Careers

RESPONSIBILITIES:

• Maintenance: Monitor system health, tune performance, and resolve operational issues for IBM MQ queues and channels.
• Upgrades: Plan, test, and execute software patches, fix packs, and major version upgrades for IBM MQ, CICS, and DB2.
• Integration: Support CICS region connectivity and DB2 data sharing groups interacting with IBM MQ.
• Security: Implement and audit SSL/TLS certificates, queue-manager security, and user access controls.
• Automation: Write and update scripts for routine administrative tasks and system recovery procedures.

REQUIREMENTS:

• Experience: Minimum five (5) years administering IBM MQ in enterprise environments.
• Skills: Hands-on knowledge of CICS transaction server management and DB2 database connectivity.
• Platform: Strong background in z/OS or distributed Linux/Unix/Windows systems.
• Soft Skills: Strong problem-solving skills and ability to work in an on-call rotation.

RESPONSIBILITIES:

The Nurse Case Manager assists in providing a system of health care delivery which utilizes a coordinated, collaborative, multi-disciplinary approach to assess, plan, coordinate and evaluate the health care needs of patients throughout the health care continuum. The Nurse Case Manager serves as an advanced clinical resource to patients, families, staff and physicians in the delivery of care.

REQUIREMENTS:

Education/Experience:

• Graduation from an accredited school of nursing.
• Minimum three (3) years of nursing experience in an acute care hospital setting, one (1) year of which was in Case Management, Discharge Planning, or Utilization Review.
• At the sole discretion of the Hospital, a Master’s Degree in nursing with a concentration in case management may substitute for the experience requirement.

Licensing/Certification Requirements:

• Valid License from State of Nevada to Practice as a Registered Nurse.
• Basic Life Support (BLS) certification accepted by the American Heart Association (AHA).

Additional and/or Preferred Position Requirements:

• Minimum three (3) years of Case Management experience in an acute care setting.
• Recent Documented experience in an acute care setting.
• Experience as a Case Manager in pediatrics is preferred.
• Recent documented Emergency Department experience a plus.
• Recent documented Utilization Review experience a plus.
• Knowledge of MCG (Milliman).

One or more of the following A PLUS!

• Certified Case Manager (CCM).

Accredited Case Manager (ACM) Membership in:

• The Commission of Case Management Certification (CCMC).
• Academy of Certified Case Managers (ACCM).
• American Case Management Association (ACMA).

Knowledge of:
Principles of case management; nursing process (assessment, planning, implementation and coordination of patient care); standards of care; disease process of illnesses or injuries in variety of specialty areas; patient care plan development; patient evaluation and assessment techniques; Nurse Practice Act; third party reimbursement regulations and rules; department and hospital safety practices and procedures; patient rights; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures; age specific patient care practices.

Skill in:
Working with patients in a variety of conditions; interpreting rules and regulations; interpreting and analyzing patient medical charts; using computers and a variety of software applications; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds under stressful conditions; 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 clinical setting, including stamina to remain standing and/or walking for extended periods of time, strength to examine and treat varied individuals, vision to use standard office equipment, 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, including the human body.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.

RESPONSIBILITIES:

• Responsible for researching codes and abstracting medical information to determine that accurate, complete and billable codes are provided for Outpatient/Physician Clinical services.
• Identifies and reports coding opportunities and recommendation for improvement.
• Monitors and reports trend and escalates discrepancies to management.

REQUIREMENTS:

Education/Experience:

• Equivalent to graduation from high school and two (2) years of outpatient (physician’s office, ambulatory surgery centers, emergency department, or multidisciplinary medical practice/group coding experience.

Licensing/Certification Requirements:

To include one or a combination of the following:

• Certified Coding Specialist (CCS)
• Certified Professional Coder (CPC)
• Certified Outpatient Coder (COC)
• Physician based (CCS-P)
• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)
• Two (2) years of documented experience in Outpatient Coding – Professional – capturing the physician’s or clinician’s work, skill, and MDM (physician’s office, multidisciplinary medical practice professional services (Orthopedics, Primary Care, Interventional Radiology, ED, hospitalist)

Knowledge of:
Outpatient code sets including CPT, HCPCS, ICD10-CM/PCS, and Medicare hospital and physician outpatient coding and reimbursement regulations; current healthcare based technology and Electronic Health Record (EHR) practices; coding guidelines; departmental policies and procedures; medical terminology, anatomy and physiology, disease process and minor surgical procedures; laws, codes, rules and regulations governing area of assignment; revenue cycle workflows (charges/charge master, code edits, auditing, denials management, and document improvement); 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.

Skill in:
Coding and maintaining department specific quality standards and meet productivity standards as documented by the department and organization; reviewing and abstracting information; data collection, manipulation and retrieval; reviewing and checking documents to ensure completeness and accuracy; meeting strict productivity standards; concentrating for long periods of time while dealing with distractions; reporting inconsistencies and discrepancies with established standards and guidelines; using 3M 360 or similar integrated encoder computer assisted coding systems; Webex; running queries; reviewing denials; preparing technical reports; paying attention to detail and accuracy; handling patient and organizational information in a confidential manner; 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, sit and retain concentration for extended periods of time, vision to read printed materials and VDT screens, and hearing and speech to communicate effectively in-person and over the telephone. Strength and agility to exert up to 20 pounds of force occasionally and/or an eligible 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.

RESPONSIBILITIES:

Responsible for activities involving expert inpatient coding of medical records as a mechanism for indexing clinical information used for research, utilization, appropriateness of care, compilation of statistics for hospital regional and government, and accurate reimbursement. Identifies and reports coding opportunities and recommendation for improvement. Monitors and reports trend and escalates discrepancies to management.

REQUIREMENTS: 

Education/Experience:
Equivalent to graduation from high school and three (3) years of experience performing inpatient coding in an acute care setting.

Licensing/Certification Requirements:
To include one or a combination of the following:
– Certified Coding Specialist (CCS)
– Registered Health Information Administrator (RHIA)
– Registered Health Information Technician(RHIT)

Knowledge of:
Code sets including CPT, HCPCS, ICD 9-CM, ICD10-CM/PCS, and Medicare hospital and IPPS coding and reimbursement regulations and MS-DRG classification structure; current healthcare based technology, coding, and Electronic Health Record (EHR) practices; coding guidelines; revenue cycle workflows (charges/charge master, code edits, auditing, denials management, and document improvement); departmental policies and procedures; medical terminology, anatomy and physiology, disease process and minor surgical procedures; laws, codes, rules and regulations governing area of assignment; 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.Skill in:
Coding and maintaining department specific quality standards and meet productivity standards as documented by the department and organization; reviewing and abstracting information; data collection, manipulation and retrieval; reviewing and checking documents to ensure completeness and accuracy; meeting strict productivity standards; concentrating for long periods of time while dealing with distractions; reporting inconsistencies and discrepancies with established standards and guidelines; using 3M 360 or similar integrated encoder computer assisted coding systems; Webex; running queries; reviewing denials; preparing technical reports; paying attention to detail and accuracy; handling patient and organizational information in a confidential manner; 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, sit and retain concentration for extended periods of time, vision to read printed materials and VDT screens, and hearing and speech to communicate effectively in-person and over the telephone. Strength and agility to exert up to 20 pounds of force occasionally and/or an eligible 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.

RESPONSIBILITIES:

• Develops, implements and maintains a system of outcome management. Ensures coordination of care across the continuum on a financial platform.

REQUIREMENTS:

Education/Experience:

• Graduation from an accredited school of nursing and five (5) years of clinical nursing experience, two (2) years of which were in a supervisory/managerial role.

Licensing/Certification Requirements:

• License from State of Nevada to Practice as a Registered Nurse. Basic Life Support (BLS) certification accepted by the American Heart Association (AHA).

Additional Position Requirements – PREFERENCES WILL BE GIVEN TO APPLICANTS WHO DOCUMENT THE FOLLOWING:

• Bachelor’s degree in nursing.
• Minimum fifteen (15) years of experience in Nursing.
• Minimum ten (10) years of experience in Case Management.
• Minimum five (5) years of recent experience in a leadership role in Case Management.
• Recent documented experience in an Acute Care setting.

One or more of the following A PLUS!

• Certified Case Manager (CCM) or Accredited Case Manager (ACM).

Membership in:

• The Commission of Case Management Certification (CCMC).
• Academy of Certified Case Managers (ACCM).
• American Case Management Association (ACMA).

Knowledge of:

Care Management principle related to eligibility, authorizations, admission assessment, concurrent/retro-eligible review, denials and appeal; interqual and basic understanding of Milliman Care guidelines; supervisory principles and practices; nursing process (assessment, planning, implementation and coordination of patient care); standards of care; disease process of illnesses or injuries in variety of specialty areas; patient care plan development; patient evaluation and assessment techniques; Nurse Practice Act; third party reimbursement regulations and rules; department and hospital safety practices and procedures; patient rights; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures; age specific patient care practices.

Skill in:

Working with patients in a variety of conditions; supervising the work of assigned staff; interpreting rules and regulations; interpreting and analyzing patient medical charts for acute care criteria; using computers and a variety of software applications; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds under stressful conditions; 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 clinical setting, including stamina to remain standing and/or walking for extended periods of time, strength to examine and treat varied individuals, vision to use standard office equipment, 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, including the human body.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.

OVERVIEW:

We are seeking a hands-on Network Engineers to design, configure, and maintain enterprise switching and routing infrastructure. This role requires someone who can operate independently on well-defined initiatives while remaining a strong collaborator within a broader engineering team.

SUMMARY:

The Network Engineer will design, configure, manage, troubleshoot, support and implement the Network Infrastructure. Will also perform limited project management with some coordination of efforts by various support staff. Communicates project status to project proponents.

RESPONSIBILITIES:

• Under general supervision, participates in decisions on technical direction, architecture design, and product selection for the enterprise telecom/data network.
• Assists with the deployment of telecom/network technology.
• Exercises independent judgment.
• Under general direction works on complex technical issues.
• Provides input to short and long-term section strategy and budget planning.
• Receptive to new ideas and to learning new technologies.
• Plans and leads small projects and performs project management coordinating the efforts of internal and external staff with the customer and business needs.
• On occasion oversees projects and tasks assigned to project team members and may be asked to provide input to their evaluations.
• Occasionally works under stressful conditions, participating in implementations and troubleshooting efforts that may have significant patient care and/or financial impact to the organization.

REQUIREMENTS

Core Technical Requirements:

• A self-directed “doer” — someone who doesn’t need hand-holding to execute standard installs and configurations, but who also communicates proactively, documents thoroughly, and integrates well with a team-based engineering environment.

Networking Fundamentals:

• Strong working knowledge of the OSI model, specifically Layers 1–3 (Physical, Data Link, Network).
• Ability to troubleshoot and reason about network issues at the appropriate OSI layer.

Hardware & Platform Experience:

• Hands-on experience configuring and installing Cisco switches — Catalyst C9000 series.
• Hands-on experience configuring and installing Cisco routers — Catalyst C8000 series.
• Experience deploying equipment at both the access layer and distribution layer.

• MEC (Multi-Chassis EtherChannel) configuration experience.
• SD-WAN deployment or administration experience.

Required Education:

• Bachelor’s degree in a technical discipline with a minimum of two (2) years of professional technical work experience -OR-Associate’s degree with a minimum of four (4) years of professional technical work experience -OR-minimum of (6) years professional technical work experience required for individuals without a degree.

RESPONSIBILITIES:

The Epic Care Everywhere Analyst supports Ambulatory interoperability workflows, ensuring accurate and efficient exchange of patient information across external organizations and regional health networks. This role focuses on configuring, maintaining, and optimizing Care Everywhere functionality, including direct messaging, referrals management, patient record sharing, and cross-system data reconciliation. The analyst collaborates with clinical, operational, and regional interoperability groups to improve continuity of care and ensure compliance with data-sharing standards.

REQUIREMENTS:

• Candidates should have Epic Care Everywhere certification, strong Ambulatory experience, and solid knowledge of interoperability tools, workflows, and regulatory requirements.
• Three (3) to five (5) years of Epic experience is required for this role.

• Work requires technical knowledge generally acquired through completion of a bachelor’s degree program in a related clinical, technical, informatics, operational, or business field, or equivalent experience.

RESPONSIBILITIES:

The Epic Kaleidoscope Analyst supports Ambulatory clinical workflows with a focus on ophthalmology and optometry. This role performs system build, configuration, testing, and troubleshooting within Kaleidoscope, ensuring accurate imaging workflows, documentation tools, and device integrations.

REQUIREMENTS:

• Kaleidoscope Certification is required.
• Candidates should have there (3) to five (5) years of Epic experience and strong Ambulatory knowledge.
• Familiarity with Cadence and OpTime are highly beneficial for scheduling and perioperative alignment.
• The analyst collaborates with clinical stakeholders, resolves issues, and supports upgrades, optimization, and ongoing operational needs.

• Work requires technical knowledge generally acquired through completion of a bachelor’s degree program in a related clinical, technical, informatics, operational, or business field, or equivalent experience.

OVERVIEW:

RESPONSIBILITIES:

• Independently design Epic architecture and reusable, scalable build patterns for digital enablement pilots, initiatives, communication workflows, patient-engagement capabilities, and complex operational workflows.
• Lead translation of clinical and operational workflow intent into durable Ambulatory build while preserving the intended user, patient, and operational experience.
• Define and guide environment, release, change control, testing, and stabilization strategies that support safe deployment from pilot through readiness for scale.
• Serve as the senior Ambulatory partner for Digital Enablement Strike Teams from feasibility assessment through implementation, readiness for scale, and clean handoff into Ambulatory operations.
• Establish and maintain documentation, build standards, configuration decisions, testing artifacts, operational playbooks, and service transition materials to support maintainability, scalability, and operational continuity.
• Actively guide Agile and Scrum delivery practices for Ambulatory build, including backlog refinement, sprint planning, stand-ups, retrospectives, iterative build cycles, dependency management, and release readiness activities.
• Coordinate complex work across clinical, operational, Epic, reporting, security, integration, infrastructure, and vendor partners to ensure build decisions are technically sound, operationally sustainable, and aligned with Client priorities.
• Perform advanced analysis of workflows, data needs, reporting dependencies, technical constraints, risks, downstream impacts, and operational readiness considerations associated with Ambulatory build decisions.
• Lead configuration, testing, validation, defect resolution, change management, production readiness, and post-implementation stabilization for digital enablement initiatives.
• Identify opportunities for process improvement and apply client Quality System principles to ensure advanced digital tools are safely, consistently, and sustainably embedded into clinical and operational workflows.
• Provide senior-level production support, triage, validation, issue resolution, root cause analysis, and escalation coordination as needed during digital enablement implementation, stabilization, and operational transition periods.
• Serve as a senior Epic Ambulatory subject matter expert for digital enablement initiatives.
• Mentor analysts and project partners on reusable build patterns, Ambulatory standards, release readiness expectations, documentation practices, and operational handoff requirements.
• Anticipate risks, dependencies, and scalability constraints early in the pilot lifecycle and recommend mitigation strategies that support safe transition from idea to pilot to assessment for scale.
• Take call one day per month.

REQUIREMENTS:

• Working knowledge of Agile and Scrum, with hands-on experience leading or contributing to Ambulatory build within sprint-based, iterative release cycles.
• Advanced command of clinical and operations-based Ambulatory applications, including scheduling, billing, and patient flow, with the ability to extend into clinical and patient-engagement modules.
• Advanced proficiency in testing, validation, production readiness, and stabilization.
• Ability to design, document, and promote reusable, scalable build patterns rather than one-off configurations.
• Advanced analytical, critical thinking, problem-solving, documentation, communication, collaboration, and customer service skills.
• Ability to lead partnerships across technical, clinical, operational, vendor, reporting, security, integration, and governance teams to support scalable digital enablement.
• Ability to mentor peers, facilitate complex discussions, influence decisions without direct authority, and communicate risks, tradeoffs, and recommendations to leadership and cross-functional partners.Experience coordinating build, release, stabilization, service transition, and knowledge transfer activities across Epic operations and digital initiative teams.
• Agile or sprint-based delivery, multi-environment release work, testing, validation, documentation, and operational handoff.

• Work requires technical knowledge generally acquired through completion of a bachelor’s degree program in a related clinical, technical, informatics, operational, or business field, or equivalent experience.
• Active Epic Ambulatory certification required, with preference being that additional module certs/experience such as Cadence/scheduling, billing, and patient flow.

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.