Role Description Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for patients of the Carle Foundation Hospital. Facilitates the care of patient by ensuring that admissions and continued days are medically necessary, cost-effective, and provided in the appropriate level of care to qualify for reimbursement. - The UM staff RN will function within the IP Care Coordination Department to ensure that the most cost-effective and appropriate use of health care services for patients treated by Carle Foundation Hospital. - Ensures efficient patient flow and throughput. - Initial assessment of all new patients for correct status (admission/observation/outpatient) based on UR medical necessity criteria. - Performs concurrent reviews of all patient charts to ensure proper resource utilization as necessary to identify practice trends. - Keeping LOS within patients working DRG. - Send clinical documentation to insurance companies per their request. - Communicate with physicians on status changes and documentation. - Refers cases for secondary review when appropriate. - Refers cases for escalated medical review when services do not meet medical necessity criteria and/or appropriate level of care. - Documents utilization reviews/issues in appropriate locations, including but not limited to case management/utilization review software. - Track avoidable days. - Educates and assists physicians in resource utilization. - Participate in extended care reviews and attend meetings. - Review cases for potential quality indicators and refers to UM Leadership. - Works with Appeal staff to actively appeal cases concurrently and retrospectively. - Strong attention to detail is required, as to minimize any misunderstandings regarding services authorization of or denial of services. - Possess a working knowledge of Carle's organization and IPCC operations and administrative standards and policies. - Expert with acute level of care criteria. - Apply severity of illness and intensity of service to determine appropriateness of care. - Excellent interpersonal communication and the ability to interact with healthcare professionals in all disciplines. - The ability to effectively communicate with physicians, payers, and hospital staff in a non-confrontational manner and provide excellent customer service. - Ability to build rapport with medical staff, hospitalists services, and hospital leadership to obtain collaboration necessary to achieve desired UM outcomes. - Strong data management and computer skills (Word, Excel, Outlook, and EPIC Case Management software). Qualifications - Certifications: Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) - Education: Associate's Degree: Nursing; College Diploma: Nursing Salary Range The compensation range for this position is $35.87 per hour - $58.37 per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered to a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Benefits Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits .

Role Description An experienced Principal Biostatistician with a passion for clinical development and analysis, adept at utilizing advanced statistical methods, you will lead studies across your region. You are excited and enthusiastic, motivate your teams to do great work and collaborate easily with your clients. You never settle for what is, but always push clinical development forward to what it could be. You motivate others to do the same. Working fully embedded within one of our pharmaceutical clients, with the support of Cytel right behind you, you'll be at the heart of our client's innovation. You will be dedicated to one of our global pharmaceutical clients; a company that is driving the next generation of patient treatment, where individuals are empowered to work with autonomy and ownership. This is an exciting time to be a part of this new program. Qualifications - Experience as a Principal Biostatistician - Passion for clinical development and analysis - Adept at utilizing advanced statistical methods - Ability to motivate teams and collaborate with clients Requirements - Lead studies across your region - Push clinical development forward - Work autonomously and take ownership Benefits - Support from Cytel - Opportunity to be part of innovative programs - Empowerment in work autonomy

Role Description This is a task based survey participant opportunity that allows participants to choose their schedule and how much they work - there's no fixed schedule and no minimum hours requirement. We are looking for Study Participants from across the USA who have recently been pregnant to take part in a research study about their experience of pregnancy care in the US. This is a year long research project where participants will be asked to talk about their experiences of pregnancy and birth and the care they have received. On average, participants completing these tasks earn up to $12/h. Tasks may require up to one hour of uninterrupted work, though many are shorter. Qualifications - Experience of Recent Pregnancy: you have recently been pregnant and have received pregnancy care in the US - Willingness to discuss your experiences of pregnancy and the care you have received - Attention to Detail: the ability to remain focused and provide high-quality data for the duration of a study. - Technical Setup: a reliable, fast internet connection and access to a desktop or laptop computer. Requirements - Completing surveys & questionnaires - Answering questions about the prenatal care you received - Discussing your recent experiences of pregnancy and birth - You may be asked to complete tasks across a period of 1 year - Tasks are posted individually - you'll see task details, time estimate and pay before deciding whether to take one on. Benefits - Chance to influence the AI models of the future using your professional expertise - Competitive pay rates - Flexible hours - Ability to work from home

Title: Clinical Research Coordinator II Location: One Constitution Wharf Charlestown Full time Hybrid Job Description: Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Summary Following established policies, procedures, and study protocols, provides assistance on clinical research studies, including recruiting, evaluating, and consenting patients for studies; collecting and organizing patient data; scheduling patients for study visits; maintaining and updating data generated by the study. Additionally, it provides input into determining study subject suitability and input into recruitment strategy. Performs data analysis, interpretation, QA/QC, and assists in completing reports and presentations. Does this position require Patient Care? No Essential Functions -Reviews proposals for compliance with sponsor and organizational guidelines; verify all sponsor requirements are met. -Assists with determining the suitability of study subjects and acts as a resource for patients and families. -Has input into recruitment strategies and may contribute to protocol recommendations. -Administers scores and evaluates study questionnaires. -Maintains research data, patient files, regulatory binders, and study databases. -Performs data analysis and QA/QC checks and organizes and interprets data. -Assists with preparation for annual review and assists PI in completing study reports and presentations. -May assist with training and orientation of new staff members. Qualifications Education Bachelor's Degree Science required Experience Related post-bachelor’s degree research experience 1-2 years required Knowledge, Skills and Abilities - Ability to work more independently and as a team member. - Computer literacy, analytical skills, and ability to resolve technical problems. - Ability to interpret the acceptability of data results. - Working knowledge of data management programs. Additional Job Details (if applicable) Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds – including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service – for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research. Remote Type Hybrid Work Location One Constitution Wharf Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $24.28 - $39.43/Hourly Grade 6 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.