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Associate Vice President for Student Health and Wellness
Jobelephant.com, Inc., Rochester
Associate Vice President for Student Health and WellnessRochester Institute of Technology (RIT), a world class private, research university renowned for creativity and technical innovation, seeks a dynamic, collaborative, and innovative leader to serve as Associate Vice President for Student Health and Wellness (AVP). This strategist and visionary will oversee a broad spectrum of health-related departments, ensuring high-quality, accessible, and inclusive programs and services. The AVP will also serve as a pivotal senior administrator, charged with enhancing student health and wellbeing offerings.Reporting to the Senior Vice President for Student Affairs (SVPSA), this AVP is a member of the Student Affairs leadership team and participates in setting strategic direction for the division; anticipating and responding to opportunities and challenges; managing resources; formulating policy; and developing key relationships with academic and administrative colleagues. This dynamic role demands a proactive approach to preventive care, mental health services, wellness education, case management, health promotion, and direct health care. Student Health and Wellness is guided by an inclusive and integrated service model, promoting a high degree of collaboration and communication across all areas through programs and services that advance a holistically oriented and healthy campus culture. The Associate Vice President will collaborate with various stakeholders to foster an environment that values student wellbeing and will have direct oversight of the Student Health Center, Student Counseling and Psychological Services, Case Management and Health Promotion, Recreation, and Wellness Education.Primary Responsibilities • Provide Strategic Vision: The AVP will be relied on as a senior leader on campus. Both in moments of crisis and in day-to-day activities, they will serve as an authority on a broad range of health and wellness issues. The AVP will articulate a compelling and coherent vision for student wellbeing and embrace a student-centered approach in decision-making, clinical practices, service operations, and identifying community needs.• Foster Diversity, Equity, Inclusion and Belonging: The AVP will foster a diverse, inclusive, and respectful community, both in vision and practice. This commitment is rooted in the belief that multiple points of view, life experiences, ethnicities, cultures, and belief systems are essential to personal, professional, and organizational growth. The AVP will partner with colleagues across the division and university to incorporate diversity, equity, inclusion, and justice frameworks into their practice developing programs and services that support student success.• Support Student Wellbeing: The AVP will lead a multi-disciplinary team and serve as an enthusiastic spokesperson for student health and wellness, the division, and the University. This leader must also demonstrate empathy, be a thoughtful listener and be approachable and welcoming.• Enhance Operational Effectiveness: The AVP will outline a vision and plan to ensure organizational effectiveness for the areas they oversee. This includes updating existing structures, programs, services, and priorities as needed; ensuring that the investment of resources is being well utilized; and stewarding the human and fiscal resources devoted to the student experience with creativity and fiscal prudence.Required Education and Experience• Earned doctorate in Public Health, Healthcare Administration, Health Sciences, Medicine, or related fields. Clinicians must have licensure to practice in current state jurisdiction, and license-eligibility in the state of New York.• A minimum of 8-10 years of experience overseeing a complex integrated healthcare organization, demonstrating proficiency in managing a wide range of health services and programs.• Extensive experience in supervising licensed healthcare professionals, including developing and leading multidisciplinary teams.• Proven track record of implementing effective health and wellness programs and services within a diverse community, preferably in a higher education setting.Required Knowledge, Skills, and Abilities• Demonstrated commitment to promoting inclusive and accessible health care services.• Strong leadership, communication, and interpersonal skills, with an ability to engage effectively with students, faculty, staff, and external partners.• Demonstrated proficiency in interpersonal communication, with a proven ability to effectively engage and collaborate with diverse groups.• Strong written communication skills, including the capacity to articulate complex concepts in a clear, concise, and accessible manner.• Knowledge of relevant healthcare laws, regulations, and accreditation standards, with experience in ensuring compliance and maintaining high standards of healthcare delivery.• Ability to respond effectively to crises and manage complex health-related emergencies.• Proven ability to cultivate and develop staff and an aptitude to form an effective leadership team.• Ability to establish, nurture, and sustain effective working relationships based on respect, empathy and honesty with diverse groups and individuals.• A demonstrated passion for students, staff, and service; a commitment to building a strong learning environment for students and staff that stresses inclusion, community, sense of belonging, well-being and unified organizational culture and effectiveness.• An exceptional communicator and good listener who can inspire internal and external constituencies and attract partners to support new initiatives.• Effective interpersonal, written, and electronic communications skills, including the ability to convey complex information in accessible terms to diverse or multicultural audiences.• Work and collaborate effectively across areas and adjust priorities as needed.• Willingness to engage in learning opportunities regarding Deaf Culture and conversational American Sign Language (ASL).• A record that demonstrates the highest degree of integrity, transparency, honesty, and ability to manage and maintain confidential and private information.• An understanding of budgetary operations and finances, experience establishing budget priorities, and serving as a responsible steward of resources; ability to make difficult decisions and prioritize.Application ProcessRIT has partnered with Keeling & Associates in this search process. Applicants should send a cover letter and resume/CV, preferably in PDF format, to [email protected]. The subject line of the email should read "RIT AVP Student Health and Wellness." Confidential inquiries and nominations should be addressed to Dr. Shadia Sachedina, Consultant, at [email protected]. Applications will be reviewed immediately, and all materials received by April 2, 2024, will receive full consideration. The review process will continue until the position is filled.Additional Details:Hiring salary range for this position has been established as: • Medical Doctor or Doctor of Osteopathic Medicine candidate: $183,000 - $306,500 • Non-Medical Doctor or Non-Doctor of Osteopathic candidate: $120,200 - $201,300 and is commensurate with skills and experience. In compliance with NYS's Pay Transparency Act, the salary range for this position is listed above.Rochester Institute of Technology considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/training, key skills, internal peer equity, as well as market and organizational considerations when extending an offer.RIT does not discriminate. RIT promotes and values diversity, pluralism and inclusion in the work place. RIT provides equal opportunity to all qualified individuals and does not discriminate on the basis of race, color, creed, age, marital status, sex, gender, religion, sexual orientation, gender identity, gender expression, national origin, veteran status or disability in its hiring, admissions, educational programs and activities. RIT provides reasonable accommodations to applicants with disabilities under the Rehabilitation Act, the Americans with Disabilities Act, the New York Human Rights Law, or similar applicable law. If you need reasonable accommodation for any part of the application and hiring process, please contact the Human Resources office at 585-475-2424 or email your request to [email protected] on requests for reasonable accommodation will be made on a case-by-case basis.RIT uses E-Verify to confirm employment eligibility for new and existing employees working on federally funded contracts that contain that requirement. Before considering employment with RIT, please read the language from the U.S. Department of Homeland Security, the Social Security Administration, and the Department of Justice by clicking on the associated links below:• English E-Verify Participation Poster• Spanish E-Verify Participation Poster• English Right to Work Poster• Spanish Right to Work PosterNote: You must have Adobe reader to view these posters.Clery Act Safety Information:Rochester Institute of Technology (RIT) is committed to the safety and security of all members of its community. The Clery Act information is provided in compliance with federal law to inform current and potential RIT students and employees of crime reporting procedures; Campus Safety law enforcement authority; crime statistics for three previous calendar years; and other matters of importance related to safety and security on campus. You can obtain a copy of the annual Safety and Security report online at: http://www.rit.edu/fa/publicsafety/federalcompliance.html and selecting the link for the Annual Fire and Safety Report or by contacting the Office of Public Safety at (585)475-2853 or by sending a request to RIT Public Safety 61 Lomb Memorial Drive Rochester, NY 14623-5603Copyright ©2022 Jobelephant.com Inc. All rights reserved.Posted by the FREE value-added recruitment advertising agency jeid-8c66d967b65a06419575eed08f34b4aa
Utilization Management Reviewer I/II/III (RN, Commercial)
Excellus Health Plan Inc., Rochester
Job Description: Summary:This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs.Participates in rotating on-call schedule, as required, to meet departmental time frames.Per department needs, may be responsible for additional hours.Essential Responsibilities/Accountabilities:Level I:Performs pre-service, concurrent and post-service clinical reviews to determine the appropriateness of services requested for the diagnosis and treatment of members' medical health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits as well as State and Federal Mandates. May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental needs.Plans, implements, and documents utilization management activities which incorporate a thorough understanding of clinical knowledge, members' specific health plan benefits, and efficient care delivery processes. Ensures compliance with corporate and departmental policy and procedure, identifies and refers potential quality of care and utilization issues to Medical Director.Utilizes appropriate communication techniques with members and providers to obtain clinical information, assesses medical necessity of services, advocating for members in obtaining needed services, as appropriate, interacts with the treating physician or other providers of care.Collaborates with hospital, home care, care management, and other providers effectively to ensure that clinical needs are met and that there are no gaps in care.Acts as a resource and liaison to the provider community in conjunction with Provider Relations, explaining processes for accessing Health Plan to perform medical review, obtains case or disease management support, or otherwise interacts with Health Plan programs and services.Makes accurate and consistent interpretation of required clinical criteria, medical policy, contract benefits, and State and Federal Mandates.May be responsible for pricing, coding, researching claims to ensure accurate application of contract benefits and Corporate Medical Policies.Accountable for meeting departmental guidelines for timeliness, production and metrics and meeting requirements established for audits to ensure adherence to regulatory and departmental policy/procedures.Maintains compliance with all regulatory and accrediting standards. Keeps abreast of changes and responsible for implementation and monitoring of requirements.Assists with training and special projects, as assigned.Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs.Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.Regular and reliable attendance is expected and required.Performs other functions as assigned by management.Level II (in addition to Level I essential responsibilities/accountabilities):Offers process improvement suggestions and participates in the solutions of more complex issues/activities.Mentors staff and assists with coaching, as necessary.Provides consistent positive results on audits.Works independently in coordinating and collaborating with members and providers, resulting in improving member and community health.Manages more complex assignments; cross-trained to review various levels of care and/or services.Participate in committees and lead when requiredLevel III (in addition to Level II essential responsibilities/accountabilities):Displays leadership and serves as a positive role model to others in the department.Identifies, recommends and assesses new processes to improve productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department.Assists in updating departmental policies, procedures, and desk level procedures relative to the functionsExpert and resource for escalations - Serves as subject matter expert and if called upon, works directly with the operation and clinical staff to resolve issues and escalated problems.Mentor (to others in department) - Provides guidance and leadership to the daily activities of the Utilization Management Department clinical staff. Acts as resource to Utilization Management staff, members and providers.Provides backup for the Supervisor, whenever necessary. Participates in the orientation of new staff and/training opportunities for all staff. Assists staff to identify opportunities to successfully engage members into care.Assists Medical Director (MD) in projects as needed.Minimum Qualifications:NOTE:We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities.All Levels:Associates degree and active NYS RN license required. Bachelors degree preferred.Minimum of three years of clinical experience required. Utilization Management experience preferred.Must demonstrate proficiency with the Microsoft Office SuiteDemonstrates general understanding of coding standardsMaintains current and working knowledge of Utilization Management Standards.Experience in interpreting managed care benefit plans and strong knowledge of government program contracts (Medicare and Medicaid) and benefits, preferred.Strong written and verbal communication skillsAbility to multitask and balance priorities.Must demonstrate ability to work independently on a daily basis.Deliver efficient, effective, and seamless care to members.Level II (in addition to Level I minimum qualifications):Minimum of 2 years in utilization management position.Demonstrates ability to escalate to management, as necessary.Demonstrates proficiency in all related technologyAbility to take on broader responsibilitiesAbility to participate in training of new staffLevel III (in addition to Level II minimum qualifications):Must have been in a utilization management position or similar subject matter expert for at least 5 years.Broad understanding of multiple areas (i.e. UM and CM). Incumbent is required to know multiple functional areas and supporting systems.Expert in Utilization Management and ability to handle complex assignments, challenging situations and highly visible issues.Ability to lead the training of new staff.Demonstrated presentation skills.Physical Requirements:Ability to travel across the health plan service regions as needed.Ability to work at a computer for prolonged periods of time.************The Lifetime Healthcare Companies aims to attract the best talent from diverse socioeconomic, cultural and experiential backgrounds, to diversify our workforce and best reflect the communities we serve.Our mission is to foster an environment where diversity and inclusion are explicitly recognized as fundamental parts of our organizational culture. We believe that diversity of thought and background drives innovation which enables us to provide leading-edge healthcare insurance and services. With that mission in mind, we recruit the best candidates from all communities, to diversify and strengthen our workforce.OUR COMPANY CULTURE:Employees are united by our Lifetime Way Values & Behaviors that include compassion, pride, excellence, innovation and having fun! We aim to be an employer of choice by valuing workforce diversity, innovative thinking, employee development, and by offering competitive compensation and benefits.In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.Equal Opportunity EmployerCompensation Range(s): Level I: Grade 205: Minimum $58,500 - Maximum $81,702 Level II: Grade 206: Minimum $58,500 - Maximum $93,267 Level III: Grade 207: Minimum $60,070 - Maximum $111,114The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Chief Operating Officer, University of Rochester Medical Faculty Group & Vice President, University of Rochester Medical Center
University of Rochester Faculty Physicians, Rochester
The OpportunityThe University of Rochester Medical Faculty Group (URMFG) and the University of Rochester Medical Center seek a strong and collaborative leader as their next COO for the medical group practice and VP responsible for the delivery of the faculty practice ambulatory service and in partnership with the hospital leadership assures policies, procedures and standards of care are consistent across faculty and hospital based practices. Accountable to the CEO of URMFG, the COO/VP is a key member of the executive team and has the opportunity to have a lasting impact on our organization via a commitment to continued growth and strategic transformation. URMC's new Dean/CEO, Dr. David Linehan has a strong vision for change for our system to assure long-term financial stability, more efficient operations, and recognition as a world class academic medical center. Structural changes to our executive team are likely to occur within the next 2-3 years, providing immediate growth opportunities for the successful candidate.Primary Job ResponsibilitiesOversees the daily operations of URMFG and our ambulatory practices, including but not limited to access to care (scheduling, referral management, call centers), recruitment and retention for regional faculty and URMFG staff, efficient delivery of ambulatory services, and compliance with federal, state and University laws and regulations. Specifically:Collaborates with the Chief Executive Officer in developing and implementing the annual plan and budget in support of the URMC and UR strategic plan.Participates in development of strategic plans, governance structure and objectives for practice management.Leads URMC's digital health operations and partners with the Chief Digital Health Officer to continuously transform practice support and care models to remain competitive in digital options that ease patient access to care and the patient experience.Identifies and stewards business development opportunities. Collaborates with the URMFG CFO and other leaders to meet regional growth needs. Builds business analytic capabilities that support executive decision-making and assure metric-driven assessments of performance.Participates, oversees, interprets and recommends changes to all clinical and operational policies and procedures.Supports transformative work through strong communication and change management approaches.Participates in resolution of problems related to staffing, utilization of facilities, disagreements and challenges between or within departments.Maintains compliance with governmental regulations and industry requirements.Enhances operational effectiveness, emphasizing cost efficiency and high-quality patient care.Participates in recruitment and retention of professional and nonprofessional staff.Evaluates performance and recommends merit increases, promotion, and coaches direct and indirect reports.Attends Board of Director and selected Board committee meetings.Oversees resolution of patient concerns and complaints.Performs other duties as assigned.Participates in professional development activities to keep current with trends and practices in health care administration (conferences, journals).EducationMaster's Degree in a business or health care related field required.ExperienceMinimum seven to ten years of progressive health care leadership experience at the senior-management level. Medical group practice experience preferred. Other RequirementsLeadership Competencies:Skill in exercising a high degree of initiative, judgment, and discretion.Leads with fairness, equanimity, creativity and compassion.Skilled change management leader, with the ability to compromise, negotiate and align disparate views toward common goals.Demonstrated ability to plan, organize, and integrate multiple priorities and deadlines.Skill in analyzing situations accurately and taking effective action.Ability to create an atmosphere that encourages motivation, innovation, and high performance.Skill in establishing and maintaining effective working relationships with the medical and administrative staff, patients and the public.Skill in planning, organizing, and prioritizing work; delegating and achieving goals and objectives.Skill in exercising judgment and discretion in developing, interpreting, and implementing departmental policies and procedures.Skill in identifying and resolving problems.Ability to communicate clearly and effectively orally and in writing.Skill in developing comprehensive reports that guide effective decision making and program evaluation.How To ApplyAll applicants must apply online. Job ID: 249574.EOE Minorities/Females/Protected Veterans/DisabledThe University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University's mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.Pay RangePay Range: $312,000 - $500,000 AnnuallyThe referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.Compensation Information:$312000.0 / Annually - $312000.0 / AnnuallyStarting At: 312000.0 AnnuallyUp To: 500000.0 Annually
Director, Nursing Services - Behavioral Health
Rochester Regional Health, Rochester
Description SUMMARYThe Director, Nursing Services - Behavioral Health is a strategic leader who will direct, supervise and coordinate the function and activities for 7 Chemical Dependency / Behavioral Health sites (3 inpatient, 4 outpatient). Responsible for the overall management and coordination of nursing services to include fiscal resource management, human resource management, provision of quality care delivery and exceptional customer service.The Director, Nursing - Behavioral Health will oversee approximately 80 FTE, with 5 Direct Reports. Key focus areas will include fostering collaborative relationships between clinical & non-clinical teams, developing programs related to patient experience, and integrating Mental Health & Substance Abuse service lines. The Director can choose to have their primary office location in either Greece or Batavia, with bi-weekly travel expected to each of the 7 sites locations (Greece, Batavia, Clifton Springs, Brighton, Canandaigua, Irondequoit)Additional key responsibilities include:Responsible and accountable for established unit/department quality measurements and outcomes. Establishes improvement process changes to achieve established goals and targets.Directs, monitors, and coordinates safe, efficient and quality clinical and patient care activities to meet departmental objectives, goals, and benchmarks. Responsible for the development, adherence and implementation of departmental and corporate policy and procedures, in accordance with regulatory and accredited agencies standards.Responsible for the managerial oversight and performance appraisals of all department staff. Responsible to develop and manage departmental revenue cycle, operational budget, long range capital, variable, and staffing budgets. Demonstrates and directs customer focused behaviors, develops, monitors, and reports all departmental performance improvement initiatives. Demonstrates expert clinical knowledge base within identified area of specialty and assures staff competency in clinical care delivery. Demonstrates independent problem identification and problem solving skills and follows through on timely plans of corrections. Accountable for patient care clinical outcomes, demonstrating ability to work with department Chief's to support goal development, implementation and mission. Responsible for recruitment, retention, development, support and mentoring of all staff roles, promoting staff advancement of leadership skills as well as remedial education as required, and ongoing succession planning. STATUS: Full TimeLOCATION: Primary office can be based in either Greece or BataviaDEPARTMENT: Behavioral Health ServicesSCHEDULE: M-F Days, primarily.ATTRIBUTESBSN required. Masters degree preferred in Nursing or Healthcare related field. Minimum of three years acute clinical experience. Previous clinical experience in defined specialty required. Registered in NYS as a Registered Professional Nurse. National Certification in defined specialty preferred.RESPONSIBILITIESUnit Management. Develop programs and strategies to monitor the quality of patient care and patient outcomes; promote collaboration with medical and administrative colleagues to establish unit and daily operation goalsStaff Management. Identify staffing needs; collaborate with the Director to develop and implement recruitment plans; prepare, monitor and maintain salary and non-salary budgets; participate in professional development of staffLeadership. Demonstrated ability to influence others in both internal and external environments to promote optimal individual patient care and healthcare services to the publicEDUCATION: AS: Nursing (Required)PHYSICAL REQUIREMENTS: M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting.LICENSES/CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA)RN - Registered Nurse - New York State Education Department (NYSED)PAY RANGE: $100,000.00 - $135,000.00 The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran
Director - New York Controller
Avangrid, Rochester
The base salary range for this position is dependent upon experience and location, ranging from: $149,000 - $186,000PurposeThis position is responsible for accounting and financial reporting analysis under US GAAP and regulatory coordination for all financial information and regulatory filings within New York State Electric & Gas Corporation (NYSEG) and Rochester Gas and Electric Corporation (RG&E). Primarily, this role will oversee all financial information related to NYSEG and RG&E including stand alone and FERC reporting. This role will assist in all regulatory processes (as lead by the regulatory team) and the forecasting process (for both long-term planning and budgets). This role will be responsible for understanding the end-to-end results and reporting for NYSEG and RG&E. This role will have direct reports and will be supported by centralized services across the Control team and must have strong collaboration skills.ResponsibilitiesReviews and coordinates monthly performance reporting for NYSEG and RG&E along with communication of results to the NY CEO (under US GAAP and IFRS).Responsible for being the lead liaison with NY Regulatory and reviewing all NYSEG and RG&E financial regulatory filings.Responsible for reviewing and coordinating rate case data responses relating to financial information and rate case filings for NYSEG and RG&E, including testimony, if required.Responsible for reviewing the NYSEG and RG&E external Financial Reporting (standalone Financial Statements and FERC reporting). Assists in the annual Budgeting process along with three forecast updates annually specifically over reviewing and providing key inputs and reviewing results.Assists in the ongoing update of the long-term financial plan for NYSEG & RG&E and reviewing of as well as providing key inputs.Participation in the preparation and review of Investment/divestment standard and related valuation work for NYSEG and RG&E.Develop, maintain, and oversee financial analysis as it relates to ad-hoc requests and/or ongoing corporate objectives.Skills and RequirementsEducation & Experience Required:Bachelors' Degree in Accounting and/or Finance with minimum of ten years relevant work experience in the finance/control area.Advance degree or certification preferred.Expert knowledge in accounting, finance, overall financial statements and cash flows, regulatory accounting.Exposure to IFRS Accounting a plus.Skills/Abilities:Strong collaboration skills particularly across organizations.Strong Customer Service Orientation.Ability to handle multiple projects, priorities, and deadlines.Microsoft Office Suites computer skills.SAP knowledge.Self-starter.Strong Delivery focus.Ability to prioritize and use initiative at appropriate level.Confidence to challenge/question where appropriate.Strong analytical and problem-solving skills.Excellent communication skills.Strong financial modeling skills.Demonstrated proficiency with Excel/spreadsheets, SAP and BPC.#LI-HybridMobility InformationPlease note that any applicant who is not a citizen of the country of the vacancy will be subject to compliance with the applicable immigration requirements to legally work in that countryAVANGRID's employment practices and policies are geared to hiring a diverse workforce and sustaining an inclusive culture. At AVANGRID we provide fair and equal employment and advancement opportunities for all employees and candidates regardless of race, color, religion, national origin, gender, sexual orientation, age, marital status, disability, protected veteran status or any other status protected by federal, state, or local law.If you are an individual with a disability or a disabled veteran who is unable to use our online tool to search for or to apply for jobs, you may request a reasonable accommodation by contacting our People and Organization department at [email protected] Posting End Date:
Utilization Management Reviewer I/II/III, RN (FEP)
Excellus Health Plan Inc., Rochester
Job Description: Summary:This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs.Participates in rotating on-call schedule, as required, to meet departmental time frames.Per department needs, may be responsible for additional hours.Essential Responsibilities/Accountabilities:Level I:Performs pre-service, concurrent and post-service clinical reviews to determine the appropriateness of services requested for the diagnosis and treatment of members' medical health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits as well as State and Federal Mandates. May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental needs.Plans, implements, and documents utilization management activities which incorporate a thorough understanding of clinical knowledge, members' specific health plan benefits, and efficient care delivery processes. Ensures compliance with corporate and departmental policy and procedure, identifies and refers potential quality of care and utilization issues to Medical Director.Utilizes appropriate communication techniques with members and providers to obtain clinical information, assesses medical necessity of services, advocating for members in obtaining needed services, as appropriate, interacts with the treating physician or other providers of care.Collaborates with hospital, home care, care management, and other providers effectively to ensure that clinical needs are met and that there are no gaps in care.Acts as a resource and liaison to the provider community in conjunction with Provider Relations, explaining processes for accessing Health Plan to perform medical review, obtains case or disease management support, or otherwise interacts with Health Plan programs and services.Makes accurate and consistent interpretation of required clinical criteria, medical policy, contract benefits, and State and Federal Mandates.May be responsible for pricing, coding, researching claims to ensure accurate application of contract benefits and Corporate Medical Policies.Accountable for meeting departmental guidelines for timeliness, production and metrics and meeting requirements established for audits to ensure adherence to regulatory and departmental policy/procedures.Maintains compliance with all regulatory and accrediting standards. Keeps abreast of changes and responsible for implementation and monitoring of requirements.Assists with training and special projects, as assigned.Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs.Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.Regular and reliable attendance is expected and required.Performs other functions as assigned by management.Level II (in addition to Level I essential responsibilities/accountabilities):Offers process improvement suggestions and participates in the solutions of more complex issues/activities.Mentors staff and assists with coaching, as necessary.Provides consistent positive results on audits.Works independently in coordinating and collaborating with members and providers, resulting in improving member and community health.Manages more complex assignments; cross-trained to review various levels of care and/or services.Participate in committees and lead when requiredLevel III (in addition to Level II essential responsibilities/accountabilities):Displays leadership and serves as a positive role model to others in the department.Identifies, recommends and assesses new processes to improve productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department.Assists in updating departmental policies, procedures, and desk level procedures relative to the functionsExpert and resource for escalations - Serves as subject matter expert and if called upon, works directly with the operation and clinical staff to resolve issues and escalated problems.Mentor (to others in department) - Provides guidance and leadership to the daily activities of the Utilization Management Department clinical staff. Acts as resource to Utilization Management staff, members and providers.Provides backup for the Supervisor, whenever necessary. Participates in the orientation of new staff and/training opportunities for all staff. Assists staff to identify opportunities to successfully engage members into care.Assists Medical Director (MD) in projects as needed.Minimum Qualifications:NOTE:We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities.All Levels:Associates degree and active NYS RN license required. Bachelors degree preferred.Minimum of three years of clinical experience required. Utilization Management experience preferred.Must demonstrate proficiency with the Microsoft Office SuiteDemonstrates general understanding of coding standardsMaintains current and working knowledge of Utilization Management Standards.Experience in interpreting managed care benefit plans and strong knowledge of government program contracts (Medicare and Medicaid) and benefits, preferred.Strong written and verbal communication skillsAbility to multitask and balance priorities.Must demonstrate ability to work independently on a daily basis.Deliver efficient, effective, and seamless care to members.Level II (in addition to Level I minimum qualifications):Minimum of 2 years in utilization management position.Demonstrates ability to escalate to management, as necessary.Demonstrates proficiency in all related technologyAbility to take on broader responsibilitiesAbility to participate in training of new staffLevel III (in addition to Level II minimum qualifications):Must have been in a utilization management position or similar subject matter expert for at least 5 years.Broad understanding of multiple areas (i.e. UM and CM). Incumbent is required to know multiple functional areas and supporting systems.Expert in Utilization Management and ability to handle complex assignments, challenging situations and highly visible issues.Ability to lead the training of new staff.Demonstrated presentation skills.Physical Requirements:Ability to travel across the health plan service regions as needed.Ability to work at a computer for prolonged periods of time.************The Lifetime Healthcare Companies aims to attract the best talent from diverse socioeconomic, cultural and experiential backgrounds, to diversify our workforce and best reflect the communities we serve.Our mission is to foster an environment where diversity and inclusion are explicitly recognized as fundamental parts of our organizational culture. We believe that diversity of thought and background drives innovation which enables us to provide leading-edge healthcare insurance and services. With that mission in mind, we recruit the best candidates from all communities, to diversify and strengthen our workforce.OUR COMPANY CULTURE:Employees are united by our Lifetime Way Values & Behaviors that include compassion, pride, excellence, innovation and having fun! We aim to be an employer of choice by valuing workforce diversity, innovative thinking, employee development, and by offering competitive compensation and benefits.In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.Equal Opportunity EmployerCompensation Range(s): Level I: Grade 205: Minimum $58,500 - Maximum $81,702 Level II: Grade 206: Minimum $58,500 - Maximum $93,267 Level III: Grade 207: Minimum $60,070 - Maximum $111,114The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Principal Engineer - Lines
Avangrid, Rochester
Job Title: Principal Engineer - LinesReports to Sr. Director, Integrated ProjectsReports in office to Binghamton (KGO)/ Rochester, NY (Three City Center), Kirkwood - JACCThe base salary range for this position is dependent upon experience and location, ranging from: $111,544.8‬0- $146,402.55Job Summary:Scope of Work - Main duties, settings, geography, reporting relationships, and other relationships:Responsible leader in charge of managing and overseeing the development and design of transmission Line Projects within CLCPA Programs for major capital projects in Avangrid's operating territory (NY). The Principal Engineer in Projects organization is a reference position with responsibilities over the engineers of the Units, coordination with P&T on standards, interlocution with Planning and skilled support on the project development from conception through close out.Position reports to the Integrated Sr. Director, but the position will work day-to-day in cross functional project team and support project needs as dictated by the business unit managers and Director.Major Roles and Responsibilities (Scope of work - range of responsibilities):Capital project engineering performance and oversight including all phases such as: scoping and budgeting, conceptual engineering, permitting, contract management and design, engineering design, construction, and closeout.Perform standard and complex engineering analyses, designs and calculations using standard methodology and principles and other viable approaches. Develop alternate methods or design concepts to resolve problems or to improve processes/servicesResponsible for leading and creating new conceptual designs and overseeing the work of external detailed designer ensuring consistency among all the operating companies.Act as a liaison with other stakeholders (Operations, Process and Technology...), representing the Substations group.Solve unique and complex engineering problems. Analyzes possible solutions and assesses each using standard procedures related to transmission lines, substations and power engineering.Ensure all engineering designs implemented by the company meet applicable company, local, state, and national codes, and standards.Utilize knowledge to influence and guide department engineers.Provide technical leadership in most complex projects that have a wide impact on the business.Mentor, develop and support team in technical skills.SME for team.Liaison/ direct contractors on company policy, standards and best practices.Work independently with little supervision.Job Requirements:Skills/Abilities:1. General Skills:Excellent diagnostic and problem-solving skills to decipher unique technical and analytical problems.Proven ability to lead and manage projects.Strong communication and interpersonal skills to articulate highly technical concepts.Strong management and leadership skills, ability to drive change and adoption of new technologies. Knowledge of the regulatory environment including relevant output and incentive mechanisms.General contract, commercial and regulatory awareness with the ability to balance effective and efficient customer service and project delivery, ensuring maximum return on investment. Track record of effective stakeholder and customer service engagement and management.Ability to communicate and present information effectively at all levels.Ability to manage competing priorities using sound engineering and financial judgment to determine optimal solutions.Awareness and understanding of key business drivers Ability to devise solutions to both to common and complex problems/challenges.Where appropriate, technical and operational experience in a relevant engineering role within a utility environment.Where required, knowledge of;Construction and maintenance standards in accordance with regulatory requirements Electrical, Civil and P&C Engineering standards and specifications at voltages up to 345kV2. Routine Technical Skills:Transmission Line Design - ExpertProject Scoping and Estimating - ExpertEquipment Specifications - ExpertConstruction and Outage Sequencing - ExpertCommissioning - ExpertCodes, Standards, and Regulations - ExpertExperience/Training:Required EducationBachelor's Degree in Engineering requiredMaster's Degree Preferred+10 years minimum relevant experienceProfessional Engineering License PreferredMobility InformationPlease note that any applicant who is not a citizen of the country of the vacancy will be subject to compliance with the applicable immigration requirements to legally work in that countryAVANGRID's employment practices and policies are geared to hiring a diverse workforce and sustaining an inclusive culture. At AVANGRID we provide fair and equal employment and advancement opportunities for all employees and candidates regardless of race, color, religion, national origin, gender, sexual orientation, age, marital status, disability, protected veteran status or any other status protected by federal, state, or local law.If you are an individual with a disability or a disabled veteran who is unable to use our online tool to search for or to apply for jobs, you may request a reasonable accommodation by contacting our People and Organization department at [email protected] Posting End Date:
Director of Nursing (RN) - Acute Cardiac Services
Rochester Regional Health, Rochester
Description HOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Personal Time that includes Vacation Time, Sick Time & HolidaysHealth & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to Your NeedsStudent Loan Repayment ProgramTuition Assistance & Reimbursement ProgramEmployee Referral ProgramSUMMARY The Director of Nursing will have oversight for Rochester General Hospital's Cardiac Service Line, which include: CTICU, CICU, ECMO Program, Cardiac ICU Step Down Unit, Cardiac Specialty Units, Cardiac Cath Lab & Non-Invasive Cardiology. The Director of Nursing is a strategic leader who will drive Patient Experience and lead key service line projects related to Nurse Sensitive Indicators, ECMO negotiations & Pressure injuries.This position is responsible for fulfilling the mission of the Rochester General Health System (RGHS) clinical programs. Works with each Medical Director and physician staff to assure the delivery of state of the art clinical care. Operationalizes the core RGHS values by developing and sustaining an environment which supports excellence in clinical practice and the care of the patients in all settings. Facilitates both clinical education and clinical investigation to advance the art and science of professional nursing practices. Promotes the development of nurse professionals, technicians and support staff. Ensures consistency in the implementation of the philosophy of nursing and nursing standards of care.STATUS: Full TimeLOCATION: Rochester General HospitalDEPARTMENT: Acute Cardiac ServicesSCHEDULE: M-F DaysATTRIBUTESBachelor of Science in Nursing (BSN) required. Master of Science in Nursing (MSN) or Masters in Nursing Administration preferred.Minimum 3 years nursing experienceDemonstrated leadership experience, specifically within complex acute settings, is highly desired.Licensed and currently registered as a Registered Professional Nurse in New York StateRESPONSIBILITIESSTRATEGIC PLANNING: Assist with execution of the vision for nursing which reflects the system's strategies for innovation, clinical integration, quality improvement and patient experience.LEADERSHIP: Attract, retains, and develops the best and brightest Nursing Talent. As well as mentors and develops nursing staff at all levels.CULTURE: Establishes and maintains an environment that promotes a spirit of inquiry and is supportive of professional nursing practice and a evidenced based practices.PATIENT CARE: Establishes and maintains an environment conducive to excellence in patient care. Continually evaluates patient quality, safety, and performance, identifies improvement opportunities, and plans and implements improvement programs.COMPLIANCE: Directs the development and implementation of standards, policies and programs to ensure excellence in nursing practice. Assures compliance with applicable local, state, and federal regulations and accrediting agencies. Responsible for compliance in practice aligned with nursing excellence programs (Magnet, Beacon, Lantern, etc.)FINANCIAL ANALYSIS: Prepares, administers, and monitors revenue, capital, expense, and personnel budgets for assigned departments in collaboration with department directors and finance team. Participates in establishing financial plans, integrating the institution's mission and goals. Advocates for resources necessary for the optimal work environment and exceptional patient care.EDUCATION: BS: Nursing (Required)PHYSICAL REQUIREMENTS: M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting.LICENSES/CERTIFICATIONS: RN - Registered Nurse - New York State Education Department (NYSED)BLS - Basic Life Support - American Heart Association (AHA)PAY RANGE: $110,000.00 - $145,000.00 The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran
Sr Manager- Agile Digital Delivery & PMO
Avangrid, Rochester
Position Information:Title: Senior Manager - Agile Digital DeliveryLocation: Orange, CT; Boston, MA, Binghamton, NY; or Rochester, NYPay Range: The base salary range for this position is dependent upon experience and location, ranging from$128,000 - $185,000.Schedule: OfficeJOB SUMMARY:The Senior Manager Agile Digital Delivery & PMO, reporting to the Sr. Director, Digital Solutions & Data, is responsible for planning, organizing, and leading agile project teams to deliver high-performance and high-quality agile projects. This role involves coordinating a team responsible for managing multiple concurrent projects using agile methods across various business areas.Additionally, the Senior Manager Agile Digital Delivery & PMO collaborates closely with Global and Local Digital planning functions, Solution Engineering, Architecture & Solution, Data & Analytics, and Business Testing and Change Management teams to effectively orchestrate our delivery at both portfolio and squad's level. The role also includes financial, budget, and procurement management responsibilities, including forecasting, planning, and overseeing related processes.MAJOR ROLES AND RESPONSIBILITIES:1. Establish and develop AGILE delivery capabilities, including implementing AGILE methodology in coordination with global teams.2. Lead the team of Agile Project Managers (Agile Coaches/Scrum Masters) and assign them to various Digital Solutions Projects. Agile Project Managers will be responsible for: A. Ensuring AGILE methodology and tools are applied and embraced by the agile team members. B. Evangelizing and training the team and Product Owner on agile practices, values, and foundations. C. Supporting the Product Owner in creating the Product Roadmap. D. Assisting the agile team in developing the MVP/Product Backlog and Sprint Planning. E. Conducting daily scrums and Product Backlog Refinement sessions.F. Leading Sprint Review sessions and Sprint Retrospective meetings.G. Creating synergies and promoting collaboration within the team to achieve shared objectives.H. Facilitating meetings to achieve their objectives within agreed-upon timeframes and ensuring knowledge sharing.I. Ensuring timely and budgeted delivery of digital projects and providing regular reporting on project status.3. Proactively identify opportunities for new innovative Digital Solutions in collaboration with Digital Solutions Managers and peers.4. Collaborate with Digital Solutions Managers to define, plan, and source Digital Projects, including identifying necessary resources and external services.5. Ensure excellence in digital project management, including defining project vision, objectives, milestones, and schedules, leading project status and working meetings, preparing progress reports, managing project risks and issues, and taking corrective actions when necessary.6. Collaborate with Global and Local Digital planning functions, Solution Engineering, Architecture & Solution, Data & Analytics, and Business Testing and Change Management teams to effectively orchestrate delivery at both portfolio and squad's level.7. Manage vendor relationships, including performance evaluation and ensuring vendors meet contractual obligations.8. Oversee financial, budget, and procurement management processes, including forecasting, planning, and other related responsibilities.9. Assist in managing customer expectations, stakeholder communications, and project governance.10. Drive ongoing process improvement initiatives and best practices for Agile Project Management, utilizing PMO expertise.11. Collaborate in defining Applications Development Frameworks and managing programs at scale. SKILLS/ABILITIES:Strong leadership, planning and management skills.Proficient in vendor management and contract negotiations.Business-oriented with excellent presentation and storytelling skills.Previous management/supervisory/leadership experience.Ability to manage multiple priorities, challenging deadlines, and technologies.Collaborative approach with counterparts in the management team to meet priorities and resolve issues.Excellent oral and written communication skills, with experience interacting with individuals at all levels, including executives.Program/Project Management experience.Expertise in PMO functions and practices.Strong knowledge and experience in Agile and Scrum planning at scale.Experience in program management, overseeing multiple projects and coordinating dependencies.Proficiency in Spanish is a plus.PMP (Project Management Professional) certification is a plus.Scrum certification (e.g., CSM, PSM) is a plus.Experience/Training:Minimum of 10 years of experience, with a focus on digital project delivery in the Energy and Utility industry.Previous management/supervisory experience.Experience managing internal and external staff.Experience managing various technologies and associated vendors.Strong track record of vendor relationship management and contract compliance.Financial management experience, including forecasting, budgeting, and procurement processes.Willingness and ability to travel internationally.Required Education:Bachelor's degree in Information Technology or a related field.Mobility InformationPlease note that any applicant who is not a citizen of the country of the vacancy will be subject to compliance with the applicable immigration requirements to legally work in that country.Avangrid employees may be assigned a system emergency role and in the event of a system emergency, may be required to work outside of their regular schedule/job duties. This is applicable to employees that will work in Connecticut, Maine, Massachusetts, and New York within AVANGRD Network and Corporate functions. This does not include those that will work for Avangrid Renewables.Our Selection Process:All offers of employment are contingent upon the successful completion of a medical Fit for Duty exam, background check, references, drug screen, verification of legal right to work in the U.S., and in some cases, a credit check. A credit check will be administered when a prospective employee will be working in Finance, Accounting, Treasury or where duties may involve handling of funds, accounts or cash. A Motor Vehicle (MVR) check will be administered when a prospective employee will be regularly using a company vehicle. Avangrid Renewables is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, status as an individual with a disability, or any other status or class protected by Federal or State law.#LI-CH1Mobility InformationPlease note that any applicant who is not a citizen of the country of the vacancy will be subject to compliance with the applicable immigration requirements to legally work in that countryAVANGRID's employment practices and policies are geared to hiring a diverse workforce and sustaining an inclusive culture. At AVANGRID we provide fair and equal employment and advancement opportunities for all employees and candidates regardless of race, color, religion, national origin, gender, sexual orientation, age, marital status, disability, protected veteran status or any other status protected by federal, state, or local law.If you are an individual with a disability or a disabled veteran who is unable to use our online tool to search for or to apply for jobs, you may request a reasonable accommodation by contacting our People and Organization department at [email protected] Posting End Date:
Director Of Construction
Michael Page, Rochester
The Director of Construction will:Develop and implement comprehensive construction strategies to achieve project objectives while adhering to budgetary constraints and timelines.Provide leadership and direction to the construction team, including project managers, engineers, and subcontractors, to ensure effective project execution and delivery.Oversee the planning, scheduling, and coordination of all construction activities, including procurement, subcontractor management, and site logistics.Monitor project progress and performance, identifying and addressing any issues or obstacles that may arise during the construction process.Ensure compliance with all relevant regulations, codes, and safety standards, maintaining a safe and secure work environment for all personnel.Collaborate with clients, architects, engineers, and other stakeholders to effectively communicate project requirements, resolve conflicts, and achieve project goals.Manage project budgets and financial forecasts, tracking expenses, and implementing cost-saving measures where possible.Foster a culture of continuous improvement, innovation, and excellence within the construction team, promoting professional development and knowledge sharing.MPI does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, marital status, or based on an individual's status in any group or class protected by applicable federal, state or local law. MPI encourages applications from minorities, women, the disabled, protected veterans and all other qualified applicants.The successful Director of Construction will have the following:Bachelor's degree in Construction Management, Civil Engineering, or a related field; Master's degree preferred.Minimum of 10 years of experience in construction management, with a proven track record of successfully overseeing large-scale projects in both the Multifamily and commercial space, preferably in upstate NY.Strong leadership skills, with the ability to inspire and motivate teams to achieve project goals and objectives.Excellent communication, negotiation, and interpersonal skills, with the ability to build and maintain effective relationships with clients, stakeholders, and team members.In-depth knowledge of construction methods, techniques, and materials, with a focus on sustainable and innovative practices.Proficiency in project management software and tools, such as Primavera P6, Procore, or Microsoft Project.Strong understanding of construction contracts, legal requirements, and risk management principles.Professional certifications such as PMP, LEED, or OSHA 30 are a plus.Valid driver's license and willingness to travel to project sites as needed.