A Line Staffing Solutions

  • Thousand Oaks, CA, USA
A Line Staffing Solutions Remote * (San Antonio, TX, USA)
Sep 26, 2021
Full time Concurrent Review Nurse openings with a major healthcare company in the San Antonio TX 78251 area! Starting ASAP!! Apply now with Jake Z. at A-Line! Summary: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to emergent/urgent and continued stay reviews. Work from home while the offices are closed; Date to return is not until at least Sept 13th as of now. This is 100% computer related. In front of computer 8 hours per day, full computer position. Responsibilities: Computerized medical review: fax Looking at medical reviews, comparing in system Medical record review for inpatient medical need necessity Pay Rate: $35 - $40 hourly Work Shift: Mon-Fri 8am-5pm (Could be a potential for weekend work, but not overtime) Required Skills: Utilization management experience working with an insurance carrier or hospital Must be an...
A Line Staffing Solutions Remote * (Columbus, OH, USA)
Sep 26, 2021
Now hiring for a Top Healthcare / Managed Care company working remotely or from home whom are in need of an experienced RN Case Manager to become a part of the team, for an remote/work from home position to start but will return to in office once safe to return. Please apply directly for consideration. Damian Sroka / / Text: Position will be remote or work from home - must live in Ohio Pay/Hours: Pay Rate: $38.00 to $40.00 per hour (possible pay increase after 90 days) Hours: Full time - Monday - Friday 40 hour 8:00 a.m. - 5:30 p.m. Job Description: . Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes...
A Line Staffing Solutions Remote * (Earth City, MO, USA)
Sep 26, 2021
Full time Pharmacy Technician CPhT openings in the Earth City, MO (remote to start) area with a major healthcare company! Apply now to Damian Sroka with A-Line! Urgent need, for Certified Pharmacy Technicians! Please apply for consideration! Please apply directly for consideration. Damian Sroka / / Text: Remote / Work from home PAY RATE : $17.00 to $19.00 per hour (possible increase after 90 days) HOURS : Full-time 40 hours per week. Monday - Friday no weekends - 8:00 AM - 5:00 PM is main shift. Other shift available. Pharmacy Technician Details Data Entry- this role is responsible for processing/ typing all the new prescriptions sent in by the physicians. Possibly contacting patients to inform them of a denial from their doctor and answering the incoming calls from the physician's office. PCB - this role is responsible for contacting the office for refills or clarifications on prescriptions. Answering incoming calls from the physician's office....
A Line Staffing Solutions Remote * (Pittsburgh, PA, USA)
Sep 26, 2021
A-Line Staffing is actively searching for Multiple Program Coordinators/Healthcare Admins for a major healthcare company located in Pittsburgh, PA surrounding area. This is an exciting opportunity with a client that is looking to move fast for the right candidate. Please contact Brad Zidek at for immediate consideration! Or call at . Job Description: Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. Individual must work with LTC facility staff, Omnicare pharmacy operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors. This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practice Job...
A Line Staffing Solutions Remote * (San Antonio, TX, USA)
Sep 26, 2021
Appeals Nurse RN openings with a major health insurance / managed care company based in the San Antonio, Texas 78251 area! Starting ASAP!! Apply now with Jake Z. at A-Line! **Position is based out of San Antonio, TX - will be working from home, but is phased return to office hoping for Fall of 2021, still TBD** Job Summary: Making outbound calls to members/providers/agencies to conduct a clinical investigation Creating a clinical appeal review to submit to Medical Directors Creating resolution letters with appeal decision Updating authorizations/Data entry Review of Evidence Packets for Fair Hearings Presenting Evidence to HHSC Fair Hearings Department on a Fair Hearing Call. Performance expectations/metrics : Gradual increase in expectations - initially: 4 to 5 appeals per week Full production: 8 appeals per week on average, up to 12 weekly 6 months into the role - will be introduced to Fair Hearings Audit scores - 90% or above...
A Line Staffing Solutions Remote * (Woodland Hills, Los Angeles, CA, USA)
Sep 26, 2021
Care Manager III (RN) openings with a major health insurance / managed care company based in the Los Angeles, CA 91367 area! Starting ASAP!! Apply now with Jake Z. at A-line!! **Position will start remote until at least Jan 2022, then hybrid schedule TBD in office out of Los Angeles, CA 91367** Description of Position: Daily Responsibilities : Engage/enroll new members in Case Management. Complete assessments, create care plans, document calls with members. Assist members with coordination of care and navigating health care system. Performance expectations/metrics : Ramp up to, and maintain Caseload of 70 open/active cases. Complete minimum of 15-20 member calls/tasks per day. Keep queue up-to-date, without overdue tasks. What previous job titles or background work will in this role? Discharge planning, case management, home health, hospice Pay Rate: $45-$48/hour (determined on experience) Hours:...
A Line Staffing Solutions Remote * (Woodland Hills, Los Angeles, CA, USA)
Sep 26, 2021
Care Manager II (RN) openings with a major health insurance / managed care company based in the Los Angeles, CA area! Starting ASAP!! Apply now with Jake Z. at A-line!! **Position will start remote with intentions to return to office after covid restrictions are lifted Daily Duties / Job Summary: • Assist with member tasks - follow up with members regarding coordination of care • Follow up with providers and doctors' offices Describe the performance expectations/metrics for this individual and their team: • Provided a monthly caseload (20 per month) • Required to follow up with members on a weekly basis Pay Rate: $40-$45/hour Hours: Monday - Friday, 8 am - 5 pm Required Qualifications: Must be a Licensed Registered Nurse in California Must have solid Case management experience Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care,...
A Line Staffing Solutions Remote * (Troy, MI, USA)
Sep 24, 2021
Full time Pharmacy Technician CPhT openings in the Troy, MI (starting remote) area with a major healthcare company! Apply now to Damian Sroka with A-Line! Urgent need, for Certified Pharmacy Technicians! Please apply for consideration! Please apply directly for consideration. Damian Sroka / / Text: 90 days onsite and will consider remote or work from home PAY RATE : $18.00 to $19.00 per hour (possible increase after 90 days) HOURS : Full-time 40 hours per week. Monday - Friday no weekends - 8 hour shift between 9:00 AM to 6:00 PM Pharmacy Technician Details Data entry technician, responsible for the Indexing and Pre-Qa queues. Indexing is where we receive all faxes, these need to be sorted and attached to the proper patient profiles. From Indexing, the prescription drops into Pre-Qa which is our data entry queue. This is where the prescription is typed into the patient's chart. // We are also trying to fill a PCB role - Pharmacist Call back....
A Line Staffing Solutions Remote * (Columbus, OH, USA)
Sep 24, 2021
RN Care Manager openings with a major health insurance / managed care company based in the OH area! Starting ASAP!! Apply now with Jake Z. at A-Line! HOURS : 40 hours per week - Monday to Friday - 8:00AM - 5:00PM PAY: $30-$40 hourly Required Education & Experience Must have valid and Active OH RN License Graduate of RN Nursing program 2-4+ years of Care management background and acute care: hospital setting, home health experience Must have Computer literacy including with Microsoft Excel, Outlook, & Word Preferred Experience: Highly Preferred (but not required): Bilingual in Spanish Associate's Degree in Nursing or BSN Degree highly preferred but not required. Job Responsibilities: Case Managers are responsible for making in home or telephonic visits within their population zip code according to the Three Way Contract requirements from ODM. They manage all day to day needs of members and ensure...
A Line Staffing Solutions Remote * (Tampa, FL, USA)
Sep 24, 2021
Now hiring for a Top Healthcare / Managed Care company working remotely or from home whom are in need of an experienced RN Case Manager to become a part of the team, for an remote/work from home position to start but will return to in office once safe to return. Please apply directly for consideration. Damian Sroka / / Text: Position will be remote or work from home - must live near the Tampa, FL area Pay/Hours: Pay Rate: $36.00 to $40.00 per hour (possible pay increase after 90 days) Hours: Full time - Monday - Friday 40 hour 8:00 a.m. - 5:30 p.m. Job Description: . Direct member outreach, assist with year round chart chase for HEDIS including abstraction and over-reading of data for accuracy, contact Providers to assist with HEDIS gap closure, and assist with implementation of Quality Improvement initiatives to improve HEDIS rates. Job Requirements: Requirements: Education/Experience: Graduate from an Accredited School of...
A Line Staffing Solutions Remote * (McAllen, TX, USA)
Sep 24, 2021
Care Manager II (RN) openings with a major health insurance / managed care company based in the McAllen, TX area! Starting ASAP!! Apply now with Jake Z. at A-line!! **Position will start remote with intentions to return to office after covid restrictions are lifted Daily Duties / Job Summary: • Assist with member tasks - follow up with members regarding coordination of care • Follow up with providers and doctors' offices Describe the performance expectations/metrics for this individual and their team: • Provided a monthly caseload (20 per month) • Required to follow up with members on a weekly basis Pay Rate: $35-$40/hour Hours: Monday - Friday, 8 am - 5 pm CST 1 hour lunch break from 12 to 1 Required Qualifications: Must be a Licensed Registered Nurse in Texas Must have solid Case management experience Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing...
A Line Staffing Solutions Remote * (Tampa, FL, USA)
Sep 24, 2021
Care Manager II (RN) openings with a major health insurance / managed care company based in the Tampa, FL area! Starting ASAP!! Apply now with Jake Z. at A-line!! Fully Remote! Daily Duties / Job Summary: Direct member outreach, assist with year round chart chase for HEDIS including abstraction and over-reading of data for accuracy, contact Providers to assist with HEDIS gap closure, and assist with implementation of Quality Improvement initiatives to improve HEDIS rates. Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Licenses/Certifications: Current state's RN license. Pay Rate: $35-$40/hour Hours: Monday - Friday, 8 am - 5 pm Required Qualifications: Education/Experience: Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of...
A Line Staffing Solutions Remote * (Little Rock, AR, USA)
Sep 23, 2021
Now hiring for a Top Healthcare / Managed Care company in Little Rock, AR (Starting Remote) whom are in need of an experienced Concurrent Review Nurse - Medical Review to become a part of the team, for an remote/work from home position to start but will return to in office once safe to return. Position will be remote to start but will return in office - Must live near Little Rock, AR Pay/Hours: Pay Rate: $36.00 to $38.00 per hour (possible pay increase after 90 days) Hours: Full time - Monday - Friday 40 hour 8:00 a.m. - 5:30 p.m. Job Description: . Computerized medical review: fax Looking at medical reviews, comparing in system Medical record review for inpatient medical need necessity DOING AUTO APPROVALS ON AUTHORIZATIONS THAT MISSED TAT. REVIEWING MEDICAL RECORDS AND ASSESSING MEDICAL REVIEW STANDARDS, ASSIST HOSPITALS WITH ONGOING CARE OF A MEMBER. Requirements: Interqual exp would be a big plus Concurrent Review...
A Line Staffing Solutions Remote * (Mt Laurel Township, NJ, USA)
Sep 23, 2021
A-Line Staffing is now hiring a remote Customer Service Representative in Mount Laurel, NJ! The Customer Service Representative would be working for a Fortune 500 company and there is growth potential. MUST BE LOCAL TO MOUNT LAUREL, NJ. If you are interested in this position, please contact Nick at A-Line Staffing at or at Highlights As a Benefit Customer Service Representative you will have the rewarding opportunity to help our client members through the enrollment process, and when making updates to their health care and/or pension plans. We allow you the freedom to take the time necessary to provide the highest level of service. You will start out on one client, and with dedication to our clients, you will be cross trained to provide assistance on multiple clients. You will spend your day either on the phone, or providing assistance through web chat conversations and email. We provide superior service center environment in professional buildings where you will...
A Line Staffing Solutions Remote * (Houston, TX, USA)
Sep 23, 2021
Full time Pharmacy Technician CPhT openings in the Houston, TX area with a major healthcare company! Apply now to Damian Sroka with A-Line! Urgent need, for Certified Pharmacy Technicians! Please apply for consideration! Please apply directly for consideration. Jake Z / PAY RATE : $17.00 - $19.00 per hour (possible increase after 90 days) HOURS : Full-time 40 hours per week. Monday - Friday no weekends - 10:00 AM to 7:00 PM Pharmacy Technician Details Call doctors for refills, clarifications, and new prescriptions Enter prescriptions, and process refills Required : Must have a TX State Pharmacy Technician License clear and active Must be Certified as a Pharmacy Technician and have clear and active pharmacy tech license. Certification Active under PTCB or ExCPT. 1+ years of experience in a Windows based computer utilizing Microsoft Offices. Prefer Healthcare work experience and familiarity with benefits, insurance,...
A Line Staffing Solutions Remote * (Austin, TX, USA)
Sep 23, 2021
Appeals Nurse RN openings with a major health insurance / managed care company based in the San Antonio, Texas 78251 area! Starting ASAP!! Apply now with Jake Z. at A-Line! **Remote anywhere in Texas near an office - ex. Heather gave: San Antonio, Austin, Tyler, Dallas. Contract will most likely be fully remote due to the time frame but could return in October, November** Position Summary: This position will be reviewing Behavioral Health appeals and adverse determination for services requested by providers utilizing policies, procedures and best practices; applicants will need to have experience and be knowledgeable in applying policies/criteria to clinical information. Highly prefer Behavioral Health experience. Pay: $40-$45 hourly (determined on licensure and experience) Shift: 8am-5pm from Monday-Friday, possibility of overtime due to workloads. Past 5 on weekdays if so, a couple of staff that work on weekends but contractors would most likely do the...
A Line Staffing Solutions Remote * (Los Angeles, CA, USA)
Sep 19, 2021
Full time Pharmacy Technician CPhT openings in the Woodland Hills, CA (starting remote) area with a major healthcare company! Apply now to Damian Sroka with A-Line! Urgent need, for Certified Pharmacy Technicians! Please apply for consideration! Please apply directly for consideration. Damian Sroka / / Text: Position will start off as remote/work from home and return to office next year (2022) PAY RATE : $18.00 to $19.00 per hour (possible increase after 90 days) HOURS : Full-time 40 hours per week. Monday - Friday no weekends - 8 hour shift between 7:00 AM to 6:00 PM Pharmacy Technician Details Primarily telephonic A lot of outreach to members to follow up with them on medications to see how they're doing Outreach to support members Work alongside with pharmacist Under the direction of Pharmacy Technician, track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required. Enter...
A Line Staffing Solutions Remote * (Fresno, CA, USA)
Sep 19, 2021
Full time Pharmacy Technician CPhT openings in the Fresno, CA area with a major healthcare company! Apply now to Damian Sroka with A-Line! Urgent need, for Certified Pharmacy Technicians! Please apply for consideration! Please apply directly for consideration. Damian Sroka / / Text: Position will start off as remote/work from home and return to office next year (2022) - Must live near Fresno, CA area PAY RATE : $20.00 per hour (possible increase after 90 days) HOURS : Full-time 40 hours per week. Monday - Friday no weekends -10-7pm and 11-8pm and 12-9pm shift Pharmacy Technician Details Process prescription exceptions which may include: resolving claim rejects and member and physician outreach. Enter member demographics and prescription information into the data processing system. Research and resolve rejected insurance billing issues and/or escalated member issues. Escalate questions regarding prescription for interpretation or provide...
A Line Staffing Solutions Remote * (El Paso, TX, USA)
Sep 19, 2021
Now hiring for a Top Healthcare / Managed Care company located near El Paso, TX (working remote) w hom are in need of an experienced Concurrent Review Nurse to become a part of the team, for an remote/work from home position to start but will return to in office once safe to return. Position will be remote or work from home - Most Live near El Paso, TX Pay/Hours: Pay Rate: $35.00 to $37.00 per hour (possible pay increase after 90 days) Hours: Full time - Monday - Friday 40 hour 8:00 a.m. - 5:30 p.m. Job Description: . Reviewing clinical charts for medical necessity (start them slowly, goal is between 8 to 12 charts/day) Responsible for interdisciplinary rounds, discharge needs Telephonic review of emergent/urgent, and continued stay requests for the appropriate level of care and setting following medical necessity guidelines, UM policy and procedures. RN with previous hospital UM or NICU experience. Previous employment with a managed care...
A Line Staffing Solutions Remote * (Tampa, FL, USA)
Sep 18, 2021
Supervisor, Care Management openings with a major health insurance / managed care company based in the Tampa, FL 33634 area! Starting ASAP!! Apply now with Jake Z. at A-line!! **Position will start remote until at least Jan 2022, then hybrid schedule TBD in office out of Tampa, FL 33634** Position Purpose: Under the direction of the Director of Care Management, the Supervisor of Care Management is responsible for implementing the Care Management programs in multiple environments including Prior Authorization, Concurrent Review and Care Management. Manages the daily operational processes to assure the continuum of care that addresses the ongoing needs of the members served by the care management process. A patient advocacy approach with a seamless integration of services is required and must be balanced within the members benefit structure. Emphasis will be placed on continuity of care, assisting members in obtaining access to care, and member...