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Job Description A program senior leadership role responsible for the Admissions Department’s leadership, strategy, customers, analysis and knowledge management, workforce, operations and results. Serves as an Admissions standard, policies, procedures, and industry subject-matter expert and resource. Position structure • Develop nurse, liaison, program scheduler, and other admissions staff leadership skills through utilization of Admissions Training, coaching, mentoring, and modeling in remote and face-to-face interactions on weekly, daily, monthly, quarterly, and annual basis, and as-needed, • Collaborate with National, Division, Region, and Program leadership to successfully improve program performance, quality, and growth, • Responsible for program’s successful rollout and sustainability of national, divisional, and regional initiatives within their program, • Lead by example through field coaching, account development, and community activities, • Ensure Admissions Department has active and an actionable strategic plan documented in the system, • Develop a customer-service oriented Admissions Department by identifying and responding to the customer’s needs and wants by recognizing the customer is the center of VITAS business, • Review and provide guidance on program-related customer complaints., • Admissions-focused process improvement project management for the program, • Admissions Performance KPI (Can change based on national direction):, • Length of Intake/Same Day Admit, • Speed to Referral/Appointment, • Training Completion/Competency, • Program Scheduler Performance/Quality, • Program oversight and ensured adherence to standards and performance in the areas of:, • Training: Field Coaching, manage completion of required and ad hoc trainings, analyze need based on utilization of data tools, complete ongoing professional development, and is capable of group presentations (internal and external), • Staffing: Demand-based scheduling, productivity management, account development during working hours, and schedule creation, • Recruitment: Monitor and manage initiatives, regular evaluation of FTE efficiently and with efficacy, ensure timely posting and hiring, • Compliance with AM required duties as here and within training materials, • Audits: Daily, weekly, monthly, quarterly and annual, • Monthly program, region, division and national meetings, • 5+ years nursing preferred, • 3+ years in a leadership/management role preferred, • Hospice admissions experience preferred, • Ability to work on various assignments simultaneously, • Knowledge of industry policies and practices, • Ability to motivate and develop others, • Ability to communicate tactfully, both verbally and in writing, with program leadership, patients, families, managers, coworkers, and vendors to resolve problems and negotiate resolutions, • Proficient with technology with ability to adapt to new products and comfortable learning new technologies (i.e. Excel, MS Teams, OneNote, SharePoint, PowerBI, SharePoint, etc.), • Demonstrates experiences of developing strategies and solutions to improve Admissions performance, • Ability to assimilate and analyze large amount of data/information to uncover business, quality and training needs within a data set EDUCATION • Requires completion of accredited Nurse Practitioner program., • Competitive compensation ($100,000-$120,000 base plus bonus), • Health, dental, vision, life and disability insurance, • Pre-tax healthcare and dependent care flexible spending accounts, • Life insurance, • 401(k) plan with numerous investment options and generous company match, • Cancer and/or critical illness benefit, • Tuition Reimbursement, • Paid Time Off, • Employee Assistance Program, • Legal Insurance, • Roadside Assistance

RN UAS Nurse openings with a major health insurance / managed care company based in the Bronx, Brooklyn, or Manhattan, NY area! Starting ASAP!! Apply now with Chris M. at A-Line! Job Summary: Complete in-person UAS assessments with members in their homes or living facilities along with necessary documentation. * combination of remote work with field visits in the Bronx, Brooklyn, or Manhattan, NY area. Job Duties: RN must prep for the visit the morning of or afternoon before (Review of EMR and previous assessments)• Be prepared to use critical thinking and problem solving skills.• Travel to the members' homes to conduct the visit and assessment,• Accurately document assessment results according to the provided documentation template• Review all documentation and utilize Lenavi to identify inconsistencies that need to be corrected or validated.• Complete and load supplemental tools and documents.• Each day varies, nurse needs to be flexible with schedule and process changes, critical thinking and problem solving, prepared for travel, weather variability. What previous job titles or background work will in this role? Experience as a UAS Assessment nurse Individuals that have MLTC, MAP or Maximus experience Shift Times: Mon-Fri 8:30am-5pm with a 1-hour lunch break. OT may be required Pay Rate: $52 - $58 hourly (determined on experience) plus mileage reimbursement Required Skills: · Licenses/Certifications: Current New York State RN license – no restrictions on license · Clinical background – RN experience (1+ years) · Case Management or UAS Experience highly preferred · Experience working with Managed Care plans highly preferred · Documentation skills and good computer skills needed · Must have Computer literacy, including with Microsoft Programs like Excel, Outlook, and Word Why Apply with A-Line? · Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability · 401k after 1 year of employment: With employer match and profit sharing · GREAT Hours! Monday through Friday, 40 hours per week · Competitive Pay Rate INDSV Keywords: UAS, URAC, CCM, BSN, ADN, ASN, Case Manager, Case Management, InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review, Utilization Management, Registered Nurse, MCO, RN, Nurse, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls, URAC, CCM, BSN, ADN, ASN, Case Manager, Case Management, InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review, Utilization Management, Registered Nurse, MCO, RN, Nurse, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls, URAC, CCM, BSN, ADN, ASN, Case Manager, Case Management, InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review, Utilization Management, Registered Nurse, MCO, RN, Nurse, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls. Job Duties: RN must prep for the visit the morning of or afternoon before (Review of EMR and previous assessments)• Be prepared to use critical thinking and problem solving skills.• Travel to the members' homes to conduct the visit and assessment,• Accurately document assessment results according to the provided documentation template• Review all documentation and utilize Lenavi to identify inconsistencies that need to be corrected or validated.• Complete and load supplemental tools and documents.• Each day varies, nurse needs to be flexible with schedule and process changes, critical thinking and problem solving, prepared for travel, weather variability.

JOB TITLE: Clinical Review RN (Medicaid Cost Outlier) Nurse Background: 2+ years of acute care/medical surgical experience required. Interqual/MCG experience a plus. GENERAL RESPONSIBILITIES: This individual will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. They will utilize their knowledge and expertise of the review program to conduct clinical level review, supporting Medical Review Analysts, and Physician Consultants to ensure an appropriate and accurate process. DUTIES: 1. Conduct utilization reviews up to and including the appeal level. This includes chart screen, complete electronic worksheets, enter required information and make level one denial decisions when necessary., 2. Conduct quality and clinical study data collection reviews. This includes chart review, complete detailed electronic data worksheets., 3. Act as a resource for the administrative staff in training, problem solving, and clarifying procedures. Will provide technical assistance and conduct/participate in staff huddles., 4. Participate in collaborative training specific to clinical study objectives., 5. Other activities as may be deemed necessary. QUALIFICATIONS: 1. Licensed as a Registered Professional Nurse in New York State., 2. Knowledge and experience with electronic medical records including utilization, quality, and clinical charting., 3. Ability to oversee, problem solve and work collaboratively with peers, medical, analytical, and administrative support staff., 4. Excellent written and verbal skills., 5. Ability to work independently with little supervision., 6. Ability and desire to be flexible, innovative, and creative. EDUCATION & EXPERIENCE: 1. Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program and licensed to practice in the State of New York., 2. A minimum of 2 years experience in an acute care facility preferably in medical surgical and utilization review experience highly preferable. LOCATION: Remote, can sit anywhere as long as you are licensed as an RN in NYS SHIFTS: M-F, 40 hours or 4x10s (no weekends) PAY: $48-52/hr DURATION: long term open ended contract includes benefits, sick time, 401k, weekly pay

JOB TITLE: Clinical Review RN (Medicaid Cost Outlier) remote Must be licensed as an RN in NYS Nurse Background: 2+ years of acute care/medical surgical experience required. Interqual/MCG experience a plus. GENERAL RESPONSIBILITIES: This individual will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. They will utilize their knowledge and expertise of the review program to conduct clinical level review, supporting Medical Review Analysts, and Physician Consultants to ensure an appropriate and accurate process. DUTIES: • Conduct utilization reviews up to and including the appeal level. This includes chart screen, complete electronic worksheets, enter required information and make level one denial decisions when necessary., • Conduct quality and clinical study data collection reviews. This includes chart review, complete detailed electronic data worksheets., • Act as a resource for the administrative staff in training, problem solving, and clarifying procedures. Will provide technical assistance and conduct/participate in staff huddles., • Participate in collaborative training specific to clinical study objectives., • Other activities as may be deemed necessary. QUALIFICATIONS: • Licensed as a Registered Professional Nurse in New York State., • Knowledge and experience with electronic medical records including utilization, quality, and clinical charting., • Ability to oversee, problem solve and work collaboratively with peers, medical, analytical, and administrative support staff., • Excellent written and verbal skills., • Ability to work independently with little supervision., • Ability and desire to be flexible, innovative, and creative. EDUCATION & EXPERIENCE: • Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program and licensed to practice in the State of New York., • A minimum of 2 years experience in an acute care facility preferably in medical surgical and utilization review experience highly preferable. LOCATION: Remote, can sit anywhere as long as you are licensed as an RN in NYS SHIFTS: M-F, 40 hours or 4x10s (no weekends) PAY: $48-52/hr DURATION: long term open ended contract includes benefits, sick time, 401k, weekly pay

Job Description Clinical Pharmacist Job Purpose: Provide integrated support to patients and physicians by providing a "hands-on" approach to improve the quality of patient care. This is accomplished by developing personalized relationships with patients and prescribers to improve medication adherence and promote evidence-based care. Job Duties: • Reviewing and interpreting clinician's patient care note/assessments for supportive clinical data needed for prior authorization approvals and development of care plan recommendations., • Develop and refine disease and drug specific clinical protocol to maximize patient adherence and promote evidence-based cost-effective care., • Monitor on-going patient adherence (PDC reports, patient assessment data, and mobile platform data) across all sites and disease categories with focus on oncology and other specialty specific disease states., • Evaluation of EMR to review: drug and disease interaction, medication selection, labs/vitals, allergies, RX orders/renewals and direct MD communication, and other relevant information important to maximize medication adherence and optimize patient outcomes., • Recommending alternative therapeutic drug regimens and disease specific treatments according to guidelines as appropriate., • Monitor and evaluate therapies for side effects or other medication related issues, recommend drug therapy changes to prescribers as appropriate., • Medication therapy management (MTM): including reviewing and monitoring of medication regimens, advising clinicians on evidence based therapy as indicated, documenting interventions; assessing patient adherence rates., • Clinical interventions including but are not limited to comprehensive pharmacist consultation, motivational interviewing/coaching, drug regimen optimization, medication reconciliation, medication lists or reminders, medication synchronization, coordinate home nurse visits, transitions between liaison/PSC, use of mobile app or other technologies., • Productivity monitoring and reporting weekly stats for growth development, • Overseeing tech's daily activities and verification for accuracy on: delivery coordination slips, prior authorizations submitted, ongoing PA log activity and proactive management care utilization within each specialty as per protocol., • Identifying and resolving insurance related issues, recognizing situations where financial assistance can be applied., • Supervising communication of support personnel compliant with HIPPA rules and regulations;, • Maintaining current registration and all remote pharmacist activity to comply with local, state and federal drug laws as regulated by each state board of pharmacy and the DEA., • Direct communication with other health professionals as necessary regarding patient care;, • Develops own knowledge by participating in education programs; training pharmacy staff, students, interns, externs, and health care professionals;, • Manage, organize, and update relevant data using database applications;, • Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards;, • Assist with research projects and peer reviewing articles as needed., • Identify trends, resolves problems; recommend improvements; implements change;, • Actively participates in process improvement initiatives;, • Protects organization's value by keeping information confidential;, • Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations;, • Willing to do whatever is necessary for the betterment of the Company; Traits: Organized, high-integrity, attention to detail, dependable, quality focus, empathetic, good listener/communicator Other: Energetic, highly motivated, team player with strong personal and communication skills; discretion and confidentiality essential as position deals with highly sensitive and private data Specialties: Knowledge of complex/chronic diseases states and therapies used within specialty pharmacy: Oncology, Transplant, Hepatitis C, Infectious Disease (including HIV), Multiple Sclerosis, Rheumatoid Arthritis, GI disorders (including IBD), Cystic Fibrosis, Psoriasis, Hyperlipidemia and many various inflammatory conditions (including Lupus) preferred. Experience/ Education: Required Licensure/Certification: Applicant must hold a Doctor of Pharmacy (PharmD) or equivalent advanced degree and be a licensed Pharmacist Years of Experience: 1+ years' experience is strongly preferred but not required. Should additional licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe. Continued employment is contingent upon meeting these requirements. Education: PharmD or equivalent advanced degree required. Job Salary: An employee in this position can expect a salary rate between $120,000 and $128,000 plus bonus pursuant to the terms of an any bonus plan if applicable. The actual salary will depend on experience, geographic location, and other factors permitted by law. California residents employed by or applying for work at Shields have certain privacy rights. Please review our: California Workforce Privacy Notice and Privacy Policy. By providing your mobile number, you agree to receive text messages from Shields Health Solutions related to job opportunities, interview scheduling, and recruiting updates. Message and data rates may apply. You may opt out at any time by replying 'STOP.' Consent is not a condition of employment. Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Job Description Clinical Pharmacist Job Purpose: Provide integrated support to patients and physicians by providing a "hands-on" approach to improve the quality of patient care. This is accomplished by developing personalized relationships with patients and prescribers to improve medication adherence and promote evidence-based care. Job Duties: • Reviewing and interpreting clinician's patient care note/assessments for supportive clinical data needed for prior authorization approvals and development of care plan recommendations., • Develop and refine disease and drug specific clinical protocol to maximize patient adherence and promote evidence-based cost-effective care., • Monitor on-going patient adherence (PDC reports, patient assessment data, and mobile platform data) across all sites and disease categories with focus on oncology and other specialty specific disease states., • Evaluation of EMR to review: drug and disease interaction, medication selection, labs/vitals, allergies, RX orders/renewals and direct MD communication, and other relevant information important to maximize medication adherence and optimize patient outcomes., • Recommending alternative therapeutic drug regimens and disease specific treatments according to guidelines as appropriate., • Monitor and evaluate therapies for side effects or other medication related issues, recommend drug therapy changes to prescribers as appropriate., • Medication therapy management (MTM): including reviewing and monitoring of medication regimens, advising clinicians on evidence based therapy as indicated, documenting interventions; assessing patient adherence rates., • Clinical interventions including but are not limited to comprehensive pharmacist consultation, motivational interviewing/coaching, drug regimen optimization, medication reconciliation, medication lists or reminders, medication synchronization, coordinate home nurse visits, transitions between liaison/PSC, use of mobile app or other technologies., • Productivity monitoring and reporting weekly stats for growth development, • Overseeing tech's daily activities and verification for accuracy on: delivery coordination slips, prior authorizations submitted, ongoing PA log activity and proactive management care utilization within each specialty as per protocol., • Identifying and resolving insurance related issues, recognizing situations where financial assistance can be applied., • Supervising communication of support personnel compliant with HIPPA rules and regulations;, • Maintaining current registration and all remote pharmacist activity to comply with local, state and federal drug laws as regulated by each state board of pharmacy and the DEA., • Direct communication with other health professionals as necessary regarding patient care;, • Develops own knowledge by participating in education programs; training pharmacy staff, students, interns, externs, and health care professionals;, • Manage, organize, and update relevant data using database applications;, • Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards;, • Assist with research projects and peer reviewing articles as needed., • Identify trends, resolves problems; recommend improvements; implements change;, • Actively participates in process improvement initiatives;, • Protects organization's value by keeping information confidential;, • Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations;, • Willing to do whatever is necessary for the betterment of the Company; Traits: Organized, high-integrity, attention to detail, dependable, quality focus, empathetic, good listener/communicator Other: Energetic, highly motivated, team player with strong personal and communication skills; discretion and confidentiality essential as position deals with highly sensitive and private data Specialties: Knowledge of complex/chronic diseases states and therapies used within specialty pharmacy: Oncology, Transplant, Hepatitis C, Infectious Disease (including HIV), Multiple Sclerosis, Rheumatoid Arthritis, GI disorders (including IBD), Cystic Fibrosis, Psoriasis, Hyperlipidemia and many various inflammatory conditions (including Lupus) preferred. Experience/ Education: Required Licensure/Certification: Applicant must hold a Doctor of Pharmacy (PharmD) or equivalent advanced degree and be a licensed Pharmacist Years of Experience: 1+ years' experience is strongly preferred but not required. Should additional licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe. Continued employment is contingent upon meeting these requirements. Education: PharmD or equivalent advanced degree required Job Salary: An employee in this position can expect a salary rate between $122,000 and $128,000 plus bonus pursuant to the terms of any bonus plan if applicable. The actual salary will depend on experience, seniority, geographic location, and other factors permitted by law California residents employed by or applying for work at Shields have certain privacy rights. Please review our: California Workforce Privacy Notice and Privacy Policy. By providing your mobile number, you agree to receive text messages from Shields Health Solutions related to job opportunities, interview scheduling, and recruiting updates. Message and data rates may apply. You may opt out at any time by replying 'STOP.' Consent is not a condition of employment. Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.