Geisinger

Nurse Practitioner

• Provide direct, hands-on care in skilled nursing facilities
• Improve quality and prevent unnecessary readmissions to acute care settings
• Review reports
• Communicate with skilled nursing facility staff regarding patient needs
• Treat patients for acute needs, admissions, and discharges
• Manage extremely complex patients, seeing them daily or at least once a week
• See approximately 12 patients per day
• Participate in a rotating call schedule

Nurse Practitioner or Physician Assistant – Skilled Nursing Facility

General

• Perform project-completion tasks including analysis, training, testing, documentation, problem resolution, and implementation for laboratory information systems
• Serve as a subject matter expert in the assigned laboratory area and provide input on project plans
• Develop and maintain laboratory information systems
• Perform file maintenance and software updates
• Verify data entry, reports, and software changes before production release
• Provide Laboratory Information System, Laboratory Information Technology, and laboratory-area support
• Test and verify periodic software releases and pre-production software changes
• Develop ad hoc reports and dashboards
• Monitor, maintain, and troubleshoot instrument interfaces and peripheral devices
• Diagnose and prevent errors and notify appropriate individuals
• Develop laboratory information system policies and procedures
• Support change control documentation and communication with laboratory and non-laboratory users
• Participate in computer orientation, training, and in-service programs for laboratory personnel
• Support interfacing between the Laboratory Information System and hospital and clinical information systems
• Submit and lead technical change requests for the assigned laboratory area
• Work 50% of the time in a hospital laboratory, including bench work at the primary location
• Travel to other hospitals for various ad hoc projects

Information Specialist – Medical Laboratory

Medical writer

• Act as a liaison between clinical and coding functions
• Educate physicians, medical staff, and clinical professionals on documentation and Revenue Management processes
• Interact daily with physicians and clinical professionals regarding documentation clarification and optimization
• Analyze clinical information and documentation to support the System Case Mix Index
• Review inpatient medical records within 24–48 hours of admission
• Assign principal and secondary diagnoses, procedures, working DRG assignment, severity of illness, and risk of mortality
• Conduct subsequent record reviews every three days through discharge
• Formulate queries for missing, conflicting, or unclear documentation
• Provide ongoing education on clinical documentation improvement and accurate patient records
• Collaborate with nursing staff, nutrition, pharmacists, physicians, and inpatient coding professionals
• Meet established productivity targets for record review
• Identify strategies for sustained work process changes
• Analyze and trend statistical data and identify improvement opportunities
• Promote accurate principal diagnosis, procedures, supporting documentation, working and final DRG, severity of illness, and risk of mortality
• Serve as a resource for interdisciplinary collaboration and coordination of patient care

RN, Registered Nurse – Clinical Documentation Improvement Specialist

Physician

• Practice Emergency Medicine and Pediatric Emergency Medicine across Northeast Pennsylvania
• Manage emergencies in infants and children
• Interview patients to obtain symptoms, medical histories, and family histories
• Perform and/or interpret diagnostic tests as needed
• Diagnose injuries and illnesses and design treatment plans
• Prescribe or administer medications
• Prepare, maintain, and review patient records, including histories, examination findings, treatment plans, and outcomes
• Work in a clinical and office environment
• Satisfy job-specific obligations and comply with organizational policies and procedures

Physician, Emergency Medicine

Customer Support

• Resolve and reconcile enrollment reports and eligibility issues according to policy, procedure, and state coverage guidelines
• Initiate communication and literature for newly enrolled health plan members, dependents, and employer groups
• Interpret and apply rules and regulations in contractual agreements with employer groups and vendors
• Perform membership data extraction reports for employer group audits and compliance with performance risk guarantee commitments
• Update, approve, and interpret membership data and workflows in employer group online software modules
• Determine member eligibility and process terminations and disenrollments
• Prepare, generate, and distribute enrollment-related letters to subscribers and members
• Determine whether services are covered benefits based on line of business and product design
• Review suspended claims and resolve them using applicable policies, procedures, and product benefits
• Provide team-building resources and direct peers to appropriate claims resolution policies and procedures
• Provide daily support and advice to member and provider services staff regarding claims issues
• Research claim issues from participating providers and identify criteria for payment reconsideration
• Resolve customer concerns, provide education and instruction, and maintain customer satisfaction
• Participate in cross-training and improve processes within the Customer Service team

Customer Service Representative I – Medicaid Enrollment

Clinical Research

• Provide statistical support as a consultant or collaborator to clinical and research investigators and administration
• Provide consultative research support to investigators within and outside their departments
• Provide statistical expertise for research efforts
• Recommend optimal study designs
• Develop statistical analysis plans
• Interpret findings and prepare written technical and statistical reports
• Assist in developing research topics with internal and external investigators to support funding, peer-reviewed publications, and national meeting presentations
• Direct biostatistical and/or data analysts in planning and implementing analyses, summarizing results, and reporting findings
• Design, manage, and analyze databases
• Provide data analysis and summary reports
• Participate in committees
• Perform critical reviews of competitive protocol submissions
• Provide continuing education to staff
• Provide resource materials and brief consultations upon request

Biostatistician

• Provide compassionate, comprehensive pediatric neurology care to children across central and northeastern Pennsylvania
• Deliver balanced inpatient and outpatient care
• Provide advanced neuromuscular care
• Participate in the comprehensive epilepsy program, specialized headache care, pediatric sleep medicine, and genetic testing and counseling
• Cover inpatient services for eight weeks annually
• Conduct telemedicine visits
• Care for patients in a Level IV NICU
• Teach residents and medical students
• Participate in research
• Collaborate with a team of 12 physicians and 5 advanced practice providers
• Potentially serve as core faculty for the pediatric neurology residency

Pediatric Neurologist

Director

• Direct activities of an IT team supporting an organizational segment
• Develop and implement IT strategy with department, product line, or system leadership
• Convey IT strategy to staff and ensure its implementation
• Administratively manage assigned staff
• Oversee projects for timely completion according to IT standards
• Coordinate IT support for the assigned organizational segment
• Understand business policies and practices in areas of responsibility
• Ensure staff follow IT project management guidelines
• Manage vendors, including contract negotiations, invoice reconciliation, release updates, issue lists, and new product evaluations
• Develop and administer the IT budget
• Manage spending within allocated funds
• Lead staff recruitment, development, retention, and disciplinary processes
• Mentor staff on IT support and project management best practices
• Foster team-based staff organization and interaction
• Formulate staff development plans
• Attend required management development courses
• Communicate and administer policy changes
• Maintain an individual work schedule and submit progress reports
• Support IT departmental initiatives and cooperation with other IT teams
• Maintain broad IT knowledge and deeper knowledge in the primary area of responsibility
• Establish and monitor operational KPIs, including productivity standards

Associate Director, Information Technology

Medical Director

• Lead medical management of Health Plan inpatient activity, including acute inpatient, LTAC, observation, SNF, rehabilitation, and ambulatory surgery
• Develop and implement the Health Plan Medical Management Plan for inpatient services
• Collaborate with Health Plan Medical Directors to manage medical goals in each region
• Collaborate with Medical Directors for Medical Home and Informatics to implement and monitor the Medical Management Plan
• Support retrospective claims audits and claims checks
• Support Evidence of Insurability and Over Age Dependent processes
• Support Geisinger Home Health nurses on DME, Home Health, and rehabilitation issues
• Provide guidance on medical appropriateness, benefit application, level of care, and out-of-network care
• Ensure complete and timely documentation
• Participate in Medical Director On-Call, On-Duty, and Appeals Committee activities
• Administer the practitioner and provider appeals process
• Ensure quality, accuracy, and timely completion of correspondence related to denials and appeals
• Participate on the Plan Pharmacy and Therapeutics Committee

Medical Director – Medical Operations

Analyst

• Develop a strong understanding of assigned applications
• Collect data through discussions, workflow observations, and document review
• Analyze best-practice workflows and identify opportunities to improve efficiency or effectiveness
• Produce workflow, gap analysis, needs assessment, design, build, testing, project, status, and transition documentation
• Perform unit and scenario-based application testing
• Apply critical thinking to problem solving and understand root causes
• Communicate work status with peers, informaticians, stakeholders, project teams, and leadership
• Apply appropriate issue escalation procedures
• Complete system builds and documentation according to department guidelines and change management policy
• Participate actively in meetings and provide feedback and input
• Prepare training materials and conduct virtual or in-person training classes
• Participate in team on-call rotation to provide 24x7x365 support
• Provide remote and/or on-site support to end-users
• Support system upgrades, patches, and monitoring
• Assist with department guidelines, standards, procedures, and policies
• Participate in vendor review and selection processes
• Test integration and technical requirements of peripherals and devices interfacing with assigned applications
• Perform other qualified duties as required or assigned

Application Analyst I

• Lead strategy, program design, and implementation for all LTSS/HCBS requirements and functions of the Community HealthChoices agreement
• Lead and implement Geisinger Health Plan’s Community HealthChoices program, including Service Coordination and Service Integration
• Develop and oversee strategic partnerships with LTSS providers, community organizations, advocacy groups, associations, vendors, and others
• Represent Geisinger Health Plan as its CHC leader and LTSS subject matter expert in state forums
• Prepare the plan for CHC readiness reviews and routine audits
• Monitor, review, and sign off on contract-required reporting
• Develop policies and procedures for effective and efficient delivery of LTSS programs and services
• Assess program effectiveness and participant experience and implement improvements
• Collaborate with leadership on operational issues, staffing, resources, systems, and program needs
• Present solution action plans for issues
• Facilitate and participate in committees, task forces, work groups, and multidisciplinary teams
• Ensure compliance with state and federal regulations and CHC contractual obligations
• Develop and manage budgets for CHC functions and costs
• Monitor industry trends, innovations, healthcare laws, and regulations and adjust programs and services accordingly

Senior Director – Service Coordination and Long-Term Services and Supports

Pharmacist

• Collaborate with inpatient and outpatient pharmacy IT and Clinical Informatics to select, implement, and evaluate automated technology and computerization of pharmacy-related patient care activities, including decision support
• Coordinate drug delivery and pharmaceutical care with external departments
• Build, implement, integrate, and maintain pharmacy automation and technology
• Assure appropriate testing of integrated applications
• Evaluate and test system upgrades, new functionality, and pharmacy-practice-related program changes
• Facilitate resolution of pharmacy technology, decision support, and database management issues
• Provide pharmacy technology in-service education for pharmacists, pharmacy technicians, and external department staff
• Support workflow analysis and training during new EMR go-lives
• Troubleshoot charge errors in Siemens or Epic for Revenue Cycle and Revenue Management
• Update the Charge Description Master for medications, including descriptions, coding, and charges
• Support the 340b Director with charge and dispense information sent to the 340b accumulator from electronic systems
• Perform work typically in a clinical environment while complying with organization policies and job-specific obligations

Clinical Informatics Pharmacist

• Collaborate with inpatient and outpatient pharmacy IT and Clinical Informatics to select, implement, and evaluate automated technology and computerization of pharmacy-related patient care activities, including decision support
• Coordinate drug delivery and pharmaceutical care with external departments
• Build, implement, integrate, and maintain pharmacy automation and technology
• Assure safe and appropriate medication use
• Test integrated applications
• Evaluate and test system upgrades, new functionality, and pharmacy-practice-related program changes
• Facilitate resolution of pharmacy technology, decision support, and database management issues
• Provide pharmacy technology in-service education for pharmacists, pharmacy technicians, and external department staff
• Support workflow analysis and training during new EMR go-lives
• Troubleshoot charge errors in Siemens or Epic for Revenue Cycle and Revenue Management
• Update the Charge Description Master for medications, including descriptions, coding, and charges
• Support the 340b Director with charge and dispense information sent from electronic systems to the 340b accumulator

Nurse

• Provide nursing triage services and health advice by phone and in person when applicable
• Assess patient acuity and determine the need for medical support
• Provide diagnostic testing results and related education
• Manage accurate, appropriate, and timely telephone and electronic messaging
• Provide protocol-driven clinical advice
• Assess patients by phone and document chief complaints, symptoms, history, pharmacy, and contact information using established protocols
• Initiate and coordinate emergency treatment when necessary
• Prioritize urgent calls and report pertinent information to triage providers
• Educate patients and families
• Schedule or facilitate emergency appointments
• Coordinate patient care and requests across departments, specialties, and sites
• Assist with orientation and training of new personnel
• Document ongoing patient and customer communication and respond promptly to needs
• Reinforce provider instructions and treatment-plan compliance
• Explain medical conditions
• Manage patient concerns using clinical protocols and service recovery techniques
• Complete and route patient documentation in a timely manner
• Suggest process improvements and solutions
• Coordinate care and services with external organizations, including insurers, home health, and medical facilities

RN - Registered Nurse Navigator, Triage - Population Health

Administration

• Identify quality assurance and testing needs with leadership
• Oversee activities to deliver high-quality, business-aligned solutions
• Manage a team of QA resources and allocate testing resources based on project requirements
• Communicate test plans, quality status, risks, defects, and issues to higher management
• Establish and enforce quality assurance standards, testing methodologies, and best practices
• Oversee test planning, test execution, defect management, and release validation
• Develop, monitor, and report quality metrics and KPIs
• Drive continuous improvement initiatives across the QA function
• Assume primary responsibility for the application administration team regarding job performance
• Assist with budget processes for system, utility, and application software strategy
• Investigate, review, and recommend software tools, application platforms, monitoring, and performance enhancement tools
• Create a detailed roadmap for applying recommended tools
• Facilitate acquisition and maintain an inventory of applications, software, and related tools and processes
• Ensure an effective system performance problem reporting process
• Perform application administration activities while overseeing team work activities
• Develop and monitor KPIs for application administration activities
• Report status and make recommendations for continuous improvement
• Develop training and mentoring activities for the application administration team
• Develop training for IT and business areas regarding application administration roles and processes
• Act as project leader and subject matter expert on multiple complex projects
• Provide oversight into all team activities
• Handle human resource activities including hiring, performance management, promotion recommendations, career development, corrective action, and termination recommendations

Nurse Practitioner or Physician Assistant – Skilled Nursing Facility

Information Specialist – Medical Laboratory

RN, Registered Nurse – Clinical Documentation Improvement Specialist

Physician, Emergency Medicine

Customer Service Representative I – Medicaid Enrollment

Biostatistician

Pediatric Neurologist

Associate Director, Information Technology

Medical Director – Medical Operations

Application Analyst I

Senior Director – Service Coordination and Long-Term Services and Supports

Clinical Informatics Pharmacist

Clinical Informatics Pharmacist

RN - Registered Nurse Navigator, Triage - Population Health

Application Administrator – Team Lead