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Location: Main Hospital Bldg - 1st Flr Shift: Days (Monday- Friday) Onsite only **Must have the ability to travel locally to visit outside facilities approximately 50% of the time. Work hours: 8am-5pm Employment type: Full Time Primary Purpose Maintains oversight for care and services provided by long term care facilities acquired through the Minimum Payment Assistant Program (MPAP) and the Quality Incentive Payment Program (QIPP). Collects and analyzes nursing facilities clinical and non-clinical data for compliance to local, state and federal guidelines. Maintains collaborative relationships and contracts with skilled nursing facilities, long term acute care, inpatient rehab, home health and community based services that are not part of the Parkland System. Develops post-acute initiatives geared toward delivering quality care at lowered cost. MINIMUM SPECIFICATIONS Education: • Must have a Bachelor's degree in Nursing., • Must have six years of hospital or community based patient care nursing, preferably in assigned clinical area., • Must have five years of Long Term Care experience., • At least two years working with the most recent version of the Resident Assessment Instrument and Minimum Data Set, Quality Assurance Performance Improvement initiatives, Medicare and Medicaid Claims processing., • Nursing home surveying experience strongly preferred., • Multi-site home health and hospice experience strongly preferred., • Healthcare administration experience preferred., • Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license., • Must have current healthcare provider BLS for Healthcare Providers certification from one of the following:, • American Heart Association, • American Red Cross, • Military Training Network, • Provides care to assigned patient population in accordance with the current State of Texas Nursing Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards., • Must be able to communicate and collaborate effectively with a diverse group of patients, families and healthcare staff., • Must be able to demonstrate a working knowledge of specific patient populations, and be able to demonstrate knowledge of disease processes affecting this group., • Must be able to demonstrate a working knowledge of PC operations and the ability to use word processing software in a Windows environment., • Must be able to demonstrate a working knowledge of the laws and regulations governing Medicare, Medicaid and community-based funding sources., • Must be self-directed and capable of priority setting and problem solving., • Must be able to demonstrate patient centered/patient valued behaviors., • Must be able to demonstrate passion and commitment to excellence., • Must be able to think creatively and strategically, in order to enhance and maintain service volume growth., • Must have the ability to travel locally to visit outside facilities approximately 50% of the time. Requisition ID: 985241

Join a Company That Puts People First! Licensed Practical / Vocational Nurse – LPN/LVN 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: • Duncanville, • Grand Praire, • Dallas, • South Dallas, • Surrounding Areas Award-Winning Culture • 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.

Join a Company That Puts People First! Registered Nurse – RN Our local office is looking for a team of compassionate nurses to provide care for a very special client/patient. Here are some of the details of this case, more can be discussed by applying or contacting the local office: Schedule: 7pm-7am Location/Setting: 75050 Age Range: Child Acuity: Feeding tube and Med Admin Award-Winning Culture • 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 Registered Nurses (RN)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 (RN) 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.

Join a Company That Puts People First! Licensed Practical / Vocational Nurse – LPN/LVN Our local office is looking for a team of compassionate nurses to provide care for a very special client/patient. Here are some of the details of this case, more can be discussed by applying or contacting the local office: Schedule: 7pm-7am Location/Setting: 75050 Age Range: Child Acuity: Feeding tube and Med Admin 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: Award-Winning Culture • 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.

Schedule: PRN Your experience matters Carrollton Springs is part of ___, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As an Inpatient Therapist joining our team, you're embracing a vital mission dedicated to making communities healthier ®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute An Inpatient Therapist who excels in this role: • Conducts individual and group therapy sessions to educate patients regarding psychological, emotional, or substance abuse problems, • Displays active involvement in treatment planning process, • Provides family session counseling to all patients to ensure appropriate communication and involvement of family members and support groups, • Actively communicates with clients, families, and outside referral sources, • Demonstrates proactive communication with those involved with the patient's treatment, • Works well with the interdisciplinary team including physicians, utilization review and nursing staff members, • Demonstrates active communication with team members, • Effectively communicates to UR on treatment and LOS issues, • Completes appropriate paperwork for clients in a timely, accurate and complete manner, • Demonstrates appropriate crisis intervention and de-escalation skills, • Acts as a member of team with crisis situation occurs, assisting others to ensure patient safety, • Completes accurate assessments of patients utilizing clinical skills, • Assists care coordination department as requested, • Completes all documentation thoroughly, timely, and in accordance with hospital standards, • Displays a thorough knowledge of confidentiality, • Completes releases appropriately, • Demonstrates knowledge of HIPAA regulations and abides by those standards, • Demonstrates a working knowledge of all clinical regulations, including TJC, Medicaid, and state and federal laws, • Displays active involvement in the discharge, transition, and after-care planning treatment processes Other duties as assigned Applicants should have a master's degree in social work or counseling (required). Additional requirements include: • CPR and CPI Certification within 30 day of employment, • Prior experience with psychiatric and chemical dependency patients., • Current clinical or social work license as required by state regulations. Carrollton Springs is a 78-bed behavioral health hospital offering exceptional care to the Carrollton, TX community. EEOC Statement "Carrollton Springs is an Equal Opportunity Employer. Carrollton Springs is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment." Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

Carrollton Springs-Behavioral Health Hospital, Carrollton, Texas House Supervisor, Registered Nurse (RN), Behavioral Health Job Type: PRN Your experience matters At Carrollton Springs, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As a House Supervisor registered nurse (RN) joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve. Oversees nursing and hospital operations during assigned shifts to ensure quality general and psychiatric patient care; supervises staffing and scheduling, provides direct nursing care, and supports department managers with education, discipline, and compliance. How you'll contribute You'll make an impact by utilizing your specialized plan-of-care intervention and serving as a patient-care innovator. You will shape exceptional patient journeys every day and leverage your skills and our cutting-edge technology to directly impact patient wellbeing. • Manage scheduling and staffing for the nursing department, ensure coverage, minimize overtime and agency use, and approve or deny time‑off requests., • Monitor staff attendance, maintain records of tardiness and absences, and assist the Director of Nursing with payroll., • Provide backup nursing and intake assistance, respond to patient needs, and advocate for patients., • Supervise hospital operations when administration is not present, oversee staff performance, and provide coaching and education as needed., • Conduct staff evaluations and deliver disciplinary actions professionally and promptly., • Assist the Director of Nursing in conducting department meetings, document attendance, and prepare meeting minutes., • Provide support to the intake department as necessary., • Maintain knowledge of regulatory standards (TJC, Medicaid, state and federal laws) and ensure compliance., • Perform conflict resolution and mediation with staff, involving appropriate leadership when necessary., • Conduct thorough investigations, collect and document accurate information, and provide reports to appropriate parties., • Demonstrate comprehensive nursing skills including assessments, treatment planning, admission and discharge procedures, medication administration, and delivery of direct patient care as needed., • Ensure documentation is timely, accurate, and complete and deliver quality nursing care to achieve treatment plan goals. WHY JOIN US We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: • Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - tailored benefit options for part-time and PRN employees, and more., • Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off., • Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match., • Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs)., • Professional Development: Ongoing learning and career advancement opportunities. WHAT WE'RE LOOKING FOR: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. • Associate's degree in nursing required., • · Current Registered Nurse license as required by state regulations in which the facility operates., • · 1-year experience in a psychiatric health care facility preferred., • · 1-year experience in a nursing leadership/management role preferred., • Experience in a psychiatric health‑care facility with chemical dependency, dual diagnosis, psychiatric, or geriatric patients preferred, experience in patient assessment, family motivation, treatment planning, and communication with external review organizations., • · CPR certification required within 30 days of employment and prior to any patient contact., • · De-escalation certification required within 30 days of employment and prior to any patient contact. More about Mesa Springs Carrollton Springs is a 72-bed hospital located in Fort Worth, Texas and is part of ___, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters. EEOC Statement Carrollton Springs is an Equal Opportunity Employer. Mesa Springs committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment." Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

Care Coach-Special Needs Plan Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries. Job title: Care Coach-Special Needs Plan Job Description: This is a seasonal position with a tentative end date of June 2026. Employees who remain in their role through the full duration of the assignment will be eligible for an end-of-season bonus. This bonus is designed to recognize and reward team members who see the project through to completion. Are you passionate about helping others and making a difference in your community? At Sagility, we are seeking compassionate, detail-oriented professionals to join our expanding team of Care Coaches. We welcome applications from individuals with a variety of educational and professional backgrounds who are ready to bring empathy, critical thinking, and dedication to patient care. What You Will Do As a Care Coach, you will support adult patients, many of whom are elderly or chronically ill by conducting health assessments, coordinating care, and guiding them through their healthcare journey. You will collaborate with members of the healthcare team to ensure patients understand their health benefits and receive the right care at the right time. Who We Are Looking For We welcome applicants who meet the following: • Education: Bachelor’s or associate degree in any discipline, • Experience: Minimum of 2 years in direct adult patient care in similar settings as above What You Bring • Proficiency in Microsoft Word, Excel, Outlook, and electronic records systems, • Strong interpersonal and communication skills, • Ability to build trust with patients, colleagues, and healthcare stakeholders., • Critical thinking and problem-solving mindset Preferred (but not required): • Experience with Medicare/Medicaid recipients, • Familiarity with health assessments and benefit coordination, • Background working with elderly or chronically ill patients., • Experience in BPO healthcare Why Join Sagility? We believe in supporting our team as much as they support our patients. As a Care Coach, you will have access to a wide range of benefits, including: • Pay is $17.00-$19.00 per hour, • Daily Pay Access your earnings when you need them. Ready to start a career where your compassion meets purpose? Apply today and take the first step toward becoming a Care Coach at Sagility. Join Sagility today and make a difference! Sagility is an Equal Opportunity Employer/Vet/Disability. Location: Work@Home USAUnited States of America

Join a Company That Puts People First! Registered Nurse – RN Our local office is looking for a team of compassionate nurses to provide care for a very special client/patient. Here are some of the details of this case, more can be discussed by applying or contacting the local office: Schedule: Saturdays, Sundays 7am-7pm Location/Setting: 75237 Age Range: Toddler Acuity: Feeding tube, Trach, Vent & Med Admin Award-Winning Culture • 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 Registered Nurses (RN)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 (RN) 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.

Join a Company That Puts People First! Registered Nurse – RN Our local office is looking for a team of compassionate nurses to provide care for a very special client/patient. Here are some of the details of this case, more can be discussed by applying or contacting the local office: Schedule: Sunday through Saturday 9:30pm-08:00am Location/Setting: 75041 Age Range: Teenager Acuity: Feeding tube and Med Admin Award-Winning Culture • 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 Registered Nurses (RN)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 (RN) 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.

Join a Company That Puts People First! Licensed Practical / Vocational Nurse – LPN/LVN Our local office is looking for a team of compassionate nurses to provide care for a very special client/patient. Here are some of the details of this case, more can be discussed by applying or contacting the local office: Schedule: 7am- 7pm (Mon- Sun) Location/Setting: 75082 Age Range: Young Adult Acuity: Feeding tube & T/V 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: Award-Winning Culture • 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.

Join a Company That Puts People First! Licensed Practical / Vocational Nurse – LPN/LVN Weekend Shifts 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: • Mesquite, • 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.

LICENSED VOCATIONAL NURSE- LVN Our local office is looking for a team of compassionate nurses to provide care for a very special client/patient. Here are some of the details of this case, more can be discussed by applying or contacting the local office: Schedule: 7a-7p (Monday through Sunday) Location/Setting: 75082 Age Range: Young Adult Acuity: G-tube & T/V Award-Winning Culture • 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 Registered Nurses (RN)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 (RN) 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.

Join a Company That Puts People First! Licensed Practical / Vocational Nurse – LPN/LVN Our local office is looking for a team of compassionate nurses to provide care for a very special client/patient. Here are some of the details of this case, more can be discussed by applying or contacting the local office: Schedule: 2-3 shifts/week (7pm-7am) Location/Setting: 75172 Age Range: Adult Acuity: Tracheostomy or Vent Care 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: Award-Winning Culture • 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.

Join a Company That Puts People First! Licensed Practical / Vocational Nurse – LPN/LVN Our local office is looking for a team of compassionate nurses to provide care for a very special client/patient. Here are some of the details of this case, more can be discussed by applying or contacting the local office: Schedule: Saturday & Sunday (7am-7pm) Location/Setting: 75172 Age Range: Adult Acuity: Tracheostomy or Vent Care 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: Award-Winning Culture • 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.

Join a Company That Puts People First! Licensed Practical / Vocational Nurse – LPN/LVN Our local office is looking for a team of compassionate nurses to provide care for a very special client/patient. Here are some of the details of this case, more can be discussed by applying or contacting the local office: Schedule: Saturdays, Sundays 7am-7pm Location/Setting: 75237 Age Range: Toddler Acuity: Feeding tube, Trach, Vent & Med Admin 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: Award-Winning Culture • 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.

Join a Company That Puts People First! Licensed Practical / Vocational Nurse – LPN/LVN 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: • Garland, • Rockwall, • Forney, • East Dallas, • Surrounding Areas Award-Winning Culture • 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.

Job Description Physical Therapist (PT) $5,000 Sign on Bonus Aveanna’s highly skilled pediatric therapy team provides our patients a full range of care to help them make the most of their care or recovery. We offer our industry-leading pediatric therapy for kids of all ages in multiple settings. We match our therapists to their patients based on medical condition, age, location, and acuity level. Our local office is looking for a compassionate PT in the following area who would like to make a positive and lasting impact in the lives of their patients. Caseload Location: Garland, TX Setting(s): Home Health & Outpatient Clinic Job Type: Full-Time, Part-Time or Supervising/Evaluating Only Compensation: Up to $110,000- Based on Experience, Skillset, Location and Productivity* Find yourself at Aveanna! We are a leading national provider of home health services to medically fragile children and adults, and our mission is to revolutionize the way homecare is delivered, one patient at a time. What our Therapists find at Aveanna: • Compassion and Purpose—1:1 therapist to patient ratio, • Community and Connection—caseloads clustered together and close to home, • Flexibility and Understanding—full-time, part-time, or supervising only, • Growth and Inclusion—career and skillset advancement opportunities, • Market-leading Compensation Packages, • Health, dental, vision, and company-paid life insurance, • Short and Long Term Disability, • FSA and HSA plans, • Generous Paid Vacation plans, • Electronic documentation, • Tuition reimbursement (conditions apply), • 401(k) savings plan with employer matching, • Employee stock purchase plan with employee discount, • Up to $750 CEU Reimbursement Annually, • Company-sponsored Continuing Education Courses, • Mentor Programs, • Awards and recognition Program, • Meets the qualifications as established by APTA or other professional organization, • Licensed to practice Physical Therapy in the current state of practice, • Must be willing to work in home and clinic-based settings, • Valid, unexpired Driver’s License and automotive insurance Aveanna Healthcare is an Equal Opportunity Employer and encourages applicants from diverse backgrounds to apply. 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. Notice for Job Applicants Residing in California Notice for Job Applicants Residing in Florida

Job Description Pediatric Occupational Therapist (OT) $3,000 Sign On Bonus Aveanna’s highly skilled pediatric therapy team provides our patients a full range of care to help them make the most of their care or recovery. We offer our industry-leading pediatric therapy for kids of all ages in multiple settings. We match our therapists to their patients based on medical condition, age, location, and acuity level. Our local office is looking for a compassionate OT in the following area who would like to make a positive and lasting impact in the lives of their patients. Caseload Location: Garland, Texas Setting: Full-Time, Part-Time or Supervising/Evaluating Only Schedule: Monday-Friday, No Weekends Compensation: Up to $110,000.00 per year* (based on experience, skillset, location and productivity)* Find yourself at Aveanna! We are a leading national provider of home health services to medically fragile children and adults, and our mission is to revolutionize the way homecare is delivered, one patient at a time. What our Therapists find at Aveanna: • Compassion and Purpose—1:1 therapist to patient ratio, • Community and Connection—caseloads clustered together and close to home, • Flexibility and Understanding—full-time, part-time, or supervising only, • Growth and Inclusion—career and skillset advancement opportunities, • Market-leading Compensation Packages, • Health, dental, vision, and company-paid life insurance, • Short and Long Term Disability, • FSA and HSA plans, • Generous Paid Vacation plans, • Electronic documentation, • Tuition reimbursement (conditions apply), • 401(k) savings plan with employer matching, • Employee stock purchase plan with employee discount, • Up to $750 CEU Reimbursement Annually, • Company-sponsored Continuing Education Courses, • Mentor Programs, • Awards and recognition Program, • Meets the qualifications as established by AOTA or other professional organization, • Licensed to practice Occupational Therapy in the current state of practice, • Must be willing to work in home and clinic-based settings, • Valid, unexpired Driver’s License and automotive insurance Aveanna Healthcare is an Equal Opportunity Employer and encourages applicants from diverse backgrounds to apply. CCPA Notice for Job Applicants, Contractors, and Employees Residing in California 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. Notice for Job Applicants Residing in California Notice for Job Applicants Residing in Florida

Description Summary: The primary purpose of the Reimbursement Manager is to ensure proper payments are received from Third Party programs and proper accounting of such programs is maintained. This will be accomplished through completion and review of monthly contractual related income statement and balance sheet accounts and proper filing, audit and settlement of cost reports. The System Reimbursement Manager is responsible for the reimbursement function of multiple facilities. The complexity of the facilities may include acute care, rehabilitation unit, psychiatric unit, skilled nursing facility, medical education, End Stage Renal Disease, Organ Transplant and Disproportionate Share. The System Reimbursement Manager spends a significant amount of time supporting the Corporate Reimbursement Department, on projects as needed. The needs could include and are not limited to regulatory analysis, financial analysis, system-wide reopening or reporting issues. This position requires diligent values of integrity and compliance with all applicable Regulations Responsibilities: Prepare and review monthly contractual allowance journal entries and supporting calculations and responsible for proper balances in associated income statement and balance sheet accounts, for multiple facilities Scope of accounting responsibility includes Medicare, Medicaid, USFHP, CHAMPUS, Blue Cross, Worker's Compensation and Managed Care Analyze monthly contractual allowance variances, providing detailed explanations for significant fluctuations to Hospital Administration for use during close meetings Maintain current, correct account analysis' related to program Income Statement and Balance Sheet accounts Ensure monthly reports are prepared timely and accurately by supporting departmental Associates Prepare final hospital and home office cost reports, completing comparative analysis of the cost report versus the financial statement and compliance checklist prior to submission, for multiple facilities Ensure Medicare, Medicaid and CHAMPUS cost reports are submitted by due dates to prevent loss of reimbursement to the facilities Identify and pursue proper reimbursement methodologies in an effort to receive all reimbursement due based upon Medicare, Medicaid and CHAMPUS Regulations Coordinate the Medicare Field Audits, ensuring complete, proper and timely information is provided and audit adjustments are reviewed prior to issuance of the settlement Errors found must be communicated in writing to the Auditors during the audit, to ensure proper settlement and issuance of the Notice of Program Reimbursement Prepare audit adjustment analysis to determine reimbursement impact of adjustments to as filed report Act as a liaison to the External Financial Auditors for both the interim and final audits, for multiple facilities Review settled cost reports prior to final reopening deadlines to ensure the reports were appropriately settled Prepare and submit cost report reopening requests to obtain additional reimbursement due and otherwise make requests for corrections as appropriate Prepare and submit appeals and subsequent position papers to appeal inappropriate settlements with the PRRB, for assigned facilities Assist in preparation of Social Accountability and Community Needs reports required as part of annual budget process Respond to requests from Hospital Administration and other internal and hospital departments in areas where reimbursement knowledge is required Analyze and inform Hospital Administration of financial impact of operational decisions, as requested This may include preparation of pro-forma analysis and due diligence for new and existing business opportunities and informing Management and Hospital Administration of proposed/final rules and Regulations, which could impact the hospitals' operations Assist in maintenance of rate tables for Medicare, Traditional Medicaid and CHAMPUS in an effort to ensure proper payments are received Monitor interim payment rates and work with the Intermediary to ensure proper payments are being made Participate on the performance initiative to track, review and reduce denials Assist with contract rate issues as requested Collaborate on cross-functional teams to address System standardization needs of processes where reimbursement expertise is required Assist in authoring thorough, accurate policies and procedures for standardized and transparent processes Assist Accounting and Business Office departments with the cash reconciliation process for settlements and interim payments This includes identifying and communicating errors or issues found to these departments Maintain knowledge of current trends and developments in the field by reading appropriate books, journals, and attending related seminars and conferences Actively participate as a member in HFMA as a representative of CHRISTUS Health Assist Director and Senior Managers of Reimbursement Department including education, annual reimbursement conference and other projects Requirements: Bachelor's Degree required Work Schedule: 8AM - 5PM Monday-Friday Work Type: Full Time

Provider Enrollment Specialist Hornet Staffing, Inc. (a GEE Group company) - Irving, 75039, TX (Onsite) Join a reputable and established healthcare organization as an Enrollment Specialist in an in-office role. $23 - 25.00 per hour to start! A stable schedule with no nights or weekends while building your career in a supportive, professional environment. Job Description & Responsibilities : • Coordinates Medicare and Medicaid enrollment/re-enrollment and managed care credentialing and contracting processes for providers., • Serves as administrator for the billing system and assists practices with system issues., • Maintains NPI files and provider numbers., • Monitors accounts receivable to maintain appropriate levels and reviews payments to maximize reimbursement., • Collects and maintains data on providers for Medicare and Medicaid enrollment, • Prepares and submits applications to Medicare and Medicaid for new provider enrollments and existing provider updates; follows up by telephone or in writing with carriers regarding application status, • Complies with Medicare and Medicaid provider enrollment guidelines, • Follows up, either by telephone or in writing, with insurance companies and patients regarding the processing of outstanding claims and/or appeals, • Collects and reviews managed care contracts for correct billing and payment terms, • Reviews Athena correspondence and unpostables.

NOW HIRING: Field-Based QMHP Contractor 📍 Bryan/College Station + surrounding communities 💼 1099 Independent Contractor 💵 $25–$28 per approved billable hour + monthly accelerator enhancements At McHur Care, we believe purpose-driven work happens where life happens—in homes, schools, and throughout the community. We’re looking for a Qualified Mental Health Professional (QMHP) contractor to support youth and families in the Bryan/College Station area. If you’re energized by helping clients build stability in real time and thrive in a community-based setting, this opportunity may be a strong fit. What You’ll Do • Deliver Medicaid-aligned behavioral health services while meeting documentation and compliance standards, • Conduct bio-psychosocial assessments, as assigned and clinically appropriate, • Provide skills training, crisis intervention, medication training support, and case management, as authorized, • Create and update crisis/safety plans as clinically appropriate, • Coordinate with caregivers and care partners to support treatment-planning communication, • Provide face-to-face services in approved settings, including home, school, and community environments, • Complete timely, accurate documentation for billing and compliance, including progress notes, service records, and related documentation Who We’re Looking For • Bachelor’s degree in psychology, social work, or a related field, • QMHP/QMHP-CS eligible, • Experience supporting children, youth, and/or families preferred, • Comfortable working independently in a field-based model, • Strong documentation skills and reliable follow-through with timelines, • Professional, empathetic communication, • Bilingual (English/Spanish) is a plus, especially in the Bryan/College Station market Compensation Base Service Fee (Billable Work) • $25–$28 per approved billable hour, • Proper documentation and coding required Monthly Accelerator Enhancements • Additional $4 to $9 per billable hour based on monthly billable volume under a tiered model Mileage Support Payment (Monthly, if offered) • Flat monthly support based on verified eligible business miles, • Normal commuting excluded, • $100–$800/month depending on eligible mileage tier Optional Ramp-Up Minimum Pay (If offered) • Up to 45 days of ramp support when eligibility conditions are met Other Incentives (If applicable) • Client Recruitment Bonus: $50 per new client enrolled with active insurance confirmation Important Contractor Notes • This is a 1099 independent contractor role and does not include benefits, • Non-billable admin time, travel time, and meetings are not separately compensated unless expressly provided under the plan or a signed statement of work, • Trainings and meetings may be offered; participation is generally voluntary unless otherwise stated Pay Schedule • Work performed 1st–15th → paid on the 22nd, • Work performed 16th–31st → paid on the 7th Service Area & Expectations • Primary coverage: Bryan/College Station + surrounding communities, • Reliable transportation required for travel between approved service locations, • Earnings are performance-driven based on billable output and documentation quality/timeliness Why McHur Care We support the clinicians doing the work with clear expectations, mission-driven teams, and a compensation model designed to reward consistent, high-quality community-based service delivery. Ready to make an impact in El Paso? Apply today or message us to learn more. #BryanJobs #CollegeStationJobs #TexasJobs #QMHP #MentalHealthJobs #BehavioralHealth #CommunityHealth #SocialWorkJobs #BilingualJobs #HealthcareCareers

About Plutus Health Inc.: Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services, certified in SOC2 compliance, and recognized among the Inc. 5000 fastest-growing private companies. We specialize in revenue cycle optimization for hospitals, physician groups, and healthcare organizations across various specialties. Our commitment to innovation and excellence has earned us recognition as a 2024 EY Entrepreneur Of The Year finalist and one of the top 100 fastest-growing companies in Dallas. Job Description: We are seeking an experienced Client Success Manager (CSM) with expertise in medical coding, auditing, and compliance to oversee client relationships, coding operations, and revenue cycle optimization. This role requires a deep understanding of CPT, ICD-10, HCPCS, payer policies, and denial management, ensuring that clients receive best-in-class coding services and compliance support. The ideal candidate will have a strong background in medical coding, compliance audits, RCM workflow optimization, and payer regulations, along with exceptional client relationship management skills. Key Responsibilities: Client Success & Relationship Management: • Serve as the primary point of contact for clients, ensuring smooth communication and resolution of coding-related concerns., • Develop and implement client engagement strategies to maximize satisfaction, retention, and revenue growth., • Conduct Quarterly Business Reviews (QBRs) and compliance audits to drive process improvements., • Identify upsell and cross-sell opportunities within client accounts to expand coding service offerings. Medical Coding & Compliance Oversight: • Ensure adherence to ICD-10, CPT, HCPCS, and payer-specific guidelines across multiple specialties., • Conduct coding audits, documentation reviews, and risk assessments to improve coding accuracy and compliance., • Monitor denial trends, coding discrepancies, and revenue leakage, implementing corrective actions as needed., • Stay up to date with Medicare, Medicaid, and commercial payer regulations, ensuring regulatory compliance., • Provide training and education to clients and internal teams on evolving coding guidelines and best practices. Revenue Cycle & Denial Management: • Optimize coding workflows, ensuring efficient charge capture and clean claim submission., • Collaborate with billing, AR, and denial management teams to reduce denials, enhance revenue recovery, and improve coding accuracy., • Track key performance indicators (KPIs) such as clean claim rates, denial rates, coding accuracy, and compliance scores., • Drive coding automation initiatives to improve operational efficiency and minimize manual errors. Cross-Functional Collaboration & Leadership: • Work closely with operations, compliance, and technology teams to refine and enhance coding service offerings., • Lead and mentor onshore and offshore coding teams, ensuring high performance and adherence to compliance standards., • Partner with business development teams to support client onboarding, process improvement initiatives, and contract renewals., • Act as an RCM Subject Matter Expert (SME) in internal strategy discussions and client engagements. Required Qualifications: • Bachelor’s degree in Healthcare Administration, Business, or a related field (Master’s preferred)., • 7+ years of experience in medical coding, auditing, and revenue cycle management in a leadership role., • Certification required: CPC, CCS, or equivalent (AHIMA or AAPC certification preferred)., • Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies., • Experience in coding audits, denial resolution, and revenue integrity initiatives., • Proficiency in RCM platforms, EHR/EMR systems (Epic, Meditech, Paragon, etc.)., • Experience managing onshore/offshore coding teams and handling multi-client engagements., • Strong analytical, problem-solving, and negotiation skills with the ability to translate data into actionable insights., • 50% travel is required Why Join Plutus Health Inc.? • Work for a fast-growing, innovative company recognized for excellence in healthcare., • Collaborate with a dynamic, supportive team that values professional development., • Make a meaningful impact on patient care and operational success.

About Plutus Health Inc.: Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services, certified in SOC2 compliance, and recognized among the Inc. 5000 fastest-growing private companies. We specialize in revenue cycle optimization for hospitals, physician groups, and healthcare organizations across various specialties. Our commitment to innovation and excellence has earned us recognition as a 2024 EY Entrepreneur Of The Year finalist and one of the top 100 fastest-growing companies in Dallas. Job Description: We are seeking an experienced Client Success Manager (CSM) with expertise in medical coding, auditing, and compliance to oversee client relationships, coding operations, and revenue cycle optimization. This role requires a deep understanding of CPT, ICD-10, HCPCS, payer policies, and denial management, ensuring that clients receive best-in-class coding services and compliance support. The ideal candidate will have a strong background in medical coding, compliance audits, RCM workflow optimization, and payer regulations, along with exceptional client relationship management skills. Key Responsibilities: Client Success & Relationship Management: • Serve as the primary point of contact for clients, ensuring smooth communication and resolution of coding-related concerns., • Develop and implement client engagement strategies to maximize satisfaction, retention, and revenue growth., • Conduct Quarterly Business Reviews (QBRs) and compliance audits to drive process improvements., • Identify upsell and cross-sell opportunities within client accounts to expand coding service offerings. Medical Coding & Compliance Oversight: • Ensure adherence to ICD-10, CPT, HCPCS, and payer-specific guidelines across multiple specialties., • Conduct coding audits, documentation reviews, and risk assessments to improve coding accuracy and compliance., • Monitor denial trends, coding discrepancies, and revenue leakage, implementing corrective actions as needed., • Stay up to date with Medicare, Medicaid, and commercial payer regulations, ensuring regulatory compliance., • Provide training and education to clients and internal teams on evolving coding guidelines and best practices. Revenue Cycle & Denial Management: • Optimize coding workflows, ensuring efficient charge capture and clean claim submission., • Collaborate with billing, AR, and denial management teams to reduce denials, enhance revenue recovery, and improve coding accuracy., • Track key performance indicators (KPIs) such as clean claim rates, denial rates, coding accuracy, and compliance scores., • Drive coding automation initiatives to improve operational efficiency and minimize manual errors. Cross-Functional Collaboration & Leadership: • Work closely with operations, compliance, and technology teams to refine and enhance coding service offerings., • Lead and mentor onshore and offshore coding teams, ensuring high performance and adherence to compliance standards., • Partner with business development teams to support client onboarding, process improvement initiatives, and contract renewals., • Act as an RCM Subject Matter Expert (SME) in internal strategy discussions and client engagements. Required Qualifications: • Bachelor’s degree in Healthcare Administration, Business, or a related field (Master’s preferred)., • 7+ years of experience in medical coding, auditing, and revenue cycle management in a leadership role., • Certification required: CPC, CCS, or equivalent (AHIMA or AAPC certification preferred)., • Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies., • Experience in coding audits, denial resolution, and revenue integrity initiatives., • Proficiency in RCM platforms, EHR/EMR systems (Epic, Meditech, Paragon, etc.)., • Experience managing onshore/offshore coding teams and handling multi-client engagements., • Strong analytical, problem-solving, and negotiation skills with the ability to translate data into actionable insights., • 50% travel is required Why Join Plutus Health Inc.? • Work for a fast-growing, innovative company recognized for excellence in healthcare., • Collaborate with a dynamic, supportive team that values professional development., • Make a meaningful impact on patient care and operational success.

Medix Infusion is seeking a detail-oriented and knowledgeable Insurance Specialist to join our patient services team. This position is responsible for verifying insurance benefits, obtaining prior authorizations, and ensuring accurate billing for infusion services under major medical benefit plans. The ideal candidate has a strong background in medical insurance processes, particularly in the infusion therapy space, and is adept at navigating complex payer guidelines and authorization requirements. Medix Infusion is a technology-driven healthcare platform enhancing patient care and access to infusion therapies, specializing in disease management and infusion pharmacy services for chronic and acutely ill patients, especially in underserved communities. We offer personalized home and in-suite infusion therapies, ensuring convenience and comfort. Our expert team provides a comprehensive range of treatments, including anti-infectives, biologics, IVIG, and other injectables, making each patient’s journey as smooth as possible. Key Responsibilities: • Verify patient insurance benefits for infusion services, with a focus on major medical coverage., • Secure and track prior authorizations for all infusion therapies, including specialty and biologic drugs., • Collaborate with referring providers, case managers, and internal clinical staff to collect required documentation., • Communicate authorization status, denials, and payer-specific coverage criteria to appropriate departments., • Utilize EMR systems and payer portals to enter and track insurance and authorization data accurately., • Review clinical notes and plan of care to align with payer requirements., • Follow up proactively on pending authorizations to prevent delays in patient care., • Appeal denied authorizations in collaboration with billing and clinical teams., • Maintain up-to-date knowledge of insurance policies, coding changes, and authorization procedures., • Support billing team in claim submission by ensuring proper coverage validation and documentation., • High school diploma or equivalent (Associate’s or Bachelor’s degree in healthcare or related field preferred)., • Minimum of 2-3 years experience in insurance verification and authorizations, specifically for infusion therapy., • In-depth knowledge of major medical insurance plans, including Medicare, Medicaid, and commercial payers., • Experience using most major payer portals., • Strong understanding of CPT/HCPCS codes related to infusion and injectable therapies., • Excellent communication, organizational, and problem-solving skills., • Familiarity with specialty pharmacy or home infusion services., • Knowledge of revenue cycle operations and medical billing processes. The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk, and hear. There may be prolonged periods of sitting, keyboarding, and reading. The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors, and staff. Why Join Us? • Compassionate Team: Join a dedicated team focused on exceptional patient care., • Supportive Environment: Thrive in a positive work culture with growth opportunities., • Competitive Compensation: Enjoy a comprehensive benefits package and competitive pay., • Excellent Culture: Rated highly by our employees (NPS Score)., • Patient-First Approach: We treat others as we want ourselves or our families treated., • Integrity: We are committed to doing the right thing in all situations., • Team-Oriented: Work in a collaborative environment with an emphasis on positive intent., • Comprehensive Benefits: Health and life insurance, voluntary dental/vision insurance., • Retirement Savings: 401(k) plan with company contributions. Medix Infusion will only employ individuals who are legally authorized to work in the United States. Any offer of employment is conditioned upon the successful completion of pre-employment screenings.

Sales Dallas, TX * ID: 26R-10 * Full-Time/Regular Nearly 37 million Americans are currently affected by Chronic Kidney Disease. 37 million. At Akebia we take that number very seriously and every day we come to work, with the purpose of bettering the lives of each person impacted by kidney disease and the renal community that serves them. Our tenacious, passionate employees' challenge the status quo and work to develop unique therapeutics that have the potential to set new standards of care for people living with kidney disease. This is life-changing work, and we are all in, are you? Job Summary The Key Account Manager ("KAM") is a field-based position responsible for representing Akebia products to physicians and healthcare professionals and performing total territory account management. The KAM is responsible for developing consultative relationships with Renal Healthcare Providers (HCPs) and will provide comprehensive clinical and economic knowledge of Akebia products, presenting our products' value proposition to key stakeholders. The KAM will develop a comprehensive and effective and actionable territory business plan aimed at achieving and exceeding annual sales goals and supported by solid analytics and will provide account management support to Nephrology accounts within a specific geography. Essential Functions & Duties • Prioritize local market opportunities amongst top tier health care professionals including nephrologists and renal dietitians and affiliated group practices and dialysis organizations facilities, • Develop and maintain a high level of product, disease area knowledge, Akebia product clinical data via approved PRC materials (training and external materials) with customers in a professional way, • Develop and evaluate account business plans to ensure they continue to meet strategic goals and align with latest trends and changes within key customer segments or accounts, • Present account business plans to management, • Communicate both clinical and economic information to large group practices, physician executives, medical directors in-line with promotional guidelines, • Demonstrate strong account management skills and detailed follow-up, within the renal care team, to support the initiation and maintenance of patients on Akebia products, • Serve as a resource to customers and Akebia employees regarding local, regional and national payer policies, reimbursement regulations and processes Medicare and Medicaid rules and regulations, and OSHA and HIPAA compliance as related to Akebia products, • Communicate and capitalize on open formulary access, through effective implementation of the strategic targeting and pull through plan, • Maximizes use of approved resources to achieve territory and account level goals Basic Qualifications: • Bachelor's degree, • 5+ years pharma/account management selling experience, • Possess valid driver's license, • Graduate business or healthcare related degree preferred, • Buy and bill experience and success, • Biologic/biotech sales and reimbursement experience Targeted Base: $145,159 - $179,314* *Base Compensation for this role will depend on a number of factors including a candidate's qualifications, skills, competencies, and experience, and may fall outside of the range shown. Base pay is only one component of the company's total rewards package, all regular employees are also eligible for the corporate bonus program or the incentive compensation program (if applicable), as well as equity. Additional benefits include health care, vision, dental, retirement, PTO, etc. Are you an Akebian? An Akebian is curious, empathetic, and values making connections to people and ideas. Akebian's aren't afraid of diving in and owning a process or a problem, because we all want to deliver a great solution. Akebian's believe that we are better together because we are all working toward a common purpose - to better the life of each person impacted by kidney disease. Want to learn more about what it means to be an Akebian? Visit our website: ___ Akebia is an equal opportunity employer and welcomes all job applicants. All qualified applicants will receive consideration for employment without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristics protected by applicable law.

Job Description 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. About Headway We make it easy for mental health providers to take insurance by credentialing you with the nation’s largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. With Headway, you can finally focus on what matters most: providing life-changing care. We’ll take care of the rest.

PMHNP with CA License The opportunity: Location requirement: This opportunity is only open to Psychiatric Mental Health Nurse Practitioners (PMHNPs) who hold an active, unrestricted license to practice in the state of California. This is an independent contractor (1099) opportunity. We are looking for licensed Psychiatric Mental Health Nurse Practitioners (PMHNP) to join our diverse network of contracted providers. Contracting with Rula is free of charge, has no minimum client requirements, and enables you to deliver high-quality patient care while also achieving your income goals. At Rula, we handle the administrative work (new client marketing, verifying insurance, credentialing, billing, support, EHR, audits, and compliance) so that you can focus on delivering great care for patients. Who we are Rula is a comprehensive behavioral health solution, dedicated to making mental health care work for everyone. Rula takes a patient-first approach, where treatment is more accessible, personalized, and effective. With Rula, it’s easy to find a high-quality therapist or psychiatric clinician who accepts insurance and is actively accepting new patients. We are deeply committed to providing high-quality care that improves the lives of patients, investing in the providers who deliver that care, and always operating in an ethical and compliant manner. What we're solving Over 65 million Americans have a treatable mental health issue — that’s 1 in 5 people. Today it’s difficult to find a provider, and for those with complicated conditions, it’s nearly impossible to find coordinated care. There’s a good chance someone close to you could have used the help, even if it wasn’t obvious to the people around them. We’re here to fix this. Our mission Rula's mission is to make mental healthcare work for everyone. Minimum qualifications: • An unrestricted license and valid DEA number registered in California., • 1+ years as a psychiatric nurse practitioner with experience with mental health assessment, diagnosis, triage, managing common psychiatric medication and treatment plans, and managing crisis situations., • Independent licensure and/or working with collaborating MD, as required by state law., • Certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP) by the American Nurses Credentialing Center (ANCC)., • Registration with state Prescription Monitoring Program (PMP)., • No suspension/exclusion/debarment from participation in federal healthcare programs (e.g., Medicare, Medicaid, SCHIP)., • No adverse actions by any nursing board, hospital or other credentialing body in the past 3 years., • A master's or doctoral degree from an accredited university or graduate program in psychiatric mental health nursing., • The ability to provide telehealth.Compensation details:, • Per session payment of $110 per initial visit (60 min) and $70 per follow-up visit (30 min), • Additional $35 payment for 90833 coding, • Direct deposit every two weeks with no need to worry about unpaid claims, • Provide clinical assessments for patients seeking mental healthcare ,including diagnostic assessments, psychiatric workups, and treatment planning, including medication management, • Work with individuals who are struggling with mental health issues such as depression, anxiety, trauma, and addiction, • Have access to our EHR & telehealth platform, • Receive support from our Support and Care Coordination teams, • Have adequate time to engage with patients - half-hour sessions for follow-up visits and 1 hour for initial consultations, • Be free to focus on patient care. Rula Mental Health takes care of all the credentialing, billing, and marketingOur clinic offers:, • Flexibility: You set your own schedule and determine how many patients you would like to see. You can adjust this at any time., • See patients quickly: Rula takes care of the insurance credentialing process. With your help, we can get you paneled and ready to see patients in as little as 30 days. This includes setting up your Rula profile and educating you on our guidelines and HIPAA-compliant EHR system., • Practice support: We manage the administrative side of private practice, including marketing, verifying client insurance benefits, and handling the invoicing/billing process so you can accept insurance without ever interacting with it directly. Further, we have a dedicated Support team so you and your patients have the help you need when you need it., • Clinical leadership: Rula's executive team includes a licensed provider engaged in business decisions and planning, ensuring the provider perspective is always included., • Fully compliant and ethical: We are fully compliant with HIPAA and have a Medical Records team to handle all releases, audits, or record requests. Our practices align with your professional Code of Ethics and all regulatory requirements., • Clinical support: Our Care Coordination team manages Higher Level of Care requests for your patients. *When applying, please enter your first and last name exactly as it appears on your DEA license

Job Description Licensed Clinical Psychologist (Virtual) at Headway summary: Licensed Clinical Psychologists provide mental health care services, diagnosing and treating psychological disorders. This role involves launching or expanding a private practice, accepting insurance to increase accessibility and earnings, and maintaining compliance with professional standards. Utilizing platforms like Headway, psychologists can manage their practice efficiently while reaching more clients through insurance networks. " "" 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: Clinical Psychology, Mental Health, Licensed Psychologist, Private Practice, Insurance Billing, Patient Care, Psychotherapy, EHR Management, Credentialing, Continuing Education

The primary purpose of the Reimbursement Manager is to ensure proper payments are received from Third Party programs and proper accounting of such programs is maintained. Scope of accounting responsibility includes Medicare, Medicaid, USFHP, CHAMPUS, Blue Cross, Worker's Compensation and Managed

Job Description Join One of the Fastest Growing Mental Health Organizations in Texas! Texas Care Love Field is a growing mental health clinic dedicated to improving access to quality behavioral health services for children, adolescents, and families on Medicaid. We take pride in offering compassionate, culturally responsive, and trauma-informed care that supports healing and growth. Position Summary: We’re seeking a passionate and experienced Qualified Mental Health Professional (QMHP) to join our Love Field team. In this community-based position, you will deliver IN PERSON mental health services—including skills training, case management, and crisis intervention—to clients with complex behavioral health needs. You’ll work closely with clients and families to create individualized Recovery/Treatment Plans, all while fostering growth and independence. Responsibilities: * Provide skills training, behavioral support, and community-based interventions for children and adolescents (ages 3–17) and their families. • Deliver a minimum of 30 hours of billable services weekly with an active caseload, • Meet clients face-to-face in homes, schools, community settings, and occasionally in-office Implement, and monitor individualized treatment plans in collaboration with licensed supervisors. * Complete progress notes, treatment updates, and service documentation accurately and within required timelines to ensure Medicaid compliance. * Coordinate care with schools, social service agencies, and other providers. * Maintain compliance with Medicaid standards and documentation requirements. * Continuous community outreach to promote clinic and maintain caseload which can include attendance at local events * Communicate regularly with supervisors and administrative staff for case coordination. Work Environment: • Primarily community-based with some office activities, • Flexible scheduling, including evening/weekend availability based on client and clinic needs, • Full-time, 40+ hours/week, • Supervised by the Clinical Supervisor Bachelor’s degree in health management, psychology, counseling, sociology, or related human services field required. * Must meet Texas Health and Human Services Commission (HHSC) definition of a Qualified Mental Health Professional (QMHP). * Minimum 1 year of experience providing direct mental health services to children, adolescents, or families or have a current caseload. * Current and active CANS, ANSA, and Nurturing Parenting certifications required. * Knowledge of Medicaid standards a plus. * Excellent written and interpersonal communication skills. * Reliable transportation for community-based visits (if applicable). Additional Requirements: • Valid Texas Driver’s License (Type C), • Reliable transportation with valid/current insurance, • Clear criminal background check and driving record, • Negative TB test (or provide proof of test within past 12 months), • Cleared drug screening 1099 Contractor role – pay based on billable hours. * Competitive pay rate: $26–$30 per billable hour, depending on experience and certifications. * Incentive opportunities as the clinic grows. * Flexible scheduling with options for telehealth and in-person services. Equal Opportunity Employer Texas Care is committed to creating a diverse, inclusive, and safe environment for all employees and clients. We do not discriminate based on race, color, religion, gender identity, sexual orientation, age, disability, veteran status, or any other protected class. Ready to Make a Difference? Apply now and take the next step in your behavioral health career with Texas Care – Love Field.

Position Summary: The Reimbursement Specialist (Skilled Reimbursement/Hospice) will be responsible for billing and revenue cycle management thorough insurance benefit investigation of new referrals, assignment of collections with a variety of payers, authorization requests, and claim submissions. Schedule: Monday-Friday 8am to 5pm Central Standard Time (Remote) We offer our team the best << • Medical, Dental and Vision Benefits, • Continued Education, • PTO Plan, • Retirement Planning, • Life Insurance, • Accurately interprets patient insurance, prescription and other health-related documentation, • Conducts medical insurance verifications and investigations for commercial and government payors, • Communicates with insurance companies, patients, providers and prescribers to coordinate reimbursement and access solution, • Reviews unpaid accounts to determine status and taking appropriate action to ensure payment., • Reviews all claims for compliance and completeness for claims submissions., • Researches available alternative funding options to reduce patient’s financial burden, • Handles high call volumes, • Communicates with internal and external departments to facilitate coordination of care, • Maintains a high degree of confidentiality at all times due to access to sensitive information, • Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department, • Follows all Medicare, Medicaid, and HIPAA regulations and requirements, • Abides by all regulations, policies, procedures and standards, • High school diploma or equivalent is required; Undergraduate degree is preferred, • 5 years of healthcare collections/billing experience preferred, • Strong understanding of hospice billing regulations (Medicare, Medicaid, commercial, • Ability to read and interpret EOBs, remittances, and denial codes, • Effective payer follow-up and escalation strategies, • Ability to resolve claim holds, rejections, and denial, • Ability to identify trends in denials or delay, • Root-cause analysis to prevent recurring issues, • High attention to detail to ensure clean claims, • Ability to work AR reports and aging summaries accurately, • Clear, professional communication with internal teams and payer reps, • Ability to explain payer issues in plain, understandable language, • Possess quick and accurate Alpha/numeric data entry skills, • Computer proficiency – MS Office and Web-enabled applications strongly preferred, • Customer service skills required., • Maintains positive internal and external customer service relationships, • Plans and organizes work effectively and ensures its completion, • Meets all productivity requirements, • Demonstrates team behavior and promotes a team-oriented environment, • Actively participates in Continuous Quality Improvement, • Represents the organization professionally at all times, • Self-starter with exceptional organizational and follow-through skills #ACADCOR #CBACADCOR #DJADCOR #IndeedADCOR Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index. View the full rankings here: .

Position Summary: The Licensure & Enrollment Supervisor will maintain responsibility for the regulatory filings required for participation/enrollment in the Medicare and Medicaid programs, state and local licensing agencies, accrediting bodies, and other regulatory and licensing agencies. Ideal candidates for this role will have previous credentialing and or provider enrollment experience, experience with Medicare & Medicaid Enrollment including PECOS experience. Location: Remote Schedule: Monday through Friday 40 hours a week We offer our team the best << • Medical, Dental and Vision Benefits, • Continued Education, • PTO Plan, • Retirement Planning, • Life Insurance, • Employee discounts, • Researches, completes and submits all regulatory applications and filings required by the Medicare and Medicaid programs, state and local licensing offices, and accrediting agencies, • Responsible for ensuring all deadlines for applications and revalidations are met and enrollments in all programs remain active at all times, • Communicates and corresponds with ___, • Develops and maintains relationships with CMS, the various Fiscal Intermediaries, Medicaid programs, state and local licensing offices, and other regulatory and licensing agencies, • Ensures that licensure applications and documentation are complete, • Maintains active database of agency contact information and filing deadlines, • Enters all updates into the agency portals in a timely manner, • Maintains current knowledge of rules, regulations and applications for each state where Company’s hospice and home health agencies are located, • Assists in ensuring agency status changes (relocations, openings and closings) are properly communicated to CMS, Medicaid programs, and state and local licensure agencies, • Assist with and/or complete special reports as needed, • Follows all Medicare, Medicaid, and HIPAA regulations and requirements, • Abides by all applicable regulations, policies, procedures, and standards, • Maintains positive internal and external customer service relationships, • Maintains open lines of communication, • Plans and organizes work effectively and ensures its completion, • Meets all productivity requirements, • Demonstrates team behavior and promotes a team-oriented environment, • Bachelor’s degree in Business, Social Services or a related field, • Experience in the following areas is considered relevant and preferred – healthcare regulatory/licensing and enrollment and project management/coordination, • Excellent communication skills (written and verbal), • Excellent analytical, oral and written communication including prior experience in proposal development and technical writing, • Computer Proficiency - MS Office other computer skills, including scheduling software or database is desired, • Attention to detail; ability to understand and comply with program/contract policies and procedures #IndeedADCOR #ACADCOR #CBACADCOR #DJADCOR Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index. View the full rankings here: .

POSITION SUMMARY: Reporting to the Vice President of Quality Assurance, the Regional Quality Assurance Manager is responsible for facilitating and assuring in home care service provision is compliant with applicable Medicaid, Medicaid waiver, MCO, and other licensure and contractual requirements throughout Michigan, Ohio, Delaware, Pennsylvania and Tennessee. Location: This is a fully remote role We offer our team the best << • Medical, Dental and Vision Benefits, • Continued Education, • PTO Plan, • Retirement Planning, • Life Insurance, • Employee discounts, • Develop, review, revise and implement standardized state specific policies, procedures and work processes that comply with Medicaid and other regulatory/contractual payer agreements, • Educate branch leadership and staff on state regulatory and contract requirements., • Perform on-site and desktop audits and monitoring to assess branch level compliance with applicable rules and regulations., • Oversee and support external agency audit processes including audit preparation, deficiency remediation and corrective action planning., • Monitor corrective action execution and drive accountability., • Drive operational compliance and quality outcomes., • Report internal and external audit findings at all levels including branch, regional and senior leadership., • Facilitate investigation, reporting and resolution of critical incidents and complaints., • Investigate requests for recoupments by reviewing records and documentation., • Maintain positive internal and external customer service relationships, • Maintains open lines of communication, • Plans and organizes work effectively and ensures its completion, • Meets all productivity requirements, • Demonstrates team behavior and promotes a team-oriented environment, • Actively participates in Continuous Quality Improvement, • Bachelor’s Degree in Business, Social Services, Public Administration, Nursing or a related field of study, • 3 – 5 years of experience in health care, social services or a related industry, • Audit experience is preferred, • Some experience in a large, fast-paced, results-driven, multi-site organization, • Must possess strong communication, written, interpersonal and organizational skills, • Proficiency in using Microsoft Word, Excel, PowerPoint and Outlook, required., • Ability to travel up to 75%. Position may work remotely., • Must be self-confident, thorough, and prompt in completing assignments and projects, • Passionate, energetic, tenacious and resolute, with a high sense of urgency and a strong drive to produce results This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Text 10532 to 334-518-4376 to start your journey with Addus HomeCare today! #IndeedADCOR #ACADCOR #CBACADCOR #DJADCOR Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index. View the full rankings here: .

Job DescriptionProvider Enrollment Specialist 5101 O'Connor Blvd, Irving, TX 75039 Start: 08:00:00 to End: 17:00:00 Notes: Provider Enrollment Specialist - ONSITE Submit with proof of education; High School Diploma 1-3 years of Payer Enrollment experience Solid knowledge of PC applications to include WORD, EXCEL, ACCESS. Monday-Friday Summary: Coordinates Medicare and Medicaid enrollment/re-enrollment and managed care credentialing and contracting processes for providers. Serves as administrator for the billing system and assists practices with system issues. Maintains NPI files and provider numbers. Serves as customer service liaison. Monitors accounts receivable to maintain appropriate levels and reviews payments to maximize reimbursement. Interacts with patients, insurance carriers, the billing vendor, and practice personnel concerning patient accounts. Performs all functions in a courteous and professional manner. Responsibilities: Collects and maintains data on providers for Medicare and Medicaid enrollment Prepares and submits applications to Medicare and Medicaid for new provider enrollments and existing provider updates; follows up by telephone or in writing, with carriers regarding application status Complies with Medicare and Medicaid provider enrollment guidelines Requests NPI numbers for providers and clinics as necessary and maintains NPI files Follows up, either by telephone or in writing, with insurance companies and patients regarding the processing of outstanding claims and/or appeals Generates various reports to identify outstanding claims issues with provider numbers and non-payment Communicates information to appropriate personnel Educates staff on corrections, e.g.. front-end entry errors in a positive, constructive manner Collects and reviews managed care contracts for correct billing and payment terms Identifies problem accounts and follows through to completion Reviews Athena correspondence #TB_HC #ZRHCCompany DescriptionFounded in 2002 by three former Monster.com executives; TalentBurst is an award-winning full-service Staffing Firm working directly with Fortune 500 companies in the US and Canada. We specialize in Contract and Contract to Permanent roles across many industries and have direct/contractual relationships with all our clients. Please visit our website or come meet us at our offices in Natick, MA, Miami, FL, Christiansburg, VA, Vineland, NJ, Houston, TX & downtown San Francisco, CAFounded in 2002 by three former Monster.com executives; TalentBurst is an award-winning full-service Staffing Firm working directly with Fortune 500 companies in the US and Canada. We specialize in Contract and Contract to Permanent roles across many industries and have direct/contractual relationships with all our clients. Please visit our website or come meet us at our offices in Natick, MA, Miami, FL, Christiansburg, VA, Vineland, NJ, Houston, TX & downtown San Francisco, CA

When you're the best, we're the best. We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents while living and working as their authentic selves. We provide extensive opportunities for personal and professional development, building both employee competence and organizational capability to fuel exceptional performance through an inclusive environment both now and in the future. Summary: In this role, you will serve as an expert in the review, analysis, and assessment of 340B and drug pricing policies. You will communicate policy content and its impact on the 340B program and to stakeholders and Apexus leadership and staff. You will serve as a liaison with the Health Resources and Services Administration (HRSA) operational staff to ensure consistency and accuracy of Prime Vendor Program (PVP) policy support including content provided by call center responses, educational programs, and resources with government policy. You will collaborate with leadership and other Apexus staff to ensure consistent and accurate communications with HRSA team members. Responsibilities: * Review and evaluate the stakeholder impact of 340B, the Inflation Reduction Act, and adjacent drug pricing guidance, positions, legislation, litigation, and policies. * Serves as a liaison with HRSA operational staff to ensure consistency and accuracy of PVP policy support, including technical assistance provided by the Apexus Answers call center. * Maintain HRSA's Frequently Answered Questions in alignment with the HRSA team. * Develop and review content for 340B policy education and communication. * Liaise with stakeholders to determine the needs and goals of policies. * Identify and analyze market trends and conditions impacting 340B and drug pricing policy and provide insights on emerging strategies. * Maintain collaborative relationships with key stakeholder groups (providers, industry, consultants, and government agencies) engaged with the 340B program. * Support evaluation of policy impact on business strategies and marketplace. * Represent Apexus at meetings by preparing and delivering presentations. Qualifications: * PharmD, Juris Doctorate, or comparable relevant degree required. * 10 or more years of relevant experience with deep technical expertise in drug pricing/pharmaceutical-related fields required. • Prefer deep expertise in CMS policies (IRA, Medicaid, OPPS, pharmaceutical market access, etc.) In-depth knowledge of stakeholders, policies, and vendors serving the 340B market is needed. * Ability to interpret legal and policy documents into concise internal and external communications preferred. * Prior experience managing multiple project elements at the same time; synthesizing insights from analysis and ensuring credible, actionable recommendations preferred. * Strong communication and project management skills. * Willingness to travel. #AC-LI Estimated Hiring Range: At Vizient, we consider skills, experience, and organizational needs in our compensation approach. Geographic factors may adjust the range estimate and hires typically fall below the top range. Compensation decisions are tailored to individual circumstances. The current salary range for this role is $135,200.00 to $236,600.00. This position is also incentive eligible. Vizient has a comprehensive benefits plan! Please view our benefits here: Equal Opportunity Employer: Females/Minorities/Veterans/Individuals with Disabilities The Company is committed to equal employment opportunity to all employees and applicants without regard to race, religion, color, gender identity, ethnicity, age, national origin, sexual orientation, disability status, veteran status or any other category protected by applicable law.

Territory: Dallas South, TX - Neurology Target area for territory is Dallas - will consider candidates who live within 40 miles of territory boundaries with access to a major airport. Territory boundaries include: Dallas Metro/Downtown Dallas,Presby andPalestine. SUMMARY: Are you a results-driven biopharmaceutical sales professional looking to be part of an organization that values being curious, adaptable and accountable? Lundbeck is a global biopharmaceutical company focusing exclusively on brain health. With more than 70 years of experience in neuroscience, we are committed to improving the lives of people with neurological and psychiatric diseases. Lundbeck employees are inspired and driven by our purpose to advance brain health and transform lives. It's a very exciting time to join our team as we lead the way in creating positive customer experiences! As a BioPharmaceuticals Account Manager, you lead the promotion of our infusion product, driving demand creation by providing comprehensive clinical knowledge, executing sales and marketing strategies in the local market and partnering to deploy approved services necessary to meet the needs of each account/customer. Our Account Managers are adept at executing against the toughest commercialization challenges in today's rapidly changing environment and must demonstrate strong capability in the following areas: ESSENTIAL FUNCTIONS: Business Planning & Account Leadership- Ability to use digital tools and apply customer and data-based insights to build opportunities, develop strategy & tactics and prioritize resources to enhance territory effectiveness in competitive markets. Selling- Deliver messages in a clear and compelling way to customers, effectively probe customer needs to handle objections, and close every call with a commitment to action to drive changes in behavior. Engage with multi-disciplinary customers using a total office call approach to communicate value proposition of a new delivery method. Customer Development- Entrepreneurial mindset to gain access, build and maintain productive internal and external relationships through effective communication and collaboration based on customer needs and organizational goals. Payer Access -Ability to grasp sophisticated reimbursement and distribution processes in a complex coverage landscape. Anticipates and communicates impact on product portfolio to key internal and external partners and effectively addresses payer access issues (Medicare, Medicaid, Commercial) using Lundbeck resources. Local Market & Therapeutic Area Expertise - Gather and validate key trends and dynamics in the market, map account linkages, and apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Demonstrates a clear and detailed understanding of the disease state and its impact on customers and patients including the full range of treatment options available. Pharmaceutical Environment/Compliance - Ability to apply knowledge of pharmaceutical and regulatory environment, including Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. Ability to apply knowledge of overall healthcare economy and industry practices. Accountability and adherence to corporate, FDA, and PDMA guidelines. REQUIRED EDUCATION, EXPERIENCE and SKILLS: • Bachelor of Arts or Bachelor of Sciences degree from an accredited college or university., • 4+ years pharmaceutical, biopharmaceutical, biologics, medical device sales or related healthcare sales experience., • Ownership and accountability for the development and execution of a fully integrated account plans., • Self-starter, with a strong work ethic and outstanding communication skills., • Proven track record of consistent sales performance., • Must demonstrate the intellectual capacity to score highly on disease and product training exams, including being certified on product knowledge annually., • Must be computer literate with proficiency in Microsoft Office Software., • Must live within 40 miles of territory boundaries., • Driving is an essential duty of this job; must have a valid driver's license with a safe driving record that meets company requirements., • Meeting and complying with reasonable industry-standard credentialing requirements of healthcare providers / customer facilities is required for continued employment with Lundbeck. PREFERRED EDUCATION, EXPERIENCE AND SKILLS: • Previous experience within a specialty product sales force., • Infusion/rare disease sales experience in both the Outpatient Infusion setting and Specialty Pharmacy channel with a strong understanding of pricing and reimbursement., • Neurology experience specific to migraine., • Experience in both the medical or specialty pharmacy benefit market., • Experience working with high influence customers in physician clinics, integrated health systems, infusion centers and alternative sites of care., • Product launch or expansion experience, particularly in a new therapeutic class., • Strong analytical background, and experience using sales data reporting tools to identify trends., • Strong leadership through participation in committees, job rotations, panels and related activities. TRAVEL: • Willingness/Ability to travel up to 30% - 40% domestically to (a) regularly meet/interact with customer base and internal personnel within assigned territory; and (b) typically attend 4-8 internal/external conferences and meetings spanning locations within the United States. Travel must be able to be completed in a timely manner. The range displayed is a national range, and if selected for this role, may vary based on various factors such as the candidate's geographical location, qualifications, skills, competencies, and proficiency for the role. Salary Pay Range: $155,000 - $172,000 and eligibility for a sales incentive target of $41,500.Benefits for this position include flexible paid time off (PTO), health benefits to include Medical, Dental and Vision, company match 401k and company car. Additional benefits information can be found on our ___. Applications accepted on an ongoing basis. Why Lundbeck Lundbeck offers a robust and comprehensive benefits package to help employees live well and protect their health, family, and everyday life. Information regarding our benefit offering can be found on the ___. Lundbeck is committed to working with and providing reasonable accommodations to disabled veterans and other individuals with disabilities during our employment application process. If, because of a disability, you need a reasonable accommodation for any part of the application process, please visit the ___. Lundbeck is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status, and any other characteristic protected by law, rule, or regulation. Lundbeck participates in ___.

Job DescriptionAbout usGoodwill Healthcare Services is a home healthcare agency in Dallas, TX. We are professional, agile, supportive and our goal is to help patients get a better understanding of their health while maintaining their independence as they recover in the comfort of their own home. Only apply if you live within NO MORE than 25 miles of 75243 area(Forest Lane/635) We are seeking a motivated and outgoing Administrative Assistant to join our team. In this role, you will provide support to our office employees, ensuring they have all the information and resources they need to perform their best. The ideal candidate is highly organized with excellent written and verbal communication skills and a friendly demeanor. Previous experience is REQUIRED as an Administrative Assistant in the Medical Office/Home Health setting. Knowledge of Medicare and Medicaid. Due to hectic work schedules, please do not call the office. Our work environment includes On-the-job training Responsibilities • Responsible for scheduling agency patient visits., • Scheduling includes invoicing, Preparing Payroll, • Maintains and updates patient information to enhance highest quality patient care., • Consults with all members of the treatment team and DON on a regular basis to coordinate quality, goal-oriented home health care., • Serves as liaison between patients, caregivers, doctors and doctors office staff, agency administrative staff and contracted services., • Daily tracking/assist in faxing and follow up on Physician Orders (PO’S) and Plan of Care (POC)., • Organizes, sorts, and maintains documentation in patient files in a timely manner., • Provides clerical support which includes preparation of Admission, Orientation and New Hire packets, typing, special projects, filing and copying., • Assists with maintenance of personnel files., • Assist in Payroll preparation as well as coordination of invoices to Administrator., • Assists with communications which include phone system, memo’s, answers incoming calls, documents and disseminates appropriate messages., • Provides computer support and data entry daily., • Promotes the agency’s philosophy and mission by presenting a positive image to patients/families, physicians and community agencies., • Provide effective communication to patient/family, team members, and other health care professionals and maintain confidentiality., • Receives and appropriately documents new referrals in a timely manner., • Provides effective communication to patients/clients, staff members, other health care professionals and referral sources., • Responds to Agency and patient/client needs in a professional and creative manner., • Demonstrates commitment, professional growth and competency., • Participates in Agency-sponsored In-Service training., • Promotes the Agency philosophy and administrative policies to ensure quality of care., • Performs other duties as required., • Verification and Authorization of potential patients, • Process Referral to DME, therapist, lab work, and other and follow upExperience:·Previous experience in a home health office assistant or administrative role preferred, • Proficient in data entry and computer literacy, • Experience with order entry systems is a plus (Axxess), • Knowledge of Microsoft Word, MS Teams, Excel, and Zoom., • Strong customer service skills and ability to handle inquiries professionally, • Ability to multitask and prioritize tasks effectively, • High school diploma/GED required, Associate’s degree or administrative training is preferred, • Previous experience as an Administrative Assistant or in a similar position, • Familiarity with standard office equipment such as printers and fax machines, • Excellent computer skills and knowledge of Microsoft Word, Outlook, and PowerPoint, • Highly organized with excellent time management skills and the ability to prioritize projectsPlease only apply if this pay rate range is acceptable to you ($15.00-$18.00) and only if you live within 25 mile radius. Being a small home health agency we do not offer any health benefits and only a couple of paid holidays.

Job Description Our private practice in the Dallas, TX area is seeking a motivated general dentist for a fast paced, patient focused practice! Our general dentist is responsible for providing personalized care to all dental patients that visit our family practice. We are looking for a long term fit to continue to grow with our practice. Income potential is easily 150k++. Recommended 2 + years of experience. Previous medicaid credentialing and experience required. Required Qualifications: • Ability to work with pediatric patients, • DMD or DDS from accredited dental school, • Valid state dental license, • Competence in all facets of general dentistry, • Strong focus on clinical excellence, • Ability to maintain state required insurance coverage

Job Description Insurance Verification & Authorizations Specialist Ambulatory Surgery Center Location: Onsite – DFW Area Position Type: Full-Time | Healthcare Revenue Cycle Position Summary We are seeking an experienced Insurance Verification & Authorizations Specialist to manage front-end revenue cycle functions for an ambulatory surgery center and pain management practice. This onsite role is critical to ensuring accurate benefits verification, timely prior authorizations, and proactive follow-up across multiple payers and portals. Key Responsibilities * Verify insurance eligibility, benefits, deductibles, co-insurance, and out-of-pocket maximums * Obtain and track prior authorizations for surgical, interventional pain, and diagnostic procedures * Perform authorization follow-up to ensure approvals are received prior to date of service * Navigate and manage all major payer online portals (Medicare MACs, Medicaid, BCBS, UHC, Aetna, Cigna, Tricare, etc.) * Enter and maintain accurate authorization and benefit data within HST Pathways * Communicate authorization requirements and financial responsibility clearly to staff and patients * Escalate delayed or denied authorizations and document outcomes * Maintain compliance with payer-specific rules and timelines Required Qualifications * Minimum 2–3 years experience in insurance verification and prior authorizations * Hands-on experience with HST (HST Pathways) – required * Strong working knowledge of ASC and pain management workflows * Proven ability to use payer web portals efficiently and independently * Familiarity with Medicare, Medicaid, and commercial payer authorization rules * High attention to detail and strong follow-through skills * Ability to manage multiple cases simultaneously in a fast-paced environment Preferred Qualifications * Experience in an Ambulatory Surgery Center (ASC) setting * Knowledge of interventional pain procedures, spine, ortho, or GI authorizations * Prior experience working with Texas Medicaid and Medicare MACs * Understanding of medical necessity and payer policy requirements * Bilingual Spanish/English What We Offer * Competitive compensation based on experience * Stable, physician-led practice environment * Collaborative onsite team culture

Consultant, Payment Intelligence AArete is one-of-a-kind when it comes to consulting firm culture. We're a global, innovative management and technology consulting firm, with offices in the U.S., India, and the U.K. Our name comes from the Greek word for excellence: "Arete." And excellence is exactly what we strive for. Our success starts with enriching and empowering our people. From robust career development planning to competitive life and wellness benefits, AArete's "Culture of Care" takes a holistic approach to the employee experience. AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing space for personal development and fulfillment. The Role Health plans face continued challenges in reimbursing claims on-time and accurately. AArete's consulting service line, Payment Intelligence, goes beyond typical payment integrity to ensure erroneous and inefficient payments are identified, rectified, and recouped to prevent them in the future. Our Payment Intelligence team addresses issues with payment policies, provider contracts, provider data, covered benefits, member eligibility and prior authorizations. In this role, the individual will be responsible for client delivery of Payment Intelligence. The position will reporttoa Payment IntelligenceManager. The individual will be the subject matter expert on strategies to help our clients ensure proper claims paymentthrough the use of(1) claims analytics, (2) process improvements, (3) integration of automation/technology, and (4) configurations setups. This role will also support the internal development of Payment Intelligence initiatives. Work You'll Do • Support the development, identification and analysisof payment accuracy opportunities through remediation with clientcounterparts, • Utilize analytics to identify claims payment opportunities through your knowledge of standard payment methodologies including Prospective Payment Systems (IPPS/OPPS), fee for service, Groupers, RUG, etc., • Support process improvements and automation initiatives for clients, • Conduct research on current events, changes in regulatory requirements and market trends impacting health plan reimbursement, • Contribute to the preparation of client ready deliverables with clear and actionable insight, • Exercise sound judgement and clear and direct communication in all aspects of your work, • Other duties as assigned Requirements • 2+ years of experience in a role within consulting, provider revenue cycle, a payment integrity vendor, and/or a payer organization, • Foundational knowledge of claims processing across multiple lines of business, including Medicare, Medicaid, ACA/Marketplace, Commercial, and Duals, • Experience across various spend areas, including professional, ancillary, outpatient, and inpatient services, • Ability to identify and analyze mispaid claims to ensure accuracy and compliance, • Knowledge of industry vendors and tools related to claims processing, provider data, and contract management, • Understanding of end-to-end claims processes, including claims management, provider lifecycle, and network optimization, • Strong professional communication skills, including written, verbal, interpersonal, and in-person presentation expertise, • Experience coaching and mentoring team members, • Advanced proficiency utilizing Microsoft Excel and basic/intermediate SQL for data analysis, • Strong analytical, data interpretation, and problem-solving skills, • Ability to identify client savings opportunities and develop actionable business cases, • Bachelor's degree or equivalent, • Direct client interaction with possible travel to client locations, • Policy & Claims Editing Expertise, • Research and interpretation of healthcare policies and regulations, • Experience in reimbursement policy writing and claims editing, • Proficiency in data mining to detect errors and inconsistencies, • Ability to crosswalk and compare edits and policies, • Knowledge of claims editing processes, including Prepay/Post-Pay, COB, Subrogation, Fraud Detection, and Medical Record Reviews, • Contract Configuration & Provider Data Expertise, • Interpretation of provider contract terms and pricing methodologies, including fee schedules, per diem, DRGs, cost-plus, and outlier payments, • Understanding of contract carve-outs, including bundled services, readmissions, and reductions, • Experience in contract pricing and claims reimbursement analysis, • Ability to price and reprice claims based on contractual agreements, • Understanding of provider TIN and NPI relationships, • Knowledge of the provider lifecycle, including Credentialing, Data Management, Contracting, and Configuration, • Familiarity with network processes, including Optimization, Adequacy, and Pricing, • Familiarity with claims adjudication systems (e.g., Facets, QNXT, Amisys, etc.), • Based in Chicago, IL, and flexible to work from our Chicago office as needed Compensation & Benefits • Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays, • Own Your Day flexible work policy, • Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match, • Generous paid parental leave options, • Employer paid Life Insurance, STD, LTD, • Charitable contribution matching program, • New client commission opportunities and referral bonus program AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available. We put humans at the center of our work We're a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and strategy & change for clients. Our cross-industry solutions are powered by a digital-first mindset, market intelligence, and data-driven approach to deliver purposeful change, actionable insights, and guaranteed results. But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We've earned a Great Place to Work Certification and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-DNI

Provider Enrollment Specialist ROLE OVERVIEW: Responsible for enrolling healthcare providers with insurance payers (Medicare, Medicaid, Blue Cross Blue Shield, etc.High-volume, detail-oriented backend role requiring strong organization and focus on data accuracy.RESPONSIBILITIES: Submit and track pr

Job DescriptionHealthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client. CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Responsibilities will Include:- Review, sort, and analyze data using computer software programs such as Microsoft Excel.- Review financial records, complex legal and regulatory documents and summarize contents, and conduct research as needed. Preparing spreadsheets of financial transactions (e.g., check spreads, etc.).- Develop HCF case referrals including, but not limited to:- Ensure that HCF referrals meet agency and USAO standards for litigation.- Analyze data for evidence of fraud, waste and abuse.- Review and evaluate referrals to determine the need for additional information and evidence, and plan comprehensive approach to obtain this information and evidence.- Advise the HCF attorney(s) regarding the merits and weaknesses of HCF referrals based upon applicable law, evidence of liability and damages, and potential defenses, and recommend for or against commencement of judicial proceedings.- Assist the USAO develop new referrals by ensuring a good working relationship with client agencies and the public, and by assisting in HCF training for federal, state and local agencies, preparing informational literature, etc. - Assist conducting witness interviews and preparing written summaries. Qualifications:- Four (4) year undergraduate degree or higher in criminal justice, finance, project management, or other related field.- Minimum three (3) years of professional work experience in healthcare, fraud, or other related investigative field of work.- Proficiency in Microsoft Office applications including Outlook, Word, Excel, PowerPoint, etc.- Proficiency in analyzing data that would assist in providing specific case support to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data).- Communication skills: Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. Communication requires tact and diplomacy.- U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.- Experience and expertise in performing the requisite services in Section 3.- Must be a US Citizen.- Must be able to obtain a favorably adjudicated Public Trust Clearance.Preferred qualifications:- Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3.- Relevant experience working with a federal or state legal or law enforcement entity. #CJ We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job Description About Legent Health At Legent Health, our mission is simple yet profound: “To provide first-class health care that puts YOU first.” Our vision reflects our commitment to excellence: “Through robust physician partnerships, become a nationwide leader in compassionate, quality healthcare focused on the patient and available to everyone.” Our values, also known as our brand pillars, define how we stay true to our identity in the healthcare industry and the communities we serve. These values are central to everything we do: • Respect: We honor the time and trust of both patients and physicians by delivering organized, efficient services that ensure a seamless healthcare experience., • Service: We are committed to highly personalized care for patients, their families, and the physicians who serve them, driving optimal outcomes for all. About the Role The Occupational Therapist (OT) in an acute inpatient rehabilitation setting evaluates and treats patients recovering from illness, injury, or surgery to improve functional independence in activities of daily living (ADLs), mobility, and cognitive/perceptual skills. The OT utilizes GG (Functional Independence Measure – FIM/GG) scoring to assess patient progress and document functional outcomes in compliance with CMS (Centers for Medicare & Medicaid Services) and other regulatory requirements. POSITION’S ESSENTIAL RESPONSIBILITIES: 1. Patient Evaluation & Treatment Planning: • Perform comprehensive initial and ongoing rehab assessments in IPR, focusing on ADLs, mobility, cognition, and discharge readiness., • Administer GG scoring (Section GG) for IPR patients per CMS guidelines (e.g., GG0130: Eating, GG0170: Sitting to Standing)., • Use standardized assessments (e.g., MoCA, MMT, FIM) and evidence-based interventions to maximize recovery. 2. Treatment Planning & Implementation: • High-intensity ADL retraining (dressing, bathing, toileting)., • Neuromuscular re-education for stroke/TBI recovery., • Cognitive-perceptual rehab (memory, attention, executive function)., • Home assessments & caregiver training pre-discharge. 3. GG Scoring & Documentation: • Accurately complete Section GG functional scoring at admission, discharge, and per IRF-PAI guidelines., • Ensure compliance with:, • CMS guidelines (Medicare Part A, IRF coverage criteria)., • Hospital policies (infection control, fall prevention)., • Joint Commission standards (safety, quality measures). 4. Patient & Caregiver Education: • Educate patients and families on home safety, fall prevention, and proper use of assistive devices., • Train caregivers in safe transfer techniques and mobility assistance., • Provide guidance on post-discharge exercises and adaptive strategies. 5. Interdisciplinary Collaboration: • Participate in weekly team meetings to discuss patient progress and discharge planning., • Communicate effectively with physicians, nurses, case managers/social workers, and other therapists., • Adjust treatment plans based on patient response and medical status. 6. Discharge Planning & Interdisciplinary Coordination: • Coordinate with case managers/social workers for safe community reintegration, health services or outpatient follow up, • Educate patients/families on post-discharge care., • Ensure a smooth transition the next level of care. 7. Compliance & Professional Development: • Follow hospital protocols (e.g., isolation precautions, code response)., • Education: Master’s/Doctorate in OT (ACOTE-accredited)., • Licensure: Current state OT license; NBCOT certification., • Experience:, • 1+ years of OT experience (preferred in inpatient rehab, acute care, or neuro rehab)., • New grads with strong clinical rotations in rehab settings may be considered., • Familiarity with GG scoring preferred., • Skills:, • Knowledge of IRF-PAI & CMS regulations for Acute Inpatient Rehab., • Adaptability to fast-paced, medically complex environments., • Strong knowledge of neurological & orthopedic rehab., • Ability to manage medically complex patients (e.g., post-stroke, spinal cord injury, amputees)., • Excellent communication and teamwork skills. Legent Health fosters an environment where team members are empowered to deliver exceptional care while growing professionally within a supportive, values-driven culture. We Offer: • Competitive salary and performance incentives, • Comprehensive benefits package, • Paid time off and wellness programs Legent Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or any other legally protected characteristic. I-9 and E-Verify Compliance: Employment eligibility will be verified through the U.S. Department of Homeland Security’s E-Verify system. All applicants must provide valid documentation to establish identity and authorization to work in the United States, as required by federal law.

Job Description This is a PRN position About Company: We’re officially a Great Place To Work®! We’ve always believed that supporting our team is just as important as supporting our patients. Now, we’re proud to share that we’ve earned Great Place To Work® Certification - based entirely on feedback from our own employees. Read more here: This certification reflects the culture we’ve worked hard to build - one rooted in trust, inclusion, and purpose-driven leadership. At Bradford Health Services, we are committed to providing exceptional care to our patients while fostering a supportive and rewarding workplace for our employees. We believe that taking care of our team allows them to take better care of others, which is why we offer a comprehensive benefits package designed to support their well-being. Our benefits include: * Medical Coverage – Three new BCBSAL medical plans with better rates, improved co-pays, and enhanced prescription benefits. * Expanded Coverage – Options for domestic partners and a wider network of in-network providers. * Mental Health Support – Improved access to services and a new Employee Assistance Program (EAP) featuring digital wellness tools like Cognitive Behavioral Therapy (CBT) modules and wellness coaching. * Voluntary Coverages – Pet insurance, home and auto insurance, family legal services, and more. * Student Loan Repayment – Available for nurses and therapists. * Retirement Benefits – 401(k) plan through Voya to help employees plan for the future. * Generous PTO – A robust paid time off policy to support work-life balance. * Voluntary Benefits for Part-Time Employees – Dental, vision, life, accident insurance, and telehealth options for those working 20 hours or more per week. At Bradford Health Services, we don’t just invest in our patients—we invest in our people. About the Role: The Patient Financial Services Representative plays a critical role in ensuring a smooth financial experience for patients within healthcare facilities across the United States. This position is responsible for managing patient accounts, assisting with billing inquiries, and facilitating payment processes to support the financial health of the organization. The representative acts as a liaison between patients and the healthcare provider, helping to clarify insurance coverage, explain charges, and resolve any discrepancies. By providing clear and compassionate communication, this role helps reduce patient stress related to medical bills and promotes timely payments. Ultimately, the Patient Financial Services Representative contributes to maintaining accurate financial records and enhancing patient satisfaction through effective financial service delivery. Minimum Qualifications: • High school diploma or equivalent required; associate degree or higher preferred., • Previous experience in patient financial services, medical billing, or a related healthcare administrative role., • Strong understanding of medical insurance terminology, billing processes, and healthcare regulations., • Proficiency with electronic health record (EHR) systems and billing software., • Certification in medical billing or coding (e.g., Certified Professional Biller or Certified Coding Specialist)., • Experience working with multiple insurance providers and familiarity with Medicare and Medicaid billing., • Knowledge of healthcare compliance standards such as HIPAA., • Bilingual abilities to assist a diverse patient population., • Respond promptly and professionally to patient inquiries regarding billing statements, insurance coverage, and payment options., • Verify patient insurance information and eligibility to ensure accurate billing and reimbursement., • Assist patients in setting up payment plans and provide guidance on financial assistance programs when applicable., • Collaborate with internal departments such as billing, coding, and insurance to resolve account discrepancies and denials. The Patient Financial Services Representative utilizes strong communication skills daily to clearly explain complex billing information and insurance details to patients, ensuring they understand their financial responsibilities. Analytical skills are essential for reviewing patient accounts, identifying discrepancies, and collaborating with insurance companies to resolve issues efficiently. Proficiency with billing software and electronic health records enables accurate data entry and account management, which supports timely and correct billing processes. Customer service skills are critical in managing patient interactions with empathy and professionalism, helping to reduce patient anxiety related to financial matters. Additionally, knowledge of healthcare regulations and compliance ensures that all financial transactions and patient information are handled securely and ethically.

Job DescriptionBenefits: • Competitive Compensation, • 401(k) matching Location: Sunnyvale, TX Pay: $35 $40 per visit (based on experience) Schedule: Part-Time | Flexible Scheduling | PRN About Us We are a rapidly growing, employee-owned family of healthcare companies in Sunnyvale, TX, providing exceptional home health and residential hospice services. Our team is committed to compassionate, patient-centered care that allows individuals to receive quality treatment in the comfort of their homes. We are seeking a motivated and compassionate Licensed Social Worker (MSW) to join our home health and hospice team. Position Summary We are seeking a dedicated and empathetic Licensed Social Worker to join our Home Health / Hospice team. The Social Worker provides psycho-social assessments, emotional support, care coordination, and community resource planning for patients and families facing acute, chronic, or end-of-life conditions. This role is an essential part of our interdisciplinary care team. Responsibilities • Conduct comprehensive psycho-social assessments, • Develop and implement individualized care plans, • Provide emotional support and counseling to patients and families, • Assist with advance care planning and end-of-life decision support, • Connect patients and families to community resources and financial assistance programs, • Participate in interdisciplinary team meetings, • Maintain accurate and timely clinical documentation, • Support crisis intervention and bereavement services (hospice), • Ensure compliance with federal, state, and agency regulationsQualifications, • Masters Degree in Social Work (MSW) from an accredited program, • Current state licensure, • Minimum [1 year] experience in healthcare, home health, or hospice preferred, • Strong communication and documentation skills, • Ability to work independently in a home-based setting, • Valid drivers license and reliable transportationPreferred Qualifications, • Experience in hospice or palliative care, • Knowledge of Medicare/Medicaid regulations, • Bilingual skills (if applicable)Benefits (For Part-Time Employees), • Competitive visit pay ($35 $40) (based on experience), • Fuel Compensation (1 additional visit pay per pay period), • 401(k) with employer match, • Continuing education support, • Supportive team environment Competitive, • Flexible part-time schedule, • Employee-owned, mission-driven organization, • Supportive leadership and growth opportunities, • Meaningful work that impacts patients and familiesWhy Join Us?, • Meaningful work that truly impacts lives, • Collaborative interdisciplinary team, • Flexible scheduling, • Growth and leadership opportunitiesApply today to make a difference in the lives of patients and families when they need it most.

Job Description About Legent Health At Legent Health, our mission is simple yet profound: “To provide first-class health care that puts YOU first.” Our vision reflects our commitment to excellence: “Through robust physician partnerships, become a nationwide leader in compassionate, quality healthcare focused on the patient and available to everyone.” Our values, also known as our brand pillars, define how we stay true to our identity in the healthcare industry and the communities we serve. These values are central to everything we do: • Respect: We honor the time and trust of both patients and physicians by delivering organized, efficient services that ensure a seamless healthcare experience., • Service: We are committed to highly personalized care for patients, their families, and the physicians who serve them, driving optimal outcomes for all. About the Role A physical therapist (PT) working in an inpatient acute rehabilitation unit has a crucial role in helping patients recover from serious injuries, surgeries, or illnesses (e.g., stroke, spinal cord injury, major orthopedic surgery, or neurological conditions). Their responsibilities focus on restoring mobility, strength, and function to help patients transition to a lower level of care (e.g., home or outpatient therapy). The PT utilizes GG scoring to assist patient progress and document functional outcomes in compliance with CMS (Centers for Medicare & Medicaid Services) and other regulatory requirements. POSITION’S ESSENTIAL RESPONSIBILITIES: 1. Patient Evaluation & Treatment Planning • Perform initial and ongoing assessments of patients’ functional mobility, strength, balance, and endurance., • Develop personalized treatment plans with measurable goals in collaboration with physicians, OTs, SLPs, social workers/case management and nursing staff., • Utilize evidence-based interventions to maximize recovery. 2. Rehabilitation & Functional Training • Provide intensive therapy to improve:, • Bed mobility (rolling, sitting edge-of-bed), • Transfers (bed-to-chair, toilet, car), • Gait training (walking with assistive devices as needed), • Stair negotiation, • Wheelchair mobility & safety (if applicable), • Implement therapeutic exercises for strength, flexibility, and endurance., • Use modalities (e.g., electrical stimulation, ultrasound, heat/cold therapy) as appropriate. 3. Patient & Caregiver Education • Educate patients and families on home safety, fall prevention, and proper use of assistive devices., • Train caregivers in safe transfer techniques and mobility assistance., • Provide guidance on post-discharge exercises and adaptive strategies. 4. Interdisciplinary Collaboration • Participate in weekly team meetings to discuss patient progress and discharge planning., • Communicate effectively with physicians, nurses, case managers, and other therapists., • Adjust treatment plans based on patient response and medical status. 5. Documentation & Compliance • Accurately complete Section GG functional scoring at admission, discharge, and per IRF-PAI guidelines, • Maintain accurate and timely documentation in electronic medical records (EMR)., • Ensure compliance with Medicare, insurance, and facility guidelines., • Complete progress notes, discharge summaries, and equipment justification reports., • Follow hospital protocols (e.g. isolation precautions, code responses, etc) 6. Discharge Planning & Continuity of Care • Assess patient readiness for discharge and recommend appropriate DME (durable medical equipment)., • Coordinate with case managers for home health services or outpatient follow-up., • Licensure: Current state PT license (or eligible for licensure)., • Education: Doctorate or Master’s degree in Physical Therapy from an accredited program., • Experience:, • 1+ years of PT experience (preferred in inpatient rehab, acute care, or neuro rehab)., • New grads with strong clinical rotations in rehab settings may be considered., • Certifications: BLS (Basic Life Support) required; NDT, LSVT BIG, or other specialty certs a plus., • Skills:, • Strong knowledge of neurological & orthopedic rehab., • Ability to manage medically complex patients (e.g., post-stroke, spinal cord injury, amputees)., • Excellent communication and teamwork skills., • Proficient in EMR documentation. Legent Health fosters an environment where team members are empowered to deliver exceptional care while growing professionally within a supportive, values-driven culture. We Offer: • Competitive salary and performance incentives, • Comprehensive benefits package, • Paid time off and wellness programs Legent Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or any other legally protected characteristic. I-9 and E-Verify Compliance: Employment eligibility will be verified through the U.S. Department of Homeland Security’s E-Verify system. All applicants must provide valid documentation to establish identity and authorization to work in the United States, as required by federal law.

Job DescriptionDescription: Position Summary: The Hospice RC Specialist is responsible for managing, reviewing, validating and coordinating all Room & Board, GIP/Respite invoicing for hospice operations. This role ensures accurate billing, timely payments, strong vendor relationships, and compliance with Medicare and Medicaid billing standards. This position ensures that company’s claims billed to payors are processed in compliance with the States Medicaid and Managed Care Organization (MCO) regulations, verify patient eligibility, monitor authorizations, resolve denied claims, and support the financial operations of the hospice organization. The Specialist serves as a key point of communication between hospice agencies, vendors, clients and will report directly to the Director of Revenue Cycle Management. Key Responsibilities: Medicaid Invoicing & GIP Claims Management • Verify that patient benefit periods, levels of care, and election information are correct prior to billing., • Prepare, submit, and track Medicaid room and board charges according to state and federal guidelines, including rate changes and patient liability., • Manage all aspects of Room & Board invoicing for assigned hospice agencies to include verifying correct R&B billing rates and invoice accuracy., • Review, update, validate and approve GIP/Respite invoices and prepare for AP processing., • Monitor claim status, follow up on unpaid Medicaid or denied claims, and assist with actions required to correct claims as needed, • Verify resident eligibility and enrollment in Medicaid programs such as managed care plans or traditional Medicaid at admission and regular intervals throughout a patient’s benefit period., • Coordinate with admissions, clinical teams, social workers, and facility partners to ensure accurate billing information., • Identify discrepancies and work with facility partners or internal departments to resolve them., • Communicate effectively with clients, vendors and internal teams, including corporate billing and agency leadership., • Participate in internal meetings, team discussions as requested., • Perform other related duties as assigned or incidental to the essential functions of the position. Requirements: Required Qualifications: • High school diploma or equivalent; -Minimum 2 years medical billing experience related to room & board, long-term care, managed care hospice billing., • Familiarity with hospice levels of care; routine home care, respite and continuous care and general inpatient (GIP), • Strong knowledge of Medicaid billing guidelines, coding, and reimbursement processes., • Excellent communication skills and ability to work collaboratively with facility partners and internal teams., • Strong attention to detail and accuracy., • Full-time position, • Remote, hybrid, or on-site depending on organizational needs, • Fast paced healthcare billing environment requiring consistent attention to deadlines

Job Description Specialty Senior Medical Coder– General Surgery Location: Irving, TX COMPENSATION & SCHEDULE • $35.75/hr (Non-CGSC Certified) | $42.00/hr (CGSC Certified – General Surgery), • Monday–Friday | 8:00 AM–5:00 PM, • W2 | Temp to Perm, • Start Date: 03/16/2026 ROLE IMPACT: The Specialty Coder Senior – General Surgery ensures accurate, compliant coding for high-dollar inpatient and outpatient professional services. This role drives revenue integrity by reducing denials, supporting clean claims, and maintaining a minimum 95% coding accuracy rate. Success is defined by precise code assignment, strong documentation review, and consistent productivity in a remote environment. Key Responsibilities • Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes in accordance with Official Coding Guidelines and AMA CPT standards, • Code inpatient and outpatient Evaluation & Management (E/M) and surgical/operative procedures, generating accurate MS-DRG and APR-DRG groupings, • Review clinical documentation, diagnostic results, admit orders, and discharge dispositions to ensure billing integrity, • Resolve coding denials, manage work queues, abstract data into the EMR, and collaborate with HIM and CDI teams to query providers as needed, • Participate in audits, identify hospital-acquired conditions (HAC), and support process improvements to reduce backend errors Required Qualifications • 2+ years of multi-specialty physician operative and procedural coding experience in an acute care hospital and/or outpatient clinic setting, including General Surgery, • 1+ year of professional billing, claims denials, appeals, and/or revenue cycle experience, • Active CPC, CCS, or CCA certification; completion of an AAPC or AHIMA-approved Coding Certificate Program; High School Diploma or GED required (CGSC required for higher pay rate) Core Tools & Systems • EPIC (required) and Meditech (preferred) electronic medical record (EMR) systems, • Microsoft Excel, Word, and PowerPoint, • ICD-10-CM/PCS, CPT, HCPCS Level II coding systems, • Medicare, Medicaid, and commercial payer guidelines including LCDs (Local Coverage Determinations) and NCDs (National Coverage Determinations), • Denial management and revenue cycle workflow systems APPLICATION PROCESS INCLUDES • In-person interview, • Background check (criminal record, education, and employment verification), • Drug screen, • Clerical testing Legal Notice This position requires completion of an in-person interview, background check (criminal, education, and employment verification), drug screen, and clerical testing as part of the pre-employment process. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at: #IRVING123