• Evaluate federally funded workforce programs to measure effectiveness and participant outcomes. • Design and execute process, outcome, and impact evaluations. • Develop logic models, theories of change, and performance measures. • Analyze administrative, participant, employer, and labor-market data. • Conduct stakeholder interviews with various program stakeholders. • Prepare technical reports and grant-related deliverables.

• Lead or support economic-development strategy and implementation projects. • Conduct regional economic, industry, labor-market, and demographic analyses. • Assess community and regional readiness for business attraction, expansion, and retention. • Evaluate industrial and commercial sites for infrastructure, workforce, transportation, utility, zoning, and development readiness. • Develop site-readiness and expansion-readiness frameworks. • Identify target industries based on regional assets, workforce capabilities, supply chains, and market conditions. • Conduct stakeholder interviews and facilitate sessions with employers, government agencies, utilities, educational institutions, and community partners. • Develop recommendations related to infrastructure, workforce, incentives, permitting, business climate, and regional competitiveness. • Support EDA-funded planning, implementation, and technical-assistance projects. • Prepare clear reports, implementation roadmaps, presentations, and executive summaries. • Contribute technical narratives, methodologies, work plans, and qualifications to government proposals. • Present findings to public officials, boards, economic-development organizations, and community stakeholders.

• Lead comprehensive compensation and classification studies for public-sector organizations. • Review job descriptions, organizational structures, reporting relationships, and employee questionnaires. • Conduct employee and management interviews to understand job duties and organizational needs. • Evaluate positions using established classification methodologies. • Develop appropriate job families, classifications, grades, and career-progressive structures. • Conduct public-sector compensation market surveys and identify appropriate peer organizations. • Analyze external competitiveness, internal equity, salary compression, and pay relationships. • Develop salary schedules, pay grades, ranges, and implementation options. • Review positions for compliance with the Fair Labor Standards Act and recommend exempt or nonexempt classifications. • Prepare fiscal-impact models and phased implementation scenarios. • Present findings and recommendations to executive leadership, elected officials, boards, and employees. • Contribute technical content to government proposals, scopes of work, and project work plans. • Ensure methodologies, findings, and recommendations are clearly documented and defensible.

Role Description Do you have clinical care experience? Are you an RN looking to grow your career? UPMC is hiring a full-time Authorization Nurse. This position works Monday through Friday, as well as rotating weekends (typically 1 every 5-6 weeks) and holidays (usually 1 per year), during daylight hours. Additionally, this position is eligible to work from home. The Authorization Nurse provides support to appropriate UPMC departments and healthcare providers by obtaining referrals and/or authorizations for any acute admissions, hospital services, and treatments. The employee uses their knowledge of acute care experience and payer regulations to assess medical necessity and ensure the presence of supporting documentation to obtain authorization. Additionally, they communicate pertinent clinical information to Physicians, Medical Directors, or CFO. If this sounds like the position for you, apply today! Responsibilities - Serve as a liaison between care managers and payors and facilitates payor/physician contact when indicated. - Communicate to the Medical Directors, Attending Physicians and/or CFO, if indicated, regarding evaluation of medical appropriateness. - Act as a resource to other departments as well as the care managers leveraging clinical expertise relative to the authorization process. - Collaborate with other departments to ensure all information/documentation is obtained to support authorization, level of care and/or medical appropriateness. - Ensure clinical review process is followed in order to meet payor deadlines. - Report to management on an ongoing basis trends/barriers that could necessitate process improvement from a concurrent standpoint. - Assist in determining system-wide care management needs through investigation of authorization process and identification of root cause. - Identify and assign a root cause to each case to ensure denial reasons are tracked. - Monitor and evaluate for area of process improvement related to the payor specific authorization process. - Maintain current knowledge of regulatory guidelines related to authorizations. - Perform clinical review for cases referred for cases requiring authorization or adherence to payor medical policies. - Maintain collaborative relationships with utilization management and departments at payor organizations. - Provide ongoing education/feedback to care managers and other departments as related to the payor specific authorization process. Qualifications - RN required; BSN or Bachelor's degree preferred. - Licensed in practicing state. - 5 years of acute care clinical experience. - 2 years payer or care management experience. - Understanding of clinical and care management process. - Knowledge of medical necessity criteria (InterQual). - Ability to apply InterQual criteria appropriately. - Prior utilization review experience. - Knowledge of payer reimbursement structure. - Excellent customer service skills. - Negotiation skills for obtaining appropriate level of care. - Critical thinking/assessment skills. - Self-motivation/autonomy. - Organization/time management and prioritization skills. - Proficient in Microsoft Word and Microsoft Excel. - Experience working with databases preferred. Licensure, Certifications, and Clearances - 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. Company Description UPMC is an Equal Opportunity Employer/Disability/Veteran.