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  • Claims Service Specialist

    Geico 4.1company rating

    Work from home job in Virginia Beach, VA

    At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Claims Service Specialist - Virginia Beach, VASalary: $22.34 - $26.46 hourly ($45,000 - $53,000 annually) Hybrid role: Training 100% in-office (6-9 months); post training 4 days a week in office and work from home 1 day a week At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Claim your career growth as a Claims Service Specialist at GEICO's Virginia Beach, VA office and be a part of one of the fastest-growing auto insurers in the United States! If you are motivated, all about solutions, and empathetic to the needs of customers, come grow a fulfilling career with us! Through our paid, industry-leading training, you will learn the ins and outs of the claims process and be ready to assist our policyholders when they need us the most - during an accident. As a Claims Service Specialist, you will collect facts about the accident, investigate claim details, and collect statements from involved parties. Our policyholders will count on your patience, support, and attention to detail to get them back on the road as quickly as possible. GEICO will also give you the space and grace to explore your abilities and learn new ones. So if you are ready to start growing your career, let's talk! Many associates see a base salary increase of 10% within their first year as a Claims Specialist. Top associates can see increases up to 15%! Qualifications & Skills: Experience providing outstanding customer service by showcasing expertise, fostering trust and growing customer satisfaction Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities Ability to work comfortably and grow in a fast-paced, high-volume call center environment Minimum of high school diploma or equivalent Eagerness to explore new skills and openness to different career paths #geico600 #LI-SR2 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
    $45k-53k yearly Auto-Apply 1d ago
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  • AVP Underwriting Manager - Middle Market

    Zurich Insurance Company Ltd. 4.8company rating

    Work from home job in Charlotte, NC

    Zurich is currently looking for an AVP Underwriting Manager - Middle Market to support our South region production underwriting teams in Charlotte and Tennessee! While this position will be based out of our Charlotte office, you will have the flexibility to work on a hybrid basis. You will partner with your manager to set a flexible work schedule that supports you, our customers, and our brokers and agents. This role will require you to be visible in the marketplace to meet with our agents and brokers. Middle Markets is a key business segment within Zurich, and we are focused on attracting top customer advocates who possess a sales mindset, strong technical underwriting skills and solution focused problem-solving abilities. Our industry focus includes (not limited to) Financial Institutions, General Industries, Manufacturing, Technology, Professional Services and Real Estate. Zurich Middle Markets offers end to end solutions for our customers inclusive of international programs. This is an exciting time to join Middle Markets at Zurich! In this role you will manage a team of skilled Property & Casualty production Underwriters. You will be expected to travel as necessary to support the needs of the team and to cultivate key broker relationships. This is a critical role in driving an engaging team culture. This role requires a strong technical, staff development and sales execution mindset. Basic Qualifications: AVP, Middle Markets Underwriting Manager: High School Diploma or Equivalent and 7 or more years of experience in the Underwriting or Market Facing area. OR High School Diploma or Equivalent and 14 or more years of experience in the claims or Under Support area. OR Zurich Certified Insurance Apprentice including an Associate Degree and 5 or more years of experience in the Underwriting or Market Facing area. AND 2 or more years of management experience Preferred Qualifications: Bachelor's Degree CPCU Advance knowledge of product lines and insurance industry Excellent verbal, written, and communication skills Excellent skills in relationship building Strong presentation skills Results oriented Strategic planning and execution experience Strong negotiation skills Experience managing complex portfolios Technical knowledge of insurance industry operations and processes Knowledge in risk selection and strategical components of anticipating the market environment Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $130,000.00 - $213,000 , with short-term incentive bonus eligibility set at 20%. We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.] Why Zurich? At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500 . Join us for a brighter future-for yourself and our customers. Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets. Zurich complies with 18 U.S. Code § 1033. Please note: Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal. Location(s): AM - Charlotte Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-WL1 #LI-DIRECTOR
    $130k-213k yearly 1d ago
  • Hybrid Service Writer / Diesel Mechanic

    Truckpro LLC 4.1company rating

    Work from home job in Richmond, VA

    TruckPro is seeking a Hybrid Service Writer / Diesel Mechanic who will be responsible for serving as the primary point of contact for customers, handling all aspects of service intake and communication, and performing hands-on repairs on diesel-powered vehicles and equipment. This dual-role position requires a professional who can effectively manage customer expectations while expertly diagnosing, maintaining, and repairing diesel engines and systems. Benefits for Service Writer/Diesel Mechanic: Competitive Pay Paid Training Employee Referral Bonus Medical, Dental and Vision 401K - with company match Paid Time Off - NO WAITING PERIOD Paid Holidays Safety Boot Purchase Reimbursement Unique company culture that values its people A hybrid service writer and diesel mechanic role combines the duties of customer service and vehicle repair into a single role. This position requires a professional with a dual skill set: excellent communication and customer-facing skills, along with a deep mechanical and electrical knowledge of diesel engines and heavy-duty vehicles. Service Writer Responsibilities Include: Greet customers, listen to their descriptions of vehicle problems, and ask probing questions to diagnose issues Translate customer concerns and symptoms into detailed, accurate repair orders for the shop's records Provide comprehensive and transparent cost estimates for parts and labor, and obtain customer authorization before beginning repairs Communicate proactively with customers throughout the repair process, providing updates on progress, explaining complex repairs in simple terms, and notifying them of any changes to the estimate or timeline Process invoices, handle billing, and ensure all warranty paperwork is completed correctly Schedule service appointments and manage the shop's workflow to ensure efficient operations Coach, train, and mentor mechanics/technicians Diesel Mechanic Responsibilities Include: Perform diagnostic tests using specialized software and tools to identify mechanical and electrical problems in diesel engines, transmissions, and other vehicle systems Conduct thorough inspections and follow a diagnostic checklist to ensure all critical parts of heavy-duty trucks, construction equipment, or other diesel-powered machinery are examined Perform preventative and routine maintenance, including oil changes, fluid level checks, wheel balancing, and tire rotation Repair or replace faulty components, such as engines, brake systems, steering mechanisms, and electrical systems, using hand and power tools Perform welding and driveline repairs (requires hot work awareness) Test-drive vehicles after repairs to ensure they operate correctly and have been fixed to standard Maintain a clean and safe work environment, adhering to all safety regulations and disposal procedures Service Writer/Diesel Mechanic Candidates Will Have: Comprehensive understanding of service operations in the heavy-duty truck industry ( Prior experience as a service writer or service advisor is highly desirable) 5+ years hands-on experience as a diesel mechanic or technician ( within heavy-duty industry required ) Strong verbal and written communication skills, with the ability to explain technical concepts to non-technical customers Solid knowledge of diesel engine systems, repair procedures, and maintenance protocols Proficiency with diagnostic software, shop management systems, and basic office software (i.e., diesel laptop, Eaton, Bendix, ABS Brakes, JPro ) Excellent organizational and problem-solving skills, with the ability to multitask in a fast-paced environment A valid driver's license and a clean driving record ( required ) Current or ability to obtain at company expense: CDL Class B or Class A ( required ) Relevant certifications, such as those from the National Institute for Automotive Service Excellence (ASE), are a plus A degree or certification in diesel technology, or a related field ( preferred ) Proficient with MS Office Suite products with ability to conduct basic tasks in Excel Physical Requirements: The physical demands described here are representative of those that must be met by an associate to successfully perform the primary duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the primary duties. The work is active Typically the associate will lift, pull and move heavy duty truck parts that might be in excess of 50+ lbs The associate will also have to do the following throughout the day: walking, bending, twisting, stepping, stooping, reaching, lifting, and pushing Work Environment: The work environment characteristics described here are representative of those an associate encounters while performing the primary duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the primary duties. While performing the primary duties of the job, the associate will be regularly exposed to dirt, dust, fumes, and noise and temperature variances E-Verify: TruckPro validates right to work using E-Verify. TruckPro will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee's Form I-9 to confirm work authorization. "TruckPro is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, or genetic information, or any other characteristic protected by law." #LI-MW1
    $27k-34k yearly est. 3d ago
  • Remote Sales & Trading Associate - AI Trainer ($50-$60/hour)

    Data Annotation

    Work from home job in Brentwood, 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.
    $24k-36k yearly est. 51d ago
  • TurboTax (WFH) Customer Service (Flexible Hours)

    Turbotax

    Work from home job in Cary, NC

    Work from home with TurboTax Product Expert Get paid $18.50 per hour¹ Get a $405 Certification bonus³ Work from home & set your own flexible schedule between 8am EST and 12am midnight EST Monday to Sunday⁴ Earn an additional $5/hr from April 9-15 for all hours worked Fast 24 hour Certification³ As a Customer Service Representative, you will help TurboTax customers by answering their questions concerning TurboTax products and tax return software. Most of these questions concern Downloading, Logging In, Getting Started with Basic Navigation, Importing Documents, Printing and Filing and very basic Tax questions. We'll give you amazing continuous support for everything. Get paid $18.50 per hour¹ Earn a $405 Bonus just for participating in getting certified as a TurboTax Product Expert³ $5.00 per hour Turbo Bonus Boost: Enjoy the bonus from April 9th through 15th with unlimited hours available, must work a minimum of 8 hours each day on April 13th, 14th, and 15th to qualify Certification takes place over 3 days Build your own schedule with flexible hours anytime between 8am EST and 12am midnight EST Monday to Sunday⁴ Minimum 25 hours per week required, want to work more? Go for it!¹ You'll be assigned an SME (Subject Matter Expert) who will support you during live calls. Plus Support an (MPS) Marketplace Performance Specialist as your advocate Required Experience & Skills To be successful in this Gig as a Service Provider for TurboTax you will need to be proficient in the following: This role doesn't require any specific accounting background. We're looking for enthusiastic individuals who are eager to learn and help TurboTax customers with their questions. Strong communication is key in assisting customers with TurboTax products and tax return software. You'll need to articulate solutions clearly and empathetically. The ability to understand and empathize with our customers needs while driving innovation and providing top-notch service.
    $35k-52k yearly est. 24d ago
  • Remote Legal Expert - AI Trainer

    Superannotate

    Work from home job in Raleigh, NC

    In this hourly, remote contractor role, you will review AI-generated legal analyses and/or generate expert legal content, evaluating reasoning quality and step-by-step issue-spotting while providing precise written feedback. You will assess answers for accuracy, clarity, and adherence to the prompt; identify errors in legal methodology or doctrine; fact-check citations and stated rules; write high-quality explanations and model solutions; and rate and compare multiple responses based on correctness and reasoning quality. This role is with SME Careers, a fast-growing AI Data Services company and subsidiary of SuperAnnotate, delivering training data for many of the world's largest AI companies and foundation-model labs. Your legal expertise directly helps improve the world's premier AI models by making their legal reasoning more accurate, reliable, and clearly explained. Key Responsibilities: • Develop AI Training Content: Create detailed prompts in various topics and responses to guide AI learning, ensuring the models reflect a comprehensive understanding of diverse subjects. • Optimize AI Performance: Evaluate and rank AI responses to enhance the model's accuracy, fluency, and contextual relevance. • Ensure Model Integrity: Test AI models for potential inaccuracies or biases, validating their reliability across use cases. Your Profile: • Bachelor's degree (or higher) in Law (JD/LLB), Legal Studies, Public Policy, or Political Science, with strong grounding in Constitutional Law, Contracts, Torts, Criminal Law, Civil Procedure, and Regulatory/Administrative Law. • 5+ years of professional experience in Law, Legal Studies, Public Policy, or Political Science. • Strong legal reasoning and issue-spotting skills, including statutory interpretation, case analysis, and translating facts into elements and defenses. • Fluent in compliance concepts, rights & obligations analysis, and policy frameworks; able to identify missing facts and assumptions that change outcomes. • Exceptional attention to detail when checking rule statements, citations, jurisdictional relevance, procedural posture, and logical consistency; Minimum C1 English proficiency. • Able to write clear, structured feedback that explains errors and the correct reasoning path without unnecessary verbosity. • Reliable, self-directed, and able to deliver consistent quality in an hourly, remote contractor workflow across time zones. • Previous experience with AI data training/annotation, expert review, legal editing, or QA is strongly preferred.
    $62k-112k yearly est. 4d ago
  • Remote Finance Director - AI Trainer ($50-$60/hour)

    Data Annotation

    Work from home job in Jackson, 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.
    $50-60 hourly 60d+ ago
  • Childcare Assistant

    Sentara Health 4.9company rating

    Work from home job in Harrisonburg, VA

    City/State Harrisonburg, VA Work Shift Rotating Sentara Rockingham Memorial Hospital Wellness Center is hiring a Childcare Program Assistant The status of this role is flexi, 8 - 12hrs/wk. Seeking incumbents with weekday morning availability, especially Tues/Wed between 8:15 and 1pm. Overview Provide for the safety and well-being of every child in the wellness center's children's programs. Responsible for the implementation and execution of a broad range of care and activities for ages 0 weeks to 17 years. Provide care and nurturing in our childcare area for younger kids and provide fun and stimulating activities in our youth programs. Implement and execute various events and programs. Education No specific education requirements Certification/Licensure Basic Life Support (BLS) Experience Related experience - 1 year Talroo - Allied Health; childcare, daycare, children Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $27k-32k yearly est. 1d ago
  • PartnersACCESS Specialist (QP)-Remote-NC (PRN)

    Partners Behavioral Health Management 4.3company rating

    Work from home job in Elkin, NC

    - not eligible for benefits Projected Hiring Range : Depending on Experience Closing Date : Open Until Filled Work Schedule: Mon-Fri, 9:30a-6p (PRN) Primary Purpose of Position: This position provides the initial screening, referral and or scheduling of members who call the toll-free PartnersACCESS Member Services number seeking health and behavioral health services and as appropriate, transfers the member to a clinician who will clinically triage/assess the member's acuity and will determine what type and intensity of service the member needs and/or is eligible to receive. Role and Responsibilities: Screening, scheduling and referral: Initial screening of Health/Mental Health (MH)/Substance Use (SU)/Traumatic Brain Injury (TBI)/Intellectual/Developmental Disability (I/DD) treatment needs, benefit information and referral of members calling to determine if they may potentially qualify for services Collect and enter demographic data into the electronic record, completion of appropriate forms, explanation of services, benefits and resources, verifies Medicaid and dispatch Provide follow up calls to referral sources and members to ensure that members have been successfully engaged in services Make referrals to clinical homes and crisis providers that meet the timeliness standards as defined by NC Medicaid Provide information about local community resources, independent practitioners, and related providers for referrals for basic benefit services This position demands a high level of accuracy and confidentiality. Information must be handled according to NC standards and rules, state and federal laws and LME/MCO and NCQA standards, procedures, policies and protocol Authorizations: Assists with authorizations/admissions to state hospitals, ADATC, Three Way Hospitals, Level III Detox, Facility Based Crisis and all referrals to crisis services Process other acute care authorizations as requested by supervisor or other Access to Care Licensed Clinician Automation: Screenings are completed using standard and specialized computer programs Inputs accurate information into the system and unlocks electronic service records with appropriate consents, enters all necessary data elements into data systems Provide technical assistance to First Responders, clinical home providers, and Mobile Crisis Management Cooperative Efforts: Establish and maintain effective working relationships within the unit, agency, and service system Consistently demonstrate professionalism, tact and diplomacy in handling irate callers and/or working with contract providers and other external parties Participate in Unit Staff meeting, Agency Staff meetings, (All staff meetings) and assigned committees Knowledge, Skills and Abilities: Sound knowledge of health/MH/SU/TBI/I/DD for the appropriate determination of eligibility for Medicaid and State supported services, appropriateness of referrals for treatment and assessment and the level of danger of the members calling for assistance Knowledge of the laws governing the treatment of health, mental illness, substance abuse and intellectual/developmental disabilities as well as the resources available in the community for treatment Knowledge of call center functions, member population, potential for crisis issues, confidentiality laws and program protocols/policies Excellent computer skills Ability to complete tasks independently, define problems, apply laws, policies and procedures to agency activities and must use sound judgment in conducting screening, triage and referral Ability to use sound judgment when conducting a screening and be able to determine when it is necessary and appropriate to transfer a member to a Licensed Access to Care Clinician Ability to communicate effectively orally and in writing, have good keyboarding skills and be able to multi-task (that is: converse while entering screening information into the electronic medical record and evaluating the member's need) Ability to take highly complicated criteria and apply it to cases in determining eligibility for services and appropriate scheduling referrals Ability to assist members in highly stressful situations which may be life threatening to the member or public while at the same time facilitating a connection to crisis services and/or a Licensed Access to Care Clinician Ability to provide technical assistance to both members and Providers Ability to maintain confidentiality when screening and referring calls/callers Education/Experience Required: Bachelor's Degree in related field or Licensed Practical Nurse (LPN) and at least two (2) years of healthcare or MH/SU/IDD experience. Education/Experience Preferred: Licensed practical nurses (LPNs) and at least four (4) years of healthcare and/or MH/SU/IDD experience. Licensure/Certification Requirements: N/A
    $36k-43k yearly est. Auto-Apply 51d ago
  • Coding Educator

    Humana 4.8company rating

    Work from home job in Yadkinville, NC

    **Become a part of our caring community and help us put health first** The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. The Coding Educator 2 will be responsible for arranging educational sessions with assigned providers aimed at quality of care and documentation improvements. + Identify educational needs based on reports + Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. + Provider onsite education, based on business needs + Collaboration with other market provider facing role + Utilize data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. + Analyze coding audit results and other relevant data to develop data-driven educational materials and interventions. + Participate in cross-functional teams to improve documentation, data integrity, and workflow processes **Use your skills to make an impact** **Required Qualifications** + AHIMA or AAPC CPC (Certified Professional Coder) Certification + 3 or more years of medical coding education and/or auditing in a healthcare setting experience + Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets + Experience with speaking with leadership, webinars public speaking and/or presentation skills with healthcare providers + Risk Adjustment knowledge + Familiar with coding guidelines + Live in South Carolina, North Carolina or Georgia **Preferred Qualifications** + Bachelor's Degree + CRC -Certified Risk Adjustment Coder + Experience interacting with healthcare providers + Strong technical knowledge of all Microsoft Office applications + Strong attention to detail and exceptional follow up skills + Valid Driver's license and reliable transportation + Medicare Risk Adjustment knowledge **Additional Information** Work at home - with ability to travel (up to 5%) to surrounding provider offices As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. **Work at Home Guidance** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/vivaengage and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker. \#LI-BB1 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $59,300 - $80,900 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $59.3k-80.9k yearly 9d ago
  • PASRR Evaluator (PRN) - Wilkes, Caldwell & Catawba Counties NC

    Acentra Health

    Work from home job in Wilkesboro, NC

    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 Job Summary Join Acentra Health as a PASRR Evaluator in Wilkesboro, North Carolina. In this role, you will conduct PASRR Level II Pre-Admission Screening and Resident Review assessments to determine appropriate placements and next levels of care for individuals with complex needs, helping to support improved health outcomes. As a PASRR Evaluator, you will conduct assessments for geriatric individuals and those living with Serious Mental Illness (SMI), Intellectual Disabilities (ID), or Related Conditions (RC) in nursing homes, hospitals, and community-based settings. This PRN hybrid role offers the flexibility of remote work from your home office with some local travel, allowing you to make a meaningful impact within your community. We also reimburse travel-related expenses, including mileage at the federal rate and cover parking. In addition, we provide all essential technology and equipment for your home office, including a company-issued laptop for both remote and field work. * This position is hybrid. Candidates must be comfortable commuting to any of the following North Carolina counties; Wilkes, Caldwell, or Catawba to support the fieldwork required for the role.* Job Responsibilities * Complete accurate PASRR screenings and Level II assessments by reviewing clinical records, gathering collateral information, and conducting assessments of the individual's physical, behavioral, and psychological functioning to support informed clinical decisions and appropriate next level-of-care recommendations. * Apply knowledge of standards of practice related to Level of Care determinations, as well as mental health, geriatrics, and other conditions commonly requiring long-term care placement. * Provide well-informed level-of-care recommendations based on clinical evaluations, including reassessment of records in response to psychiatric input, and integrate psychological insights while collaborating with healthcare professionals, patients and families, as needed. * Review medical records and work with healthcare professionals, patients, families, and support networks to complete accurate screenings and determinations, while tracking personal performance metrics and maintaining compliance with established turnaround time requirements. * Leverage technology, computer equipment, web-based software, and our proprietary platforms to efficiently manage and track assessment activities. * Understand and adhere to all corporate policies, including those related to HIPAA and its Privacy and Security Rules. * Maintain compliance with established workflows, regulatory requirements, and best-practice standards. Qualifications Required Qualifications and Experience * Active, unrestricted licensure in the state of North Carolina in a healthcare discipline such as Licensed Clinical Psychologist (LCP), Licensed Clinical Social Worker (LCSW), Licensed Clinical Mental Health Counselor (LCMHC), Licensed Psychological Associate (LPA), or Registered Nurse (RN) with a master's degree in Psychiatric Nursing or a closely related field. * Graduation from an accredited college with a relevant degree program and a minimum of 3 years of clinical experience providing services to individuals with mental illness. * Minimum 1 year of experience working with individuals with intellectual or developmental disabilities or related conditions. . * Ability to assess and analyze psychological, emotional, behavioral, and physical functioning to support accurate and thorough clinical evaluations. * Strong verbal, written, and electronic communication skills, with the ability to communicate professionally, effectively, and with empathy. Preferred Qualifications and Experience * Knowledge of medical record systems, medical terminology, and disease processes. * Detail-oriented with excellent organizational skills and the ability to prioritize and complete tasks within established timelines. * Previous experience working with the geriatric population if preferred. * Proficiency in Microsoft Office applications and strong skills in internet and web-based navigation. 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 nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career. 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! 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, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Compensation The compensation for this role is $37.00 per hour Based on our compensation program, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level. #LI-JS1 Pay Range Up to USD $37.00/Hr.
    $37 hourly 26d ago
  • Virtual Customer Care Associate

    Turbotax

    Work from home job in Winston-Salem, NC

    Work from home with TurboTax Product Expert Get paid $18.50 per hour¹ Get a $405 Certification bonus³ Work from home & set your own flexible schedule between 8am EST and 12am midnight EST Monday to Sunday⁴ Earn an additional $5/hr from April 9-15 for all hours worked Fast 24 hour Certification³ As a Customer Service Representative, you will help TurboTax customers by answering their questions concerning TurboTax products and tax return software. Most of these questions concern Downloading, Logging In, Getting Started with Basic Navigation, Importing Documents, Printing and Filing and very basic Tax questions. We'll give you amazing continuous support for everything. Get paid $18.50 per hour¹ Earn a $405 Bonus just for participating in getting certified as a TurboTax Product Expert³ $5.00 per hour Turbo Bonus Boost: Enjoy the bonus from April 9th through 15th with unlimited hours available, must work a minimum of 8 hours each day on April 13th, 14th, and 15th to qualify Certification takes place over 3 days Build your own schedule with flexible hours anytime between 8am EST and 12am midnight EST Monday to Sunday⁴ Minimum 25 hours per week required, want to work more? Go for it!¹ You'll be assigned an SME (Subject Matter Expert) who will support you during live calls. Plus Support an (MPS) Marketplace Performance Specialist as your advocate Required Experience & Skills To be successful in this Gig as a Service Provider for TurboTax you will need to be proficient in the following: This role doesn't require any specific accounting background. We're looking for enthusiastic individuals who are eager to learn and help TurboTax customers with their questions. Strong communication is key in assisting customers with TurboTax products and tax return software. You'll need to articulate solutions clearly and empathetically. The ability to understand and empathize with our customers needs while driving innovation and providing top-notch service.
    $26k-37k yearly est. 24d ago
  • Care Coordinator, Onsite, Winston Salem NC - Hybrid - RN, PT, OT, ST

    Unitedhealth Group 4.6company rating

    Work from home job in Yadkinville, NC

    For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start **Caring. Connecting. Growing together.** The Care Coordinator- Onsite plays an integral role in optimizing patients' recovery journeys. The Care Coordinator- Onsite completes weekly functional assessments and engages the post-acute care (PAC) inter-disciplinary care team to coordinate discharge planning to support the members PAC journey. The position engages patients and families to share information and facilitate informed decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review Coordinator- Onsite is responsible for ensuring efficient, smooth, and prompt transitions of care. This position follows a hybrid schedule with three in-office days per week. **Primary Responsibilities:** + By serving as the link between patients and the appropriate health care personnel, the Care Coordinator- Onsite is responsible for ensuring efficient, smooth, and prompt transitions of care + Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays + Review target outcomes, and discharge plans with providers and families + Complete all SNF concurrent reviews, updating authorizations on a timely basis + Collaborate effectively with the patients' health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. + Assure patients' progress toward discharge goals and assist in resolving barriers + Participate weekly in SNF Rounds providing accurate and up to date information to the H&C Transitions Sr. Manager or Medical Director + Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services + Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed + Attend patient/family care conferences + Assess and monitor patients' continued appropriateness for SNF setting (as indicated) according to CMS criteria + When H&C Transitions is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate + Coordinate peer to peer reviews with H&C Transitions Medical Directors + Support new delegated contract start-up to ensure experienced staff work with new contracts + Manage assigned caseload in an efficiently and effectively utilizing time management skills + Enter timely and accurate documentation into coordinate + Daily review of census and identification of barriers to managing independent workload and ability to assist others + Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement + Adhere to organizational and departmental policies and procedures + Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws + Complete cross-training and maintain knowledge of multiple contracts/clients to support coverage needs across the business + Keep current on federal and state regulatory policies related to utilization management and care coordination (CMS guidelines, Health Plan policies, and benefits) + Adhere to all local, state, and federal regulatory policies and procedures + Promote a positive attitude and work environment + Attend H&C Transitions meetings as requested + Hold patients' protected health information confidential as required by applicable laws, regulations, or agency/institution procedures + Perform other duties and responsibilities as required, assigned, or requested You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Active, unrestricted registered clinical license required in state of hire - Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist + 5+ years of clinical experience + Ability to support specific location(s) for on-site facility needs within 30-miles maximum radius of home location based on manager discretion + Reside within or near the county listed on the job description + Driver's License and access to a reliable transportation **Preferred Qualifications:** + Experience working with the geriatric population + Familiarity with care management, utilization/resource management processes and disease management programs + Patient education background, rehabilitation, and/or home health nursing experience + Proficient with Microsoft Office applications including Outlook, Excel and PowerPoint + Proven to be detail-oriented + Proven ability to prioritize, plan, and handle multiple tasks/demands simultaneously + Proven to be a team player + Proven exceptional verbal and written interpersonal and communication skills + Proven solid problem solving, conflict resolution, and negotiating skills + Proven independent problem identification/resolution and decision-making skills **Work Conditions and Physical Requirements:** + Ability to establish a home office workspace + Ability to manipulate laptop computer (or similar hardware) between office and site settings + Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time + Ability to communicate with clients and team members including use of cellular phone or comparable communication device + Ability to remain stationary for extended time periods (1 - 2 hours) + Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $34.23 to $61.15 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $34.2-61.2 hourly 57d ago
  • Technical Sales Specialists- Valves

    Baker Hughes 4.9company rating

    Work from home job in North Wilkesboro, NC

    Senior Technical Sales Specialists- Control Valves (100% Remote) Are you passionate about technical sales and motivated by deriving customer solutions and closing deals? Would you like the opportunity to further develop your career with a global energy technology company? Join our valve sales team! At Baker Hughes our purpose is clear. We take energy forward making it safer, cleaner and more efficient for people and the planet. Our Sales teamwork in partnership with our global customers to build loyalty and develop sales growth. We take responsibility for the long-term success of the business by building trusted relationships and an understanding of our customers. Partner with the best The Technical Sales Specialist for Control Valves works alongside the Regional Sales Manager and Channel Partners to be collectively responsible for Masoneilan Valves sales growth within North America. The primary responsibilities are identification & pursuit of strategic growth accounts and associated project opportunities. This is a customer facing technical sales specialist role, responsible for winning business and leading business development planning processes for this market As a Sr Technical Sales Specialist, you will be responsible for: Developing targeted customer/segment campaigns to increase sales of Masoneilan engineered products & support medium to large project opportunities. Conducting in depth assessment of industry segments identifying key applications and developing customer value propositions. Managing complex sales processes requiring involvement of many stakeholders both at the client side and internally. Technical, economical, logistical, and financial aspects are involved in creating a proposal. Working closely with Regional Sales Managers & Channel Partners to engaged directly with end users and key customer influence centers to drive growth. Conducting Technical Sales calls and technical solutions to key customers with regional Channel Partners and direct calls to strategic corporate accounts and major regional influence centers. Conducting in depth training and awareness sessions around Masoneilan products with customers and channel partners. Leading the collaboration with multidisciplinary teams internally (e.g. engineering, legal, risk, finance, communication, marketing etc.) to develop and articulate the winning value proposition Fuel your passion To be successful in this role you will: Have Bachelor's Degree from an accredited college or university or 10+ years of related valves technical solutions experience Have 5+ years experience in application engineering, industrial sales, or customer service with Masoneilan products Demonstrate experience of working with cross-functional teams within a global-matrix environment Have good interpersonal and leadership skills, inclusive working style and able to effectively interface with all levels of internal organization and external customers Availability to travel for business up to 50% of the time Work in a way that works for you We recognize that everyone is different and that the way in which people want to work and deliver at their best is different for everyone too. In this role, we can offer the following flexible working patterns: Working fully remote from home office in the US- flexing the times when you work in the day to help you fit everything in and work when you are the most productive Working for you Our inventions have revolutionized energy for over a century. But to keep going forward tomorrow, we know we have to push the boundaries today. We prioritize rewarding those who embrace change with a package that reflects how much we value their input. Join us, and you can expect: Contemporary work-life balance policies and wellbeing activities Comprehensive private medical care options Safety net of life insurance and disability programs Tailored financial programs Education Assistance Generous Parental Leave Mental Health resources Dependent Care Additional elected or voluntary benefit #LI-Remote The annual pay scale for this position is between $115,900.00 - $249,300.00. Candidates for this role (office-based/ hybrid/ remote) must be located in or near the locations displayed above. The pay range/scale displayed above represents Baker Hughes' good faith estimate of the minimum and maximum for this position at the time of this posting and applies to the possible locations for this position. Baker Hughes will issue a non-bias competitive offer; the salary range posted for this position reflects the projected hiring range for new hires, full-time salaries in some U.S. locations, not including equity or benefits. Where an applicant will ultimately fall within the pay range/scale depends on a variety of factors, including, for example, geographic work location, skillset, qualifications, internal pay alignment, level of experience, and demonstrated performance over time. Please keep in mind that the range stated above is the full base salary range for the role and does not include other forms of compensation. Your recruiter can share more about the pay range for this position during the hiring process. You will be eligible to participate in Company-sponsored benefit programs, including health & welfare programs and the Thrift Plan (401k). You will have a choice of coverage options that best suit your needs. Coverage options and contribution amounts are related to your benefit elections, base salary level, and specific requirements of each of these plans. This position is eligible for our comprehensive and competitive benefits package, which can be found here , and is further eligible for additional forms of compensation such as bonuses subject to the terms of the applicable benefit plans or policies.
    $115.9k-249.3k yearly Auto-Apply 60d+ ago
  • Data Entry Product Support - No Experience

    Glocpa

    Work from home job in West Springfield, VA

    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.
    $29k-35k yearly est. 60d+ ago
  • I/DD Care Manager (QP)-Mobile/Remote (NC)

    Partners Behavioral Health Management 4.3company rating

    Work from home job in Elkin, NC

    which will work primarily out in the assigned communities.** Competitive Compensation & Benefits Package! eligible for - Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs Public Service Loan Forgiveness Qualifying Employer See attachment for additional details. Location: Available for any of Partners' NC locations; Mobile/Remote position Projected Hiring Range: Depending on Experience Closing Date: Open Until Filled Primary Purpose of Position: The Intellectual and Developmental Disabilities (I/DD) Care Manager is responsible for providing Tailored Care Management and/or care coordination to members/recipients with I/DD to help secure and coordinate a variety of physical health, developmental disability, behavioral health and long-term services and support (LTSS) services. The I/DD Care Manager actively engages with members/ recipients through comprehensive assessment, care planning, health promotion, and comprehensive transitional care. Tailored Care Management is comprehensive and longitudinal for members with Medicaid coverage. Recipients with no Medicaid receive Tailored Care Management based on specified triggers and for a duration not to exceed ninety (90) days. Travel is an essential function of this position. Role and Responsibilities: Duties of the I/DD Care Manager include, but are not limited to, the following: Comprehensive Care Management Provide assessment and care management services aimed at the integration of primary, behavioral and specialty health care and community support services, using a comprehensive person-centered care plan which addresses all clinical and non-clinical needs and promotes wellness and management of chronic conditions in pursuit of optimal health outcomes Complete a care management comprehensive assessment within required timelines and update as needed Develop a comprehensive Individual Support Plan and update as needed Provide diversion activities to support community tenure Care Coordination Facilitate access to and the monitoring of services identified in the Individual Support Plan to manage chronic conditions for optimal health outcomes and to promote wellness. Facilitate communication and regularly scheduled interdisciplinary team meetings to review care plans and assess progress. Monitors services for compliance with state standards and Medicaid regulations, including home and community-based standards for 1915i services Verify that services are delivered as outlined in ISP and addresses any deviations in services Individual and Family Supports Provide education and guidance on self-management and self-advocacy Provide information about rights, protections, and responsibilities, including the right to change providers, the grievance and complaint resolution process, and fair hearing processes Educate members and recipients about the Registry of Unmet Needs, with referral as indicated Utilize person centered planning methods/strategies to gather information and to get to know the members supported Ensure that members/legally responsible persons are informed of services available, service options available, processes (e.g. requirements for specific service), etc. Promote prevention and health through education on the member's chronic conditions and/or disabilities for the member, family members, and their caregivers/support members Promote culturally competent services and supports. Health Promotion Educate and engage the member/recipient and caregivers in making decisions that promote his/her maximum independent living skills, good health, pro-active management of chronic conditions, early identification of risk factors, and appropriate screening for emerging health problems Closely coordinate care with the member's I/DD, behavioral health, and physical health providers, including in person visits to Emergency Departments and Skilled Nursing Facilities Support medication management as prescribed by medical providers, focusing on treatment adherence monitoring, side effects, and effectiveness of treatment Transitional Care Management Proactive and intentional care management when the member/recipient is experiencing care transitions (including, but not limited to transitions related to hospitalization, nursing facility, rehabilitation facility, community-based group home, etc.), significant life changes including, but not limited to loss of primary caregiver, transition from school services, etc.) or when a member/recipient is transitioning between health plans. Create and implement a 90-day transition plan as an amendment to the ISP that outlines how services will be maintained or accessed and includes a process to transition to the new care setting and integrate into his or her community. Referral to Community/Social Supports Provide information and assistance in referring members/recipients to community-based resources and social support services, regardless of funding source, which can meet identified needs Provide comprehensive assistance securing health-related services, including assistance with initial application and renewal with filling out and submitting applications and gathering and submitting required documentation, including in-person assistance when it is the most efficient and effective approach. Time-Limited Care Coordination for Member Excluded from Receiving Tailored Care Management Assist member who are receiving care management from other entities (e.g., CCNC, CAP/C, CAP/DA) with referral/linkage to I/DD services available through the Tailored Plan or Medicaid Direct contract Provide transitional care management Participate in weekly conference with CCNC, as needed, to share information on high-risk members, including members with a behavioral health transitional care need and members with special health care needs, who are receiving care coordination and care management from both entities or require referrals Coordinate with each member's care manager to the extent the member is engaged in care management through another entity (e.g. PCCM Vendor, Skilled Nursing Facility, CAP/C or CAP/DA, etc.) Share the results of the any assessments completed, the member's person-centered plan, and the member's Care Plan (to the extent one exists) with entity providing care management Notify the member's care manager that the member is undergoing a transition and engage the member's assigned care manager to assist with transitioning the member into the community, including in the development of the ninety (90) day post-discharge transition plan to the extent there are items within the care manager's scope. With the assistance of the care management entity, encouraging, supporting, and facilitating communication between primary care providers and the Partners network providers regarding medication management, shared roles in care transitions and ongoing care, the exchange of clinically relevant information, annual exams, coordination of services, case consultation, and problem-solving as well as identification of a medical home for persons determined to have need. Other: Assist state-funded recipients apply for Medicaid Coordinate Medicaid deductibles, as applicable, with the member/legally responsible person and provider(s) Proactively monitor documentation/billing to ensure that issues/errors are resolved as quickly as possible Ensure all clinical documentation (e.g. goals, plans, progress notes, etc.) meet state, agency and Medicaid requirements Maintain medical record compliance/quality, as demonstrated by ≥90% compliance on Qualitative Record Reviews Recognizes and reports critical incidents Promotes member satisfaction through ongoing communication and timely follow-up on any concerns/issues Collaborates with providers to ensure accurate/timely submission of authorization requests for all Tailor Plan-funded services/supports Document within the grievance system any expression of dissatisfaction/concern expressed by member/recipient supported or others on behalf of the member/recipient supported Ensure strong leadership to care team for each member/recipient, including effectively communicating with and providing direction to Care Management extenders Knowledge, Skills, and Abilities: Demonstrated knowledge of the assessment and treatment of I/DD needs, with or without co-occurring physical health, mental health or substance use disorder needs Ability to develop strong, person-centered plans Exceptional interpersonal skills, highly effective communication ability, and the propensity to make prompt independent decisions based upon relevant facts and established processes Demonstrated ability to collaborate and communicate effectively in team environment Ability to maintain effective and professional relationships with member/recipients, family members and other members of the care team Problem solving, negotiation and conflict resolution skills Excellent computer skills including proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) Detail oriented Ability to learn and understand legal, waiver and program practices/requirements and apply this knowledge in problem-solving and responding to questions/inquiries Ability to independently organize multiple tasks and priorities and to effectively complete duties within assigned timeframes Ability to manage and uphold integrity and confidentiality of sensitive data Sensitivity and knowledge of different cultures, ethnicities, spiritual beliefs and sexual orientation. Education/Experience Required: Bachelor's degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services area and two (2) years of full-time experience with I/DD population OR Bachelor's degree in a field other than human services and four (4) years of full-time experience with I/DD population OR Master's degree in human services and one (1) year of full-time experience with I/DD population OR Licensure as a registered nurse (RN) and four (4) years of full-time accumulated experience with I/DD AND Two (2) years of prior Long-Term Services and Supports (LTSS)and/or Home and Community Based Services (HCBS) coordination, care delivery monitoring and care management experience. This experience may be concurrent with the two years of experience working with I/DD population described above AND Must reside in North Carolina Must have ability to travel regularly as needed to perform job duties Education/Experience Preferred: Experience working with member/recipients with co-occurring physical health and/or behavioral health needs preferred. Licensure/Certification Requirements: If a Registered Nurse (RN), must be licensed in North Carolina.
    $70k-83k yearly est. Auto-Apply 39d ago
  • Registered Nurse Unit Coordinator - Vascular Intermediate Care Unit

    Sentara Health 4.9company rating

    Work from home job in Norfolk, VA

    City/State Norfolk, VA Work Shift Third (Nights) Sentara Norfolk General Hospital in Norfolk, Virginia is seeking a Registered Nurse Unit Coordinator for our Vascular Stepdown/Intermediate Care Unit (IMCU) - 9K Hours: Full Time (36 hr/week) Demonstrates proficiency in nursing practice for assigned specialty area and provides clinical leadership for the delivery of nursing care in a department. Under the direction of the department manager leads safety and quality initiatives, focuses on and simplifies workflow, and contributes to the development of staff. Increase staff satisfaction and promotes excellent (Gold Standard) customer service. What we are: 9 Kaufman is a 24-bed stepdown intermediate care unit that specializes in vascular surgery, telemetry and renal/pancreas transplant patients. 9 Kaufman is part of the Surgical Specialty Team at Sentara Norfolk General Hospital (SNGH). Staffing is comprised of RNs, LPNs, NCPs (nursing care partners) and UAs (unit ambassadors) and CSAs (clinical support associates). What we do: Some of 9 Kaufman's vascular surgeries include aortic aneurysm repair, carotid endarterectomy, femoral bypass surgeries and amputations. 9 Kaufman is an extension of the renal/pancreas transplant team to include the outpatient transplant center and all the nurses on 9 Kaufman are specially trained and can sit for the PCCN certification which we will help you obtain. All the beds on 9 Kaufman are monitored beds. 9 Kaufman cares for a variety of patients with telemetry needs, providing an environment conducive to extensive learning and skill development. You will be exposed to many types of patients on 9 Kaufman aiding in your ability to provide great care to anyone that chose Sentara Norfolk General Hospital to meet their healthcare needs. Nurse to patient ratio on 9 Kaufman is 1:4. Education Bachelor of Science Nursing- BSN or MSN Required Certification/Licensure Registered nursing License (Required) BLS required within 90 days of hire Experience 18 months revelant RN experience required Keyword: #ZipRecruiter, Talroo - Nursing, registered nurse, RN, vascular, intermediate care, stepdown, IMCU . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day! Sentara Norfolk General Hospital , located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School. In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $29k-34k yearly est. 1d ago
  • Remote Finance Director - AI Trainer ($50-$60/hour)

    Data Annotation

    Work from home job in Wilmington, NC

    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.
    $50-60 hourly 60d+ ago
  • Remote Legal Expert - AI Trainer

    Superannotate

    Work from home job in Jacksonville, NC

    In this hourly, remote contractor role, you will review AI-generated legal analyses and/or generate expert legal content, evaluating reasoning quality and step-by-step issue-spotting while providing precise written feedback. You will assess answers for accuracy, clarity, and adherence to the prompt; identify errors in legal methodology or doctrine; fact-check citations and stated rules; write high-quality explanations and model solutions; and rate and compare multiple responses based on correctness and reasoning quality. This role is with SME Careers, a fast-growing AI Data Services company and subsidiary of SuperAnnotate, delivering training data for many of the world's largest AI companies and foundation-model labs. Your legal expertise directly helps improve the world's premier AI models by making their legal reasoning more accurate, reliable, and clearly explained. Key Responsibilities: • Develop AI Training Content: Create detailed prompts in various topics and responses to guide AI learning, ensuring the models reflect a comprehensive understanding of diverse subjects. • Optimize AI Performance: Evaluate and rank AI responses to enhance the model's accuracy, fluency, and contextual relevance. • Ensure Model Integrity: Test AI models for potential inaccuracies or biases, validating their reliability across use cases. Your Profile: • Bachelor's degree (or higher) in Law (JD/LLB), Legal Studies, Public Policy, or Political Science, with strong grounding in Constitutional Law, Contracts, Torts, Criminal Law, Civil Procedure, and Regulatory/Administrative Law. • 5+ years of professional experience in Law, Legal Studies, Public Policy, or Political Science. • Strong legal reasoning and issue-spotting skills, including statutory interpretation, case analysis, and translating facts into elements and defenses. • Fluent in compliance concepts, rights & obligations analysis, and policy frameworks; able to identify missing facts and assumptions that change outcomes. • Exceptional attention to detail when checking rule statements, citations, jurisdictional relevance, procedural posture, and logical consistency; Minimum C1 English proficiency. • Able to write clear, structured feedback that explains errors and the correct reasoning path without unnecessary verbosity. • Reliable, self-directed, and able to deliver consistent quality in an hourly, remote contractor workflow across time zones. • Previous experience with AI data training/annotation, expert review, legal editing, or QA is strongly preferred.
    $62k-112k yearly est. 4d ago
  • TurboTax (WFH) Customer Service (Flexible Hours)

    Turbotax

    Work from home job in Cleveland, TN

    Work from home with TurboTax Product Expert Get paid $18.50 per hour¹ Get a $405 Certification bonus³ Work from home & set your own flexible schedule between 8am EST and 12am midnight EST Monday to Sunday⁴ Earn an additional $5/hr from April 9-15 for all hours worked Fast 24 hour Certification³ As a Customer Service Representative, you will help TurboTax customers by answering their questions concerning TurboTax products and tax return software. Most of these questions concern Downloading, Logging In, Getting Started with Basic Navigation, Importing Documents, Printing and Filing and very basic Tax questions. We'll give you amazing continuous support for everything. Get paid $18.50 per hour¹ Earn a $405 Bonus just for participating in getting certified as a TurboTax Product Expert³ $5.00 per hour Turbo Bonus Boost: Enjoy the bonus from April 9th through 15th with unlimited hours available, must work a minimum of 8 hours each day on April 13th, 14th, and 15th to qualify Certification takes place over 3 days Build your own schedule with flexible hours anytime between 8am EST and 12am midnight EST Monday to Sunday⁴ Minimum 25 hours per week required, want to work more? Go for it!¹ You'll be assigned an SME (Subject Matter Expert) who will support you during live calls. Plus Support an (MPS) Marketplace Performance Specialist as your advocate Required Experience & Skills To be successful in this Gig as a Service Provider for TurboTax you will need to be proficient in the following: This role doesn't require any specific accounting background. We're looking for enthusiastic individuals who are eager to learn and help TurboTax customers with their questions. Strong communication is key in assisting customers with TurboTax products and tax return software. You'll need to articulate solutions clearly and empathetically. The ability to understand and empathize with our customers needs while driving innovation and providing top-notch service.
    $27k-38k yearly est. 24d ago

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