TruHealth

Role Description The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary role of the Utilization Management (UM) Nurse is to provide clinical support to the Clinical Services Department and Medical Director to assure that members receive all appropriate medical services in compliance with medical and regulatory guidelines. Essential Job Duties - Assess the medical necessity, quality of care, level of care and appropriateness of health care services for plan members - Identify placement settings that offer the lowest level of restriction and greatest level of autonomy for the members based upon medical necessity - Conduct outreach to requesting providers which can include specialty physicians, ancillary providers and institutions to gather the appropriate/necessary clinical data - Apply clinical review criteria, guidelines, and screens in determining the medical necessity of health care services against the clinical data provided - Certify cases that meet clinical review criteria, guidelines and/or screens - Consult with physician when reviews do not meet clinical review criteria, guidelines, and screens - Refer cases to other professionals internally, including case management and medical consultation when indicated - Adhere to accreditation, contractual and regulatory timeframes in performing all utilization management review processes - Ensure that the Director of Medical Management or designee is made aware of any potential risk management issues in a timely manner - Other duties as assigned Requirements - Maintain privacy and confidentiality of records, conditions, and other information relating to residents, employees and facility - Encourage an atmosphere of optimism, warmth and interest in patients’ personal and health care needs - Develop and maintain collaborative relationships with providers and educate on levels of care - Ensure the integrity and high quality of utilization management services - Self-motivated - Ability to work independently and as part of a team - Able to work congenially with a wide variety of individuals - Maintain the highest level of confidentiality and professionalism at all times - Strong oral and written communications skills, including active listening - Proficient in navigating through multiple computer applications - Positive, engaging customer service skills - Critical thinking and decision-making skills - Successful completion of required training - Handle multiple priorities effectively - Independent discretion/decision making - Make decisions under pressure Qualifications - At least 1 year experience in utilization management with a health plan or hospital-based UM department with use of Interqual or MCG - Prefer clinical experience - Broad knowledge of Medicare regulations and guidance - Trained in clinical certification, utilization management, URAC and NCQA principles, policies, and procedures - Excellent customer service experience - Strong knowledge of medical terminology and CPT, ICD-10, and HCPCS codes - Proven ability to problem-solve and make solid decisions License/Certification - Current Certified Case Manager (CCM) credential is a plus - Current, active and unrestricted Registered Nurse (RN) license Benefits - Affordable Medical/Dental/Vision insurance options - Generous paid time-off program and paid holidays for full time staff - TeleDoc 24/7/365 access to doctors - Optional short- and long-term disability plans - Employee Assistance Plan (EAP) - 401K retirement accounts with company match - Employee Referral Bonus Program

Role Description American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc., owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application! Benefits - Affordable Medical/Dental/Vision insurance options - Generous paid time-off program and paid holidays for full-time staff - TeleDoc 24/7/365 access to doctors - Optional short- and long-term disability plans - Employee Assistance Plan (EAP) - 401K retirement accounts - Employee Referral Bonus Program Essential Functions - Contracting providers and essential vendors in current service areas to maintain CMS adequacy and providing necessary services in the care of the Plan members - Insuring providers and essential vendors in current service areas meet the credentialing requirements for their appropriate service lines - Educating providers on the Health Plan(s) functions and roles in caring for its membership - Ongoing educational updates as prescribed by CMS and the Health Plan(s) policies - Conducting education presentations of the Health Plan(s) providers to ensure their understanding and commitment with the Health Plan(s) - Monitoring, maintaining and supporting provider relationships to ensure network coverage in all areas - Working with and being involved in implementation as needed - Establishing a positive work environment that encourages participation in process improvement and commitment to department/company success - Completing corporate assignments as assigned Qualifications - Must have knowledge and familiarity with all levels of medical services and ability to rapidly develop working relationships - Must be able to accept instructions and work independently in the completion of goals and assignments - Must have strong negotiation, organization, presentation, and time management skills - Must be able to effectively communicate with all levels of medical staff to explain Health Plan(s) program, benefits, and goals - Must be able to work effectively in a team environment - Excellent computer skills, including Microsoft Office Suite - Must be self-motivated, dependable, team and goal-oriented Requirements - Experience in the health care field required - Prior experience in network development/network services is preferred - Prior experience with acute and post-acute facilities is beneficial - Prior experience with Medicare Advantage plans is helpful Licensing/Certification/Education Requirements - Bachelor’s degree Other Requirements - Must be available to work 8 a.m. until 5 p.m. local time - Position requires travel to network provider locations - Teleworking is an option if criteria are met Equal Opportunity Employer Our Organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made. This employer participates in E-Verify.

Role Description TruHealth is seeking an advanced practice provider, either a nurse practitioner (NP) or physician assistant (PA) with experience in primary care or internal medicine, preferably with geriatrics focus. This position gives you the opportunity to improve outcomes for long-term care residents by collaborating with a team of providers and case managers. You’ll enjoy a great benefit/pay package and possibilities for career growth. If you are an advanced practice registered nurse (APRN or NP) or physician assistant (PA) who enjoys working with the aging population, consider joining the TruHealth team. Our providers work primarily within nursing homes or assisted living communities with residents who are enrolled in special Medicare Advantage plans. You will be responsible for providing plan members with personalized, coordinated health care that improves quality of life and prevents unnecessary hospital visits. As one of our advance practice providers, you will exercise your independent judgement to treat patients with acute and chronic conditions, consulting with a supervising physician as appropriate. You will work closely with our facility partners and health plan leadership to implement our national model of care in compliance with all federal and state regulations. Our NPs and PAs are team players who contribute to TruHealth’s success and help our partners enhance their residents’ quality of life. Duties include: - Assessing patients’ medical and mental health needs and providing a plan of care that proactively manages their conditions and addresses barriers to care - Ensuring compliance with local, state, and federal agencies related to clinical services you provide - Prescribing medications and ordering lab work, diagnostic procedures and consultations - Monitoring patients’ compliance and response to their treatment and modifying those plans - Working with RN case managers as part of an integrated care team Qualifications - FNP, AGNP, AHACNP or PA license required - Degree from an accredited APRN or PA program - 3 years’ experience in clinical nursing or rehab in geriatric populations - Electronic Health Records experience - Working knowledge of Microsoft applications, including Word, Outlook and Excel Requirements - May be required to provide training and advice to facility staff Benefits - Competitive pay - Excellent benefits - Growth opportunities - Culture that values work–life balance

Role Description American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc., owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application! Essential Functions - Contracting providers and essential vendors in current service areas to maintain CMS adequacy and providing necessary services in the care of the Plan members. - Insuring providers and essential vendors in current service areas meet the credentialing requirements for their appropriate service lines. - Educating providers on the Health Plan(s) functions and roles in caring for its membership. - Ongoing educational updates as prescribed by CMS and the Health Plan(s) policies. - Conducting education presentations of the Health Plan(s) providers to ensure their understanding and commitment with the Health Plan(s). - Monitoring, maintaining and supporting provider relationships to ensure network coverage in all areas. - Working with and being involved in implementation as needed. - Establishing a positive work environment that encourages participation in process improvement and commitment to department/company success. - Completing corporate assignments as assigned. Qualifications - Must have knowledge and familiarity with all levels of medical services and ability to rapidly develop working relationships. - Must be able to accept instructions and work independently in the completion of goals and assignments. - Must have strong negotiation, organization, presentation and time management skills. - Must be able to effectively communicate with all levels of medical staff to explain Health Plan(s) program, benefits and goals. - Must be able to work effectively in a team environment. - Excellent computer skills, including Microsoft Office Suite. - Must be self-motivated, dependable, team and goal-oriented. Requirements - Experience in the health care field required. - Prior experience in network development / network services is preferred. - Prior experience with acute and post-acute facilities is beneficial. - Prior experience with Medicare Advantage plans is helpful. Licensing/Certification/Education Requirements - Bachelor’s degree. Other Requirements - Must be available to work 8 a.m. until 5 p.m. local time. - Position requires travel to network provider locations. - Teleworking is an option if criteria are met. Benefits - Affordable Medical/Dental/Vision insurance options. - Generous paid time-off program and paid holidays for full time staff. - TeleDoc 24/7/365 access to doctors. - Optional short- and long-term disability plans. - Employee Assistance Plan (EAP). - 401K retirement accounts. - Employee Referral Bonus Program. Equal Opportunity Employer Our Organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made. This employer participates in E-Verify.

Role Description American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc., owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application! Essential Functions - Contracting providers and essential vendors in current service areas to maintain CMS adequacy and providing necessary services in the care of the Plan members. - Insuring providers and essential vendors in current service areas meet the credentialing requirements for their appropriate service lines. - Educating providers on the Health Plan(s) functions and roles in caring for its membership. - Ongoing educational updates as prescribed by CMS and the Health Plan(s) policies. - Conducting education presentations of the Health Plan(s) providers to ensure their understanding and commitment with the Health Plan(s). - Monitoring, maintaining and supporting provider relationships to ensure network coverage in all areas. - Working with and being involved in implementation as needed. - Establishing a positive work environment that encourages participation in process improvement and commitment to department/company success. - Completing corporate assignments as assigned. Qualifications - Must have knowledge and familiarity with all levels of medical services and ability to rapidly develop working relationships. - Must be able to accept instructions and work independently in the completion of goals and assignments. - Must have strong negotiation, organization, presentation, and time management skills. - Must be able to effectively communicate with all levels of medical staff to explain Health Plan(s) program, benefits, and goals. - Must be able to work effectively in a team environment. - Excellent computer skills, including Microsoft Office Suite. - Must be self-motivated, dependable, team and goal-oriented. Requirements - Experience in the health care field required. - Prior experience in network development/network services is preferred. - Prior experience with acute and post-acute facilities is beneficial. - Prior experience with Medicare Advantage plans is helpful. Licensing/Certification/Education Requirements - Bachelor’s degree. Other Requirements - Must be available to work 8 a.m. until 5 p.m. local time. - Position requires travel to network provider locations. - Teleworking is an option if criteria are met. Benefits - Affordable Medical/Dental/Vision insurance options. - Generous paid time-off program and paid holidays for full-time staff. - TeleDoc 24/7/365 access to doctors. - Optional short- and long-term disability plans. - Employee Assistance Plan (EAP). - 401K retirement accounts. - Employee Referral Bonus Program. Equal Opportunity Employer Our Organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made. This employer participates in E-Verify.

Role Description To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation: - Contracting providers and essential vendors in current service areas to maintain CMS adequacy and providing necessary services in the care of the Plan members. - Insuring providers and essential vendors in current service areas meet the credentialing requirements for their appropriate service lines. - Educating providers on the Health Plan(s) functions and roles in caring for its membership. - Ongoing educational updates as prescribed by CMS and the Health Plan(s) policies. - Conducting education presentations of the Health Plan(s) providers to ensure their understanding and commitment with the Health Plan(s). - Monitoring, maintaining and supporting provider relationships to ensure network coverage in all areas. - Working with and being involved in implementation as needed. - Establishing a positive work environment that encourages participation in process improvement and commitment to department/company success. - Completing corporate assignments as assigned. Qualifications - Must have knowledge and familiarity with all levels of medical services and ability to rapidly develop working relationships. - Must be able to accept instructions and work independently in the completion of goals and assignments. - Must have strong negotiation, organization, presentation and time management skills. - Must be able to effectively communicate with all levels of medical staff to explain Health Plan(s) program, benefits and goals. - Must be able to work effectively in a team environment. - Excellent computer skills, including Microsoft Office Suite. - Must be self-motivated, dependable, team and goal-oriented. Requirements - Experience in the health care field required. - Prior experience in network development / network services is preferred. - Prior experience with acute and post-acute facilities is beneficial. - Prior experience with Medicare Advantage plans is helpful. - Bachelor’s degree. - Must be available to work 8 a.m. until 5 p.m. local time. - Position requires travel to network provider locations. - Teleworking is an option if criteria are met. Benefits - Affordable Medical/Dental/Vision insurance options. - Generous paid time-off program and paid holidays for full time staff. - TeleDoc 24/7/365 access to doctors. - Optional short- and long-term disability plans. - Employee Assistance Plan (EAP). - 401K retirement accounts. - Employee Referral Bonus Program. Company Description American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc., owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations.

Role Description To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation: - Contracting providers and essential vendors in current service areas to maintain CMS adequacy and providing necessary services in the care of the Plan members. - Insuring providers and essential vendors in current service areas meet the credentialing requirements for their appropriate service lines. - Educating providers on the Health Plan(s) functions and roles in caring for its membership. - Ongoing educational updates as prescribed by CMS and the Health Plan(s) policies. - Conducting education presentations of the Health Plan(s) providers to ensure their understanding and commitment with the Health Plan(s). - Monitoring, maintaining and supporting provider relationships to ensure network coverage in all areas. - Working with and being involved in implementation as needed. - Establishing a positive work environment that encourages participation in process improvement and commitment to department/company success. - Completing corporate assignments as assigned. Qualifications - Must have knowledge and familiarity with all levels of medical services and ability to rapidly develop working relationships. - Must be able to accept instructions and work independently in the completions of goals and assignments. - Must have strong negotiation, organization, presentation and time management skills. - Must be able to effectively communicate with all levels of medical staff to explain Health Plan(s) program, benefits and goals. - Must be able to work effectively in a team environment. - Excellent computer skills, including Microsoft Office Suite. - Must be self-motivated, dependable, team and goal-oriented. Requirements - Experience in the health care field required. - Prior experience in network development / network services is preferred. - Prior experience with acute and post-acute facilities is beneficial. - Prior experience with Medicare Advantage plans is helpful. - Bachelor’s degree. - Must be available to work 8 a.m. until 5 p.m. local time. - Position requires travel to network provider locations. - Teleworking is an option if criteria are met. Benefits - Affordable Medical/Dental/Vision insurance options. - Generous paid time-off program and paid holidays for full time staff. - TeleDoc 24/7/365 access to doctors. - Optional short- and long-term disability plans. - Employee Assistance Plan (EAP). - 401K retirement accounts. - Employee Referral Bonus Program. Company Description American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc., owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations.

Role Description The purpose of this position is to provide lead level support to the Appeals and Grievances team with the direct assistance of the Director of Claims Operations. This includes overseeing the processing, tracking, and following up on all medical necessity and administrative denials, appeals, grievances, and disputes for Medicare Advantage members in accordance with Medicare guidelines and regulations. The Appeals and Grievances Team Leader is a critical team player who works in a fast-paced, ever-changing environment with a passionate team and must deliver daily. Essential Functions - Capture, investigate and respond to all complaints regarding customer grievances and appeals. - Oversee claim payment disputes provision of service and benefit coverage issues. - Conduct pertinent research to evaluate, answer, and close appeals. - Ensure appropriate resolution to inquiries, grievances and appeals within specified timeframes established by regulatory/accreditation agencies or customer needs. - Assist members when filing appeals; educate members, document and route the information appropriately. - Prepare response letters, notifications, and acknowledgements for members and provider complaints, grievances and appeals. - Maintain grievance information and supporting documentation in accordance with all state, federal, NCQA, URAC and other regulatory agency standards/regulations. - Escalate issues appropriately or work with other departments to resolve member issues. - Ensure all HIPAA and State requirements/regulations are always adhered to. - Identify issues and root causes of appeals and disputes for plan management and compliance. - Identify and report trends and/or areas of opportunities to supervisor. - Maintain and update appeal and grievance policies and procedures, member correspondence materials, and process manuals. - Perform internal audits of grievance and appeals process. - Maintain privacy and confidentiality of records, conditions, and other information relating to residents, employees and facility. - Encourage an atmosphere of optimism, warmth and interest in patients’ personal and health care needs. - Meet critical time frames on a frequent and regular basis. Qualifications - Excellent communication skills and active listening. - Positive, engaging customer service skills. - Ability to work cooperatively with internal departments and external stakeholders. - Ability to perform in potentially stressful situations, such as state, federal, NCQA, URAC or other regulatory/accrediting agency audits. Requirements - Minimum (3) three years’ health plan experience; insurance, compliance, managed care, or quality assurance preferred. - Minimum (3) years of Grievance and appeals experience preferred, specifically within a Medicare and/or Medicare Advantage context. - Minimum two years of demonstrated leadership skills in claims and/or appeals and grievances. - Proven track record for improving processes and problem-solving skills. - Ability to motivate team members while also possessing strong leadership skills. - Experience working with physicians and clinicians in the appeals and grievance space, preferred. - Knowledge and understanding of complaint and appeal procedures. - Knowledge of managed care, particularly utilization management processes. - Knowledge of NCQA, HEDIS or general accreditation requirements and guidelines for utilization management, denials and appeals. - Familiarity with Appeals processes and regulatory requirements related to customer service experience. - Proven ability to problem-solve and make solid and well-researched decisions. - Qualifying criminal background. Education Requirements - High school diploma required. - Associates degree preferred. - Successfully completed college courses in relevant fields to compensate for experience preferred. - Medicare experience preferred.

American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application! Benefits and Perks include: - Affordable Medical/Dental/Vision insurance options - Generous paid time-off program and paid holidays for full time staff - TeleDoc 24/7/365 access to doctors - Optional short- and long-term disability plans - Employee Assistance Plan (EAP) - 401K retirement accounts - Employee Referral Bonus Program ESSENTIAL FUNCTIONS: To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation • Contracting providers and essential vendors in current service areas to maintain CMS adequacy and providing necessary services in the care of the Plan members • Insuring providers and essential vendors in current service areas meet the credentialing requirements for their appropriate service lines • Educating providers on the Health Plan(s) functions and roles in caring for its membership • Ongoing educational updates as prescribed by CMS and the Health Plan(s) policies • To conduct the education presentations of the Health Plan(s) providers to insure their understanding and commitment with the Health Plan(s) • Monitor, maintain and support provider relationships to insure network coverage in all areas • To work with and be involved in implementation as needed • Establish a positive work environment that encourages participation in process improvement and commitment to department/company success • Complete corporate assignments as assigned Required Skills: • Must have knowledge and familiarity with all levels of medical services and ability to rapidly develop working relationships • Must be able to accept instructions and work independently in the completions of goals and assignments • Must have strong negotiation, organization, presentation and time management skills • Must be able to effectively communicate with all levels of medical staff to explain Health Plan(s) program, benefits and goals • Must be able to work effectively in a team environment • Excellent computer skills, including Microsoft Office Suite • Must be self-motivated, dependable, team and goal-oriented Required Work Experience: • Experience in the health care field required • Prior experience in network development / network services is preferred • Prior experience with acute and post-acute facilities is beneficial • Prior experience with Medicare Advantage plans is helpful Licensing/Certification/Education Requirements: • Bachelor’s degree Other Requirements: • Must be available to work 8 a.m. until 5 p.m. local time • Position requires travel to network provider locations. • Teleworking is an option if criteria are met EQUAL OPPORTUNITY EMPLOYER Our Organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made. This employer participates in E-Verify.

American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. This division currently operates in Tennessee, Georgia, Missouri, Kansas, Oklahoma, Utah, Texas, Mississippi, Iowa, Idaho, Louisiana, and Indiana with planned expansion into other states in 2025. For more information, visit AmHealthPlans.com. If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application! Benefits and Perks include: - Affordable Medical/Dental/Vision insurance options - Generous paid time-off program and paid holidays for full time staff - TeleDoc 24/7/365 access to doctors - Optional short- and long-term disability plans - Employee Assistance Plan (EAP) - 401K retirement accounts with company match - Employee Referral Bonus Program Position Summary: The Member Advocate is a customer-service focused position that will support local service areas. This role reports to the Program Manager of their specific work region. The position is considered a work-from-home position as no formal office space/work location is provided; however, the Member Advocate will conduct a large portion of his/her work within partner nursing homes within a specific work region. Essential Functions: - Member Advocate will welcome all new members in accordance with established Plan processes. - Once member is enrolled, follow up member to ensure that any questions are answered, act as a point of contact if the member or their family needs assistance with the plan, or provide them with periodic updates about the plan. - Act as front-line support as needed with the member, partner facility and integrated care team to ensure the needs of the Member and Plan are met. - Develop and maintain relationships with key network providers/facilities within assigned region; support continued regional network development activities necessary to meet network adequacy requirements. - Meet with the member and/or their family at least monthly. - Member Advocates will annually sponsor or assist with no less than one group activity at each of their regional nursing facilities. - Contact TruHealth staff or appointees at least monthly, but more often as appropriate, to discuss and ensure the needs of the Member and Plan are met. - Follow up on any items that the members are dissatisfied with and report to plan accordingly. - Develop and maintain reporting to include but not limited to managing member status, daily/weekly/monthly facility calendar, issues tracking/management. - Ensure that ALL interactions with the member are compliant with CMS regulations. - Other responsibilities as assigned. Required Work Experience: - Experience successfully working in a healthcare delivery setting with elderly patients as either a clinician, social worker or caregiver. Nursing home experience is preferred. - CMS regulations regarding Medicare Advantage Plans Other Requirements: - Exceptional interpersonal skills with demonstrated ability to work independently as well as with a team; must be a good listener to understand feedback raised by the family. - Compliant, at all times, with CMS regulations regarding Medicare Advantage Plans. - Ability to work well with staff at each of the nursing homes in the assigned region to include nursing staff, doctors and administration staff. - Ability to deliver outstanding customer service with a proven track record. - Exceptional organizational skills - Strong written and verbal communication and clear-thinking skills with the ability to synthesize complex issues into simple messages. - Willingness and ability to travel to facilities within your assigned region; have dependable transportation, a current driver’s license, a clean driving record, and proof of insurance. - Strong proficiency in computer skills in Microsoft Office Suite products. - Have suitable home work space allowing for productive office environment. License/Certification/Education Required: - Current Driver's License in applicable state - Associate Degree preferred EQUAL OPPORTUNITY EMPLOYER Our Organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made. This employer participates in E-Verify.