Lehigh Valley Health Network

Analyst

• Performs ICD-10-CM and HCPCS/CPT-4 coding for 1-2 Tier 1 specialties
• Enters a variety of data such diagnoses, procedures, E/M levels, and modifiers into the hospital information system
• Adheres to coding principles, governmental regulations, and third party requirements in regards to coding and billing documentation
• Reviews and resolves relevant edits to ensure accuracy and integrity of info billed to payers
• Achieves and maintains established quality standards
• Achieves and maintains established productivity standards
• Provides feedback to providers; makes recommendations to improve medical record documentation
• Meets turnaround time requirements
• Monitors assigned work queues and alerts manager if lag days exceed established standard
• Works with coding manager to ensure maximum reimbursement for properly documented services

Provider Based Coding Analyst I

Manager

• Manages nursing staff and clinical support team members directly or indirectly.
• Steps into daily staffing role, as needed.
• Identifies and analyzes trends across services in customer satisfaction and patient experience, clinical quality outcomes, patient safety and cost; uses data systematically to develop solutions and guide change in practices.
• Collaborates to understand external market financial, economic, and industry data identifying market opportunities and threats.
• Provides leadership and actively contributes to the design and implementation of clinically and fiscally responsive program goals and objectives.
• Formulates recommendations for continuous improvement taking into account market demands, regulatory standards, patient safety, and changes in clinical practice.
• Contributes to the development of and implementation of processes to collect relevant clinical and financial indicator data which serves as a reliable proxy for clinical effectiveness, cost, and quality.
• Collaborates with other internal staff members to identify, reduce, and eliminate barriers within the system which may negatively impact cost and quality of services.
• Coordinates mandatory clinical education and plans in-services and education within the practice in collaboration with clinical services.
• Takes responsibility for providing a positive learning environment for staff, students, interns, and residents collaborating with academic programs, while ensuring patient safety.

Clinical Manager

• Responsible for the efficient and effective management of data assets as well as designing and implementing data management strategy and processes related to acquiring, organizing, storing, integrating, and maintaining data within an organization.
• Establishes data management strategy, data governance policies, procedures, and practices to ensure the effective and efficient use of data throughout its lifecycle.
• Oversees implementation of data management tools and technologies.
• Collaborates with stakeholders to understand data requirements.
• Design enterprise-level database architecture and standards.
• Develop strategies for scalability, security, and high availability.
• Plan and lead database modernization and migration projects.
• Establish data governance frameworks and policies.
• Ensure compliance with regulatory and organizational standards.
• Analyze and optimize database performance across platforms.
• Plan for future capacity and resource requirements.
• Implement automation for provisioning and maintenance.
• Evaluate emerging technologies and integrate best practices.
• Work with cross-functional teams on architecture decisions.
• Mentor DBAs and developers on database best practices.
• Maintain architecture diagrams, SOPs, and compliance documentation.

Expert Analyst, Data Management

• Ensures appropriate use of hospital resources by reviewing patients admitted to the hospital
• Provides timely, accurate, and thorough clinical reviews
• Develops and implements methods, policies, and procedures to improve departmental efficiency
• Works collaboratively with management and peers to facilitate appropriate patient class assignment

Case Manager – Utilization Management

Business Analyst

• Analyzes business operations/customer requests and implements process coordination with cross-functional teams.
• Accomplishes business objectives by identifying and resolving data or processing problems while ensuring data integrity.
• Produces reports/dashboards in order to manage and illustrate inventory trends.
• Collects data from various internal and external sources to process business requirements of operational requests.
• Collaborates with staff from other departments as necessary to collect and summarize data.
• Identifies project requirements by interviewing customers; analyzing operations; determining project scope; documenting results.
• Performs data analysis and fulfills reporting requests.
• Analyzes work processes, feasibility of medium to large project requests.
• Obtains quotes and creates necessary purchasing documentation as needed.
• Identifies opportunities for process improvement and develops/implements supporting workflows and documentation.
• Updates database of all collected information to ensure data integrity and accuracy.
• Routinely reviews data to identify gaps, inconsistencies, and errors to address them promptly.
• Contributes to the team effort by accomplishing related results as needed.

Senior Asset Management Analyst

Support Engineer

• Responsible for clerical duties within the rehabilitation department
• Assists in transfers and stand by assistance of a licensed therapist
• Assists Physical Therapists, Occupational Therapists, Speech Therapists, and/or Exercise Physiologists
• Transports patients to and from department or room via wheelchair or stretcher

Rehabilitation Support Technician

Security Engineer

• Protects and provides a safe environment for the hospitals, parking facilities, satellite facilities, employees, patients, and visitors
• Assists in controlling access to the facility by periodically patrolling buildings, grounds, and work sites
• Acts as a first responder to all emergency incidents, as needed
• Helps mitigate threats to the safety and security of all staff, patients, visitors, and their property within the facility, as well as LVHN property
• Intervenes when suspicious or abnormal behavior is observed or reported, and stops, questions, and detains persons when reasonable suspicion exists
• Conducts both internal and external patrols of the hospital, satellite clinic, parking lots and grounds, and reports on security and safety hazards
• Maintains and operates vehicles and shuttles in a safe manner
• Ensures proper working condition and cleanliness of all vehicles
• Conducts initial inquiries for both administrative and potential criminal complaints and reports findings
• Responds to all coded alarms and performs security escorts when requested
• Assists with evacuations in emergency situations requiring strength, stamina and flexibility
• Maintains a high level of visibility to serve as a deterrent to undesirable activity and to be readily available to provide assistance to anyone in need

Security Officer

Software Engineer

• Leads a group of industrial engineers to develop and implement the essential elements of an effective industrial engineering program: labor and productivity budget, analysis and review, benchmarking, position control, and cost center level improvement projects.
• Leverages various engineering, data and statistical analysis, Lean Six Sigma, change management, and project management skills and techniques to implement changes and advance the organization forward to achieving annual enterprise goals.
• Collaborates with leadership to develop, implement, and maintain the network management engineering program focusing on the department's core services of productivity reporting and analysis, budget labor setting, position control, and ongoing variance analysis and reporting.
• Completes a robust review of the accuracy of the key deliverables produced by the department for accuracy and usability.
• Manages and deploys a group of management engineers on the various elements of the department's core services.
• Provides direct feedback and coaches on areas of development for those individuals who have less experience in management engineering or the healthcare industry.
• Develops and maintains relationships with network key stakeholders to understand and provide support as needed the key areas related to management engineering.
• Provides complex analytical leadership and support to senior management/key project stakeholders to enable them with various analyses in order to make informed decisions.
• Completes assessments in an efficient manner to understand the current state process, obtain and evaluate relevant data, identify opportunities, eliminate waste, and chart a resolute course of action.
• Ensures the deployment, utilization, and optimization of the key labor/productivity system.
• Develop and oversee the development of informational and training materials for various network stakeholders and leaders.

Manager, Industrial Engineering

Pharmacist

• Uses pharmacy systems to obtain patient and drug information to process prescriptions.
• Assists the pharmacists in performing technical duties related to the distribution of drugs to patients.
• Monitors medication inventory levels and places orders to restock.
• Develops strong relationships with colleagues and customers.
• Supports pharmacological services by checking pharmaceutical stock to determine inventory level, placing and expediting orders, reading medication orders and prescriptions, preparing labels, calculating quantities, and compounding sterile and non-sterile products and other pharmaceutical therapies.
• Demonstrates knowledge and skill to ensure compliance with USP 797 and USP 800.
• Adheres to all pharmacy policies, procedures, and regulations.
• Models good aseptic technique and appropriate garbing.
• Ensures cleaning and maintenance of sterile compounding areas per USP 797 and USP 800.
• Applies knowledge of USP 71/797/800 to troubleshoot questions and problems.
• Fills medication orders accurately and efficiently.
• Ensures all medications are properly labeled, checked by a pharmacist, and dispensed in a timely manner.
• Prioritizes workload, maintains organization, and coordinates activities with other team members.
• Monitors medication expiration dates and ensures no expired medications are in circulation.
• Complies with all record keeping including controlled substances,
• Communicates all drug information requests to a pharmacist.
• Demonstrates and maintains competency with pharmacy equipment and duties.
• Answers the phone and attends to customer needs in a timely manner.
• Assists with orientation and training of new pharmacy colleagues.
• Maintains adequate inventory of prescription and/or over the counter products in the designated areas.

Certified IV Pharmacy Technician

• Uses pharmacy systems to obtain patient and drug information to process prescriptions
• Assists the pharmacists in performing technical duties related to the distribution of drugs to patients
• Monitors medication inventory levels and places orders to restock
• Develops strong relationships with colleagues and customers
• Supports pharmacological services by checking pharmaceutical stock to determine inventory level, placing and expediting orders, reading medication orders and prescriptions, preparing labels, calculating quantities, compounding sterile and non-sterile products, and other pharmaceutical therapies
• Assists pharmacists in preparing and dispensing prescription orders
• Adheres to all pharmacy policies, procedures, and regulations
• Fills medication orders accurately and efficiently
• Assures all medications are properly labeled, checked by a pharmacist, and dispensed in a timely manner
• Prioritizes workload, maintains organization, and coordinates activities with other team members
• Monitors medication expiration dates and ensures no expired medications are in circulation
• Communicates all drug information requests to a pharmacist
• Demonstrates and maintains competency with pharmacy equipment and duties
• Answers the phone and attends to customer needs in a timely manner
• Assists with orientation and training of new pharmacy colleagues
• Maintains adequate inventory of prescription and/or over the counter products in the designated areas

Pharmacy Technician

Therapist

• Evaluates, plans, directs, and administers programs of Occupational Therapy
• Develops and updates an appropriate plan of care
• Implements individualized treatment plans using evidence-based techniques
• Communicates patient progress to supervisors and team members
• Submits all documentation based on policies and regulatory requirements

Occupational Therapist

• Coordinates pharmacy initiatives involving registry or high-risk patients identified within the LVPHO (LVPG, MATLAV and Affiliate) practices
• Identifies, organizes, and completes performance improvement projects related to medication use
• Develops and implements pharmacy initiatives directed at promoting high value, high quality, safe, and cost-efficient medication therapy management in accordance with value-based initiatives
• Applies subject matter expertise in clinical pharmacy, therapeutic alternatives, utilization management, medication adherence strategies, and Medication Therapy Management to promote positive outcomes in LVHN value-based reimbursement contract programs
• Critically reviews drug utilization data provided by insurers and analytic team and assure ongoing performance improvement of the pharmaceutical care services provided
• Evaluates patient EMR profiles for appropriateness of medication therapy, conducts patient appointments, and provides and documents patient drug therapy recommendations
• Identifies prescribing patterns that may lead to improper drug selection, sub-therapeutic dosage, overdose, patient failure to receive medication, adverse drug reactions, drug interactions, and medication without indication and implement strategies to resolve cost barriers
• Interact with patient, providers, and pharmacy to positively impact CMS STARS, PQA, or HEDIS quality measures
• Works with Population Health Director and ICC Pharmacy Manager to help implement strategic population health pharmacy plans
• Provides education to providers and staff via presentations, newsletters, formal utilization reviews, and one-on-one interactions
• Ensures quality of care through formulary and/or medication management and quality improvement projects

Clinical Pharmacist – Population Health

• Protects and provides a safe environment for the hospitals, parking facilities, satellite facilities, employees, patients, and visitors.
• Assists in controlling access to the facility by periodically patrolling buildings, grounds, and work sites.
• Acts as a first responder to all emergency incidents, as needed.
• Helps mitigate threats to the safety and security of all staff, patients, visitors, and their property within the facility, as well as LVHN property.
• Intervenes when suspicious or abnormal behavior is observed or reported, and stops, questions, and detains persons when reasonable suspicion exists.
• Conducts both internal and external patrols of the hospital, satellite clinic, parking lots and grounds, and reports on security and safety hazards.
• Maintains and operates vehicles and shuttles in a safe manner.
• Ensures proper working condition and cleanliness of all vehicles.
• Conducts initial inquiries for both administrative and potential criminal complaints and reports findings.
• Responds to all coded alarms and performs security escorts when requested.
• Assists with evacuations in emergency situations requiring strength, stamina and flexibility.
• Maintains a high level of visibility to serve as a deterrent to undesirable activity and to be readily available to provide assistance to anyone in need.

• Ensures and/or provides patient care in accordance with professional licensure (PT, OT, SLP)
• Performs assessment, treatment planning, and therapeutic interventions that are consistent with the discipline's qualifications, professional practices, and ethical standards
• Coordinates care, oversees staffing, and guides and mentors the rehabilitation team
• Directs and manages patient care
• Manages material, financial, and human resources within assigned area

Manager, Rehabilitation

Operations

• Performs all essential functions of the PT, OT or SLP therapist role, and models treatment approach by utilizing current evidence based practice and healthcare trends while providing direct patient care
• Assists Leadership in optimizing operational performance; including access, employee engagement, patient experience, environment of care, service recovery, regulatory compliance and other duties as assigned by the next-level leader
• Represents Rehab Services at clinical interdisciplinary team meetings and effectively facilitates a bi-directional communication cascade

Provider Based Coding Analyst I

Clinical Manager

Expert Analyst, Data Management

Case Manager – Utilization Management

Senior Asset Management Analyst

Rehabilitation Support Technician

Security Officer

Manager, Industrial Engineering

Certified IV Pharmacy Technician

Pharmacy Technician

Occupational Therapist

Clinical Pharmacist – Population Health

Security Officer

Manager, Rehabilitation

Team Lead – Rehabilitation Operations