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Remote Forest Hills, TN jobs

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  • TurboTax Customer Service Representative - Work from Home

    Turbotax

    Remote job in Hendersonville, 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.
    $26k-34k yearly est. 15d ago
  • Remote M&A Associate - AI Trainer ($50-$60/hour)

    Data Annotation

    Remote job in Hendersonville, 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-47k yearly est. 41d ago
  • Work From Home -English Writing and Content Reviewing Expertise Sought for AI Training

    Outlier 4.2company rating

    Remote job in Franklin, TN

    Earn up to $16 USD/hourly and work remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You'll Do Adopt a “user mindset” to produce natural data to meet the realistic needs you have or would use AI for. Evaluate AI outputs by reviewing and ranking responses from large language models. Contribute across projects depending on your specific skillset and experience. What We're Looking For Analytical and Problem-Solving Skills: Ability to develop complex, professional-level prompts and evaluate nuanced AI reasoning. Strong Writing: Clear, concise, and engaging writing to explain decisions or critique responses. Attention to Detail: Commitment to accuracy and ability to assess technical aspects of model outputs. Nice to Have Experience in fields like literature, creative writing, history, philosophy, theology, etc. Prior writing or editorial experience (content strategist, technical writer, editor, etc.). Interest or background in AI, machine learning, or creative tech tools. Pay & Logistics Base Rate: depending on location: US $16.07, GB £ 13.30 GBP, CA $20.50 CAD, AU $26.25 AUD, IE €14.60 EUR, NZ $26.00 NZD Bonuses: Additional pay available based on project performance. Type: Freelance/1099 contract - not an internship. Location: 100% remote Schedule: Flexible hours - you choose when and how much to work. Payouts: Weekly via our secure platform. This is a freelance position that is paid on a per-hour basis. We don't offer internships as this is a freelance role. You also must be authorized to work in your country of residence, and we will not be providing sponsorship since this is a 1099 contract opportunity. However, if you are an international student, you may be able to sign up if you are on a visa. You should contact your tax/immigration advisor with specific questions regarding your circumstances. We are unable to provide any documentation supporting employment at this time. Please be advised that compensation rates may differ for non-US locations.
    $16-16.1 hourly 5d ago
  • Work from Home - Need Extra Cash??

    Launch Potato

    Remote job in Franklin, 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!
    $31k-46k yearly est. 1d ago
  • AI Trainer -Content Editor - Remote

    Outlier 4.2company rating

    Remote job in Smyrna, TN

    Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You'll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We're Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and articulate why one response is stronger than another. Care and Precision in Execution: A consistent ability to follow guidelines, notice subtle differences, and ensure outputs meet defined quality standards. Nice to Have Background in fields such as literature, creative writing, history, philosophy, theology, or similar disciplines. Prior experience in writing or editorial roles, such as content strategy, technical writing, or editing. Curiosity about AI systems, machine learning, or creative technology tools. Pay & Logistics Base Rate: depending on location: US $16.07, GB £ 13.30 GBP, CA $20.50 CAD, AU $26.25 AUD, IE €14.60 EUR, NZ $26.00 NZD Bonuses: Additional pay available based on project performance. Type: Freelance/1099 contract - not an internship. Location: 100% remote Schedule: Flexible hours - you choose when and how much to work. Payouts: Weekly via our secure platform. This is a freelance position that is paid on a per-hour basis. We don't offer internships as this is a freelance role. You also must be authorized to work in your country of residence, and we will not be providing sponsorship since this is a 1099 contract opportunity. However, if you are an international student, you may be able to sign up if you are on a visa. You should contact your tax/immigration advisor with specific questions regarding your circumstances. We are unable to provide any documentation supporting employment at this time. Please be advised that compensation rates may differ for non-US locations.
    $16-16.1 hourly 5d ago
  • Work From Home - Remote Market Research Contributor

    Opinion Bureau

    Remote job in Smyrna, TN

    Take quick online surveys and earn rewards for sharing your thoughts. Join today - it's free and easy!
    $45k-74k yearly est. 1d ago
  • Remote Customer Support Associate

    Turbotax

    Remote job in Brentwood, 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.
    $23k-32k yearly est. 14d ago
  • Work from Home - Need Extra Cash??

    Launch Potato

    Remote job in Hendersonville, 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. 1d ago
  • Client Manager - Medical Billing Remote

    Anova Care

    Remote job in La Vergne, TN

    Job Description Summary: Anova Care, a leading provider of home care and home health services, is seeking experienced Physical Therapists (PTs) to join our rapidly expanding home health program in the Denver metro area.We are looking for a dynamic and client-focused Client Manager to become a key part of our growing team. If you are passionate about driving financial success for healthcare providers and thrive in a collaborative, fast-paced environment, we want to hear from you! Why Join Us? Be a vital part of a company that values integrity, innovation, and client success. Work remotely with a flexible schedule and excellent benefits Engage in meaningful work that directly impacts the financial health of healthcare practices. Your Role: As a Client Manager, you will be the trusted advisor for our clients, helping them navigate financial performance, revenue cycle management, and strategic growth opportunities. Your ability to analyze key performance indicators and collaborate with Operations will drive efficiencies and improve outcomes for our clients. What You'll Do: Guide clients through onboarding, ensuring a smooth and supportive transition within the first 90 days. Provide exceptional day-to-day service, serving as the primary point of contact for client accounts. Develop strategic partnerships by conducting quarterly account reviews and offering insights on financial trends, revenue enhancement, and best practices. Analyze revenue cycle data to identify trends, variances, and areas for improvement. Perform root cause analysis on denied claims and implement corrective actions in collaboration with departments. Prepare financial reports detailing revenue performance, payer reimbursement rates, and claims processing outcomes. Foster strong, professional relationships with clients to ensure their ongoing success and satisfaction. What We're Looking For: Education: Bachelor's degree in Finance, Accounting, Healthcare Administration, or a related field. Experience: At least 3 years in revenue cycle analysis, billing, claims processing, or financial analysis within a healthcare setting. Technical Skills: Proficiency in revenue cycle management tools, advanced Excel skills, and familiarity with billing software and revenue management systems. Industry Knowledge: Understanding of billing regulations, reimbursement guidelines, and claims management best practices. Soft Skills: Strong communication, collaboration, analytical, and problem-solving abilities with keen attention to detail. Preferred Experience in: Acute, LTAC, Ambulatory, DME, Testing, Imaging, or Pharmacy medical billing, client relationship management, and data analytics. What We Offer: Competitive Salary: $70,000 - $100,000 per year Comprehensive Benefits Package: 401(k) with matching Flexible schedule Flexible spending account Health, dental, and vision insurance Generous paid time off Remote Work Opportunity: Enjoy the flexibility to work from home or work hybrid/in office if located near Birmingham, Alabama Expected Work Schedule and Hours Available: Monday through Friday, 7:30am-5pm Central Time Job Type: Full-time Pay: $70,000.00 - $100,000.00 per year Benefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance Schedule: Monday to Friday Experience: Medical billing: 3 years (Required) Work Location: Remote
    $70k-100k yearly 9d ago
  • AI Annotation Specialist

    Outlier 4.2company rating

    Remote job in Franklin, TN

    Pay & Logistics Base Rate: depending on location: US $16.07, GB £ 13.30 GBP, CA $20.50 CAD, AU $26.25 AUD, IE €14.60 EUR, NZ $26.00 NZD Bonuses: Additional pay available based on project performance. Type: Freelance/1099 contract - not an internship. Location: 100% remote Schedule: Flexible hours - you choose when and how much to work. Payouts: Weekly via our secure platform. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What We're Looking For Analytical and Problem-Solving Skills: Ability to develop complex, professional-level prompts and evaluate nuanced AI reasoning. Strong Writing: Clear, concise, and engaging writing to explain decisions or critique responses. Attention to Detail: Commitment to accuracy and ability to assess technical aspects of model outputs. Nice to Have Experience in fields like literature, creative writing, history, philosophy, theology, etc. Prior writing or editorial experience (content strategist, technical writer, editor, etc.). Interest or background in AI, machine learning, or creative tech tools. This is a freelance position that is paid on a per-hour basis. We don't offer internships as this is a freelance role. You also must be authorized to work in your country of residence, and we will not be providing sponsorship since this is a 1099 contract opportunity. However, if you are an international student, you may be able to sign up if you are on a visa. You should contact your tax/immigration advisor with specific questions regarding your circumstances. We are unable to provide any documentation supporting employment at this time. Please be advised that compensation rates may differ for non-US locations.
    $16.1 hourly 5d ago
  • Remote Sales and Team Builder

    Quility

    Remote job in Brentwood, TN

    Must be authorized to work in the US, no work visas offered at this time Organization Description: Team Mank is a diverse group of people who have come together to reinvent and lead the future of insurance. We offer a rare mix of world-class product leadership and insurtech, outstanding corporate support, and rapid customer traction combined with a vision big enough to change the world. Mank welcomes and celebrates individuals of all backgrounds. Home is where the heart is. The Mank Agency is on the East Coast, but we re growing too fast to stay in just one place. So Mank said goodbye to our team headquarters, and now we re a fully distributed team working remotely from almost 50 different states across the U.S. If you live anywhere in the USA let s talk! We do have 3 corporate offices in the US for your support CA, NC, and NV. Job Details: As part of an industry-leading team, you will be responsible for building a Regional Sales team up to $350,000 in monthly sales within 3 to 3.5 years, as well as personal sales of $20,000 to $60,000 monthly for up to three years. Top Mentorship and Training provided. We are actively looking for team members to mentor and partner with. Resources include the top Software Tool Kit Including Award-Winning Virtual Sales Platform (ALLOWS 100% REMOTE WORK), Exclusive Leads System, Mentorship, Training, Performance Based Promotion, Various Monthly Bonuses, Proven System with Automation, and Flexible Schedule. You can start PT. Individual Results Vary. Commission only 1099 Position. Income-Based From Sales. Zero Deductible Health Insurance Available, as well as dental/vision. Preferred Qualifications: Commitment, Coachable, & Consistent Action with a positive mindset. Responsibilities: Capacity to manage and lead a sales team Outstanding team building skills Strong communication and organizational skills Demonstrate sound judgment and decision making Ability to attract and assess talent Good coaching and mentorship skills Maintain high ethical standards Ability to problem solve Demonstrate innovation and creativity Ability to achieve or exceed business goals Requirements: Successful and stable work history Minimum of 1 year Sales/Management experience required Demonstrated leadership skills College Degree preferred Current Life and Health License (or ability to get quickly) We are an Equal Opportunity Employer and a drug-free workplace. THIS IS A U.S.-BASED POSITION THAT REQUIRES U.S. RESIDENCY. No Work Visas. The Mank Agency | Regional Sales Manager No agent s success, earnings, or production results should be viewed as typical, average, or expected. Not all agents achieve the same or similar results, and no particular results are guaranteed. Your level of success will be determined by several factors, including the amount of work you put in, your ability to successfully follow and implement our training and sales system and engage with our lead system, and the insurance needs of the customers in the geographic areas in which you choose to work. SFG0005490
    $24k-33k yearly est. 60d+ ago
  • Sales Representative / Outside Sales / Remote

    The Carr Group 3.7company rating

    Remote job in Franklin, TN

    The Carr Group with Equis Financial is seeking a driven and coachable individual who is ready to start getting paid what they are worth! You will become your own boss in this expanding market and can work FULL TIME OR PART TIME. with an incredible commission structure. There is NO COLD CALLING, only those individuals who have requested our help will be contacted. Our company has a streamlined lead generation system, meaning these individuals are qualified home owners seeking mortgage protection options. What we do: We offer a revolutionary type of life insurance designed for mortgage protection called living benefit life insurance that offers access to your death benefit without having to die. This new type of life insurance is the industries best kept secret and practically sells itself. Out of the 800+ insurance carriers in America, we work exclusively with the few top rated carriers that offer the living benefit products such as CVS, Mutual of Omaha, TransAmerica, Foresters Financial, Government Personel Mutual, Ethos, Columbia Financial Group, Ameritas, National Life Group, and more. Only a small handful of companies offer Living Benefit Life products and we partner with all the top rated carriers. This puts us in a uniquely competitive position and affords our agents the ability to close deals with ease. No need to be pushy. Best of all, these products are offered at the same rate or less than regular life insurance! Qualifications: Must have or be willing to obtain life insurance license. Be coachable with an eagerness to learn. Be personable and have a willingness to serve your clients. Attend training events in person. What you should know: This is a 1099 independent contractor position. Compensation is 100% commission. All training is provided directly by Griffin & Brittany Carr and the management team of The Theodore Group with Equis Financial ******************
    $50k-68k yearly est. 60d+ ago
  • Civil Site Project Engineer II

    Benesch 4.5company rating

    Remote job in Franklin, TN

    Simply Put, A Great Place to Work Benesch is a growing, multi-disciplined planning, engineering, and professional services firm. We enhance infrastructure and communities across the country - creating spaces and providing connections in ways that make a difference. We pride ourselves on being nimble enough to remain responsive to client needs yet large enough to offer exceptional bench strength. As a member of our team, you'll have an opportunity to draw from those resources when you need them and, likewise, contribute your expertise when you have something to share. At Benesch, we are looking for candidates with varied backgrounds and worldviews. We are committed to offering an inclusive work environment where everyone feels valued and respected. Statistics show that women and underrepresented groups are less likely to apply for a position if they don't meet 100% of the qualifications. If this statement resonates with you, don't be so hard on yourself-apply for the job! Civil Site Development Project Engineer II We have an exciting career opportunity for a Project Engineer with our Site Development team in Tennessee. The ideal candidate will have prior experience with land development projects and developing plans in accordance with Metro Nashville and surrounding county development standards. Location This position will report to our Franklin or Nashville office 3 days a week. The Impact You Will Have Create and execute project work plans. Mentor junior staff. Contribute to Division strategic growth initiatives and collaborate on regional growth strategy. Interacting with clients, agencies, and other project stakeholders, including the MWS-DS, NDOT, and surrounding counties. Represent Benesch at industry and professional engagement events. What You Will Need A minimum of 6 years of diverse and progressive land development experience. Licensed PE in the state of TN. B.S. Degree in Civil Engineering. Experience working with public agencies, private entities and/or municipalities. Progressive experience with developing plans specifications, and submissions per development regulatory standards and requirements. Excellent communication and client relation skills. Strong organization skills with a track record for adhering to design budgets and schedules. Ability to work independently and develop task deliverables in a complete and reviewable manner. Proficient with AutoCAD Civil 3D and stormwater modeling software preferred. #LI-MF1 Explore the Benefits of Working at Benesch! At Benesch, we prioritize the health and wellness of our employees, understanding that their well-being is crucial for both personal and professional success. We offer a range of benefits for eligible employees, including insurance, retirement plans, and wellness programs. Our Total Rewards package is designed to support a healthy lifestyle and can be customized to meet the needs of our employees and their families. Click here to learn more about some of the benefits of working at Benesch! Professional Development Opportunities for management and leadership development at all levels, including executive coaching and leadership development for Team Leaders, Group Managers, Division Managers, and Executive Leaders Tuition reimbursement for job-related courses Ongoing professional development through resources like Red Vector, LinkedIn Learning, technical team meetings, knowledge-sharing training sessions Personalized training and career development plans with your manager Funding for training, committee work, professional organization memberships, and licenses/certifications Support for active participation in professional organizations to foster leadership and community engagement Retirement Benefits Access to valuable retirement planning tools, education, and individual meetings with plan advisors at no charge Potential for Benesch to contribute up to 9% of your gross compensation to your retirement plan (5% profit-sharing contribution to your 401(k) plan, regardless of your own contributions & 80% match on your contributions, up to a maximum company contribution of 4%) Work/Life Balance Flexible work schedules and hours, including work-from-home options (dependent on the role) Generous Paid Time Benefits (PTB) that increase with your career Immediate use of annual PTB; no accrual needed with the ability to bundle time-off plans for extended vacations or life events Ten days of paid parental leave for birth, adoption, or foster placement Employee Engagement At Benesch, we encourage our team members to extend their impact beyond their core responsibilities. Join our employee resource groups and committees to enhance your work-life balance and contribute to our community-focused initiatives. We support a variety of programs including community service, student scholarships, and matching gift opportunities, reflecting our commitment to a vibrant and diverse workplace. If you are based in California, we encourage you to read this important information for California residents linked here. Benesch is firmly committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination for employees and applicants in all protected groups, including veterans and individuals with disabilities, or other status protected by federal, state, and local laws. Know your Rights: Workplace Discrimination is Illegal We will be accepting applications on an ongoing basis until a candidate is found. Benesch is committed to working with and providing reasonable accommodation to applicants with a physical disability or other impairment. If you are limited in your ability or are unable to access Benesch's Careers website due to a physical disability or other impairment, you may request a reasonable accommodation by emailing *****************************. This option is only available to those in need of an accommodation due to a disability or other impairment. Please do not use this as an alternative method for general inquiries or status on applications, as you will not receive a response. Reasonable requests will be responded to as soon as possible on a case-by-case basis. Recruiters or staffing agencies: Benesch is not obligated to compensate any external recruiter or search firm who presents a candidate, their resume, or profile to a Benesch employee without a recent, current, and fully executed agreement on file. Please direct all communications to the HR team at *****************************
    $80k-109k yearly est. Auto-Apply 60d+ ago
  • Utilization Review Nurse- Remote

    American Health Partners 4.0company rating

    Remote job in Franklin, TN

    American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. This division currently operates in Tennessee, Georgia, Missouri, Kansas, Oklahoma, Utah, Texas, Mississippi, Iowa, Idaho, Louisiana, and Indiana with planned expansion into other states in 2025. For more information, visit AmHealthPlans.com. If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application! Benefits and Perks include: * Affordable Medical/Dental/Vision insurance options * Generous paid time-off program and paid holidays for full time staff * TeleDoc 24/7/365 access to doctors * Optional short- and long-term disability plans * Employee Assistance Plan (EAP) * 401K retirement accounts with company match * Employee Referral Bonus Program JOB SUMMARY: The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary role of the Utilization Management (UM) Nurse is to provide clinical support to the Clinical Services Department and Medical Director to assure that members receive all appropriate medical services in compliance with medical and regulatory guidelines. ESSENTIAL JOB DUTIES: To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation. * Assess the medical necessity, quality of care, level of care and appropriateness of health care services for plan members * Identify placement settings that offer the lowest level of restriction and greatest level of autonomy for the members based upon medical necessity * Conduct outreach to requesting providers which can include specialty physicians, ancillary providers and institutions to gather the appropriate/necessary clinical data * Apply clinical review criteria, guidelines, and screens in determining the medical necessity of health care services against the clinical data provided * Certify cases that meet clinical review criteria, guidelines and/or screens * Consult with physician when reviews do not meet clinical review criteria, guidelines, and screens * Refer cases to other professionals internally, including case management and medical consultation when indicated * Adhere to accreditation, contractual and regulatory timeframes in performing all utilization management review processes * Ensure that the Director of Medical Management or designee is made aware of any potential risk management issues in a timely manner * Other duties as assigned JOB REQUIREMENTS: * Maintain privacy and confidentiality of records, conditions, and other information relating to residents, employees and facility * Encourage an atmosphere of optimism, warmth and interest in patients' personal and health care needs * Develop and maintain collaborative relationships with providers and educate on levels of care * Ensure the integrity and high quality of utilization management services * Self-motivated * Ability to work independently and as part of a team * Able to work congenially with a wide variety of individuals * Maintain the highest level of confidentiality and professionalism at all times * Strong oral and written communications skills, including active listening * Proficient in navigating through multiple computer applications * Positive, engaging customer service skills * Critical thinking and decision-making skills * Successful completion of required training * Handle multiple priorities effectively * Independent discretion/decision making * Make decisions under pressure REQUIRED QUALIFICATIONS: * Experience: o At least 1 year experience in utilization management with a health plan or hospital-based UM department with use of Interqual or MCG o Prefer clinical experience o Broad knowledge of Medicare regulations and guidance o Trained in clinical certification, utilization management, URAC and NCQA principles, policies, and procedures o Excellent customer service experience o Strong knowledge of medical terminology and CPT, ICD-10, and HCPCS codes o Proven ability to problem-solve and make solid decisions * License/Certification: o Current Certified Case Manager (CCM) credential is a plus o Current, active and unrestricted Registered Nurse (RN) license EQUAL OPPORTUNITY EMPLOYER This Organization is an equal opportunity employer. We do not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. This Organization will make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made. A key part of this policy is to provide equal employment opportunity regarding all terms and conditions of employment and in all aspects of a person's relationship with the Organization including recruitment, hiring, promotions, upgrading positions, conditions of employment, compensation, training, benefits, transfers, discipline, and termination of employment.
    $58k-67k yearly est. 13d ago
  • Fostering an Adult

    Group Effort of Tennessee

    Remote job in Smyrna, TN

    We are looking for someone with your skill set, and I would love to meet you. First, I would like to tell you a little more about the Family-Based Model. Family-Based Care is a residential service provided to individuals with disabilities who choose to live in the home of a trained caregiver who is a not family member. Members of the program are person(s) who are receiving services through Employment Community First "ECF" or DIDD."ECF" empowers integrated community opportunities, self determination, employment and independent living for individuals with intellectual and developmental disabilities. Services and responsibilities of a Family Model Provider include: Providing an individual (our client) with a room to rent in your home with a lease agreement. Providing three (3) meals a day. Assisting with daily living. Providing transportation. Providing other supports as needed. Benefits of being a family model provider Flexibility TAX FREE INCOME: $1750.00-$4,700.00 per client/month Work from home Job Type: Contract Pay: $1,200.00 - $14,256.00 per month
    $23k-38k yearly est. Auto-Apply 60d+ ago
  • Handyman Apprentice

    Mr. Handyman of E. Nashville and Hendersonville

    Remote job in Hendersonville, TN

    Job DescriptionBenefits: 401(k) matching Bonus based on performance Competitive salary Dental insurance Handyman Apprentice Start Your Skilled Trades Career with Mr. Handyman!Are you ready to roll up your sleeves, learn new skills, and start a career in the trades? At Mr. Handyman of Hendersonville, were looking for a Handyman Apprentice who wants more than just a job. This is your chance to work side-by-side with experienced pros, gain hands-on training, and grow into a skilled and confident handyman. Why Join Our Team? Learn by Doing: Get real-world experience working on home repairs, remodels, and improvement projects. Mentorship: Youll train with seasoned experts who live by our values of Respect, Integrity, and Customer Focus. Career Growth: This isnt just a short-term rolewere invested in helping you grow into a lead technician. Great Environment: Be part of a team that works hard, has fun, and takes pride in helping homeowners. What Youll Be Doing Assist senior handymen on repair, maintenance, and remodeling projects Learn to safely use tools and equipment Help with preparing job sites, gathering materials, and clean-up Support in completing paperwork and using company tech systems Interact with customers in a polite, professional way Keep company vehicle and tools clean, organized, and ready for use What Were Looking For Eager to learn the handyman tradeexperience is a bonus, but not required Basic knowledge of tools and general home repairs a plus Strong work ethic and positive attitude Reliable, punctual, and ready to represent the Mr. Handyman name with pride Good communication and teamwork skills Must have a valid drivers license and reliable transportation Benefits of Apprenticeship with Us Paid training & hands-on experience Opportunity for full-time advancement into technician roles Uniforms provided Paid holidays and vacation (after training period) Company culture that feels like family Kickstart your career in the trades todayapply now and grow with us!
    $33k-46k yearly est. 28d ago
  • Division Funding Director

    National Seating & Mobility 4.5company rating

    Remote job in Franklin, TN

    Oversees, manages or supports all aspects and functions of the Funding Department. Manages the Funding Leadership Team within the assigned territory, ensuring that job duties are performed at or above NSM standards. Coordinates with the Divisional Vice Presidents (DVP), Regional Area Directors (RAD), Branch Leaders (BM / GM), Assistive Technology Professionals (ATP), and other leadership and support personnel to ensure all Funding procedures are completed or supported in accordance with company policy and within expected time frames. Company Description: At all levels, working at National Seating & Mobility provides the opportunity to directly impact our client's lives by giving them self-reliance and independence. Our teams are comprised of passionate individuals, dedicated to providing the best care to each client. We focus on abilities by leveraging technology and creating mobility solutions that are as unique as our client's needs. Working at National Seating & Mobility is an opportunity to build a meaningful career, while leaving a lasting impact on the lives of those we serve. Located in more than 40 states, we strive for diversity and offer an array of benefits including 401k, company paid Long Term Disability, and tuition reimbursement. Duties and Responsibilities: 1. Supports the CRCO in the development of the department's vision and long-term planning. 2. Works with the CRCO, IT, and Funding Leadership Team to implement continuous improvement projects that improve transaction cycle time, productivity, and qualityrevenue recognition. Facilitates a team environment of brainstorming and involvement in the process. 3. Manages and/or supports transaction cycle time (TCT) from Ready to Process (RTP) to Final Funding Approval, making certain that all necessary steps are taken in the appropriate order ensuring timeliness and quality of funding process. 4. Manages the efficiency and quality of the document collection process. Analyzes documentation trends and outcomes to established improved process. 5. Manages outcomes and efficiency within the Action Required process. Utilize trended information to support improvement. 6. Coordinates and manages the hiring, training, mentoring, performance, continuous education, and career development of the Funding Team. 7. Works directly with the National Funding Director to support issue resolution and improvement with Centralized and outsourced functions. 8. Supports the development and maintenance of training materials, guides and progress reporting. 9. Management and career development of the Funding Leadership Team (Funding Manager, Funding Supervisor, Lead Funding Specialist, Quality Auditor and Funding Trainer) that results in self-sufficient performance management. 10. Manages Funding Managers, Funding Supervisors, Lead Funding Specialists, Quality Auditors and Funding Trainers; monitoring performance to standards and our core values. 11. Works directly with the Funding Leadership Team to improve the productivity of the Funding Department. 12. Reviews and approves bonus payment requests from Funding Leadership, as applicable. 13. Coordinates Monthly Funding Performance calls with the Funding and Ops Leadership Team to conduct, review and discuss improvement planning utilizing the Funding KPIs and reports. 14. Manages the credit exception process to expedite delivery when appropriate. 15. Works with Centralized MIR Team to address trends and issues within the funding process. 16. Responsible for employee and client conflict resolution. If resolution cannot be achieved, passes issue to appropriate level of authority. 17. Responsible for payroll/administrative function for all direct reports. 18. Performs any job-related duties assigned to him/her. Carries out all expectations in a professional manner and with minimal supervision. 19. Responsible for personal continuing education related to job duties; i.e.: NSM's current and/or new policies and procedures, completing any courses on NSM University, and research of payer issues and updates related to his or her territory. Work Environment: This position primarily operates in a work from home environment. The work from home policy and requirements must be adhered to. Occasionally, this job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, printers, photocopiers, filing cabinets and fax machines. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is regularly required to sit; use hands repetitively to operate standard office equipment. The employee is frequently required to reach with hands and arms.Core Competencies: Strong Leadership Capability • High Communication Proficiency - Both written and verbal • Customer/Client Focus - Sets the bar for customer service • Strong Decision-Making Ability • Strong Problem Solving/Analysis - To include data analysis • Drive for Results • Teamwork Orientation • Technical Capacity Minimum Job Requirements: • High school diploma or G.E.D. required, college degree preferred • 8-10 years of leadership experience • Proficient in Excel, Word, Outlook, and PowerPoint • 5 years' experience in Complex Rehab Technology Funding operations • Ability to travel throughout the region. (Generally, 20% travel)
    $62k-109k yearly est. 19d ago
  • Work From Home -Remote Writing Coach

    Outlier 4.2company rating

    Remote job in Smyrna, TN

    Pay & Logistics Base Rate: depending on location: US $16.07, GB £ 13.30 GBP, CA $20.50 CAD, AU $26.25 AUD, IE €14.60 EUR, NZ $26.00 NZD Bonuses: Additional pay available based on project performance. Type: Freelance/1099 contract - not an internship. Location: 100% remote Schedule: Flexible hours - you choose when and how much to work. Payouts: Weekly via our secure platform. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What We're Looking For Analytical and Problem-Solving Skills: Ability to develop complex, professional-level prompts and evaluate nuanced AI reasoning. Strong Writing: Clear, concise, and engaging writing to explain decisions or critique responses. Attention to Detail: Commitment to accuracy and ability to assess technical aspects of model outputs. Nice to Have Experience in fields like literature, creative writing, history, philosophy, theology, etc. Prior writing or editorial experience (content strategist, technical writer, editor, etc.). Interest or background in AI, machine learning, or creative tech tools. This is a freelance position that is paid on a per-hour basis. We don't offer internships as this is a freelance role. You also must be authorized to work in your country of residence, and we will not be providing sponsorship since this is a 1099 contract opportunity. However, if you are an international student, you may be able to sign up if you are on a visa. You should contact your tax/immigration advisor with specific questions regarding your circumstances. We are unable to provide any documentation supporting employment at this time. Please be advised that compensation rates may differ for non-US locations.
    $16.1 hourly 5d ago
  • Onboarding Associate - Interim Executive Practice

    Bluwave

    Remote job in Brentwood, TN

    BluWave is the Business Builders' Network for Private Equity-grade service provider needs. Our invitation-only ecosystem comprises best-in-class specialized consultancies, senior advisors and board members, independent consultants, and interim executives. By blending AI, technology, and data with concierge-like consultative support, BluWave expertly connects businesses with proven providers for due diligence, value creation, and prep for sale initiatives. Our innovative platform ensures that our clients have access to the resources they need to thrive in today's competitive landscape. Brief Job Description: As an Onboarding Associate, you will play a crucial role in within BluWave's market-leading Interim Executive Practice by supporting the growth and maintenance of BluWave's network of Private Equity grade interim executives and independent consultants. This role will involve conducting bespoke market research to identify world-class independent consultants and interim executive candidates and facilitating BluWave's Onboarding Process to bring them into BluWave's network. This role provides a unique opportunity to interface and build relationships with proven business executives on a daily basis as well as the opportunity to support real-time Client needs. Key Responsibilities: Conduct targeted research to identify world-class independent consultants and interim executives leveraging BluWave's proprietary tools and data sets as well as publicly available resources. Coordinate and conduct Onboarding Calls with independent consultants and interim executives to convey business model, onboarding requirements, and to calibrate project preferences. Coordinate, run, and process references for independent consultants and interim executives. Route and secure execution of necessary Agreements between BluWave and independent consultants and interim executives. Create and maintain relationships with independent consultants and interim executives within the BluWave network. Attend Scoping Calls with Clients and perform targeted research to identify independent consultants and interim executive candidates to support Client projects / needs. Create and maintain profiles and data for independent consultants and interim executives within the BluWave network. Support special projects pertaining to BluWave's independent consultant and interim executive network as directed by Practice Leadership. Key Skills & Characteristics Required: Professional Communication: Exceptional written and verbal communication skills. Research and Analytical Skills: Strong research capabilities and analytical problem-solving. Process Orientation & Attention to Detail: Disciplined process orientation with meticulous attention to detail. Time Management and Organization: Excellent time management, prioritization, and organizational skills. Adaptability and Teamwork: Flexibility to adapt to changing priorities and a strong sense of teamwork. Curiosity: Natural curiosity and an eagerness to learn. Technical Proficiency: Familiarity with Microsoft Office, LinkedIn, Salesforce.com, and LLM-based applications (similar to ChatGPT). Basic Qualifications: 4-year undergraduate degree from an accredited college or university 1-3 years of professional work experience in a recruiting, business development, or sales role (preference for recruiting; preference for postgraduate degree if 0 years of professional work experience) We prefer that you live here in Nashville currently, but we're open to talking if you're interested in relocating here We are looking to hire ASAP, so candidates should have already graduated Why Join BluWave? BluWave offers a unique opportunity to be part of a pioneering market network that is reshaping how proactive businesses connect with top-tier service providers. We provide a supportive work environment, opportunities for professional growth, and a competitive benefits package. If you're passionate about contributing to the success of businesses and service providers alike, we'd love to hear from you. How to Apply Please submit your resume and a cover letter detailing your interest and qualifications for the Onboarding Associate position. Additional information The BluWave Values We place great importance on adding team members that align with our company values. We live and breathe these every day, and we are looking for someone to join the team who appreciates the importance of company values and culture as much as we do. Team: We're a “we” not “me” people Integrity: We bring value with integrity Grow: We are always growing our business and our selves Win: Winning for our clients BluWave is a top tier destination for differentiated individuals to grow their long-term careers. We are building the best intelligent B2B marketplace in the world. BluWave encourages anyone to apply to join our team. BluWave is an inclusive workplace that considers all applicants regardless of gender, race, ethnicity, sexual orientation or identification, background, disability or status. Future Opportunities for Growth: As BluWave grows, numerous opportunities for additional responsibilities and advancement will present themselves to talented, ambitious, team-oriented individuals who have proven themselves in this role. BluWave, LP is proud to be an equal opportunity employer that is committed to inclusion and diversity. Full time: in-office Monday-Thursday; option to work remotely on Fridays
    $46k-96k yearly est. Auto-Apply 53d ago
  • ENTRY SALES TO MANAGEMENT (REMOTE)

    Global Elite Group 4.3company rating

    Remote job in Franklin, TN

    100% Remote. Incredible Growth Opportunities. World Class Mentors and Leaderships Teams. AO wants YOU to join the team. AO is looking for overachievers that pride themselves on developing incredible working and client relationships, have outstanding self determination and are looking to grow within their careers working full-time. With the role being commission based pay, YOU determine how much YOU are worth. Company Incentives: Incentive Trips with Top Leaders to destinations like Cabo, Tulum, Vegas, and Cancun Incredible Prizes - Jeep Wranglers, Macbook Pros, and Airbnb Getaways 100% Remote Work From Anywhere (no, really!) Weekly Training Calls Preferred Qualifications: 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 To be considered, please submit your contact information and an updated copy of your resume for review. *In the interest of community wellness, AO has adjusted our business operations. As such, all interviews will be conducted via Zoom video conferencing*
    $40k-49k yearly est. Auto-Apply 29d ago

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