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Join a Company That Puts People First! Licensed Practical / Vocational Nurse – LPN/LVN Nurses Needed for Teenagers and Adults - Feeding Tubes, Traches, Vents We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here’s what sets us apart: We currently have patients and openings in: • Metro Atlanta, including Fulton, Dekalb, Gwinnett, Forsyth, and Walton Counties, • Metro Athens, including Clarke, Jackson, and Barrow Counties, • North Georgia, including Dawson, Hall, Haberhsam, and Hart Counties, • Indeed’s Work Wellbeing Top 100 Company in 2024, • Health, Dental, Vision and Company-Paid Life Insurance, • Paid Time Off Available, • Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability!, • 24/7 Local support from operators and clinicians, • Aveanna has a tablet in each patient’s home allowing for electronic documentation, • Career Pathing with opportunities for skill advancement, • Weekly and/or Daily Pay, • Employee Stock Purchase Plan with 15% discount We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Licensed Practical / Vocational Nurses (LPN/LVN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader. Qualifications • Must have and maintain an active, unencumbered license (LPN/LVN) in the state in which the clinician will practice, • Compact licenses must be transferred to your state of residence within 90 days, • Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary., • TB skin test (current within last 12 months), • Six months prior hands-on nursing experience preferred but not required As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

AHS Staffing is seeking a local contract Psychologist for a local contract job in Atlanta, Georgia. Job Description & Requirements • Specialty: Psychologist, • Discipline: Therapy, • Duration: 16 weeks, • 14 hours per week, • Shift: 4 hours, days, • Employment Type: Local Contract PediaStaff is seeking a Clinical Psychologist (PhD or PsyD) to join a team of dedicated behavior therapists and clinicians with a growing clinical practice nationwide. Currently, they are looking to expand their offerings by hiring clinical psychologists to work virtually evaluating children ages 18 months-6 years old. We are looking for Clinical Psychologists licensed in GA or willing to obtain GA licensure with expertise in early childhood development to conduct telehealth assessments. The focus will be diagnostic evaluations for Autism Spectrum Disorder (ASD) and other neurodevelopmental concerns (e.g., ADHD, developmental delays, intellectual disabilities). Responsibilities include: • Conducting comprehensive diagnostic interviews with caregivers, • Administering standardized assessment tools via telehealth (e.g., ADOS-2-Toddler Module/Telehealth adaptations, CARS-2, TAPS, Vineland-3, etc.), • Interpreting results and formulating differential diagnoses, • Writing integrated psychological evaluation reports, • Providing feedback and diagnostic clarification to families, • Doctorate in Clinical, Counseling, or School Psychology (PhD or PsyD), • Licensed or license-eligible psychologist in Georgia, must reside in GA or within 50 miles of the GA border to be credentialed with Medicaid, • Experience with ASD and neurodevelopmental evaluations in early childhood, • Familiarity with telehealth assessment tools and protocols; comfort working in independent practice with some administrative support, • Demonstrates strength in clinical judgment and differential diagnosis, with the ability to effectively communicate diagnostic impressions during the appointment. Highly organized and self-motivated, with strong time management skills that support timely completion of diagnostic reports. *Choose your own hours. We are seeking professionals who can provide a minimum of 20 hours per month of evaluation services *Experience with Central Reach EMR a plus! *GA license required for this role, however, if you have licenses in these states: MD, NC, OK, AZ then we'd like to meet you! *You'll need to become Medicaid credentialed with the clinic which can take 6-8 weeks PAY RATE: $75-$120 PER HOUR PediaStaff delivers flexible staffing solutions in pediatric and educational based settings. We offer excellent hourly rates and Per Diem based on IRS eligibility. In addition: • Full-time employees receive nationally recognized medical insurance and 401K with employer contributions, • We offer allowances for continuing education, licensure, malpractice, and relocation, • Our select team of Clinical Resource Specialists is available to help ensure your success. You are not alone when you are on assignment with PediaStaff PediaStaff provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, PediaStaff complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company does business. ...IT'S ALL ABOUT THE CHOICES! About AHS Staffing At AHS Staffing, we are committed to providing a personalized, transparent, and rewarding experience. We go beyond the transactional nature of the industry by offering individualized job matching, clear communication, no-nonsense pay rates, and dedicated recruiter support 24/7. When you're on assignment with us, you'll get access to industry-leading benefits, including comprehensive medical coverage, 401(k) matching, competitive pay packages, licensure reimbursement, weekly pay, and more. Easily manage your day-to-day with our mobile app where you can view your assignment details, manage your compliance and licensing documents, submit timecards, and browse new jobs to land your next adventure. As a nationally recognized and award-winning agency, we understand the importance of providing a seamless experience from application to placement. Our top priority is matching you with assignments that align with both your personal and professional goals. Join us to experience working with an agency that truly prioritizes your success and well-being and see why thousands of healthcare professionals continue to trust us with their careers.

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Role Summary Are you ready to launch your career in healthcare sales with a focus on payer organizations? As a Sales Development Associate based in Boston, MA, Austin, TX, or Atlanta, GA, this hybrid-role offers the opportunity to engage with leading payer organizations and help transform healthcare through innovative solutions. You will be a key contributor in identifying and initiating conversations that drive athenahealth’s growth in the payer market. This position reports directly to the Senior Manager, Sales Development. Team Summary We’re seeking a highly motivated Sales Development Representative (SDR) focused on the Payer segment to accelerate athenahealth’s expansion in this critical market. In this role, you will collaborate closely with our payer sales team to identify and engage decision-makers at large national insurers, regional health plans, Medicare Advantage organizations, Medicaid MCOs, and commercial payers. Your outreach will uncover strategic opportunities where athenahealth’s solutions can support payer initiatives such as care coordination, value-based care, and data interoperability. Your efforts will be essential in generating qualified leads, initiating meaningful conversations, and building a robust pipeline of opportunities that foster collaboration between payers and providers through athenahealth’s platform. This role requires a consultative communication style, healthcare and payer knowledge, and a disciplined approach to prospecting and pipeline management. Essential Job Responsibilities * Conduct targeted outreach to payer organizations through tailored emails and calls aligned with payer structure and strategy. * Research payer organizations to understand their markets, provider networks, and strategic priorities before engagement. * Engage payer executives and operational leaders with consultative messaging that uncovers workflow inefficiencies * Manage and maintain accurate records in Salesforce, ensuring clean notes, strong handoffs, and pipeline hygiene. * Collaborate cross-functionally with sales, product, and provider teams to align messaging and strategy. * Handle objections professionally, particularly around existing solutions or provider-side focus, to advance conversations. Additional Job Responsibilities * Support sales team initiatives by providing market insights and feedback from payer interactions. * Assist in refining outreach messaging based on engagement data and payer feedback. * Participate in team meetings and training sessions to deepen healthcare and payer knowledge. * Contribute to the development of sales collateral tailored to payer audiences. * Monitor industry trends and regulatory changes impacting payer priorities. * Help coordinate events or webinars targeting payer audiences. * Support administrative tasks related to sales development activities as needed. Expected Education & Experience * 1 to 2 years of experience in sales, healthcare, or related fields. * Demonstrated understanding of payer operations including claims, prior authorization, eligibility, remittance, and value-based care basics. * Familiarity with payer pain points such as administrative burden, provider abrasion, data accuracy, and interoperability challenges. * Comfort with healthcare acronyms and workflows to engage in credible, consultative conversations. * Strong communication skills with the ability to engage executive-level payer leaders. * Experience or aptitude for targeted prospecting, account research, and objection handling. * Proficiency with CRM tools, preferably Salesforce, and a data-driven approach to sales development. * Ability to work in a hybrid environment based in Boston, Austin, or Atlanta Expected Compensation $48,000 - $82,000 The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans. About athenahealth Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Our company culture: Our talented employees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support. Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve. What we can do for you: Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces — some offices even welcome dogs. We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation. In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued. Learn more about our culture and benefits here: athenahealth.com/careers

Why Join Grace at Home? Grace at Home is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to high-needs, urban and rural communities. Our local physicians, nurses, and caregivers work together to serve people and the communities they live in, beyond just treating symptoms. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our patient’s race, culture, and environment is critical to delivering improved health outcomes. By empowering patients, providers, and caregivers with the support they need, we strive to make health and care a reality—not a burden—every single day. Join us in creating a better way to care. Overview Reporting to the Assistant Clinical Manager, the Nurse Practitioner is responsible for conducting patient visits, ensuring effective collaboration, proper clinical management, documentation of visits, and high-quality patient care delivery to Grace at Home family members. This role involves direct patient care in-person and via telehealth to meet organizational goals, improve member outcomes, and provide exceptional patient care. This position is accountable for ensuring Grace at Home is positioned to innovatively deliver on its promise. They should embody Care at Home’s core values, including, Trusted, Empathetic, Committed, Humble, Creative and Community-Minded. The Nurse Practitioner will have a strong knowledge base in providing care in the home, Value Based Care, HEDIS and Stars, documentation and coding, and medical practice principles. They will stay informed about advancements in healthcare practices and disseminate relevant knowledge. Duties & Responsibilities • Implement evidence-based practices and clinical protocols., • Conduct patient visits in-person in the patients' homes and/or via telehealth, • Address and resolve patient concerns promptly and professionally., • Participate in interdisciplinary team meetings to enhance patient care coordination., • Adhere to regulatory standards, including HIPAA and OSHA requirements., • Maintain accurate documentation of clinical activities, training, and compliance records., • Collaborate with business partners such as Home Health and Hospice agencies, assisted living facilities, and other vendor partners., • Collaborate with multiple care disciplines such as RN's, LCSW to provide high quality care. Qualifications • Education/Experience: Master’s degree in nursing or related science field required, • Certification/Licensure: Active and unrestricted NP license required, • Clinical: 2+ years of direct patient care as a Nurse Practitioner strongly preferred. Community-based care experience preferred. Experience with Medicare/Medicaid is preferred, • 2+ years of clinical experience treating complex chronic conditions and high-needs patients, Medicare and LTSS experience preferred, • Excellent verbal, written, presentation, and group facilitation skills; ability to clearly articulate and present concepts and models in an accessible manner to Grace at Home’s team, investors, partners, and other stakeholders., • Must have strong critical analytic, thinking and communication skills necessary to evaluate and respond to team progress, anticipate needs and other related team dynamics., • Computer Knowledge: Excellent computer skills required particularly Microsoft applications including Word, Excel, PowerPoint, and Outlook. Willingness to explore and learn new or unfamiliar applications that may benefit the clinical team, • Culture: Good judgement, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced organization. The working environment and physical requirements of the job include: Visits are conducted in patient homes as well as remotely via telehealth. Travel to patient home is required. Any In-office work is performed indoors in a traditional office setting with air conditioning, artificial light, and an open workspace. In this position you will need to communicate with customers, vendors, management, and other co-workers in person and over devices, sometimes with people who are agitated. Regular use of the telephone and e-mail for communication is essential. Sitting for extended periods is common. Must be able to receive ordinary information and to prepare or inspect documents. Lifting of up to 10 lbs. occasionally may be required. Good manual dexterity for the use of common office equipment such as computer terminals, calculator, copiers, and FAX machines. Good reasoning ability is important. Able to understand and utilize management reports, memos, and other documents to conduct business. Our Benefits Financial Well-being • Competitive Compensation: We offer competitive salaries to attract and retain the best talent., • Comprehensive Medical Plan: We proudly offer a comprehensive medical option with an employer contribution., • Dental & Vision Coverage: Maintain your oral and eye health with our employer-paid dental and vision plans via MetLife., • Employer-Paid Insurance: Life, Short-Term Disability (STD), and Long-Term Disability (LTD) insurance are provided at no cost to you., • Continuing Medical Education (CME) Allowance for APPs: Stay at the forefront of your field with our CME allowance., • Commuter Benefits: Save on your commute with our commuter benefits program., • Mileage Reimbursement: Get reimbursed for work-related travel expenses. Equal Opportunity & Reasonable Accommodation Statement Grace at Home is an Equal Opportunity Employer committed to creating an inclusive environment for all employees. We provide equal employment opportunities to all individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic under applicable law. If you require a reasonable accommodation during the application or employment process, please indicate this in your application or speak with your recruiter during the hiring process. Disclaimer This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary.

Huddle Up Care is seeking a School Services Speech Language Pathologist for a job in Atlanta, Georgia. Job Description & Requirements • Specialty: Speech Language Pathologist, • Discipline: School Services, • Start Date: 08/03/2026, • Duration: Ongoing, • 37.5 hours per week, • Shift: 7 hours, days, • Employment Type: Staff Huddle Up is a provider-founded and provider-led company that delivers high-quality, consistent care to school districts nationwide through team-based virtual and onsite IEP therapy and support. We have delivered over 1 million therapy sessions across speech, occupational, mental health, and school psychology, with 94% of our clients reporting high levels of student engagement under our providers' care. We believe in the importance of supporting the whole child, and supporting the whole provider, with connection and collaboration. We have a variety of tools and resources available to you that allows providers to communicate with fellow Huddle Up professionals and clinical managers. All of our clinical managers have vast experience in delivering school based teletherapy services, and they are available when needed. At Huddle Up, you’re part of a team that ensures students receive the best care possible. We are currently hiring virtual Speech Language Pathologists (SLP) in Georgia for the 26/27 school year! What We Offer: • Compensation for direct and indirect time, • Up to a $250 monthly incentive (up to $3,000 per year), • Access to Company Sponsored Health insurance, Dental Insurance, Short-Term Disability Insurance, Long-Term Disability Insurance, and Life Insurance, • Access to wellness programs including- Peloton, EAP Support, Headspace, and Carrot Fertility, • Access to participate in our 401k after 6 months of employment, • Accrued sick time- one hour for every 30 hours, Caps at 48 hours, • Reimbursement for cross licensing, • Access to our proprietary platform, • Access to online assessments and tools, • Access to clinical and technical staff to ensure you are fully supported Grow and invest in your skills, capabilities, and career, by delivering Speech Language Pathology services to school-based children across the nation, leveraging technology that includes proprietary tools to support and enable clinical care, in an environment that is flexible to your needs. • Huddle up with school instructors and experienced clinical mentors to deliver outstanding Speech Language Pathology services to children in need, • Develop your skills, career, and expertise within a supportive team-based environment, • Provide telehealth services to a diverse population of school aged children, • Able to commit to 15 or more hours per week, • Hold an active, unrestricted, and valid SLP license in your state of residence and Georgia, in good standing, • An Education Certificate, PEL in good standing, • Hold CCCs: Current ASHA Certificate of Clinical Competency, • Full-time resident of the United States, • School experience or experience working with school aged pediatric population, • Experience and comfortability with the use of various types of technology, • Follow Huddle Up documentation guidelines for evaluation reports and daily SOAP notes, • Participate in IEP and team meetings, serve as a case manager or process coordinator This is a W2 employment opportunity. The exact compensation band is based on where the provider resides. Compensation for providers living in CA, HI, and NY is $44-$54 an hour; AK, CO, CT, DC, DE, IL, IN, MA, MD, NJ, NM, OH, PA, RI, TX, VA, and WA is $44-$54 an hour; AR, AZ, FL, GA, IA, KS, KY, MI, MN, MT, NC, NH, NV, OK, OR, SC, UT, WI, and WY is $44-$49 an hour; AL, ID, LA, ME, MO, MS, ND, NE, SD, TN, VT, and WV is $44-$47 an hour. This position also includes an opportunity to earn up to a $250 (up to $3,000 per year) monthly incentive for providers who work 60 hours or more in a pay period (approximately every 2 weeks) and meet other eligibility criteria. Exact hourly rate will ultimately depend on multiple factors, which may include the successful candidate’s skills, geographical location, and other qualifications. Applications are typically reviewed within 48 business hours after application submission; information about our interview process and application status updates will be sent to you via email, please be sure to check your spam and junk folders to ensure emails do not get lost. This is a W2, Virtual, remote, employment opportunity with flexibility to work part-time or full-time for the upcoming 2026-2027 school year. Must hold ASHA CCC About Huddle Up CareHuddle Up is a provider-founded and provider-led company that delivers high-quality, consistent care to school districts nationwide through team-based virtual and onsite IEP therapy and support. We have delivered over 1 million therapy sessions across speech, occupational, mental health, and school psychology, resulting in an 84% increase in student academic performance. \nWe believe in the importance of supporting the whole child, and supporting the whole provider, with connection and collaboration. We have a variety of tools and resources available to you that allow our providers to communicate with fellow Huddle Up professionals and clinical managers. All of our clinical managers have vast experience in delivering school based teletherapy services, and they are available when needed.\nAt Huddle Up, you’re part of a team that ensures students receive the best care possible. \n\nBenefits • Employee assistance programs, • Medical benefits, • 401k retirement plan, • Wellness and fitness programs, • Life insurance, • Dental benefits, • Vision benefits, • Referral bonus

Payment Accuracy Manager, Outpatient Facility Overview As a Payment Accuracy Policy Manager, you will serve as a critical bridge between healthcare payment expertise in our facility capability. This role combines deep subject matter knowledge with strategic influence—driving the development of payment integrity policies that protect our clients while advancing Rialtic's platform capabilities. You'll lead the research, evaluation, and implementation of new policies based on CMS guidelines, Medicaid requirements, industry standards, and emerging medical cost trends in the facility space of our offering. Working closely with client management, product, engineering, and content leadership teams, you'll translate complex payment policy concepts into actionable strategies that deliver measurable value. This is an opportunity to shape how health plans approach payment integrity and to build the content foundation that powers our enterprise platform. Responsibilities • Serve as the SME for outpatient facility editing policy development, leading the research, scoping, and creation of new claims editing policies for the facility capability, • Source, interpret, and scope new payment integrity policies to expand Rialtic's claims editing content library from outpatient facility claims, • Prioritize policy updates based on savings potential, client impact, and strategic alignment with platform goals, • Leverage CMS, Medicaid, clinical guidelines, and industry trends to identify opportunities for new content development for facility claims, • Quantify and communicate policy value through data-driven analysis and clear financial impact assessments in the facility space, • Work closely with product and engineering teams to ensure client needs inform platform development, building out our facility capability, • Collaborate with content leadership to maintain consistency, quality, and relevance across the policy library, • Perform investigation of current facility policy defects and unexpected claim outcomes, performing root cause analysis and policy research to identify corrective actions and improve policy accuracy and performance, • Serve as the facility payment accuracy SME in client discussions, presenting policy concepts and addressing facility-related questions when needed Qualifications Required • 5-7 years of experience in payment integrity at a health plan, claims editing vendor, or similar healthcare organization with focus in outpatient facility claims editing and reimbursement methodologies, • Active coding certification (COC, CPC, CCS, or equivalent specialty certification) — required for this position, • Proven expertise in:, • Interpreting medical and payment policies, • Applying CMS and Medicaid reimbursement guidelines, • Professional and outpatient coding standards, • Common claims payment error identification and resolution, • Demonstrated ability to advise clients and explain complex payment accuracy concepts in clear, accessible terms, • Strong analytical skills with experience quantifying policy impact and ROI, • Track record of managing claims editing implementations or similar client-facing initiatives, • Intermediate Excel skills (i.e., formulas, v-lookups, pivot tables, etc) Preferred • Expertise across both professional and institutional claims environments, • Advanced proficiency with Google Suite or similar collaboration tools, • Experience working cross-functionally with product and engineering teams in a SaaS or health tech environment, • Exceptional written and verbal communication skills with the ability to influence stakeholders at all levels

Job Title: Pre-Suit Paralegal (Justice Advocate) Firm: The Dennis Law Firm Mission: To Impact 100 million lives for the good using the law as our beacon. Vision: Eradicating injustice across America one case at a time. The 5 Creeds of Justice • Compassion: We see the person, not just the file., • Excellence: We settle for nothing less than the best work product., • Accountability: We own our actions and our results., • Relentless: We do not stop until justice is served., • Professionalism: We lead with integrity and poise. Position Summary The Dennis Law Firm is seeking a Relentless Pre-Suit Paralegal who understands that the foundation of every major settlement is built in the early stages of a case. You are the primary navigator for our clients during their recovery. You will be responsible for managing a high-volume caseload from intake through the demand phase. This role requires a warrior's heart for Compassion and an auditor’s eye for Excellence. If you view the law as a tool to eradicate injustice and are looking for a firm where your "grind" has a global purpose, you belong here. Essential Duties & Responsibilities Your role is critical to our mission of impacting 100 million lives: • Radical Client Advocacy (Compassion):Be the steady hand for clients navigating medical treatment. You will conduct regular "check-ins" to ensure they are getting the care they need and that their story is being documented accurately., • Case Development (Relentless):Investigation is not a passive task. You will hunt down police reports, witness statements, and video footage. You will not take "no" for an answer from insurance adjusters or medical providers., • Medical Management (Excellence): Track medical treatment with surgical precision. You are responsible for requesting, receiving, and summarizing medical records and bills, ensuring every penny of a client's damages is accounted for., • The Demand Package (Professionalism):Prepare comprehensive demand shells that tell a compelling human story. You will ensure that all liens (Medicare, Medicaid, ERISA) are identified and addressed early to protect the client’s net recovery., • Ownership of the Desk (Accountability):Manage a heavy caseload without letting files "sit." You will maintain an impeccable calendar, ensuring no Statute of Limitations or internal deadline is ever at risk., • Insurance Coordination: Confirm all applicable insurance coverages (Liability, UM/UIM, MedPay) and handle initial property damage claims where necessary. Qualifications & Requirements • Experience: 2+ years of Pre-Suit Personal Injury experience is preferred. We need someone who can hit the ground running., • Heavy Caseload Experience: Proven ability to manage 75–100+ active files without compromising on the 5 Creeds., • Communication: Exceptional "bedside manner" for clients combined with a firm, professional "negotiator" tone for adjusters., • Technical Skills: Mastery of Case Management Software (e.g., Filevine,) Slack, and Microsoft Office., • Critical Thinking: The ability to spot "the missing piece" of evidence that turns a $10k case into a $100k case., • Language: Bilingual (English/Spanish) is a significant plus but not required. Why The Dennis Law Firm? We don’t just settle cases; we change lives. You will be supported by a team that values your growth and celebrates your wins. We offer a fast-paced, high-energy environment where Accountability is rewarded, and Excellence is the baseline.

$40,000 Student Loan Repayment or $30,000 Sign-on Bonus for individuals who have not previously participated in this program. This position is a travel position and may require up to 100% travel. Normal travel is Monday AM through Friday PM. Optum is seeking a Nurse Practitioner - Home Based Medical Care to join our team as a Regional Delta Traveler. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum. As a member of the broader Home and Community Care team, you'll provide annual clinical assessments to patients in the comfort of their homes. This important preventive care helps identify and reduce health risks for patients, in addition to coordinating appropriate follow-up care to improve health and well-being. At Optum, the integrated medical teams who practice within Home and Community Care are creating something new in health care. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together. The DELTA team Develops Exemplary Leadership, Teamwork and Accountability and serves a critical role from team member onboarding and market implementation to ongoing education and standardization. The DELTA team member serves as a "leader-coach-player" for new market employees to provide on the job training, as well as takes a role in supporting mature markets. Objective: The DELTA APP is an integral member of the DELTA team and provides services to both new and mature markets. Daily activities can vary week by week based on company needs. These activities include, but are not limited to the following: * Onboarding providers * Assist with market engagement * Support interdisciplinary care team (IDT) operations and weekly IDT meetings * In office and field shadowing/ride-alongs * Participate in interview process for new candidates * Meet and Greets * Emotional support to and relationship development / mentoring of new providers * Standardization and Best Practices The DELTA APP will work closely with the other members of the DELTA team and the Education and Learning Operations teams. The key success metrics for this position will be: * Building a best-in-class provider team through clinical training and hands-on peer mentorship * Implementing standardized clinical best practices in each new market * Positive DELTA impact on KPI's * This position is a travel position and may require up to 100% travel Primary Responsibilities: Training and Team building * Leads on the job training process for new providers * Training may also include classroom training, EMR mentorship and ride-alongs * Completes provider competency checks as appropriate * Serves as a peer mentor and resource for new providers, helping them learn and master the "Optum Way" of practicing * Keeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews * Acts as an ambassador and role model for the Optum culture, helping to build solid, mission- driven, high-performance teams in fitting with the company mission, vision and values Implementing Best Practices * Establishes and maintains comprehensive understanding of Optum clinical and operational best practices * Reinforces best practices with all team members through example, training and mentorship Patient Care * Become licensed and credentialed in multiple states as requested, including assisting the Optum credentialing team with timely and responsive processing of all required licensing / credentialing paperwork; Responds to licensure action items in a timely fashion * Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing * Performs an initial comprehensive assessment of all newly enrolled members * Completes follow-up and post-hospital assessments according to documented standard operating procedure * Prescribes appropriate diagnostics and interventions to avoid unnecessary transfers/acute admissions * May participate in team meetings that include, but may not be limited to: * DELTA meetings * Weekly IDT meetings * Monthly staff meetings * Continuing education/journal club programs * All Hands Calls * Implements HEDIS measure campaigns and other quality initiatives as directed by Corporate Health Services to ensure the highest standards of care and to promote the improvement of care management and delivery * Perform related duties as necessary and other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Assist with market engagement Required Qualifications: * Completion of Nurse Practitioner accredited program • Current state RN/NP license or ability to obtain by start date, • Certification through the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC), or the ability to obtain national certification and/or NP license in state of assignment by start date, • Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice), • Driver's license and access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy, • Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems Preferred Qualifications: • 5+ years of clinical experience, • Clinical training experience Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. PLEASE NOTE Employees must be in an active regular status. Employees must remain in role for a minimum of 12 months from the date of hire /rehire/transfer. If an employee leaves Home and Community, the student loan repayments will cease. The employee must remain in an Advanced Practice Clinician or Physician role within Home and Community for 36 months to receive the full benefit of the student loan repayments. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates care and service of the member through assessments, identification and planning, and assists the member in creation and evaluation of person-centered care plans to prioritize and address what matters most, behavioral, physical and social determinants of health needs with the aim to improve the of lives our members. Essential Functions: • Engage the member and their natural support system through strength-based assessments and a trauma-informed care approach using motivation interviewing to complete health and psychosocial assessments through a health equity lens unique to the needs of each member that identify the cultural, linguistic, social and environmental factors/determinants that shape health and improve health disparities and access to public and community health frameworks, • Facilitate regularly scheduled inter-disciplinary care team (ICT) meetings to meet the needs of the member, • Engage with the member in a variety of settings to establish an effective, professional relationship. Settings for engagement include but are not limited to hospital, provider office, community agency, member's home, telephonic or electronic communication, • Develop and regularly update a person-centered individualized care plan (ICP) in collaboration with the ICT, based on member's desires, needs and preferences, • Identify and manage barriers to achievement of care plan goals, • Identify and implement effective interventions based on clinical standards and best practices, • Assist with empowering the member to manage and improve their health, wellness, safety, adaptation, and self-care through effective care coordination and case management, • Facilitate coordination, communication and collaboration with the member the ICT in order to achieve goals and maximize positive member outcomes, • Educate the member/ natural supports about treatment options, community resources, insurance benefits, etc. so that timely and informed decisions can be made, • Employ ongoing assessment and documentation to evaluate the member's response to and progress on the ICP, • Evaluate member satisfaction through open communication and monitoring of concerns or issues, • Monitors and promotes effective utilization of healthcare resources through clinical variance and benefits management, • Verify eligibility, previous enrollment history, demographics and current health status of each member, • Completes psychosocial and behavioral assessments by gathering information from the member, family, provider and other stakeholders, • Oversee (point of contact) timely psychosocial and behavioral assessments and the care planning and execution of meeting member needs, • Participate in meetings with providers to inform them of Care Management services and benefits available to members, • Assists with ICDS model of care orientation and training of both facility and community providers, • Identify and address gaps in care and access, • Collaborate with facility-based healthcare professionals and providers to plan for post-discharge care needs or facilitate transition to an appropriate level of care in a timely and cost-effective manner, • Coordinate with community-based organizations, state agencies and other service providers to ensure coordination and avoid duplication of services, • Adjust the intensity of programmatic interventions provided to member based on established guidelines and in accordance with the member's preferences, changes in special healthcare needs, and care plan progress, • Appropriately terminate care coordination services based upon established case closure guidelines for members not enrolled in contractually required ongoing care coordination., • Provide clinical oversight and direction to unlicensed team members as appropriate, • Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation, • Continuously assess for areas to improve the process to make the members experience with CareSource easier and shares with leadership to make it a standard, repeatable process, • Regular travel to conduct member, provider and community-based visits as needed to ensure effective administration of the program, • Adherence to NCQA and CMSA standards, • Perform any other job duties as requested Education and Experience: • Nursing degree from an accredited nursing program or Bachelor's degree in a health care field or equivalent years of relevant work experience is required, • Licensure as a Registered Nurse, Professional Clinical Counselor or Social Worker is required, • Advanced degree associated with clinical licensure is preferred, • A minimum of three (3) years of experience in nursing or social work or counseling or health care profession (i.e. discharge planning, case management, care coordination, and/or home/community health management experience) is required, • Three (3) years Medicaid and/or Medicare managed care experience is preferred Competencies, Knowledge and Skills: • Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence, • Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel, • Ability to communicate effectively with a diverse group of individuals, • Ability to multi-task and work independently within a team environment, • Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices, • Adhere to code of ethics that aligns with professional practice, • Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice, • Strong advocate for members at all levels of care, • Strong understanding and sensitivity of all cultures and demographic diversity, • Ability to interpret and implement current research findings, • Awareness of community & state support resources, • Critical listening and thinking skills, • Decision making and problem-solving skills, • Strong organizational and time management skills Licensure and Certification: • Current unrestricted clinical license in state of practice as a Registered Nurse, Social Worker or Clinical Counselor is required. Licensure may be required in multiple states as applicable based on State requirement of the work assigned, • Case Management Certification is highly preferred, • Must have valid driver's license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver's license record check and verified insurance. If the driver's license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in the position will be terminated., • To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 - March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified., • CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process. Working Conditions: • This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time., • Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need, • May be required to travel greater than 50% of time to perform work duties., • Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer Compensation Type: Salary Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

Job Description Licensed Mental Health Counselor at Headway summary: CVWalletExtranet.Domain.Entities.JobShortDescription " Licensed Mental Health Counselor (LMHC) Wage: Between $120-$131 an hour Licensed Mental Health Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Mental Health Counselor at a Master’s level or above with LMHC, LPCMH, or LIMHP licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner., • Built-in compliance : Stay compliant from day one with audit support and ongoing resources., • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid., • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network., • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on., • Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more., • Free continuing education : Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. " Keywords: Mental Health Counseling, Licensed Mental Health Counselor, Private Practice, Insurance Credentialing, Behavioral Health, Patient Care, Compliance Support, Electronic Health Records, Continuing Education, Psychotherapy

Job Description Licensed Clinical Psychologist (LCP) at Headway summary: CVWalletExtranet.Domain.Entities.JobShortDescription " "" Licensed Clinical Psychologist Wage: Between $95-$180 an hour Licensed Clinical Psychologists — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Clinical Psychologist at a Master’s level or above with PSY, PSYP, or PsyD licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner., • Built-in compliance : Stay compliant from day one with audit support and ongoing resources., • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid., • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network., • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on., • Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more., • Free continuing education : Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. "" " Keywords: Licensed Clinical Psychologist, telehealth psychologist, private practice insurance, PSY PSYP PsyD, NPI credentialing, medicaid psychologist, Medicare Advantage provider, mental health clinician, Headway platform

Job Description Hospice - Nurse Practitioner - Henry County/SW Atlanta/Clayton and Cobb/Cherokee - Full-time Opportunity Hospice Atlanta/Visiting Nurse Health Systems (VNHS) is hiring compassionate, dedicated, and skilled Nurse Practitioners (NP) for our Palliative Division serving Henry County/SW Atlanta/Clayton, and Cobb/Cherokee counties. This is a Full-time opportunity. The Nurse Practitioner collaborates with a physician in an active practice to deliver end-of-life and palliative care. The clinician in this position also serves as a consultant, advocating for area hospice programs and providing education for healthcare professionals. The purpose of this position is to provide a bridge between hospitals and hospices, improving care for all terminally ill patients and better managing hospice patients. Who is Visiting Nurse Health System? Serving the Atlanta area for over 75 years, Visiting Nurse is a leading provider of home healthcare, long-term care at home, hospice, and palliative care services. Our dedicated and skilled clinicians help patients and their loved ones receive care at home following an illness, surgery, or hospital stay. For more information, please visit our website: vnhs.org. Our vision is to be the first choice for patients, families, payers, and other healthcare providers when they need home healthcare services. We aim to achieve patient and employee satisfaction scores and clinical outcomes that rank in the top 10 percent of all home healthcare providers in the U.S. VNHS is committed to investing in our strong community partnerships, coordinated care solutions, a top-performing workforce, and innovative technologies to improve affordability throughout the healthcare continuum. We strive to be a financially strong organization that healthcare professionals prefer to work for. What you need: Education: Graduate from an accredited school of nursing, and a Master's degree in Nursing. Licensure/Certifications: • Must have reliable transportation, a GA driver's license, and valid vehicle insurance., • Must hold a current Georgia license for Advanced Practice Nursing., • Must be certified as either:, • Gerontologic Nurse Practitioner by the American Academy of Nurse Practitioners Certification Program, or the American Nurses Credentialing Center; or Family Nurse Practitioner or Adult Nurse Practitioner by the American Academy of Nurse Practitioners Certification Board or the American Nurses Credentialing Center., • Preferred - Certificate of Added Qualification in gerontology, elder care, or care of the older adult provided by the American Academy of Nurse Practitioners, the American Nurses Credentialing Center, or a national nurse practitioner certification board., • Must be CPR Certified, • Previous Experience: Minimum of two years in the management of Medicare patients. Prior experience with home-based medical care is a plus., • Knowledge/Training: Knowledge of Medicare/Medicaid and other funding source regulations as applied to home health care services. Demonstrates knowledge and competence in advanced practice clinical skills, including the nursing process and utilization management. Territories: • Henry County/SW Atlanta/Clayton, • Cobb/Cherokee Compensation: $95,204 - $142,806 Why Work for Visiting Nurse Health System? • Medical, Dental, and Vision insurance, • PTO and Paid Holidays, • 403b Retirement Plan with Company Match, • Flexible Spending Account (FSA), • Health Savings Account (HSA), • Life Insurance, • STD/LTD, • Employee Assistance Program, • Employee Discounts, • Flexible Schedule, • Pet Insurance, • Travel Insurance Join us in our mission to provide excellent care, comfort, and dignity to our patients! Visiting Nurse is an equal opportunity employer and does not discriminate against qualified applicants based on race, color, sex, gender, gender identity, gender expression, religious creed, sexual orientation, pregnancy, national origin, ancestry, age, military and veteran status, marital status, physical or mental disability, protected medical condition, genetic information, reproductive health decision-making, lawful off-duty use of marijuana, any other characteristic protected by law, or any combination of two or more of the characteristics listed here. If you need an accommodation to complete an online application, please contact Visiting Nurse at 404-215-6100. #INDNUR1

Job DescriptionSalary: $55k - $60k Position: Nursing (APRN / NP) Reports to: This position reports to their Clinical Team Leader. Salary Pay: $55k - $60k (based on experience) Job Type: Contract Job Description: The APRN/NP will initiate and provide nursing and medical care for the patients. This critical important position will provide various services to ensure overall wellness and continuity of care to those whom the agency serve. The APRN/NP will also provide an array of CORE or other Medicaid services to individuals according to the most recent FY Medicaid guidelines, policies and procedures, and NBT guidelines, policies and procedures. Minimum Qualifications: • RN and graduation from a post-basic education program for Nurse Practitioners or, • Masters Degree or higher in nursing for the CNS/PMH (Clinical Nurse Specific/Psychiatric Mental Health), • Current Georgia Licensure by the Georgia Board of Nursing., • First Aid/CPR Certified., • Current and active DEA Registration (if prescribing medication), • Minimum of 1-year experience working with clientele suffering from MH/SA issues and their families a plus., • Maintain documentation of completing 20 contact hours every 2 years from the Georgia Nursing Board for approved continuing education courses., • Currently being supervised by a MD or Psychiatrist and listed with the Georgia Medical Board. Duties Include: • Provide evaluations and management for new and ongoing patients., • Provide psychotherapy plus evaluation and management for new and ongoing patients., • Educate patients on psychotropic medication., • Take verbal orders from MD (Doctor of Medicine) or other superior nurse(s)., • Talk to patients about their present problems, allergies, medications and keep an eye on their medical records., • Help coordinate patient referrals., • Call pharmacies for ordering prescriptions if necessary., • Assessing and monitoring a patients medical and other health issues that are either directly related to the mental health or substance related disorder, or to the treatment of the disorder (e.g. diabetes, cardiac and/or blood pressure issues, substance withdrawal symptoms, weight gain and fluid retention, seizures, etc.)., • Assessing and monitoring the patients response to medication(s) to determine the need to continue medication and/or to determine the need to refer the patient to a physician for a medication review., • Execute triage within the scope of nursing practice in an accurate and precise way., • Provide nutritional assessments and perform nursing assessments and examine their medical history., • Consulting with patients family/caregiver about medical, nutritional and other health issues related to the individuals mental health or substance related issues., • Venipuncture required to monitor and assess mental health, substance disorders or directly related conditions, and to monitor side effects of psychotropic medications, as ordered by a Licensed Physician or Physician Assistant., • Providing assessment, testing, and referral for infectious diseases., • Supervise the RN and LPN staff. Teamwork & Communication: • Demonstrate cooperation., • Collaborating with other professionals., • Be a productive member of the staff., • Communicate effectively, clearly, and appropriately and ensure client care and clinician concerns are known., • Use excellent judgment., • Prompt arrival to sessions/meetings is strongly encouraged. Equal Opportunity Employer We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team. The Patient Continuity and Needs Advocate (PCNA) is responsible for supporting eligible patients and their families receive Medicaid and Federal resources that are adherent to State and Federal Policies. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: • Supports Medicaid enrollment; collects demographic documentation and financial data and initiates follow-up procedures when necessary., • Identifies and shares, with patient and/or family member(s), opportunities to maximize medical benefits and, when necessary, arranges follow-up appointments to ensure appropriate guidance to health services and application timelines., • Utilizes an Electronic Medical Records (EMR) system to gather and store patient information, respond to questions on behalf of the patient and appropriately and timely document patient issues and resolutions. Maintains assigned work queue of patient accounts., • Completes relevant patient documentation in compliance with all regulatory agencies, including HIPAA., • Performs other duties as assigned and modified at manager’s discretion., • Fundamental knowledge and understanding of local, state and federal healthcare benefit services and plans, • Ability to build and maintain exceptional customer service relationships with healthcare services agencies, patients, providers and peers, • Dependable and time conscience, • Flexibility, agility, self-starter, comfortable with frequent changes and innovations, • Competent level business acuity, • In-depth knowledge and understanding of general/core job-related functions, practices, processes, procedures, techniques and methods, • Understanding of member attribution, eligibility and the disenrollment process, • Demonstrated skill in customer service and service recovery, • Knowledge of and experience in working with insurance brokers or agents preferred, • Detail-oriented with proficiency in Salesforce, • Strong written and verbal communication skills, • Positive attitude and the ability to build trust with internal and external partners, • Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software, • Spoken and written fluency in English, • High School diploma or GED equivalent required;, • BA/BS degree preferred OR additional experience above the minimum may be considered in lieu of the required education on a year-for-year basis. EMPLOYEE BENEFITS We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day. Current employees, if you want to apply to our internal career site, please click ___ Current Contingent Worker please see job aid ___ to apply #LI-Onsite

Job Description Quest Group is on the hunt for a talented Registration Associate to work for our Highly Respected Client! About the Role: • Communicates with patients, families, physicians, quality review, clinical staff, and insurance companies to obtain information and insurance verification to ensure quality patient care and payment of hospital accounts., • Collaborates with Appeals department to overturn claims denials., • Provides other registration, clerical, and billing support as required, including scheduling, chart creation, charge entry, scanning, and point-of-service collections. Requirements: • Must have experience with Epic, • High volume, fast paced office, • They need someone that can hit the ground running. A quick learner with excellent communication skills., • 1 year of experience in registration, • Certified Patient Account Representative (CPAR) or Certified Healthcare Access Associate (CHAA), • Experience using patient registration systems, insurance verification systems, and/or Medicaid portals Role Hours: • In-person at their Outpatient Rehab Cinic M-F

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview At Zelis, the DRG Clinical Dispute Reviewer role is responsible for the resolution of facility and provider disputes as they relate to DRG validation. They will be responsible for reviewing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and billing, analyzing inpatient DRG claims based on industry standard inpatient coding guidelines, and supporting the Office of the Chief Medical Officer in managing disputes related to clinical claim reviews. This position is a production-based role with production and quality metric goals. What you'll do: * Review provider disputesforDRGCoding andClinicalValidation(MS and APR) * Reviewandsubmitexplanation of dispute rationale back to providersbased on dispute findings within the designatedtimeframeto ensure client turnaround times are met. * Accountable for daily management ofclaim dispute volume, adhering to client turnaround time, and department Standard Operating Procedures * Serve assubject matter expert fortheExpert ClaimReviewTeamonday-to-dayactivitiesincludingtroubleshooting and review fordata accuracy. * Serve as a subject matter expert for content andbill reviews and provide support whereneededforinquiriesandresearch requests. * Create andpresenteducation toExpert ClaimReview Teamsand otherdepartmentsdispute findings. * Researchandanalysisof content forDRGreviews. * Use of strong coding and industry knowledge to create andmaintainclaimreview content, including but not limited to DRG Reviewer Rationales, DRG Clinical Validation Policiesand Dispute Rationales * Perform regulatory research from multiple sourcesto keep abreast of compliance enhancements andadditionalbill reviewopportunities. * Support for client facing teams as needed relating to client inquiriesrelated to provider disputes. * Utilize the most up-to-date approved Zelis medical coding sources forclaimreviewmaintenance. * Communicate and partner with CMO andmembers ofExpert ClaimReview Product and Operations teamsregardingimportant issuesand trends. * Ensure adherence to quality assurance guidelines. * Monitor, research, and summarize trends, coding practices, and regulatory changes. * Actively contributenew ideasand support ad hoc projects, including time-sensitive requests. * Ensure adherence to quality assurance guidelines. * Maintain awareness of and ensure adherence to ZELIS standardsregardingprivacy. What you'll bring to Zelis: * 5+ years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claimspreferred * Current, activeInpatient Coding Certification required (ie. CCS,CIC,RHIA, RHIT,CPC or equivalent credentialing). * Registered Nurse licensurepreferred * Bachelor's Degree Preferred in business,healthcare,or technologypreferred. * Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers * Experience and working knowledge of Health Insurance, Medicareguidelinesand various healthcareprograms * Understanding of hospital coding and billing rules * Clinical skills to evaluateappropriate MedicalRecord Coding * Experience performing regulatory research from multiple sources, formulating an opinion,and presenting findings inanorganized,concise manner. * Background and/or understanding of the healthcare industry. * Knowledge of National Medicare and Medicaid regulations. * Knowledge of payer reimbursement policies. * Creative problem-solving skills,leveraginginsightsand input from other parts of an organization. * Consistentlydemonstrateabilityto act and react swiftly to continuous challenges and changes. * Excellent analytical skills with data and analytics related solutions. * Excellent communication skills. * Strong organization and project/process management skills. * Strong initiative, self-directedand self-motivation. * Good negotiation, problem solving,planningand decision-making skills. * Ability to manage projects simultaneously and achieve goals. * Excellent follow through, attention to detail, and time management skills. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $95,000.00 - $127,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ___. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

Monogram Market Physician Executive (MPE) are mission driven physician leaders who are dedicated to improving the well-being, quality of life, and health outcomes for our patients. The MPE will lead our in-home multi-specialty polychronic care model in an assigned market. Each market is comprised of 5-10 practices led by local advanced practice providers (APP), registered nurses(RN), licensed clinical social workers (LCSW), and pharmacists (PharmD). The MPE will collaborate with Monogram Health’s Multi[1]Specialty Platform to leverage employed specialists to deliver in-home specialty care. Monogram Health deploys a proven risk[1]based model to ensure health equity and health equality leveraging proprietary next generation AI algorithms to predict the appropriate level of care. Aligning with the quadruple AIM, the MPE will focus to improve patient experience, population healthoutcomes, provider satisfaction and lower costs. The primary goal of each MPE to deliver exceptional outcomes through disease detection and evidence based clinical pathways and disease treatment. Reporting to the Region President, the Market Physician Executive (MPE) is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market. The MPE oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market. In support of the advance practice providers the MPE is expected to review and approve care plans and direct the treatment plans for our patients. The MPE will collaborate with community physicians, facilities, and partners in peer to peer and direct patient care decision making. Roles and Responsibilities Clinical Guidelines Execution – 25% * Know, understand, and deliver on Monogram Health’s proprietary evidenced based clinical pathways. * Ensure adherence to established clinical guidelines and Monogram Model of Care. * Review and approve APP, RN, SW and PharmD plans of care. * Appropriate and timely patient document within Salesforce and Athena clinical activities, interventions, and tasks. * Review, approve and co-sign APP encounters. * Clinical and Operations Performance and Quality Improvement – 25% * Overall accountability for reducing total cost of care and Medical Loss Ratio. * Responsible for clinical outcomes to include, but not limited to, clinical interventions closure, inpatient/outpatient * utilization, pharmacological prescribing and therapy management, multi-specialty platform and HEDIS/Gap Closure * Actively lead daily high risk and concurrent review rounds. * Direct supervision of front line clinical and operations team members. * Oversee and delegate operational responsibility to Market Manager, to deliver on daily operations, such as patient engagement, scheduling, administrative oversight, strategic implementations, and P&L management. * Regularly assess and present market performance and outcomes to Executive and Senior Leaders . Patient Care and Treatment – 25% * Provide direct and indirect patient care (including diagnosis and treatment of disease). * Engage with patients on treatment plans, community provider collaboration, and direct evidence-based care pathways. * Conduct Peer to Peers with community, facility, and health plan partners. * Order labs, referrals, and complete actions to drive patient outcomes, close care gaps, and Clinical Intervention closure. Population Health Management (PHM) – 20% * Provide clinical guidance and direction to Market teams to drive Population Health Management activities, including * identifying and intervening on High-Risk Patients, formulating strategies to reduce admissions/readmissions, complete * quality post hospital discharge visits, and improving the quality of visits. * Collaborate with Medical Economics, Finance and other stakeholders to root cause and action against utilization trends impacting care and outcomes. * Present and guide population health strategies in clinical and operational meetings. * Conduct patient reviews to target high utilizers, high risk and high opportunity patients and patient cohorts. Miscellaneous – <5% * Participate in Monogram On-Call activities Needs will vary; 7 days on call minimum once/quarter. * Provide coverage for other MPEs, during PTO or vacancy, as needed. Position Requirements * Must be willing and able to obtain hospital privileges at required facilities. * This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel. * Demonstrated experience applying evidence based clinical criteria. * Experience in renal care and geriatrics. * Strong management and communication skills. * Active, unrestricted state medical license required in each state within the market. * Experience with high need Medicare Advantage and managed Medicaid populations. * Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment. * Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. Willingness to become licensed in multiple states. * MD (Medical Doctor) or DO degree from an accredited medical school. * BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, * Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics. Benefits * Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts * Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources * Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave * Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts About Monogram Health: Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the ___ notice from the Department of Labor.

Title: Technical Medicaid Business Analyst Location: Work from Home Schedule: Mon – Fri, 8:30AM – 5:00PM EST Note: This is a W2 contract role – C2C, 1099, & 3 rd party candidates WILL NOT be considered The Technical Medicaid Business Analyst serves as a critical bridge between Medicaid busines

Description You are an expert facilitator: you open doors, foster communication, and bridge the gap. In this role, you will operate as the subject-matter expert on reimbursement, access, and coverage issues affecting the clients' product. Educate HCPs and their staff on matters related to reimbursement, access and coverage to facilitate appropriate patient access. You will: • Analyze access/reimbursement issues and opportunities, • Provide access/reimbursement education to field teams, • Coordinate on access/reimbursement issues with third parties including hubs, • BS/BA degree, • Minimum 5 years' in field reimbursement, field sales, payer marketing, patient support programs and/or reimbursement hub programs, • Extensive knowledge of payer and health systems, • Advanced degree, • Knowledge of specialty pharmacy dynamics, buy and bill process and Medicare Parts A, B, C and D, as well as Medicaid and Commercial Payers, • Demonstrated ability to educate offices on access and reimbursement processes Work Here Matters Everywhere | How are you inspired to change lives? Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled) Syneos Health has a voluntary COVID-19 vaccination policy. We strongly encourage all employees to be fully vaccinated. Additionally, certain local governments or Syneos Health customers may have vaccine requirements that apply to some of our employees. These employees are required to submit proof of vaccination to Syneos Health and maintain compliance with these requirements. At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position will include a competitive compensation package, Health benefits to include Medical, Dental and Vision, Company match 401k, and flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements. 400001532

Job DescriptionMake a meaningful impact delivering exceptional foot care to seniors in long-term care facilities. Senior Healthcare Services is an established mobile podiatry practice offering the work-life balance and autonomy you've been looking for. Start Date: January 15, 2026 (target) What You'll Do Provide comprehensive podiatric care directly to residents at facilities throughout Metro Atlanta, including: • Diabetic foot exams and wound management (venous, pressure, traumatic ulcers), • Fall risk interventions and custom orthotics, • Nail Care: nail trims, callus reduction, fungal treatments, • On-site EHR documentation and billing (we provide device and training)Why Join Us ✓ Flexible Schedule – Choose your own hours, Monday-Friday. No weekends or on-call ✓ Competitive Pay – Base salary plus uncapped production-based bonuses ✓ Full Support – All medical supplies, equipment, and credentialing and administrative tasks, scheduling and Revenue Cycle Managament handled for you ✓ Paid Malpractice – Coverage included after initial period (full-time) ✓ Established Patient Base – Walk into consistent volume from day one ✓ Professional Growth – Join a supportive team in a growing practice Requirements • DPM degree and active Georgia State Podiatry License, • DEA License and current malpractice insurance, • Individual Medicare/Medicaid provider number (we handle all group credentialing), • Reliable transportation and valid driver's license

You will be responsible for all aspects of clearly presenting program requirements to interested patients and families as well as serving as a patient advocate. The Patient Advocacy Program helps high cost and medically complex Medicaid beneficiaries afford the cost of employer-sponsored health insu

JOB DESCRIPTION M-F 8:30-5p EST Remote Pay Rate $17/hr Key responsibilities will include: Receive payment denials, investigate the reason and rectify the situation with the payer or patient Receive inbound and place outbound calls from and to customers, Medicare, Medicaid and Commercial insurance pr

Atlanta Perinatal Associates Full Time Hours: Average 8a-430p Employed Average Patients seen: 12-15 Sign-On Bonus Compensation: $550,000 base salary Benefits: Phenomenal package that values employer benefits contribution of around $65,000.PTO:-21 days-9 paid holidaysInsurance coverage:-Health Insurance (Family Silver) -Dental Insurance (Family)-Vision Insurance (Family)-Aflac Plans (up to 5 policies) Disability, Cancer, Hosp, Life, Sp Event-Life Insurance/AD&DRetirement Benefits (subject to eligibility): -401(k) Match-Defined Benefit (est)-Profit Sharing (est)Other Benefits:-Cell Phone Allowance-Education/TrainingMandated Benefits: -Social Security-Medicare-State Unemployment-Federal Unemployment-Workers' Compensation Additional Info: Atlanta Perinatal Associates seeks a Maternal-Fetal Medicine physician to join a busy, high-acuity practice. The ideal candidate has strong OB/GYN or Women's Health experience and excels in caring for both low- and high-risk pregnancies. Responsibilities include performing comprehensive health and OB assessments, managing maternal-fetal complications per protocol, and providing prenatal and postpartum education and management. This role partners closely with perinatologists and other healthcare professionals as a key member of the Perinatology team in an outpatient setting. Georgia Medicaid credentialing required.Requirements include:- Board Certification- Active or Pending GA license

Atlanta Perinatal Associates • Full Time, • Hours: Average 8a-430p, • Employed, • Average Patients seen: 12-15, • Sign-On Bonus, • Compensation: $550,000 base salary, • Benefits: Phenomenal package that values employer benefits contribution of around $65,000.PTO:-21 days-9 paid holidaysInsurance coverage:-Health Insurance (Family Silver) -Dental Insurance (Family)-Vision Insurance (Family)-Aflac Plans (up to 5 policies) Disability, Cancer, Hosp, Life, Sp Event-Life Insurance/AD&DRetirement Benefits (subject to eligibility): -401(k) Match-Defined Benefit (est)-Profit Sharing (est)Other Benefits:-Cell Phone Allowance-Education/TrainingMandated Benefits: -Social Security-Medicare-State Unemployment-Federal Unemployment-Workers' Compensation, • Additional Info: Atlanta Perinatal Associates seeks a Maternal-Fetal Medicine physician to join a busy, high-acuity practice. The ideal candidate has strong OB/GYN or Women's Health experience and excels in caring for both low- and high-risk pregnancies. Responsibilities include performing comprehensive health and OB assessments, managing maternal-fetal complications per protocol, and providing prenatal and postpartum education and management. This role partners closely with perinatologists and other healthcare professionals as a key member of the Perinatology team in an outpatient setting. Georgia Medicaid credentialing required.Requirements include:- Board Certification- Active or Pending GA license

The Government Healthcare Financial Consultant partners with state governments to examine financial reports in order to understand emerging Medicaid health care experience as well as the financial performance of managed care organization and interacts with credentialed actuaries and financial execut

Government Healthcare Financial Consultant partners with state governments to examine financial reports in order to understand emerging Medicaid health care experience as well as the financial performance of managed care organization and interacts with credentialed actuaries and financial executives

The Government Healthcare Financial Consultant partners with state governments to examine financial reports in order to understand emerging Medicaid health care experience as well as the financial performance of managed care organization and interacts with credentialed actuaries and financial execut

Experience with Medicaid claims data preferred, with particular concentration on Medicaid claims and encounters, including Managed Care delivery models. Familiarity with Medicaid Managed Care quality incentive programs and/or VBP. Medicaid Rate Methodology Specialist.

Assists criminal justice personnel, including, but not limited to, Analysts, Auditors, and Prosecutors in conducting on-site health care fraud and patient abuse investigations. Preference will be given to applicants who possess one or more items below: Completion of a Bachelor's degree from an accre

The Review Nurse, PA/UM,conducts prior approval and precertification reviews for Georgia Fee-for-Service Medicaid members for the team's defined review types while meeting and exceeding contract expectations. Refer cases that do not meet criteria and cannot be approved by InterQual criteria or nursi

The position filled through this announcement will serve in the Investigations section of our Medicaid Fraud Division.

Job Description ???? Immediately Hiring – Director of Health Economics, Outcomes & Reimbursement (HEOR) ???? Remote | ???? Full-Time | ✈️ 20–30% Travel Ready to take the next step in your Market Access or HEOR career? At CDL Nuclear Technologies, we’ve been delivering innovative cardiac imaging solutions for over 30 years. Since 1992, we’ve supported more than 850 healthcare facilities nationwide and have led the way in Cardiac PET imaging for over 15 years. We offer a stable, growth-oriented environment where your expertise directly impacts patient access and clinical decision-making. ???? What You’ll Do As Director of HEOR, you’ll lead payer value communication strategies that support access and reimbursement for CDL’s cardiac imaging services across Commercial, Medicare, and Medicaid markets. You’ll drive impact by: * Translating clinical, real-world, and economic data into compelling payer value narratives * Developing payer value decks, cost-impact tools, and summary materials * Leading cost-effectiveness and budget impact analyses * Partnering with Marketing, Finance, Reimbursement, and Commercial teams * Creating objection handlers, FAQs, and field enablement tools * Monitoring payer trends (MACs, commercial insurers, CMS) * Supporting value-based contracting and payer segmentation strategies * Ensuring all materials meet legal, regulatory, and compliance standards ???? Qualifications Required: * 12+ years in pharma, biotech, or medical technology * 5+ years in HEOR, Market Access, or payer value communications * Strong understanding of U.S. payer dynamics and Medicare Part B * Ability to translate complex data into payer-facing tools * Strong communication and leadership skills Preferred: * Advanced degree (PharmD, MPH, MHA, PhD, or MBA) * Cardiovascular therapeutic experience * Experience in Market Access Strategy or Payer Account Management * Experience building health economic models * Established payer relationships ???? Critical Skills * Strategic thinking * Decision making & problem solving * Cross-functional leadership * Organization & planning * Communication excellence * Adaptability & creativity ???? Working Conditions * Primarily desk-based with periodic travel * Indoor work environment * Ability to lift/move up to 10–50 lbs * Ability to manage peak workload stress ???? What CDL Nuclear Offers * Competitive compensation * Medical, Vision & Dental Insurance * Short-Term Disability * Company-paid Long-Term Disability * Company-paid Life & AD&D Insurance * 401(k) with company match * Paid Holidays & PTO * Training & professional development * Career advancement opportunities * Employee referral program CDL Nuclear Technologies is an Equal Opportunity Employer. All employment decisions are based on individual merit and business needs.

The Medical Billing & Coding Specialist assures accurate and complete information is collected and reported to private insurance, Medicare, and Medicaid to help complete the revenue cycle. Basic understanding of medical ICD 10 codes and CPT medical billing codes. The candidate should have knowledge

Job DescriptionSalary: $40k - $45k Position: Nursing Licensed Practical Nurse (LPN) Reports to: This position reports to their Clinical Team Leader. Salary Pay: $40k - $45k (based on experience) Job Type: Contract Job Description: The LPN will initiate and provide nursing and medical care for the patients. This critical important position will provide various services to ensure overall wellness and continuity of care to those whom the agency serve. The LPN will also provide an array of CORE or other Medicaid services to individuals according to the most recent FY Medicaid guidelines, policies and procedures, and NBT guidelines, policies and procedures. Minimum Qualifications: • Minimum Associates Degree in healthcare field., • Current Georgia Licensure by Georgia Board of Licensed Practical Nursing., • Certification at CACII, CAC-II, and/or CADC-II level is a plus to provide substance counseling., • First Aid/CPR Certified., • Minimum of 1-year experience working with clientele suffering from MH/SA issues and their families a plus., • Maintain documentation of completing 20 contact hours every 2 years from the Georgia Nursing Board for approved continuing education courses. Duties Include: • Provide nutritional assessments, perform nursing assessments and examine their medical history., • Take the patients vital signs such as respiration, temperature, blood pressure and heart rate., • Educate and encourage patients to avoid unhealthy routines and understand documentation or paperwork., • Keep health records updated along with TB tests and drug screens., • Assist registered nurses and other superior nurses to develop best care plan for the patients., • Take verbal orders from MD (Doctor of Medicine) or other superior nurse(s)., • Provide the basic care like dressing wounds, changing bandages and giving injections., • Talk to patients about their present problems, allergies, medications and keep an eye on their medical records., • Undertake various office responsibilities: answer calls and reply to messages, submit requested documents, execute triage within the scope of licensed practical nursing practice in an accurate and precise way., • Help coordinate patient referrals., • Call pharmacies for ordering prescriptions if necessary., • Assessing and monitoring a patients medical and other health issues that are either directly related to the mental health or substance related disorder, or to the treatment of the disorder (e.g. diabetes, cardiac and/or blood pressure issues, substance withdrawal symptoms, weight gain and fluid retention, seizures, etc.)., • Assessing and monitoring the patients response to medication(s) to determine the need to continue medication and/or to determine the need to refer the patient to a physician for a medication review., • Providing nursing assessments and interventions to observe, monitor and care for physical, nutritional, behavioral health and related psychosocial issues, problems or crises manifested in the course of the patients treatment., • Consulting with patients family/caregiver about medical, nutritional and other health issues related to the individuals mental health or substance related issues., • Venipuncture required to monitor and assess mental health, substance disorders or directly related conditions, and to monitor side effects of psychotropic medications, as ordered by a Licensed Physician, Physician Assistant or Advanced Practical Nurse., • Providing assessment, testing, and referral for infectious diseases. Teamwork & Communication: • Demonstrate cooperation., • Collaborating with other professionals., • Be a productive member of the staff., • Communicate effectively, clearly, and appropriately and ensure client care and clinician concerns are known., • Use excellent judgment., • Prompt arrival to sessions/meetings is strongly encouraged. Equal Opportunity Employer We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

Job Description Payment Accuracy Manager, Outpatient Facility Overview As a Payment Accuracy Policy Manager, you will serve as a critical bridge between healthcare payment expertise in our facility capability. This role combines deep subject matter knowledge with strategic influence—driving the development of payment integrity policies that protect our clients while advancing Rialtic's platform capabilities. You'll lead the research, evaluation, and implementation of new policies based on CMS guidelines, Medicaid requirements, industry standards, and emerging medical cost trends in the facility space of our offering. Working closely with client management, product, engineering, and content leadership teams, you'll translate complex payment policy concepts into actionable strategies that deliver measurable value. This is an opportunity to shape how health plans approach payment integrity and to build the content foundation that powers our enterprise platform. Responsibilities • Serve as the SME for outpatient facility editing policy development, leading the research, scoping, and creation of new claims editing policies for the facility capability, • Source, interpret, and scope new payment integrity policies to expand Rialtic's claims editing content library from outpatient facility claims, • Prioritize policy updates based on savings potential, client impact, and strategic alignment with platform goals, • Leverage CMS, Medicaid, clinical guidelines, and industry trends to identify opportunities for new content development for facility claims, • Quantify and communicate policy value through data-driven analysis and clear financial impact assessments in the facility space, • Work closely with product and engineering teams to ensure client needs inform platform development, building out our facility capability, • Collaborate with content leadership to maintain consistency, quality, and relevance across the policy library, • Perform investigation of current facility policy defects and unexpected claim outcomes, performing root cause analysis and policy research to identify corrective actions and improve policy accuracy and performance Required • 5-7 years of experience in payment integrity at a health plan, claims editing vendor, or similar healthcare organization with focus in outpatient facility claims editing and reimbursement methodologies, • Active coding certification (COC, CPC, CCS, or equivalent specialty certification) — required for this position, • Proven expertise in:, • Interpreting medical and payment policies, • Applying CMS and Medicaid reimbursement guidelines, • Professional and outpatient coding standards, • Common claims payment error identification and resolution, • Demonstrated ability to advise clients and explain complex payment accuracy concepts in clear, accessible terms, • Strong analytical skills with experience quantifying policy impact and ROI, • Track record of managing claims editing implementations or similar client-facing initiatives, • Expertise across both professional and institutional claims environments, • Advanced proficiency with Google Suite or similar collaboration tools, • Experience working cross-functionally with product and engineering teams in a SaaS or health tech environment, • Exceptional written and verbal communication skills with the ability to influence stakeholders at all levels

Job Description Georgia Families in Transition is looking for individuals to join our community-based mental health team! The Therapist position is focused on providing individual/family mental health counseling using evidence-based and trauma-informed approaches of care for children, adolescents, and adults in the clients county location. GFIT strives toward a company culture based in collaboration, teamwork, honesty, and promotion of self-care and is looking for members of our mental health team who share this vision. Job Duties and Responsibilities • Providing individual/family mental health counseling using evidence-based and trauma-informed approaches of care., • Timely documentation submission, • Commitment to providing consistent, ongoing services to clients, • Provide crisis intervention as necessary to enhance and restore functioning, • Participate in coordination of care with a multi-disciplinary treatment team, • Meet or exceed agency required productivity and documentation standards, • For this role, services are either provided in person or via Telehealth, depending on the client’s authorization and clinical needs. For clients seen in-home, case assignments are organized by county location, typically within an hour or less of travel., • Interpersonal Skills & Communication: Demonstrated emotional intelligence with an ability to balance an empathy-forward response with families and throughout the organization. Enjoys working closely with others to understand their concerns and seeks out ways to improve the workplace. Able to use storytelling to advance concepts or ideas., • Professionalism: Confidence, articulation, ability to receive criticism and feedback well, ability to resolve conflicts., • Organization & Time Management: Organizes work, effectively prioritizes, and sets goals and strategies to achieve them. Aligns communication, people, processes, and resources to drive success. Organizes information and data to identify/explain trends and problems., • Teamwork & Collaboration: Contributes to common goals, maintains open communication with team members, asks for help when necessary, encourages involvement., • Diversity & Inclusion: Self-aware, attentive listener, people-oriented, cognizant of bias and cultural intelligence; demonstrates respect for divergent viewpoints; awareness of and sensitivity to cultural diversity, contributing to an equitable, inclusive, and cooperative environment., • Must hold an active LPC, LCSW, or LMFT license in the State of Georgia (required), • Minimum of a Master’s degree in psychology, social work, or a related human services discipline, • Preferred Certification: While not a requirement, possessing a CADC (Certified Alcohol and Drug Counselor) credential is considered a strong plus. This certification demonstrates advanced knowledge and competency in substance use disorder treatment and will be highly valued in this role., • Therapists will primarily be assigned to private insurance and Employee Assistance Program (EAP) clients and should be willing to become credentialed with insurance panels as needed. Candidates must also be prepared to provide the required information and documentation to complete their CAQH profiles to facilitate credentialing and billing processes., • Must be able to pass DBHDD background check (required prior to providing any services to clients), • Completion of state-mandated training within the first 30 days of hire: CPR/First Aid, CPI, CSSRS, Relias, • Knowledge of Medicaid/CMO compliance requirements preferred, • Demonstrable knowledge of DSM-5 diagnostic criteria, • Willingness to learn new documentation and clinical skills, • Receptivity to feedback and constructive criticism, • Prompt communication, collaborative personality, and passion for mental health and human services, • Bilingual skills advantageous Additional Information • Job Type: Full-time contractual position, • Pay rate: $70 per service hour for Private Insurance Clients and $50-$60 per service hour for CMO Clients, • Location Requirement: Must reside in or have reliable transportation to provide in-person services within Atlanta/Metro Atlanta County, GA, • Flexible for both in person and telehealth, • Schedule Requirements: Must be flexible to work afterschool hours and weekends in order to accommodate the needs of the clients served. With availability to provide services during morning, afternoon, and/or evening hours.

Job Description Are you a bedside nurse looking for a career change? If you answered, yes, this may be the role for you! Alliant Health Solutions, a "2025 Best Place to Work and Healthiest Employer", seeks a Review Nurse for its Prior Authorization & Utilization Management (PA/UM) team. The Review Nurse, PA/UM, conducts prior approval and precertification reviews for Georgia Fee-for-Service Medicaid members for the team’s defined review types while meeting and exceeding contract expectations. The primary responsibilities of the Nurse Reviewers are listed below: In this role, the ideal candidate will: • Perform reviews of provider prior approval/precertification requests as per PAUM policy and procedures, • Evaluate initial clinical information and approve cases that meet criteria. Document clearly the rationale for all review decisions using appropriate criteria or nursing judgment, • Refer cases that do not meet criteria and cannot be approved by InterQual criteria or nursing judgment to a Referral Nurse Coordinator who in turn assures review by a Peer Review Consultant on any case which a nurse cannot approve, • Consult with the Manager, Supervisor PA/UM, or Medical Directors on issues related to Peer Consultant review decisions or cases requiring physician clarification, • Participate in quality improvement and peer review activities, • Maintain confidentiality of review information and medical records in accordance with HIPAA compliance, and Alliant Policy, • Work in close collaboration with other team members to support the development of new projects and continuous improvement of the overall work process within the team, • Promote core values of teamwork, professionalism, effective communication skills and positive behaviors, • Maintain security and confidentiality of all information in accordance with HIPAA laws, URAC regulations, and company policies, • Demonstrate compliance with the corporate and departmental policies as evidenced by attendance, punctuality, and dress, • Knowledge of ICD-10-CM, CPT codes, and InterQual criteria preferred, • Knowledge of clinical theory and problem-solving skills, • Strong organizational skills with ability to demonstrate the work priorities, • Excellent interpersonal, written, and verbal skills required, • Knowledge, skill and ability to perform work with considerable independence by use of creative thinking, thorough analysis of problems, and use of innovative approaches to problem resolution, • Computer literate, experience with MS Windows products, • Ability to type 30-50 words per minute Required: • Registered Nurse, with at least three years of recent clinical experience required Alliant Health Group and subsidiaries, dba Alliant Health Solutions ("the Company) is an Equal Opportunity Employer and Drug Free Workplace. In compliance with the American's with Disability Act (ADA) and Amendments Act (ADAAA), all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender, gender identity, national origin, disability or veteran status. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, please let us know. Likewise, if you are limited in the ability to access or use this online application process and need an alternative method for applying, we will determine an alternative method for you to apply. Please contact 678-527-3000.

Job Description Hi, we're Oscar. We're hiring an Associate, Delegate Oversight to join our Delegation Oversight team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Associate, Delegate Oversight supports the enterprise's compliance program and activities. You will assist in the development of all compliance program activities to ensure understanding of healthcare regulatory requirements. You will assess business unit compliance to laws, regulations, standards, and their procedures by conducting audit and monitoring activities. You will report into the Sr. Manager, Compliance Audit and Monitoring. Work Location: This is a remote position, open to candidates who reside in: Atlanta, GA. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote Pay Transparency: The base pay for this role is: $87,188 - $114,434 per year. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year and annual performance bonuses. Responsibilities: • Help create a risk-based audit and monitoring plan for the healthcare organization., • Review healthcare regulations, including HIPAA, Medicare, Medicaid and NCQA regulations to ensure compliance., • Conduct assigned audits based on departmental audit plans., • Partner with teams to understand their business operations and test their compliance with regulations., • Evaluate compliance effectiveness and identify areas for improvement., • Draft and complete accurate audit reports, ensuring that the audit findings and conclusions are communicated to the business unit., • Help identify compliance gaps and risks, and contribute to the development of proactive strategies to address them., • Help maintain compliance policies, procedures, and controls with regulatory requirements., • Provide regular updates to leadership on compliance audit and monitoring activities and recommendations., • Compliance with all applicable laws and regulations, • Bachelor's Degree or equivalent work experience, • 3+ years experience working in health care or related field, • 3+ years experience in health plan compliance, • 3+ years driving compliance with regulatory and accreditation audit/policy requirements, • 3+ years experience working with regulation and translating into operational procedures, • Certification in Healthcare Compliance (CHC), Certified Compliance and Ethics Professional CCEP, or similar, • Fluency with State DOI audit and/or reporting obligations, • State DOI audit management experience, • Experience in a start-up and/or health tech environment At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description Medicaid Team Lead- Community Care Service Programs Visiting Nurse Health System (Visiting Nurse) seeks a Medicaid Team Lead (MTL) for Community Care. The MTL directly interfaces with DFACS state representatives across multiple regions in Georgia. Responsibilities include interviewing clients for Medicaid, submitting Medicaid applications and renewals, managing state escalation processes, tracking and analyzing trending data, and providing guidance as Team Lead to the Medicaid Specialist team. VNHS needs a driven individual who can produce results with KPI’s, business analytics and productivity management. This role requires 3-5 in-office days a week with time split between our Hartsfield office in Atlanta, GA 30354 and our Marietta office in Marietta, GA 30067. Who is Visiting Nurse Health System... Serving the Atlanta area for over 75 years, Visiting Nurse is a leading provider of home healthcare, long-term care at home, hospice, and palliative care services, helping patients and their loved ones receive care at home following an illness, surgery, or hospital stay. The ideal candidate lives the Visiting Nurse values of Respect and Integrity, Excellence, Stewardship, and Care. Our vision is to be the first choice for patients, families, payers, and other healthcare providers when they need home healthcare services. To achieve patient and employee satisfaction scores and clinical outcomes within the top 10 percent of all home healthcare providers in the U.S. To continue to invest in our strong community partnerships, coordinated care solutions, top-performing workforce, and innovative technologies to improve affordability throughout the healthcare continuum. To be a financially strong organization that healthcare professionals prefer to work for. For more information about Visiting Nurse, please visit vnhs.org. In this position... The MTL will support all Medicaid enrollment and related functions on behalf of EDWP Waiver members by becoming the subject matter expert on financial eligibility. The MTL will create a supportive environment and will build a functional team by setting expectations for excellence by through guidance and oversight including training, SOP monitoring, quality reviews and opportunities for improvement. MTL will be an active member of the Community Care management team and will attend and participate in all management meetings. • Serves as the team lead to the Medicaid Specialist team members including monitoring work output, promoting effective working relationships, work efficiently, and maximizing team morale, • Ability to build and develop teams while creating processes and policies, • Maintains highest confidentiality; adheres to all HIPAA guidelines/ regulations, • Conduct monthly audits of work performed by the team to ensure compliance, • Effectively communicates within the team and program in a timely manner to ensure all parties are aware of relevant information, • Uses conflict resolution skills in dealing with clients, family members, providers and peers including the ability to calmly manage a variety of situations while exhibiting self-control, self-awareness and remaining objective at all times. Do you have.... • Graduate of an accredited Diploma, Associate Degree, or Baccalaureate for a Social Worker., • CPR Certification (Required), • 2 years’ experience in social service in home health, hospice, community health, long-term care or geriatric nursing., • 1- 3 years’ experience in Medicaid., • 3- 5 years’ management experience and experience in CCSP is required., • Must have reliable transportation, a GA valid driver's license, and current vehicle insurance Compensation: $ 52,883.54 - $79,325.31 Benefits: • Medical, Dental, and Vision insurance, • Employee Assistance Program, • Employee Discount, • Flexible Spending Account (FSA), • Health Savings Account (HSA), • Life insurance, • PTO and 9 Holidays, • 403b w/company match, • Pet Insurance Visiting Nurse is an equal opportunity employer and does not discriminate against qualified applicants based on based on race, color, sex, gender, gender identity, gender expression, religious creed, sexual orientation, pregnancy, national origin, ancestry, age, military and veteran status, marital status, physical or mental disability, protected medical condition, genetic information, reproductive health decision-making, lawful off-duty use of marijuana, any other characteristic protected by law, or any combination of two or more of the characteristics listed here. If you need an accommodation to complete an online application, please contact Visiting Nurse at 404-215-6100.

Job DescriptionDescription: Soleo Health is seeking an Infusion Center Intake Coordinator to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Home infusion experience required, and must be able to work 8:30am-5pm Eastern Time. Soleo Health Perks: • Competitive Wages, • 401(k) with a Match, • Referral Bonus, • Paid Time Off, • Great Company Culture, • Annual Merit Based Increases, • No Weekends or Holidays, • Paid Parental Leave Options, • Affordable Medical, Dental, & Vision Insurance Plans, • Company Paid Disability & Basic Life Insurance, • HSA & FSA (including dependent care) Options, • Education Assistance Program This Position: The Infusion Center Intake Coordinator is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: • Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services, • Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc, • Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing, • Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including, • Reviewing and obtaining clinical documents for submission purposes, • Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed, • Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations, • Generate new patient start of care paperwork Schedule: • Must be able to work Full time, 40 hours per week, from 8:30am-5pm Eastern Time, • Must have experience with home Infusion for Prior authorization/Benefits VerificationRequirements:, • High school diploma or equivalent, • At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred, • Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units, • Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met, • Ability to work in a fast-paced environment, • Knowledge of HIPAA regulations, • Basic level skill in Microsoft Excel & Word, • Knowledge of CPR+ preferred About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo’s Core Values: • Improve patients’ lives every day, • Be passionate in everything you do, • Encourage unlimited ideas and creative thinking, • Make decisions as if you own the company, • Do the right thing, • Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately

Job Description Job Title: Licensed Clinical Social Worker Position Summary: Reports to Chief Medical Officer or his/her designee. Utilizes professional social work skills in collaborating with other members of the medical team. To prevent or ameliorate related psychosocial problems. To ensure the patient-related and clerical functions of Social Services are executed in a timely and efficient manner. Resolves social, emotional and psychological problems of patient/family which may interfere with goals of the medical treatment plan by either working with patient/family directly or by providing advice and assistance to responsible staff members. Description of Responsibilities: 1. Refers patients to federal, state and city agencies., 2. Interviews patients/families., 3. Makes referrals for needed resources and services., 4. Coordinates referrals from outside agencies to Southside Healthcare, Inc., 5. Develops knowledge of Joint Commission audit procedures for ambulatory health care facilities and social services., 6. Provides crisis intervention for acute situations, i.e., locating emergency housing emergency services, housing, etc., 7. Assists the Performance Improvement initiative by developing and implementing Performance Improvement indicators with appropriate follow up monitoring., 8. To assist in resolving psychosocial problems which may interfere with medical treatment or rehabilitation of the patient/family., 9. Provides case management services and documents such activity in the case record., 10. Maintains an updated file of community agencies and programs., 11. Coordinates volunteer activities as needed., 12. Makes appropriate community/home visits to better ascertain the patient/family environment., 13. Prepares periodic reports on caseloads, visits, etc., 14. Serves as resource person to other staff members by providing advice and assistance in meeting the social needs of the patients., 15. Counsels patients referred internally in need of assistance such as housing, food stamps, Medicaid, Medicare, SSI and other federal and state assistance programs. Knowledge, Skills & Responsibilities: 1. Knowledge of agency policies and procedures relative to social work to provide services within approved parameters., 2. Knowledge of eligibility criteria for federal and state services such as Medicare, Medicaid, Presumptive Eligibility, Advanced Directives, SSI, Welfare, Veterans benefits, etc. To assist patients/families to receive benefits to which they are entitled., 3. Knowledge of community resources and facilities to make appropriate referrals to assist patient/family., 4. Knowledge of counseling techniques to provide adequate counseling to patient/families., 5. Considerable knowledge of the physical and psychological needs of individuals and families; of cultural factors and belief systems which may affect family lifestyle; of family dynamics; of techniques of interviewing a variety of persons to obtain needed and confidential information; of counseling principles and techniques., 6. Knowledge of guidelines for the provision of protective services; of current social and economic conditions; of available community agency resources; of the legal system and the procedures for legal protection of clients, as patients, and Southside Healthcare, Inc., as a health care facility., 7. Considerable skills in oral and written communication in a clear and concise manner; in providing crisis intervention; in documenting in the case record social services data, facts, observations, contacts, findings and recommendations; in developing service plans; in providing intensive case work services to clients including locating and coordinating specific services to meet client’s needs; in ready and comprehending material of varying levels of complexity. Minimum Requirements: Master's degree in social work from an accredited school of Social Work. Should be licensed as a clinical social worker by the State of Georgia. Two (2) years (minimum) casework experience in a health care institution that has dealings, but not limited to, child welfare agencies, psychiatric clinic, and/or family counseling agencies. Knowledge of psychiatric and medical terminology. Ability to make decisions during crisis situations. Lecture/instruct/supervise social services student interns. Involves walking, sitting, standing intermittently during the day. Ability to drive a car is desirable.

Job DescriptionSalary: $20.00 - $33.00 hourly Trinity Social Services is seeking a Therapist/Clinician. The candidate must have knowledge of DSM-V criteria, develop SMART Treatment Planning, be highly organized, and proficient with MS Word and Outlook. Basic knowledge of Core/IFI services is required. Candidate must have prior knowledge of GA Medicaid System of Care (mental/behavioral health). Professional Title: LMSW, LAPC, APC, LAMFT, AMFT or (Supervisee/Trainee MSW, MFT, PC, MS, MA) Minimum Qualifications: * Person must be licensed in the state of Georgia as a LMSW, LAPC, LAMFT or S/T (Supervisee/Trainee). One (1) year experience providing (in-clinic or out-of-clinic) therapy. * Masters degree in psychology, sociology, or mental health counseling. * Person must have a minimum of 1-year experience working with clientele suffering from MH/SA issues and their families. Job Duties and Responsibilities: * Maintain confidentiality of records relating to clients' treatment * Gather information about community mental health needs and resources that could be used in conjunction with therapy * Plan outreach and referral activities in surrounding communities * Plan and conduct programs to prevent substance abuse or improve community health and counseling services * Assess clients' mental condition based on review of client information, interviews, observation, tests, and collaboration with other staff members * Serve as a client advocate to coordinate required services or to resolve emergency problems in crisis situations * Develop and implement treatment plans based on BHA, clinical experience, and knowledge * Conduct initial family assessments and refer clients, or family members to community resources or to specialists as necessary * Responsible for completing discharge summaries and monthly summary reviews when requested * Properly documented crisis intervention, anger management, behavior modification, and safety planning Requirements: * CPR training certificate * CPI training certificate a plus * Must be dependable, have a computer with internet services and the ability to accurately and sufficiently write BIRP notes. * Familiar with Carelogic a plus. * Must be able to provide services to clients and families during NON-traditional work days and hours. * Self-starter, highly organized, and able to work well with employees at all levels in the organization. * Readily available to receive supervision from an appropriately licensed/credentialed professional. * Must attend in-office treatment team meetings. * Must have reliable transportation and pass various background checks to productively provide services in the community. * Must have previous work history or education regarding interactions with adolescents.

Job Description Vivo HealthStaff is recruiting for a Senior Healthcare Regulatory Attorney in North Carolina (Charlotte, Raleigh) South Carolina (Charleston, Columbia, Greenville, Spartanburg) GA (Atlanta), or Washington, D.C. This is a permanent position with salary and benefits. Our client, a nationally respected law firm, is seeking an experienced Healthcare Regulatory Attorney to join its Healthcare Practice Group. This position is ideal for an attorney with deep experience advising healthcare providers on billing compliance, fraud and abuse laws, and reimbursement policy under Medicare, Medicaid, and other federal programs. Position Overview: This attorney will play a key role in counseling hospitals, academic medical centers, physician groups, SNFs, and home health agencies on healthcare regulatory compliance, with a strong focus on structuring transactions to comply with complex federal healthcare laws. Key Responsibilities: * Advise clients on Medicare, Medicaid, and VA/Tricare billing and reimbursement requirements. * Provide legal guidance on federal fraud and abuse laws, including the Anti-Kickback Statute, Stark Law, and False Claims Act. * Counsel clients on billing compliance, claims submissions, and enrollment processes. * Assist healthcare organizations with structuring business arrangements that comply with applicable healthcare regulations. * Collaborate with a multidisciplinary legal and regulatory team to address a wide range of compliance issues. Candidate Requirements: * JD from an accredited law school with a strong academic record. * Active bar license in GA, NC, SC or D.C. * 10+ years of experience in healthcare regulatory law, with a focus on reimbursement and fraud and abuse compliance. * Extensive experience working with healthcare entities such as hospitals, physician groups, AMCs, SNFs, and home health organizations. * Strong understanding of both government and private payor systems is preferred. * Proven ability to manage complex client matters and provide strategic legal counsel. Compensation and Benefits: * Competitive salary, commensurate with experience. * Multiple bonus opportunities. * Comprehensive benefits package including medical, dental, life, and disability insurance, optional vision coverage, a 401(k) plan, and paid time off. Why Join? This is an exceptional opportunity to join a nationally ranked healthcare law practice that values collaboration, mentorship, and professional development. Work with top-tier healthcare clients on meaningful, complex matters that shape the future of healthcare delivery. Application Instructions: Interested candidates should submit a cover letter, resume, and writing sample to be considered.

Job Description Lead with compassion. Manage with purpose. Who are we? Caring for Atlanta for over 75 years, Visiting Nurse Health System is a leading, non-profit provider of home healthcare, long-term care at home, hospice, and palliative care services. We pride ourselves in helping patients and their loved ones receive care at home following an illness, surgery, or hospital stay. We offer not just a job, but we also offer purpose, impact, and the chance to care deeply for people in the comfort of their homes. Our vision is to be the first choice for patients, families, payers, and other healthcare providers when they need home healthcare services. We look to not only achieve, but to also maintain exemplary patient and employee satisfaction levels. VNHS is dedicated to continuing our investment in strong community partnerships, providing coordinated care solutions, developing a top-performing workforce, and innovating technologies to improve affordability and access to patient care. We aim to be an organization where healthcare professionals not only prefer to work, but where they are able to grow as professionals. For more information on our organization, please visit us here. Salary: $75,375 - $125,625 Every day we strive to display our four core values: • Respect & Integrity - We practice the highest ethical standards and honor our commitments. We are fair, transparent, honest and person-centered in all our actions. We value the beliefs and opinions of our diverse community of patients and employees., • Excellence - We are committed to delivering the best outcomes and highest quality service through the dedicated efforts of every team member. We are committed to continuous improvement in all that we do and strive to be leaders for others to emulate., • Stewardship - We enhance the lives of those we serve through responsible planning and management of the resources entrusted to us with each of us contributing toward a shared purpose., • Care – We will provide compassionate person-centered care while respecting individual physical, emotional, and spiritual needs Job Overview Visiting Nurse Health System is hiring a Clinical Manager who will oversee direct patient care delivered by a team of clinicians in the home health setting. The Clinical Manager plays a critical role in driving top-tier clinical outcomes, appropriate documentation, superior customer satisfaction, and continuous quality improvement. This leader will manage daily operations, oversee field staff, review clinical documentation, and collaborate on strategic goals. They will also work with Patient Service Coordinators who handle administrative support for the team. The Clinical Manager serves as both a mentor and a resource for staff while ensuring compliance with Medicare, Medicaid, and regulatory standards. What You’ll Do: • Oversee daily activities of field clinicians, managing patient care delivery and staff assignments to ensure safe, high-quality outcomes., • Lead, coach, and develop team members through regular feedback, performance evaluations, and mentorship., • Coordinate patient plans of care with families, clinicians, and physicians., • Ensure all clinical documentation meets regulatory, accreditation, and reimbursement standards., • Review referral information, participate in start-of-care conferences, and guide clinicians to ensure plans reflect patient acuity and avoid unnecessary hospitalizations., • Monitor OASIS assessments, case conferences, recertifications, and discharges., • Conduct branch investigations to resolve patient concerns, grievances, or compliance audits., • Utilize clinical dashboards and agency reports to track documentation, productivity, and quality metrics, intervening when standards aren’t met., • Collaborate with branch leadership to develop and implement strategic goals., • Serve as a key resource on Medicare, Medicaid, third-party payer requirements, and best practices in care coordination and case management., • Support new employee recruitment and onboarding, oversee orientation, and assist with hiring decisions., • Coordinate complex care needs, such as infusions, wound cases, lab communication, and transitions to hospice or palliative care., • Ensure adherence to infection control protocols, privacy practices, and compliance with local, state, and federal regulations. Schedule: • Full-time, • Monday – Friday You’re Perfect for the Position if you: • Are a Registered Nurse graduate from an accredited Diploma, Associate, or Bachelor’s program (BSN preferred)., • Hold current Georgia RN licensure, valid CPR certification, driver’s license, automobile insurance, and reliable transportation., • Have 1-2 years of home health or hospice leadership experience, or 3-5 years as an RN Field Nurse ready to advance into management., • Understand the physical, social, and emotional needs of elderly, disabled, and terminally ill patients., • Are knowledgeable about Medicare, Medicaid, and payer regulations affecting home health., • Have advanced nursing skills, a collaborative approach, and strong observation, verbal, and written communication abilities., • Possess excellent analytical, team-building, coaching, and conflict management skills., • Demonstrate accountability in driving results, managing documentation standards, and promoting high clinical outcomes., • Are comfortable with technology, online charting, HR self-service, and using standard business software. Why Work for Visiting Nurse Health System? • Medical, Dental, and Vision insurance, • PTO and Paid Holidays, • 403b Retirement Plan with Company Match, • Flexible Spending Account (FSA), • Health Savings Account (HSA), • Life Insurance, • Employee Assistance Program, • Employee Discounts, • Flexible Schedule Join us in our mission to provide excellent care, comfort, and dignity to our patients! Visiting Nurse is an equal opportunity employer and does not discriminate against qualified applicants based on race, color, sex, gender, gender identity, gender expression, religious creed, sexual orientation, pregnancy, national origin, ancestry, age, military and veteran status, marital status, physical or mental disability, protected medical condition, genetic information, reproductive health decision-making, lawful off-duty use of marijuana, any other characteristic protected by law, or any combination of two or more of the characteristics listed here. If you need an accommodation to complete an online application, please contact Visiting Nurse at 404-215-6100. #INDNUR1

Job DescriptionSalary: Trinity Social Services is a CARF-accredited, C&A and Adult Community Medicaid and Intensive Family Provider, and we are seeking a skilled and knowledgeable IFI Team Therapist to join our growing, new IFI team! The therapist will work as part of the new IFI team to provide individual/family counseling, as well as crisis intervention, intended to improve family functioning by clinically stabilizing the living arrangement, promoting reunification, or preventing the need for out-of-home therapeutic venues. Candidates must be skilled in a variety of counseling techniques (CBT, REBT, Family Systems, Behavior Modification, etc.) and provide services (crisis intervention, family counseling, and individual counseling) in accordance with Medicaid/DBHDD guidelines. A person must be at least credentialed on the Master's level and currently seeking licensure or license eligibility. Must be able to provide at least Supervisor/Trainee, Counseling, or Therapeutic services to eligible clients. The ideal candidate will have extensive knowledge in the following areas and be able to demonstrate and document the following: Individual Counseling Family Counseling Crisis Intervention Discharge Planning Maintain Detailed and Thorough Client Records (BIRP Notes) Maintain Knowledge of GA Medicaid Policies and Standards Candidates should also possess: Valid Driver's License Valid Credentials/Certifications in GA Available for Non-Traditional Work Hours & Crises Ability to Maintain Confidential Information (HIPAA) Excellent Written and Verbal Communication Skills Basic Experience with CareLogic EHR System; however, we offer training Job Types: Full-time, Contract (80% in person)

Job Description Are you a bedside nurse looking for a career change? If you answered, yes, this may be the role for you! Alliant Health Solutions, a "2025 Best Place to Work and Healthiest Employer", seeks a Review Nurse for its Prior Authorization & Utilization Management (PA/UM) team. The Review Nurse, PA/UM, conducts prior approval and precertification reviews for Georgia Fee-for-Service Medicaid members for the team’s defined review types while meeting and exceeding contract expectations. The primary responsibilities of the Nurse Reviewers are listed below: In this role, the ideal candidate will: • Perform reviews of provider prior approval/precertification requests as per PAUM policy and procedures, • Evaluate initial clinical information and approve cases that meet criteria. Document clearly the rationale for all review decisions using appropriate criteria or nursing judgment, • Refer cases that do not meet criteria and cannot be approved by InterQual criteria or nursing judgment to a Referral Nurse Coordinator who in turn assures review by a Peer Review Consultant on any case which a nurse cannot approve, • Consult with the Manager, Supervisor PA/UM, or Medical Directors on issues related to Peer Consultant review decisions or cases requiring physician clarification, • Participate in quality improvement and peer review activities, • Maintain confidentiality of review information and medical records in accordance with HIPAA compliance, and Alliant Policy, • Work in close collaboration with other team members to support the development of new projects and continuous improvement of the overall work process within the team, • Promote core values of teamwork, professionalism, effective communication skills and positive behaviors, • Maintain security and confidentiality of all information in accordance with HIPAA laws, URAC regulations, and company policies, • Demonstrate compliance with the corporate and departmental policies as evidenced by attendance, punctuality, and dress, • Knowledge of ICD-10-CM, CPT codes, and InterQual criteria preferred, • Knowledge of clinical theory and problem-solving skills, • Strong organizational skills with ability to demonstrate the work priorities, • Excellent interpersonal, written, and verbal skills required, • Knowledge, skill and ability to perform work with considerable independence by use of creative thinking, thorough analysis of problems, and use of innovative approaches to problem resolution, • Computer literate, experience with MS Windows products, • Ability to type 30-50 words per minute Required: • Registered Nurse, with at least three years of recent clinical experience required Alliant Health Group and subsidiaries, dba Alliant Health Solutions ("the Company) is an Equal Opportunity Employer and Drug Free Workplace. In compliance with the American's with Disability Act (ADA) and Amendments Act (ADAAA), all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender, gender identity, national origin, disability or veteran status. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, please let us know. Likewise, if you are limited in the ability to access or use this online application process and need an alternative method for applying, we will determine an alternative method for you to apply. Please contact 678-527-3000.

Job Description Floating Oral Surgeon – Atlanta, GA (Multiple High-End Locations) A premier dental group based in Atlanta, GA is actively seeking a Floating Oral Surgeon to join their expanding team. This opportunity involves traveling between several state-of-the-art, high-end dental practices located throughout the Atlanta area. All practices are modern, fully equipped, and offer a high-end patient experience. About the Opportunity: • Travel between multiple well-established practices within the Atlanta metro area, • Practices are either fee-for-service or participate in limited PPO plans, • No HMOs or Medicaid plans accepted, • High-volume surgical demand and excellent internal referral systems, • Collaborative, team-oriented environment with highly trained support staff, • Open to both Full-Time and Part-Time schedules, • Flexible structure with a consistent weekly schedule required, • Highly competitive commission-based structure, • Annual earning potential ranges from $200,000 to $700,000, depending on availability and schedule, • DDS or DMD from an accredited dental school, • Completion of a certified Oral & Maxillofacial Surgery residency program, • Active Georgia dental license (or eligibility for licensure), • Excellent communication and patient care skills, • Willingness to travel between practices on a regular, consistent basis

Job Description Lead with compassion. Manage with purpose. Who are we? Caring for Atlanta for over 75 years, Visiting Nurse Health System is a leading, non-profit provider of home healthcare, long-term care at home, hospice, and palliative care services. We pride ourselves in helping patients and their loved ones receive care at home following an illness, surgery, or hospital stay. We offer not just a job, but we also offer purpose, impact, and the chance to care deeply for people in the comfort of their homes. Our vision is to be the first choice for patients, families, payers, and other healthcare providers when they need home healthcare services. We look to not only achieve, but to also maintain exemplary patient and employee satisfaction levels. VNHS is dedicated to continuing our investment in strong community partnerships, providing coordinated care solutions, developing a top-performing workforce, and innovating technologies to improve affordability and access to patient care. We aim to be an organization where healthcare professionals not only prefer to work, but where they are able to grow as professionals. For more information on our organization, please visit us here. Salary: $90,000 - $120,000 - Pay Per Visit Every day we strive to display our four core values: • Respect & Integrity - We practice the highest ethical standards and honor our commitments. We are fair, transparent, honest and person-centered in all our actions. We value the beliefs and opinions of our diverse community of patients and employees., • Excellence - We are committed to delivering the best outcomes and highest quality service through the dedicated efforts of every team member. We are committed to continuous improvement in all that we do and strive to be leaders for others to emulate., • Stewardship - We enhance the lives of those we serve through responsible planning and management of the resources entrusted to us with each of us contributing toward a shared purpose., • Care – We will provide compassionate person-centered care while respecting individual physical, emotional, and spiritual needs Job Overview Visiting Nurse Health System is hiring a Physical Therapist who brings not just clinical skill, but warmth, empathy, and a calming presence to every patient interaction. This role is more than just a job, it’s a chance to walk alongside our patients during some of life’s most meaningful moments. Whether it's recovery, daily care, or end-of-life comfort we look for our employees to represent Visiting Nurse's values of Respect and Integrity, Excellence, Stewardship, and Care in all aspects of their work. We're seeking a Physical Therapist who believes physical therapy is their calling in life and understands the importance of patient care. At Visiting Nurse, we strive to ensure every patient is treated with dignity, comfort, and care. What You’ll Do: • Perform initial physical therapy assessments for home health patients, • Develop and revise individualized treatment plans and discharge plans, • Coordinate with interdisciplinary team members to create individualized care plans, • Deliver compassionate, skilled therapy, including preventative and rehabilitative techniques in the home setting, • Educate patients, families, and caregivers on care techniques and recovery to ensure comfort and understanding, • Document patient progress, physician orders, therapy outcomes, and maintain accurate records in compliance with regulations, • Supervise PTAs and HHAs, including conducting supervisory visits, • Comply with Medicare, Medicaid, and insurance regulations, • Drive to patient homes and work independently in the field, • Monday to Friday, • 8am – 5pm, • Douglas County/Paulding County, • Newton County, • Ellenwood, • Stone Mountain, • Doctorate from an accredited Physical Therapy program, • Current GA Physical Therapy license, • CPR certification and valid driver's license required, • Reliable transportation and automobile insurance, • Experience with Medicare/Medicaid regulations and compliance in home health, • Strong documentation and assessment skills (e.g., OASIS, care plans, discharge planning), • Ability to educate patients, families, and interdisciplinary team members, • Medical, Dental, and Vision insurance, • Employee Assistance Program, • Employee Discount, • Flexible Schedule, • Flexible Spending Account (FSA), • Health Savings Account (HSA), • Life insurance, • PTO and Paid Holidays, • 403b with Company Match Join us in our mission to provide excellent care, comfort, and dignity to our patients! Visiting Nurse is an equal opportunity employer and does not discriminate against qualified applicants based on race, color, sex, gender, gender identity, gender expression, religious creed, sexual orientation, pregnancy, national origin, ancestry, age, military and veteran status, marital status, physical or mental disability, protected medical condition, genetic information, reproductive health decision-making, lawful off-duty use of marijuana, any other characteristic protected by law, or any combination of two or more of the characteristics listed here. If you need accommodation to complete an online application, please contact Visiting Nurse at 404-215-6100. #INDTH1