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  • TurboTax (WFH) Customer Service (Flexible Hours)

    Turbotax

    Work from home job in Tulsa, OK

    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-35k yearly est. 19d ago
  • Remote Legal Expert - AI Trainer

    Superannotate

    Work from home job in Columbia, MO

    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.
    $55k-110k yearly est. 5d ago
  • TurboTax (WFH) Customer Service (Flexible Hours)

    Turbotax

    Work from home job in Florissant, MO

    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.
    $31k-56k yearly est. 19d ago
  • Remote Medical General Expert - AI Trainer

    Superannotate

    Work from home job in Olathe, KS

    In this hourly, remote contractor role, you will review AI-generated medical responses and/or generate expert healthcare content, evaluating reasoning quality and step-by-step clinical problem-solving while providing precise written feedback. You will assess solutions for accuracy, clarity, and adherence to the prompt; identify errors in clinical methodology or conceptual understanding; fact-check medical information; write high-quality explanations and model solutions that demonstrate correct reasoning; 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 healthcare expertise directly helps improve the world's premier AI models by making their clinical and public-health 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 Medicine (MD/DO), Nursing, Public Health (MPH), Health Sciences, or Allied Health, with strong grounding in Epidemiology, Clinical Medicine, Healthcare Systems, and Patient Care. • 5+ years of professional experience in Nursing, Public Health, Health Sciences, or Allied Health. • Confident in clinical reasoning (differential diagnosis, risk stratification, red-flag recognition) and explaining why a conclusion follows from the evidence. • Strong understanding of disease processes, patient care concepts, public health principles, healthcare systems, and medical terminology. • Exceptional attention to detail when fact-checking medical content and identifying unsafe assumptions, missing contraindications, or misinterpretation of tests; Minimum C1 English proficiency. • Comfortable evaluating answers for internal consistency (timelines, physiology, dosing logic), appropriateness for setting (ED vs outpatient), and patient safety implications. • 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, clinical documentation review, utilization review, or healthcare editorial QA is strongly preferred.
    $27k-41k yearly est. 5d ago
  • Remote Medical General Expert - AI Trainer

    Superannotate

    Work from home job in Saint Louis, MO

    In this hourly, remote contractor role, you will review AI-generated medical responses and/or generate expert healthcare content, evaluating reasoning quality and step-by-step clinical problem-solving while providing precise written feedback. You will assess solutions for accuracy, clarity, and adherence to the prompt; identify errors in clinical methodology or conceptual understanding; fact-check medical information; write high-quality explanations and model solutions that demonstrate correct reasoning; 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 healthcare expertise directly helps improve the world's premier AI models by making their clinical and public-health 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 Medicine (MD/DO), Nursing, Public Health (MPH), Health Sciences, or Allied Health, with strong grounding in Epidemiology, Clinical Medicine, Healthcare Systems, and Patient Care. • 5+ years of professional experience in Nursing, Public Health, Health Sciences, or Allied Health. • Confident in clinical reasoning (differential diagnosis, risk stratification, red-flag recognition) and explaining why a conclusion follows from the evidence. • Strong understanding of disease processes, patient care concepts, public health principles, healthcare systems, and medical terminology. • Exceptional attention to detail when fact-checking medical content and identifying unsafe assumptions, missing contraindications, or misinterpretation of tests; Minimum C1 English proficiency. • Comfortable evaluating answers for internal consistency (timelines, physiology, dosing logic), appropriateness for setting (ED vs outpatient), and patient safety implications. • 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, clinical documentation review, utilization review, or healthcare editorial QA is strongly preferred.
    $65k-99k yearly est. 5d ago
  • Part Time - Work from Home - Online Product Tester - No experience ($25-$45 per hour)

    OCPA 3.7company rating

    Work from home job in Cape Girardeau, MO

    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of between $25/hr. and $45/hr., depending on the In-Home Usage Test project. No experience required. There is no payment required in order to apply or to work as an In-Home Usage Tester. You don't have to buy products or pay for shipping, everything is paid by our company. In-Home Usage Testers are considered independent contractors, we pay weekly every Wednesday by direct deposit or by cheque. Online Consumer Panels America is a consulting firm that specializes in product testing and product development work. We design and conduct In-Home Usage Testing (IHUT) locally and nationally to provide actual user feedback in real-time to companies and market research firms to evaluate products to ensure proper product certification and greater market access. It is important to note that during your application process, reputable market research companies will determine your demographics and consumer profile to establish what products would be suitable for you to test. Market research companies that partner with us will use questionnaires to identify and target certain types of consumers, to ensure that the right participants are engaged and to achieve the representative sample needed. Participation in these product testing and consumer panels is always free, secure and private. In-Home Usage Testing is a quick, easy and fun way to make extra cash by telling big brands what you think about their upcoming products and services in the American market. Main Duties: Properly document In-Home Usage Tests as instructed in the In-Home Usage Test Daily Schedule (screenshots, audio recordings, videos, product journal entries, etc.) Take care of the product being tested and use it responsibly Read and strictly follow the In-Home Usage Test Daily Schedule provided with each product testing project (may include tasks such as unpacking, reading instructions, journal entries, online or mobile feedback, usage of product for a certain amount of time, writing reviews, taking pictures, etc.) Some In-Home Usage Tests projects may require participants to use MFour's Mobile In-Home Use Test Technology (cutting-edge smartphone technology to capture Point-of-Emotion insights to gain unparalleled depth of responses) There are times when the product being tested may be discussed in a private chat room that is opened by a market research firm Write reviews as requested in the In-Home Usage Test Daily Schedule for each project Requirements: Ability to follow specific instructions Excellent attention to detail and curious spirit Be able to work 15-25 hours per week and commit to a certain routine Have access to a computer and a reliable internet connection Have access to a digital camera or cell phone that takes pictures -Be honest and reliable -Good communication skills are an asset -18 years or older A paid Product Tester position is perfect for those looking for an entry-level opportunity, flexible or seasonal work, temporary work or part-time work. The hours are completely flexible and no previous experience is necessary. Benefits: Very competitive pay rate Weekly pay Work around your own schedule Learn about an exciting industry Telecommute (you can work from home, work or school) Most of the time you can keep the product you tested
    $25 hourly 60d+ ago
  • Remote Work From Home Customer Service Representative Agent - Part Time Panelists Needed

    Apexfocusgroup

    Work from home job in Tulsa, OK

    Seeking participants for Focus Group and market research studies. Work part-time from home and earn up to $750 per week. Register to see if you are eligible. Customer service representative agent experience not required. Remote Work From Home Customer Service Representative Agent - Part Time Market Research Panelists Our company is seeking individuals to participate in National & Local Paid Focus Groups, Clinical Trials, and Market Research assignments. With most of our paid focus group studies, you have the option to participate remotely online or in-person. This is a great way to earn additional income from the comfort of your home. Compensation: * $75-$150 (per 1 hour session) * $300-$750 (multi-session studies) Job Requirements: * Show up at least 10 mins before discussion start time. * Participate by completing written and oral instructions. * Complete written survey provided for each panel. * MUST actually use products and/or services, if provided. Then be ready to discuss PRIOR to meeting date. Qualifications: * Must have either a smartphone with working camera or desktop/laptop with webcam * Must have access to high speed internet connection * Desire to fully participate in one or several of the above topics * Ability to read, understand, and follow oral and written instructions. * Customer service representative agent experience is not necessary. Job Benefits: * Flexibility to take part in discussions online or in-person. * No commute needed should you choose to work from home remotely. * No minimum hours. You can do this part-time or full-time * Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products. * You get to review and use new products or services before they are released to the public. You must apply on our website and complete a set of questionnaire to see if you qualify. This position is perfect for anyone looking for temporary, part-time or full-time work. The hours are flexible and no previous experience is required. If you are a customer service representative agent or someone just looking for a flexible part time remote work from home job, this is a great way to supplement your income.
    $24k-32k yearly est. 1d ago
  • Remote Senior Finance Specialist - AI Trainer

    Superannotate

    Work from home job in Cape Girardeau, MO

    In this hourly, remote contractor role, you will review AI-generated finance analyses and/or generate expert finance content, evaluating reasoning quality and step-by-step problem-solving while providing precise written feedback. You will assess solutions for accuracy, clarity, and adherence to the prompt; identify methodological or conceptual errors; fact-check financial claims and assumptions; 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 finance expertise directly helps improve the world's premier AI models by making their financial 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 Finance, Economics, Accounting, Business, Financial Engineering, or Quantitative Finance (including coursework in Micro/Macro, Corporate Finance, Investments, Econometrics, and Accounting). • 5+ years of professional experience in Finance, Economics, Accounting, Business, Financial Engineering, or Quantitative Finance. • Strong command of financial statements, valuation (DCF and multiples), time value of money, and markets/instruments. • Confident in risk/return reasoning, basic macro & microeconomic intuition, and financial modeling logic (assumptions, drivers, sensitivities, consistency checks). • Able to rigorously review and explain reasoning, identify methodological errors, and fact-check claims with high attention to detail; Minimum C1 English proficiency. • Comfortable applying structured sanity checks (conservation-style checks for finance: reconciliation, sign/units consistency, boundary cases, and plausibility bounds). • 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, or editorial QA is strongly preferred.
    $43k-73k yearly est. 5d ago
  • Work from Home - Need Extra Cash??

    Launch Potato

    Work from home job in Lees Summit, MO

    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!
    $21k-39k yearly est. 22h ago
  • Data Entry Product Support - $45 per hour - No Experience

    GL Inc. 4.1company rating

    Work from home job in Saint Peters, MO

    We're looking for Data Entry Specialists for Customer Products across the US to work from home and help top brands improve their products before they hit the market.
    $45k-62k yearly est. 60d+ ago
  • Pacific Region Claim Operations Supervisor

    Great American Insurance Group (DBA 4.7company rating

    Work from home job in Nevada, MO

    Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. * -------------------------------------- When is the last time you felt like you made a difference to your employer and in the job you do? Been awhile? Never? Our employees at Strategic Comp DO make a difference and feel appreciated for it. In fact we received 98% rating for overall job satisfaction from the participants in our last employee survey, clearly indicating the passion and energy our staff has for our company and for the job they do! Great American's Strategic Comp division is currently seeking a Pacific Region Claim Operations Supervisor to help support and lead our growing Claim Operations department in California. Candidates residing in the Pacific Time Zone need only apply. Responsibilities * Manages the daily activities, procedures, and financial transactions of the California Claim Operations Team: * Assigns, coordinates, and reviews the work activities of associates. * Monitors and controls team quality, productivity and workflow using management controls and reports. * Makes recommendations to senior leadership based on observations. * Enforces policies and procedures to ensure the team successfully supports all internal and external business partners. * Conducts audits and assesses associate work product as appropriate. * Proactively and consistently provides team status reports to senior leadership. * Effectively onboards new team members; collaborates closely with associates to ensure success. * Ensures employees have adequate training and are utilizing the most current department policies and procedures. * Builds high-level system knowledge to instruct associates on processing workflows and automated systems to include Microsoft Office, ClaimConnect, ClaimCenter, OpsNow, Maven, DocEx, Cognos, and others as necessary. * Facilitates implementation of company programs and procedures related to claim operations, encouraging and motivating through change management processes. * Ensures the team meets performance targets; identifies lower performing associates and offers additional support or training. * Manages associate work schedules to ensure business continuity and team coverage. * Meets regularly with team members to discuss results, challenges, opportunities for improvement, productivity, and to obtain general feedback. * Monitors shared mailboxes for volume, productivity, completion, and accuracy. * Evaluates direct reports regarding talent selection, development, and performance management. * Reviews and analyzes reports for productivity and capacity results; identifies actionable systemic issues or trends; amends data as needed. * Projects positive image of the organization to team members, as well as internal and external business partners. * Demonstrates an elevated level of emotional intelligence and superior diplomacy skills; interacts positively and effectively with business partners to share or convey information in response to issues, inquiries, and escalations. * Escalates issues to senior leadership as needed. * Demonstrates excellent verbal and written communication skills. * Communicates and explains new policies, procedures, or directives to associates; providing 1:1 training as needed. * Conducts timely, constructive performance evaluations. Ensures that the team meets performance targets. * Ensures the team complies with company and regulatory guidelines. * Self-motivated; under limited supervision works proficiently, productively, and remains timely. * Maintains a professional demeanor in all situations. * Performs other duties as assigned. * May lead special projects. Physical Requirements * Must reside in the Pacific Region. * Requires prolonged sitting and/or standing. * Requires frequent use of computer. Qualifications * High school diploma required. Associate degree preferred. * A minimum of 5 years of California workers compensation operations or claims experience is required, including at least 2 years of team management experience. * Knowledge of or experience completing California benefit notices and mandatory forms is required. * Must reside within the Pacific Time Zone required. * Excellent communication skills in both written and verbal form is required. * Must be able to work with accuracy and speed with a variety of internal and external contacts. * Must be self-motivated as this is a work-from-home position. This job is non-exempt in California and Washington. #LI-REMOTE #LI-StrategicComp Business Unit: Strategic Comp Salary Range: $67,000.00 -$76,000.00 Benefits: Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs. We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees. Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.
    $67k-76k yearly Auto-Apply 22h ago
  • Remote Customer Support Associate

    Turbotax

    Work from home job in Saint Louis, MO

    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.
    $24k-33k yearly est. 19d ago
  • Case Manager Registered Nurse (Remote)

    CVS Health 4.6company rating

    Work from home job in Nevada, MO

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position SummaryCVS Health Aetna has an opportunity for a full-time Case Manager, Registered Nurse (RN). Case Managers serve as dedicated advocates for members who are unable to advocate for themselves. In this role, you will assess, plan, implement, and coordinate comprehensive case management activities. Your focus will be to evaluate members' medical needs and facilitate services that support their overall health and well-being. Schedule: Monday-Friday, 8:00 AM-5:00 PM ESTNo nights, weekends, or holidays required. Key Responsibilities of the Case Manager RN (Includes but is not limited to) Conduct comprehensive assessments of members' physical, emotional, and social needs. Develop and implement individualized care plans based on clinical findings and member goals. Coordinate services across healthcare providers, specialists, and community resources. Monitor and evaluate care plans regularly, adjusting as needed to improve outcomes. Advocate for timely and appropriate healthcare services to support member well-being. Document case activities, interventions, and communications accurately and in compliance with regulatory requirements. Collaborate with interdisciplinary teams to ensure continuity of care. Participate in team meetings, training sessions, and quality improvement initiatives. Travel locally for in-person case management activities, as directed by leadership or business needs. Required QualificationsMust be a Registered Nurse with an active state license in good standing, valid in the region where duties are performed. Compact RN License or license in multiple states or willing to obtain within 3-6 months. Bilingual proficiency in Spanish. 3-5 years of clinical practice experience. 2-3 years of experience in case management, discharge planning, or home health care coordination. Comfortable working remotely and independently using collaboration tools and virtual communication platforms. Willingness and ability to travel within a designated geographic area for in-person case management activities as needed. Preferred QualificationsStrong analytical and problem-solving skills. Excellent communication, organizational, and interpersonal skills. Self-motivated and able to work independently. Proficient in navigating multiple systems and applications; skilled in typing and keyboard use. Familiarity with corporate software tools such as Microsoft Word, Excel, Outlook, PowerPoint, and proprietary applications. EducationAssociate's Degree in Nursing. BSN preferred. Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$54,095. 00 - $155,538. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 01/09/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $54.1k-155.5k yearly 9d ago
  • Senior Account Executive - Automotive (Pacific West USA)

    Meero 3.7company rating

    Work from home job in Nevada, MO

    Diffusely is an AI visual production platform for enterprise that redefines how automotive and fashion brands create and optimize visual content. Its AI-powered solutions help over 1,500 clients streamline production, cut costs, and accelerate time-to-market globally At CarCutter, we're redefining automotive sales with AI-driven image technology that helps dealerships and marketplaces sell more cars faster. We provide a cutting-edge SaaS solution trusted by the industry's top players. Diffusely / CarCutter Location: Pacific time zone Mission: To support our continued growth, we are looking for a Senior Sales Executive to spearhead our growth into the Pacific West USA market. With your strategic mindset and relentless drive, you will play a pivotal role in shaping CarCutter's presence in this dynamic region. In this role, you will be responsible for building and managing relationships with key business clients and prospects across the South East. As the primary point of contact, you will identify client needs, present tailored solutions, negotiate effectively, and close deals making you the driving force behind our regional growth. Key Responsibilities: * Craft and Execute Strategic Business Expansion: Develop and deploy innovative strategies to drive business growth. Your insight and action will drive CarCutter in the North East market. Take full ownership of our business expansion journey to transform possibilities into actualities. * Strategic Prospect Engagement: Identify and engage key strategic prospects, including dealership groups and automotive marketplaces. Tailor your approach to showcase how CarCutter solutions can improve their operations, converting challenges into opportunities. * End-to-End Sales Leadership: Oversee the entire sales cycle, from meticulously uncovering prospects to expertly negotiating, closing deals and identifying and closing upsell opportunities. Your leadership will be crucial in sustaining our upward revenue trajectory. * Cross-Functional Collaboration: Collaborate with our onboarding, product, marketing managers to ensure a seamless and exceptional customer journey. Leverage your communication skills to translate client feedback into actionable insights that sets us apart in the industry. Profile * 4+ years of proven success as a Sales Executive or Key Account Manager within the automotive industry with a strong network in the industry. * Profound understanding of the global automotive marketplace: dealerships, dealer groups, DMS/IMS and/or CRM providers. * Entrepreneurial spirit, ready to craft and nurture a strategic accounts portfolio, driving our growth. * You're results-oriented and overperforming is your norm. * Excellent communication and negotiation skills with the ability to build strong client relationships. You turn opportunities into success stories. * Proficiency in CRM tools and digital sales channels. * English native-level proficiency. * You are currently located in the Pacific West of the US. What We Offer: * A competitive compensation package that includes a performance-driven bonus structure. * Opportunity to grow professionally within a fast-growing global company. * Join a dynamic and innovative work environment, one that duly acknowledges and rewards the impact you make. Hiring Process: * Interview with our Talent team. * Meet our US Sales Manager * Discuss with the VP of sales. * Welcome aboard! Join us at CarCutter, where your passion becomes the driving force behind our transformative mission. Take the first step today to shape the future of the automotive industry. Département Sales - CarCutter Role Sales Executive Locations Multiple locations Remote status Fully Remote Employment type Full-time About Diffusely Diffusely (formerly Meero) is an AI media enhancement company that leverages its cutting-edge media processing platform to develop tailored products for specific verticals (Fashion, Automotive, Real Estate..) By creating and seamlessly incorporating state-of-the-art AI models, Diffusely empowers businesses to elevate their visual assets at scale, boosting engagement and conversion. Founded in 2016 Coworkers 200
    $61k-94k yearly est. 12d ago
  • Lead Delivery Engineer (Remote)

    Broadridge 4.6company rating

    Work from home job in Nevada, MO

    At Broadridge, we've built a culture where the highest goal is to empower others to accomplish more. If you're passionate about developing your career, while helping others along the way, come join the Broadridge team. We're hiring a Lead Delivery Engineer to manage complex, multi-workstream client implementations from discovery through launch and stabilization. In this role, you will translate enterprise requirements into scalable solutions and integrations, drive program governance and stakeholder alignment, and serve as a senior delivery liaison to Product and Engineering. Responsibilities: * Lead complex, multi‑workstream client implementations from discovery through production launch and stabilization, meeting scope, timeline, quality, and budget goals. * Translate enterprise requirements into scalable configurations and integration designs (APIs, SSO, data feeds), ensuring performance, observability, security, and compliance. * Establish and run program governance: plans, milestones, KPIs, change control, executive status reporting; managing stakeholder alignment and expectations. * Serve as a senior delivery liaison to Product and Engineering: shape backlog priorities, write clear tickets and acceptance criteria, drive sprint commitments, validate outcomes. * Own risk management and escalation paths; anticipate dependencies, remove blockers, and resolve cross‑functional issues rapidly; provide weekly status and escalate risks. * Lead client demos, solution walkthroughs, UAT planning/execution, training, and handoffs to Support and Customer Success with complete runbooks and documentation. * Optimize implementation and rollout processes; champion automation, templates, and tooling; lead scoping and subsequent pricing for engagements. Qualifications: * 5+ years of experience in delivery engineering, implementation, or technical program management in a SaaS or enterprise software environment, including leading complex client programs. * Proven track record managing multiple concurrent implementations and cross‑functional teams in an agile setting (up to 3 engagements simultaneously). * Undergraduate degree or equivalent combination of training and experience. * Hands‑on experience configuring web/SaaS products and orchestrating integrations and custom implementations; ability to document business rules and ensure proper configuration. * Strong client‑facing communication, negotiation, and executive‑level status reporting skills; ability to convey complex information between business and technical stakeholders. * Exceptional organization, analytical, and problem‑solving skills; ability to operate in fast‑paced, high‑pressure environments and make data‑driven decisions. Preferred qualifications: * Deep familiarity with agile practices (epics, stories, acceptance criteria), sprint planning, backlog management, and day‑to‑day project delivery. * Enterprise integration and data expertise: API design/consumption, SSO, data mapping/ETL; formats such as JSON/XML; data validation and troubleshooting. * Exposure to CI/CD, release management, and observability for production readiness and post‑launch monitoring. * Experience leading UAT, training, change management, and promoting education services to drive onboarding and readiness. * Practical knowledge of SEO, data modeling, and integration best practices to improve ROI throughout engagements. * Experience partnering with internal stakeholders; contributing to process improvements, automation opportunities, and execution playbooks; assisting with internal training. Compensation Range: The salary range for this position is between $85.000.00-$95,000.00. Broadridge considers various factors when evaluating a candidate's final salary including, but not limited to, relevant experience, skills, and education. Bonus Eligibility: Bonus Eligible Benefits Information: Please visit ************************** for information on our comprehensive benefit offerings for this role. All Colorado employees receive paid sick leave in compliance with the Colorado Healthy Families and Workplaces Act and other legally required benefits, as applicable. Apply by clicking the application link and submitting your information. The deadline to apply for this role is February 15th, 2026. #LI-DS1 #LI-Hybrid We are dedicated to fostering a collaborative, engaging, and inclusive environment and are committed to providing a workplace that empowers associates to be authentic and bring their best to work. We believe that associates do their best when they feel safe, understood, and valued, and we work diligently and collaboratively to ensure Broadridge is a company-and ultimately a community-that recognizes and celebrates everyone's unique perspective. Use of AI in Hiring As part of the recruiting process, Broadridge may use technology, including artificial intelligence (AI)-based tools, to help review and evaluate applications. These tools are used only to support our recruiters and hiring managers, and all employment decisions include human review to ensure fairness, accuracy, and compliance with applicable laws. Please note that honesty and transparency are critical to our hiring process. Any attempt to falsify, misrepresent, or disguise information in an application, resume, assessment, or interview will result in disqualification from consideration. US applicants: Click here to view the EEOC "Know Your Rights" poster. Disability Assistance We recognize that ensuring our long-term success means creating an environment where everyone is welcome, where everyone's strengths are valued, and where everyone can perform at their best. Broadridge provides equal employment opportunities to all associates and applicants for employment without regard to race, color, religion, sex (including sexual orientation, gender identity or expression, and pregnancy), marital status, national origin, ethnic origin, age, disability, genetic information, military or veteran status, and other protected characteristics protected by applicable federal, state, or local laws. If you need assistance or would like to request reasonable accommodations during the application and/or hiring process, please contact us at ************ or by sending an email to ************************.
    $88k-114k yearly est. Auto-Apply 60d+ ago
  • Health Coach Dietitian - Work at Home

    CVS Health 4.6company rating

    Work from home job in Nevada, MO

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Qualified candidates must reside in MST and PST zones Position Overview:The Health Coach Dietitian supports members in achieving their health and wellness goals through personalized nutrition counseling, motivational interviewing, and evidence-based coaching. This role combines clinical expertise in dietetics with a passion for empowering individuals to make sustainable lifestyle changes. Key Responsibilities:Conduct one-on-one coaching sessions focused on nutrition, chronic disease prevention, and healthy lifestyle habits Utilizing interviewing and active listening skills, provides nutritional coaching, information and support to empower the member to make ongoing independent healthy lifestyle choices. Develop individualized care plans and set measurable goals with members Document member interactions, progress, and outcomes in accordance with organizational standards Stay current with best practices in dietetics and health coaching Collaborate with interdisciplinary teams to support integrated care Essential Functions:Highly organized, flexible, and able to adapt and embrace change in a fast-paced environment Strong communication, empathy, and motivational interviewing skills Proficiency in motivational interviewing Ability to work independently and as part of a team Ability to critically think and navigate challenging situations Ability to prioritize competing priorities and meet deadlines Self-motivated and dependable Required Qualifications:Qualified candidates must reside in MST and PST zones Registered Dietitian (RD) credential through the Commission on Dietetic RegistrationRegistered Dietician Licensure required in the state of residence if applicable Bachelor's degree in Nutrition, Dietetics, or related field Upon hire, required to obtain licensure in multiple states where members reside (CVS will support the cost of required licensure)5+ years of experience working in a multidisciplinary team5+ years of experience with weight management, disease management, medical nutrition therapy, and healthy lifestyle behavior change5+ years of coaching experience Computer literacy and demonstrated proficiency to navigate internal/external computer systems and MS Office Suite applications, including Word, Excel and TeamsPreferred Qualifications:Experience with digital health tools or telehealth platforms such as Teams and or ZoomAnticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$46,597. 00 - $101,228. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 12/18/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $33k-40k yearly est. 7d ago
  • Scheduling Representative - West Region

    Specialtycare 4.1company rating

    Work from home job in Nevada, MO

    Passionate, driven people dedicated to making a difference in healthcare. SpecialtyCare is a leading provider of clinical services to hospitals. We partner with hospitals to drive, sustain, and accelerate high performance. We offer a portfolio of solutions that include neuromonitoring, perfusion, surgical assist, autotransfusion, minimally invasive surgical support, and sterile processing. SpecialtyCare's clinicians focus their efforts to improve operational efficiencies, improve outcomes, and maintain exceptional levels of satisfaction. We compete on results. This position will work a schedule of Monday-Friday 8:30am-5:00pm Pacific Time and is fully remote. Candidates that live in Pacific Time are highly preferred along with surgery scheduling experience. Job Summary As a Scheduling Representative you are responsible for for answering calls that come into the department, scheduling cases, and facilitating communications between clinicians and hospital staff. * Answer calls that come into the communications center and determine appropriate action for follow through while providing excellent customer service * Schedule appointments accurately for all surgical procedures requiring intraoperative neuromonitoing * Exhibit professional communication, both written and verbal, when interacting with internal and external customers * Obtain required patient demographic information, including insurance information, surgical information and case details * Coordinate, process and respond to all incoming faxes and emails for surgical scheduling including case confirmations. * Communicate case changes in a timely manner to management and clinical staff * Other duties as assigned Requirements * College degree or vocational school certificate preferred * Experience with scheduling in a fast-paced environment preferred * Experience in a medical setting or basic understanding of medical terminology preferred. * Proficiency with Microsoft Office products The Successful Candidate: The successful candidate must bring a high level of ethical, intellectual, professional and personal values that complement the team and company vision. The following competencies are highly valued: * Strong attention to detail * Ability to work collaboratively with a wide variety of individuals and personalities, presenting a courteous and helpful demeanor at all times * Ability to recognize and respond appropriately to urgent/emergent situations including case cancellations and changes as required. * Likes to work in a fast paced, highly collaborative environment with the ability to meet deadlines * Lives the SpecialtyCare Values - Integrity,Care, Urgency, and Improvement. Disclosures: Pay Estimate: $15.43 - $23.89 / hour (Several factors, such as specific skill set, education level, certifications and years of experience, are considered to determine actual compensation.) Other compensation: Referral bonus Benefits: Medical, dental, vision, Rx, telehealth, wellness rewards, FSA, HAS, short-term disability, long-term disability, life insurance, 401k, paid time off, professional development funds, professional membership reimbursement, tuition reimbursement program, adoption assistance, life assistance program, wholesale club membership Anticipated close date: 2/23/26 SpecialtyCare is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. SC Corp SC IONM
    $15.4-23.9 hourly 18d ago
  • Chronic Care Manager (Remote - Compact States)

    Harris Computer Systems 4.4company rating

    Work from home job in Nevada, MO

    Please note that this job posting is for an evergreen position and does not represent an active or current vacancy within our organization. We continuously accept applications for this role to build a talent pool for future opportunities. While there may not be an immediate opening, we encourage qualified candidates to submit their resumes for consideration when a suitable position becomes available. Chronic Care Manager Location: Remote Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients with two or more chronic conditions. We believe every patient with chronic disease deserves consistent check-ins, follow-up, and support. The position of the Nurse Chronic Care Coordinator, Remote will perform telephonic encounters with patients on behalf of our partners each month and develops detailed care plans within our care plan templates in the electronic health record. This begins as an Independent 1099 Contractor position but offers the potential to reach full-time W2 employment (with employee benefits). Harris CCM is seeking Nurses to work part-time from their home office while complying with HIPAA privacy laws. You will set your own hours and will not be held to a daily work hour schedule. You will be contracted to work a minimum of 20hrs/wk. Harris CCM wants its team members to have the flexibility to balance their work-life with their home life. Part-time team members will typically need to dedicate an average of 20-30 hours per week to care for their assigned patients. This unique business model allows you to choose what days and what hours of the day you dedicate to care for your patients. The Care Coordinator will be assigned a patient panel based on skill and efficiency level and is expected to carry a patient panel of a minimum of 100 patients per calendar month. Care Coordinators will be expected to complete encounters on 90 percent of the patients they are assigned. Harris CCM utilizes a productivity-based pay structure and pays $10.00 per completed patient encounter up to 99 encounters/month, $10.25/encounter from 100-149 encounters/month, $12/encounter from 150-199 encounters/month, $14/encounter from 200-249 encounters/month, and $16/encounter for >250 encounters/month. Payment tier increases require 3 months consistency to achieve. A patient encounter will take a minimum of 20 minutes (time is cumulative). What your impact will be: * The role of the Care Coordinator is to abide by the plan of care and orders of the practice. * Ability to provide prevention and intervention for multiple disease conditions through motivational coaching. * Develops a positive interaction with patients on behalf of our practices. * Improve revenue by creating billable CCM episodes, increasing visits for management of chronic conditions. * Develops detailed care plans for both the doctors and patients. The care plans exist for prevention and intervention purposes. * Understand health care goals associated with chronic disease management provided by the practice. * Attend regularly scheduled meetings (i.e., Bi-Monthly Staff Meetings, monthly one on one's, etc.). These "mandatory" meetings will be important to define the current scope of work. What we are looking for: * Graduate from an accredited School of Nursing. (LPN, LVN, RN, BSN, etc.) * Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no disciplinary actions noted * A minimum of two (2) years of clinical experience in a Med/Surg, Case Management, and/or home health care. * Hands-on experience with Electronic Medical Records as well as an understanding of Windows desktop and applications (MIcrosoft Office 365, Teams, Excel, etc), also while being in a HIPAA compliant area in home to conduct Chronic Care Management duties. * Ability to exercise initiative, judgment, organization, time-management, problem-solving, and decision-making skills. * Skilled in using various computer programs (If you don't love computers, you won't love this position!) * High Speed Internet and Desktop or Laptop computer (Has to be operation system of Windows or Mac) NO Chromebooks * Excellent verbal, written and listening skills are a must. What will make you stand out: * Quickly recognize condition-related warning signs. * Organized, thorough documentation skills. * Self-directed. Ability to prioritize responsibilities. Demonstrated time management skills. * Clear diction. Applies exemplary phone etiquette to every call. * Committed to excellence in patient care and customer service. What we offer: * Contract position with opportunity to become a full-time position, to include benefit options (Medical, Dental, Vision, 401K, Life). * Streamline designed technology for your Chronic Care operations * Established and secure company since 1976, providing critical software solutions for many verticals in countries ranging from North America, Europe, Asia, and Australia. * Core Values that unite and guide us * Autonomous and Flexible Work Environments * Opportunities to learn and grow * Community Involvement and Social Responsibility About us: For over 20 years GEMMS has been the leader in Cardiology Specific EHR technology. The product was developed in a "living laboratory" of a large Cardiology Enterprise with over 40 physicians in 28 locations. For single physician offices to large cardiovascular centers that include a diagnostic centers, ambulatory surgical center, and peripheral vascular offerings. When physicians and Administrators evaluate GEMMS ONE, they are often impressed with the vast clinical cardiovascular knowledge content and operational aspects found in GEMMS ONE. GEMMS ONE EHR provides a rich array of functionality spanning the entire cycle of patient care. With everything from a patient portal to e-prescribing to clinical documentation to practice management including cardiovascular specific quality measurements and MIPS patient dashboard. GEMMS ONE EHR System provides all the medical records software tools needed to complete your daily tasks in the most efficient way possible. GEMMS ONE is a fully interoperable and integrated application that allows "real time" merging of clinical processes and revenue cycle management. It also can seamlessly connect to external revenue cycle management programs that might be used in larger enterprises so that you can get the efficiency of Cardiovascular Clinical workflow while supporting the revenue cycle requirements of larger enterprises. Complying with governmental regulations and payer requirements will be simplified, while enhancing your operational and financial performance.
    $10 hourly Auto-Apply 53d ago
  • Utilization Management Nurse Consultant - Work at Home

    CVS Health 4.6company rating

    Work from home job in Nevada, MO

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary SummaryAssesses and monitors patient health, administering medications and treatments, performing medical procedures, and collaborating with physicians and other healthcare professionals to develop and implement patient care plans. Educates patients and their families about healthcare management and assists in maintaining a safe and supportive healthcare environment. Primary Job Duties & ResponsibilitiesDrives effective utilization management practices by ensuring appropriate and cost-effective allocation of healthcare resources and facilitating appropriate healthcare services/benefits for members. Conducts routine utilization reviews and assessments, applying evidence-based criteria and clinical knowledge to evaluate the medical necessity and appropriateness of requested healthcare services. Collaborates with healthcare providers, multidisciplinary teams, and payers to develop and implement care plans that optimize patient outcomes while considering the efficient use of healthcare resources. Applies clinical expertise and knowledge of utilization management principles to influence stakeholders and networks of healthcare professionals by promoting effective utilization management strategies. Reviews and analyzes medical records, treatment plans, and documentation to ensure compliance with guidelines, policies, and regulatory requirements, subsequently providing recommendations for care coordination and resource optimization. Consults with and provides expertise to other internal and external constituents throughout the coordination and administration of the utilization/benefit management function. Communicates regularly with internal and external stakeholders to facilitate effective care coordination, address utilization management inquiries, and ensure optimal patient outcomes. Provides IC-related coaching and guidance to nursing staff and other healthcare professionals, sharing knowledge and expertise to enhance their understanding of utilization management principles and improve their clinical decision-making. Contributes to the development and implementation of utilization management strategies, policies, and procedures that aim to improve patient care quality, cost-effectiveness, and overall healthcare system performance. EducationBachelor's degree preferred/specialized training/relevant professional qualification. Prior Relevant Work Experience3-5 years Essential QualificationsWorking knowledge of problem solving and decision making skills. Working knowledge of medical terminology. Working knowledge of digital literacy skills. Ability to deal tactfully with customers and community. Ability to handle sensitive information ethically and responsibly. Ability to consider the relative costs and benefits of potential actions to choose the most appropriate option. Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients. Registered Nurse (RN) required. Licensed Clinical Social Worker (LCSW) preferred. Requisition Job DescriptionPosition SummaryThis Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate can live in any state. Normal Working Hours: Monday through Friday 8:30am-5:00pm in the time zone of residence. Shift times may vary occasionally per the need of the department. Rotational late shift 9:30-6CST. No travel is required. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. You would be responsible for ensuring the member is receiving the appropriate care at the appropriate time and at the appropriate location, while adhering to federal and state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all encompassing):Reviews services to assure medical necessity, applies clinical expertise to assure appropriate benefit utilization, facilitates safe and efficient discharge planning and works closely with facilities and providers to meet the complex needs of the member. Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure, and clinical judgment to render coverage determination/recommendation along the continuum of care Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. Required QualificationsRN with active and unrestricted state licensure in their state of residence2+ years of acute hospital clinical experience as an RN with preference for medical-surgical and ICU experience (team is not accepting applicants whose only acute care experience is in behavioral health) Preferred Qualifications1+ years' experience Utilization Review experience1+ years' experience Managed Care Strong telephonic communication skills1+ years' experience with Microsoft Office Suite (PowerPoint, Word, Excel, Outlook) Experience with computers toggling between screens while using a keyboard and speaking to customers. Ability to exercise independent and sound judgment, strong decision-making skills, and well-developed interpersonal skills Ability to manage multiple priorities, effective organizational and time management skills required Ability use a computer station and sit for extended periods of time EducationAssociate Degree in Nursing is minimum required, BSN preferred. Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$29. 10 - $62. 32This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 12/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $29 hourly 5d ago
  • Customer Specialist - Work from Home ($18.50 per hour plus Bonus)

    Turbotax

    Work from home job in Blue Springs, MO

    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-38k yearly est. 20d ago

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