American Specialty Health Incorporated is seeking a Manager I - CQE Acupuncture to join our Clinical Quality Evaluation (CQE) department. This position will render medical necessity review determinations of services requested by Acupuncture practitioners. Salary Range American Specialty Health complies with state and federal wage and hour laws and compensation depends upon candidate’s qualifications, education, skill set, years of experience, and internal equity. $69,200 to $85,000 Full-Time Annual Salary Range. Remote Worker Considerations: Candidates who are selected for this position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed. 100 down/20 up is recommended to support higher quality video meetings). Responsibilities - Manages the medical necessity review of acupuncture services. - Performs medical necessity review of requested services from network and non-network Acupuncture practitioners. - Conducts timely, accurate, and inter- and intra-consistent reviews in order to verify and approve medically/clinically necessary and appropriate care and services for our health plan members. - Effectively communicates rationale for clinical decision making to peers using evidence/outcomes-based principles and professional experience. - Supports clinical credentialing and medical records review of Network Practitioners, as needed. - Provides clinical investigation of credentialing, MNR, and quality-of-care issues for presentations to committees, as requested. - Reviews files in regulatory, accreditation, health plan, and medical group audits as required. - Conducts outreach calls as assigned. - Participates in Clinical Quality Administration and Clinical Quality Evaluation workgroups. - Promotes a productive team environment. - Participates in clinical article review activities as assigned. - Provides interdepartmental support to Medical Necessity Administration department, as necessary, for performance of assigned tasks. - Works independently, receiving minimal guidance and supervision. - Collaborates with senior management and various departments regarding clinical programs, policies, and protocol development and implementation. - Researches and develops clinical content, policies, and protocols in support of the Health Services and other associated departments, as necessary. Qualifications - Professional degree in Acupuncture from accredited college or university required. Additional post-graduate degree in same or related field a plus. - A current, unrestricted license to practice in his/her health care specialty in California. Employee must maintain a current, unrestricted license to practice in California and must be in good standing with all judicial and governing bodies. While most states only require licensure in a state in the United States, some states may require state-specific licensure. Employee must be willing and able to obtain other state licenses if needed for job functions. (Required). - Minimum of 5 years of clinical experience. Specific experience with medical necessity case review preferred. - Understanding of Acupuncture practice guidelines and best practices required. - Working knowledge of managed Acupuncture services is a plus. - Fluency in Chinese or Korean languages a plus. - Advanced training or certification in any specialty areas of Acupuncture, health care or quality management, case management, performance improvement, data analysis, and quality initiatives a plus. - Must meet ASH clinical credentialing requirements. - Ability to independently resolve problems or issues related to clinical determinations using good judgment or to escalate problems or issues to supervisor(s), as appropriate. - Use of computer systems in business application including, but not limited to: 10-key, Outlook, MS-WORD, IHIS, ASHCore, SharePoint and Microsoft Teams required. - Ability and willingness to serve as a peer-clinician resource to assist practitioners to interact more effectively and efficiently within ASH programs and systems. - Provides critical evaluation of submitted clinical documentation in order to make medical necessity determinations with the scope of accountabilities. - Provides clinical decision-making in support of credentialing, quality improvement, quality assurance, and medical necessity verification activities. - Must possess the ability to apply and communicate evidence-based criteria and approved guidelines to specific medical necessity review scenarios and describe clinical rationale consistently and effectively and in a professional manner. Core Competencies - Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships. - Ability to display excellent customer service to meet the needs and expectations of both internal and external customers. - Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment. - Ability to effectively organize, prioritize, multi-task, and manage time. - Demonstrated accuracy and productivity in a changing environment with constant interruptions. - Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions. - Ability to exercise strict confidentiality in all matters. Mobility Primarily sedentary, able to sit for long periods of time, able to travel by automobile and air. Physical Requirements Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within the facility. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs. Environmental Conditions Work-from-home (WFH) environment. American Specialty Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law. Please view Equal Employment Opportunity Posters provided by OFCCP here. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702. ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information. #LI-Remote #Healthcare #Clinic #Acupuncture #Therepist

Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. The Opportunity We're seeking board-certified Nurse Practitioners to provide comprehensive, empathetic, and collaborative care to women, including diagnosis, treatment, and management of chronic and acute conditions. Location: Fully remote within the U.S. Your Impact - Conduct thorough patient assessments and develop personalized treatment plans via video visits. - Collaborate with a multidisciplinary team to deliver the highest standards of care. - Complete required training and adhere to company policies and best practices. - Promote preventative care and overall well-being through education and evidence-based strategies. - Maintain accurate and up-to-date patient records. - Dedicate a minimum of 10 patient-facing hours per week, including consults, prescribing medications when appropriate, and providing necessary medical guidance. - Charting, addressing patient questions, and responding to administrative tasks and messages. Required Qualifications - Required Certification: Active national board certification as a (WHNP, FNP, or similar). - Required Experience: Minimum of 2 years of consecutive experience as a Nurse Practitioner specializing in women's health and treating chronic conditions such as PCOS, Endometriosis, Hypothyroidism, Hashimoto’s, Metabolic Syndrome, Menopause, Fertility, Postpartum, PMDD, and Obesity. - Independence: Ability to operate effectively as an independent provider with strong diagnostic and problem-solving abilities. - Communication Skills: Exceptional written and verbal communication with a focus on clarity and compassion. - Webside Manner: Strong ability to connect with patients virtually and provide empathetic care. - Commitment to Evidence-Based Care: Dedication to delivering treatments grounded in the latest research. - Technical Proficiency: Highly skilled in navigating multiple computer screens and proficient in tools such as EMR, text expanders, Gmail, Google Calendar, Zoom, and scheduling platforms. - Telemedicine: Experience is a plus! State License Requirements & Hiring Considerations: An active, unrestricted, and unencumbered professional license in at least one U.S. state is required. Please note: All active and pending state licenses held at the time of application are collected and reviewed. Hiring decisions are based on current state hiring needs, which may change over time, and applicants may not move forward if there is no immediate need for their specific license(s). We often revisit opportunities in the future as hiring needs evolve and when licensure, experience, and other role requirements align. What Allara Offers - Compensation: We offer competitive per-visit rates, plus additional pay for charting, administrative tasks, and other patient-related tasks - Fully Remote Role: Work from anywhere in the US - 1099 Contract Agreement: Enjoy the flexibility and independence of a contractor role - Flexible Schedules: Set the hours that best fit your lifestyle and availability - Malpractice Insurance: Comprehensive coverage provided - Mission-Driven Impact: Join us in transforming healthcare for women, making a meaningful difference every day - Collaborative Community: Engage with and learn from a network of dedicated Allara providers - Inclusive Work Environment: Be part of a supportive, diverse, and collaborative team that values innovation and inclusion At Allara, we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.

Role Description We are seeking a motivated and detail-oriented LVN/LPN to join our Chronic Care Management team. In this role, you will play a critical role in patient care by: - Conducting comprehensive assessment calls. - Developing and educating patients on care plans. - Performing Behavioral Health Integration (BHI) assessments. - Assisting patients with medical device troubleshooting. Qualifications - Active LPN/LVN Compact License required. - Strong communication and organizational skills. - Passionate about patient care, possessing the ability to relate with empathy and compassion. - A passion for patient teaching is a must. Requirements - Minimum fiber internet speed of 50 Mbps download / 10 Mbps upload. - Hardwired internet connection required. - Speed test submission required during the offer process. - Private, HIPAA-compliant workspace. Benefits - Competitive base pay: $24-$26/hr. - Evening Differential: +$1.50/hour for hours worked after 7:00 PM ET. - Late-Night Differential: +$2.00/hour for hours worked after 10:00 PM ET. - Weekend Differential: +$1.50/hour for all hours worked Saturday and Sunday. - Sign-On Bonus: $2,000 paid after 120 days of continuous employment, contingent upon active employment and satisfactory performance at time of payout. - Monthly Bonus Potential: Up to $1,500. - 5% Bilingual Pay Allowance. - 11 Paid Company Holidays annually. - Paid Time Off (PTO). - Medical, Dental, Vision, and supplemental insurance options. - 401(k) Plan with 3.5% Company Match. - Company-provided equipment.

Role Description Join the Physician Partnership Where You Can Increase Your Impact. Vituity’s ownership model provides autonomy, local control, and a national system of support, so you can focus your attention where you want it to be – on your patients. Seeking highly competitive and motivated candidates with strong leadership potential interested in becoming a Medical Director. - One (1) year Physician Leaders Fellowship program. - Graduate of an accredited Emergency Medicine, Internal Medicine, Family Medicine, Neurology, Anesthesia, or Psychiatry residency program required. - Full-time position. - Participate in a wide array of management and leadership experiences. - Act as a member of the Vituity senior and executive management team. - Collaborate and develop products that impact the practice of your specialty. - Develop an understanding of the clinical, financial, and regulatory issues impacting your specialty. - Complete leadership and management training necessary to successfully negotiate this environment. Qualifications - Graduate of an accredited residency program in Emergency Medicine, Internal Medicine, Family Medicine, Neurology, Anesthesia, or Psychiatry. Requirements - Strong leadership potential. - Full-time availability. Benefits - Superior Health Plan Options. - Dental, Vision, HSA, life and AD&D coverage, and more. - Partnership models allow a K-1 status pay structure, allowing high tax deductions. - Extraordinary 401K Plan with high tax reduction and faster balance growth. - Eligible to receive an Annual Profit Distribution/yearly cash bonus. - EAP and travel assistance included. - Student loan refinancing discounts. - Purpose-driven culture focused on improving the lives of our patients, communities, and employees. Company Description Vituity is a 100% physician-owned partnership and is led by frontline physicians that are all equitable owners. We foster an environment where passion thrives, and success comes through shared purpose. Together, we leverage our strengths and experiences to make a positive impact in our local communities. - Vituity has opportunities at 890 practices across the country, serving 14.5 million patients a year. - Even when you are working remotely, you are an important part of the Vituity Community. - Monthly wellness events and programs such as yoga, HIIT classes, and more. - Trainings to help support and advance your professional growth. - Team building activities such as virtual scavenger hunts and holiday celebrations. - Flexible work hours. - Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.