• review of medical authorizations • determines the medical necessity of given service, level of care, or medical item/supply • conduct clinical reviews of care received by members in assigned LTSS Medicaid states • provide medical interpretation and determinations whether services are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and contracts • support and collaborate with other team members, other departments, Humana colleagues and the Regional VP Health Services • work in a structured environment with expectations for consistency in thinking and authorship • exercise independence in meeting departmental expectations and compliance timelines

• The Medical Director provides medical interpretation and determinations on whether acute inpatient rehabilitation authorization requests are in agreement with national guidelines, CMS requirements, Humana policies, and clinical standards. • You support and collaborate with other team members, other departments, Humana colleagues and clinical leadership. • After completion of structured and mentored training, team members provide support while you perform daily work. • The Medical Director enjoys working in a structured environment with expectations for consistency in thinking and authorship. • Exercise independence in meeting enterprise expectations and compliance timelines.

• Provides strategic clinical oversight and support of the day-to-day clinical community operations to Executive Directors, Health and Wellness Directors and clinical associates, as well as district and regional team leaders above assigned communities. • Supports the company goals and strategies and optimizes resources to ensure quality care and service delivery, training and development of staff, and management of risk and regulatory compliance. • Responsible for the successful implementation and maintenance of community support center clinical policies and procedures. • Conducts regular clinical quality audits through community site visits and audits of all health care areas to ensure compliance with Brookdale standards and state regulations, appropriate resident assessments, appropriate staffing, staff training, and quality assurance. Provides a written report of findings and ensures action planning is in place for areas of risk. • Analyzes specific community models to support staffing of clinical positions based on community size and residents receiving services. • Supports the implementation of quality care and services, and encourages the development of medical professional relationships within the community. Encourages alignment with value-based provider groups focused care delivery outcomes. • Oversight of community survey readiness for regulatory compliance. • Monitors compliance and assists communities in root cause and corrective action of community quality metrics and clinical outcomes related to falls, elopements, medication administration and reduction of psychotropic drugs as well as skin integrity. Supports community infection control measures and risk in partnership with Executive Director. • Analyzes resident incident reports and supports the community in corrective action plans as appropriate. • Verifies that a Community Care Conference and Collaborative Care Process is in place in accordance with policy, and makes plans to attend virtually or in person as needed. • Reviews resident clinical assessments to validate accuracy of resident’s physical, emotional and mental functioning, and validates that clinical services provided to residents are documented in appropriate system/record. • Ensures the CARE process is being executed appropriately to address controllable resident move outs. • Provides clinical guidance to field staff, when necessary, to determine appropriate level of care for resident move-ins. • Supports the community’s overall resident/family satisfaction level as related to clinical care and impact to the overall community. • Promotes the community preferred pharmacy relationship and supports 80% or greater resident participation. Supports any innovative projects or implementations that drive resident wellbeing or satisfaction. • Supports the community-based Personal Solutions program, ensures a community leader is identified, endorses resident participation and actively assists community with managing the affiliated budgeted goal. • Participates in hiring, training, and mentoring of Health and Wellness Directors and other field level clinical associates. Actively supports onboarding of these associates, coaching and providing them an exceptional experience in the first ninety days. • Analyzes resident and medication incident reports and assesses trends and assists with process improvement plans. Reviews various healthcare reports, trends, and move-outs to assist in process improvement efforts.

• Compliance: Act as the primary physician of record for Georgia-based aesthetic practices, ensuring all delegation follows the specific Georgia Composite Medical Board rules. • Protocol Approval: Approve and oversee clinical protocols for treatments including botulinum toxin, dermal fillers, IV therapy, and laser services. • Multi-Site Oversight: Supervise and delegate medical procedures to qualified staff (RNs, NPs, aestheticians) across multiple locations in compliance with state laws. • Operational Partnership: Support the Ops team by providing timely signatures and mandatory training certifications to get member supplier accounts active. • Chart Auditing: Log into the EMR to review a randomized 10% of patient charts monthly to ensure documentation standards are met. • Adverse Event (AE) Management: Leverage Fresh’s centralized clinical team as the primary resource for complication management, and provide clinical support or guidance when needed, rather than acting as the sole complication manager. • Clinical Community: Attend ongoing webinars and the monthly USA Doctors’ “Morbidity and Most-Excellent-cases” meeting.