• Review and analyze medical records and denial rationale to develop clinically supported appeal arguments • Interpret and apply clinical guidelines (e.g., InterQual, Milliman) to support medical necessity determinations • Prepare, edit, and enhance appeals using internal tools (e.g., DOCIQ) • Accurately assign denial root causes and complete nurse review reporting • Identify denial trends and escalate insights to support prevention strategies and process improvement • Document all case activity clearly within internal and client systems • Participate in quality control reviews and provide feedback to improve appeal effectiveness • Serve as a clinical subject matter expert for team members and cross-functional partners • Support onboarding, training, and ongoing education for clinical staff • Collaborate with operations and leadership to meet client expectations and performance goals • Maintain productivity and quality standards in a metrics-driven environment

• Advise students and families related to academics • Keep current on all high school graduation requirements, including special requirements such as community service, and communicate this information to the High School Coordinator and to the principal • Assist students and parents with the secondary course selection process according to specific state credit requirements and student needs and interests • Advise students with issues related to dropping courses and changing schedules, seeking support as needed, while ensuring that the school’s course selection and drop policies are adhered to • Review student transcripts and the entry of credits into the online transcript system • Follow procedures to ensure that Connections Academy transcripts are accurate and up-to-date • Work with the administrative assistants to obtain school records from the student’s previous school (where applicable) and forwarding student records when appropriate • Implement programs for students and families related to interpersonal adjustment issues • Work with school teams to identify and help families access school and community resources • Participate in the development of crisis prevention and management plans for the school and serve as a key member of the Student Support Team (SST) • Coordinate a team of middle and high school teachers to help identify students who are “at-risk” or “in crisis” • Act as the main point of contact for these students and families, communicating regularly with them • Oversee and maintain the Personal Learning Plan (PLP) for each student • Implement efforts to secure complete and accurate records for Connections Academy students • Support families through the school withdrawal process, assisting with data collection regarding withdrawal • Report and refer critical incidents that jeopardize student well-being as obligated by law, administrative regulations, or ethical standards • Stay current on all state regulations relating to incident reporting and documentation • Implement special programs such as Advanced Placement support, SAT and ACT preparation, and college entrance preparation • Understand the requirements for and assist the principal to facilitate the administration of all high school testing, including exit exams, PSAT, SAT, ACT, and AP exams • Help students to research and understand their post-secondary career and educational options • Assist with student preparation of applications for college and jobs • Educate students and parents about college admissions requirements and financial aid • Support the coordination of high school graduation ceremonies • Support professional development activities for teachers and school staff members • Assume teaching and grading duties as necessary including teaching middle school elective courses • 504 knowledge and compliance as needed Other duties as assigned.

• Be accountable, independent, and professional. • Require minimal supervision and complete work with accuracy at a 'finished product' level (modeling, coordination, shop drawings, layout drawings, etc.). • Have advanced working experience and certification with Revit software. • If uncertified, Cadnetics may help you obtain certification and reimbursement. • Cultivate and maintaining ongoing, positive relationships with team members, and clients. • Confidently engage directly with clients and project teams. • Create and/or address and remedy redlines and/or feedback related to project thoroughly and accurately.

• Model ductwork, conduit, piping, or full-building systems. • Use expert Virtual Construction and BIM production support to the AEC industry. • Help contractors execute jobs that are too big for their team alone and represent them when they don’t have an internal BIM/VDC department. • Work with new companies and different industries of your own clients. • Thrive on technology, teamwork, and accuracy.