Role Description The Clinical Documentation Reviewer & QA Consultant will conduct comprehensive reviews of clinical documentation, assessments, treatment plans, and service notes to ensure compliance with DBHDD, CORE Behavioral Health standards, Medicaid requirements, and agency policies. This position will also provide training, coaching, and constructive feedback to clinical staff to improve documentation quality and reduce compliance risks. This role is ideal for a licensed clinician or healthcare professional with experience in behavioral health documentation, quality assurance, auditing, utilization review, or healthcare compliance. Essential Duties and Responsibilities - Review clinical service notes for accuracy, completeness, and compliance. - Review assessments, treatment plans, safety plans, and related clinical documentation. - Identify documentation deficiencies, trends, compliance concerns, and potential audit risks. - Provide written and verbal feedback to clinical staff regarding documentation improvements. - Train and educate staff on DBHDD documentation requirements and best practices. - Assist with quality assurance initiatives and continuous quality improvement activities. - Participate in quality assurance meetings and interdisciplinary discussions as needed. - Support preparation for audits, surveys, and regulatory reviews. - Assist leadership in identifying corrective actions and quality improvement opportunities. - Review agency documentation processes and recommend improvements. - Consult regarding policy and procedure development related to documentation and compliance. - Maintain strict confidentiality and HIPAA compliance at all times. Qualifications - Minimum of three (3) years of clinical experience in behavioral health, healthcare, nursing, social work, counseling, case management, utilization review, quality assurance, compliance, or related field. - Strong understanding of clinical documentation standards and medical record review. - Experience reviewing clinical notes, assessments, treatment plans, and service documentation. - Excellent written communication and documentation skills. - Strong organizational and analytical skills. - Ability to provide constructive feedback and training to clinical staff. - Proficiency with Electronic Medical Records (EMR) systems. Preferred Qualifications - Active LPC, LCSW, LMFT, RN, PsyD, PhD, or other related clinical licensure. - Experience working within DBHDD CORE Services. - Previous experience in Quality Assurance (QA), Utilization Review (UR), Compliance, Auditing, Risk Adjustment, or Managed Care. - Experience conducting chart audits and identifying documentation deficiencies. - Previous experience with Medicaid, Medicare, CareSource, Amerigroup, Peach State, or other managed care documentation requirements. - Experience training, coaching, or supervising clinical staff. Compensation & Benefits - Competitive starting rate of $40.00 per hour. - Opportunities for compensation increases based on performance, demonstrated expertise, and contribution to agency quality improvement efforts. - Flexible scheduling. - Remote work opportunities available. - Opportunity to help shape quality assurance and compliance processes within a growing behavioral health agency. How to Apply Qualified candidates should submit a resume, current licensure (if applicable), and a brief summary of their experience in clinical documentation review, quality assurance, compliance, auditing, or behavioral health services.

Role Description As a Text Reviewer / Proofreader, you perform a final quality check before publication to our customers and ensure that news clippings in German are complete and correct. - Correct spelling mistakes in OCR-processed news clippings to ensure error-free copy and consistent style. - Ensure that headlines, photos, captions, and other text zone types are correctly referred to and represented in the text. - Check whether news articles are complete and no subsequent pages are missing. - Ensure that news clippings are adequately represented in PDF format. - Report back any quality issues. Qualifications - You are highly proficient in written English and German (B2 under the CEFR standard). - You are able to work from 9am to 1pm (GMT+8). - You have good time management skills, know how to effectively prioritize your workflow, and thrive in a fast-paced work environment. - As a digital native, you are able to quickly adapt to our proprietary publishing platform and can effectively communicate technical issues to the team. - You must complete one assessment test before the interview and one assessment test live during the interview with a member of our team. - Please attach an informal cover letter describing your motivation for this job in the target language: German. Benefits - Remuneration: USD 4 per hour.

• Perform medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals. • Document decisions using indicated protocol sets or clinical guidelines. • Provide support and review of medical claims and utilization practices. • Monitor process's timeliness in accordance with contractor standards. • Perform authorization process, ensuring coverage for appropriate medical services within benefit and medical necessity guidelines. • Utilize allocated resources to back up review determination. • Review interdepartmental requests and medical information in a timely/effective manner to complete utilization process. • Conduct/perform high dollar forecasting research and formulate overall patient health summaries with future health prognosis and projected medical costs. • Perform screenings/assessments and determine risk via telephone. • Review/determine eligibility, level of benefits, and medical necessity of services and/or reasonableness and necessity of services. • Provide education to members and their families/caregivers. • Review first level appeal and ensure utilization or claim review provides thorough documentation of each determination and basis for each. • Conduct research necessary to make thorough/accurate basis for each determination made. • Educate internal/external staff regarding medical reviews, medical terminology, coverage determinations, coding procedures, etc. in accordance with contractor guidelines. • Respond accurately and timely with appropriate documentation to members and providers on all rendered determinations. • Participate in quality control activities in support of the corporate and team-based objectives.

Role Description The Cardiologist, Virtual Care specializes in diseases of the heart and blood vessels. It is part of a clinical care team that focuses on outpatient medicine, continuity of care, health maintenance, and disease prevention for elderly patients. The Cardiologist, Virtual Care manages complex cardiac conditions such as: - Heart attacks - Abnormal heartbeat rhythms - Congestive heart failure The Cardiologist provides preventative techniques for dealing with potential heart-related illnesses and spends 100% of their time clinically focused on direct patient virtual care, inclusive of patient-facing time and general administrative time (charting, etc.) as it relates to direct patient care. Your direct supervisor will be the Director of Cardiology. Use your skills to make an impact: - Conduct virtual consultations with patients to diagnose and treat cardiovascular conditions - Develop and implement personalized treatment plans for patients with cardiovascular diseases - Collaborate with other healthcare professionals to provide comprehensive care to patients - Order and interpret diagnostic tests, such as ECGs and echocardiograms - Prescribe medications and therapies for cardiovascular conditions Qualifications - Current medical license in good standing - Board certification in Cardiology - 5+ years of experience in Cardiology - Proficiency in electronic medical records (EMRs) and telemedicine platforms - Familiarity with clinical guidelines for cardiovascular care - Licensure requirements of the state of jurisdiction Requirements - This role is considered patient facing and is part of Humana/Senior Bridge's Tuberculosis (TB) screening program. - If selected for this role, you will be required to be screened for TB. - Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Benefits - Competitive benefits that support whole-person well-being - Medical, dental, and vision benefits - 401(k) retirement savings plan - Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave) - Short-term and long-term disability - Life insurance - Many other opportunities Company Description CenterWell Senior Primary Care provides proactive, preventive care to seniors, including: - Wellness visits - Physical exams - Chronic condition management - Screenings - Minor injury treatment Our unique care model focuses on personalized experiences, taking time to listen, learn, and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists, and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive, and, most of all, personalized.