Geisinger

Patient Access Representative

• Responsible for front line support to the department.
• Coordinates and performs front line office activities in an effective and efficient manner for the department.
• Greets and registers incoming patients, supports the patient check out process and schedules future appointments as applicable.
• Responsible for checking patients in for appointments and accurately verifying demographics.
• Assures all check-in procedures are completed and monitors patient wait times, communicating changes to the patient as necessary.
• Reads and interprets insurance responses.
• Understands general guidelines and insurance rank requirement to properly assign primary, secondary, and tertiary insurance per encounter.
• Ensures patient receives necessary disclosure and privacy information, obtains necessary legal and financial signatures.
• Communicates financial obligations to patients and collects fees at time of service as appropriate.
• Communicates the purpose of and completes all necessary regulatory forms with patient.
• Completes patient's visit by scheduling any necessary follow up appointments to include any specialty or ancillary services as possible.
• Processes multi-channel messages related to patient and/or physician requests regarding: appointments, referrals, prescriptions, and complaints.
• Notifies patient or guarantor of anticipated financial responsibility including copays, deductibles, or coinsurances and collects accordingly.
• Performs cash posting following department guidelines.
• Abides by organizational and HIPAA guidelines, privacy practices, patient confidentiality and patient rights.
• Independently works work queues to ensure timely resolution of all accounts.
• Maintain productivity and quality performance expectations.

Director

• Responsible for end-to-end (E2E) contract management capability development across Geisinger.
• Transforming the enterprise contracting process including supporting contract teams and business stakeholders in driving the education, understanding and compliance with the contracting practices and procedures.
• Execute and deliver value by ensuring a robust foundation and strong process management across all aspects of the contract function and in its advancing maturity.
• Lead planning, managing, and implementing of Contract Lifecycle Management (CLM) processes within the department and across the enterprise (e.g. new functional rollouts and capabilities)
• Work with the executive sponsors and Steering Committee to ensure that the contract management process and policies are complied with throughout the enterprise.
• Lead testing activities for new roll outs and ensure compliance with approved policies, processes, and controls.
• Oversee stabilization period after new roll out of CLM technology to ensure no ongoing/lingering issues and smooth transition.
• Ensure smooth execution to gain credibility with internal customers and stakeholders.
• Manage a team of specialists that executes best-practice contracting activities such as demand management, contract management, reporting & analytics, vendor management and more.
• Oversee the development and reassessment of processes, tools and systems, training materials, and policies that are central to E2E contract management.
• Responsible for continuous improvements to performance metrics, programs/processes, systems, and innovations to achieve higher levels of business impact and improve CLM maturity.
• Drive resolution to systemic process, technology and program gaps; Resolve any cross-functional (departmental) issues.
• Serves as leader in contracting with consistent execution of the process across the organization.
• Lead change management efforts to continuously build new processes, analytics and performance metrics, and better integrate CLM into business unit decision making across all categories of spend.
• Establishes and communicates the process mission goals, and objectives to all stakeholders.
• Provide input on performance metrics, target level setting and prioritization of transformation projects.
• Reports on the effectiveness of the program including key metrics and process maturity to senior management.

Director, Centralized Contracts

Financial Planning and Analysis

• Provide operational financial support for assigned business cases and/or respective workstreams.
• Lead teams using the financial improvement methodology of Define, Validate, Approve, Track, Report.
• Maintain processes that continuously identify opportunities for revenue enhancement, cost reduction, and process improvements.
• Collaborate with financial planning and analytics and business/finance partners teams.
• Provide accurate financial performance reporting from financial tracking tools.

Financial Improvement Advisor, Intermediate

Per Diem

• Provides primary nursing support to the physician and patient to assist in the diagnosis and treatment of the patient's condition.
• Provides patient education, promotes an understanding of the condition and adheres with the treatment plan.
• Acts as clinic lead providing oversight of clinic flow and non-provider staff.
• Triages patient sick calls to facilitate appropriate treatment plan with providers.
• Obtains and documents patient medical history, chief complaint, vital signs, and provides basic medical data base for provider, and prepares patient for examinations.
• Assists providers in procedures as directed by provider to facilitate accurate diagnosis and treatment.
• Monitors staffing levels to assure appropriate staffing based on clinic needs.
• Collects and prepares laboratory specimens and completes associated paperwork to expedite laboratory studies with maximum accuracy and efficiency.
• Executes and documents ongoing patient communication.
• Provides instruction to ensure patient's understanding of medical condition and compliance with treatment instructions.
• Inserts, monitors, regulates and discontinues IVs as required by provider.
• Administers medications, IV push medications, and topical medications.

Registered Nurse – Per Diem

Community Health Worker

• Works within the community providing outreach to patients with complex medical and social needs
• Acts as a resource to assist patients in navigating the health care system
• Orients and assesses new Community Health Workers
• Provides regular assessment of the level of proficiency demonstrated by staff during the orientation period in order to support decisions to move staff along in training or refocus until proficiency is met
• Assists in the identification and outreach of medically complex patients
• Collaborates with the multidisciplinary team in the development and implementation of the care plan
• Engages patients by way of phone call, home visit, hospital visit, and accompanying patients to Providers appointments as needed
• Completes vital signs
• Identifies gaps in care and connects members with resources
• Facilitates telemedicine visits with members and providers
• Performs disease specific education
• Conducts Medication Review to ensure medication adherence
• Conducts safety evaluations in patients home
• Facilitates adherence to treatment plan by early identification and resolution of gaps in care
• Communicates all concerns to clinical team and manager as necessary, seeking support and guidance proactively
• Participates in multidisciplinary team conference in order to maximize the treatment plan
• Provides reinforcement of the treatment plan under the direction of the Case Manager and Licensed Social Worker and is available for consultation and case review as needed

General

• Join Geisinger as an In-House Travel RN with 12-week assignments in various departments.
• Support & mentorship from experienced nursing leaders.
• Assesses, plans, organizes, performs, and evaluates nursing activities.
• Promotes patient and family adaptation to achieve high care levels and satisfaction.
• Coordinates patient care and staff interactions, ensuring excellent experiences.
• Initiates collaboration with physicians and team members to resolve patient needs.

RN Travel Nurse

Sales

• Provides administrative, operations and technical systems support services to the sales team across all regions
• Serves as sales department and interdepartmental liaison / primary contact or point person for the facilitation and execution of all relevant operations and technical duties
• Interfaces and participates in the administration of the entire spectrum within the sales function from a professional support perspective
• Prepares and submits application for new business and renewal groups
• Prepares new business rate and benefit proposals and renewal rate quotations for submission to prospects and clients including brokers
• Directs issuance or communication of small business renewal premiums to both group and non group policy holders
• Prepares required documentation for existing client and prospective client proposals
• Prepares Group Information Card to facilitate internal group set-up and implementation
• Responsible for ensuring that all appropriate sales databases and electronic programs are up-to-date
• Submits necessary billing information to Accounts Receivable for Individual product subscribers including communication of Individual product administrative changes that impact the Accounts Receivable function
• Coordinates Medicare application processing between Gold Enrollment and Call Center sales team in order to reconcile membership documentation in sales database
• Coordinates and monitors all aspects of PA Accident and Health licensing, renewals and continuing education
• Administer appointment and termination of the Health Plan brokers via designated website including related payments to PA Insurance Department
• Mail corresponding appointment and termination letters
• Assists with marketing analysis, data entry and reports including competitor benefit and network comparisons
• Completes sorting of census data to determine employee eligibility based on approved service area including analysis of out of area employees
• Receives, sorts and processes Individual product applications including but not limited to eHealth, other brokers and direct applications
• Updates and maintains Individual product application spreadsheet to account for compete and incomplete applications
• Reviews and approves operating expenses for sales and service team

Sales Coordinator

Physician Assistant

• Collaborates with physician to provide care to patients
• Performs patient evaluation, assessment, diagnosis, treatment, and follow-up care
• Orders diagnostic testing and remains proficient in interpreting results
• Prescribes medication and therapeutic regimens
• Communicates with patients, physicians, and staff regarding health management
• Instills confidence in patients by providing safe, ethical care and education

Nurse Practitioner, Behavioral Health Inpatient

• As part of our world-class Geisinger Neuroscience Institute, we have innovative high-value clinical protocols for acute inpatient and chronic outpatient disease management, a 20-year clinical data warehouse.
• Join our award-winning team: Center of Excellence for spinal surgery: Geisinger’s spine surgery program is part of the Employers Centers of Excellence Network (ECEN).

Temporary Neurosurgery Physician

• Treat patients of all ages in urgent care clinics.
• Work at CommunityCare Express Mt Pleasant, Scranton and CommunityCare Express Kistler, Wilkes-Barre clinics.
• Diagnose and treat common medical problems.
• Provide routine health exams, immunizations, screenings and wellness services.
• Perform procedures such as suturing and splinting.
• Rotations of weekends and some holidays required (Work 7 out of 14 days).

Nurse Practitioner, Urgent Care

• Accountable to obtain prior authorization for medications. • Complete benefit investigation to determine coverage for prescribed treatment and act as a liaison for all medication prior authorization matters to insurance companies, departments, and patients. • Act as subject matter expert for patient medication assistance foundations, free drug and drug replacement programs for uninsured, under-insured, indigent population. • Completes prior authorization and documents referrals for all medications reviewed using appropriate third-party payer criteria. • Conducts research and follow-up activities within established timeframes. • Communicates with care team to provide details on authorization status. • Maintains knowledge of all available patient assistance programs and eligibility requirements. • Identifies available appropriate medication assistance programs upon discussing with patient the affordability of the prescribed treatment. • Ensures accurate completion necessary signatures of appropriate paperwork for enrollment in assistance program(s). • Tracks fund award end dates and exhaustion, re-apply as necessary to avoid lapse in therapies. • Educate providers and patients on specialty services and how this improves overall patient care. • Grow the specialty pharmacy’s patient population. • Floats from areas of low workload to areas of heavy workload as needed to provide optional patient services. • Accountable for satisfying all job specific obligations and complying with all organization policies and procedures.

Medication Access Coordinator I

• Provide strategic and operational financial support for assigned business units
• Facilitate operating and capital forecasts, the long-range financial model, business plan financial models
• Monthly operating reviews, financial improvement initiatives
• Leadership within the department by mentoring other Finance Partners
• Project manager to ensure goal achievement through collaboration and coordination with centralized finance teams
• Actively participates in the business units’ month-end financial close review and analysis process
• Leads a monthly operating review process for the business unit including variance reporting
• Regular presentations of financial performance to internal (operational leadership)
• Supports financial acumen education for business units’ operational teams
• Leads implementation, education, and communication of key financial management reporting tools
• Supports the business units’ operational leadership with capital requests and prepares return on investment financial models
• Collaborates with departments to appropriately optimize revenue performance and reporting
• Facilitates knowledge of changes in finance policies, guidelines, requirements, and rules

Senior Finance Partner

Operations

• You'll provide direction and operational leadership to Care Management for assigned clinical areas.
• You'll lead daily care management operations including clinical practice, budget accountability, regulatory and compliance outcome accountability.
• Your home base will be Geisinger South Wilkes-Barre (GSWB) primarily and have some responsibility at Geisinger Wyoming Valley (GWV).

Operations Manager – Care Services

Pharmacist

• Assists Pharmacy Customer Service leadership in processing provider, and member prior authorization requests.
• Works with the pharmacy team in implementing policies to manage pharmacy benefits.
• Maintains understanding of all policies and procedures related to the pharmacy benefit.
• Provides the highest level of customer service and support to members and physicians.
• Adheres to all regulatory standards.
• Works with Pharmacists to resolve clinical issues with providers in a timely manner.
• Documents accurately all inquiries and prior authorization requests according to departmental policy.
• Determines appropriateness of pharmacy benefits under corresponding lines of business.
• Contacts providers and members to communicate the details of service, requests additional information and resolves outstanding matters.
• Updates current pharmacy benefits and serves as a facilitator to team members.

Pharmacy Service Representative Associate

• The Pharmacist Consultant is the clinical content and workflow lead or support for all pharmacy enablement engagements.
• Responsible for business case development, implementation planning, referral and operational workflows.
• Leads or supports clinical aspects of channel pharmacy business case development for partner health systems.
• Provides clinical validation and support to data assumptions and analysis used to develop pharmacy business plans.
• Develops best practice policies and procedures where applicable, including but not limited to, clinical medication protocols for existing and new therapies.
• Assesses, recommends, and implements workflows, including standard documentation, informatics tools, and bi-directional communication between referring clinic staff and pharmacy teams.
• Develops recommended initial staffing model and hours of operation based upon economic volume indicators for clinics and discharges.
• Recommends, provides guidance, and supports the implementation of business operations and workflow.
• Effectively engages with Geisinger or all partner health system clinic stakeholders to inform business plan development process.