A lucrative opportunity just became available for an experienced Licensed Vocational Nurse or Registered Nurse to work for a well-respected healthcare company. The LVN or RN will be working in the Utilization Management (UM) department. This is a full-time remote position. Perks: • Full Time Remote Opportunity • Ample Growth Opportunity • Competitive Benefits and Salary • Flexible Schedules Responsibilities: • Responsible for reviewing and processing requests for authorization and notification of medical services from health professionals, clinical facilities and ancillary providers • Reviewing complex and/or costly authorization requests (many cancer treatments, new meds, procedures and technologies) • Responsible for tasks/functions related to prior authorization and referral. Actively participating in telephone on-line responsibilities as well as selected off-line tasks/functions. • Responsible for applying medical criteria and policies/procedures to authorization or referral...

Customer Service Representative - Virtual Interview - Work from Home We need: Self-motivated, Career-driven, SERIOUS INDIVIDUALS, to fulfill Customer Service and Sales roles. No experience necessary. The company will teach you EVERYTHING you need to know to be successful. Provide supplemental benefit programs to Union Workers, Associations and Credit Unions. Work directly with Union members and their sponsors. Examples: Firefighters, Police Officers, American Nurses Association and United Federation of Teachers. Details: You will be their personal consultant. Finding out what benefits members qualify for via a computer-based program called, "Needs Based Analysis Survey." Explaining the features, answering their questions, and completing the necessary paperwork. No experience necessary. The company will train you on everything you need to learn to be successful. Willingness to learn and excellent communication skills are a must. Voted as the #1...