Job Description: Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead – our policyholders count on us to be there when it matters most. It’s a big ask, but it’s one that we have the power to deliver when we work together. We collaborate and innovate – pushing one another to transform not just Pacific Life, but the entire industry for the better. Why? Because it’s the right thing to do. Pacific Life is more than a job, it’s a career with purpose. It’s a career where you have the support, balance, and resources to make a positive impact on the future – including your own. We’re actively seeking a talented Documentation Specialist II to join our Experience and Partnerships Team as part of our Life New Business and Underwriting Organization in Location- Remote. As a Documentation Specialist II you’ll move Pacific Life, and your career, forward by partnering across Underwriting, Product, Compliance, and Technology to deliver high‑quality, compliant forms that enable new products and improve the customer journey. You will fill an existing role that sits on a team of 3 people in the Consumer Markets Division. How you’ll help move us forward: - Manage the end‑to‑end lifecycle of Life New Business and Underwriting forms, ensuring accuracy, consistency, and readiness for release across products and markets. - Execute timely form updates driven by regulatory changes, new products, and business initiatives in partnership with Product, Compliance, Legal, Technology, and Vendors. - Serve as a trusted forms and documentation resource for internal stakeholders, supporting proper usage, governance, and process alignment. - Perform detailed quality reviews to ensure form language is clear, compliant, and customer‑friendly, incorporating stakeholder feedback through established approval processes. - Maintain organized documentation, tracking, and reporting to support audit readiness, regulatory filings, and operational transparency. The experience you bring: - Bachelor’s degree in Business, Finance, Insurance, or a related field (or equivalent experience), with 3–7 years of experience in insurance operations, product support, compliance, or forms/document management. - Advanced proficiency in Microsoft Word, Excel, Adobe Editor, and SharePoint, with experience managing version control, tracked changes, and document repositories. - Strong technical writing, document management, and quality assurance skills, with the ability to interpret insurance products, regulatory requirements, and operational impacts. - Demonstrated attention to detail, sound judgment, and accountability, with the ability to manage multiple priorities, collaborate cross‑functionally, and operate effectively in a regulated environment. What makes you stand out: - Experience in forms governance and/or regulatory filings. - Well versed in Life Insurance products. - Familiarity with New Business and Underwriting operations. - Familiarity with state insurance regulations requirements. - Experience coordinating cross‑functional reviews (Compliance, Legal, Product). You can be who you are. We are committed to a culture of diversity and inclusion that embraces the authenticity of all employees, partners and communities. We support all employees to thrive and achieve their fullest potential. What’s life like at Pacific Life? Visit Instagram.com/lifeatpacificlife #LI-EH2 Base Pay Range: The base pay range noted represents the company’s good faith minimum and maximum range for this role at the time of posting. The actual compensation offered to a candidate will be dependent upon several factors, including but not limited to experience, qualifications and geographic location. Also, most employees are eligible for additional incentive pay. $33.58 - $41.04 Your Benefits Start Day 1 Your wellbeing is important to Pacific Life, and we’re committed to providing you with flexible benefits that you can tailor to meet your needs. Whether you are focusing on your physical, financial, emotional, or social wellbeing, we’ve got you covered. - Prioritization of your health and well-being including Medical, Dental, Vision, and Wellbeing Reimbursement Account that can be used on yourself or your eligible dependents - Generous paid time off options including: Paid Time Off, Holiday Schedules, and Financial Planning Time Off - Paid Parental Leave as well as an Adoption Assistance Program - Competitive 401k savings plan with company match and an additional contribution regardless of participation You Can Be Who You Are We are committed to a culture of diversity and inclusion that embraces the authenticity of all employees, partners and communities. We support all employees to thrive and achieve their fullest potential. What’s life like at Pacific Life? Visit Instagram.com/lifeatpacificlife EEO Statement: Pacific Life Insurance Company is an Equal Opportunity /Affirmative Action Employer, M/F/D/V. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at Pacific Life Insurance Company.

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Clinical Documentation Integrity Specialist (CDIS) is responsible for facilitating the improvement in the overall quality and completeness of medical record documentation. Obtains appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient care givers, and Health Information Management coding staff to ensure that appropriate reimbursement is received for the level of services rendered to patients and the clinical information utilized in profiling and reporting outcomes is complete and accurate. Meditech Expanse experience preferred. Position Objectives: - The CDIS will facilitate modifications to clinical documentation, through extensive concurrent chart review, interactions with physicians and other clinicians, in order to ensure accurate documentation of diagnosis and procedures, reflection of appropriate clinical severity, clarification of complications and conflicting documentation, and capture of co-morbid conditions. - The CDIS will complete majority of concurrent reviews to evaluate selected patient's medical records for overall quality and completeness. - Education of physicians, non-physician clinicians, nurses and coding staff on an ongoing basis regarding documentation opportunities, coding and reimbursement issues and relevant quality and performance improvement opportunities. - Assist team in meeting and exceeding high performing CDI program metrics Essential Duties & Responsibilities: - Utilize extensive knowledge of documentation requirements and guidelines in accordance with Coding Clinic to improve the overall quality and completeness of clinical documentation by performing concurrent stay reviews. - Utilize client technology to track documentation notes and observations, assign Working DRG and calculate Query DRG to reflect impact of queries initiated, complete query entry for tracking purposes and complete validation process to ensure diagnosis located in EMR or attained by query are final coded - Educate internal staff on clinical documentation needs, changes to clinical documentation guidelines, coding and reimbursement issues and conduct follow up reviews of clinical documentation to ensure points clarified with the physician have been recorded in the patient’s record. - Follow establish workflows and processes developed for Clinical Documentation Integrity, Strategic Source - Compose and initiate AHIMA compliant queries. Internal Responsibilities: - Utilize client CDI technology and follow established standardized process flow - Maintain open communication with coding to discuss DRG assignment, diagnosis, clinical indicators, coding clinics and guidelines and educating each other on specialty. - Assign Working DRG for Case Management department to view Length of Stay (LOS) of patients. - Participate and provide input regarding CDI program activities, and attendance at routine team meetings. - Maintain current skill set with regard to government regulations, compliance and reimbursement guidelines. - Expected to keep abreast of new legislation and regulations that affect CDI. - Maintain personal and professional education and growth. - Responsible for maintaining continuing education credits as required by credentialing organization. Minimum Qualifications & Competencies: - Clinical candidates: Licensed as a Registered Nurse with an Associate Degree (ADN) or Bachelor’s degree in Nursing (BSN), or an MD - At least three (3) years of recent acute care nursing experience required. ICU or ED experience preferred. Clinical expertise required. - HIM professional candidates: Credentialed as an RHIA, RHIT, CPC, or CCS and have experience in ICD 10 coding. - At least there (3) years of clinical coding and/or auditing experience in a hospital environment.. - Computer PC literacy required. - Must be an excellent communicator, negotiator and have great organizational skills. - Strong knowledge of clinical documentation guidelines required. - Must be able to work collaboratively and independently. - Must be flexible with responsibilities in order to meet departmental needs. - Must be able to demonstrate initiative and the ability to work in a fast-paced environment with proficiency in multi-tasking and prioritization. - Experience in computerized hospital/health information management systems and software applications are required. Preferred Skills but Not Required: - Certification in Clinical Documentation Integrity (CCDS, CDIP) strongly desired. - Certified in coding (CCS) preferred. - Meditech Expanse experience preferred. - Technical knowledge of ICD-10, DRG and APR assignment and prospective payment methodologies preferred. - Must be detail oriented, have the ability to work independently, exercise good judgment and be resourceful. - Must display proficient communication skills, both written and verbal. - Must be able to speak clearly and concisely while presenting. - Ability to write reports independent of management review is a plus. - Experience and/or knowledge of regulatory compliance issues facing the healthcare industry is also a plus. - Requires strong interpersonal skills to work with key stakeholders, physicians and/or clients and staff to implement positive/effective change. - Demonstrated customer-oriented management style. - Ability to manage execution by balancing time, resources, and quality constraints to achieve goals required. - Focused on team and collaboration. - Ability to address critical issues and demonstrate self-initiation. Ability to think critically and analytically, anticipate challenges and trends. - Computer knowledge of MS Office, including Word, Excel, and PowerPoint is preferred. - Working knowledge of automated system designs is preferred. Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $82,000.00 to 92,000.00. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills. SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class. California Job Candidate Notice

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!