Role Description The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care while managing treatment costs. This position involves: - Coordinating, assessing, and authorizing treatment plans. - Collaborating with medical staff. - Maintaining compliance with healthcare regulations. - Working closely with insurance companies, clinicians, and support staff. - Advocating for the best interests of the patients and the hospital. Key Responsibilities - Case Review and Assessment: - Conduct daily reviews of patient charts, treatment plans, and progress notes to determine alignment with clinical guidelines and insurance requirements. - Monitor patient progress, reassess treatment needs, and recommend adjustments in care levels as needed. - Collaborate with clinical teams to understand patient needs, assess treatment efficacy, and make informed recommendations. - Insurance Coordination: - Act as the primary point of contact with insurance providers for treatment authorization, concurrent review, and appeal processes. - Submit required documentation to insurance companies in a timely manner, including clinical updates, to secure and maintain treatment authorization. - Resolve reimbursement issues, advocating for patient treatment needs and securing necessary approvals. - Documentation and Compliance: - Ensure all documentation is complete, accurate, and in line with state, federal, and hospital policies to facilitate compliance and quality audits. - Maintain a working knowledge of current insurance guidelines, DSM-5 criteria, and ASAM (American Society of Addiction Medicine) criteria. - Participate in internal and external audits, preparing records and reports as necessary. - Collaboration and Communication: - Work closely with medical and support staff to ensure continuity of care and that utilization review processes are aligned with patient needs. - Provide guidance to clinical staff regarding documentation best practices and criteria required for continued care authorizations. - Participate in multidisciplinary team meetings to discuss patient care plans, discharge planning, and treatment adjustments. - Quality Improvement: - Identify trends in denied claims or treatment authorizations, providing recommendations for process improvements. - Assist in training hospital staff on utilization review processes, criteria for different levels of care, and effective documentation practices. - Collaborate in developing policies to improve efficiency, patient care outcomes, and financial performance. Qualifications - Bachelor’s degree in Nursing, Social Work, or a related field required. - Master’s degree in a health-related field preferred. - Minimum of 2 years in utilization review, case management, or related field, preferably within a behavioral health or chemical dependency setting. - Current RN, LCSW, or LPC license preferred. - In-depth understanding of mental health, substance abuse treatment and ASAM criteria. - Strong analytical and critical thinking skills with the ability to make clinical judgments based on patient data. - Excellent communication and interpersonal skills to facilitate interactions with insurers, staff, and patients. - Proficiency with electronic medical records (EMR) and utilization review software. - Knowledge of state, federal, and industry regulations related to chemical dependency and mental health care. Working Conditions - Full-time, primarily daytime hours, with occasional on-call duties or weekends as needed. - Must be able to work in a high-paced environment and handle sensitive information with discretion. - Physical demands may include sitting for extended periods, light lifting, and using a computer for most of the workday. Benefits - Medical Coverage – Three new BCBSAL medical plans with better rates, improved co-pays, and enhanced prescription benefits. - Expanded Coverage – Options for domestic partners and a wider network of in-network providers. - Mental Health Support – Improved access to services and a new Employee Assistance Program (EAP) featuring digital wellness tools like Cognitive Behavioral Therapy (CBT) modules and wellness coaching. - Voluntary Coverages – Pet insurance, home and auto insurance, family legal services, and more. - Student Loan Repayment – Available for nurses and therapists. - Retirement Benefits – 401(k) plan through Voya to help employees plan for the future. - Generous PTO – A robust paid time off policy to support work-life balance. - Voluntary Benefits for Part-Time Employees – Dental, vision, life, accident insurance, and telehealth options for those working 20 hours or more per week.

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Day Shift - 7.5 Hours (United States of America)The Documentation Specialist will be responsible for ensuring that clinical documentation in the medical record is pertinent, timely, accurate, and complete. She/he will concurrently interact with Physicians and HIM coders to ensure that documentation captures clinical severity to support the level of service, core measures, and accurate reimbursement. Requirements: - A Bachelor of Science degree in Nursing or International Medical Graduate preferred or Associate degree in nursing is acceptable - Must possess Minimum 3 years of acute care hospital experience - AHIMA CCA or CCS certification preferred - ACDIS CCDS or AHIMA CDIP certification preferred - Minimum 1 years of Inpatient Coding experience with ICD-10 CM/PCS preferred - CDI experience preferred - Computer skills, Microsoft 365, Teams, Excel, Word, Nuance, 3M 360, and Meditech preferred -Strong interpersonal skills, ability to interact professionally with others, verbally and in writing -Ability to meet daily productivity expectations and identify query opportunities impacting the case mix index This is a remote position, work schedule aligning with facility hours of operation eastern standard time Salary Range: $80,000 - $90,000 Employment Non-Discrimination: Richmond University Medical Center is committed to equality of opportunity in all aspects of employment and provides full and equal employment opportunities to all employees and potential employees without regard to race, color, national origin, religion, gender identity, sex, sexual orientation, pregnancy, childbirth and related medical conditions and needs including lactation accommodations, physical or mental disability, age, immigration or citizenship status, veteran or active military status, genetic information, or any other legally protected status. If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

Role Description LE DEPARTEMENT DE LA DORDOGNE RECRUTE PAR VOIE CONTRACTUELLE UN EDUCATEUR AIDE EDUCATIVE A DOMICILE (H/F) SPECIALITE EDUCATEUR SPECIALISE A LA DIRECTION GENERALE ADJOINTE DE LA SOLIDARITE ET DE LA PREVENTION- SECTEUR SARLAT. EMPLOI TEMPORAIRE DE 3 MOIS A TEMPS COMPLET Régime A.R.T.T. : Cadre général de l’organisation Missions : Au regard des compétences du Conseil Départemental mises en œuvre par l’Unité Territoriale, l’éducateur(trice) AED propose un accompagnement individualisé aux familles, afin de répondre à leurs besoins d’aide éducative. Il s’agit d’accompagner les familles vers une amélioration de leur situation. Il est en responsabilité de la protection de l’enfance. - Accompagner la situation individuelle, familiale et sociale des mineurs et jeunes majeurs relevant de l’aide sociale à l’Enfance dans le cadre de l’action éducative à domicile - Mener des actions éducatives dans le but de favoriser l’intégration des bénéficiaires et de leurs familles dans la vie sociale - Suivre l’évolution de chaque projet éducatif, évaluer les actions contenues et y apporter éventuellement des aménagements - Réaliser des écrits professionnels rendant compte des prises en charge réalisées et proposant des projets éducatifs et un plan d’aide. - Investir les temps d’analyse des situations (synthèses…) - S’impliquer dans le travail en transversalité avec les assistants sociaux de polyvalence de secteur, les référents insertion et les partenaires (Adsea, Mission Locale…) - Favoriser la restauration des liens avec la famille et l’environnement social. - Participer aux audiences chez le Juge des Enfants pour les situations qui sont confiées au service - Participer aux actions collectives du territoire (LAEP…) - Créer une relation éducative personnalisée en utilisant différents supports (actes de la vie quotidienne, activités de loisirs, de travail) Qualifications - Diplôme d'Etat d’Educateur Spécialisé exigé (DEES) - Connaissances en sciences humaines et droit - Connaissances et respect des lois et réglementations sociales, notamment celles de la protection de l’enfance - Connaissance et application des politiques en faveur de la jeunesse - Maitrise des techniques d’écoute, de relations bilatérales et d’animation socio-éducative - Maitrise des techniques de communication écrites et verbales - Respect du secret professionnel - Savoir piloter des projets éducatifs et aide à la décision - Travailler en équipes pluridisciplinaires et partenariales variées - Savoir réagir à des situations d’urgence, de conflit ou d’agressivité Qualities - Ecoute - Autonomie - Aptitude au travail en équipe - Force de proposition - Conduite d’entretien - Disponibilité - Empathie - Initiative - Sens de l’écoute - Savoir se distancier - Sens du contact - Savoir organiser son temps de travail - Capacités d’adaptation à des situations diverses

Headquartered in Carlsbad, California, and with offices in Boston, Massachusetts, and Dublin, Ireland, Ionis has been at work for more than three decades discovering medical breakthroughs that have redefined life for people with serious diseases. We’re pioneers in RNA-targeted medicines, and our platform continues to revolutionize drug discovery and transform lives for patients with unmet needs. With multiple marketed medicines and a leading pipeline in neurology, cardiology and select areas of high patient needs, we continue to drive innovation in RNA therapies in addition to advancing new approaches in gene editing to provide greater value to patients and are well positioned financially to deliver on our strategic goals. At Ionis, we pride ourselves on cultivating a challenging, motivating and rewarding environment that fosters innovation and scientific excellence. We know that our success is a direct result of the exceptional talents and dedication of our employees. With an unprecedented opportunity to change the course of human health, we look to add diverse individuals, skill sets and perspectives to our exceptional team. We continue to invest time, money and energy into making our onsite, hybrid and remote work environments a place where solid and lasting relationships are built and where our culture and employees can thrive. We’re building on our rich history, and we believe our greatest achievements are ahead of us. If you’re passionate about the opportunity to have meaningful impact on patients in need, we invite you to apply and join us. Experience and contribute to our unique culture while you develop and expand your career! Senior Regulatory Medical Writer The Senior Regulatory Medical Writer will collaborate with internal teams to lead, write, and manage completion of clinical regulatory documents. This role is for an individual contributor, reporting to the Executive Director (Head) of Regulatory and Medical Writing. This role includes responsibilities throughout the lifecycle of a document including working cross-functionally to interpret source information (including leading data interpretation meetings), leading key messaging meetings, writing content following US and international regulations (including Marketing Application Module 2 summary documents), conducting quality control (QC) reviews, resolving Quality Assurance (QA) audit findings, and working with Regulatory Operations for publishing and submission. This role reports to the Executive Director (Head) of Regulatory and Medical Writing. This position may be fully remote; however, preference will be given to San Diego-based applicants. RESPONSIBILITIES: - Working with the Executive Director, Regulatory and Medical Writing, collaborate with internal teams (e.g., Clinical Development and Biostatistics) to lead and/or contribute to the writing and management of clinical regulatory documents (e.g., clinical study reports, marketing application summary documents [Module 2], Investigator’s Brochures, clinical study protocols, briefing documents, etc.). - Coordinate the review cycles for documents; schedule and lead and/or contribute to data interpretation meetings, comment resolution meetings, and other document-related meetings. - Responsible for planning (in collaboration with Global Project Management) and meeting timelines for deliverables. - Understand, assimilate, and interpret sources of information with appropriate guidance. - Ensure compliance with appropriate conventions, proper grammar usage, and correct format requirements, as needed (e.g., formatting, hyperlinking). - Perform QC reviews as necessary. - Interact with Quality Assurance (QA) to resolve audit findings for specific documents. - Serve as Medical Writing department representative on project/core teams. - Lead/contribute to key messaging/storyboarding cross-functional meetings, ensuring the messages are clear and consistent within and across documents. - Maintain expert knowledge of US and international regulations, requirements, and guidance associated with preparation of regulatory documentation. - Effectively coordinate with Regulatory Operations to ensure on-time preparation and publication of regulatory submission documents. - Support Global Regulatory Lead with preparing information/responses requested by regulatory agencies. - Other duties as assigned. REQUIREMENTS: - Bachelor’s Degree required, advanced degree a plus. - A minimum of 5 years of direct experience as a medical writer preparing regulated documents in the pharmaceutical industry. Drug marketing application experience preferred. Rare disease experience is a plus. - Experience writing, as lead and/or contributor, important regulatory and clinical documents such as clinical study reports (all sections including safety narratives), Investigator’s Brochures, clinical study protocols, drug marketing application summary documents, Investigational New Drug applications, clinical sections of New Drug Applications, and other regulatory documents (e.g., Briefing Documents) for submission. Experience in writing Safety sections of regulatory documents preferred. - Solid working knowledge of relevant FDA, EMA, and ICH guidelines, particularly ICH E3 and ICH E6(R3). - Deep understanding of the drug development process. - Strong ability to assimilate and analytically interpret scientific data. Experience preparing data tables and basic figures. - Proficient knowledge of American Medical Association (AMA) style guidelines. - Ability to find and correct errors in spelling, punctuation, grammar, consistency, clarity, and accuracy. - Excellent attention to detail in writing, editing, formatting, and document QC. - Excellent time-management skills. Ability to balance multiple projects simultaneously. - Technical proficiency with Microsoft Office and Adobe Acrobat, and document management systems such as Veeva. - Experience with StartingPoint templates preferred. - Ability to follow style guides, lexicons, and eCTD templates etc. - Excellent written, oral (including presentations), and project management skills. - Energetic, self-motivated, and a hands-on professional with a strong work ethic. - Ability to be productive and work collaboratively in a dynamic, intense, and fast-paced environment. - Desire and ability to be a true team player working toward common goals. - Willing to ask for help when needed. A brief medical writing exercise may be requested at time of interview. Please visit our website, http://www.ionis.com for more information about Ionis and to apply for this position; reference requisition #IONIS004004 Ionis offers an excellent benefits package! Follow this link for more details: Ionis Benefits Full Benefits Link: https://ionis.com/careers#:~:text=Highly%20competitive%20benefits The pay scale for this position is $113,000 - $142,426 NO PHONE CALLS PLEASE. PRINCIPALS ONLY. Ionis Pharmaceuticals, Inc. and all its subsidiaries are proud to be EEO employers.