Remote Accounting Manager - AI Trainer ($50-$60/hour)
Data Annotation
Work from home job in Johnson City, TN
We are looking for a finance professional to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model.
In this role you will need to hold an expert level of financial reasoning- a completed or in progress Bachelor level of education or higher. Other related fields include, but are not limited to: Financial Accounting, Investment Banking, Wealth Management, and Insurance Planning.
Benefits:
● This is a full-time or part-time REMOTE position
● You'll be able to choose which projects you want to work on
● You can work on your own schedule
● Projects are paid hourly starting at $50-$60 USD per hour, with bonuses on high-quality and high-volume work
Responsibilities:
● Give AI chatbots diverse and complex problems and evaluate their outputs
● Evaluate the quality produced by AI models for correctness and performance
Qualifications:
● Fluency in English (native or bilingual level)
● Detail-oriented
● Proficient in financial analysis, financial modeling, data analysis, and other reasoning exercises related to finance management
● A current, in progress, or completed Bachelors level education or higher
Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handle any currency conversions from USD. This is an independent contract position.
$50-60 hourly 15d ago
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Work From Home - Remote Market Research Contributor
Opinion Bureau
Work from home job in Bristol, VA
Take quick online surveys and earn rewards for sharing your thoughts. Join today - it's free and easy!
$49k-81k yearly est. 2d ago
Data Entry Product Support - No Experience
Glocpa
Work from home job in Bristol, TN
We're looking for Customer Support Product Testers across the US to work from home and help top brands improve their products before they hit the market.
$22k-30k yearly est. 60d+ ago
Work from Home - Need Extra Cash??
Launch Potato
Work from home job in Bristol, TN
Earn Extra Cash While Working From Home Make extra cash with this list of side gigs-part-time, passive income, and flexible options! Your Next Side Hustle Start Earning Today!
$18k-36k yearly est. 2d ago
Remote Financial Advising Expert - AI Trainer ($50-$60/hour)
Data Annotation
Work from home job in Kingsport, TN
We are looking for a finance professional to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model.
In this role you will need to hold an expert level of financial reasoning- a completed or in progress Masters/PhD is preferred. Other related fields include, but are not limited to: Financial Accounting, Investment Banking, Wealth Management, and Insurance Planning.
Benefits:
● This is a full-time or part-time REMOTE position
● You'll be able to choose which projects you want to work on
● You can work on your own schedule
● Projects are paid hourly starting at $50-$60 USD per hour, with bonuses on high-quality and high-volume work
Responsibilities:
● Give AI chatbots diverse and complex problems and evaluate their outputs
● Evaluate the quality produced by AI models for correctness and performance
Qualifications:
● Fluency in English (native or bilingual level)
● Detail-oriented
● Proficient in financial analysis, financial modeling, data analysis, and other reasoning exercises related to finance management
● A current, in progress, or completed Masters and/or PhD is is preferred but not required
Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handle any currency conversions from USD. This is an independent contract position.
$30k-40k yearly est. 60d+ ago
Remote Customer Service Representative - Product Testing
Glocpa
Work from home job in Johnson City, TN
We're looking for Customer Support Product Testers across the US to work from home and help top brands improve their products before they hit the market.
$26k-34k yearly est. 60d+ ago
Remote Sales - Flexible Schedule, Work from Home (Bristol)
The Wilson Agency 4.2
Work from home job in Bristol, VA
Job DescriptionRemote Life Insurance Sales Representative
Work From Home | Flexible Schedule | Commission-Based
Start 2026 with purpose and unlock your potential.
The Wilson Agency is an independent life insurance agency focused on helping families protect what matters most while providing individuals the opportunity to build a flexible, commission-based career from home.
This is a 1099 independent contractor position, not an hourly or salaried role. It is best suited for motivated, self-directed individuals who are comfortable working in a performance-based environment.
About the Opportunity
As a Remote Life Insurance Sales Representative, you will work with families who have requested information about coverage options. You'll educate clients, recommend appropriate solutions, and guide them through the application process - all while receiving training, mentorship, and ongoing support.
Many people use the start of a new year to reset goals. If 2026 is your year to grow professionally, financially, and personally, this opportunity may be a strong fit.
What You'll Do
Meet with clients virtually (phone or Zoom) to assess insurance needs
Educate families on life insurance, mortgage protection, final expense, and living benefits
Follow up with leads provided through our systems
Submit applications and assist clients through underwriting
Participate in weekly training, coaching, and professional development
What We Offer
100% remote, work-from-home opportunity
Flexible schedule - set your own hours
Commission-based compensation with no income cap
Step-by-step training and mentorship
Long-term growth opportunities, including leadership paths for qualifying agents
A values-driven environment focused on integrity, service, and personal growth
Who This Is a Good Fit For
Self-motivated individuals who want control over their schedule and income
Strong communicators who enjoy helping others
Individuals open to learning and following a proven system
Those seeking a flexible opportunity aligned with personal growth and purpose
Requirements
Must be 18 years or older and authorized to work in the U.S.
Reliable internet connection, computer, and phone
Comfortable working independently in a remote environment
Life & Health Insurance License or willingness to obtain one (guidance provided)
Compensation
100% commission-based (1099)
No cap on earnings
Income varies based on individual effort, consistency, and time invested
Earnings Disclaimer:
No income is guaranteed. Results are not typical and will vary. Success depends on individual effort, ability to follow training, market conditions, and client demand.
Next Steps
Qualified applicants will receive:
Short informational videos about our agency and culture
The option to schedule a brief Zoom call to determine mutual fit
If you're ready to approach 2026 with clarity, purpose, and ownership over your future, we invite you to apply and learn more.
$38k-45k yearly est. 7d ago
Natural Resources Project Manager
Gsi Engineering LLC 3.6
Work from home job in Bristol, TN
At RK&K, we are seeking an Environmental Project Manager to join our Natural Resources Team in Tennessee. As an RK&K Environmental Project Manager you will be actively involved in a wide range of natural resource surveys, collaborating with multi-disciplinary teams to implement critical infrastructure projects, developing reports and managing the client experience.
Core Technical Areas
Stream and Wetland Delineations (HD/JD)
401/404/NPDES Permitting Applications
Compensatory Mitigation
Essential Functions
Plan and manage field investigations and surveys
Oversee document prep and reporting
Conduct/assist in wetland and stream delineations, protected species surveys and habitat assessment, and other natural resource inventories
Assist in training junior staff
Interact with clients and regulatory agencies
Collaborate with other environmental professionals and leadership
Required Skills and Experience
Bachelor's degree in environmental science, biology, or equivalent
Minimum 5 years' experience assessing or navigating complex infrastructure projects
Broad knowledge of and experience with Tennessee regulatory environment, permitting, species and natural resources
Willingness to lead
Accustomed to working in multi-disciplinary environments
Excellent at written and verbal communication
Motivated to find creative solutions to complex environmental problems
Preferred Skills and Experience
Master's Degree in environmental science, biology or equivalent
Candidates with experience complying with National Environmental Policy Act requirements pertaining to transportation projects
Experience with 401 and 404 permitting
TDOT Environmental experience
PWS or TNQHP certification
Other Duties
This job description indicates the general nature and levels of work, knowledge, skills, abilities, and other essential functions (as covered under ADA). It is not designed to cover or contain a comprehensive listing of all activities and duties required by the employee. Other duties are assigned as required
.
What We Offer
RK&K offers excellent potential for career advancement and professional growth. We also offer attractive compensation packages commensurate with experience and a comprehensive benefits package including:
Paid time off
Hybrid work (home and office)
Tuition reimbursement
Health, dental, vision, life, and disability insurances
Matching 401(k) plan
Paid Holidays
Much, much more!
Why RK&K?
As a full-service engineering and construction management firm, RK&K gives you the opportunity to directly impact the communities in which we live and work. What sets RK&K apart is an award-winning culture that has fostered a spirit of collaboration and trust for over 100 years. To its clients, the firm delivers concepts, processes, and outcomes that are designed for success. RK&K has earned its reputation as a trusted partner, responsive employer, and community steward.
Design your career at RK&K, Apply Today!
$62k-84k yearly est. 1d ago
Lactation Consultant Instructor
Aeroflow 4.4
Work from home job in Bristol, VA
Job Description
AEROFLOW HEALTH - Aeroflow Health is taking the home health products and equipment industry by storm. We have created a better way of doing business that prioritizes our customers, our community, and our coworkers. Whether you are looking for a place from which to launch your career - or a stable, ethical company in which to advance - you will not find an organization better equipped to help you meet your professional goals than Aeroflow Health.
LOCATION: Maryland, Virginia, Texas or Washington, DC
SHIFT: While schedules are set monthly, this role requires regular evening and weekend availability each week.
THE OPPORTUNITY
Within Aeroflow, the Mom and Baby Education Provider Group is composed of over 50 providers who provide support for patients through group classes.
Our patients are pregnant and postpartum mothers who have questions about and need support with lactation, pumping, baby care, birth prep, infant sleep, nutrition, high risk situations, and perinatal mental health.
Providing education and care through our virtual platform improves mothers' and babies' health outcomes, including increasing rates of breastfeeding, and enhances satisfaction in our patients' mothering experiences.
Joining our department allows you to play a role in preparing the next generation of parents in how to gently respond to and care for their babies.
This is a work from home position, and you must be in your home state while working at all times.
WHAT YOU'LL DO
Be Patient-Focused
Teach and facilitate classes on a broad range of topics in the pregnancy and postpartum period.
See patients for one-on-one appointments while providing high quality, skilled clinical care.
Chart visits and maintain accurate records according to payor requirements, per guidelines provided by Aeroflow.
Support and advocate for the normal physiologic functions involved in the maternal-infant process.
Provide patients evidence-based clinical information following the Academy of Breastfeeding Medicine Protocols and/or the Academy of Nutrition and Dietetics' Code of Ethics.
Participate and Collaborate
Attend team and departmental administrative and clinical meetings.
Be a trusted resource and advocate for teamwork and strong working relationships.
Maintain Licenses and Certifications
Enhance your professional development by participating in assigned clinical courses, workshops, and exams and keeping apprised of current clinical literature.
Keep your provider licenses and/or certifications and continuing education up-to-date.
HIPAA and Compliance
Follow the company handbook and department manual policies.
Maintain HIPAA confidentiality.
Individual responsibility for knowledge of and compliance with laws, regulations, and policies.
Compliance which is a condition of employment and is considered an element of job performance.
YOU MAY ALSO
Share your knowledge and expertise
As requested by our content, marketing, or leadership teams:
Assist with writing clinical documentation
Lead and create team trainings
Work on social media projects
Moderate our Facebook group
Engage in practice case study meetings
Attend professional conferences on behalf of the company
Other clinical and administrative duties as assigned.
SKILLS FOR SUCCESS
Prior Experience: Experience in lactation support (including internship, clinical rotation, or supervised practice) preferred. Ideal for newly certified CLCs seeking mentorship and growth within a clinical team.
Communication: Proactively seek clarification in order to accurately and efficiently complete tasks and offer valuable insights while collaborating with positivity and enthusiasm; presentation skills including public speaking while advancing a slideshow online.
Time Management: Proven ability to assess circumstances, problem solve, pivot activities as needed, and work both independently and in a team environment.
Technological Agility: Proficiency using various video conferencing systems, including Zoom and Google Meets. Ability to navigate a windows based computer using the google suite of products; 50 WPM typing speed.
Organizational Skills: Adeptness at prioritizing and managing multiple tasks effectively in a face-paced environment.
Interpersonal Skills: Work effectively with other company employees and managers.
REQUIRED QUALIFICATIONS
Clinical Documentation
Must have a lactation IBCLC certification and/or RN license (and license if applicable in your state).
Must have or be willing to obtain CPR certification.
Must be willing to obtain licensure in all states requested by Aeroflow; Aeroflow will assist financially and administratively with obtaining any new licenses and credentials.
Approved Work Environment:
Must live in the State of either Maryland, Texas Virginia, or D.C
Must have strong internet speed for remote work - minimum 30 mbps upload speed for a wired connection or 45 mbps for a wireless connection.
Must have a private, professional work environment with a door that closes that is available for use during work hours and is approved by management two weeks after patient-facing encounters.
Must be able to work during all work hours in your home state (not another state or country).
Expertise:
Stellar written and verbal communication.
Google Suite, Microsoft Office and Zoom proficiency.
WHAT AEROFLOW OFFERS
Competitive pay; health plans with FSA or HSA options, dental, and vision insurance; optional life insurance; 401K with company match; 12 weeks of parental leave for birthing parent/4 weeks leave for non-birthing parent(s); additional parental benefits include fertility stipends, free diapers, and breast pump; paid holidays; PTO accrual from day one; employee assistance programs; and SO MUCH MORE!!
Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:
Family Forward Certified
Great Place To Work Certified
Inc. 5000 Best Place to Work Award Winner
HME Excellence Award
Sky High Growth Award
If you've been looking for an opportunity that will allow you to make an impact, and an
organization with unlimited growth potential, we want to hear from you!
Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
#LC-1
$57k-76k yearly est. 11d ago
Social Worker
GHC 3.3
Work from home job in Johnson City, TN
Telehealth Counselor / Therapist Opportunities - Supplemental or Full Time
Job Details:
Fully remote work
Flexible hours
No administrative tasks
Weekly pay
Compensation / Benefits:
Competitive Supplemental & Full Time pay
Monthly health stipend
Free virtual therapy
Position Requirements:
Active state license (LMHC, LCSW, LMFT, LPC, LMHP, or Psychologist)
Ability to practice independently
(LPC, Counselor, Telehealth, Virtual Mental Health Therapist, LIMHP, Remote LCSW, Psychologist, Behavioral Health, Telehealth Counseling, Remote, Psychotherapist, LMHC, LMSW, Remote, Virtual, Counselor, Telehealth Therapist, Virtual LMFT, LCSW, Remote, LMHP, Mental Health Counseling, Remote, Social Worker, LISW, LICSW, Psychotherapy, LPC, Telehealth, Social Worker, Remote, Virtual, Psychotherapist)
$42k-64k yearly est. 60d+ ago
Virtual Work from Home Position
Global Elite Group 4.3
Work from home job in Johnson City, TN
Our company has moved to 100% virtual, work-from-home positions. This position allows you to earn an incredible living without sacrificing your family life. You'll have the flexibility to choose your working hours when it's convenient for YOU and your family.
We're looking for enthusiastic individuals to assist existing and prospective clients within our organization. This position will work with multiple clients through-out the day providing outstanding service and product knowledge.
Preferred Skills: • Excellent communication skills, including active listening and problem-solving • Ability to learn, adapt, and adjust on the go Works well with others and individually • Possesses a strong work ethic and drive to succeed What you can expect: • Flexible Schedule with Weekly Pay • 100% Remote Position • Weekly Trainings lead by Top Leaders • Life Insurance • Health Insurance reimbursement • Industry-leading resources and technology
*In the interest of community wellness, AO has adjusted our business operations. As such, all interviews will be conducted via Zoom video conferencing.
$30k-40k yearly est. Auto-Apply 57d ago
Generator Technician
National Power 4.4
Work from home job in Bristol, TN
National Power is accepting applications to fill a Generator Service Technician opening in our Bristol, TN market. Under the general direction of and reporting to the Broadband Service Manager, the Generator Service Technician is responsible for maintenance and repair of generator sets and other electrical equipment.
Essential Duties and Responsibilities
Core duties and responsibilities include the following. Other duties may be assigned.
Perform various types and levels of maintenance and repair on generators and parallel systems ranging from 5-5000kw. Troubleshooting and repair of Automatic Transfer Switches, to include bypass isolation, and closed transition types as well. Repairs will include performing preventative maintenance service (oil and filters), troubleshooting AC and DC circuits, removing and replacing any and all components as necessary, performing warranty work per manufacturer's guidelines, performing start-up/commissioning on new generators and generator systems.
Perform diesel or gaseous engine troubleshooting and repair to include but not limited to ignition components, injection systems, valve adjustments etc.
Perform load bank testing on generator(s) to ensure units are in the proper operating conditions and meet applicable code requirements.
Assist other technicians with large multi-person jobs, or troubleshooting complicated issues.
Education and Experience
HS Diploma required; Associate degree in an electrical/mechanical related field preferred.
Current Generac Power Systems certification preferred
US Air Force Electrical Power Production Specialist, US Navy Electrician's Mate, or Generator and/or UPS field service technician preferred
Skills and Other Qualifications
Must have excellent communication skills and be able to give verbal/written reports of job status, repair recommendations, equipment/supplies needed.
Must be able to account for time spent on jobs and travel.
Must have an excellent driving record and have a valid driver's license. The job WILL require driving long distances to job sites, and overnight stays in hotels 1-3 nights (but not limited to) a week may also be required. Company would cover costs of hotels and provides a meal allowance per company guidelines.
Must have good computer skills and be comfortable with Microsoft software to include Internet Explorer, Word, Excel, and Adobe (PDF's).
The technician would work from home and would ensure proper vehicle maintenance is performed, required parts inventory is maintained, ensure security of Company property to include cell phone, laptop computer, specialty tools and any other item assigned.
Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
Good problem-solving during emergency situations or situations with limited resources.
Training will be provided. The employee may be required to attend training courses in Milwaukee, Wisconsin in addition to other training as needed and required.
Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality and safety.
Work Conditions:
The technician may be required to work in various weather conditions (heat, rain, snow, high humidity, etc.)
Frequently work near moving mechanical parts.
Physical Demands:
Lifting and carrying heavy objects, up to 75lbs, will be required.
Ascending or descending ladders, scaffolding, stairs, ramps and the like using feet/legs and/or hands/arms.
Seizing, holding, grasping, turning, or otherwise working with hand(s).
Entering text or data into a computer or other machine by means of a keyboard.
Pushing/pulling may involve use of hands/arms, feet/legs, and/or feet only done with one side of the body or both sides.
Moving about on hands and knees or hands and feet to enter restricted spaces.
Use of one or both feet or legs to move controls on machinery or equipment. Controls include, but are not limited to pedals, buttons, levers, and cranks.
Clarity of vision (i.e., working with small objects or reading small print), including use of computers.
Sitting for long periods of time may be required.
Sometimes moving about on hands and knees or hands and feet to enter confined spaces.
Compensation
Competitive pay depending on previous experience and current certifications. Overtime is also a factor and is paid at 1.5 X base. We are a performance based company and pay will ultimately reflect the employee's productivity and overall performance.
Three weeks of paid vacation after 90 days (first year is pro-rated based on start date)
Up to 9 paid company holidays
Paid sick time
Company-paid Life Insurance ($75,000)
Company-paid Short-term and Long-term Disability Insurance
Medical, Dental, and Vision Insurance: Offering four medical plan options, with one plan fully covered at 100% by the company.
401(k) retirement savings plan with company matching
Health Savings Account (HSA)
Flexible Spending Accounts (FSA)
Additional Info:
Criminal background check and pre-employment drug screen are required.
Must be able to pass a Department of Transportation physical examination.
This is a remote position and will require the employee to work from home.
Equal Opportunity Employer:
National Power, LLC is an Equal Opportunity Employer and VEVRAA federal contractor. National Power affords equal opportunity to all applicants for all positions without regard to race, color, religion, gender, national origin, age, disability, veteran status, gender identity or any other status protected under local, state or federal laws.
$31k-43k yearly est. Auto-Apply 60d+ ago
Sales Program Advisor
Smart Start 4.3
Work from home job in Johnson City, TN
Sales Program Advisor
_____________________________________________________________________________________________________
DEPARTMENT: Care Center Sales
REPORTS TO: Sales Manager
FLSA: Non-Exempt (Hourly + Incentives)
Hours of Operation: Monday-Friday 10AM-7PM, Saturday & Sunday 8AM-5PM
*This is a fully remote position, and all necessary equipment will be provided to ensure a productive and comfortable work environment*
Why You Should Join Us!
Hourly-rate pay along with uncapped, performance-based commissions and incentives, allowing you to maximize your earning through your own hard work and achievements
A comprehensive health plan that includes medical, dental, and vision coverage to ensure you and your family have access to the care you need
A 401(k)-retirement plan with a generous company match to help you save for your future and achieve your financial goals
Other fringe benefits including Birthday & Anniversary bonus, company-wide discounts, legal services, short & long-term disability, etc.
Positive work environments that offer work/life balance and professional growth
Mission-driven work making a global impact with local roots
The opportunity to have hands on work experience with industry leading, innovative technology
Position Summary
The Sales Program Advisor plays a pivotal role in driving revenue growth and expanding our (English and Spanish speaking) customer base nationwide. This position is responsible for managing inbound and outbound Care Center calls, selling Interlock products, and delivering exceptional service to both internal and external clients. By understanding customer needs and providing tailored solutions, the Advisor helps ensure satisfaction and contributes directly to the success and profitability of the organization. The Advisor is also entrusted with upholding our incredible reputation in the alcohol-monitoring industry through professional, empathetic, and solution-oriented interactions.
Essential Duties and Responsibilities
Engage inbound and outbound callers using a consultative sales approach to promote and sell Interlock products, programs, and services.
Provide accurate product and service information, address inquiries, and resolve client concerns with professionalism and efficiency.
Identify and pursue new sales opportunities through networking, referrals, and cold calling.
Build and maintain strong relationships with clients to encourage repeat business and customer loyalty.
Conduct follow-up calls and manage correspondence to resolve issues and ensure client satisfaction.
Collaborate with internal teams and external partners to ensure seamless service delivery and uphold our reputation in the alcohol-monitoring industry.
Escalate and route issues appropriately while maintaining detailed records in CRM and other systems.
Gather and manage data across multiple technology platforms and handle documentation using standard office equipment.
Prepare and deliver compelling sales presentations tailored to client needs.
Stay informed on industry trends and competitor offerings through market research.
Adhere to company policies, procedures, and confidentiality standards.
Provide general Care Center support and perform other duties as assigned.
Qualifications
High school diploma or equivalent required.
Bachelor's degree in a related field or equivalent professional experience is preferred.
Minimum of 6 months of relevant experience in sales, customer service, or call center environments.
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).
Familiarity with CRM software and sales tracking tools.
Strong verbal and written communication skills with a professional demeanor.
Excellent attention to detail and ability to multitask with a sense of urgency.
Adaptable and resourceful in fast-paced, dynamic environments.
Courteous, confident, and collaborative interpersonal skills.
Self-awareness and the ability to read and respond to audience needs.
Understanding of industry trends and competitor offerings is preferred.
Bilingual proficiency in English and Spanish qualifies for additional compensation.
Physical Demands & Work Environment
The physical demands described here are representative of those required to successfully perform the essential functions of this role. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.
While performing the duties of this position, employees are regularly required to communicate clearly-both verbally and in writing-and frequently use hands and fingers to operate phones, computers, and other office equipment.
Occasional physical activities may include standing, walking, reaching, balancing, stooping, kneeling, or crouching. This role may also require lifting or moving items up to 25 pounds.
Specific vision abilities include close and distance vision, color perception, peripheral vision, and the ability to adjust focus. The noise level in the work environment is typically moderate.
This job description is not intended to list every duty or responsibility associated with the role. Employees may be asked to perform other job-related tasks as needed. All duties are considered essential and may be modified to reasonably accommodate individuals with disabilities.
Employment is at-will, and this document does not constitute a contract or guarantee of continued employment.
#LI-Remote
$48k-94k yearly est. 6d ago
LTSS Provider & FEA Liaison
Bluecross Blueshield of Tennessee 4.7
Work from home job in Johnson City, TN
**Be the Bridge Between Accuracy and Efficiency** \! As an LTSS Claims Liaison, you're not just processing claims-you're shaping the backbone of provider success\. This role is about transforming complexity into clarity by educating providers on claims submission, coding updates, and electronic transactions\. You'll be the go\-to expert for resolving inquiries swiftly, developing impactful training strategies, and maintaining essential resources\.
Your mission? Empower providers, strengthen compliance, and support workforce development so TennCare members receive timely, quality care\. If you thrive on problem\-solving, love turning challenges into solutions, and want to make a measurable difference in healthcare delivery-this is your opportunity to lead the way\.
Join us and help build a smarter, stronger LTSS network-one claim at a time\!
+ **Preference for candidates who have experience with medical claims & knowledge of LTSS programs in Tennessee\.**
+ **Candidates must live in Tennessee or a contiguous county\.**
**Job Responsibilities**
+ Provide for education and technical assistance regarding appropriate claims submission processes and requirements including, coding updates, electronic claims transactions and electronic funds transfers\. Research and resolve claims issues and inquiries promptly\.
+ Develop strategies to improve the effectiveness of BlueCare claims education and technical assistance activities
+ Develop and maintain BlueCare provider resources i\.e\. provider manual, fee schedules, website, training materials
+ Provide education and assistance with consumer\-directed workers to resolve problems and address inquires
+ May support initial and ongoing workforce development strategies and goals to support measurable actions to help ensure a qualified, competent, and sufficient workforce to consistently deliver needed services in a timely manner\.
+ Develop and initiate claims training and intervention to help provider obtain and retain compliance\.
+ Support ongoing quality initiatives for LTSS providers, and other TennCare amendment changes\.
**Job Qualifications**
_Education_
+ Bachelors degree in business or healthcare or relevant field or equivalent work experience required
_Experience_
+ 3 years \- Experience managing health plan accounts with multiple customer lines
_Skills\\Certifications_
+ Working knowledge of healthcare claims, customer service, provider network contracting, and contract compliance
+ Ability to conduct root cause analysis, plan, organize and coordinate multiple projects
+ Ability to quickly take complex technical subjects and distill them into user\-friendly presentations and digital communications\.
+ Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability\.
+ Proficient in Microsoft Office \(Outlook, Word, Excel and PowerPoint\)
+ Excellent oral and written communication skills
+ Strong interpersonal and organizational skills
+ Proven decision making and problem solving skills
+ Knowledge and understanding of TennCare contracts as well as state and federal regulatory requirements
+ Proficient in Facets and CareAdvance
**Job Specific Qualifications**
+ LTSS experience is highly preferred
+ Strong claims experience and understanding is preferred
**Number of Openings Available**
1
**Worker Type:**
Employee
**Company:**
VSHP Volunteer State Health Plan, Inc
**Applying for this job indicates your acknowledgement and understanding of the following statements:**
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin,citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law\.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices \(******************************************************************
**BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity\. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via\-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered\. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means\.**
As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945\. More than that, we're your neighbors and friends - fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow\.
At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members\. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability\.
We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously\. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST\.
BCBST is a remote\-first organization with many employees working primarily from their homes\. Each position within the company is classified as either fully remote, partially remote, or office based\.
BCBST hires employees for remote positions from across the U\.S\. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York\. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense\.If the position requires the individual to reside in Chattanooga, TN, they may be eligible for relocation assistance\.
$70k-104k yearly est. 6d ago
Flex Sales Fair Consultant - Work from Home
Scholastic 4.6
Work from home job in Johnson City, TN
Scholastic Book Fairs are wondrous in-person experiences that empower kids to discover books for themselves. Taking place in schools and rooted in Scholastic's greater mission to use the power of books for the betterment of all kids, Fairs bring entire communities together.
At Scholastic Book Fairs, we bring “the best school day of the year” in 110,000 unique pop-up shops annually. Irresistibly defying expectations of how one must act in a library, Fairs raise over 200 million dollars in funds and resources for schools that host Fairs. And we're just getting started…
We're here to deliver an experience that inspires kids toward greatness. In everything we do, we are committed to ensuring every kid, parent, caregiver, teen/tween, book fair organizer, and Employee feels seen, respected, and welcome as part of the Scholastic Book Fairs family.
We are currently in search of Fair Consultants to help grow the Book Fair business. These full-time positions offer medical, dental and vision benefits, a Paid Time Off program that includes vacation, personal, and sick time, a generous 50% off discount on Scholastic merchandise, 401k with a company match, and summers off.
In additions to the base rate, Scholastic offers a Sales Compensation program which includes the opportunity to earn seasonal and annual incentives.
Base Hourly Range:
$22.00 to $26.00
Qualified candidate will be able to achieve budgeted Fair Counts, net revenue and overall sales program goals in assigned territory through effective execution of the sales and servicing methods of the company. They will support our mission to encourage reading and promote lifelong learning and demonstrate our values of caring and respect for all people.
Summary: Flex Fair Consultant is responsible for maximizing Book Fair penetration by effectively prospecting new schools and by building strong customer relationships to maintain Fair rebooking rates. Sharp planning skills will minimize cancellations and optimize event schedules, ensuring smooth operations and maximized profits. Ultimately, you'll be a passionate advocate for reading, igniting a love for books within every school you serve. This role does not have an assigned area but will support the territory pod as a whole until an opening becomes available.
JOB RESPONSIBILITIES
Revenue Growth:
Develop and execute strategic sales plans to achieve revenue targets and maximize sales opportunities within the assigned territory.
Identify new business opportunities and cultivate relationships with prospective customers to expand market presence and drive sales growth.
Customer Account Maintenance and Growth:
Build and maintain strong relationships with existing customers to understand their needs, preferences, and challenges.
Proactively engage with customers to identify upsell and cross-sell opportunities and drive incremental revenue from existing accounts.
Relationship Building:
Establish and nurture relationships with key stakeholders, decision-makers, and influencers within customer organizations.
Act as a trusted advisor to customers, providing expert guidance, product recommendations, and solutions to meet their business objectives.
Territory Management:
Effectively manage territory activities, including prospecting, lead generation, pipeline management, and sales forecasting.
Utilize CRM systems and sales tools to track customer interactions, manage sales pipelines, and optimize territory performance.
Market Intelligence:
Stay informed about industry trends, market dynamics, competitor activities, and customer needs to identify opportunities and mitigate risks.
Gather and analyze customer feedback and market data to inform sales strategies and product development initiatives.
Qualifications
Knowledge, Skills, and Abilities:
Sales Acumen:
Understanding of sales techniques, negotiation skills, and closing strategies.
Knowledge of industry trends, market dynamics, and competitive landscape.
Customer Relationship Management:
Ability to build and maintain strong relationships with customers.
Skill in identifying customer needs and presenting solutions effectively.
Communication Skills:
Excellent verbal and written communication skills including presentation and telephone skills with an aptitude for customer relationship building.
Ability to convey complex information in a clear and concise manner.
Time Management and Organization:
Strong time management skills and ability to prioritize tasks effectively.
Capacity to manage multiple priorities and meet deadlines in a fast-paced environment.
Ability to execute a vision, manage multiple priorities, and achieve results.
Additional Skills
Proficiency with MS Office software, SalesForce/CRM technology and telecommuting software such as Zoom, WebEx, Microsoft Teams or Google Meet.
Outstanding interpersonal skills with peers, superiors (cross functional and throughout the organization) and customers.
Ensure adherence to all local, state, and federal laws, including but not limited to OSHA, DOT, and EEOC.
Experience:
Minimum of two (2) years of proven successful sales experience in telephone sales, personal selling, and customer service.
Proven track record of success in sales, with a focus on revenue growth and customer relationship management.
Education:
Bachelor's degree or equivalent relevant experience in Business Administration, Management, Marketing, or related field.
Time Type:Full time Job Type:Regular SeasonalJob Family Group:SalesLocation Region/State:FloridaEEO Statement:
Scholastic is an Equal Opportunity Employer. Our policy is clear: there shall be no discrimination on the basis of race, religion, color, sex, pregnancy, national origin, marital status, sexual orientation, gender identity or expression, age, non-disqualifying physical or mental disability, or status as a disabled veteran or Vietnam veteran. Those factors shall not influence the determination of qualifications for a job or other opportunity within the company. Further, all personnel actions (such as compensation, tuition aid, benefits, transfers, promotions, and dismissals, company-sponsored training, social and recreational programs) shall be administered without discrimination.
EEO is the Law Poster
EEO Scholastic Policy Statement
Pay Transparency Provision
$22-26 hourly Auto-Apply 45d ago
Work Zone Traffic Project Engineer
Gsi Engineering LLC 3.6
Work from home job in Bristol, TN
RK&K is seeking a highly motivated Traffic Engineer with extensive knowledge of work zone traffic control. RK&K has the unique position of providing high profile services through many traffic engineering open end contracts for various clients. As a result, there is increasing demand for traffic engineers with work zone traffic control experience due to enhanced focus on safety in work zones, implementation of Federal and State mandates, and a desire to implement technology to improve work zone operations. As a Traffic Engineer for RK&K, you will work alongside and collaborate with a vibrant and talented professional team while working with state of the art software and platforms to complete critical programs and deliver meaningful projects.
Essential Functions
You will perform traffic engineering research to identify and analyze work zone traffic control methodologies, principals, products, and applications
Create work zone policies, guidelines, and engineering standards to improve work zone design, implementation, and operations to enhance safety and efficiency
Collaborate with internal teams and external stakeholders to evaluate the effectiveness of existing work zone standards and traffic control plans to identify areas for improvement
Review and develop maintenance of traffic plans for major projects that includes consideration for workers, vehicles, and vulnerable road users
Planning, design, and implementation of ITS work zone applications to implement technology to provide better traveler information to motorists concerning work zones
Assist with Speed Safety Camera programs for work zones including program management, implementation, assessment of program effectiveness, quality assurance and vendor coordination
Ability to visit construction sites, perform physical investigation of work zone setups and field conditions, and monitor speed safety camera installations in the field
Required Skills and Experience
Minimum bachelor's degree in civil engineering or related
P.E. license
Four (4) years of experience in traffic engineering, particularly work zones
Good writing, verbal communication and presentation skills including public speaking
Excellent problem-solving and analytical abilities, with the ability to use data and research to inform decision making
Strong knowledge of work zone traffic control strategies, safety strategies, the Manual on Uniform Traffic Control Devices (MUTCD) and other relevant standards and regulations
Preferred Qualifications
Experience with project management and coordination
Familiarity with state and local traffic engineering standards
Eight (8)+ years of experience in traffic engineering, particularly work zones
Other Duties
This job description indicates the general nature and levels of work, knowledge, skills, abilities, and other essential functions (as covered under ADA). It is not designed to cover or contain a comprehensive listing of all activities and duties required by the employee. Other duties are assigned as required
.
What We Offer
RK&K offers excellent potential for career advancement and professional growth. We also offer attractive compensation packages commensurate with experience and a comprehensive benefits package including:
Paid time off
Hybrid work (home and office)
Tuition reimbursement
Health, dental, vision, life, and disability insurances
Paid parental leave
Wellness programs and employee resource groups
Career Development
Matching 401(k) plan
Paid Holidays
Much, much more!
Why RK&K?
As a full-service engineering and construction management firm, RK&K gives you the opportunity to directly impact the communities in which we live and work. What sets RK&K apart is an award-winning culture that has fostered a spirit of collaboration and trust for over 100 years. To its clients, the firm delivers concepts, processes, and outcomes that are designed for success. RK&K has earned its reputation as a trusted partner, responsive employer, and community steward.
Design your career at RK&K, Apply Today!
$71k-100k yearly est. 1d ago
Remote Manager in Training- CS/Sales
Global Elite Group 4.3
Work from home job in Johnson City, TN
Join Our Team as a Sales Manager - Work from Anywhere! Are you an experienced and motivated individual looking to elevate your career in customer service and sales management? Look no further! We are currently seeking a dynamic Manager to join our remote team and be a driving force in our success.
• Work from Anywhere: Embrace the freedom of a flexible schedule and the ability to work from the comfort of your own home. Whether you prefer a cozy coffee shop or your favorite corner at home, the choice is yours! • Health Insurance Reimbursement Plan: Your well-being matters! We've got you covered with a health insurance reimbursement plan to ensure you have access to the care you need. • No Cost Leads: Say goodbye to lead generation expenses! We provide you with a steady stream of high-quality leads, allowing you to focus on what you do best - building relationships and closing deals. • No Cost Mentorship from Day One: Our commitment to your success starts from the moment you join. Benefit from mentorship programs at no extra cost, providing you with guidance, support, and invaluable industry insights.
Your Role: • Lead and Inspire: Motivate and guide a team of dedicated customer service and sales professionals to achieve and exceed targets. • Work Smarter: Leverage cutting-edge technology to streamline processes, making your work efficient and effective. • Build Relationships: Foster strong relationships with clients and team members alike, ensuring a positive and collaborative work environment. • Drive Results: Take charge of sales initiatives, implement strategies, and contribute to the overall success of our organization.
Qualifications: • Experience Matters: Proven experience in customer service and sales management is a must. • Self-Motivated: Thrive in a remote work environment, taking initiative and ownership of your responsibilities. • Innovative Thinker: Embrace new ideas and approaches to elevate team performance. • Tech-Savvy: Comfortable with technology and tools that enhance virtual collaboration and productivity.
If you are ready to take the next step in your career, apply now and join a team that values your expertise and rewards your dedication. We believe in work-life balance, professional growth, and the power of a supportive community.
Discover the possibilities with us! Apply today!
$48k-76k yearly est. Auto-Apply 57d ago
Remote Data Quality Analyst
Focusgrouppanel
Work from home job in Kingsport, TN
Work at home position for job seekers from virtually any work background who are interested in part-time, side gigs, micro jobs, work from home jobs and remote telecommute jobs.
We're looking for folks who want to earn weekly doing something strictly online and with maximum flexibility.
This is a great way to earn extra money in your spare time by working at home! For more information apply to our job posting and then look for email to apply to our online site. * You must apply online additionally.
Benefits
Work when you want.
Earn serious cash working part time or full time.
Learn new skills that you can take anywhere.
Ditch the commute & the high gas prices
No degree required
Supplement your existing job. No need to quit your current job, unless you really hate it.
We provide training and tools to help you succeed in this industry
Excellent gig for Stay at home moms, retired folks, disabled people and anyone looking to learn how to make income online.
Much more...
Remote work from home skills could include:
Typing 25+ words per minute
You enjoy data entry work and can perform the work from your home or location of choosing (remote work from home job)
Computer with internet access
It is crucial that you be self-motivated and able to follow explicit directions to begin working from home
Self Motivated - you must be 100% able to commit to working with little supervision
Work from home jobs of this nature require Internet and one of the following: Laptop or PC, MAC, or Smart Device - Android or IOS
Ready to get started? Apply today and start earning as quick as today.
Thanks for checking us out and we look forward to helping you achieve your goal of earning extra side income.
As a reminder the folks who work with us come from a wide variety of backgrounds like customer service representative, administrative assistant, health care workers, human resources, warehouse workers, car delivery drivers, remote work from home professionals, and many more.
$53k-74k yearly est. Auto-Apply 33d ago
Patient Access Specialist
Ensemble Health Partners 4.0
Work from home job in Johnson City, TN
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
Job Description
ENTRY LEVEL CAREER OPPORTUNITY OFFERING:
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
This position pays between $17.00 - $18.15/hr based on experience
***This position is an onsite role, and candidates must be able to work on-site at Ballad- Johnston Memorial Hospital in Abingdon, VA****
We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.
Job Responsibilities:
Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey.
Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
They are to adhere to policies and provide excellent customer service in these interactions with the appropriate level of compassion.
Patient Access staff will be held accountable for point of service goals as assigned.
Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership.
Patient Access Staff are responsible for the pre-registration of patient accounts prior to patient visits. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.
The Patient Access Staff explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness's name. Explains and distributes patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.
Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.
Experience:
1+ years of customer service experience
Minimum Education:
High School Diploma/GED Required
Certifications:
CRCR Required within 9 months of hire (Company Paid)
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
Innovation
Work-Life Flexibility
Leadership
Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
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FMLA Rights - English
La FMLA Español
E-Verify Participating Employer (English and Spanish)
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$17-18.2 hourly Auto-Apply 2d ago
RN Complex Case Manager-Hybrid Lebanon OR Abingdon, Virginia (Counties: Buchanan, Dickinson, Lee, Russell, Scott, Tazwell, Washington, Wise)
Acentra Health
Work from home job in Lebanon, VA
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Job Summary and Responsibilities
Acentra seeks an RN Complex Case Manager Hybrid in Lebanon OR Abingdon, Virginia (Counties: Buchanan, Dickinson, Lee, Russell, Scott, Tazwell, Washington, Wise) to join our growing team.
Job Summary:
The RN Complex Case Manager will:
* Provide in-home, in-person care coordination in defined areas of coal mine states and telephonic care coordination across the United States. An integrated case management model (including care coordination/case management and disease management) assists the Funds team in maintaining beneficiaries at their most optimal functional level.
* Foster an environment that incorporates the Funds' "caring" philosophy in all aspects of the case management process and coordinates care with the beneficiary and his/her provider to stabilize health status with the goal of maximizing his/her functional capacity and improving the overall quality of life.
* Responsible for assessing, planning, implementing, and evaluating options and services to create an appropriate, individualized plan for the beneficiary across the continuum of care.
* Facilitate, coordinate, integrate, and manage integrated case management and disease management activities based on the CMSA definition, philosophy, and guiding principles for case management.
PLEASE NOTE:
This is a full-time, direct hire, exempt, Hybrid opportunity with Benefits.
The selected candidate is required to reside within a one-hour drive of one of the following cities: Lebanon OR Abingdon, Virginia (Counties: Buchanan, Dickinson, Lee, Russell, Scott, Tazwell, Washington, Wise).
Phone and Travel for In-Home Visits/In-person Care Coordination
* The percentage of In-Home, In-Person Care Coordination visits is up to approximately 25%.
* The percentage of Telephonic Care Delivery across multiple time zones within the U.S. is up to approximately 75%.
* Travel will be to specific counties within Virginia (Counties: Buchanan, Dickinson, Lee, Russell, Scott, Tazwell, Washington, Wise) with a drive time distance of up to a one-hour radius maximum (with mileage reimbursement).
Hours: 8:00 AM - 5:00 PM Eastern Monday-Friday.
Responsibilities:
* Use independent nursing judgment and discretion to address, resolve, and process problems impeding the diagnostic or treatment progress, including medication set-up, blood pressure checks, pulse, temperature, and weight checks to support the home program.
* Seek consultation from physicians, specialists, pharmacists, and other disciplines as necessary to facilitate care to optimize beneficiary function or prevent further decline in health.
* Develop beneficiary-centered care plans demonstrating shared accountability between beneficiaries, caregivers, and providers.
* Coordinate health and social services, coach the beneficiary and families, advocate for the beneficiary, educate the beneficiary and family, clarify, and assist with physician care plans, and communicate status and plans among the care team and resources, as indicated.
* Conduct visits in the beneficiary's home. Visits to hospitals, nursing homes, and physicians' offices as necessary to continue the plan of care and support transition.
* Review the care plan and progress in regular care conferences, emphasize transitions to other programs, and teach self-management/family caregiver management of chronic conditions to optimize functions, improve health, prevent further decline, or remain in the community.
* Ensure day-to-day processes are conducted in accordance with the Utilization Review Accreditation Commission (URAC) and other regulatory standards.
The above list of responsibilities is not intended to be all-inclusive. It may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.
Qualifications
Required Qualifications/Experience:
* Unrestricted, active RN compact state license.
* High School diploma or GED equivalent.
* 3+ years of clinical experience with 1+ years of case management experience.
* Must be proficient in Microsoft Office, Internet/Web Navigation, and research.
* Must be proficient in the use of electronic medical record systems/electronic documentation and navigating multiple computer systems and applications.
* Ability to perform a basic physiological assessment that does not require a physician order, temperature, pulse, blood pressure, weight, and visual skin assessment.
Preferred Qualifications/Experience:
* Bachelor of Science in Nursing (BSN) (or higher level of education).
* Public Health Nursing experience and geriatric nursing care.
* Certified Case Manager (CCM).
* Ability to multi-task and prioritize with variable and sometimes conflicting deadlines; superior attention to detail and demonstrated ability in decision-making.
* Demonstrated initiative and judgment in performing job responsibilities while maintaining professionalism, flexibility, and dependability under pressure.
* Strong communication (written/verbal), interpersonal, organizational, time management, and communication skills with a strong focus on customer service, including building and maintaining relationships with internal/ external customers and facilitating meetings.
* Ability to work independently and as part of a team.
* Ability to research/identify and apply appropriate standards of care.
* Interest in continuous learning and a commitment to staying informed on regulatory changes.
#LI-SD1
Why us?
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.
We do this through our people.
You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.
Thank You!
We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!
~ The Acentra Health Talent Acquisition Team
Visit us at Acentra Health
EEO AA M/F/Vet/Disability
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.
Benefits
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
Compensation
The pay range for this position is listed below.
"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."
Pay Range
USD $67,300.00 - USD $74,000.00 /Yr.