We are looking for a Remote Utilization Review Specialist Advanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse, eating disorders and mental health issues.  We put behavioral health front and center, providing assistance to people with substance abuse issues, addictions and mental health concerns.  With facilities in various regions of the U.S., we have been furthering this mission since our inception, applying our advanced approach to patient care.   Every facility in the Advanced Recovery Systems network strives to provide the highest quality of care, using evidence-based therapeutic models that really work. Our goal is to help men, women and adolescents live healthy, happy lives without the burden of substance abuse or mental illness. The Utilization Review Specialist (UR Specialist) is responsible for contacting external case managers/managed care organizations for pre-authorization and concurrent reviews throughout the duration of patient’s treatment stay, and assists the treatment team in understanding the different requirements that various insurance companies have for admission, continued stay and discharge planning. Core Job Duties: - Completes pre-authorizations/concurrent reviews/internal UR reviews - Consults with various members of the multidisciplinary treatment team concerning required information to complete concurrent reviews - Schedules peer to peer reviews and coordinates urgent/expedited appeals - Staffs individual cases with MDs as needed - Follows all standard ARS Utilization Review Department policies and procedures - Utilizes the UR Census Report on a daily basis - Makes all initial calls within 24 hours, and follow up calls every 24 hours - Data entry, records management and assisting with the appeals process - Completing detailed daily documentation - Works with Finance Department regarding client service authorizations - Communicating frequently with the treatment team - Other duties as assigned

Summary/Objective The CDI RN Lead serves as a clinical subject matter expert and frontline leader for the Clinical Documentation Improvement program. This role is responsible for coordinating program elements, mentoring staff, and driving physician engagement to ensure documentation accurately reflects patient complexity, severity of illness, and risk of mortality. The Lead ensures to program aligns with compliance standards and organizational goals while fostering a culture of continuous improvement. Essential Job Functions - Acts as a primary point of contact for the CDI team; coordinates and maintains all program elements to meet organizational goals and balanced scorecard metrics. - Ensures timely, accurate and complete clinical documentation to support high-quality data for physician and hospital outcome reporting. - Serves as a liaison between CDI and Coding professionals; proactively resolves discrepancies and facilitates a unified approach to clinical code assignment. - Analyzes program data and key performance indicators; creates comprehensive reports to identify trends, gaps, and opportunities for documentation improvement. - Develops and delivers education for CDI staff and physicians; provides ongoing mentorship to team members to enhance clinical knowledge and query proficiency. - Maintains effective communication with stakeholders (e.g. Quality, Revenue Cycle, Physician Leaders) to build credibility and trust. - Ensures all departmental activities comply with company policies, HIPAA regulations, and official coding guidelines. Key Success Indicators/Attributes: - Ability to prioritize and multi-task in a multifaceted environment. - Demonstrate strong organizational skills and be detail oriented. - Demonstrate ability to self-motivate, set goals, and meet deadlines. - Demonstrate mentoring and interpersonal skills. - Demonstrate excellent presentation, verbal, and written communication skills. - Ability to develop and maintain relationships with key business partners by building personal credibility and trust. - Maintains courteous and professional working relationships with employees at all levels of the organization. - Demonstrate successful leadership skills with the use of critical thinking, problem solving, and deductive reasoning required. - Specialized training in advanced computer skills with proficiency in Microsoft Word, Excel, Power Point, and Outlook e-mail required - Additional training in Access database management, Medicare Part A and B programs, DRG assignment, and knowledge of MCC/CC preferred Work Environment This job operates in a remote home office environment. This role routinely uses standard office equipment such as computers and phones. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus. Position Type/Expected Hours of Work This is a full-time position. Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m. This position occasionally requires long hours and weekend work. Travel Minimal travel required; up to 5% Required Education and Experience - Bachelor’s degree in nursing (BSN) or a healthcare related field. - Active, unrestricted Registered Nurse (RN) license. - 3-5 years of experience in a Clinical Documentation Improvement Program. - Minimum of 3 years in a management, supervisory, or Lead role within a clinical quality or CDI environment. - Deep understanding of Medicare Part A and B, DRG assignment, and MCC/CC impact. - CCDS (ACDIS) or CDIP (AHIMA) preferred. Additional Eligibility Qualifications None required Security Access Requirements In addition to the specific security access required by the employee’s client engagement, the employee will have access to the Omega systems set forth in "Standard Field Employee” profile. - Microsoft Office: E1 Level Access - ADP: Standard Employee Level Access - Oracle: Standard Level Access Equal Employment Opportunity: 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 Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Employee may perform other duties as assigned.

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title Supervisor HIM CDI Location Cleveland Facility Remote Location Department Cdi Admin-Finance Job Code 000787 Shift Days Schedule 8:00am-5:00pm Job Summary Job Details Join the Cleveland Clinic team where you will work alongside passionate caregivers and make a lasting, meaningful impact on patient care. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world. As a Clinical Documentation Improvement Supervisor, you will oversee the daily operational activities of a team of clinical documentation specialists and assist the Manager with personnel-related duties. In this role, you will organize, direct, coordinate, and manage the activities of the CDI team, ensuring compliance with CCHS, JCAHO, and other regulatory requirements. Serving as a liaison between CDI and other CCHS departments, you will monitor team performance, provide ongoing education and support, administer disciplinary counseling when needed, and make recommendations in alignment with Cleveland Clinic enterprise HIM and CCF policies and procedures. A caregiver in this role works remotely from 8:00 a.m. – 5:00 p.m. A caregiver who excels in this role will: - Assure compliance with CCHS, JCAHO, and other regulatory bodies. - Serve as a liaison between CDI and other CCHS Departments. - Supervise CDI personnel in daily operational activities. - Direct the performance of CDI for the purpose of accurate documentation and queries. - Monitor and maintain data on employee compliance with productivity and quality standards and take appropriate action as needed. - Assist the manager with hiring, performance appraisals, disciplinary actions, training, distribution and flow, and employee engagement. - Administer corrective action as needed. - Maintain efficient systems and workflow to meet both CCF and government regulations. - Protect the confidentiality of patient information per HIPAA regulations. - Responsible for ongoing development, implementation, processing and maintenance of clinical data computer systems. - Protect the interest of the Clinic with HIM vendors. - Interacts with ITD in the support of systems and processes in the section. - Facilitate/train CDI staff on daily activities. - Monitor and ensure time and attendance policy for the section. - Interact with the CDI Quality and Education Coordinators to support CDI Quality and Education initiatives. - Interact with the Manager of CDI to support the program initiatives and strategic planning goals. Minimum qualifications for the ideal future caregiver include: - Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) or RN license in a state approved by the organization, or an equivalent nursing credential or evidence of equivalent competency required (i.e., NP, DO, MD, etc.) - Certified Coding Specialist (CCS) or Certified Clinical Documentation Specialist (CCDS) or evidence of equivalent competency preferred. - Nursing License in State of Ohio (RN) or Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT).Certified Coding Specialist (CCS) or Certified Clinical Documentation Specialist (CCDS) or evidence of equivalent competency preferred. - Two years of managerial/supervisory experience - Knowledge of medical record technology, statistics and organization - Knowledge of supervisory techniques and methods with the ability to train others in CDI concepts - Advanced experience with PC applications including Windows, 3M and Epic software programs Preferred qualifications for the ideal future caregiver include: - Bachelor's Degree - Advanced knowledge of normal and abnormal anatomy, physiology and disease process - Certified Coding Specialist (CCS) or Certified Clinical Documentation Specialist (CCDS) or evidence of equivalent competency - Three years of experience in a CDI environment - Experience in a large healthcare organization - Experience supervising teams and ensuring independent productivity - Background in CDI processes - Familiarity with risk adjustment concepts and processes - Understanding of Patient Safety Indicators (PSI) and Hospital-Acquired Conditions (HAC) Physical Requirements: - Ability to perform work in a stationary position for extended periods. - Ability to travel throughout the hospital system. - Ability to work with physical records, such as retrieving and filing them. - Ability to operate a computer and other office equipment. - Ability to communicate and exchange accurate information. - In some locations, ability to move up to 25 lbs. Personal Protective Equipment: - Follows standard precautions using personal protective equipment as required for procedures. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster. Cleveland Clinic is pleased to be an equal employment opportunity employer.

• Leads the clear and accurate completion of medical writing deliverables • Manages medical writing activities associated with individual studies • Completes a variety of documents that may include clinical study protocols and amendments, clinical study reports, patient narratives, informed consents, and more • Adheres to established regulatory standards • Coordinates quality and editorial reviews • Leads team document reviews • Acts as peer reviewer for internal team to ensure document scientific content and clarity • Provides feedback to further define statistical output • Interacts and builds good working relations with various departmental heads and peers • Performs online clinical literature searches • Identifies and proposes solutions to resolve issues • Mentors and leads less experienced medical writers