This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. As a Physician Reviewer/Advisor for Disability Peer Review, you will utilize clinical expertise to review medical records provided and return an independent, professional opinion on the claimant’s functionality and restrictions or limitations as it relates to an application for disability benefits or the current status of disability. Determinations are based on the clinical evidence within the medical records provided. - On a contract basis, as individual schedule permits, accepts cases, reviews all medical records, and addresses each question posed utilizing client-specific criteria or other nationally recognized evidence-based criteria, and opines on disability status. - Ensures a clear rationale for the determination that is concise and contains adequate supporting documentation to substantiate the decision. - Identifies and employs current criteria and resources, such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions. - Provides a report and copies of any criteria utilized within the review promptly. - Returns cases on or before the due date and time specified. - Completes peer-to-peer calls/call attempts as required based on client-specific protocol with the goal of obtaining information not included in medical records as well as any necessary clarification. - Performs other duties as assigned, including addressing any necessary clarification, providing addendum as required (with additional compensation), identifying and responding to potential quality assurance issues, complaints, and regulatory issues. Qualifications - US Board certification required, active practice preferred. Benefits - Robust opportunity for supplemental income. - Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability. - No doctor/patient relationship is established, and no treatment is provided. These are advisory-only opinions. - Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise. - Expanded credentials as an expert in Independent Medical Exams and physician advisor services. - Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal. - Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery.

Where You’ll Work We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness. CommonSpirit Mountain Region’s Corporate Service Center is headquartered in Centennial, CO where our corporate leaders and centralized teams support our hospitals, clinics and people – including marketing, human resources, employee benefits, finance, billing, talent acquisition/development, payor relations, IT, project management, community benefit and more. Many of our centralized teams offer a remote work option which supports a healthy work-life balance while still providing a culture of collaboration and community where incredible people are doing incredible things every day. Job Summary and Responsibilities You have a purpose, unique talents and NOW is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. The Paramedic provides safe and effective care for patient(s) within the scope of practice, in accordance with physician’s orders, established standards and administrative policies, as part of the health care team. The Hospital Inpatient Paramedic also: - Functions under the direction of the hospital based Medical Director, who will be the Paramedic Medical Director. - Follows the Medical Director's determined scope of practice for the Paramedic within the Acts Allowed specified by the Colorado Department of Public Health and Environment. - Be on a health care team that decides the patient care interventions. - Provides quality of care and service to meet the healthcare needs of patients and their families. Job Requirements In addition to bringing your whole self to the workplace each day, qualified candidates will need the following: - Three years of experience as a Paramedic in an Emergency Department and/or emergency pre-hospital setting - Demonstrated ability to function in a team environment - Strong communication skills; Ability to read, write, speak, and understand English - Basic computer skills - High School diploma or GED required within one year of hire - Graduation from an accredited Paramedic Training Program, recognized byColorado Department of Public Health and Environment (CDPHE) - Current registered Paramedic with the State of Colorado Department of PublicHealth and Environment (CDPHE) - Advanced Cardiac Life Support - BLS from the American Heart Association required Physical Requirements - Medium Work - (Exert up to 50lbs force occasionally, and/or up to 20lbs frequently, and/or up to 10lbs constantly)

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra seeks a Clinical Reviewer to join our growing team. Job Summary: The Clinical Reviewer utilizes clinical expertise during beneficiary interaction in conjunction with contract requirements, critical thinking and utilize decision-making skills to assist with communicating medical appropriateness, while maintaining production goals and QA standards. Ensures day-to-day processes are conducted in accordance with NCQA and other regulatory standards. *Shift Information: This position requires availability to work between 12pm – 8:30pm EST for an 8-hour shift and 10am - 8:30pm EST for a 10-hour shift. This position may also require a weekend and holiday rotation.* Job Responsibilities: - Assures accuracy and timeliness of all applicable review type cases within contract requirements - Assesses, evaluates, and addresses daily workload and call queues; adjusts work schedules daily to meet the workload demands of the department - In collaboration with Supervisor, responsible for the quality monitoring activities including identifying areas of improvement and plan implementation of improvement areas - Maintains current knowledge base related to review processes and clinical practices related to the review processes, functions as the initial resource to nurse reviewers regarding all review process questions and/or concerns - Functions as providers’ liaison and contact/resource person for provider customer service issues and problem resolution - Performs all applicable review types as workload indicates - Fosters positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building to facilitate the review process - Attends training and scheduled meetings and for maintenance and use of current/updated information for review - Cross trains and perform duties of other contracts to provide a flexible workforce to meet client/customer needs - Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. Qualifications Required Qualifications - Active, unrestricted LPN or RN license in the applicable state and/or a Compact State license. - Knowledge of the organization of medical records, medical terminology, and disease process required - Strong clinical assessment and critical thinking skills required - Medical record abstracting skills required - 2+ years of clinical experience in a hospital or post-acute environment required. Preferred Qualifications - Minimum of one year UR and/or Prior Authorization or related experience. - Requires excellent written and verbal communication skills - Must be proficient in Microsoft Office and internet/web navigation - Bachelor’s Degree from an accredited college or university in a related field - Some knowledge of Case Management, UR and/or Prior Authorization or related experience is preferred - Experience in call center environment a plus - Experience in a behavioral health setting a plus - Bilingual (English/Spanish) a plus Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career. Thank You! We know your time is valuable, and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may interest you. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at https://careers.acentra.com/jobs EOE AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide additional protection, security, and support for your career and life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Compensation The pay range for this position is below: “Based on our compensation philosophy, an applicant’s placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.” Pay Range USD $28.37 - USD $33.00 /Hr.

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Clinical Reviewer to join our growing team. Job Summary: Join Acentra Health as a Clinical Reviewer and make a meaningful impact in the communities we serve. In this vital role, you will leverage your clinical expertise to conduct comprehensive medical record reviews, ensuring alignment with established clinical criteria and contract requirements. Your work will directly support accurate determinations, regulatory compliance, and the delivery of high-quality healthcare outcomes. As a valued member of our team, you will focus on meeting production targets while consistently upholding the highest quality assurance standards This full-time, remote position offers the opportunity to contribute your clinical knowledge in a mission-driven environment while serving the state of Maine. (Must be a resident of the State of Maine) Job Responsibilities - Ensure the accuracy and timeliness of all assigned review cases in accordance with contract requirements and regulatory standards. - Assess, evaluate and manage daily workloads and review queues to meet the workload demands of the department. - In collaboration with the Supervisor to support and participate in quality monitoring and continuous improvement initiatives. - Maintain current knowledge of clinical guidelines, review criteria, regulatory requirements, and industry best practices. - Serve as a liaison to providers, delivering responsive customer service and facilitating timely issue resolution. - Perform all applicable review types based on operational needs and workload distribution. - Cultivate and maintain positive, professional relationships with internal teams and external stakeholders. - Cross-train across functions to support a flexible and adaptable workforce that meets evolving client and customer needs. - Participate in required trainings, team meetings, and professional development activities to remain informed of updates and organizational changes. - Read, understand, and comply with all corporate policies and procedures, including strict adherence to HIPAA Privacy and Security regulations. Qualifications Required Qualifications, Knowledge, and Experience - Active, unrestricted Licensed Clinical Professional Counselor or Licensed Clinical Social Worker required. - Familiarity with public sector healthcare services and support systems. - (Must be a resident of the State of Maine) - Working knowledge of medical records and medical terminology. - Strong written and verbal communication skills, with the ability to clearly document, articulate, and explain clinical findings. Preferred Qualifications - Detail-oriented with strong organizational skills and the ability to prioritize, manage multiple responsibilities, and meet established deadlines. - Proficiency in computer systems and web-based platforms necessary to perform job responsibilities effectively. - Working knowledge of Microsoft Office Suite, including Word, Excel, Outlook, and Teams. Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Compensation The pay range for this position is listed below. “Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.” Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at https://careers.acentra.com/jobs EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Pay Range USD $28.37 - USD $39.19 /Hr.