Requisition #: 18934 Functional Area: Administrative Support; Office/Clerical Employment Type: Full-time Work Options: Remote / Work from Home in the US #LI-Remote Work Hours: Monday - Friday 8am - 430pm CST I Sunday - Thursday 8am - 430 pm CST Position Summary Join our Managed Services team at J. J. Keller as we help employers protect people and the businesses they run. With more than 7 million employers in this country, the need for our safety and compliance solutions is always growing. We have a highly supportive, ethical and remote-friendly culture , with 60% of our associates working from home. J. J. Keller has a REMOTE - Office Operations opening in one of our fastest growing departments called Managed Services. This department is comprised of fleet and regulatory compliance experts who clients rely on to off-load the time consuming / complex tasks of managing driver safety and vehicle compliance . Our internal team of 400+ compliance associates...

Requires no experience, considered entry-level. We are seeking individuals who are looking for part-time or full-time work or side gigs to be connected with companies who are hiring employees directly to work from their homes. You will find both full-time and part-time remote opportunities in a variety of career fields. ** ALL APPLICANTS MUST APPLY DIRECT ON OUR WEBSITE ** PLEASE CLICK HERE TO APPLY or visit https://job.jobconversion.com Legitimate Work From Home Data Entry Jobs are going to require that you have skills relevant to the position you are applying for. Training is provided based on the position. JOB REQUIREMENTS: Computer with internet access Quiet workspace away from distractions Must be able and comfortable to working in an environment without immediate supervision Ability to read, understand, and follow oral and written instructions. Data entry or administrative assistant experience is not needed but can be a bonus We are...

Clinical Reviewer (Remote) Are you an experienced Clinical Reviewer looking for a new challenge? Do you value care management and quality improvement ? Are you motivated , energetic , and excited to become part of the Kepro team? If so, you might be our next new team member! Who we need: Utilizes clinical expertise for the review of medical records against appropriate criteria in conjunction with contract requirements, critical thinking and decision making skills to determine medical appropriateness, while maintaining production goals and QA standards. Ensures day-to-day processes are conducted in accordance with NCQA, URAC and other regulatory standards. Why us? Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting. People Focused. Mission Driven. Shape the future of healthcare with us. We are...

We invite you to join our growing team! IntellaTriage Nurses enjoy the benefits of working from home, providing care, without the stress and expense of commuting each day! MUST have or be willing to obtain a Compact LPN license MUST live in/work from a Compact US state Experience with end-of-life care is required Must have high speed internet Must be tech savvy, enjoy a fast-paced environment, and have keyboard competence Full-time Baylor nurses only work 6 days out of a 14-day pay period Baylor schedule: Fri 3:30PM-11PM, Sat & Sun 9:30AM – 11PM Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed nurses using client-customized protocols for patient-centered, compassionate care. We are growing rapidly and excited to support our...

Headway’s mission is a big one - to build a new mental health care system everyone can access. We’ve built technology that helps people find great therapists with the first software-enabled national network of providers accepting insurance. 1 in 4 people in the US have a treatable mental health condition, but the majority of providers don’t accept insurance, making therapy too expensive for most people. Headway is building a new mental healthcare system that everyone can access by making it easy for therapists to take insurance and scale their practice. Headway was founded in 2019 – since then, we’ve grown into a diverse, national network of over 25,000 mental healthcare providers across all 50 states who run their practice on our software. We’re a Series C company powering 500k+ appointments per month with over $225m in funding from a16z (Andreessen Horowitz), Accel, GV (formerly Google Ventures), Spark Capital, Thrive Capital, and Health Care Service Corporation. We want your...

About Oncology Care Partners Oncology Care Partners (OCP) is an innovative new platform of owned and affiliated oncology practices that is purpose-built for value-based care. We are dedicated to improving outcomes, delivering a better experience for patients, and making cancer care more affordable. With ambitious growth goals, OCP is attracting and developing team members who have a passion for transforming the current state of oncology care and placing the needs of patients above all. Our company was formed in February 2022 by Valtruis (www.valtruis.com), a Welsh, Carson, Anderson & Stowe company that is solely focused on investing in and building companies advancing value-based care, in partnership with New Century Health (www.newcenturyhealth.com), an industry leader in oncology care management. Learn more about our business at www.oncologycarepartners.com. Requirements Ideal Candidate Someone who is drawn to a culture that values critical thinking and...

MUST HAVES: • Active, unrestricted Compact RN license • Must reside in the state where the compact state license is issued • Ability to successfully apply for Full Unrestricted Licensure within first ninety (90) days of program start date (Full Licensure includes licensure in all 50 states + 3 territories: Guam, Puerto Rico, District of Columbia-reimbursement is provided) • 3+ years of experience in any clinical setting • Ability to work evening shifts on a rotating schedule, including weekends to support a 24/7, 365 day service • High speed (minimum of 30+ Mbps download/5 Mbps upload speeds), “hard wired” internet • Proficient level of experience with Microsoft Office applications and strong technical aptitude • Strong verbal and written communication skill PLUSSES: • Previous experience working with the military population • Previous call center or Telehealth position experience • Triage experience • Highly organized, self-directed worker with an...

Complex Medicare claims/prior authorization requests require the review of medical record documentation to determine the reasonableness and necessity of the billed service in accordance with Medicare rules and regulations. The reviews are performed by specially trained clinical staff using various methods to track the assignment, progress, and resolution of claims/cases. For complex claim reviews, the Companies are required to use Registered Nurses (“RNs”). Clinical decisions will be based on CMS policies/procedures defined in the CMS Internet-Only Manual (IOM), Company policies/procedures, Title XVIII of the Social Security Act (Section 1862), generally accepted standards of medical practice, clinical knowledge, contract guidelines, applicable Code of Federal Regulation guidelines, or other relevant statutory authority as applicable. Our staff will perform this work for Medical Reviews, Appeals, and/or Prior Authorization requests. Qualified Staff and Work Location Requirements...

Responsibilities Include: Develops and updates the individualized care plan based on a comprehensive assessment of members in consultation with the member and family/caregiver and the assessment nurse Implements the care plan and authorizes/arranges for delivery of covered services consistent with the care plan Conducts ongoing communication and collaboration with a member, family caregiver, or member's designated representative, as well as with member's PCP and other significant health care providers Monitors provision of services by Integra' s network providers to ensure they are appropriate and in accordance with the member's care plan Conducts ongoing monitoring of member's health, safety, and functional status, and progress towards established goals Provides coordination of care transitions, including discharge and transition planning from the hospital or nursing homes Determines member eligibility for Integra's program and quality initiatives; Facilitates the...

Join our fast-growing healthcare staffing company as we transform the industry! We're seeking an enthusiastic, self-motivated Travel Nurse Recruiter who thrives in a fast-paced, competitive environment and is passionate about making a positive impact on our clients and employees. What We Offer: A dynamic, fun work culture focused on teamwork and achieving goals Opportunities for growth and development Competitive compensation package: Base pay + heavy commission and bonus based on productivity Comprehensive benefits: 401(k), medical, dental, and vision insurance Paid time off Responsibilities: Source and recruit candidates for nursing and allied health positions across the US Generate leads through heavy cold calling, while also receiving some provided leads Collaborate with account managers and credentialing teams to ensure smooth onboarding and assignment processes Drive individual and team goals by engaging healthcare professionals to fill open positions Adapt...