City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring a Authorization Coordinator/Licensed Practical Nurse (LPN) - Remote in Virginia Status: Full-time, permanent position (40 hours) Standard work hours: 8am to 5pm EST, M-F Location: Remote in Virginia Job Description Summary: - Responsible for review of clinical information received from Physicians and other Clinical providers ensuring clinical data is substantial enough to authorize services. Analyzes clinical information to ensure the services requested are authorized according to clinical protocols. Responsible for validation of member benefits for the services requested. Validates accuracy of insurance enrollment information in the system prior to authorizing services. Requires knowledge of managed care contracting, clinical protocols and clinical review requirements. Requires knowledge of regulatory and compliance requirements for government payers, self funded and commercial payers. Ensures appropriate and accurate information is entered into claims system for processing of payment. Education: - HS - High School Grad or Equivalent REQUIRED; LPN Diploma or Associate Degree in Practical Nursing preferred Certification/Licensure: - Licensed Practical Nurse (LPN) - Nursing License - Compact/Multi-State License REQUIRED Experience: - Related experience- 3 years - Health Plan OR Utilization Management experience preferred - JIVA and Milliman Care Guidelines (MCG) experience preferred - Related clinical experience as an LPN, such as experience in a physician office, acute care, managed care or clinic setting, and prior authorization Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-96211 #Indeed Talroo – Health Plan Managed Care, MCO, Health Plan, Healthcare, Remote, Virginia, Virginia Beach, Clinical, LPN, License Practical Nurse, Utilization Management, Utilization Review, Medical Necessity, JIVA, Milliman Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

- Perform daily abstraction of cancer cases into the cancer registry database. - Responsible for running and resolving EDIT’s prior to submission of cases to the State Central Registry. - Utilize State Cancer Registry data standards and coding instructions to determine all reportable cases. - Abstract cases completely, whenever possible. In cases where complete treatment data is not available, request this information from the managing physician. - Abstract cases within six months from first date of first contact. - Maintain a log to document the abstraction of all records as well as non-reportable cases - Submit cases to the State Central Registry, if requested. - Process case finding, follow-up and other registry duties. - Maintain the suspense system, if required. Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance. - Maintains a knowledge base of ICD-O, AJCC Cancer Staging Manual, Hematopoietic and Lymphoid Database and Manual, SEER Coding and Staging Manual, Collaborative Staging, SEER Multiple Primaries and Histology’s, SEER Rx Database and Facility Oncology Data Standards - AAP/EEO Statement - Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories. Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at employeerelationsus@omegahms.com. - Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com AAP/EEO Statement Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories. Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at employeerelationsus@omegahms.com.

Work From Home Work From Home Work From Home, Indiana 46544 The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management needs are addressed. This position ensures appropriate staffing levels, ongoing educational opportunities, and employee satisfaction to maintain operational commitment. The Supervisor maintains and enhances relationships with internal and external customers and peers across the continuum in order to facilitate excellent outcomes for patients and Franciscan. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT - Maintain inter- and intra-departmental communications, special projects, programs, policies, and procedures as well as care management services. - Participate and educate team in performance improvement initiatives. Implement processes to satisfaction with those we are privileged to serve. - Coordinate and maintain compliance with HFAP, state and federal agencies pertaining to Utilization/Denial management activities. - Supervise direct reports and manage the performance of individuals through ongoing coaching, feedback, and development to motivate, engage and drive a high performing team. - Make decisions for direct reports in assigned function and performs people management activities, such as, performance evaluations, disciplinary actions, staff planning, and interviews. - Supervise and maintain Utilization Management operations in collaboration with the Manager and Director, including ensuring appropriate utilization and denial management. QUALIFICATIONS - Bachelor's Degree in Nursing required - Active Indiana Registered Nurse (RN) license required - 5 years of Nursing/Patient Care required - 2 years of Utilization or Case Management experience preferred TRAVEL IS REQUIRED: Up to 20% JOB RANGE: INCENTIVE: Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

Overview Selution, in partnership with Cordis, specializes in the development of ground-breaking technology and commercialization of advanced drug device combination products for the treatment of coronary and peripheral artery disease. Our mission is to revolutionize healthcare by creating next-generation solutions that address unmet and critical medical needs. Responsibilities We are seeking a U.S. East Coast (EST) or European Union based Clinical Safety Manager with global pre-market and post-market study expertise in cardiovascular medical devices. This role is pivotal in ensuring timely review, identification and communication of safety signals for drug eluting balloons and contributing to the execution of our clinical investigations in conformity with all applicable requirements and standards. The Clinical Safety Manager will be responsible for review, evaluation, and analysis of safety events and information from ongoing clinical studies, supporting clinical and regulatory activities across several clinical studies. Key Responsibilities - Continuously review and analyze adverse events and safety data from ongoing clinical studies to monitor and identify any emerging safety signals or trends, potential risks, or emerging safety issues associated with the investigational products. - Investigate, manage and process all Serious Adverse Events (SAEs) for assigned clinical research trials - Support safety-related documents/sections in the clinical program development (e.g. CIP, CSR, ICF, IB, etc.) - Review, or prepare and submit, safety reports to regulatory agencies (individual or summary reports), in compliance with applicable country regulatory requirements and guidelines. - Support safety responses to address any regulatory queries or concerns related to safety signals or safety reports - Perform literature surveillance activities, develop and maintain search strategies to ensure comprehensive safety evaluations and identify any new or unexpected safety issues from published medical literature - Lead regular safety review meetings and contribute to discussions on safety data interpretation, safety signal assessment and risk mitigation strategies. - Generate safety narratives for Adverse Event (AE) cases as required - Create Safety Plans as applicable - Develop DSMB and CEC charters - Oversees timelines for adverse event processing, reviews summary safety data at regular intervals and monitors CEC adjudication results. - Monitor and track all safety action items from safety oversight committees (CEC and DSMB) to ensure timely implementation of any risk mitigation strategy - Support data review and presentation development for data monitoring committee meetings - Contribute to the coding of events according to MedDRA or IMDRF standards. - Manage the monitoring and reporting of personal data breaches (PHI), in compliance with applicable regulations (HIPAA, GDPR) - Contribute upon request to safety documentation for marketed devices: clinical data reviews, periodic safety update reports, etc. Strategic Impact Support oversight of safety management for the sponsored clinical studies and commercial devices, with an initial focus on drug-eluting balloon catheters. Key Interactions - Supervisor: Director of Global Clinical Safety - Internal Interactions: This role will interact heavily with clinical teammates across all projects and cross-functionally as needed with QA, R&D, etc. - External Customer Interactions: This role will work with DSMB and CEC members, Clinical trial physicians and research coordinators, contract research organizations, core labs, etc. Qualifications Required Skills - Master’s or PhD in relevant Scientific field, or equivalent - Minimum of 5 years of relevant experience in safety surveillance with global pre-market and post-market clinical trial experience within the cardiovascular medical device industry. - Safety management experience on US IDE trials - Proficiency with MedDRA (or IMDRF) and experience in safety signal detection and risk management. - Experience in safety data analysis, including analyzing trends and patterns in large datasets. - Solid understanding of FDA, ICH, GCP, SAE reporting and other global medical device regulations and safety reporting requirements. - Experience with safety reporting, guidelines, compliance and oversight across US and EU regions Competencies & Skills - Precise, rigorous, detail-oriented with strong work ethic - Excellent communication, writing and listening skills - Demonstrates strong ability to communicate effectively cross functionally - Exhibits ability to multi-task effectively - Demonstrates solid project management skills and strong attention to detail - Self-driven and motivated - Ability to analyze, interpret, and summarize complex data - Strong problem-solving abilities - Fluent in English Pay / Compensation The expected pre-tax pay rate for this position is $114,950 – 165,000 per year. Actual pay may fluctuate outside of the listed range depending on skills, education, experience, job-related knowledge and location. US work authorization is a precondition of employment. The company will not consider candidates who require sponsorship for a work-authorized visa.