Utilization coordinator work from home jobs

Responsive recruiter KENTECH Consulting Inc. is an award-winning background technology screening company. We are the creators of innovative projects such as eKnowID.com, the first consumer background checking system of its kind, and ClarityIQ, a high-tech and high-touch investigative case management system. MISSION We're on a mission to help the world make clear and informed hiring decisions. VALUE In order to achieve our mission, our team exhibits the behaviors and core values aligned with it. *********************************** Customer Focused: We are customer-focused and results-driven. Growth Minded: We believe in collaborative learning and industry best practices to deliver excellence. Fact Finders: We are passionate investigators for discovery and truth. Community and Employee Partnerships: We believe there is no greater power for transformation than delivering on what communities and employees care about. IMPACT As a small, agile company, we seek high performers who appreciate that their effort will directly impact our customers and help shape the next evolution of background investigations. Are you a highly organized and detail-oriented professional who thrives in a fast-paced environment? Do you enjoy ensuring smooth communication between departments and maintaining accurate, precise information? KENTECH Consulting Inc. is seeking a customer-focused Intake Specialist to serve as the first point of contact in our background investigation process. In this role, you will play a critical part in ensuring timely and efficient service delivery by facilitating seamless case intake and handoff. Key Responsibilities • Case Intake and Data Management, serve as the initial point of contact for incoming background check requests, ensuring accurate data capture and case setup. • Interdepartmental Coordination, work closely with Investigative Analysts and Verifications teams to ensure smooth handoffs and consistency in service delivery. • Data Validation and Accuracy, review and validate incoming client information and address missing details to minimize delays. • Case Management and Record Keeping, maintain accurate intake records in ClarityIQ, our case management system. • Prioritization and Time Management, manage intake tasks based on client requirements, service standards, and deadlines. • Client Communication and Support, engage with clients to clarify initial information and support strong relationships and proactive communication. • Process Improvement, contribute to enhancements in intake processes to improve efficiency and client satisfaction. Qualifications and Experience • One or more years of experience in intake, customer service, or administrative roles. Experience in healthcare, social services, legal, or background screening is a plus. • Strong attention to detail and accuracy in data entry and record keeping. • Effective written and verbal communication skills with a customer-first mindset. • Tech savvy, comfortable using case management systems or CRM software. Experience with ClarityIQ is a plus. • Ability to adapt to evolving processes and priorities in a dynamic work environment. Desired Soft Skills • Critical thinking and the ability to evaluate information accurately and make informed decisions. • Clear communication in both verbal and written interactions with clients and team members. • Strong attention to detail and commitment to accurate data handling. • Team collaboration and the ability to work cooperatively across departments. • Problem solving with a proactive approach to addressing challenges and improving processes. Why Join KENTECH? • Remote and flexible work that allows you to support a fast-growing team. • Professional development opportunities and training for career growth. • The chance to make a meaningful impact in a mission-driven company that values accuracy, efficiency, and innovation. Apply Now If you are a detail-oriented professional with a passion for client service and operational efficiency, we want to hear from you. KENTECH Consulting Inc. is an equal opportunity employer. We celebrate diversity and remain committed to fostering an inclusive workplace. This is a remote position. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. 🌐 WHO WE ARE KENTECH Consulting, Inc. is a premier U.S.-based background investigation solutions firm and licensed Private Detective Agency. Our team of investigative experts blends cutting-edge technology with industry insight to deliver fast, accurate, and comprehensive reports. With deep cross-industry experience, we provide fully compliant investigative services that meet the high demands of today's business environment. 🔎 WHAT WE DO We offer customized background screening solutions tailored to meet the needs of diverse industries. Our advanced tools and digital platforms allow us to conduct background and security checks up to 75% faster than traditional methods. With real-time access to over 500 million records, KENTECH is a trusted authority in background checking technology across the U.S. 🌟 OUR VISION To help the world make clear and informed decisions. 🎯 OUR MISSION To deliver fast, accurate, and secure background investigations on a global scale-supporting safer hiring decisions and stronger communities. 🚀 CAREERS AT KENTECH We're building a team of remarkable individuals who are: ✅ Critical thinkers and problem solvers who see challenges as opportunities ✅ Driven professionals who create meaningful impact through their ideas and results ✅ Mission-driven collaborators who believe in the power of digital identity to create safer environments ✅ Naturally curious and eager to innovate in an ever-changing landscape ✅ Team players who believe in the value of camaraderie, laughter, and high standards 💼 WHO THRIVES HERE? People who never back down from a tough challenge Professionals who bring their best every day-and uplift others around them Individuals who value purpose, performance, and a good laugh Teammates who want to shape the future of digital security and identification You, if you're reading this and thinking: “This sounds like my kind of place.” 🎉 YOUR NEXT CHAPTER STARTS HERE Ready to do work that matters with people who care? Explore our current openings-your future team is waiting.

Job Description BGE is looking to hire a TXDOT Utility Coordination Engineer PM (P.E.) for our Transportation systems dept. BGE, Inc. is a nationwide consulting firm that provides services in civil engineering, planning, landscape architecture, construction management, survey, and environmental services for public and private clients. Our employees enjoy a comprehensive benefits package such as outstanding health care, generous 401(k) match, career mapping and highly competitive time away from work programs to include remote work options, dependent care, and flexible Fridays. Locations: 2595 Dallas Pkwy #101, Frisco, TX 75034 Responsibilities: Project Manager for Utility Coordination/engineering projects. Direct responsibility for Subsurface Utility Engineering (SUE) and utility coordination/ engineering projects. Overseeing the preparation of existing SUE utility plans. Providing quality assurance/quality control (QA/QC) reviews of field data and deliverables. Conduct meetings, prepare agreements and/or cost estimates, review design plans, specifications and other submittals. Designs and reviews utility relocation plans to comply with federal, state, and local laws and regulations. Preferred: Designing and reviewing utility relocation plans in compliance with federal state and local laws and regulations, by becoming well versed with the interpretation of: TXDOT's Utility Accommodation Rules TXDOT's Utility Manual, TXDOT's Roadway Design Manual, TXDOT's Manual on Uniform Traffic Control Devices (TMUTCD), CRF 645 Subparts A & B (Code of Federal Regulations of Utilities) AREMA (American Railway Engineering and Maintenance Association) Requirements: Licensed Texas Professional Engineer (PE) Bachelor's Degree in Civil Engineering or related field 5+ years of experience preferred Proficient in MicroStation and MS Office, Knowledgeable of Geopak Position requires strong communication skills, scheduling, problem-solving skills and presentation skills Ability to simultaneously perform, track, prioritize, and coordinate challenges across multiple projects, multiple utility owners and professionals Situational problem-solving abilities with various utility engineering circumstances and with multiple stake holders Ability to train and lead less experienced utility EIT staff Benefits to name a few… Established company with a diverse range of projects we work on, a flexible work environment and a collaborative atmosphere. No Silos (ability to flex to other groups, share resources and learn their business) Best work life balance in the industry! Unlimited Sick Leave (9/80) schedule choice - have every other Friday off. 3% Safe Harbor contribution 4% 401k Match with immediate vesting Merit Based Bonus Compensation Medical, Dental, Vision 9 Holidays 6 Weeks of work from anywhere program. Personal time Allowances (no time deducted for Dr appointments, family care, 32 hour dependent care, etc) 240 Vacation carry over time. 0-5 years in industry 2 weeks' vacation, 5-10 gets 3 weeks, 10+ gets 4 weeks. Flex time - Start from the hours of 7a - 9a Mentorship Program - Mentoring Program is to provide our Mentors the opportunity to gain a sense of fulfillment and personal growth, and our Mentees with the opportunity to learn and receive guidance from seasoned professionals. Employee referral program for bringing great people into the BGE family Not accepting non-resident applicants or Sponsorships. BGE is an equal opportunity employer and values diversity. We prohibit discrimination and all employment is decided based on qualifications, merit and business need. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin or any other classification protected by federal, state or local laws. BGE, Inc. is a nationwide consulting firm that provides services in civil engineering, planning, landscape architecture, construction management, survey, and environmental services for public and private clients. Our employees enjoy a comprehensive benefits package such as outstanding health care, generous 401(k) match, career mapping and highly competitive time away from work programs to include remote work options, dependent care, and flexible Fridays.

Remote Independent Contractor (1099) Opportunity Current Unrestricted state medical license required in one of the following states: INDIANA, MINNESOTA, TEXAS, Maryland, Pennsylvania, Virginia or DC *Please apply if you hold a current IMLC Compact license ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board-Certified physicians in PM&R / Pain Management to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1-2 hours per week-with no minimum commitment. ADDITIONAL INFORMATION: Work remotely from anywhere in the US (Per HIPPA Regulations patient records cannot leave the US.) Covered under MRIoA's Errors and Omissions policy Independent Contractor (1099) opportunity Must be an MD or DO Must be Board Certified in PM&R and Pain Management Must have 5 years of patient care experience in PM&R Must have an unrestricted state medical license in one of the above-mentioned states or hold the IMLC Compact license Must be a US Citizen or hold a Green Card California Consumer Privacy Act (CCPA) Information (California Residents Only): Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number. Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at ************. Work Environment: Ability to sit at a desk, utilize a PC, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home). Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. This company is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment. Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.

, by Sunrise Sunrise Group is building the future of sleep health by combining innovative technology with expert care. Our mission is simple: make better sleep accessible to everyone. We do this in two ways: 🔹Sunrise: our technology for diagnosis, treatment, and care delivery 🔹Dreem Health: our digital clinic, where patients receive care from sleep specialists Together, we're tackling one of healthcare's biggest challenges - helping millions of people with sleep disorders get the care they deserve.We're a fast-growing team across the US and Europe, backed by more than $50M (€46M) from leading investors including Amazon's Alexa Fund, Eurazeo, Kurma, and VIVES. If you want to make a real impact in healthcare and help people sleep better, you're in the right place. And if you don't see the perfect role right now, reach out; great people often find their place here. Your opportunity Reporting to the VP of Provider Partnerships, the Referral Coordinator is the first point of contact for patients entering the Dreem Health care journey. You will manage all incoming referrals from providers, ensure accurate and timely processing in our systems, and deliver high-quality patient communication with empathy and clarity. This role is highly operational, repetitive in nature, and mission-critical - you ensure every referral moves smoothly from first contact to scheduled appointment. You will work cross-functionally with Care Coordination, Clinical, Field Marketing, and Operations teams to keep referral workflows consistent, documented, and efficient. This role is perfect for someone who thrives in a fully remote environment and enjoys a stable, repeatable workflow where consistency truly pays off. You'll have real autonomy and ownership over your daily process, while playing a meaningful part in improving patients' access to high-quality sleep care. If you're someone who finds fulfillment in structure and the ability to work independently while supporting a mission that genuinely helps people, this role will feel both rewarding and grounded. What you'll do Referral Intake & Processing Receive and process all incoming referrals via fax and email Upload referral documents and patient information into internal systems Validate referral completeness, flag missing information, and follow up when needed Maintain accuracy and consistency across CRM and EHR documentation Patient Communication Call every patient immediately after a referral is received Follow standardized scripts to explain next steps and schedule appointments Conduct follow-ups for no-shows, cancellations, and rescheduling needs Deliver exceptional customer service with empathy, clarity, and professionalism Workflow Execution Follow structured, repetitive day-to-day processes with precision Document every patient interaction with strong attention to detail Multitask across systems while maintaining speed and accuracy Build, optimize, and maintain workflows and the tools that support them Collaborate with teammates and escalate operational issues when necessary Required qualifications 3 to 4 years of referral coordinator experience Experience in healthcare or startup environments Bilingual Spanish required Sleep-related experience is a plus Strong people skills and communication skills Ability to collaborate cross-functionally Strong problem-solving skills and ability to identify both issues and solutions Excellent documentation habits; highly organized and detail-oriented Ability to multitask in a fast-moving operational environment Customer service mindset Experience with VOIP calling tools such as Aircall or 8x8 CRM experience required (HubSpot preferred) Must live and work in Pacific Time Zone This role may require occasional travel (approximately 1-2 times per year) for team gatherings, training, or company events. About our team At Sunrise Group, we're essentially one big team. What makes it special here is how different our backgrounds are. Some of us are doctors or care coordinators, others are engineers or product builders, working across the US and Europe. The mix can feel unusual at first, but it's what makes the work exciting: everyone brings something different to the table.Day to day, we strive to keep things simple and clear. We trust each other to do our part, and we know the work is always stronger when we collaborate. We stay optimistic, because joy matters here, and we lead with compassion, knowing that sleep health is personal and the stakes are high. If you want a place where you'll get real ownership, where your ideas move quickly, and where your work has a direct impact on patients, you'll feel right at home with us. What we offer Fully remote work environment Meaningful work that directly improves peoples' lives Be part of an international team across the US, Paris, Belgium 1-2 team gathering a year Comprehensive health benefits (medical, dental, vision) 401(k) with company match 20 days PTO + 10 paid holidays + paid sick leave Internet and phone reimbursement for remote employees Compensation $60,000- $65,000 base salary depending on experience. We hire humans, not bullet points. Don't meet every single qualification? That's okay. We care more about who you are than what's on your CV. We're looking for people who are curious, resourceful, and ready to roll up their sleeves. If you think you could make an impact here, we'd love to hear from you. Dreem Health / Sunrise is an Equal Opportunity Employer. We welcome people of all backgrounds and are committed to building a workplace where everyone feels included and respected. We do not tolerate discrimination or harassment of any kind.

Full-time Description Soleo Health is seeking an Infusion Center Intake Coordinator to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Home infusion experience required, and must be able to work 8:30am-5pm Eastern Time. Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program This Position: The Infusion Center Intake Coordinator is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including Reviewing and obtaining clinical documents for submission purposes Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations Generate new patient start of care paperwork Schedule: Must be able to work Full time, 40 hours per week, from 8:30am-5pm Eastern Time Must have experience with home Infusion for Prior authorization/Benefits Verification Requirements High school diploma or equivalent At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met Ability to work in a fast-paced environment Knowledge of HIPAA regulations Basic level skill in Microsoft Excel & Word Knowledge of CPR+ preferred About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring Salary Description $23.00-$26.00 per hour

In collaboration with patients, families (as defined by the patient) and staff across all disciplines and departments is responsible for coordinating all aspects of the patient referral process in a community healthcare center setting and for adhering to established timelines and departmental procedures. * Remote in Central Texas Only Responsibilities DUTIES AND RESPONSIBILITIES: * Monitors templates for appointment availability• Assists in the expansion of the referral department through the orientation and training of new team members under the direction of the Triage and Referral Nurse Manager• Schedules appointments per clinic guidelines as appropriate• Conducts auditing of records for the referral team as needed• Gathers pertinent information from insurance carriers, financial counselors, or other staff regarding appointments to determine financial responsibility• Obtains referral authorization from insurance carriers for specialty services and relay such authorizations (or denials) to the patient and provider• Resolves pre-authorization, registration, or other referral related issues prior to a patient's appointment• Contacts patients verbally or in writing per current protocol• Maintains updated referral resources• Upholds and completes referrals ensuring that the entire referral process is complete• Ensures referral Standard Operating Procedures are followed for all referrals• Ensures referral requests received from the PCP are addressed in a timely fashion• Ensures that all documentation is completed in EPIC• Ensures referrals are completed in an appropriate timeframe to meet patient needs for access to services• Completes all direct and indirect care documentation in timely manner and ensure patient records are current and complete• Attends team huddles and scheduled meetings• Attends seminars and maintain all licensure and/or certification requirements for continuing education and best practices• Participates in quality strategies to evaluate compliance with evidence-based guidelines/standards and to identify opportunities to improve patient outcomes• Ensures all tasks provided and associated with patient care, patient administrative processes, and related duties comply with all regulatory and accreditation standards including The Joint Commission and CommUnityCare Standard Operating Procedures and CommUnityCare Policies and Procedures• Develops and maintain favorable internal relationships, partnerships with co-workers, including clinical managers, clinical support staff, providers, and business office staff• Interacts respectfully and collaboratively with patients and their families, striving to develop favorable relationships with families• Collaborates with all members of the care team in providing patient-centered care• Meet defined productivity standards• Performs other duties as assigned KNOWLEDGE/SKILS/ABILITIES:• Demonstrates a high level of skill at building relationships and providing excellent customer service• Inhibits a strong attention to detail and accuracy• Has the ability to utilize computers for data entry and information retrieval• Shows excellent verbal and written communication skills• Demonstrates knowledge of federal, state, and local insurance regulations• Demonstrates knowledge of the referral process for a variety of insurance plans• Demonstrates success in researching and resolving complex issues• Demonstrates familiarity and proper care of electronic devices common GUIs found within most health care environments (for example, personal computer skills, spreadsheets, word processing, patient record systems, EHR systems, etc…) Qualifications MINIMUM EDUCATION: High School Diploma or equivalent MINIMUM EXPERIENCE:• Three years' experience in the healthcare field including one year experience as a Medical Assistant, Medical Administrative Clerk, Patient Services Representative, or Dental Assistant

Title: Remote Intake Coordinator Department: Patient Services Reports to: Director of Patient Services POSITION DEFINITION: Ensures that all inquiries/referrals for inpatient facilities are addressed correctly and efficiently to provide appropriate patient placement. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Works with the Billing Manager and Assistant to verify billing information is received accurately and in a timely fashion. Takes referrals for inpatient facilities. Maintains working relationships with hospital and other community resources in regard to proper placement in to inpatient facilities. Responds to all requests, inquiries and referrals directed to the department and logs information in book, explains Hospice criteria, Center for Hope Home Care philosophy and IDT services. Provides Hospice education, including information on Medicare/Medicaid Hospice benefit and private insurance. Provides Hospice MD with Patient Referral and Information Record for determination of medical appropriateness for admission. Notifies nurse manager and family of decision. Completes intake on referrals from hospitals. Records all pertinent information on patient Referral and Information Record including demographics, primary and secondary insurance information, primary care person, name, address, phone number, significant others, referral source and referring physician. Offers reassurance and support to family when calling for Hospice information. Obtains and records all pertinent insurance information. Provides a copy of insurance information to the Billing Coordinator. Distributes copies of referrals to other disciplines; Social Work, Spiritual, Nursing, President and Assistant Medical Director. Provides copy for Managed Care and Home Care Coordinator as needed. Sends initial Hospice Certification to physician. Files in chart when returned from physician and logs in book. Prepares requested information for mailing.

Who We Are Ready to create a healthier world? We are ready for you! Personify Health is on a mission to simplify and personalize the health experience to improve health and reduce costs for companies and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we're shaping a healthier, more engaged future. Responsibilities Ready to Make Critical Decisions That Ensure Appropriate Patient Care? We're seeking a full time skilled RN who understands that utilization review is about ensuring patients receive the right care at the right time. As our Utilization Review Nurse, you'll use clinical expertise to assess medical necessity, support appropriate care transitions, and serve as an advocate for both quality care and cost-effective treatment options while working collaboratively with medical directors and care teams. What makes this role different ✓ Clinical decision-making: Your assessments directly impact patient care and treatment authorization decisions across multiple service lines ✓ Comprehensive scope: Review outpatient/ancillary pre-certifications, inpatient stays including mental health and substance abuse, skilled nursing, rehabilitation, and post-service reviews ✓ Care coordination focus: Work with hospital staff to ensure smooth patient transitions and optimal discharge planning to appropriate next-level care ✓ Professional autonomy: Make independent clinical judgments using MCG guidelines, internal medical policies, and NCCN while collaborating with medical directors What You'll Actually Do Assess medical necessity: Conduct professional reviews of treatment requests and plans for medical appropriateness using established clinical guidelines and evidence-based criteria. Coordinate care transitions: Partner with hospital staff to prepare patients for discharge while ensuring smooth transitions to appropriate next-level care arrangements. Navigate complex cases: Review outpatient pre-certifications, inpatient hospital stays including mental health and substance abuse treatments, skilled nursing, and rehabilitation requirements with clinical expertise. Ensure appropriate referrals: Work to top of RN license while ensuring proper referral to medical director for denial authorizations through independent review organizations (IRO). Support member wellness: Identify and refer appropriate cases to case management, wellness, chronic disease, and Nurturing Together programs while maintaining thorough documentation. Process appeals: Handle appeals for non-certification of services and complete non-certification letters when appropriate while reviewing plan documents for benefit determinations. Maintain compliance excellence: Meet productivity, quality, and turnaround time requirements while maintaining HIPAA compliance and passing external URAC and NCQA audits. Utilize clinical guidelines: Apply guidelines in appropriate hierarchy including MCG guidelines, internal medical policies, group-specific policies, and NCCN for consistent decision-making. Qualifications What You Bring to Our Mission The clinical foundation: Current RN license in United States or U.S. territory Associate's degree or diploma (Nursing program) required 1+ year clinical experience required The professional competencies: Ability to meet productivity, quality, and turnaround time requirements daily Capability to pass external audits including URAC and NCQA Commitment to maintaining HIPAA compliance per company policies and procedures Ability to complete and pass all annual testing including IRRA at 90% or higher Willingness to cross-train and provide cross-coverage as needed The clinical expertise: Strong clinical judgment for assessing medical necessity across multiple service lines Knowledge of MCG guidelines, internal medical policies, and clinical decision-making tools Ability to review plan documents and attempt to redirect providers and patients to PPO providers when beneficial Proficiency with documentation software and electronic health systems The professional qualities: Excellent communication skills with ability to explain complex medical information clearly Independent judgment combined with collaborative team approach Commitment to maintaining confidentiality and minimum requirement rules Ability to complete all required yearly training per company's expected time period Comfort navigating fast-paced, high-volume review environment while maintaining quality standards Why You'll Love It Here We believe in total rewards that actually matter-not just competitive packages, but benefits that support how you want to live and work. Your wellbeing comes first: Comprehensive medical and dental coverage through our own health solutions (yes, we use what we build!) Mental health support and wellness programs designed by experts who get it Flexible work arrangements that fit your life, not the other way around Financial security that makes sense: Retirement planning support to help you build real wealth for the future Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage Growth without limits: Professional development opportunities and clear career progression paths Mentorship from industry leaders who want to see you succeed Learning budget to invest in skills that matter to your future A culture that energizes: People Matter: Inclusive community where every voice matters and diverse perspectives drive innovation One Team One Dream: Collaborative environment where we celebrate wins together and support each other through challenges We Deliver: Mission-driven work that creates real impact on people's health and wellbeing, with clear accountability for results Grow Forward: Continuous learning mindset with team events, recognition programs, and celebrations that make work genuinely enjoyable The practical stuff: Competitive base salary that rewards your success PTO policy because rest and recharge time is non-negotiable Benefits effective day one-because you shouldn't have to wait to be taken care of Ready to create a healthier world while building the career you want? We're ready for you. No candidate will meet every single qualification listed. If your experience looks different but you think you can bring value to this role, we'd love to learn more about you. Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice. In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $30 to $38 per hour. Note that compensation may vary based on location, skills, and experience. This position is eligible for benefits. We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing. #WeAreHiring #PersonifyHealth Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to **************************. All of our legitimate openings can be found on the Personify Health Career Site.

At LifeStance Health, we strive to help individuals, families, and communities with their mental health needs. Everywhere. Every day. It's a lofty goal; we know. But we make it happen with the best team in mental healthcare. Thank you for taking the time to explore a career with us. As the fastest growing mental health practice group in the country, now is the perfect time to join our team! LifeStance Health Values Belonging: We cultivate a space where everyone can show up as their authentic self. Empathy: We seek out diverse perspectives and listen to learn without judgment. Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it. One Team: We realize our full potential when we work together towards our shared purpose. Benefits As a full-time employee of LifeStance Health, the following benefits are offered: medical, dental, vision, AD&D, short and long-term disability, and life insurance. Additional benefits include a 401k retirement savings with employer match, paid parental leave, paid time off, holiday pay and an Employee Assistance Program. ROLE OVERVIEW The Intake Coordinator plays a vital role in assisting new patients to establish care with a LifeStance provider. This position is responsible for scheduling initial assessments, collecting necessary demographic, verifying insurance eligibility, and managing referrals and clinical history to appropriately match patients with the most suitable providers. The Intake Coordinator facilitates the initial stages of client engagement and must possess excellent interpersonal skills. Hours: 8:30 am - 5:00 pm PST Monday - Friday Compensation: $20/hour RESPONSIBILITIES Intake Department Interactions: Efficiently handle communications via phone (inbound and outbound), email, voicemail, faxes, and chat. Identify and communicate patient trends and feedback, including scheduling barriers to Intake. Interact with Practice Operations team as necessary to ensure proper patient matching. New Patient Assistance: Conduct thorough intake assessments to understand patient needs and match them with the most appropriate provider. Schedule initial appointments promptly and accurately with detail outlining patients' needs including talk therapy and/or medication management. Collect patient insurance information and run eligibility ensuring in-network benefits for matched provider. Obtain and verify patient clinical history, demographic details, insurance information, and eligibility. Collect credit card for file and maintain compliance. Assist new patients with portal setup and new patient paperwork. Process and manage referral paperwork efficiently. Other: Ensure all patient interactions and transactions are accurately documented in the Electronic Health Record (EHR) system. Proactively contact referral source, patient, and/or provider office to obtain additional information that is required to complete verification of benefits and/or prior authorizations. Contact existing patients to initiate new services based on internal and external referrals. Assist new patient with any questions regarding new patient appointments or referrals. Professionally and calmly assist with incoming emergency calls as appropriate and follow crisis call protocols. Perform additional tasks and responsibilities as assigned by management to support the overall efficiency of the intake department. Adhere to all relevant policies, regulations, and compliance standards throughout the intake process including HIPAA and PCI. COMPETENCIES & SKILLS Adaptability: Quickly learn and adapt to the intake department's processes and technology, including Electronic Health Record (EHR) systems, appointment scheduling tools, and contact center systems. Communication Skills: Strong verbal and written communication skills to interact effectively with patients, providers, and referral sources. Organizational Skills: Excellent organizational skills with the ability to manage multiple tasks and priorities simultaneously. Customer Service: A patient-centric approach with a strong commitment to providing exceptional customer service. empathy and compassion. Problem-Solving: Ability to handle complex situations and make informed decisions to resolve issues efficiently. Detailed Oriented: Demonstrates meticulous attention to detail, ensuring accuracy and completeness in all tasks. Team Player: Collaborative attitude with the ability to work well in a team-oriented environment. SKILLS & EXPERIENCE High school diploma or equivalent required; Bachelor's degree preferred. 2+ years of experience in a contact center environment and/or healthcare environment. Strong computer proficiency with knowledge of Microsoft Office, Internet, and Email. Prior experience working with Electronic Health Record systems (EHRs), preferred. Clear understanding of insurance-related terminology. Fluency in English is required; fluency in Spanish preferred. Quiet, distraction free, dedicated HIPAA compliant workspace in your remote office with high-speed hard-wired internet access. Must be able to multi-task and prioritize work in a fast-paced work environment. PHYSICAL REQUIREMENTS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, stand, bend, talk and hear. The employee is frequently required to walk. The employee must be able to lift and/or move objects up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus. LifeStance is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees. Learn more about Diversity, Equity and Inclusion at LifeStance.

, however, candidates must reside in the State of TX or State of IL is a contract for about 9 months. Pay: $41/hour RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. This Position Is Responsible For Performing Accurate And Timely Medical Review Of Claims Suspended For Medical Necessity, Contract Interpretation, Pricing; And To Initiate And/Or Respond To Correspondence From Providers Or Members Concerning Medical Determinations. Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation. Awareness of claims processes and claims processing systems. PC proficiency to include Microsoft Word and Excel and health insurance databases. Verbal and written communication skills with ability to communicate to physicians, members and providers and compose and explain document findings. Organizational skills and prioritization skills. :Registered Nurse (RN) with unrestricted license in state. 3 years clinical experience. Needs to be able to navigate MCG and Medical policies with the reviews.

As a Utilization Management Nurse for Post Acute care, you will be responsible for reviewing and documenting prior authorization and concurrent stay requests. You will also manage member case history in compliance with established policies and procedures, applying clinical criteria and member coverage. This role involves interfacing with members, providers, facilities, medical directors, intake staff, case managers, and other internal departments. Your attention to detail and clinical judgment will be crucial in determining the medical necessity of post-acute stays, including skilled nursing facilities, acute inpatient rehabilitation, and long-term acute care hospitals. Responsibilities + Review and document prior authorization and concurrent stay requests. + Manage and evaluate member case history in line with policies and procedures. + Interface with members, providers, facilities, medical directors, and various internal departments. + Apply clinical judgment to assess the medical necessity of post-acute stays. Essential Skills + Expertise in utilization management and utilization review. + Experience in acute care and nursing. + Proficiency in prior authorization processes. + Active, unrestricted RN license in the state of MN or WI. + Associate or bachelor's degree in nursing. + 3-5+ years of clinical experience. + Previous utilization management experience required. Additional Skills & Qualifications + Demonstrated clinical assessment skills with critical thinking and evidence-based decision-making. + Self-motivated and able to work independently and collaboratively. + Detail-oriented with strong organizational skills. + Technology-savvy with the ability to navigate multiple computer applications. Work Environment This position is remote, requiring 40 hours per week. Candidates must have a primary home address in Wisconsin or Minnesota. Internet speed tests are required, with minimum upload speeds of 5+ Mbps, download speeds of 25+ Mbps, and a ping less than 100MS. Internet speed test results must be submitted with the application. This is a 6-month contract position with the potential for extension or conversion. Job Type & Location This is a Contract position based out of Minnetonka, MN. Pay and Benefits The pay range for this position is $38.00 - $45.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Dec 22, 2025. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.

ABOUT AUSTIN REGIONAL CLINIC: Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit ********************************************* PURPOSE Under supervision of the Centralized Authorizations and Referrals Supervisor, is responsible for obtaining authorizations and coordinating the care of patients that are referred to a specialist. Acts as a resource for patients and staff with authorization and/or referral related questions/problems requiring resolution. Carries out all duties while maintaining compliance, confidentiality, and promoting the mission and philosophy of the organization. ESSENTIAL FUNCTIONS Assists with responsibilities and duties of the Referral Coordinator I role as directed by department leadership. Maintains current knowledge of insurance authorization and/or referral requirements. Obtains authorizations from insurance carriers in a timely and efficient manner as defined in the department guidelines. Acts as a resource for patients and staff with authorization and/or referral related questions/problems requiring resolution. Communicates authorization and/or referral information to patients and specialist offices in a timely and efficient manner. Serves as a liaison between Primary Care and Specialty offices. Reviews chart to determine appropriate clinicals to send to insurance as requested. Can create, modify and sign referral orders within protocols. Responsible for coordinating medical record information for transmission to specialist's office. Ensures authorization and/or referral information is properly documented in Epic as outlined in the department guidelines. If aware, informs physician of patient compliance with referral plan. Informs physicians and management of any issues causing a delay in authorization process. Communicates changes and important information to patients and leadership. Works efficiently with all departments to promote teamwork within the organization. Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct. Regular and dependable attendance. Follows the core competencies set forth by the Company, which are available for review on CMSweb. Works holiday shift(s) as required by Company policy. OTHER DUTIES AND RESPONSIBILITIES Assists with training team members as needed. Involvement in organizational development through meeting attendance and committee involvement. Responsibilities occasionally may require an adjusted work schedule, overtime, and evening/weekend hours in order to meet deadlines. Performs other duties as assigned. QUALIFICATIONS Education and Experience Required: High school diploma or equivalent. Six (6) months or more experience working in the office of a healthcare related facility. Preferred: Previous experience in insurance authorizations strongly preferred. Previous experience in a high-volume customer service environment and/or experience with contact center phone system a plus. AND Knowledge, Skills and Abilities Strong knowledge in business office functions and ability to serve as a resource to staff. Knowledge of medical insurance and authorization requirements. Knowledge of medical terminology. Strong knowledge of procedural and diagnostic coding. Strong communication and interpersonal skills. Skill with operating PC and using the following software applications: MS Outlook, Word, Excel, and Microsoft Office OneNote. Excellent computer and keyboarding skills, including familiarity with Windows. Excellent verbal and written communication skills. Ability to provide excellent customer service. Ability to analyze problems, make decisions, and manage conflict. Ability to engage others, listen and adapt response to meet others' needs. Ability to align own actions with those of other team members committed to common goals. Ability to manage competing priorities. Ability to perform job duties in a professional manner at all times. Ability to understand, recall, and communicate, factual information. Ability to understand, recall, and apply oral and/or written instructions or other information. Ability to organize thoughts and ideas into understandable terminology. Ability to apply common sense in performing job. Work Schedule: Monday- Friday, 8am-5pm. Work from home opportunity once orientation complete.

Are you a friend, family or former colleague of someone on the Genesis Digital team? Would you like to join our fully remote company? If we don't have any specific job openings, you can still submit your applications here, and we'll review it as positions become available.

Why NeuraFlash, Part of Accenture: At NeuraFlash, Part of Accenture, we are redefining the future of business through the power of AI and groundbreaking technologies like Agentforce. As a trusted leader in AI, Amazon, and Salesforce innovation, we craft intelligent solutions-integrating Salesforce Einstein, Service Cloud Voice, Amazon Connect, Agentforce and more-to revolutionize workflows, elevate customer experiences, and deliver tangible results. From conversational AI to predictive analytics, we empower organizations to stay ahead in an ever-evolving digital landscape with cutting-edge, tailored strategies. We are proud to be creating the future of generative AI and AI agents. Salesforce has launched Agentforce, and NeuraFlash, Part of Accenture, was selected as the only partner for the private beta prior to launch. Post-launch, we've earned the distinction of being Salesforce's #1 partner for Agentforce, reinforcing our role as pioneers in this transformative space. Be part of the NeuraFlash, Part of Accenture journey and help shape the next wave of AI-powered transformation. Here, you'll collaborate with trailblazing experts who are passionate about pushing boundaries and leveraging technologies like Agentforce to create impactful customer outcomes. Whether you're developing advanced AI-powered bots, streamlining business operations, or building solutions using the latest generative AI technologies, your work will drive innovation at scale. If you're ready to make your mark in the AI space, NeuraFlash, Part of Accenture is the place for you. If you are trying to submit a referral for a specific role not currently listed on our job site, please submit that referral here. A member of our talent acquisition team will review it and take the next appropriate steps. We look forward to speaking with your referrals! What's it like to be a part of NeuraFlash, Part of Accenture? Remote & In-Person: Whether you work out of our HQ in Massachusetts, one of our regional hubs, or you're one of over half of our NeuraFlash, Part of Accenture Family who work remotely, we're focused on keeping everyone connected and unified as one team. Travel: Get ready to pack your bags and hit the road! For certain roles, travel is an exciting part of the job, with an anticipated travel commitment of up to 25%. So, if you have a passion for adventure and don't mind a little jet-setting, this opportunity could be your ticket to exploring new places while making a positive impact on clients. Flexibility: Do you have to take the dog to the vet, pick up the kids from school, or the in-laws from the airport? We know that a perfect 9-5 isn't possible. So you have to jump out to do any of those, no problem! We build a culture of trust and understanding. We value good work not the hours in which you get it done Collaboration: You have a voice here! If you work with a team of smart people like we do, it's a no-brainer to take suggestions and feedback on how to keep NeuraFlash, Part of Accenture thriving. Our executive team holds town halls & company meetings where they address any suggestions or questions asked, no matter how big or small. Celebrate Often: We take our work seriously, but we don't take ourselves too seriously. Whether it is an arm wrestling contest, costume party, or ugly holiday sweaters our teams love to have fun. And while we work hard, we don't forget to slow down and celebrate the big things and the small things together.

This position is a critical part of utilization management within the emergency department setting. The role ensures that patient admissions meet medical necessity standards and that healthcare resources are used appropriately and efficiently. It combines clinical expertise, analytical skills, and communication abilities to support both patient care and organizational compliance. Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria Apply evidence-based clinical guidelines and criteria to assess and ensure proper utilization of healthcare resources Participate in telephonic discussions with emergency department physicians relative to documentation and admission status Enter clinical review information into system for transmission to insurance companies for authorization Review, analyze, and identify utilization patterns and trends, problems, or inappropriate utilization of resources Qualifications Required Current and unrestricted RN license At least 3 years clinical experience in acute care setting in emergency room, critical care and/or medical/surgical nursing At least 2 years utilization management experience in acute admission and concurrent reviews Intermediate level experience with InterQual and/or MCG criteria within the last two years Proficiency in medical record review in an electronic medical record (EMR) Experience in Microsoft Suite including Office and basic Excel Ability to thrive in a fast-paced, dynamic environment and adapt to frequent changing business needs Passing score(s) on job-related pre-employment assessment(s) Preferred At least 5 years clinical experience in acute care setting in emergency room, critical care and/or medical/surgical nursing At least 3 years utilization management experience within the hospital setting Bachelor's of Science in Nursing (BSN) Case Management Certifications such as Certified Case Manager (CCM), Accredited Case Manager (ACM), Certified Managed Care Nurse (CMCN), Case Management, Board Certified (CMGT-BC) Expectations Comfortable with remote work arrangements and virtual collaboration tools Physical demands include extended periods of sitting, computer use, and telephone communication Shifts Requirements & Needs: Working between the hours of 9am EST and 9pm EST either for 8-hour, 10-hour or 12-hours shifts. All Full-Time required to work 4 Holidays per year All Full-time required to work every other weekend or 4 weekend shifts per month. Additional Shifts Available: Weekend FT Available - (3, 12 hours shifts, one shift worked during a weekday) Work schedules and shift assignments are subject to change based on evolving client needs and operational demands. While we strive to provide consistent scheduling, associates may be required to adjust their availability or work different shifts. Flexibility and adaptability are essential for success in this role. Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate. Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart's sole expense. In the event a candidate tests positive for a controlled substance, Netsmart will rescind the offer of employment unless the individual can provide proof of valid prescription to Netsmart's third party screening provider. If you are located in a state which grants you the right to receive information on salary range, pay scale, description of benefits or other compensation for this position, please use this form to request details which you may be legally entitled. All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship for this position. Netsmart's Job Applicant Privacy Notice may be found here.

Join LifeLink - Join a Life Saving Team! About LifeLink More than four decades ago, a visionary group of innovators, led by renowned nephrologist Dr. Dana Shires, made a life-changing commitment-to save lives through organ and tissue donation. From that bold beginning, LifeLink Foundation was established - founded with heart, purpose, and a mission that still guides us today. What started as a nonprofit with big dreams has grown into a vision-driven organization of more than 700 dedicated professionals across west-central Florida, Georgia, parts of South Carolina, Puerto Rico, and the US Virgin Islands. At LifeLink, we are united by our mission: To honor donors and save lives through organ and tissue donation. Our vision remains clear: To maximize the gift of life while giving hope to donor families and transplant patients. We are grounded in the values that shape our work and culture-Compassion. Excellence. Legacy. People. Quality. If you're inspired by purpose, driven by impact, and ready to help save and heal lives, LifeLink is the place for you. What You'll Do As a Remote Referral Coordinator, you will directly contribute to LifeLink's life-saving mission. Primary responsibility is to evaluate and respond to hospital referrals for the purpose of determining a potential organ/tissue donor. Apply LifeLink's policies and procedures in performing and documenting the timeliness of referrals, response to referrals and provide direction to responding staff. In addition, ascertain information to help facilitate the determination of potential donors, BD, DCD potential, medical suitably and order of priority/NOK. Participate in call schedule rotation to ensure coverage of this position's responsibilities 24/7. Effectively communicate with Hospitals, AOC, MDOC, other management staff, FCC, TC, IHC and other development staff. Key Responsibilities: Participate in the RC call schedule coordinating FCC/IHC/HD/TC for making an appropriate and timely onsite visit for referrals in collaboration with AOC. Referral responsibilities will consist of but may not be limited to: Referral evaluation Preliminary determination of suitability Verification of name, race, sex, DOB and location of next-of-kin Accessing Donor Registry Notifying the FCC and other on call team members of potential donor situations Review information on initial referral regarding donation process with hospital personnel with outline of plan. Ability to first mention or assist in authorization / donor designation if applicable Post initial referral: Monitor referrals daily and more often if indicated Maintain documentation on active referrals (weblog) Passing referral call to oncoming RC according to set protocols in order to assure all active referrals are up to date and followed appropriately. Provide follow-up to appropriate Hospital Development Liaison, AOC/IHC/FCC or other vascular staff Follow up with CSD and Tissue Screener for referrals that are going to be immediately extubated and not a candidate for organ donation Receive and handle or appropriately triage miscellaneous calls from CSD (Positive cultures, FH, ME, family issues, etc.). Assist when appropriate in the orientation of new staff at the direction of Manager/ Assistant Manager of FCC program. Meet deadlines for any assigned projects. Participate actively in hospital development initiatives. Apply for continuing education courses and seminars necessary to obtain appropriate CEUs to obtain/maintain certifications and licenses. Participate regularly in OPO & FCC/RC meetings. Other duties as assigned by Director of Recovery Services or immediate supervisor. Who You Are Passionate about helping others and making a difference Aligned with LifeLink's core values of Compassion, Excellence, Legacy, People, and Quality Minimum of one year in a related LifeLink position and/or appropriate credentialing and experience which may include medical-related degree/certification (RN) or appropriate experience in a medical environment. Completion of all requirements of the probationary level position or other related experience/position. Demonstrated above average verbal communication skills and phone etiquette skills. Availability to handle rotation of 24/7 call responsibilities and a work schedule that may require response to emergency back-up call coverage. Understanding that confidentiality must be maintained, according to Foundation protocols. A collaborator who thrives in a mission-first environment Working Conditions: Local/State auto/air travel is required. Variable/rotation on-call days/hours including nights/weekends/holidays depending on call schedule and call duration. Possible high stress / extended hours while on call. Friendly, team-oriented and interactive environment. OSHA Risk Classification: Low Why LifeLink? Be part of an organization with a legacy of saving lives and giving hope Join a passionate and supportive team across Florida, Georgia, and Puerto Rico COMPANY PAID Medical, Dental, Disability & Life Insurance Generous COMPANY PAID Pension Plan for your Retirement Paid Vacation, Sick Days & Holidays Growth opportunities in a mission-driven, high-impact nonprofit Work with purpose, knowing your efforts directly touch lives Diversity, Equity & Inclusion LifeLink is proud to be an equal opportunity employer. We celebrate diversity and are committed to building an inclusive environment that reflects the communities we serve. Ready to Help Change Lives? Your next career move could be the most meaningful one yet.

We are seeking a dedicated and compassionate Wound Care Nurse, Telehealth Coordinator within the skilled nursing environment. The Wound Care Nurse, Telehealth Coordinator is the link between healthcare providers and patients while providing dressing changes to wounds, under direct supervision, utilizing real-time, imaging technologies. If you are passionate about excellent wound care and recognize the role telehealth has for consistent, convenient attention to patients in need, we encourage you to apply for the Telehealth Coordinator position and join our dedicated team. Responsibilities: Act as the in-person, hands on assistant to conduct weekly virtual wound rounds using technology under the guidance of wound care specialists, nurses, or healthcare providers. Photograph wounds using designated telehealth technology and ensure accurate documentation of images for clinical review. Aid patients in navigating telehealth platforms, troubleshoot technical issues, and ensure a seamless virtual connection for appointments. Facilitate patient telehealth scheduling, provide education on virtual visits to patients and staff as needed. Administer all aspects of wound care as per evidence based practice and facility policies, including dressing changes and rounds. Maintain strict adherence to patient confidentiality and privacy regulations, including HIPAA compliance, during all telehealth interactions and documentation processes. Submit orders for wound care products. Qualifications: Graduate of an accredited school of nursing required. Must possess current CPR certifications. Minimum of one (1) year of Wound Care experience required, (2) years preferred. Wound care certification is preferred. Must possess a current, unencumbered, active license to practice as a RN or LPN in state of practice. Excellent communication skills with the ability to convey medical information clearly to physicians, staff, patients and family Empathy, patience, and a genuine desire to provide quality healthcare services to patients at the bedside as well as through telehealth technology. Commitment to maintaining patient confidentiality, privacy, and data security in accordance with healthcare regulations (e.g., HIPAA). Ability to multitask, and adapt to changing telehealth workflows, job requirements, and patient populations. Prior experience in SNF, LTC, or Assisted Living preferred. Travel to assigned facilities using your personal car, valid driver's license, and mileage reimbursement offered. Role starts out Part-Time with the opportunity to be Full-Time.

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career! Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information. Job Summary: Under general supervision of the Program Manager (PM) and reporting to the PM, the Medical Review Nurse (MRN) is responsible for the initial chart review and chart case management for medical exam/screening programs to verify that all medical information and exam components are accurate. The RN works directly with Physicians and Examinees to ensure all medical information is gathered and performs medical Quality Assurance on all charts in various process stages leading to a final determination. Salary is $66,560-$70,000. Duties and Responsibilities: • Performs medical review of incoming charts to determine if additional medical information is needed. • Collaborates with Physician(s) and other internal nursing staff members for chart review. • Performs medical Quality Assurance (QA) on all charts in various process stages. • Interfaces with Client's Medical Department as well as the on-site provider. • Contacts Examinee via telephone or email to clarify information necessary to complete the chart. • Develops a very good understanding of the specific contract's guidelines and addendums as required. • Masters the various software programs specific to the functioning of the exam program. • Implements and follows up on requests for further evaluation from the Examinee when required. • Works closely with other departments to provide accurate and quality outcomes. • Thoroughly cognizant of metrics and organizes workload to meet them. • Consistently learns and applies codified state and federal regulations specific to particular contract(s). • Serve as backup to other nurses for daily duties and assists with follow-up calls to facilities and Examinees as needed as well as other duties as assigned. • Opportunity to travel and assist on medical mobile events as either a site lead and/or RN as work or personal schedule permit. • May participate in interdepartmental project groups or task forces to integrate activities, communicate issues, obtain approvals, resolve problems, and maintain a specific level of knowledge pertaining to new developments, new task efforts, contract awards, and new policy requirements. • Supports marketing and sales objectives and efforts as requested. • Performs duties in a safe manner. Follows the corporate safety policy. Participates and supports safety meetings, training, and goals. Ensures safe operating conditions within an area of responsibility. Encourages co-workers to work safely. Identifies “close calls” and/or safety concerns to supervisory personnel. Maintains a clean and orderly work area. • Assists in the active implementation of company initiatives to ensure compliance with OSHA VPP, ISO, JCAHO, AAAHC, and other mandated regulations/standards. • May serve on the OSHA VPP, Safety, and Wellness Committees. Qualifications: • 5-7 years of relevant experience. • Fully unencumbered nursing license required. • Proficiency with computer and common office equipment, as well as with MS Office products. • Must be able to multitask, be flexible, be organized, and have excellent oral and written communication skills as well as exceptional attention to detail. Preferred Qualifications: • COHN-S and/or CAOHC certifications • Bachelor's Degree with 5 years of relevant experience • Flexibility and availability to travel and assist to support medical mobile events as either site lead and/or RN Physical Requirements and Work Conditions: • Work is normally performed in a typical interior/office work environment. • Work involves sitting and standing for prolonged periods of time. • May require bending and lifting up to 15 lbs. • Constant use of computer and common office equipment required. Acuity International is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration without regard to race, color, sex, national origin, age, protected veteran status, or disability status. For OFCCP compliance, the taxable entity associated with this job posting is: Acuity-CHS, LLC

For ambitious, culturally diverse, curious minds seeking booming careers, Job Duck unlocks and nurtures your potential. We connect you with rewarding, remote job opportunities with US-based employers who recognize and appreciate your skills, allowing you to not just survive but thrive. As a lifestyle company, we ensure that everybody working here has a fantastic time, which is why we've earned the Great Place to Work Certification every year since 2022! Job Description: If you enjoy helping people through challenging moments and thrive in a fast-paced, detail-oriented environment, this role is for you. As a Medical Intake Coordinator, you'll be the first point of contact for clients, guiding them through the claims process with care and clarity. Your work will make a real difference, ensuring each case starts smoothly and every client feels heard. This position is ideal for someone who communicates effortlessly, stays organized under pressure, and genuinely enjoys supporting others. Monthly Compensation: $1,150 USD to $1,220 USD. Responsibilities include, but are not limited to: Follow up with insurance companies and medical providers Open and initiate claims Communicate updates clearly and promptly to clients and team members Maintain accurate records and client information Manage the intake process from beginning to end Requirements: 1-2 years of proven experience in client-facing or administrative roles Bilingual fluency Ability to manage multiple tasks and deadlines Strong organizational and follow-up skills Key Skills, Traits and Values: Friendly and professional demeanor Strong customer care mindset Efficient and hardworking approach Excellent attention to detail Fluent bilingual communication Self-motivated and proactive Clear and confident communicator Software: CRM: FileVine VOIP: RingCentral Email: Outlook Working Schedule: Monday to Friday, 8:30 AM to 5:30 PM PST (may vary by ±30 minutes) Timezone: Pacific Standard Time (PST), US. Work Shift: 8:30 AM - 5:30 PM [PST][PDT] (United States of America) Languages: English, Spanish Ready to dive in? Apply now and make sure to follow all the instructions! Our application process involves multiple stages, and submitting your application is just the first step. Every candidate must successfully pass each stage to move forward in the process. Please keep an eye on your email and WhatsApp for the next steps. A recruiter will be assigned to guide you through the application process. Be sure to check your spam folder as well.