility to respond to changing work priorities and handle numerous projects at the same time. EDUCATION REQUIREMENTS: Associates A comparable combination of formal education and work experience will be considered. CERTIFICATES OR LICENSES REQUIRED: The following licenses or certificates may be required depending on local, state and/or contract requirements: Valid Driver's License PHYSICAL REQUIREMENTS: Employees must have the ability to perform the following physical demands for extended periods of time with or without assistance: • Utilizing keyboard • Viewing computer screen • Bending, kneeling, stooping, squatting and reaching• May require climbing ladders and/or step stools• Standing and walking • Maneuvering in and around the worksite WORK ENVIRONMENT: Work is performed primarily in an office environment with limited privacy and exposure to noise from others conducting business. The remainder of work is performed on job sites in the field, driving to and from worksite. Employees may be exposed to hazardous equipment, toxic substances, noise from equipment, and depending on external weather conditions, wind, rain, cold, and heat. Employees may be required to work in excess of 8 hours in a day and/or 40 hours per week. DISCLAIMER: The above information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to this job. Employees are expected to follow their supervisor’s instructions and to perform the tasks requested by their supervisors. At PRIDE, we make a difference in the lives of many, one job at a time. How to Apply Ready to make an impact?Join an organization where business meets purpose and every role contributes to a greater mission. Apply today at PRIDE Careers and be part of something meaningful. Learn more about who we are and what we stand for at www.prideindustries.com. PRIDE Industries is an Equal Opportunity Employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, veteran status, or any other characteristic protected by law. Thank you for considering a career with us—we look forward to connecting with you!

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Acentra Health is looking for a Clinical Supervisor - RN - Full-time to join our growing team. As the Clinical Supervisor, this individual plays a pivotal role in overseeing and managing the Utilization Management (UM) activities within the organization. - Ensure UM processes are executed efficiently, consistently, and in alignment with regulatory and contractual standards. - Uphold excellence in clinical programs, fostering continuous improvement and innovation in care management practices. - Cultivate and maintain strong relationships with customers and stakeholders, ensuring service delivery meets or exceeds expectations. - Oversee direct reports and participate in a rotating schedule that includes weekends and holidays. This position is remote U.S. Working hours between 8:00 a.m. and 6:00 p.m. EST, with rotational evenings, weekends, and holidays as required. - Lead and oversee all UM activities including prior authorization and retrospective reviews. - Conduct utilization reviews as needed to support workload demands and program requirements. - Monitor daily work queues and adjust staffing schedules to align with departmental demands. - Evaluate productivity and performance metrics of nurse reviewers. - Identify onboarding and ongoing learning needs for Clinical Reviewers. - Participate in leadership meetings, committees, and cross-functional workgroups. - Oversee quality assurance activities such as audits and Quality Improvement Plans (QIPs). - Identify areas for process and clinical improvements and develop action plans. - Serve as a liaison to customers and providers. - Stay current with clinical best practices and UM protocols. - Support departmental and organizational goals by performing additional duties as assigned. - Read, understand, and adhere to all corporate policies, including HIPAA policies. Qualifications - Active, unrestricted Registered Nurse (RN) license in the state of Indiana or a valid compact state license. - Associate degree or equivalent experience directly applicable to clinical practice. - A minimum of 5+ years of experience as a practicing RN. - A minimum of 5+ years of supervisory experience in a healthcare setting with at least 2+ years in Utilization Management. - A minimum of 2+ years of experience applying InterQual and/or MCG clinical criteria in utilization review processes. - Strong verbal and written communication skills. - Demonstrated customer-centric approach. - Excellent organizational and time management skills. - Proven ability to work independently and collaboratively. - Proficiency in Microsoft Office Suite and other relevant software applications. Requirements - Working hours between 8:00 a.m. and 6:00 p.m. EST, with rotational evenings, weekends, and holidays as required. Benefits - Comprehensive health plans. - Paid time off. - Retirement savings. - Corporate wellness. - Educational assistance. - Corporate discounts. - And more.

Company : Highmark Inc.Job Description : JOB SUMMARY This job works directly with providers in a variety of health care settings to appropriately identify members with chronic conditions and/or gaps in care that can be positively impacted related to quality and care costs. The incumbent's responsibilities could include working in a physician’s office, visiting physician practices on a routine basis, working within a hospital setting and/or assessing and coordinating member’s care within the member’s home. Helps members to coordinate care and navigate the healthcare system by recommending and/or implementing interventions related to the improvement of medical care and costs. ESSENTIAL RESPONSIBILITIES - Conduct member-facing clinical assessments that address the health and wellness needs of members using a broad set of clinical and motivational interviewing skills with the goal of impacting members’ self-management skills and positive behavior changes which will ultimately positively impact member satisfaction and care costs. - Serve as a subject matter expert to both internal and external sources (e.g. providers, regulatory agencies, UM and policy.) to provide education, consultation and training when indicated. - Serve as a resource to guide, mentor and counsel others in regard to understanding the drivers of health care costs to improve member outcomes related to Plan benefits and resources. - Collaborate, coordinate and communicate with the member’s treating provider(s) in more complex clinical situations requiring clinical and psychosocial intervention. - Develop/implement case or condition-specific plans of care and/or intervention plan, as needed, that can become a part of the member’s EMR or medical record to establish short and long-term goals. - Establish a plan for regular contact (face-to-face as often as possible) with each member and/or provider to monitor progress toward goals, provide additional education and evaluate the need for modification or change in the plan of care. - Proactively incorporate lifestyle improvement opportunities and preventive care into member interactions and coaching. - Collaborate with the appropriate individuals to offer solutions to refine and improve existing practices or participates in developing performance improvement processes that will enhance member outcomes and operational performance/excellence as well support all strategic initiatives including Health Care Reform and STARS initiatives. - Work with providers related to performance measures and activities to educate and influence the behavior of members and providers. - Ensure that all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards that support all lines of business. - Other duties as assigned or requested. QUALIFICATIONS Required - Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).and/or additional states as required or current Social Work license - 4 years of any combination of clinical, case management and/or disease/condition management, long-term care, home health, hospice, public health, assisted living, provider operations and/or health insurance experience - Clearances as required by specific practice or hospital, as applicable Substitutions - None Preferred - Certification in Case Management (CCM) - BSN or Bachelor’s degree in Social Work or in health, human, or education services - 5 years of any combination of clinical, case management and/or disease/condition management, long-term care, home health, hospice, public health, assisted living, provider operations, and/or health insurance experience Skills - Ability to work in a virtual environment (e.g., provider offices, facilities and/or member’s homes); accomplishing and coordinating work remotely - Proficiency in MS Excel and enhanced data and statistical analysis skills - Excellent interpersonal/ consensus building skills as well as the ability to work with a variety of internal and external colleagues from all levels of an organization - Broad knowledge of the health care delivery system including an understanding of health care costs drivers - Excellent verbal and written communication skills including individual and/or group education/training - Experience working with the healthcare needs of diverse populations and understanding the importance of cultural competency in addressing targeted populations. - Self-directed; self-starter; ability to work successfully with indirect supervision and moderate autonomy - Excellent organizational, time management and project management skills - Ability to work in a fast paced, high visibility, high performing team environment that requires flexibility - Ability to travel locally and work flexible hours in a practice or facility-based settings - Ability to communicate effectively in more than one language, preferred - Experience working directly with physicians in provider practice settings, members in a home environment or hospital discharge processes. Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Occasionally Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $50,200.00 Pay Range Maximum: $91,200.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice