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Controls Manager Salary in Billings, MT

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Crisis Assessment Counselor (.9) - Community Crisis Center
Billings Clinic, Billings
Works independently and according to established policies and procedures to provide assessments and referrals to clients presenting directly to the Community Crisis Center (CCC). Counselor determines if the client is in need of being admitted for crisis stabilization services and further develops a stabilization plan for within the facility and upon discharge from our care. Clients present with complex medical, mental health, substance abuse, social service needs and psychosocial needs. Collaborates with the local hospitals and CCC team on the diagnosis, symptoms and lethality. Contributes psychosocial information to the RN, MHW (Mental Health Worker), Discharge Coordinator/Case Manager and LAC (Licensed Addictions Counselor) in developing the continuum of care. Coordinates referrals to community and mental health services as needed. May need to transfer clients to a higher level of care for mental health emergencies or for medical needs. Essential Job Functions• Assessment and Interventions • Assess the client and gathers appropriate information to assist in the determination of a diagnosis and assess the need to admit a client to our stabilization services or refer to Billings Clinic for a higher level of Psychiatric care or refer to community shelter care. Responds to telephone crisis calls and to referrals from the Social Workers or Psychiatric Assessment Clinicians from Billings Clinic. • In collaboration with the CCC Team members evaluates, plans, organizes, implements, and documents safe therapeutic client care consistent with Crisis Center values/goals and Billings Clinic departmental policies and procedures and those of the CCC also. Consideration will be given to cultural diversity needs and the appropriateness of care based on the age of the patient. • On rare occasion, may provide collateral information to assist Billings Clinic with involuntary detention and commitment to assure compliance with state laws and Billings Clinic policies and procedures. • Uses interviews and client record reviews to identify environmental impediments to client progress and develop plans to resolve. • Utilizes performance improvement principles to assess and improve the quality of client care. • Develops collaborative relationships with Social Workers, PAC Workers and Care Management persons from Billings Clinic. Also works closely with the CCC team of mental health professionals to provide the best care possible. • Interviews clients and their support systems, when applicable, in order to set proper goals and minimize anxieties and maximize cooperation. . • Care Coordination • Demonstrates positive, supportive, and caring behaviors in communication with clients, families, visitors, physicians, staff, and others. • Helps clients cope, accept and adjust to issues related to mental health and substance use/abuse. • Reviews the client record to identify environmental impediments • to client progress and works with team members to resolve. • Interacts with the clients, support systems, healthcare professionals, and community and state agencies and serves as a liaison between the CCC and community agencies facilitates the exchange of information. • Discusses goals and stabilization plans with clients and support system to maximize compliance in meeting the goals • Performs duties to support CCC's goals and objectives in its effort to provide the least restrictive care in the most cost-effective system of care. Will only transfer to a higher level of care when the client is not appropriately served within our facility or when the client will not agree to stay voluntarily in our facility • Maintains basic knowledge regarding billing for insurance benefit • reimbursement. Completes all client billing sheets in a correct • and timely manner to ensure reimbursements. • Evaluation • Coordinates with internal discharge coordinator and coordinates necessary referrals to ensure services are in place. Provides the paperwork in a timely manner for the discharge coordinator. Monitors the need for revisions in the stabilization plans and makes recommendations to the RNs, LACs, MHWs and other counselors when indicated. Modifies stabilization plans to comply with changes in a client's situation or needs. • Assists with internal auditing by completing peer counselor chart audits as directed by the CCC Supervisor. Will also comply with any necessary corrections on his/her own charts if there are corrections warranted. • Documentation • Monitors the need for revisions in a client's goal and works with other CCC counselors to modify goals and ensure the client can comply with care that is consistent with their current stage of change. Provides documentation and justification when a client goal is modified. Documentation will be timely, reflect professional practice and consistent with CCC policy. • Safety/Quality Assurance/Risk Management • Takes a lead role in debriefing crisis situations within the CCC • when an extremely stressful incident has occurred with the CCC clients, employees and security • Maintains competency in departmental policies and process that are relevant to the performance of the counseling position. • Identifies and anticipates problems and safety issues and initiates appropriate action. Maintains competency in all organizational, departmental and outside agency environmental, employee or client safety standards relevant to job performance • Professional Accountabilities • Takes responsibility for the identification of own professional growth and development needs; meets all system/departmental educational requirements. • Adheres to department and organizational policies addressing confidentiality, infection control, patient rights, mental health ethics, disaster protocols, and safety. • Performs other duties as assigned or needed to meet the needs of the department/organization. • Demonstrates the ability to be flexible, open minded and adaptable to change
Crisis Assessment Counselor (.6 FTE) - Community Crisis Center
Billings Clinic, Billings
Works independently and according to established policies and procedures to provide assessments and referrals to clients presenting directly to the Community Crisis Center (CCC). Counselor determines if the client is in need of being admitted for crisis stabilization services and further develops a stabilization plan for within the facility and upon discharge from our care. Clients present with complex medical, mental health, substance abuse, social service needs and psychosocial needs. Collaborates with the local hospitals and CCC team on the diagnosis, symptoms and lethality. Contributes psychosocial information to the RN, MHW (Mental Health Worker), Discharge Coordinator/Case Manager and LAC (Licensed Addictions Counselor) in developing the continuum of care. Coordinates referrals to community and mental health services as needed. May need to transfer clients to a higher level of care for mental health emergencies or for medical needs. Essential Job Functions• Assessment and Interventions • Assess the client and gathers appropriate information to assist in the determination of a diagnosis and assess the need to admit a client to our stabilization services or refer to Billings Clinic for a higher level of Psychiatric care or refer to community shelter care. Responds to telephone crisis calls and to referrals from the Social Workers or Psychiatric Assessment Clinicians from Billings Clinic. • In collaboration with the CCC Team members evaluates, plans, organizes, implements, and documents safe therapeutic client care consistent with Crisis Center values/goals and Billings Clinic departmental policies and procedures and those of the CCC also. Consideration will be given to cultural diversity needs and the appropriateness of care based on the age of the patient. • On rare occasion, may provide collateral information to assist Billings Clinic with involuntary detention and commitment to assure compliance with state laws and Billings Clinic policies and procedures. • Uses interviews and client record reviews to identify environmental impediments to client progress and develop plans to resolve. • Utilizes performance improvement principles to assess and improve the quality of client care. • Develops collaborative relationships with Social Workers, PAC Workers and Care Management persons from Billings Clinic. Also works closely with the CCC team of mental health professionals to provide the best care possible. • Interviews clients and their support systems, when applicable, in order to set proper goals and minimize anxieties and maximize cooperation. . • Care Coordination • Demonstrates positive, supportive, and caring behaviors in communication with clients, families, visitors, physicians, staff, and others. • Helps clients cope, accept and adjust to issues related to mental health and substance use/abuse. • Reviews the client record to identify environmental impediments • to client progress and works with team members to resolve. • Interacts with the clients, support systems, healthcare professionals, and community and state agencies and serves as a liaison between the CCC and community agencies facilitates the exchange of information. • Discusses goals and stabilization plans with clients and support system to maximize compliance in meeting the goals • Performs duties to support CCC's goals and objectives in its effort to provide the least restrictive care in the most cost-effective system of care. Will only transfer to a higher level of care when the client is not appropriately served within our facility or when the client will not agree to stay voluntarily in our facility • Maintains basic knowledge regarding billing for insurance benefit • reimbursement. Completes all client billing sheets in a correct • and timely manner to ensure reimbursements. • Evaluation • Coordinates with internal discharge coordinator and coordinates necessary referrals to ensure services are in place. Provides the paperwork in a timely manner for the discharge coordinator. Monitors the need for revisions in the stabilization plans and makes recommendations to the RNs, LACs, MHWs and other counselors when indicated. Modifies stabilization plans to comply with changes in a client's situation or needs. • Assists with internal auditing by completing peer counselor chart audits as directed by the CCC Supervisor. Will also comply with any necessary corrections on his/her own charts if there are corrections warranted. • Documentation • Monitors the need for revisions in a client's goal and works with other CCC counselors to modify goals and ensure the client can comply with care that is consistent with their current stage of change. Provides documentation and justification when a client goal is modified. Documentation will be timely, reflect professional practice and consistent with CCC policy. • Safety/Quality Assurance/Risk Management • Takes a lead role in debriefing crisis situations within the CCC • when an extremely stressful incident has occurred with the CCC clients, employees and security • Maintains competency in departmental policies and process that are relevant to the performance of the counseling position. • Identifies and anticipates problems and safety issues and initiates appropriate action. Maintains competency in all organizational, departmental and outside agency environmental, employee or client safety standards relevant to job performance • Professional Accountabilities • Takes responsibility for the identification of own professional growth and development needs; meets all system/departmental educational requirements. • Adheres to department and organizational policies addressing confidentiality, infection control, patient rights, mental health ethics, disaster protocols, and safety. • Performs other duties as assigned or needed to meet the needs of the department/organization. • Demonstrates the ability to be flexible, open minded and adaptable to change
Manager Medical Oncology, Oncology Navigation, and High Risk Breast Center
Billings Clinic, Billings
Under general direction, is responsible for the operations of Medical Oncology, Navigation, and High Risk Breast Center Departments at Billings Clinic downtown campus. Responsibilities include personnel selection, development/mentoring, coaching/counseling, performance appraisal completion, disciplinary actions up to and including terminations as coordinate with Human Resources and leadership team, physician relationships, interdepartmental and intradepartmental activities, process improvement activities, customer relations, quality of service and fiscal control. Develops short and long-term strategic plan, objectives, policies, and procedures for department cost centers to formalize and implement the mission, vision, and values of Billings Clinic. Maintains the standards, customer relations, and practice in a designated service line. Additionally, the manager works with contracting facilities to provide services and billing to patients in rural communities. Manager is responsible for accreditation preparedness for the department and participation in Cancer Center sponsored events outside of daily work schedule, including but not limited to, Relay for Life and Survivor's BBQ. Essential Job Functions• Works closely with department chair dyad partner on short term and long term goals of the department in coordination with the director and medical director dyad team. This includes, but is not limited to, strategic planning of equipment needs, regional growth, treatment advancements, and accreditations. • Develops and oversees Medical Oncology Department at Billings Clinic downtown campus to ensure adherence to organizational mission, vision, values, strategic goals, and business strategies. Interprets and supports the mission and philosophy of Billings Clinic. Responsible for promotion of, and adherence to, the elements of Billings Clinic's Code of Business Conduct and corporate compliance program. • Is key stakeholder and decision-maker, in collaboration with department chair and director dyad, for service expansions and future medical oncology outreach sites and/or hubs. • Is a member of Cancer Committee and attends a minimum of 75% of meetings. Is responsible for creating and updating strategic and programmatic goals for Medical Oncology. • Travels a minimum of annually to other campuses for in-person needs assessments and evaluation of practice. • Conducts huddles in the department daily and attends daily leadership huddles in the Cancer Center. • Reviews and completes safety nets and feedback files promptly per policy. • Has knowledge of Billings Clinic Cancer Center accreditations standards as well as DNV accreditation standards and holds team to these standards. • Manages the operations of the medical oncology department including effective use of resources and assuring efficient patient and staff flow. Leads department in the overall marketing, program development, and service priorities. Coordinates with department chair, director dyad, and other Billings Clinic leadership to assure continuity in pursuing radiation oncology/organizational goals and synergy in implementing plans and problem resolution. • Plans appropriate staffing practices by maximizing the utilization of resources; forecasts and anticipates the personnel needs of the unit with regard to fluctuations in the patient workload; maintains staff at agreed upon budgetary standards. Recommends, implements and evaluates plans and systems that assure sufficient number of qualified and competent staff to provide care/services. Adheres to administrative polices and procedures relating to human resources management. • Creates an environment in which personnel can realize personal growth and development through active participation in unit decisions, opportunities for professional growth and consistent application of personnel policies. • Assists with implementation and maintenance of all policies and procedures. Practices process improvement principles to assess and improve the quality of the radiation oncology program. Assures compliance with regulatory standards Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. • Adheres to national patient safety goals and prevents, minimizes and/or corrects risks to patients, families, physicians and other members of the health care team. Investigates unusual occurrences and follows appropriate procedures. Provides consultation for patient care related concerns and acts a patient advocate as needed. • Organizes ongoing communication between all health care providers regarding aspects of patient care and unit functioning. Acts to resolve conflicts in a timely manner. Develops collaborative relationships with physicians to enhance quality practice. • Develops, implements, and maintains a realistic, cost-effective annual budget. • Develops, retains, recruits, and leads a talented team committed to accomplishing the goals and objectives of Billings Clinic. Recommends, implements, and evaluates plans and systems that assure sufficient number of qualified and competent team members to provide care/services. Adheres to administrative policies and procedures relating to human resource management. • Maintains and displays an appropriate degree of clinical expertise. Acts as a resource for all levels of the health care team, other health care providers, patients and their families. • Prepares annual budget for medical oncology, navigation and the high risk breast center and monitors the financial performance of the department to assure a favorable contribution margin. • Provides leadership to the team and acts a resource responding to questions and assisting with problem resolution. Plans for effective orientation/training of new and current staff. Participates in and provides feedback into the human resource management functions of interviewing, hiring, coaching/counseling, disciplinary actions and performance appraisals. • Develops with the physicians and oversees completion and interpretation of quality and process improvement activities. • Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements. • Performs other duties as assigned or needed to meet the needs of the department/organization. • Creates and revises practice guidelines, policies, and procedures for Medical Oncology, Oncology Navigation, and High Risk Breast Center as required and/or needed.
Civil Engineer Project Manager
TOTH AND ASSOCIATES INC, Billings
Toth and Associates, Inc. (TOTH) was incorporated in December 2003 as a full-service engineering firm specializing in electric utility engineering, structural engineering, civil engineering, land surveying, and GIS/mapping. We serve a wide range of clients, including public and private utilities, municipalities, architects, and educational institutions across the country. Visit www.tothassociates.com to learn more about our company. Toth and Associates, Inc. (TOTH) is currently seeking Civil Engineer Project Manager candidates to join our growing team in our Billings, MT office. Our Civil Engineering team works on a wide range of projects, including wastewater, potable water, transportation, stormwater, and site design. The successful candidate will have knowledge and experience in the successful completion of these types of projects, as well as strong project management skills. The Civil Engineering Project Manager is responsible for managing multiple projects entirely from start to finish including budgeting, scheduling, contract document preparation, design calculations, and construction administration services. Duties and Responsibilities: Manage, lead, and oversee all team activities including production documents, client management, internal team management, and project financials Collaborate with a large team of multi-disciplinary engineers, architects, landscape architects, planners, and other professionals Lead project delivery, including being responsible for technical design, project financial performance, scope and schedule management, and quality control Conduct technical evaluations to support planning and design related to civil engineering projects Prepare design calculations, drawings, and specifications for civil engineering projects Negotiates strong contracts and clearly defines project scope within proposal Makes critical decisions to ensure projects maintain schedule and scope Delegates project tasks to team members in a timely fashion and provides clear direction on tasks, expectations on deliverables, and establishes clear deadlines with the team Consistently reinforces TOTH mission, vision, and values, and drives all aspects of projects to provide superior customer service BS in Engineering from an accredited university 7+ years of experience Professional Engineer (PE) certification Proficient with AutoCAD Civil 3D and other civil engineering software. Must have a proven record of success as a project engineer and possess a strong technical background. Proficient in project design & coordination. Effectively delegates tasks (production and administrative) to allow for an increased focus on management tasks. Possess strong communication skills, critical thinking skills, and demonstrate a problem-solving mentality. Continuously delivers a profitable project with little to no assistance from other managers or superiors. Effective client management, leads projects with intent to generate a repeat client in every instance. Paid Time Off (PTO) Eight paid holidays Company-paid medical and dental coverage with buy-up options Vision Company-paid life insurance and long-term disability insurance Supplemental life insurance available Short-term disability available FSA and HSA options 401(k) w/company matching and profit sharing Discretionary bonuses Education assistance
MOHS TECH
Billings Clinic, Billings
Under the clinical supervision of the Physician and general supervision by the Manager, the MOHS Technician assists in the delivery of patient care/treatment, performing laboratory/histology duties, and assisting with surgical procedures. Works collaboratively with the Physician and Dermatology staff to meet the physical, psychosocial, educational, and spiritual needs of the patient and family. Assists in the care of the surgical patient by performing the scrub role of handling instruments, equipment and supplies. The Mohs Technician has an understanding of the procedure being performed, anticipates the needs of the surgeon, maintains a sterile field and is responsible pre- and post-operatively for technical components of surgery. Follows established procedures for preparation of surgical specimens. Prepares mounts on slides and stains or treats tissue with chemicals so as to reveal specific structural details under microscopic analysis. Perform histology duties to prepare material for pathologic evaluation.Essential Job Functions•Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. •Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.•Receives and prepares patient for examination and treatment as directed. Obtains and records history and vital signs. Charts and documents in medical record according to protocol. Collects laboratory specimens as needed. Assists physician in the care of patients/families by contributing information in order to aid in planning and evaluating patient care, with consideration for emotional, social and physical needs. (Patient Care, Assessment, Patient Examination Prep)•Cleans and maintains exam and treatment rooms to include ordering and maintaining adequate inventory of clinical and office supplies, instruments, and equipment as needed, daily decontamination of work area and sterilizing of instruments, and appropriate disposal of residual surgical pathology specimens and lab chemicals. (Environment of Care, Maintenance, Room Supplies & Equipment Prep)•Assists physicians and non-physician providers in preparing for procedures and physical exams. Demonstrates proper handling of instruments and equipment. Anticipates, plans for and responds to the needs of the surgeon and other members of the team by constantly watching the sterile field. (Patient Care, Procedures, Assist Providers - Derm)•Observes patients for physical and emotional reactions to medications and treatments, reporting any irregularities to appropriate medical and/or other nursing personnel. Identifies potential complications and responds appropriately to identified needs. (Patient Care, Patient Observation, patient obs for reactions)•Performs minor procedures to include but not limited to stitch and staple removal, wound and ulcer care, application of dressings, and phototherapy adhering to policy and procedure; documentation is concise and thorough. (Patient Care, Procedures, Perform Minor Procedures)•Reviews clerical information including the labeling of the specimen and requisition, reconciling any discrepancies detected in labeling. Prepare specimens for accessioning and gross evaluation. ((Patient Care, Procedures, Mohs Tissue Processing)Assigns accession numbers to cases as they arrive in the Mohs lab.Processes selected tissue as directed by the Mohs surgeon.Embeds, cuts, stains and coverslips slides efficiently.Catalogs and files all slides•Prepares laboratory solutions and reagents according to established procedures and exact formula in order to maintain adequate quantities for daily work assignments. Change and filter stainer chemicals per protocols. (Environment of Care, Inventory, Laboratory Prep)•Records and reviews quality control data and case logs. Utilizes performance improvement principles to assess and improve quality. (Quality/Regulatory, Quality Review, QC Data)•Assists with scheduling admissions, appointments, diagnostic tests, treatments, procedures, and surgery. Screens incoming telephone calls for appropriate referrals to nurse, physician and/or non-physician provider. (Patient Services, Scheduling, Patient Scheduling)•Provides instruction to patients as directed by physician, non-physician provider or documented in policies and procedures. (Education, Patient, Educates Patient, Provider)•Maintains patient files, records and other information. Adheres to HIPAA and confidentiality requirements. (HIM, Patient Chart, Documents in Patient Record)Compiles statistical data for reports as directed. (with 9)•Performs all other duties as assigned or as needed to meet the needs of the department/organization. May assist in the training/orientation of new staff and act as a resource to staff in resolving problems or questions.Additional Essential Functions for level 2•Assists with orientation and training of staff and/or students and residents as applicable. This may include assisting with competency assessment, updating training materials and identifying additional education needs. (Education, Staff, Orientation & Training)
RN Care Manager - Inpatient
Billings Clinic, Billings
May be eligible for $3,000 sign on incentiveMay be eligible for relocation assistanceMay be eligible for tuition loan reimbursementUnder the direction of department leadership, the Care Manager provides services consisting of comprehensive care management, care coordination and care continuing care services. The Care Manager is accountable for a designated patient caseload/population and plans effectively in order to meet patient needs. The Care Manager is a support to providers and the multidisciplinary in facilitating patient care. The Care Manager strives to enhance the quality of clinical outcomes and patient satisfaction while managing the cost of care.Essential Job Functions• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.• Conducts initial and ongoing assessments and chart reviews of each assigned patient to identify potential and or actual barriers and care needs.Proactively screens and assesses the acuity and transitional needs of each assigned patient.Engages and collaborates with patients, support systems and the multidisciplinary/healthcare team to establish a plan of care that addresses the mutually identified needs of the patient.• Interventions and Care Coordination• Demonstrates the ability to interpret clinical information and understand health care treatment and systems.• Supports patients to ensure they can function to the best of their ability and maintain optimal health related to their medical condition(s). Identifies and addresses gaps in knowledge/understanding/education related to disease management.• Participates in the patient's plan of care by interacting/collaborating with patients, support systems, healthcare professionals and community and state agencies. Serves as a liaison between hospital, clinic and community agencies to facilitate the exchange of clinical and referral information.• Identifies high-risk patients through risk stratification tools and ongoing assessments including ED utilization and hospitalizations to address the medical/psychosocial/financial needs of patients and their support systems in both hospital and ambulatory settings.• Reinforces goals of care and treatment plans with patients and support systems in order to enhance patient and support system engagement.• Coordinates care conferences to support effective communication as needed.• Helps navigate the patient throughout the continuum of care.• Effectively collaborates and coordinates care with the Social Services Care Manager.• Maintains current knowledge of community resources and ancillary clinical services to meet the needs of hospital, clinic and regional customers.• Provides information about available resources to patients and their support systems.• Partners with the multidisciplinary/healthcare team and the Social Services Care Manager to guide/advocate placement to the appropriate Acute rehab, LTACH, SNF, long-term care facility, assisted living facility, or Home Health Care, in-home services, hospice, ancillary OP services and/or DME as clinically appropriate.• Acts as a clinical resource to the Social Services Care Manager.• Understands consultative disciplines and their role in patient care.• Maintains respectful and professional communication skills.• Insurance and Utilization Management • Maintains working knowledge of CMS requirements and readmission penalties. • Maintains working knowledge of insurance/payer benefits.• Evaluation• Monitors the need for revisions in the plan of care and makes recommendations to the multidisciplinary/healthcare team when indicated. Modifies the plan of care/goals to reflect changes in patient or their support system status and needs.• Monitors, evaluates and documents patient progress related to plan of care.• Documentation• Documents accurately and in a timely manner in the Electronic Medical Record per program guidelines.• Utilizes standards of professional practice in all documentation and communication consistent with organization/department policy as well as the Board of Nursing and ethical guidelines established and universally supported by the nursing profession.• Documentation and patient information shall be secured and maintained in accordance with Billings Clinic policy, HIPPA, state and federal guidelines.• Safety/Quality Assurance/Risk Management• Identifies service gaps and participates in hospital and department programs to address and improve quality of care.• Advocates for marginalized or vulnerable populations by identifying cases of abuse and neglect and appropriately involving risk management and regulatory agencies.• Professional Accountabilities• Participates in continuing education, department planning, work teams and process improvement activities.• Maintains current Licensure.• Adheres to department and organizational policies addressing confidentiality, infection control, patient rights, medical ethics, advance directives, disaster protocols and safety.• Demonstrates the ability to be flexible, open minded and adaptable to change.• Maintains competency in organizational and departmental policies/processes relevant to job performance.• Utilizes standards of professional practice in all communication with patients, support systems and colleagues consistent with the Board of Nursing and ethical guidelines established and universally supported by the nursing profession.• Performs all other duties as assigned or as needed to meet the needs of the department/organization.• Inpatient Care Management Specific• Collaborates with post-acute services, Ambulatory Care Managers and PCP's to ensure successful transition back to the home environment. Makes appropriate Ambulatory Care Management referrals. Anticipates those patients who may require more support after hospital discharge and communicates these concerns.• Utilizes length of hospital stay, past utilization of resources and risk stratification to identify patients at high risk for readmission.• Interfaces effectively with the Utilization Review department to stay current on patient's eligibility for admission, continuing stay, or readiness for discharge.• Communicates with medical staff, coordination team and nursing staff regarding appropriateness of admission, need for continued stay and discharge plans.• Identifies and records episodes of avoidable days.• Evaluates the appropriateness of care delivery in the inpatient setting and communicates any discrepancies with the medical team.• In addition to the above Care Managers in the Emergency Department will also be responsible for the following duties:• Screens ED admissions using established criteria for specific payer populations• Understands insurance/payer policy language, benefits and authorization requirements for admission• Discuss payor criteria and issues on a case-by-case basis with clinical staffEnsures that the patient is in the appropriate "status" and level of care for the clinical condition. Utilizing screening criteria and physician advisor, per department standards• Outpatient Care Management Specific• Receives referrals on patients being seen in the clinic (Primary Care, SDC, specialty office, ancillary departments). Coordinates services for medical and non-medical care coordination needs that are episodic or longitudinal.• Receives referrals for elective procedure patients who would benefit from pre-discharge planning assessments and resource coordination.• Assists patients through care transitions from hospital to home, SNF to home/assisted living, or alternate setting per program guidelines.• Manages a panel of high-risk patients that require longitudinal education and support.• Effectively collaborates with Inpatient Care Managers and Social Service Care Managers to address the needs of shared patients.• Able to function effectively as a part of a team. Utilizing shared knowledge to address complex patient needs.• Supports Billings Clinic and community-based programs to advance the role of Outpatient Care Management, strengthen partnerships and meet department and patient needs.
(USA) Technician, Refrigeration/HVAC
Walmart, Billings
What you'll do atPosition Summary...What you'll do...Supermarket Rack Refrigeration HVAC TechAre you on the lookout for an exciting career opportunity within a dynamic team? Walmart is in the process of expanding its workforce across local retail stores and is actively recruiting Supermarket Rack Refrigeration HVAC Tech. If you possess relevant experience in this field, we invite you to bring your skills to our fast-paced and welcoming work environment!As a Supermarket Rack Refrigeration HVAC Tech at our local retail store, your role will maintain and repair Walmart facilities HVAC/R equipment and assets by utilizing commercial HVAC and Refrigeration skills and using hand tools, digital tools, power tools, and other equipment to complete jobs. Operating under the supervision of the local Refrigeration and HVAC Manager, you'll adhere to established maintenance schedules and guidelines, conducting inspections, cleaning, and repairing facilities, equipment, or fixtures.Supermarket Rack Refrigeration HVAC Tech Compensation:Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, level of job offer, qualifications and other job-related factors.An additional bonus available for this role is available and will be disclosed during the interview process.Sign-on bonuses (where available and offered).Supermarket Rack Refrigeration HVAC Tech Benefits:Full TimeCareer advancement opportunitiesWorld class trainingWork vehicle and tools provided.Eligible for bonus incentiveWalmart discountPaid Time Off that accrues.Full benefits available for Health / Vision / Dental / Life401k with company matchEligible to participate in the Associate Stock Purchase PlanFREE College through Live Better UniversityThe essential functions of the Supermarket Rack Refrigeration HVAC Tech:Maintain and repair Walmart facility's HVAC/R equipment and assets by utilizing commercial HVAC and Refrigeration skills and using hand tools, digital tools, power tools, and other equipment to complete jobs.Utilize the work order management system to receive repair Work Orders to support Stores and Store associates and document repair activities.Provide prompt response to emergency maintenance calls.Inspecting, operating, or testing facilities, equipment, or fixtures to diagnose issues.Complete all required training requirements to operate equipment and tools safely.Ensures compliance with Occupational Safety and Health Administration and Environmental Protection Agency regulations and guidelines by performing work according to practices and procedures outlined in the Walmart HVAC/R safety policy and environmental guidelines.Supermarket Rack Refrigeration HVAC Tech Position Requirements:18 years or olderHigh School Diploma or equivalentVocational or Technical HVAC/R certification and 6 months' experience, OR 2 years total work experience, in commercial refrigeration, mechanical maintenance, or construction-related field for commercial HVAC/R and building controls or related fieldType I and Type II EPALarge-Scale Rack Refrigeration ExperienceValid Driver's LicenseCan lift up to 75 lbs.Can Move up and down ladders frequently.Comfortable working at heights frequentlyMinimum Qualifications...Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications. Minimum Qualifications: Vocational or Technical Heating, Ventilation, Air Conditioning, and Refrigeration (HVAC/R) certification and 2 years experience in mechanical maintenance or construction-related field for commercial HVAC/R and building controls OR 4 years experience in mechanical maintenance or construction-related field for commercial HVAC/R and building controls or related field. Type I/Type II Environmental Protection Agency (EPA) Certification for Refrigerant handling.Preferred Qualifications...Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications. Completion of a 2-year Vocational or Technical HVAC/R program, Mechanical license in city and/or state where job is locatedPrimary Location...1649 MAIN ST, BILLINGS, MT 59105-4043, United States of America About WalmartAt Walmart, we help people save money so they can live better. This mission serves as the foundation for every decision we make, from responsible sourcing to sustainability-and everything in between. As a Walmart associate, you will play an integral role in shaping the future of retail, tech, merchandising, finance and hundreds of other industries-all while affecting the lives of millions of customers all over the world. Here, your work makes an impact every day. What are you waiting for?Walmart, Inc. is an Equal Opportunity Employer- By Choice. We believe we are best equipped to help our associates, customers, and the communities we serve live better when we really know them. That means understanding, respecting, and valuing diversity- unique styles, experiences, identities, abilities, ideas and opinions- while being inclusive of all people.All the benefits you need for you and your family Multiple health plan options, including vision & dental plans for you & dependents Financial benefits including 401(k), stock purchase plans, life insurance and more Associate discounts in-store and online Education assistance for Associate and dependents Parental Leave Pay during military service Paid Time off - to include vacation, sick, parental Short-term and long-term disability for when you can't work because of injury, illness, or childbirth Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific plan or program terms. For information about benefits and eligibility, see One.Walmart.com/Benefits.Frequently asked questions On average, how long does it take to fill out an application?On average, it takes 45-60 minutes to complete your application for the first time. Subsequent applications will take less time to apply as our system saves some of your application information. Please note that some positions require the completion of assessments in order to receive consideration for that role. Those would take additional time. Can I change my application after submitting?No, you cannot change your application after submitting, so please make sure that everything is finalized before you hit the submit button. How do you protect my personal information?Processing of information on paper is minimal, and Walmart processes application information using an applicant tracking system (ATS). Access to the data within the ATS is restricted to authorized personnel, and the system itself is held to high security standards by Walmart. What are the recommended Internet Browsers for applying for open roles?Internet Explorer 8.0+Firefox 4.0+Safari 4.0+Chrome 12+
Field Service Technician
Mark Rite Lines Equipment Company, Inc., Billings
Summary of Position:  Answer inbound customer calls, respond to emails, provide parts assistance or respond to request for service to diagnosis and provide troubleshooting assistance to resolve product related issues by utilizing company databases, customer information, and collaboration with other departments.  Record appropriate call details and actions in Customer Relations Management system. Conduct follow-up calls to assigned customers to ensure support action provided resolved related issue and elevate unresolved issues to service management team.  Review case information, provide guidance and answer questions by dealers and customers in evaluating if product repairs and/or issues are covered under products warranty policy or should be considered for a good will or policy adjustment. Provide updated communications to dealers and customers concerning status of repairs or warranty related claims. With direction from Manager, Product Service Specialist and/or Sr. Technician, lead diagnostic efforts as necessary at dealer locations. Educate customer and dealer personnel on new equipment startups. Identify potential mechanical, electrical or hydraulic issues with existing equipment, document recommended changed and submit to engineering for review. As assigned, participate on the On-Call technical support team and provide technical assistance or service after-hours and weekends. Provide input and review of technical data, parts bulletin, technical data sheets and other training related materials and notify customers as appropriate. Maintain accurate and timely records in Customer Relations Management system to ensure necessary information is accurately recorded in a manner to assist in future technical issues. Make necessary travel arrangement for field service visits and coordinate necessary equipment and parts needed to successfully complete assigned tasks. Perform other related duties, assignments or special projects as needed. Requirements Education (technical and/or commercial): Associates degree in Automotive repair preferred, bachelor’s degree a plus. ASE Master Truck Technician preferred. CDL License required.  Job experience (years and type of experience):  5 years’ experience in vehicle/equipment service and repair with a combination of mechanical, electrical, controls and hydraulics. Combination of education and field experience will be considered.   Skills Required:   At least three (3) years diagnosis and repair experience in the following systems: Mechanical, Electrical, Pneumatic, Hydraulic and Hydrostatic is required. Ability to read and interpret schematics and mechanical drawings. Demonstrated strong verbal and written communication skills. Ability to operate a variety of hand tools to assist in the repair process. Ability to travel up to 100% of the time. Proficiency in MS Office products (Outlook, Word, Excel, PowerPoint, etc.) and video photography.   About Us   MRL manufactures quality built highly productive Traffic Paint, Thermoplastic, Plural Component and Line Removal/Pavement Grooving equipment. Since 1967, MRL’s extensive “hands-on” pavement marking contracting experience, innovative engineering and attention to quality has enabled MRL to become the largest equipment supplier to the Industry. Decades of MRL’s reliable performance setting Industry Standards coupled with the Industry’s largest parts support inventory and most experienced technical support staff can be summed up in one statement – “When It matters most – MRL Delivers”!   Federal Signal Corporation (NYSE: FSS) builds and delivers equipment of unmatched quality that moves material, cleans infrastructure, and protects the communities where we work and live. Founded in 1901, Federal Signal is a leading global designer and manufacturer of products and total solutions that serve municipal, governmental, industrial and commercial customers. Headquartered in Oak Brook, IL, with manufacturing facilities worldwide, the Company operates two groups: Environmental Solutions and Safety and Security Systems. For more information on Federal Signal, visit: www.federalsignal.com.   The Company is an equal opportunity employer. Qualified applicants will not be discriminated against on the basis of, and will receive consideration for employment without regard to, race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, status as a protected veteran, or any other protected category, characteristic, or trait under applicable law. If you require reasonable accommodation in the application process, contact Human Resources at [email protected]. All other applications must be submitted online. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c) See job description
Manager ID, Nephrology and Urology (Full-time/Billings)
Billings Clinic, Billings
Responsible for managing day-to-day operations for Urology, Nephrology, and Infectious Disease departments ensuring the needs of the patients served are met. Operationalizes short- and long-range department goals. Develops, in partnership with Department Chair and Director, objectives, policies and procedures for service line to formalize and implement the mission, vision and values of Billings Clinic. Maintains the standards, customer relations, and practice in these service lines. Accountabilities include quality of services; high reliability organizing, planning to achieve short range goals and objectives; fiscal control; physician and interdepartmental/intradepartmental relations; personnel management and budgeting oversight.Essential Job Functions• In collaboration with triad partnership of Department Chair and Service Line Director, develops and implements short- and long-range goals.• Oversees department cost centers to ensure adherence to organizational mission, vision, values, strategic goals, and business strategies. Interprets and supports the mission and philosophy of Billings Clinic. Responsible for promotion of, and adherence to, the elements of Billings Clinic's Code of Business Conduct and corporate compliance program.• Leads department in the overall marketing, program development, and service priorities. Coordinates with Department Chair, Service Line Director, and other Billings Clinic leadership to assure continuity in pursing service line/organizational goals and synergy in implementing plans and problem resolution.• Develops, implements, and maintains a realistic, cost-effective annual budget.• Practices process improvement principles to assess and improve the quality of the service/care provided within the department. Maintains competency in all organizational, departmental, and outside agency safety standards relevant to job performance for department and ensures compliance of department and staff.• Develops, retains, recruits, and leads a talented team committed to accomplishing the goals and objectives of Billings Clinic. Recommends, implements, and evaluates plans and systems that assure sufficient number of qualified and competent staff to provide care/services. Adheres to administrative policies and procedures relating to human resource management.• Demonstrates and encourages an ethic of open communication and teamwork throughout the organization. Builds an environment of shared commitment to Billings Clinic's goals and responsibility to achieve quality outcomes. Provides consultation for related concerns and acts as a customer advocate by demonstrating sensitivity to ethical and legal ramifications of practice.• Participates in evaluation, selection and integration of health care technology and information management systems that support quality of care/financial needs and the efficient use of resources.• Manages Physician clinic schedules to ensure appropriate patient contact hours are met.• Coordinates with affiliates and off campus sites all outreach activities for the departments.• Site administrator for any certification programs for the departments.• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental, and outside agency standards as it relates to the environment, employee, patient safety or job performance.• Performs all other duties as assigned or as needed to meet the needs of the department/organization.Minimum QualificationsEducation• Minimum two (2) Year / Associate Degree in Business Administration, Health Care Administration, or other Health Care related field • Preferred four (4) Year / Bachelor's Degree in Business Administration, Health Care Administration, or other Health Care related fieldExperience• Four (4) years in Outpatient specialty clinic leadershipCertifications and Licenses• Current Montana driver's license and the ability to be insured to operate Billings Clinic vehicles - At hire
Manager - General Surgery (Full-time/Billings)
Billings Clinic, Billings
Develops objectives, policies, and procedures for department cost centers to formalize and implement the mission, vision, and values of Billings Clinic. Maintains the standards, customer relations, and practice in a designated service line. Accountabilities include quality of services; short- and long-range planning to achieve goals and objectives; fiscal control; physician and interdepartmental/intradepartmental relations; personnel management.Essential Job Functions• In collaboration with physician leadership and other medical staff, administration, and other health care providers, develops and implements short- and long-range plans, and leads, develops and revises programs which enhance department services.• Leads department in the overall marketing, program development, and service priorities. Coordinates with physicians and other Billings Clinic leadership to assure continuity in pursing service line/organizational goals and synergy in implementing plans and problem resolution.• Develops, implements, and maintains a realistic, cost-effective annual budget.• Practices process improvement principles to assess and improve the quality of the service/care provided within the department. Maintains competency in all organizational, departmental, and outside agency safety standards relevant to job performance for department and ensures compliance of department and staff.• Develops, retains, recruits, and leads a talented team committed to accomplishing the goals and objectives of Billings Clinic. Recommends, implements, and evaluates plans and systems that assure sufficient number of qualified and competent staff to provide care/services. Adheres to administrative policies and procedures relating to human resource management.• Demonstrates and encourages an ethic of open communication and teamwork throughout the organization. Builds an environment of shared commitment to Billings Clinic's goals and responsibility to achieve quality outcomes. Provides consultation for related concerns and acts as a customer advocate by demonstrating sensitivity to ethical and legal ramifications of practice.• Participates in evaluation, selection and integration of health care technology and information management systems that support quality of care/financial needs and the efficient use of resources.Minimum QualificationsEducation• Four (4) Year Bachelor's Degree in related service areaExperience• Two (2) years of experience in General Surgery or related service areaLicenses and Certifications• Current Montana/Wyoming driver's license and the ability to be insured to operate Billings Clinic vehiclesOr an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered.