Careers

RESPONSIBILITIES:

• Administer and maintain enterprise ITSM platforms including user management, security roles, workflows, forms, system configurations, and platform updates.
• Design, develop, and support advanced workflows, business rules, automation, and service request processes.
• Configure and maintain modules supporting Incident, Problem, Change, Knowledge, Service Catalog, Self-Service Portal, and CMDB management.
• Develop and support integrations and API-based connections between ITSM and enterprise systems.
• Create and maintain dashboards, operational reporting, and metrics to support continual service improvement initiatives.
• Troubleshoot application issues and provide end-user support, documentation, and training.
• Collaborate with operational and technical teams to implement process improvements aligned with ITIL best practices.
• Support platform stability, scalability, and ongoing optimization efforts.

Preferred Technical Skills:

• Advanced experience administering enterprise ITSM platforms such as Ivanti Neurons/HEAT, ServiceNow, BMC Remedy, Jira Service Management, Cherwell, or similar.
• Experience creating and maintaining advanced Service Requests and Service Catalog workflows.
• Strong experience with workflow development, business rules, automation, and scripting.
• Scripting experience preferred in JavaScript, HTML/CSS, PowerShell, or platform-specific expression languages.
• Experience with SQL reporting, dashboards, analytics, or reporting tools.
• Experience supporting API integrations and connected enterprise systems.
• ITIL process knowledge and ITSM best practices strongly preferred.

REQUIREMENTS:

Education:

• High School Diploma, High School Equivalency (HSE), or CHS Approved IEP Certificate required.
• Bachelor’s degree in Computer Science, Information Technology, Business, or related field preferred.
• Equivalent combinations of education and relevant technical experience may be considered.

Experience:

• Minimum three (3) years of experience in ITSM platform administration, application administration, workflow development, or enterprise systems support required.
• Experience supporting enterprise service management platforms in complex operational environments required.
• Healthcare industry experience preferred but not required.
• Experience with advanced workflow configuration, automation, and service request development required.

RESPONSIBILITIES:

• Systems Engineers design, build, and maintain various complex systems and structures and ensure the stability, integrity, and efficient operation of the organization’s information systems that support core IT and departmental services.
• This role is responsible for the install, configuration, and administration of information systems, servers (physical and/or virtual), network components and operating systems, mass storage, Active Directory services including on prem and cloud, VMWare vSphere, Microsoft Exchange, and other Data Center technologies. Interfaces with internal/external customers and is responsible for architecting and providing technical solutions that are medium to complex in nature under minimal guidance.
• The Systems Engineer 2 demonstrates a broad level of understanding and fully applies principles, theories, and concepts to job assignments and contributes to the development of new ideas and principles.
• Provides proficient engineering and troubleshooting of the organization’s fundamental server applications, operating systems, storage, and compute infrastructure.

REQUIREMENTS:

• Two (2) years of systems and infrastructure engineering and/or administration experience in a large enterprise environment required.
• Project Management experience preferred.
• Five (5) years of experience as a systems engineer/administrator preferred.
• Experience designing and building platforms from scratch to ensure “vendor independence.”
• Experience with cloud technologies preferred.
• Experience with being responsible for business problems during the full lifecycle: Research / Analysis / Design / Implementation / Operational Documentation.
• Experience with Technical writing.
• Project Overview Statements: Defining problems, SMART goals, objectives, and risks.
• Analysis & Design Documents: Summarizing existing methods vs. requirements and presenting three solution options.
• Architectural Diagrams: Visualizing system designs.
• Operational Manuals: Documentation for maintaining system lifecycles.
• Work experience in the healthcare industry or healthcare setting preferred.

EDUCATION:

• High School Diploma, High School Equivalency (HSE), or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required.
• Bachelor’s Degree in Computer Science, Computer Engineering, Information Systems, Information Technology, or related field required.
• Equivalent combination of education and experience may be substituted for the Bachelor’s Degree and experience requirement.

CERTIFICATIONS:

One of the following certifications is preferred:

• Microsoft 365 Certified: Fundamentals, Enterprise Administrator Expert, Messaging Administrator Associate, Exchange Online Support Engineer Specialty, Security Administrator Associate, Teams Administrator Associate, or Teams Support Engineer Specialty.
• Azure Certified: Fundamentals, Administrator Associate, or Solutions Architect.
• CompTia Certified: A+, Server+, Network+, Security+, or Linux+.
• Cisco Certified: Technician Data Center or Network Professional – DataCenter.
• NetApp Certified: Technology Associate or Data Administrator ONTAP.
• VMware Certified: Technical Associate or Professional.
• Other relevant systems/infrastructure certifications.

RESPONSIBILITIES:

• The Application Analyst is primarily responsible for designing, developing, deploying, and providing post-implementation technical support for the Electronic Health Record (EHR) across service access and revenue cycle workflows.
• Responsibilities include planning, performing, managing, and supporting identified Maestro Care EHR users within environment. This support extends to MC Professional Billing (PB) Claims, Benefits Engine, Cheers CRM, Charge Router and Cash Management PB Remittance, Hospital Billing (HB) Remittance, and MyChart modules.
• Working closely with Epic and other application teams to create and execute deployment tasks, interpret revenue cycle workflows, and participate in the build, testing, and support of the PB application.
• Advising and assisting with educational issues, including cross-training team members, trainers/SMEs, and the Service Desk through face-to-face interactions and phone or email communications.
• Participating in a 24/7 production on-call rotation to triage and assist with incoming support requests.
• Partnering with operational staff to improve their knowledge and fluency as needed, coordinating virtual and on-site assistance to support the growth and expansion of clinics under the Health umbrella.
• Facilitating Epic support during implementation phases to enhance knowledge transfer and promote proficiency in utilizing the application and providing liaison services between them and identified Super User and End User resources throughout all clinics and Community Connect customers. These services include participating in design sessions, reviewing specifications for the implementation of the EHR, and specifying bug fixes, new features, and enhancements over time to ensure they meet the needs for providing patient care.

REQUIREMENTS:

• Epic PB certification.
• Bachelor’s degree in a related clinical or technical field, or four years of equivalent technical experience required.

RESPONSIBILITIES:

Responsible for improving the overall quality and completeness of clinical documentation.

Facilitates modifications to clinical documentation through extensive interactions with physicians, nursing staff, other members of the health care team and Health Information Management (HIM) coding staff to ensure that appropriate reimbursement and clinical severity is captured for the level of service rendered to all patients with a DRG based payer.

REQUIREMENTS:

Licensing/Certification Requirements:

• Option 1: Valid license by the State of Nevada to practice as a Registered Nurse and one of the following, Certified Clinical Documentation Specialist (CCDS), Certified Clinical Documentation Specialist-Outpatient (CCDS-O) or Certified Document Improvement Practitioner (CDIP).
• Option 2: An international medical graduate degree and one of the following: Certified Document Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS), Certified Clinical Documentation Specialist-Outpatient (CCDS-O).
• Option 3: Certification in one of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA), issued by the American Health Information Management Association, Certified Professional Coder (CPC), Certified Professional Coder-Physician-based (CPC-P), AND one of the following: Certified Document Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS), Certified Clinical Documentation Specialist-Outpatient (CCDS-O).

Knowledge of:

• Medicare reimbursement system and coding structures; hospital policies and procedures; Joint Commission Accredited Health care Organizations standards, state statutes governing hospital services and health care, Medicare/Medicaid guidelines and other relevant regulations and standards; clinical medical and nursing procedures; disease processes; department and hospital safety practices and principles; patient rights; age specific patient care practices; infection control policies and practices; department and hospital emergency response policies and procedures.

Skilled in:

• Working effectively under pressure; holding in complete confidence all information acquired from medical records and physicians; interpreting patient charts to determine whether care given was appropriate and properly documented; interpreting regulations and standards for others; writing reports, meeting minutes and other technical documents; analyzing statistical and other quantitative data; critical thinking; conflict management; dealing with departmental issues involving self or other employees in professional, forthright and impartial manner; applying investigative and interviewing techniques; using a computer and a variety of software applications; communicating with a wide variety and establishing interpersonal relationships to interact effectively with co-workers, supervisor, staff in other work units and exchange or convey information.

Physical Requirements and Working Conditions:

• Mobility to work in a typical office setting and use standard equipment, stamina to remain seated for extended periods of time, vision to read printed materials and a VDT screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or an eligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. May work shifts and weekends.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.

EDUCATION:

• Option 1: Graduation from an accredited school of nursing and three (3) years of clinical nursing experience and three (3) years clinical documentation improvement experience.
• Option 2: Physician graduate International MD with three (3) years of acute care experience and three (3) years Clinical Documentation Improvement (CDI) experience.
• Option 3: Equivalent to a Bachelor’s degree in Healthcare and three (3) years Health Information Management in an acute care hospital inpatient experience and three (3) years Clinical Documentation Improvement (CDI) experience.

RESPONSIBILITIES:

• Provides a spectrum of image interpretation, image-guided procedures and patient care services within the specialty of Diagnostic Radiology and may also possess additional subspecialty expertise.

REQUIREMENTS:

• Board-certified by the American Board of Radiology / American Osteopathic Board of Radiology.
• Board-certified in both Diagnostic and/or Interventional Radiology.
• Post-residency fellowship training in the specialty.
• Actively practicing for three (3) years interpreting under various modalities, such as Xray, Nuclear, and Mammo.

Licensing/Certification Requirements:

• Valid License by State of Nevada to practice medicine. Board Certified or Board Eligible in Radiology. Some positions may require one or more of the following certifications: Basic Life Support (BLS) certification, Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS) from the American Heart Association (AHA).

Knowledge of:

• Advanced radiology equipment and software; adult and pediatric care, equipment, supplies and practices; federal, state, local and accreditation laws, regulations and standards; principles and practices of medical care management and administration; quality assurance and performance improvement principles and methods; department and hospital safety practice and procedures; patient rights; age specific patient care practices; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures.

Skilled in:

• Proficient in general diagnostic radiology, ER and acute inpatient cases, with efficiency to be able to read high volumes; using computers and related software applications; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment.

Physical Requirements and Working Conditions:

• Mobility to work in a typical office setting and use standard equipment, stamina to remain seated and maintain concentration for extended periods of time; vision to read printed materials and a computer screen; hearing and speech to communicate effectively in-person and over the telephone.
• Strength and agility to exert up to 10 pounds of force constantly to move objects.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.

RESPONSIBILITIES:

• Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance with third party payer requirements.
• Duties include analyzing medical charts, determining whether care provided is within established parameters.

REQUIREMENTS:

Education/Experience:

• Graduation from an accredited school of nursing and five (5) years of acute hospital clinical nursing experience, one (1) year of which was in Utilization Management, Case Management, or Clinical Documentation Improvement.

Licensing/Certification Requirements:

• Valid license by the State of Nevada to practice as a Registered Nurse.

Additional Position Requirements:

• Minimum three (3) years of Utilization Management experience.
• Minimum of three (3) year’s experience with discharge planning in an acute care facility.
• Recent documented experience with InterQual, and ability to pass the InterQual exam.
• Recent documented experience with Milliman experience.

Knowledge, Skills, Abilities, and Physical Requirements:

• Knowledge of: Interquel or Milliman utilization review criteria, Medicare/Medicaid guidelines, hospital policies and procedures; Joint Commission Accredited Health care Organizations standards, state statutes governing hospital services and health care, and other relevant regulations and standards; clinical medical and nursing procedures; disease processes; department and hospital safety practices and principles; patient rights; age specific patient care practices; infection control policies and practices; department and hospital emergency response policies and procedures.
• Skill in: Interpreting patient charts to determine whether care given is within best practice, appropriate for the diagnosis and properly documented; excellent ability to collaborate, co-ordinate and communicate findings; interpreting regulations and standards for others; writing reports, meeting minutes and other technical documents; analyzing statistical and other quantitative data; applying investigative and interviewing techniques; using a computer and a variety of software applications; communicating with a wide variety and establishing interpersonal relationships to interact effectively with co-workers, supervisor, staff in other work units and exchange or convey information.
• Physical Requirements and Working Conditions: Mobility to work in a typical office setting and use standard equipment, stamina to remain seated for extended periods of time, vision to read printed materials and a computer screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. May work shifts and weekends. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.

RESPONSIBILITIES:

• Provides recommendations and implementation of cost saving strategies in clinical areas, including services, products and processes.

REQUIREMENTS:

• One (1) plus years of experience with hospital supply chain process and clinical product evaluation.
• Proficiency in data analysis tools and software, including Tableau, Excel, or similar platforms.
• Familiarity with evidence-based decision making in a clinical environment.
• Knowledge of: Nursing process (assessment, planning, implementation and coordination of patient care); standards of care; disease process; medical equipment; patient care plan development; patient evaluation and assessment techniques; how to use general office equipment including, but not limited to: facsimiles, copiers, telephones and computers; pharmacology and medication administration; Nurse Practice Act; department and hospital safety practices and procedures; Federal, state and local laws and regulations affecting health care services and Joint Commission Accreditation for Health Organizations (JCAHO) standards; quality assurance and performance improvement principles and methods; products and services associated with the provision of patient care including, but not limited to, ancillary support functions, products and practices; statistical analysis methods and practices; reporting writing; modern principles and practices of management techniques; infection control policies and procedures; handling, storage, use and disposal of hazardous materials; patient rights; department and hospital emergency response policies and procedures.
• Skill in: Performing technical, specialized report writing; performing statistical analysis; coordinating multiple projects simultaneously; assigning and monitoring the work of others; evaluating quality control; applying customer service techniques; using initiative and independent judgement within prescribed guidelines; using computers and related software applications, specifically, Microsoft Office 2000 software, such as Access, Excel and Word; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing and maintaining effective working relationships with all personnel contacted in the course of duties, including Division and Department Heads; efficient, effective and safe use of equipment.
• Physical Requirements and Working Conditions: Mobility to work in a typical office setting and use of standard office equipment, vision to read printed materials and a computer screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.

Education/Experience:

• Four (4) years progressive clinical experience; two (2) years of progressive management related experience in a hospital setting; and the equivalent of a bachelor’s degree in Nursing, Health Care Administration, or business administration.

Licensing/Certification Requirements:

• Current State of Nevada Registered Nurse license. Basic Life Support (BLS) certification accepted by the American Heart Association (AHA).

RESPONSIBILITIES:

• Systems architecture development, requirements definition & decomposition, concept of operations, model-based systems engineering (MBSE), validation and verification, development assurance, safety analysis, and systems integration.
• Responsibility also includes project management, use and deployment of tools, technology and manufacturing assessments, and internal and external interactions.
• Plan, execute, and troubleshoot complex systems integration to validate interface definition and system requirements of airplane network systems.
• Perform risk management and trade study analyses.
• Work with other teams to resolve technical issues.
• Provide analytical and problem-solving skills to accomplish optimal system design and integration.
• Compare actual results to baseline plan to assess project performance, efficiencies, productivity, and lessons learned.

REQUIREMENTS:

• Experience with airplane software certification.
• DO-160 &/or DO-178.
• Experience with airplane networks and communication systems.
• Basic knowledge of network protocols, routing table definitions, and network architecture definitions.
• Experience with test procedures, lab testing and troubleshooting.
• Excellent verbal and written communications.

RESPONSIBILITIES:

• Ensuring the functionality and compliance of airplane systems and software, troubleshooting and addressing issues, and contributing to the enhancement of testing strategies and methodologies.

REQUIREMENTS:

• Systems software validation and verification, development assurance, safety analysis, and systems integration.
• Experience in developing test cases working with software development and system engineering teams.
• Demonstrated proficiency in Test Engineering and System Testing.
• Experience leading test programs compliant with airplane software certification using RTCA DO-178C.
• Strong skills in Testing methodologies and test execution.
• Excellent analytical, troubleshooting, and problem-solving abilities.
• Strong communication skills and ability to work collaboratively with multidisciplinary teams.
• Plan, execute, and troubleshoot complex software systems integration to validate interface definition and system requirements of airplane network systems.
• Compare actual results to baseline plan to assess project performance, efficiencies, productivity, and lessons learned.
• Experience with DOORS or similar requirements development and management tool.
• Experience authoring certification or process documentation for a DO-178C compliant test program.

Preferred Qualifications (Desired Skills/Experience):

• Passion for aviation and familiarity with airplane systems is a plus.
• Experience with airplane networks and communication.Basic knowledge of network protocols, routing table definitions, and network architecture definitions.
• Experience with test procedures, lab testing and troubleshooting.
• Excellent verbal and written communications.
• Experience with Development Assurance, Certification and Safety Analysis.
• Customer focus and ability to jump to the hottest “fire” and contribute to problem solutions.
• Bachelor’s degree and seven (7) plus years and/or advanced degree with five (5) plus years related work experience.
• An accredited degree in engineering, computer science, mathematics, physics or chemistry.
• Preference for accreditation to come from ABET.

We have clients that still utilize Tandem (HP NonStop) and are always seeking highly skilled and hands-on Tandem/COBOL Engineers. If you are a Tandem COBOL Engineer and would like us to assist you with your next opportunity, please let us know.