Utilization management jobs in Camden, New Jersey - Page 3Crear alertas

Job DescriptionCompany Description The Office of Innovation & Technology (OIT) is the central IT agency for the City of Philadelphia headed by the Chief Information Officer (CIO). OIT oversees all major information and communications technology initiatives for the City of Philadelphia - increasing the effectiveness of the information technology infrastructure, where the services provided are advanced, optimized, and responsive to the needs of the City of Philadelphia’s businesses, residents, and visitors. OIT responsibilities include: identifying the most effective approach for implementing new information technology directions throughout city government; improving the value of the city’s technology assets and the return on the city’s technology investments; ensuring data security continuity; planning for continuing operations in the event of disruption of information technology or communications services; and supporting accountable, efficient and effective government across every city department, board, commission and agency. Job Description The Deputy CIO of Networking is a senior leadership role responsible for overseeing and directing the networking infrastructure of the organization. This role involves managing the planning, implementation, and maintenance of network systems to ensure optimal performance, security, and scalability. The Deputy CIO of Networking works closely with the CIO to develop and execute strategic initiatives that align with the organization’s goals and ensures that all networking operations support these objectives. The DCIO will have extensive experience in networking technologies, strong leadership skills, and a deep understanding of emerging trends in network architecture. Key Responsibilities: Strategic Leadership: • Collaborate with the CIO to develop and implement networking strategies that align with the organization’s overall IT roadmap., • Lead the design and deployment of innovative networking solutions to meet the organization's current and future needs., • Network Design and Architecture:, • Design, implement, and maintain the organization's network infrastructure, including LAN, WAN, VPNs, and cloud-based networking solutions., • Evaluate new networking technologies, tools, and systems to enhance performance, scalability, and security., • Plan and deploy network expansions, upgrades, or replacements to meet growing business needs., • Network Operations and Maintenance:, • Ensure the continuous, uninterrupted operation of the organization's network systems, maintaining high uptime and availability., • Monitor network performance, troubleshoot network problems, and perform regular maintenance., • Develop and maintain network documentation, including diagrams, configurations, and procedures., • Security Management:, • Implement and enforce network security protocols, including firewalls, encryption, IDS/IPS systems, and access controls., • Conduct regular security audits, vulnerability assessments, and penetration testing to identify and mitigate risks., • Respond to network security incidents, implementing incident response strategies and reporting breaches when necessary., • Manage network security protocols, including firewalls, intrusion detection/prevention systems, and encryption technologies to protect organizational data., • Network Performance Monitoring and Optimization:, • Use network management tools to monitor bandwidth usage, traffic patterns, and overall network performance., • Optimize network configurations for efficiency, load balancing, and redundancy., • Identify and address bottlenecks or performance issues, ensuring minimal downtime or degradation in network services., • Disaster Recovery and Business Continuity:, • Develop and implement network disaster recovery and business continuity plans., • Ensure data backup, replication, and failover systems are in place to support the recovery of network services during emergencies., • Regularly test disaster recovery protocols and update plans as needed, • Vendor Evaluation and Selection:, • Research and assess potential vendors for networking hardware, software, and services., • Develop evaluation criteria, including reliability, technical support, pricing, and service level agreements (SLAs)., • Contract Negotiation:, • Negotiate terms and pricing with selected vendors to secure favorable contracts., • Ensure contracts comply with city policies and legal requirements., • Performance Monitoring:, • Monitor vendor performance against SLAs and key performance indicators (KPIs)., • Conduct regular performance reviews to ensure vendors meet expectations and address any issues that arise., • Relationship Management:, • Foster strong relationships with vendors to facilitate collaboration and effective communication., • Serve as the primary point of contact for vendor-related inquiries and issues., • Risk Assessment:, • Identify potential risks associated with vendor partnerships, such as cybersecurity vulnerabilities or service disruptions., • Develop strategies to mitigate identified risks and ensure continuity of service., • Stakeholder Collaboration:, • Collaborate with other departments to understand their networking needs and ensure vendor solutions align with those requirements., • Communicate vendor updates and changes to relevant stakeholders. Networking Budget Management: • Budget Development:, • Assist in the preparation of the networking budget, ensuring alignment with organizational goals and strategic plans., • Identify necessary expenditures for network hardware, software, maintenance, and upgrades., • Cost Analysis:, • Analyze current and projected costs associated with networking tools, services, and vendor contracts., • Identify opportunities for cost savings and more efficient resource allocation., • Budget Tracking and Monitoring:, • Monitor budget expenditures and ensure compliance with financial policies., • Provide regular updates on budget status, highlighting any variances and their implications., • Resource Allocation:, • Prioritize spending based on critical networking needs and strategic initiatives., • Recommend reallocating resources as necessary to address changing priorities or unexpected challenges., • Forecasting:, • Develop financial forecasts for future networking needs based on trends, usage patterns, and anticipated growth., • Prepare budget justifications for new projects or initiatives to present to leadership., • Reporting:, • Generate detailed reports on budget performance and vendor expenditures, providing insights into return on investment (ROI) for networking initiatives., • Present findings and recommendations to senior management to support informed decision-making Compliance and Risk Management: • Ensure that all network systems comply with relevant regulatory requirements and organizational policies., • Develop and implement disaster recovery and business continuity plans related to networking to minimize downtime and data loss., • Conduct regular risk assessments and implement measures to mitigate identified risks. Collaboration and Communication: • Operational Responsibilities, • Policy Implementation: Ensure adherence to organizational policies and procedures within the network teams., • Budget Management: Oversee budgets related to team development and network operations, ensuring efficient resource allocation, • Reporting and Analysis: Analyze performance metrics and prepare reports for upper management regarding team effectiveness and network performance., • Collaboration and Communication, • Cross-Department Collaboration: Work closely with other departments to align network goals with overall organizational objectives., • Stakeholder Engagement: Communicate with stakeholders to ensure their needs are met and to gather feedback for continuous improvement., • Collaborate with other IT leaders to integrate networking strategies with broader IT initiatives., • Communicate networking plans, policies, and procedures to stakeholders across the organization., • Serve as a subject matter expert on networking issues, providing guidance and support to other departments as needed., • Innovation and Improvement, • Process Improvement: Identify areas for improvement in network operations and implement innovative solutions., • Technology Utilization: Leverage technology to enhance team performance and operational efficiency.Qualifications, • Network Systems Certification- JNCIP or measurable work experience totaling at least 5 years., • 10 to 15 years of infrastructure and data center experience, with at least 3 years of leadership experience in managing multiple, large, cross-functional teams or projects, and influencing senior level management and key stakeholders, • Any equivalent combination of education and experience determined to be acceptable by the Office of Innovation and Technology and Human Resources. Additional Information Salary Range: $160,000-$175,000 Salary Range cannot exceed $175,000 All applications must include a cover letter. Applications without a cover letter will be considered incomplete. Did you know? ● We are a Public Service Loan Forgiveness Program qualified employer : 25% tuition discount program for City employees (and sometimes spouses and dependents as well) in partnership with area colleges and universities ● We offer Comprehensive health coverage for employees and their eligible dependents ● Our wellness program offers eligibility into the discounted medical plan ● Employees receive paid vacation, sick leave, and holidays ● Generous retirement savings options are available *The successful candidate must be a city of Philadelphia resident within six months of hire Effective May 22, 2023, vaccinations are no longer required for new employees that work in non-medical, non-emergency or patient facing positions with the City of Philadelphia. As a result, only employees in positions providing services that are patient-facing medical care (ex: Nurses, doctors, emergency medical personnel), must be fully vaccinated. The City of Philadelphia is an Equal Opportunity employer and does not permit discrimination based on race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, source of income, familial status, genetic information or domestic or sexual violence victim status. If you believe you were discriminated against, call the Philadelphia Commission on Human Relations at 215-686-4670 or send an email to faqpchr @phila.gov. For more information, go to: Human Relations Website:

Job Description We are seeking an experienced Project Manager to join our team in the Professional Services department. The ideal candidate should have extensive experience in managing end-to-end project management activities, including vendor selection, procurement, budgeting, scheduling, stakeholder management, and risk mitigation. The candidate should also have strong negotiation skills and be able to coordinate with multiple teams and stakeholders. Responsibilities: • Initiate and manage procurement processes to select vendors, • Coordinate across teams on project reporting, prioritization, resource allocation, and visibility, • Estimate project budget and validate utilization against resources engaged, • Forecast project budget based on resource utilization, • Coordinate and engage with different stakeholders, including business users and vendors, from feasibility study, implementation, and benefit realization, • Initiate, liaise and negotiate with users to reach consensus on the requirements, delivery schedule, and resource commitment, • Set up infrastructures and milestones, • Identify issues/risks proactively with mitigation plans to avoid impacts and escalations, • Escalate issues and impacts to the appropriate stakeholders, • Plan and execute user acceptance test followed by signing off, • Plan and execute production deployment followed by sign-off, • Ensure proper transitioning services implemented, • Produce quality project deliverables such as project charter, implementation plan, etc, • Update all stakeholders with the latest status and issues/risks, • Enable IT support, • Minimum 10 years of experience in Project Management, • Excellent communication and interpersonal skills, • Strong negotiation skills with business, InfoSec, and IT teams, • Proven track record of delivering complex IT projects on time and within budget, • Familiarity with project management tools and methodologies, • Experience with vendor selection and management, • Knowledge of IT infrastructure and operations, • Strong problem-solving and analytical skills

Job Description ABOUT PATH INC. PATH (People Acting to Help) Inc. is a comprehensive Community Behavioral Health and Intellectual Disability Center. We offer a wide array of services and supports to meet the needs of our community in Northeast Philadelphia. PATH regularly achieves the highest levels of accreditation including a 5 star Provider Rating by CBH, Philadelphia's Managed Care Entity, and recognition and awards related to our high-quality, innovative programs and staff accomplishments and contributions. Our Mission: To Help Individuals Achieve a More Independent and Fulfilling Life. WHY WORK AT PATH? A Career with meaning At PATH, our team members are at the heart of what we do, so we work hard to give them the best reasons to work here - and to stay here. In addition to the satisfaction of making a real difference in people's lives, we offer: • Competitive pay, • Annual increases, • Performance and longevity bonuses, • Comprehensive benefits package for staff and family, • Generous amount of paid holidays, vacation, sick, and personal time, • No-cost pension plan, • Ongoing professional development opportunities, including licensure supervision, • Cutting-edge treatment facility, resources, and treatment modalities, • Opportunities for advancement and growth within the organization, • Eligible for the Federal Public Student Loan Forgiveness (PSLF) program To promote the mission of PATH to help individuals achieve a more independent and fulfilling life by being an effective team member of the Health Information Management (HIM) Department. PHYSICAL DEMANDS: Minimal in nature QUALIFICATIONS: High School Diploma. Experience in Electronic Medical Record (EMR), AVATAR preferred. Proficiency in entering data through use of number keypad and typing. Ability to operate office equipment including copiers, faxes, printers, etc. SPECIFIC DUTIES: • Accurately scan all clinical information/forms in appropriate section of the clients’ records on a daily basis., • Maintain record room security by (a) ensuring the record room is never left unattended; (b) locking the suite when leaving for the evening., • Process charts for outgoing mail and Social Security Disability., • Review automated Avatar Data Management reports on a semi-weekly basis., • Research and identify corrections in the Avatar system that need to be completed., • For departments that are live on the Avatar Clinical Workstation, contact the Program Staff or Program Supervisor/Manager to append electronic documentation or to submit a Change Request Form as required before completing corrections., • Complete corrections in the Avatar system by appending Progress Notes, moving Progress Notes, correcting Service Data, attaching Progress Notes, and/or any other tasks as needed and identified by the Health Information Management Manager or Director., • Review and identify omissions and discrepancies on Service Activity Logs before they are entered into the Avatar system., • Contact Program Staff to correct omissions and discrepancies from Service Activity Logs., • For departments that are live on the Avatar Clinical Workstation, contact the Program Staff or Program Supervisor/Manager to append electronic documentation or to submit a Change Request Form as required before completing corrections., • Research and resolve discrepancies in the Clinical and Service Data that are identified by the Health Information Management Manager or other sources including Change Request Forms submitted to the Data Department by Program Staff, Supervisors and Managers., • Provide initial and ongoing training on the utilization of the EHR to ID staff.

Job Description CORA Services is a dynamic and growing not for profit organization in Philadelphia. For more than 50 years, CORA has served children and families experiencing emotional, academic and social challenges that impact their development and productivity. Our mission is to empower children, young people and families to thrive through quality and compassionate service. CORA’s Community Services Division is currently seeking a Director of Prevention to ensure that the prevention case management programs provide high-quality services that are responsive to the needs of our clients, community and funding sources. This position has overall program and operational responsibility for the development, planning and implementation of the prevention programs/services offered through the Community Services Division. The salary for this position is $78,311 with required 5 years of experience. (Salary commensurate with additional experience.) All CORA team members are expected to uphold the mission, vision and values of CORA Services which includes valuing all individuals and supporting each individual’s potential for growth. In addition, as a Director of Prevention your duties will include: • Provide administrative leadership and management for prevention/case management programs offered in the Community Services Division., • Oversee all aspects of prevention programs including service delivery, policy and procedure development/updates, contract compliance, quality assurance, and record keeping; ensure that all funding mandates and reporting requirements are met in accordance with the agency’s mission, goals, values and philosophy., • Provide supervision and support for prevention department staff to ensure high-quality service, contract compliance and efficient operations. Support supervisors in the hiring, supervision and performance evaluation of direct service staff. Directly supervise: 3 Truancy Supervisors and 2 Community School Case Management Supervisors and additional team members as assigned via departmental growth., • Provide leadership and structure for departmental and team meetings to ensure strong team collaboration., • Not only ensure that prevention teams are participating in training and education for ongoing professional development and contract compliance, but drive, develop and institute ongoing professional growth opportunities as a regular component of the team’s development, • Manage program expenses to budget for each prevention contract/program and inform budgetary priorities in collaboration with the Vice President and Finance Team., • Establish management practices that support positive relationships and promote a high level of staff morale, motivation, collaboration and accountability to high service standards., • Develop and maintain strong relationships with prevention program funding sources, program partners, other agencies and community groups in order to facilitate agency service goals and remain informed of developments outside of the agency., • Collect and be knowledgeable of data, trends and best practices in the field; identify opportunities to incorporate best practices to continuously improve service delivery., • Establish and monitor goals and objectives that are responsive to the changing needs of the community and are consistent with agency mission, goals and procedures., • Provide leadership in the design, implementation and utilization of client management/outcomes measurement system in the prevention department; champion the use of data to drive programmatic, process and system improvement, using the Prevention Department’s logic model to support., • Contribute to the preparation of program proposals/grant applications and review and negotiation of contracts., • 5+ years of supervisory and/or administrative experience in human service agency required, which includes supervision of others, direct service and program planning., • Demonstrated program and contract management skills essential., • Proven ability to manage staff and develop a team approach to service delivery., • Skilled in communication and partner relations., • Strong strategic thinking, problem solving, and organizational skills., • Ability to establish and maintain effective working relationships with other staff members, clients, visitors and personnel from other agencies and service centers., • Ability to maintain high confidentiality., • Medical, dental and vision coverages with a competitive company premium contribution (eligible 1st day of the month following date of hire), • Company paid life/AD&D and LTD coverages, • Supplemental voluntary benefits including STD, accident, critical illness, etc., • 403b retirement plan with generous company contribution after one year of service, • Paid time off + paid agency holidays, • Employee Assistant Program, • Family Planning Benefits (including cash benefit to assist with IVF, egg freezing, adoption, or surrogacy)

Job Description Position Summary: The Clinical Service Manager is responsible for utilization management by conducting utilization review activities, population management, cross-system consultation, provider management and treatment quality monitoring. The Clinical Service Manager must utilize clinical knowledge of best practices and evidence-based treatments to ensure BHSI members receive timely access to quality, medically necessary behavioral health services. Duties and Responsibilities: Authorize and reauthorize treatment utilizing ASAM Criteria. • Facilitate care coordination with system partners to address social determinants, barriers to wellness, and other needs of members, including connection to appropriate community-based services., • Carries a caseload of provider agencies and acts as the liaison and primary contact to those agencies., • Authorizes and reauthorizes the continuation of treatment or recommends and facilitates necessary changes in the levels of care., • Performs on-site utilization review activities as needed which may include, but are not limited to, the review of client charts, documentation of treatment services, completion of required paperwork, confirmation of attempt to establish M.A. eligibility., • Performs telephonic screenings as required and clinical dispositions as needed., • Monitors program eligibility of active patients via the Department of Welfare’s PROMISe & e-CIS systems. Appropriately manage cases based on eligibility., • Ensures all required client paperwork is received and complete., • Maintain documentation in BHSI’s electronic system consistent with agency and industry standards., • Work collaboratively with team members including assisting with the training of newly hired employees as requested, covering work when peers are out of the office as assigned., • Display clinical integrity, advocacy and commitment to member and family driven care and principles of resiliency and recovery., • Excellent clinical case conceptualization skills, • Maintain high levels of advocacy. Possess the ability to actively listen and work to resolve grievances expressed by the provider network and community members, while exercising care and compassion., • Proactive planning and meeting facilitation, • Customer service, • Familiar with psychiatric and medical conditions and concurrent medication usage, • Excellent verbal and written communication skills and ability to use them when communicating with internal and external stakeholders., • Excellent interpersonal and collaboration skills, • Proficient in MS Office, especially with Excel, and able to type at least 40 words per minute, • Ability to work independently and as part of a team, • Excellent time management and prioritization skills and ability to multi-task Bachelor’s degree in related field with 3 years of relevant work experience in SUD; bachelor’s degree and 5 years of relevant work experience in SUD; master’s degree in related field with 2 years of relevant work experience in SUD; or master’s degree with 3 years of relevant work experience in SUD. Equal Opportunity Employment: PMHCC, Inc. is committed to equal opportunity. It is our policy to support equal employment for all employees and applicants without regard to race, religion, color, sex, sexual preferences, age, national origin, disability, behavioral health status, military status or any other characteristic protected by law. Americans with Disabilities Act: Employees as well as applicants who are currently, or become disabled, must be able to perform the functions of the job with either reasonable accommodation or unaided. PMHCC, Inc. will examine reasonable accommodations on a case-by-case basis in accordance with the law.

Job DescriptionUnit Manager – LPN/RN is reasonable to oversee the care management of a population of patients within an assigned area, unit or clinical function. The position conducts the nursing process, assessment, planning, implementation, and evaluation under the scope of the State's Nurse Practice Act of Registered Nurse licensure. The Unit Manager - LPN/RN coordinates resource utilization, timely and appropriate care interventions, and interdisciplinary communication to enhance patient and family satisfaction, adherence to center's clinical systems and regulatory compliance. Requirements; • Must possess, a valid LPN/Registered Nurse license in the state of Pennsylvania, • Must have, as a minimum, one year(s) of experience as a supervisor in a hospital, long-term care facility, or other related health care facility., • Competitive Rates, • 401(k) Retirement Plan, • Healthcare benefits (medical, dental and vision), • Paid time offLocation: 3300 Henry Ave. St 700, Philadelphia PA 19129 Powered by JazzHR 7YVa6yBIHv