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The Clinical Specialist is responsible for positively impacting regulatory standards and clinical outcomes of clinics in an assigned geographic region. The incumbent in this role will be expected to travel throughout LA County ; 75% travel is expected, with (4) days in the field and (1) remote day. The CS is also responsible for the training of new employees and current clinical staff. The CS will also be responsible for conducting in-services and review classes, ensuring that the clinics have properly trained staff that meet regulatory standards and provide quality patient care. The CS reports directly to the next level of clinical management which may be the Director of Clinical Operations or Vice President of Clinical Operations/Services, depending on the region/demographics or responsibilities. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. • Responsible for overseeing overall clinical operation of assigned clinics from regulatory and growth perspective in accordance with Company goals., • Assist in clinical operational development and transition of new or acquired clinic(s) as needed or requested., • Assist with developing, implementing and monitoring of quality of care processes for program regulatory compliance in accordance with Company goals., • Ensure clinical processes in assigned USRC facilities are maintained in accordance to company policy and federal, state and local regulations., • Knowledge of and remain current with federal, state, local laws and regulations., • Assure that assigned clinics are in compliance with all applicable federal, state, and local laws and regulations and receive continuing certification from all statutory and regulatory agencies by conducting internal clinical reviews., • Assure compliance with required Governing Body meetings, monthly CQI meetings and care plan conferences and assures documentation of such through recorded minutes., • Evaluate patient care data to ensure that care is provided in accordance with clinical guidelines and organizational performance standards., • Understand, lead and promote the Company's mission and philosophy relating to ethics, integrity, safety, corporate responsibility and objectives., • Communicate with clinical operations management and regional management on a consistent basis regarding the status of each clinic in the region., • Ensure all clinical staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations., • Orient and mentor Administrators in the QAPI process, outcomes, education programs and operational readiness in accordance with USRC practices. Qualifications/Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: • Current RN or LVN/LPN license in applicable state. License must be maintained as current and in good standing., • Two (2) years experience in providing nursing care to patients on maintenance dialysis within the last three (3) years., • Must have extensive knowledge of dialysis industry standards and regulations governing ESRD facilities., • Previous dialysis management experience preferred., • CNN or CHN certification preferred within two (2) years of accepting position. Individuals assigned to Georgia clinics must apply for CNN or CHN certification within thirty (30) days of accepting position and obtain certification within six (6) months., • CPR certification required within 90 days of hire; CPR Trainer Certificate may be required., • Valid driver' license in applicable state. License must be maintained as current, without restrictions and good driving record., • Excellent leadership and coaching skills., • Demonstrated analytical and problem-solving skills are required. Ability to read, analyze and write reports., • Ability to manage multiple projects and oversee multiple locations., • Must have basic computer skills, including Microsoft Office (Word, Excel, Outlook); proficiency in all USRC clinical applications required within 90 days of hire. All Full Time employees are eligible for the following benefits: * Medical / Pharmacy * Dental * Vision * Voluntary benefits * 401k with employer match * Virtual Care * Life Insurance * Voluntary Benefits * PTO All Part Time employees are eligible for the following benefits: * 401k with employer match * PTO

Job Description Job Description: Manager of Clinical Utilization Management - Denial Compliance Location: Burbank, CA Position Type: Hybrid (85% remote, 15% onsite in Northridge, CA); Full-Time Salaried Position Company: Vivo HealthStaff Inc. Overview: Vivo HealthStaff is recruiting for a dedicated Manager of Clinical Utilization Management - Denial Compliance. This role is pivotal in ensuring a streamlined and compliant denial process, in line with regulatory, accreditation, and health plan standards. Key Responsibilities: 1. Oversee both licensed and non-licensed denial unit staff, managing daily tasks, performance reviews, and any necessary disciplinary actions., 2. Foster effective communication and collaboration with physician reviewers, medical directors, and other relevant departments., 3. Ensure timely responses to requests and maintain high standards of compliance and privacy., 4. Assist in the preparation of various reports, including departmental work-plans and audits., 5. Monitor and enhance the quality of the denial process internally., 6. Design and deliver training sessions for the denial unit staff to ensure top-notch, compliant communication., 7. Stay updated with state and federal regulations related to the department and implement necessary changes., 8. Lead the department towards achieving set objectives and provide guidance to team members., 9. Implement procedures to ensure alignment with company policies and influence process improvements., 10. Handle other duties as directed by the management. Qualifications: 1. Graduate from an accredited Registered Nursing Program; RN preferred., 2. Minimum of five years in prior-authorization, appeals & grievance, or health plan compliance., 3. Proven experience in project development, staff supervision, and performance monitoring., 4. Strong communication skills, both verbal and written., 5. Ability to manage multiple projects in a high-stress environment and adapt to changing priorities., 6. Proficiency in MS Office and a computerized environment., 7. Valid CA driver's license and car insurance. Policies: 1. Uphold honesty and integrity., 2. Adhere to privacy, compliance policies, and the corporate code of conduct., 3. Lead and participate in team meetings and promote organizational goals., 4. Provide top-tier customer service and be adaptable to flexible work hours. Benefits: • Comprehensive healthcare coverage., • Competitive 401k plan. Vivo HealthStaff is a healthcare staffing and recruitment firm based in the San Francisco Bay Area, providing permanent and temporary opportunities to organizations across the United States.

Job Description Job Description: Clinical Supervisor, UM Denial Compliance Location: Los Angeles Metropolitan Area Position Type: Hybrid (85% remote, 15% onsite in Burbank, CA) Company: Vivo HealthStaff Overview: Vivo HealthStaff is seeking a Clinical Supervisor for UM Denial Compliance. This role is essential in ensuring a high-quality, efficient, and compliant denial process, adhering to all regulatory, accreditation, and health plan standards for associated medical groups. Key Responsibilities: 1. Supervise licensed and non-licensed denial unit staff, managing daily tasks, performance reviews, and disciplinary actions., 2. Collaborate effectively with physician reviewers, medical directors, and other departments., 3. Ensure prompt responses to requests and uphold high standards of compliance and privacy., 4. Assist in preparing departmental reports, audits, and surveys., 5. Monitor the internal quality of the denial process., 6. Design and conduct training sessions for the denial unit staff to ensure compliant communication., 7. Ensure alignment with regulatory and health plan requirements related to the denial process., 8. Oversee daily departmental operations, including reporting, staffing, and supervision., 9. Communicate effectively with medical professionals regarding denial issues., 10. Assess compliance with regulatory and quality measures, implementing strategies for improvement., 11. Review performance reports, identify deficiencies, and implement corrective action plans., 12. Report departmental performance to leadership and provide guidance to team members., 13. Stay updated with state and federal regulations related to the department., 14. Implement procedures to ensure alignment with company policies and influence process improvements. Qualifications: 1. Graduate from an accredited Registered Nursing Program; RN preferred., 2. Minimum of five years in prior-authorization, appeals & grievance, or health plan compliance., 3. Proven experience in project development, staff supervision, and performance monitoring., 4. Strong communication skills, both verbal and written., 5. Ability to manage multiple projects in a high-stress environment and adapt to changing priorities., 6. Proficiency in MS Office and a computerized environment., 7. Valid CA driver's license and car insurance. Benefits: • Comprehensive healthcare coverage., • Competitive 401k plan. Vivo HealthStaff is a healthcare staffing and recruitment firm based in the San Francisco Bay Area, providing permanent and temporary opportunities to organizations across the United States.