Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of authorization for health care services, assisting with discharge planning activities (i.e. DME, home health services) and care coordination for members, as well as monitoring the delivery of healthcare services. Essential Functions: - Complete prospective, concurrent and retrospective review such as acute inpatient admissions, post-acute admissions, elective inpatient admissions, outpatient procedures, homecare services and durable medical equipment - Identify, document, communicate, and coordinate care, engaging collaborative care partners to facilitate transitions to an appropriate level of care - Engage with medical director when additional clinical expertise if needed - Maintain knowledge of state and federal regulations governing CareSource, State Contracts and Provider Agreements, benefits, and accreditation standards - Identify and refer quality issues to Quality Improvement - Identify and refer appropriate members for Care Management - Provide guidance to non-clinical staff - Provide guidance and support to LPN clinical staff as appropriate - Attend medical advisement and State Hearing meetings, as requested - Assist Team Leader with special projects or research, as requested - Perform any other job related duties as requested. Education and Experience: - Associates of Science (A.S) Completion of an accredited registered nursing (RN) degree program required - Three (3) years clinical experience required - Med/surgical, emergency acute clinical care or home health experience preferred - Utilization Management/Utilization Review experience preferred - Medicaid/Medicare/Commercial experience preferred Competencies, Knowledge and Skills: - Proficient data entry skills and ability to navigate clinical platforms successfully - Working knowledge of Microsoft Outlook, Word, and Excel - Effective oral and written communication skills - Ability to work independently and within a team environment - Attention to detail - Proper grammar usage and phone etiquette - Time management and prioritization skills - Customer service oriented - Decision making/problem solving skills - Strong organizational skills - Change resiliency Licensure and Certification: - Current, unrestricted Registered Nurse (RN) Licensure in state(s) of practice required - MCG Certification or must be obtained within six (6) months of hire required Working Conditions: - General office environment; may be required to sit or stand for extended periods of time - Travel is not typically required Compensation Range: $62,700.00 - $100,400.00CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Hourly Organization Level Competencies - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-JM1

Posting Date 03/27/2026 5406 Hwy 280Ste D107, Hoover, Alabama, 35242-6597, United States of America Our assistants are more than just administrative; they are our foundation for success! DaVita Dialysis is looking for its next administrative assistant to guide and direct business initiatives from the ground up! We are looking for someone with proven excellence in an administrative role, and who is an articulate communicator both in person and electronically. DaVita is looking for an individual who will go above and beyond to extend the highest level of customer service possible. If this sounds like you, continue reading! As a DaVita administrative assistant you will be called on to organize and schedule many events for your department. An ability to work with Microsoft Office applications is a MUST! You will constantly be learning new processes and technological applications, so we are looking for someone with a desire to grow personally and professionally. You will be asked to arrange meetings, make travel plans, and schedule appointments for your department. Organizational skills are a must! DaVita functions as a very fast-pasted work environment, so your ability to work at a high level of proficiency with little supervision is essential. We will put your multi-tasking skills to the test! Our INTEGRATED CARE ASSISTANTS are more than just administrative, they are our foundation for success!!!! This position provides administrative support to DaVita Integrated Kidney Care Teams (i.e. RN, NP) and other members of the Integrated Care National Team. The Integrated Care Assistant collects, verifies, and enters information into appropriate medical record systems. Details: - Full-time remote role, Monday - Friday - Ideal candidate MUST reside in Alabama or Mississippi - Starting time between 7:00 and 8:30 am CST - Competitive Healthcare, Paid Time Off and 401k Benefits - Community-based Work Culture - Room for Growth and Professional Development Opportunities - Fortune World's Most Admired Companies RESPONSIBILITIES: The following duties and responsibilities generally reflect the expectations of this Integrated Care Assistant position but are not intended to be all-inclusive. - Collect, verify, enter, and maintain data and medical record information in the DaVita Integrated Kidney Care medical management database including but not limited to patient, provider, and payer contact and referral information. - Communicate with hospitals, track patient admissions/discharges - Transcribe lab results, and follow up with providers for confirmation of services - Monitors reports and data feeds, and communicates with the Integrated Care Team to ensure data is current and complete - Attend team meetings, conferences, and training as required. - Know, understand, and follow teammate guidelines, employment policies, and department or company procedures. - Consistent, regular, punctual attendance as scheduled is an essential responsibility of this Integrated Care Assistant / Medical Administrative Assistant position. - Other duties and responsibilities as assigned QUALIFICATIONS: - High School diploma or equivalent required - Prior administrative experience required - Proficiency in navigating MS Office applications and other databases - Prior REMOTE work experience is a bonus - Deals with confidential information using discretion and judgment - Professional verbal communication and telephone etiquette - Basic proficiency with the Medical Information System Technology (MIST) within 60 days of employment or position change required COMPETENCIES: Communication: - Convey information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message Managing Work including Time Management: - Effectively manages time and resources to ensure that work is completed efficiently Tenacity: - Staying with a position or plan of action until the desired objective is obtained or is no longer reasonably attainable Energy: - Consistently maintaining high levels of activity or productivity; operating with vigor, effectiveness, and determination over extended periods Quality Focused: - Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over systems Initiating Action: - Taking prompt action to accomplish objectives; taking action to achieve goals beyond what is required; being proactive Multi-tasking: - DaVita functions as a very fast-paced work environment, so your ability to work at a high level of proficiency with little supervision is essential. We will put your multi-tasking skills to the test! Here is what you can expect when you join our Village as an Administrative Assistant (Business Offices) • A community first, company second culture based on Core Values that really matter. • Clinical outcomes consistently ranked above the national average. • Award-winning education and training across multiple career paths to help you reach your potential. • Performance-based rewards based on stellar individual and team contributions. • A comprehensive benefits package designed to enhance your health, your financial well-being and your future. • Dedication, above all, to caring for patients suffering from chronic kidney failure across the nation. • Proven experience supporting leadership positions • Associates degree or higher highly preferred • Microsoft Certified highly preferred What We’ll Provide: More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings. - Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out - Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more - Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning. #LI-IP1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Wage Range for the role is $15.00 - $20.50 per hour. If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position. New York Exempt: New York City and Long Island: $66,300.00/year, Nassau, Suffolk, and Westchester counties: $66,300.00/year, Remainder of New York state: $62,353.20/year New York Non-exempt: New York City and Long Island: $17.00/hour, Nassau, Suffolk, and Westchester counties: $17.00/hour, Remainder of New York state: $16.00/hour Washington Exempt: $80,168.40/year Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hourFor location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

#LI-HW1 #LI-Remote Myers and Stauffer LC is a certified public accounting and health and human services consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health care programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45+ years of experience assisting our government clients with complex health care reimbursement and provider compliance issues, operate 21 offices and have over 900 associates nationwide. At Myers and Stauffer, you will have a career that is rewarding while also supporting our state and federal government health and human service clients that focus on those in need. We are committed to providing our employees with professional growth and development opportunities, a diverse, dynamic, challenging work environment, and a strong and visionary leadership team. Our firm takes pride in the welcoming and collaborative culture we have throughout our offices. We are always willing to discuss potential flexibility that an employee may need to better suit their work-life wellbeing. What We Offer: - Health, Dental, and Vision insurance along with other competitive employee benefits for eligible associates - Vacation time, sick time, and paid holidays - Paid Parental Leave and available support resources - 401K with company matching for eligible employees - Tuition reimbursement, referral bonuses, paid volunteer community service time, mentor program, and a variety of other employee programs and perks - A combination of technical and leadership development training at each career milestone - Up to six counseling sessions per year for eligible employees through our Employee Assistance Program We understand that changing or learning a new industry can discourage strong candidates from applying. Please do not hesitate to apply, as you may be the right fit for this position or another position we have open.

Role Description Join our dynamic team at Luckie's PineStraw as a dedicated healthcare professional providing telehealth services to our patients. This position offers the opportunity to utilise your nursing skills in a virtual environment, helping to ensure patient well-being and continuity of care. - Conduct virtual assessments and consultations with patients. - Provide education and support regarding health management and treatment plans. - Collaborate with other healthcare professionals to coordinate care. - Document patient interactions and maintain accurate medical records. - Respond to patient inquiries and provide timely follow-up care. Qualifications - Current Registered Nurse (RN) licence. - Experience in telehealth or remote patient care is preferred. - Strong communication and interpersonal skills. - Proficiency in using telehealth technologies and electronic health records. - Ability to work independently and manage time effectively. Requirements - Certification in nursing informatics or telehealth nursing. - Experience with patient education and coaching. - Knowledge of chronic disease management.