Role Description The Medical Review Case Management Nurse serves Mercy Ships by performing medical review, case management, safety initiatives, and health readiness programs. The role ensures volunteers and staff are medically fit, supported throughout their service journey, and processed appropriately through illness, injury, incidents, and return-to-service processes. - Conduct comprehensive medical reviews and assess fitness for service for volunteers, staff, contractors, and guests in accordance with organizational standards. - Review complex medical cases and collaborate with healthcare providers to support service readiness, wellness programs, chronic disease management, immunization compliance, and reasonable accommodations. - Serve as a clinical resource and subject matter expert on occupational health, global health, travel medicine, volunteer health screening, and related organizational policies and procedures. - Lead complex case management activities for individuals experiencing illness, injury, medical restrictions, or workplace incidents, including assessment, care planning, coordination, and follow-up. - Coordinate care and communication among healthcare providers, insurers, organizational leaders, and other stakeholders to support treatment, recovery, and return-to-service outcomes. - Manage occupational injury and workers' compensation cases from initial reporting through resolution, ensuring accurate documentation, regulatory compliance, and consultation on complex or high-risk claims. - Analyze claim, injury, and health trends to identify opportunities for risk reduction, injury prevention, and program improvement. - Collaborate with Hospital Quality Managers, Department Managers, and organizational leadership to conduct risk assessments, incident investigations, root cause analyses, and implementation of corrective actions. - Support the development, maintenance, and delivery of occupational health and safety policies, procedures, training programs, and continuous improvement initiatives that promote a culture of safety and accountability. - Maintain accurate health records and reporting systems, safeguard confidential health information, ensure compliance with privacy and occupational health standards, and prepare reports, audits, dashboards, and presentations for leadership and stakeholders. - Maintain alignment and uphold Mercy Ships Core Values, Code of Conduct, and follow the policies and procedures published on Compass. - Follow the model of Jesus and align with core values by Loving God; Loving and Serving Others; Being a Person of Integrity; and a Person of Excellence in all you say and do. - Other duties may be assigned that are not included in the information provided in this job description. Qualifications - Demonstrates commitment to Mercy Ships' mission, vision, core values, and servant leadership principles while fostering collaboration, integrity, accountability, and cultural sensitivity. - Possesses advanced knowledge of occupational health, case management, population health, global health, medical fitness assessments, wellness programs, and chronic disease management. - Maintains expertise in workplace injury management, return-to-work practices, occupational health and safety regulations, risk assessment methodologies, and injury prevention strategies. - Effectively manages multiple priorities and complex clinical situations while exercising sound judgment, critical thinking, and problem-solving skills. - Communicates clearly and professionally with diverse stakeholders, translating complex clinical information into understandable and actionable guidance. - Builds strong relationships through exceptional customer service, cross-cultural awareness, and the ability to work effectively across geographic regions and multidisciplinary teams. - Demonstrates professionalism, adaptability, resilience, and the ability to work independently in a remote environment while maintaining high standards of quality and confidentiality. Requirements - Current Registered Nurse (RN) license or equivalent nursing licensure recognized in the candidate's country of residence. - Minimum 7 years of nursing experience. - Experience managing complex clinical cases and multidisciplinary teams. - Experience working remotely and collaborating across multiple locations and time zones. Preferred - Bachelor’s degree in nursing or equivalent nursing licensure recognized in the candidate's country of residence. - Minimum 3 years of experience in one or more of the following: - Occupational Health - Case Management - Workers' Compensation - Employee/Volunteer Health - Public Health - Global Health - Experience supporting volunteers in international service environments. - Experience in healthcare quality, patient safety, or risk management programs. - Experience working within Low to Middle Income Countries or other resource-limited settings. Compensation Compensation Range for This Position Is $75,000 - $80,400. This is a Full Time REMOTE position that requires international travel. **Compensation range listed is for U.S. hires only. Actual compensation may vary dependent upon location of hire.

• Conduct the Utilization Review process by obtaining medical information and confirming the medical necessity of hospital admissions and/or outpatient procedures • Identify her/himself by first name, title, and organization name when a call is made to or received from a facility, provider, or patient • Perform preadmission review for medical necessity of hospitalization and surgery • Assign diary date for review of continued hospital stay • Perform review for necessity of Second Surgical Opinions • Precert physical therapy for medical necessity • Perform review of medical necessity for designated outpatient tests and durable medical equipment • Perform initial and concurrent reviews during hospital stays • Notify claims office and re-insurer • Conduct phone inquiries to hospital/physician personnel regarding patient continued stay treatment and discharge status

• Responsible for processing medical necessity reviews for appropriateness of authorization for health care services • Assisting with discharge planning activities (i.e. DME, home health services) • Care coordination for members • Monitoring the delivery of healthcare services • Complete prospective, concurrent and retrospective reviews • Identify, document, communicate, and coordinate care • Engage with medical director when additional clinical expertise is needed • Maintain knowledge of regulations governing CareSource • Identify and refer quality issues to Quality Improvement • Provide guidance to non-clinical staff • Provide guidance and support to LPN clinical staff as appropriate • Assist Team Leader with special projects or research • Perform any other job related duties as requested.

Role Description iMPROve Health is seeking an adult physical medicine & rehabilitation physician with TBI experience or additional Brain Injury board certification to serve as an independent contractor (1099) performing independent external medical reviews remotely on an ad hoc basis. As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality and integrity of health care and your profession. Please note, this is not an employed position and our contracted fee is based on credential and specialty type. Qualifications - Medical License: Must hold an unrestricted medical license in any U.S. state. - Board Certification: Required (if applicable), through a board recognized by: - The American Board of Medical Specialties (ABMS) - The American Osteopathic Association (AOA) - Another nationally recognized board granting certification. - Clinical Experience: - Have at least five (5) years full-time equivalent experience providing direct clinical care to patients. - Have experience providing direct clinical care to patients within the past three (3) years. - Knowledgeable of the issue under review, or of the current, evidence-based clinical guidelines and novel treatments for the medical or behavioral health condition, disease, treatment, or procedure under review. - Have the clinical expertise to manage the medical or behavioral health condition or disease under review. - Must be actively engaged in direct or virtual patient care for at least 20 hours per week. Administrative work does not qualify. Requirements - Reliable Wi-Fi access. - Proficiency with Microsoft Word. - Access to a computer compatible with iMPROve Health’s IT systems. - Must complete the electronic credentialing application and receive organizational approval prior to performing a case review. - Must complete a conflict of interest attestation upon credentialing and prior to performing a case review. - Active hospital medical staff privileges may be required, as applicable. - Notify the organization in a timely manner of an adverse change in licensure or certification status, including board certification status. - Cannot have current employment or affiliation with any Veterans Affairs (VA) hospital, health care system, or medical center if applying to perform VA-related peer reviews. Benefits - Make a Difference: Use your clinical knowledge to improve the quality of care patients receive. - Professional Recognition: Join a network of highly respected experts in your specialty. - Competitive Compensation: Receive fair pay for your time and expertise. - Protect Standards of Care: Help uphold the integrity of your profession. - Work Remotely: Review cases from the convenience of your home or office.