Jobs in None Fl Wfh

2,469 positions found — Page 7

Yard Worker
✦ New
🏢 Aerotek
16
Miami, FL 8 hours ago
Yard Worker

Open to landscaping, construction and detailing backgrounds

As a Precast Concrete Laborer, you will be responsible for loading and unloading materials, some weighing up to 50 lbs, outdoors under various weather conditions. This role includes handling heavy materials and operating machinery, all while ensuring a clean and safe work environment.

Responsibilities
  • Load and unload materials weighing up to 50 lbs.
  • Perform physically demanding tasks to ensure safe handling, storage, and preparation of precast concrete products.
  • Operate machinery as required.
  • Maintain a clean and safe work environment.
Essential Skills
  • Ability to work outdoors in all weather conditions.
  • Proficiency in heavy lifting.
  • Basic understanding of concrete and construction processes.
  • Ability to communicate in Spanish or bilingual proficiency.
  • Experience in outdoor work.
  • Familiarity with general labor tasks.
Why Work Here?
  • Enjoy PTO and company paid holiday as part of the permanent package.
  • Once direct, will have access to medical, dental, vision, and life insurance 100% covered by Employer. Nothing out-of-pocket for employee.
  • 401(k) access once direct.
  • Access to Blue Cross Blue Shield while on contract through Aerotek.
  • Certifications and training in house to operate forklifts and MHE.
  • Access to consistent Overtime, between 50-60 hours. Guaranteed OT and must be open to working Saturdays.
Work Environment and Shift
  • This position operates on a 1st shift schedule, from 6:00 AM to 3:30 PM.
  • Monday through Friday, with required availability for Saturday work from 8:00 AM to 1:00 PM.
  • Be prepared to work outdoors under the sun and handle heavy lifting.

Job Type & Location

This is a Contract to Hire position based out of Miami, FL.

Pay and Benefits

The pay range for this position is $16.00 - $16.00/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 onsite position in Miami,FL.

Application Deadline

This position is anticipated to close on Mar 21, 2026.

permanent
On-Call Carpentry Technician Blue Man Group Orlando
✦ New
Salary not disclosed
Orlando, FL 8 hours ago
Carpentry Technician Blue Man Group Orlando

Stage Carpentry

On-Call Position

Blue Man Group Orlando is looking for on-call Carpentry Technicians. The Carpentry Technician is responsible for assisting in the maintenance and fabrication of all scenic elements, maintenance of all automation and carpentry equipment, running the automation and carpentry show track along with associated preset, changeover, post-show, and maintenance duties as scheduled by the Head of Automation & Carpentry. This position runs show tracks, as well as provides support for any rehearsals or outside appearances and gigs. Effective oral and written communication skills are essential, as are interpersonal skills. The ability to work effectively in a team environment is required.

Duties and responsibilities of this position include, but are not limited to:

  • Assist in the maintenance and installation of all elements of the show under the jurisdiction of the Automation & Carpentry Department including but not limited to scenic elements, rigging, automation, and backstage equipment;
  • Assist in the management of the inventory of shop materials and consumables;
  • Attend meetings as required by management;
  • Support and participate in supplemental automation and scenic needs for rehearsals, training, appearances, and gigs;
  • Adhere to appropriate workplace safety requirements and guidelines;
  • Run the automation and carpentry show track as scheduled by the Head of Automation & Carpentry;
  • Assist in diagnosis, troubleshooting, and repair of automated elements as needed;
  • Participate in load-in and load-out and lend assistance to other departments as needed;
  • All other work-related duties as assigned.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • The ability to work effectively in a team environment is required;
  • Theatrical carpentry and rigging skills;
  • Automation and entertainment electrical experience is an asset;
  • The ability to work effectively in low-light environments;
  • Adhere to and promote all Occupational Safety and Health Administration (OSHA) regulations as they pertain to the safe operation of all elements related to the show; participate in all required health and safety classes and emergency rescue procedure training;
  • Contribute to a safe and positive working environment at all times by adhering to and following all Cirque du Soleil Entertainment Group standards, values, policies and regulations pertaining to safety using equipment and established working methods;
  • Assist other departments when necessary for cross-departmental support;
  • At least 2 years of previous experience, or in a similar environment;
  • Working knowledge of Microsoft applications;
  • Bachelor's degree in Technical Production or a similar field; or equivalent relevant work experience;
  • Ability to obtain OSHA 10 course completion card;
  • Fluent in English, both written and spoken; Ability to clearly and effectively communicate via headset;
  • Availability to work varied shifts, including weekends and holidays;
  • Ability to perform the essential functions of the job including, but not limited to: climbing, crouching, kneeling, standing, lifting, sometimes for extended amounts of time; lifting at least 50lbs, working with limited to no visibility; Full list of essential functions will be sent in the offer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions;
  • Verification of the right to work in the United States for Cirque du Soleil Entertainment Group, as demonstrated by completion of the Form I-9 upon hire and the submission of acceptable documentation (as noted on the Form I-9) verifying one's identity and work authorization.

This is an on-call hourly position, eligible for overtime and 401K. This compensation is location-specific and compensation in other geographies may vary. Actual compensation within the pay range will be decided upon elements related, but not limited to: skills, prior relevant experience, and specific work location.

Interested applicants should please apply with a resume and cover letter.

Blue Man Group is a global entertainment phenomenon, known for its award-winning theatrical productions, iconic characters, and multiple creative explorations. Blue Man Group is owned and operated by Cirque du Soleil Entertainment Group.

Blue Man Group is committed to building a creative and dynamic workplace that celebrates individual differences and diversity and treats everyone with fairness and respect. BMG does not discriminate in practices or employment opportunities on the basis of an individual's race, color, national or ethnic origin, religion, age, sex, gender, sexual orientation, gender identity, marital status, veteran status, disability, or any other category protected by federal, state, or local regulations.

permanent
CEI Senior ITS Inspector
✦ New
Salary not disclosed
Fort Lauderdale, FL 8 hours ago
Job Title

At the highest level, must have an enthusiastic, entrepreneurial, and committed effort to performing their job in an ethical and proper manner.

Essential Functions

Ability to communicate effectively in English (verbally and in writing)

Responsible for inspecting construction work

Responsible for monitoring ITS and electrical installation techniques to ensure conformance with the plans, specifications, National Electrical Code and other applicable manuals

Responsible for coordinating and managing the lower-level inspectors

Responsible for escalating any deficiencies to the Project Administrator

Other Principal Duties

Other duties that may arise from time-to-time and/or are commensurate with the title and position.

Education And Experience

High School Diploma or Equivalent, OR

Civil, Electrical Engineering, or Electrical Engineering Technology Degree (with an EI certificate)

Experience in Fiber Installation Inspection, OTDR Fiber Testing, and Controller Operation and Testing

For personnel with Civil, Electrical Engineering or Electrical Engineering Technology degrees:

One (1) year of ITS CEI experience

Demonstrated knowledge in the qualifications

For personnel without Civil, Electrical Engineering or Electrical Engineering Technology degrees:

Four (4) years of CEI experience

Two (2) of those years involved in ITS CEI

Familiarity with Existing Communication Equipment and Switches

Qualifications

IMSA Fiber Optics for ITS Level II Field (or equivalent)

FDOT ITS CEI Computer-Based Trainings

Managed Field Ethernet Switch Module

Closed Circuit Television Camera Module

Microwave Vehicle Detection System Module

Road Weather Information System Module

Dynamic Message Sign Module

FDOT Intermediate MOT

Special Skills Required

Two (2) years of experience in construction inspection to include one (1) year in bridge and/or roadway construction inspection.

Effective oral and written communication.

Ability to bend, stretch, kneel, sit, and stand.

Ability to lift and carry up to 50 lbs.

Provide positive attitude to establish competence and pride in the company

Follow and convey instructions.

Utilize computers and common office equipment.

Wear required personal protective gear/equipment.

Infrequently perform manual labor

Infrequently work in adverse weather conditions

Limited exposure to chemicals.

Travel as required and as it relates to above duties or as directed by supervisor.

permanent
Task Associate
✦ New
Salary not disclosed
Saint Augustine, FL 8 hours ago
Job Opportunity At Ulta Beauty

Experience a place of energy, passion, and excitement. A place where the joy of discovery and uncommon artistry blend to create exhilarating buying experiencesfor true beauty enthusiasts. At Ulta Beauty, we're transforming the world one shade, one lash, one cut at a time. Because beauty is powerful.

If you seek greater purposea place of vision, mission, and lived valueswhere voices are heard, contributions valued and recognized and growth opportunities abound, consider Ulta Beauty. Nowhere else are the possibilities quite this beautiful.

General Summary & Scope

The Task Associate (TA) is responsible for delivering on operational excellence in support of sales drivers, which provide the foundation for delivering an exceptional experience for all Ulta Beauty guests. This is accomplished by keeping fixtures stocked with merchandise, maintaining overall store cleanliness and completing tasks as assigned. They support the Merchandise Manager (MM) and Operations Manager (OM) through a focus on performance (operational metrics), people (peers and guests), and process (operating procedures and compliance standards). This position requires attention to detail and the ability to follow processes and procedures.

Principal Duties & Responsibilities (*Essential Job Functions)

The TA is a champion of Ulta Beauty's mission, vision, and values, and should demonstrate them skillfully and consistently by performing the following duties and responsibilities of the position (as well as all other projects/duties as assigned):

Performance

  • Contribute to meeting or exceeding the store's retail goals by ensuring all tasks are executed as planned and product is available for purchase.
  • Meet compliance and execution goals related to task dashboard and ensure the timely completion of all operational processes, including the shipment and replenishment processes, merchandise sets, and inventory counts and procedures.
  • Maintain prompt, regular attendance.

People

  • Contribute to an inclusive environment that supports teammates, peers, and the internal and external guests served.
  • Regularly participate in ongoing training, including brand and category education, to enable continuous professional development and drive sales performance.

Process

  • Be knowledgeable of and ensure compliance with Ulta Beauty's policies, procedures, and standards.
  • Adhere to Ulta Beauty's dress code.
  • Complete merchandise resets, planograms, marketing displays, physical inventory procedures, and processing shipment using Ulta Beauty's technology and best practices.
  • Drive operational excellence by keeping assigned work area replenished, signed, and faced, and ensuring testers are available.
  • Maintain outstanding store standards and overall store cleanliness including salesfloor, restrooms, cashwrap, backroom, and break area.
  • Protect company assets by following loss prevention best practices and providing exceptional guest service.
  • Execute other operational tasks as directed.

Job Qualifications

Education

  • High school diploma is preferred.

Experience

  • 1 year of relevant work experience or equivalent combination of education and relevant work experience preferred.

Skills

  • Proficient with basic technology (e.g., Point of Sale system and Apple devices)
  • Ability to work independently and as part of a team.
  • Ability to problem solve.

Special Position Requirements

  • Work a flexible schedule to include early morning shifts, days, evenings, weekends, overnights, and holidays

Working Conditions

  • Continuous mobility throughout the store during shift
  • Frequent standing, bending, pulling, pushing, reaching, and twisting during shift
  • Continuous and/or frequent lifting, carrying and/or moving up to 25 lbs. during shift
  • Continuous coordination and manipulation of objects during shift

If an associate has a disability that prevents them from performing an essential function of the job, the Company will engage in the interactive process with the associate to determine whether there is a reasonable accommodation that will enable the associate to perform the essential functions of the job.

At Ulta Beauty (NASDAQ: ULTA), the possibilities are beautiful. Ulta Beauty is the largest North American beauty retailer and the premier beauty destination for cosmetics, fragrance, skin care products, hair care products and salon services. We bring possibilities to life through the power of beauty each and every day in our stores and online with more than 25,000 products from approximately 500 well-established and emerging beauty brands across all categories and price points, including Ulta Beauty's own private label. Ulta Beauty also offers a full-service salon in every store featuringhair, skin, brow, and make-up services.

We will consider for employment all qualified applicants, including those with arrest records, conviction records, or other criminal histories, in a manner consistent with the requirements of any applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and the New York City Fair Chance Act.

permanent
Onsite Administrative Assistant (Not Remote)
✦ New
🏢 Associa
Salary not disclosed
Administrative Assistant

Are you organized, detail oriented, and ready to play a key role in the success of a dynamic property management company? Join Associa as an Administrative Assistant and contribute to the efficient operations of our growing portfolio. We are seeking a dedicated individual to provide essential administrative support to our property management team.

This is a full-time position that would be working regular business hours, reporting to the local branch office in St. Petersburg, FL (not remote).

Associa offers a competitive benefits package to our full-time employees including medical, dental, and vision insurance, 401k, disability insurance, and support with wellness and development initiatives and more. We have been designated Great Place to Work for six consecutive years and many of our locations are awarded as Best and Brightest.

Our Administrative Assistants are the heart of our property management operations, making a significant impact through:

  • Provide crucial administrative support to the property management team, ensuring smooth day-to-day operations.
  • Act as a central point of contact for internal and external communications, handling inquiries and coordinating information flow.
  • Maintain accurate records, prepare reports, and assist with documentation to support effective property management.
  • Manage calendars, schedule appointments, and coordinate meetings to optimize the team's productivity.
  • Build positive relationships with clients, tenants, and vendors, demonstrating a commitment to excellent customer service.

Remote working/work at home options are available for this role.
permanent
Earn up to $250/hr Work at Home (Remote) Data Entry Position
🏢 Maxion
Salary not disclosed

Want to make extra money on YOUR schedule? Join our exclusive list of research study participants and start earning extra income today!

Perfect for anyone seeking remote, part-time, or temporary work, these opportunities require no previous experience and offer unmatched flexibility. Choose the studies that suit you best—whether online, in-person, or over the phone—and get paid for sharing your opinions.

Don't miss out on this chance to turn your free time into valuable earnings!

Participants are needed on a wide range of topics such as:

  • Health Issues (Research for cures and new medications to treat ailments)
  • Consumer Products (Your experience with consumer products)
  • Shopping (Shopping experiences)
  • Internet Usage (How you use the internet)
  • Vehicles (recreational vehicles and automobiles)
  • Employment (Various types of jobs or career fields)
  • Food & Beverages (the consumption of various foods and beverages)
  • Entertainment (About TV, movies or video games)
  • Social Media (the use of different social media platforms)
  • Financial (Banking and investing)
  • Retirement (Planning what, when and how)
  • Gender (studies based on your gender)
  • Housing (Renters or Homeowners)

Compensation:

  • Earn up to $250+ in Just ONE Hour! (Focus Group Session)
  • Earn up to $3,000+ (Multi-Session Studies)

Benefits:

  • Flexibility to take part in discussions online or in-person.
  • No commute needed if you choose to work from home.
  • No minimum hours. You can do this part-time or full-time
  • Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
  • You get to review and use new products or services before they are launched to the public.

Qualifications:

  • Speak and/or read English
  • Must be 18yrs old or older
  • Must have either a phone, computer or tablet with internet connection

Experience:

  • Start Immediately - No Experience Needed! Anyone Can Participate!

Education:

  • Open to all education levels - Your opinion matters!

Remote working/work at home options are available for this role.
Not Specified
Wanted: Work At Home Research Participants (Pay up to $3,000/study)
🏢 Maxion
Salary not disclosed

Want to make extra money on YOUR schedule? Join our exclusive list of research study participants and start earning extra income today! Perfect for anyone seeking remote, part-time, or temporary work, these opportunities require no previous experience and offer unmatched flexibility. Choose the studies that suit you best—whether online, in-person, or over the phone—and get paid for sharing your opinions. Don't miss out on this chance to turn your free time into valuable earnings! Sign up now and take control of your work-life balance.

  • Health Issues (Research for cures and new medications to treat ailments)
  • Consumer Products (Your experience with consumer products)
  • Shopping (Shopping experiences)
  • Internet Usage (How you use the internet)
  • Vehicles (recreational vehicles and automobiles)
  • Employment (Various types of jobs or career fields)
  • Food & Beverages (the consumption of various foods and bevera ges)
  • Entertainment (About TV, movies or video games)
  • Social Media (the use of different social media platforms)
  • Financial (Banking and investing)
  • Retirement (Planning what, when and how)
  • Gender (studies based on your gender)
  • Housing (Renters or Homeowners)
  • Earn up to $250+ in Just ONE Hour! (Focus Group Session)
  • Earn up to $3,000+ (Multi-Session Studies)
  • Flexibility to take part in discussions online or in-person.
  • No commute needed if you choose to work from home.
  • No minimum hours. You can do this part-time or full-time
  • Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
  • You get to review and use new products or services before they are launched to the public.
  • Speak and/or read English
  • Must be 18yrs old or older
  • Must have either a phone, computer or tablet with internet connection
  • Start Immediately - No Experience Needed! Anyone Can Participate!
  • Open to all education levels - Your opinion matters!

Remote working/work at home options are available for this role.
Not Specified
Wanted: Part-Time Work at Home Study Participants (Pay up to $3,000/study)
🏢 Maxion
Salary not disclosed

Want to make extra money on YOUR schedule? Join our exclusive list of research study participants and start earning extra income today!

Perfect for anyone seeking remote, part-time, or temporary work, these opportunities require no previous experience and offer unmatched flexibility. Choose the studies that suit you best—whether online, in-person, or over the phone—and get paid for sharing your opinions.

Don't miss out on this chance to turn your free time into valuable earnings!

Participants are needed on a wide range of topics such as:

  • Health Issues (Research for cures and new medications to treat ailments)
  • Consumer Products (Your experience with consumer products)
  • Shopping (Shopping experiences)
  • Internet Usage (How you use the internet)
  • Vehicles (recreational vehicles and automobiles)
  • Employment (Various types of jobs or career fields)
  • Food & Beverages (the consumption of various foods and beverages)
  • Entertainment (About TV, movies or video games)
  • Social Media (the use of different social media platforms)
  • Financial (Banking and investing)
  • Retirement (Planning what, when and how)
  • Gender (studies based on your gender)
  • Housing (Renters or Homeowners)

Compensation:

  • Earn up to $250+ in Just ONE Hour! (Focus Group Session)
  • Earn up to $3,000+ (Multi-Session Studies)

Benefits:

  • Flexibility to take part in discussions online or in-person.
  • No commute needed if you choose to work from home.
  • No minimum hours. You can do this part-time or full-time
  • Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
  • You get to review and use new products or services before they are launched to the public.

Qualifications:

  • Speak and/or read English
  • Must be 18yrs old or older
  • Must have either a phone, computer or tablet with internet connection

Experience:

  • Start Immediately - No Experience Needed! Anyone Can Participate!

Education:

  • Open to all education levels - Your opinion matters!

Remote working/work at home options are available for this role.
temporary
Full Time Speech Language Therapist-Work From Home
$62,000 - 100,000
Nevada, WFH 5 days ago
Speech Language Pathologist (SLP) Pediatric Home Health Pay: $62,000-$100,000/year
Sign-On Bonus Opportunity!
Eligible candidates may qualify for a $10,000sign-on bonus* as part of their total compensation package. Bonus eligibility and payout structure will be shared early in the interview process.
A Role Designed Around You
At Care Options for Kids, we've built a home health SLP role around what our therapists value most: flexibility, manageable caseloads, and real support. This position allows you to focus on delivering high-quality pediatric care without excessive documentation, long drive times, or unrealistic expectations.
In this role, you'll provide pediatric speech therapy in home-based settings, collaborate closely with families and care teams, and deliver individualized care using efficient, point-of-care documentation tools.
If you're an SLP looking for a sustainable role that fits real life, this position was designed with you in mind.
Care Options for Kids Benefits
~ Weekly Pay and Direct Deposit
~ Medical, Dental, and Vision Insurance
~ Life, LTD, and STD Coverage
~ Supplemental Insurance Options
~401(k) Retirement Plan
~ Paid Time Off (PTO)
~ Continuing education through an online learning portal
~ Industry-leading training and professional development
~ Employee Referral Bonus Opportunities
~ Company Vehicle Program*

Support that Expands Your Impact
Opportunities to participate in COFK's Global Outreach Program, providing therapy services to underserved children abroad, with travel and participation costs covered by Care Options for Kids
A top-tier EHR designed to streamline documentation and reduce administrative burden
Access to clinical leadership when you need guidance, collaboration, and support in the field
Requirements
Master's degree in Speech Language Pathology
Eligible for or holds CCC-SLP
Valid state licensure or certification in a Speech Language Pathology
Current BLS/CPR certification
Reliable transportation and a valid driver's license
Care Options for Kids is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
*Restrictions Apply. Connect with your Talent Acquisition Specialist for more details.
#RDTHNV
Salary:
$62000.00 - $100000.00 / year
Remote working/work at home options are available for this role.
permanent
UM RN Appeals Coordinator - Work from Home
$50 per hour
NY, WFH 1 week ago
Job title UM RN Appeals Coordinator - Work from Home About Sagility

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title:

UM RN Appeals Coordinator - Work from Home

Job Description:

About Sagility

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job Description:

BroadPath, a Sagility Company, is hiring UM RN Appeals Coordinator to join our remote team! Claims Processors are responsible for the accurate and timely entry, review, and resolution of medical claims ranging from simple to moderately complex. This includes reviewing front-end claims and validating information submitted by patients or providers seeking reimbursement from the insurance company. All claim processing must align with CMS guidelines and client-specific policies and procedures.

Schedules, pay rates, and program details may vary based on business needs and client assignment.

Compensation Highlights

  • Base Pay: up to $50 per hour
  • Pay frequency: Weekly pay

Schedule Highlights

  • Training Schedule: 2 weeks, Monday – Friday; 8:00 AM - 5:00 PM CST
  • Production Schedule: Monday – Friday; 8:00 AM - 5:00 PM CST (Flexible)

Responsibilities

A. Performs necessary review to ensure compliance with HHSC and other regulatory entities

  • Collaborate: Partners with the physician team to identify strategies for action and determine appropriate guideline citations or responses based on the category of denial
  • Develop: Creates training materials and examples for nursing staff to enhance understanding of criteria application, benefit use, and the appeal, External Medical Review (EMR), and Fair Hearing processes
  • Coordinate: Ensures continuity of care needs are met and advocates on behalf of Members and families for out-of-network authorization approvals
    Implement: Identifies problems, barriers, and opportunities within processes and develops resolutions or revisions as needed
  • Evaluate: Conducts quarterly assessments of appeal status and program activities, preparing reports for both the State of Texas and internal review
  • Analyze: Reviews requests against regulatory and decision-making guidelines and benefit allowances, implements actions in collaboration with the physician reviewer panel, and monitors timeliness, decision-making, and processing of appeals, EMRs, and State Fair Hearings in accordance with regulatory and accrediting standards

B. Performs all necessary communication and documentation functions

  • Communicates with internal staff, Members/LARs, physicians, hospital representatives, and other
  • Providers regarding case status, due process, rationale, and regulatory requirements
  • Coordinates Fair Hearing requests through TIERS when a Member/LAR or Provider requests an EMR or Fair Hearing
  • Utilizes an Independent Review Organization as needed for specialty or external reviews
  • Oversees documentation and recordkeeping of all case communications in compliance with accrediting requirements
  • Documents all activities and interactions in electronic and event tracking systems
    Generates appeal determination letters as appropriate

C. Collaborates with clinical reviewers, medical directors, external physician reviewers, and network Providers

  • Communicates with physicians on each case to establish the most appropriate course of action
  • Provides education to nurse and therapist reviewers regarding appeal updates and process changes
  • Maintains flexibility in scheduling, including evenings and weekends, to address pharmacy-related denials
  • Educates physician reviewers and clinical review staff on managed care and Medicaid policies and procedures

D. Conducts staff and medical director audits on appeal activities

  • Assists with appeal file preparation for NCQA file reviews
  • Supports the development of corrective action plans based on trended audit findings

E. Provides data for internal and external reporting

  • Analyzes quarterly trends in appeal types and sources
  • Reports appeal activity, type, and resolution, ensuring timely communication standards are met
  • Assists with state reporting in the required format and ensures timely submission to HHSC to avoid financial penalties

Knowledge and Skills

  • Demonstrates proficiency in applying advanced principles, concepts, and techniques central to nursing and ancillary therapy services within managed care, with emphasis on complex pediatrics and obstetrics
  • Ability to comprehensively assess Member and family medical needs, develop and implement plans of care, provide ongoing evaluation and monitoring, and deliver education to Members, families, Providers, and staff
  • Exemplary verbal and written communication skills, with proficiency in computer operation, word processing programs, fax machines, photocopiers, and multi-line telephones
  • Strong customer service orientation and advanced interpersonal communication skills with all levels of internal and external stakeholders, including medical staff, patients and families, clinical personnel, support staff, outside agencies, and community partners

Qualifications

  • RN license in an eNLC (Enhanced Nurse Licensure Compact) state with multistate privileges
  • 3+ years Nursing experience
  • 1+ years’ Utilization Management experience
  • Familiarity with medical terminology, utilization management guidelines, and clinical documentation standards
  • Proficiency in Microsoft Office and experience working with healthcare systems or electronic medical records
  • Strong organizational and time management skills with the ability to work independently
  • Excellent written and verbal communication skills

At BroadPath, a Sagility Company, we believe that transparency, authenticity, and collaboration are the keys to building strong, connected remote teams. If you are someone who values open communication, connection, and teamwork, you will thrive in our environment where showing up authentically matters.

Benefits:

  • Medical, Dental, and Vision coverage.
  • Life Insurance.
  • Short-Term and Long-Term Disability options.
  • Flexible Spending Account (FSA).
  • Employee Assistance Program.
  • 401(k) with employer contribution.
  • Paid Time Off (PTO).
  • Tuition Reimbursement.

BroadPath, a Sagility Company, may conduct background checks, previous employment verifications, and education verifications, based on position requirements


Diversity Statement

At BroadPath, a Sagility Company, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!

Equal Employment Opportunity/Disability/Veterans

If you need accommodation due to a disability, please email us at . This information will be held in confidence and used only to determine an appropriate accommodation for the application process

BroadPath, a Sagility Company is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.

Compensation: BroadPath a Sagility Company has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Location:

USAUnited States of America
Remote working/work at home options are available for this role.
permanent
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