Title: Nurse Trainer – Aesthetic / Medical Spa (Remote with Travel) Pay: $21–$27/hr Job Type: 80% Remote and 20% Travel Description: We are looking for a skilled Nurse Trainer with experience in aesthetic or medical spa procedures, especially non-invasive treatments. This role is primarily remote (80%) with occasional travel (20%) to our spa locations to provide hands-on training. During the first two weeks, you will visit locations to familiarize yourself with procedures and be trained by our experienced nurses. Responsibilities: - Train nursing staff on non-invasive aesthetic procedures. - Travel to spa locations for in-person training and orientation. - Develop training materials and provide ongoing virtual support. - Ensure staff follow company protocols and standards. Qualifications: - Licensed RN or APRN. - Minimum 2 years of aesthetic/medical spa experience. - Prior experience in staff training preferred. - Able to travel to multiple states (approx. 20%). - Strong communication and organizational skills. Compensation: - $21–$27/hour, based on experience.

POSITION SUMMARY: The OASIS Reviewer is responsible for analyzing the data integrity and consistency of OASIS documentation and assessment processes. Working under the direct supervision of the Coding and OASIS Manager of Synergy Shared Services (SSS) and collaborating with agencies within the scope of work, this role will be vital in ensuring the accuracy and reliability of the OASIS documentation process. ESSENTIAL RESPONSIBILITIES AND DUTIES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: - Prospectively review all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and agency policy. - Utilize OASIS variation or alert reports when reviewing OASIS data. - Consult with appropriate clinical staff to clarify any data integrity issues and work with clinician to make appropriate corrections per agency policy. - Review visit utilization for appropriateness of care guidelines and patient condition; report potential financial losses and/or underutilization to the Coding and OASIS Manager, Clinical Manager and/or designee. - Notify Coding and OASIS Manager, Clinical Manager and/or designee of problematic trends as a result of OASIS review. - Participate in Quality Improvement and Corporate Compliance activities as assigned. - Assist with other chart audit activities as assigned. - Maintain professional and technical knowledge by attending educational workshops and reviewing professional publications. - Understand and demonstrate CAPLICO values. - Other duties and special projects as assigned. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. QUALIFICATIONS & REQUIREMENTS FOR THE POSITION: - Working knowledge of OASIS process. - Understanding of federal regulations and state licensure requirements for home health. - Must be self-motivated and able to work independently while being collaborative and able to work as part of an interdisciplinary team. - Outstanding written and verbal communication skills. - Must have strong computer skills to utilize Microsoft Outlook and agency systems. - Understanding of the legal and regulatory framework governing the home health industry. - Current Driver’s License, vehicle insurance, and access to a dependable vehicle or public transportation. PREFERRED KNOWLEDGE AND SKILLS: - At least two (2) years of home health clinical, coding, or billing experience. - OASIS certification (COS-C). The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

ABOUT MACHINIFY: In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify’s AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We’re reshaping healthcare payment through seamless intelligence. ABOUT THE OPPORTUNITY: Expected Hiring Range: $84,000 - $100,000 (based on experience) The Medical Review Nurse II - SNF/MDS primarily performs medical claims audit reviews. As a MR Nurse, you will join a team of experienced medical auditors and coders performing retrospective and prepayment audits on claims for Government and Commercial Payers. You will work remotely in a fast paced and dynamic environment and be part of a multi-location team. Key Responsibilities: - Auditing claims for medically appropriate services provided in both inpatient and outpatient settings while applying appropriate medical review guidelines, policies and rules. - Document all findings referencing the appropriate policies and rules. - Generate letters articulating audit findings. - Supporting your findings during the appeals process if requested. - Working collaboratively with the audit team to identify and obtain approval for particular vulnerabilities and/or cases subject to potential abuse. - Work in partnership with our clients, CMD colleagues, and other contractors on improving medical policies, provider education, and system edits. - Keep abreast of medical practice, changes in technology, and regulatory issues that may affect our clients. - Work with the team to minimize the number of appeals; Suggest ideas that may improve audit workflows; Assist with QA functions and training team members. - Participate in establishing edit parameters, new issue packets and development of Medical Review Guidelines. - Interface with and support the Medical Director and cross train in all clinical departments/areas. - Other duties as required to meet business needs. Knowledge, Skills and Abilities Needed: - Experience with utilization management systems or clinical decision-making tools such as Medical Coverage Guidelines (MCG) or InterQual. - Experience with and deep knowledge of ICD-9, ICD-10, CPT-4 or HCPCS coding. - Knowledge of insurance programs program, particularly the coverage and payment rules. - Ability to maintain high quality work while meeting strict deadlines. - Excellent written and verbal communication skills. - Ability to manage multiple tasks including desk audits and claims review. - Must be able to independently use standard office computer technology (e.g. email telephone, copier, etc.) and have experience using a case management system/tools to review and document findings. - Must be able to manage multiple assignments effectively, create documentation outlining findings and/or documenting suggestions, organize and prioritize workload - Effectively work independently and as a team, in a remote setting. Required and Preferred Qualifications: - Active unrestricted RN license in good standing, is required. - Must not be currently sanctioned or excluded from the Medicare program by the OIG. - Minimum of five (5) years diversified nursing experience providing direct care in an inpatient or outpatient setting. - One (1) or more years' experience performing medical records review. - One (1) or more years' experience in health care claims that demonstrates expertise in, ICD-9/ICD-10 coding, HCPS/CPT coding, DRG and medical billing experience for an Insurance Company or hospital required. - Strong preference for experience performing utilization review for an insurance company, Tricare, MAC, or organizations performing similar functions. WHAT WE OFFER: Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview. Physical Requirements & Additional Notices: If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee’s responsibility to maintain this Internet access at their home office location. The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary. - Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. - Regularly reads and comprehends information in electronic (computer) or paper form (written/printed). - Regularly sit/stand 8 or more hours per day. - Occasionally lift/carry/push/pull up to 10lbs. Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position: - Must submit to, and pass, a pre-hire criminal background check and drug test (applies to all positions). Ability to obtain and maintain client required clearances, as well as pass regular company background and/or drug screenings post-hire, may be required for some positions. - Some positions may require the total absence of felony and/or misdemeanor convictions. Must not appear on any state/federal debarment or exclusion lists. - Must complete the Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures. - Other requirements may apply. All employees and contractors for Machinify may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Machinify's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination. Machinify is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Machinify will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Machinify’s Human Resources team to discuss further. Our diversity makes Machinify unique and strengthens us as an organization to help us better serve our clients. Machinify is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law. THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING

Job Description: Summary: Under the guidance of the SIU Management, this position is responsible for the accurate and thorough clinical investigation of potential fraud, waste and abuse (FWA) for all lines of business. The scope of accountability includes investigating and remediating allegations of FWA while adhering to compliance and regulatory requirements. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of care, interviewing potential witnesses, developing corrective action plans, developing correspondence to impacted parties, managing disputes, and collaborating with law enforcement and regulatory agencies. Essential Accountabilities: Level I - Functions as a clinical reviewer of medical records, researching and investigating complex medical cases. Interprets a variety of documents including, but not limited to provider contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding, inter-plan regulations, government policies, as well as diverse regulatory and legal requirements. - Thoroughly researches allegations or issues and develops sources of information to create a plan of action, accumulates sufficient detailed evidence including statements, documents, records and exhibits. Evaluates situations accurately and interacts with management, medical directors and legal, where appropriate, to ensure complex issues are addressed appropriately. - Prepares comprehensive summary reports and assures accuracy of information provided to providers, regulators, law enforcement, Legal, Compliance and outside counsel. Prepares cases for prosecution, civil settlement, or overpayment recoupment by documenting findings in a clear and concise manner. - Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. - Manages cases as assigned, prioritizing case load as appropriate. Maintains case logs, prepares records and regular status reports. Interacts with health care providers, often under adverse conditions due to discovery of potential FWA. Discusses sensitive material in a professional, fair and accurate manner. Recommends providers for referrals to the New York State Office of Professional Medical Conduct Office of Professional Medical Conduct/NYS Education Department, Office of Professional Discipline and/or internal referral for quality review by the applicable business area. - Acts as primary point of contact with law enforcement for assigned cases and may be required to prepare files and testify in court, as needed, in matters regarding litigation related to their reviews. - Prepares recommendations on preventive/corrective measures for the deterrent of future fraud. - Supports other SIU investigators and analysts with their cases by providing clinical information/expertise and as necessary, performs clinical reviews of medical records. - Consults with external practitioners, medical professional groups and agencies, professional medical associations, the BlueCross BlueShield Association, the Food and Drug Administration (FDA), and Centers for Medicare and Medicaid Services (CMS). Provides routine interaction and coordination with the BCBS Association National Anti-Fraud office, BC/BS Plan SIUs, FEP, CMS, DOH, OMIG, MFCU, local, state and federal law enforcement and prosecutorial agencies and medical licensing boards. - Maintains accurate and up-to-date knowledge of all Government Programs regulations (Medicaid, Medicare, Federal Employee Program, New York State Department of Financial Services, etc.). - Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs. - Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. - Regular and reliable attendance is expected and required. - Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) - Performs more complex investigations with less direct supervision. Performs compliance and/or governance on more complex special projects and audits. - Offers process improvement suggestions and participates in the solution of more complex issues/activities. - Provides and supports training or reference materials for internal team members as appropriate. - Consistently provides accurate, organized and well written audit results with minimal assistance from management. - Oversees and coordinates the daily activities of the non-clinical SIU staff medical record reviews. - Keeps abreast of new developments in the field of medical technology through medical literature research, participation in seminars, monitoring professional society websites, etc. - Mentors new/junior staff and assists with coaching, whenever necessary. - Participates on committees. Level III (in addition to Level II Accountabilities) - Manages the highest level of complex investigations, compliance and regulatory issues and exercises decision-making in project work groups. - Assesses potential non-compliance vulnerabilities, identifies root causes of issues and provides practical business recommendations for corrections. Works with business area staff, Compliance, and other internal departments as necessary to develop recommendations and reach meaningful and appropriate resolutions. - Serves as a subject matter expert and liaison for interdepartmental projects and represents non-clinical staff in discussions with Medical Directors and/or clinical consultants. - Serves as an internal auditor/peer reviewer for new clinical staff, as needed. - Mentors (to others in the department), provides coaching, guidance and leadership for daily activities of the SIU clinical staff. Acts as a resource to staff members. - Provides back-up for Supervisor/Manager, whenever necessary. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels - Must meet the NYS DFS’s and the NYS OMIG’s minimum investigator requirements as follows: Persons employed by the SIU as investigators shall be qualified by education or experience, which shall include: A minimum of five years in the healthcare field working in FWA investigations and audits; or five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies; or seven years of professional investigation experience involving economic or insurance related matters; or an associate’s or bachelor’s degree in criminal justice or related field; or employment as an investigator in the SIU on or before December 28, 2022. - Current NYS R.N. license with a minimum of three years clinical experience; medical/surgical background preferred. - Current CPC designation or must obtain CPC designation within one year of hire date. - Knowledge of medical record coding conventions (e.g. CPT, DRG, HCPCS, ICD10, etc.). - A general understanding of contract benefits, electronic data processing systems, and organizational policies and procedures. - Demonstrates excellent oral communication skills and proficient writing skills for the creation of comprehensive professional documents. - Demonstrates proficient computer skills in Word, Excel, Internet, and email. - Ability to multi-task and balance priorities. - Excellent interpersonal skills. Level II (in addition to Level I Qualifications) - Two or more years of experience in the Medical Investigator role. - Expertise in the technology of the job. - Excellent understanding of contract benefits, electronic data processing systems, and corporate policies and procedures. - Excellent ability to determine State and Federal fraudulent activity and compile necessary documentation for prosecution presentation. Ability to explain and interpret these findings to law enforcement authorities in a comprehensive manner. - Excellent dispute resolution and negotiation skills in order to interface appropriately with many different provider types, attorneys, other Blue Plans and external agencies and business partners. - Demonstrated superior oral communication skills, strong presentation skills, and strong writing skills for the creation of comprehensive professional documents. - Proficient with health systems operations including an understanding of reimbursement methodologies and coding conventions for governmental and commercial products (e.g., Medicare, Medicaid, CPT, HCPCS, ICD10, DRG, APC, RBRVS, etc.). - Extensive experience with claims processing systems, claims flow, adjudication process, system edits and display screens. Level III (in addition to Level II Qualifications) - Five or more years in a Medical Investigator role. - Subject matter expert in health systems operations including an understanding of reimbursement methodologies and coding conventions for governmental and commercial products (e.g., Medicare, Medicaid, CPT, HCPCS, ICD10, DRG, APC, RBRVS, etc.). - Comprehensive understanding of multiple functional areas (i.e., SIU, Legal, Regulatory, Operations) and supporting systems. (BREADTH). - Expertise in complex clinical coding/reviewing assignments, difficult investigations and highly visible issues. (DEPTH). - Lead the training of new staff and provide feedback to management for evaluation. - Displays leadership abilities and serves as a positive role model to others in the department. - Demonstrates superior oral communication skills, excellent presentation skills and excellent writing skills for the creation of comprehensive professional documents. Physical Requirements: - Ability to work prolonged periods sitting and/or standing at a workstation and working on a computer. - Ability to travel across the Health Plan service region for meetings and/or trainings as needed. ************ In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I (E2): Minimum: $62,400 - Maximum: $96,081 Level II (E4): Minimum: $65,346 - Maximum: $106,929 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position’s minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.