Jobs in Omaha Wfh

About Arvum Senior Living

Arvum Senior Living, proudly part of the Discovery Senior Living family of operating companies, manages care- and lifestyle-focused Assisted Living and Memory Care communities throughout the Midwest in Illinois, Iowa, Kansas, Missouri, and Wisconsin. Our company, which was built on our Pillars of Excellence, employs hundreds of vital Team Members and is committed to providing a positive work environment and culture that recognizes their value in providing excellent care for our residents.

Position Summary:

The Health & Wellness Director is responsible for providing overall leadership and management of the health and well-being of residents within the community, ensuring regulatory compliance, clinical excellence, and high-quality care delivery.

This role is eligible for a 10% annual performance-based bonus and a sign-on bonus of $5,000.00, aligned with individual and community performance goals.

Essential Duties and Responsibilities:

The following duties are normal for this position. This list is not to be construed as exclusive or all inclusive. Other duties may be required and assigned.

• Ensures that community follows all federal, state, local laws and regulations as it pertains to clinical care.
• Responsible for collecting, analyzing, and reporting occurrence trends, and if necessary, develop/implement improvement plans.
• Partners with Administrator and other team members to analyze and maintain all resident and team member health safety.
• Partners with pharmacy consultant to provide optimal pharmaceutical services to residents.
• Responsible for clinical expertise of licensed nurses.
• Assists with educational presentations as assigned by administrator.
• Identifies ongoing needs and services of residents through the assessment/ Service Plan process including documentation for residents with a change in health care status.
• Responsible for overseeing the completion of the monthly updates and reporting any pertinent changes to the responsible party.
• Partners with other department coordinators to identify, review, and discuss potential change in service/medication levels if applicable.
• Ensures the resident's service plan is updated as indicated by state regulations.
• Participates in community awareness activities and community relations.
• Maintains communications with resident's family and/or responsible party regarding changes in care or health concerns.
• Informs the Business Office of fee changes related to care needs, if applicable.
• Schedules clinical staff on a monthly basis.
• Ensures adequate clinical supplies are available.
• Participates in a rotating on-call schedule.
• Other duties as assigned.

Supervisory Responsibilities:

Provides supervision to LPNs and Certified Nursing Assistants and others as assigned to assure delivery of consistently high quality care to residents. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.

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, skills, and abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Educational Requirements and Experience:

• Registered Nurse or Licensed Practical Nurse in good standing; Registered Nurse preferred
• One (1) year in a nursing leadership role; Senior Living experience preferred.
• BSL Certification

Knowledge, Skills, and Abilities:

• Language Ability:
• Mathematical Skills:
• Cognitive Demands:
• Computer Skills:
  • Proficiency in computer skills, Microsoft Office and ability to learn new applications.
• Competencies:
  • Must demonstrate an interest in working with a senior population.
  • Ability to communicate effectively speaking the primary language of the residents.
  • Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
  • Ability to write routine reports and correspondence.
  • Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
  • Interacts with guests, residents and staff in a courteous and friendly manner.
  • Responds promptly to resident needs.

Environmental Adaptability:

• Works primarily indoors in a climate controlled setting.
• Team Members may be exposed to blood and/or body fluids with potential exposure to hazardous materials and infectious diseases.
• Possible exposure to unpleasant odors.
• Possible exposure to chemicals as identified in the MSDS Manual.

Physical Requirements:

The physical demands described below are representative of those that must be met by an individual to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the Team Member is regularly required to stand and walk. The Team Member is frequently required to use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The Team Member is occasionally required to stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 50 pounds independently and up to 100 pounds with assistance of a second employee and/or mechanical devices. Must be able to push up to 350 lb. (wheelchair). Specific vision abilities required by this job include close vision and distance vision.

Benefits:

In addition to a rewarding career and competitive salary, Discovery offers a comprehensive benefit package.

Eligible team members are offered a comprehensive benefit package including medical, dental, vision, life and disability insurances, paid time off and paid holidays. Team members are eligible to participate in our outstanding 401(k) plan with company match our Employee Assistance Program and accident insurance policies.

Thank you for your interest in Arvum Senior Living careers. If you have any questions about the position you are applying for, please contact the community directly.

No agencies, please. We do not accept any unsolicited resumes from agencies under any circumstances. We receive inquiries from agencies daily. Agencies should not direct any inquiries or emails to hiring managers. Thank you.

EOE D/V

Company: Fusion Medical Staffing

Location: Facility in Omaha, Nebraska

Fusion Medical Staffing is seeking a ICU RN for a 13-week travel assignment in Omaha, Nebraska. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.

• One year of recent experience as an ICU RN
• Valid RN license in compliance with state regulations
• Current BLS (AHA/ARC) and ACLS (AHA/ARC) certifications

• Critical Care Registered Nurse (CCRN) certification
• TNCC, NIHSS certification
• Other certifications or licenses may be required for this position

The ICU Registered Nurse is responsible for providing comprehensive, critical care to patients in the intensive care unit. This role encompasses assessing and monitoring critically ill patients, operating life-support equipment, administering advanced treatments, and collaborating with multidisciplinary healthcare teams. The position requires strong critical care skills, advanced clinical judgment, excellent communication, and a commitment to maintaining the highest standards of patient safety and professional ethics in high-acuity settings.

• Assess and monitor critically ill patients, recognizing and responding to subtle changes in patient condition
• Administer complex medications and treatments in accordance with approved critical care nursing techniques
• Operate and manage advanced life support equipment
• Ensure patient safety and comfort in high-acuity ICU environments, addressing physical and emotional needs
• Record significant conditions, reactions, and interventions, notifying the appropriate provider of changes in patient status
• Perform and interpret advanced hemodynamic monitoring, including arterial lines, central venous pressure, and pulmonary artery catheters
• Accurately document all assessments, interventions, and patient responses in the medical record in a timely manner to ensure continuity of care and compliance with regulatory standards
• Provide education to patients and families regarding the ICU environment, treatments, and recovery expectations
• Communicate closely with interdisciplinary healthcare teams to optimize patient care
• Maintain proficiency in critical care procedures and technologies through ongoing education and training
• Adhere to strict infection control protocols to protect immunocompromised patients and reduce risks
• Engage in quality improvement initiatives to enhance ICU patient outcomes and operational efficiency
• Perform other duties as assigned within scope
• Adhere to hospital safety protocols, infection control guidelines, and regulatory standards

• Critical thinking, service excellence, and good interpersonal communication skills
• The ability to read, write, and communicate in the English language
• Ability to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skills
• Physical Abilities - Must be able to remain in a stationary position, move about, move equipment (50-100lbs), push, pull, and bend
• Interpersonal Skills - Must be able to work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalism
• Technical/Motor Skills - Must have the ability to grasp, perform fine manipulation, push/pull, and move about when assisting with procedures and/or using department equipment
• Mental Requirements - Must be able to cope with frequent contact with the general public and customers while meeting deadlines under pressure. Must be able to work under close supervision occasionally, as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detail
• Sensory - Must possess visual acuity and ability to effectively communicate

• Highly competitive pay for travel professionals
• Comprehensive medical, dental, and vision insurance with first day coverage
• Paid Time Off (PTO) after 1560 hours
• Life and Short-term disability offered
• 401(k) matching
• Aggressive Refer-a-friend Bonus Program
• 24/7 recruiter support
• Reimbursement for licensure and CEUs

At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you - that's why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we're here to guide and celebrate you along your journey. You take care of others; we take care of you.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed 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. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties, or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.

Start your rewarding career as a Travel ICU RN with Fusion Medical Staffing and join our mission to improve lives. Apply now!

Fusion is an EOE/E-Verify Employer

The hourly range for this position is $17.75 to $18.50. This position is also eligible for incentive pay based on performance.

Customer Accounts Manager

Aaron’s Customer Account Managers drive the success of our stores by leading the customer accounts department with the primary goal of achieving company standards for collections and lease renewals. As a Customer Account Manager, you will strategically influence team performance to help our customers achieve their goals of ownership and assume a wide variety of job functions at the direction of the General Manager.

Skills for Success
Customer Account Managers can connect and relate well to people, demonstrate empathy, listen attentively, and successfully navigate difficult conversations. Strong leadership, multi-tasking, organizational, and negotiation/persuasion skills are essential. Like all Aaron’s team members, Customer Account Managers share our purpose and passion for making a real difference in the lives of others and the rewards that come from creating strong personal connections for life.

The Work

• 
  
• Attainment and upkeep of customers’ accounts including maintaining updated customer information in the store computer system and documenting all customer payment appointments
  
• Assist General Manager with operational functions which include account recommendations, payment frequency and payment history to monitor accuracy
  
• Second up to the General Manager
  
• Build authentic customer relationships to support customers in their ownership goals and drive sales
  
• Manage the collections process by counseling customers to gain timely lease/merchandise renewals
  
• Review and close lease agreements, which includes confirming customer identification, collecting money and obtain customer signatures on lease agreements
  
• Contact customers who have not renewed merchandise agreements
  
• Maintain customers contact over the phone and through home visits
  
• Update customers information and maintain accuracy
  
• Manage entire accounts staff to achieve daily, weekly and monthly accounts department goals
  
• Clean and certify merchandise in the cleaning station for all merchandise personally returned
  
• Complete and maintain weekly vehicle maintenance sheet and route sheets daily
  
• Load, secure and protect product in company vehicle
  
• Safely operate company vehicle
  
• Assist the Sales Team as needed
  
• Any other reasonable duties requested by management
  

Requirements

• 
  
• United States at least 21 years old with a valid state Driver’s License and compliance with the Company’s Driver Qualification Policy; including satisfactory MVR (driving record). Canada at least the age of 18.   
  
• Must meet DOT requirements to obtain certification in required states (United States)
  
• Ability to work schedule of hours varying from 8 am to 9 pm
  
• Ability to lift up to 50 lbs. without help and up to 300 lbs. with the assistance of a dolly
  
• Two years of college or two years of previous management experience preferred
  
• High School diploma or equivalent preferred
  
• Excellent interpersonal and communication skills
  
• High energy with the ability to effectively perform all functions of the store and multitasking effectively
  
• Proper telephone etiquette
  
• Uphold the Aaron’s Brand and protect company assets
  
• Maintain a professional appearance
  
• Proficient computer skills
  
  

Aaron’s Total Rewards 

Our team members are our greatest asset. As an expression of our appreciation, Aaron’s is proud to offer outstanding career training, competitive performance incentives, excellent advancement opportunities, and a distinctive benefits package which includes**: 

• 
  
• Paid time off, including vacation days, sick days, and holidays  
  

• 
  
• Medical, dental and vision insurance  
  

• 
  
• 401(k) plan with contribution matching 
  

*Note that the pay range provided above is the lowest to highest rate we in good faith believe we would pay for this role at the time of this posting.  We may ultimately pay more or less than the posted range, and the range may be modified in the future.  An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, seniority, geographic location, performance, shift, travel requirements, sales or revenue-based metrics, any collective bargaining agreements, and business or organizational needs. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. 

**Benefits vary based on FT and PT employment status.

Dedicated Teams - $192,400 - $228,800 Annually Per Team

$15,000 Sign-On Bonus per team for a limited time

Join our team as a CDL-A Team Truck Driver!

Valid CDL-A Required

• Dedicated Teams - $192,400 - $228,800 Annually Per Team
• Earn $0.74 - $0.77 CPM (No Hazmat Endorsement)
• Earn $0.79 CPM (With Hazmat Endorsement)
• Earn $0.80 CPM (With Hazmat and Doubles Endorsements)
• $15,000 Sign-On Bonus per team for a limited time
• Guaranteed raise at 6 months, 1 year, and 18 months
• Great Home Time

• Compensation - CPM: $1.30 - $1.40 / mi + FSC - Depending on Location
• Average age of equipment is 1 year and 2 months

• Health & Dental Insurance
• 401(k) Plans
• Paid Vacation
• Weekly Settlements
• Pet/Rider Policy

• Must have valid Class A CDL
• Must be 23 years of age or older (21 years if prior military)
• Minimum of 6 months of verifiable OTR tractor-trailer experience in the last 12 months or 12+ Months Experience in Last 2 Years
• Must meet FMCSA/DOT driver regulations
• Hazmat and Doubles Endorsement Options Available

Dedicated Teams - $192,400 - $228,800 Annually Per Team

$15,000 Sign-On Bonus per team for a limited time

Join our team as a CDL-A Team Truck Driver!

Valid CDL-A Required

• Dedicated Teams - $192,400 - $228,800 Annually Per Team
• Earn $0.74 - $0.77 CPM (No Hazmat Endorsement)
• Earn $0.79 CPM (With Hazmat Endorsement)
• Earn $0.80 CPM (With Hazmat and Doubles Endorsements)
• $15,000 Sign-On Bonus per team for a limited time
• Guaranteed raise at 6 months, 1 year, and 18 months
• Great Home Time

• Compensation - CPM: $1.30 - $1.40 / mi + FSC - Depending on Location
• Average age of equipment is 1 year and 2 months

• Health & Dental Insurance
• 401(k) Plans
• Paid Vacation
• Weekly Settlements
• Pet/Rider Policy

• Must have valid Class A CDL
• Must be 23 years of age or older (21 years if prior military)
• Minimum of 6 months of verifiable OTR tractor-trailer experience in the last 12 months or 12+ Months Experience in Last 2 Years
• Must meet FMCSA/DOT driver regulations
• Hazmat and Doubles Endorsement Options Available

Food Service Director - NEX

Job Reference Number: 36848
Employment Type: Full-Time, Onsite
Segment: Corrections
Brand: Summit
Location: Blair, Nebraska (US-NE)

We are looking to add a motivated, effective food service director to our Corrections team in Blair, NE. As a food service director, you will have the opportunity to lead a talented team of food service workers and manage all aspects of a food service department to ensure that customers and clients never miss a meal. This role is Non-Exempt and will be paid hourly.

• Managing all functions of the food service department and its resources.
• Manage and lead a team of associates, including hiring and training new employees.
• Ensuring that staff meet all culinary, safety, and sanitation standards and regulations.
• Budgeting for the department, including directly purchasing ingredients and ensuring the account meets all targets and forecasts.
• Conferring with the district manager or other departments regarding the technical and administrative aspects of dining service.
• Addressing customer service needs.

Must-haves:

• At least two years of experience coordinating food service operations.
• Previous experience with industrial cooking.
• Excellent communication skills and experience communicating with both hourly staff and company executives.
• The ability to manage in a diverse environment with a strong focus on client and customer services and satisfaction.
• Experience with and knowledge of all Microsoft Office suite applications.

Nice-to-haves:

• ServSafe and/or HACCP certification

$25.00/hr

• Medical (FT Employees)
• Dental
• Vision
• Voluntary UNUM offering for Accident, Critical Illness and Hospital Indemnity
• Discount Program
• Commuter Benefits (Parking and Transit)
• EAP
• 401k
• Sick Time
• Holiday Pay (9 paid holidays)
• Tuition Reimbursement (FT Employees)
• Paid Time Off

About Summit:

Focused on serving correctional institutions, Summit ensures that incarcerated people across the United States have access to delicious, healthy food at each meal. Working with Summit, you will have the opportunity to aid in this process and provide inmates with vital social interaction at mealtimes.

About Elior North America:

Elior North America is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. We are committed to diversity and encourage applications from people of all backgrounds and abilities. We take pride in supporting the development of our employees and their skills at all levels and in fostering an environment of growth.

At Elior North America, we are committed to offering growth and advancement opportunities for all of our employees. The valuable skills and experience you've gained with Elior will propel you further in your career, whether with our corporate office or one of our brand segments.

Disclaimer: This job description can be revised by management as needed.

Food Service Director - NEX

Job Reference Number: 36848
Employment Type: Full-Time, Onsite
Segment: Corrections
Brand: Summit
Location: Blair, Nebraska (US-NE)

We are looking to add a motivated, effective food service director to our Corrections team in Blair, NE. As a food service director, you will have the opportunity to lead a talented team of food service workers and manage all aspects of a food service department to ensure that customers and clients never miss a meal. This role is Non-Exempt and will be paid hourly.

• Managing all functions of the food service department and its resources.
• Manage and lead a team of associates, including hiring and training new employees.
• Ensuring that staff meet all culinary, safety, and sanitation standards and regulations.
• Budgeting for the department, including directly purchasing ingredients and ensuring the account meets all targets and forecasts.
• Conferring with the district manager or other departments regarding the technical and administrative aspects of dining service.
• Addressing customer service needs.

Must-haves:

• At least two years of experience coordinating food service operations.
• Previous experience with industrial cooking.
• Excellent communication skills and experience communicating with both hourly staff and company executives.
• The ability to manage in a diverse environment with a strong focus on client and customer services and satisfaction.
• Experience with and knowledge of all Microsoft Office suite applications.

Nice-to-haves:

• ServSafe and/or HACCP certification

$25.00/hr

• Medical (FT Employees)
• Dental
• Vision
• Voluntary UNUM offering for Accident, Critical Illness and Hospital Indemnity
• Discount Program
• Commuter Benefits (Parking and Transit)
• EAP
• 401k
• Sick Time
• Holiday Pay (9 paid holidays)
• Tuition Reimbursement (FT Employees)
• Paid Time Off

About Summit:

Focused on serving correctional institutions, Summit ensures that incarcerated people across the United States have access to delicious, healthy food at each meal. Working with Summit, you will have the opportunity to aid in this process and provide inmates with vital social interaction at mealtimes.

About Elior North America:

Elior North America is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. We are committed to diversity and encourage applications from people of all backgrounds and abilities. We take pride in supporting the development of our employees and their skills at all levels and in fostering an environment of growth.

At Elior North America, we are committed to offering growth and advancement opportunities for all of our employees. The valuable skills and experience you've gained with Elior will propel you further in your career, whether with our corporate office or one of our brand segments.

Disclaimer: This job description can be revised by management as needed.

Dedicated Teams - $192,400 - $228,800 Annually Per Team

$15,000 Sign-On Bonus per team for a limited time

Join our team as a CDL-A Team Truck Driver!

Valid CDL-A Required

• Dedicated Teams - $192,400 - $228,800 Annually Per Team
• Earn $0.74 - $0.77 CPM (No Hazmat Endorsement)
• Earn $0.79 CPM (With Hazmat Endorsement)
• Earn $0.80 CPM (With Hazmat and Doubles Endorsements)
• $15,000 Sign-On Bonus per team for a limited time
• Guaranteed raise at 6 months, 1 year, and 18 months
• Great Home Time

• Compensation - CPM: $1.30 - $1.40 / mi + FSC - Depending on Location
• Average age of equipment is 1 year and 2 months

• Health & Dental Insurance
• 401(k) Plans
• Paid Vacation
• Weekly Settlements
• Pet/Rider Policy

• Must have valid Class A CDL
• Must be 23 years of age or older (21 years if prior military)
• Minimum of 6 months of verifiable OTR tractor-trailer experience in the last 12 months or 12+ Months Experience in Last 2 Years
• Must meet FMCSA/DOT driver regulations
• Hazmat and Doubles Endorsement Options Available

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:

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:

Director of Sales-Shop At Home (Paramus)

Key member of the sales leadership team, Director of Sales-Shop At Home is the general manager of the in-home business unit servicing markets without Blinds To Go showrooms (BTG Partners Program). Directly managing and working closely with shop-at-home outside contractors, installers and collaborating with other senior managers, he/she will develop and implement systems and processes that support rapid growth of this business. He/she must be a good recruiter and manager of outside sales people and have excellent communication skills.

Key Responsibilities

• Recruit, manage and drive growth of shop-at-home (SAH) business in markets without BTG showrooms (BTG Partners)
• Actively recruit and on-board outside contractors with experience in window treatments
• Work with merchandising and marketing to develop programs, tools that improve BTG Partners performance
• Work with business support groups to provide ongoing operation support to BTG partners
• Work with installation managers to build installation network and maintain excellent service levels in remote markets
• Help identify and qualify installers as needed
• Measure installation service levels
• Work with stores leadership to identify additional opportunities for BTG Partners Program

Key Requirements

Bachelors in business or related field

10+ years experience including:

• Operating experience in retail or multi-location service business
• In-home sales and management experience
• Experience managing 3rd-party service providers
• Strong interpersonal and communication skills
• High energy and strong motivation skills
• Very strong customer service, problem-solving and follow-up skills
• Ability to identify root causes and solve issues with a high sense of urgency
• Ability to build cross-functional relationships
• Experience working independently, but also as part of a team

Integrating senior manager into the existing business and culture is critical. We will work with him/her to develop an integration plan that sets up the new manager for success at BTG.

Development plan will be individualized, and will include time in our stores to gain a first-hand appreciation of our customer service requirements and to develop key relationships in the field.

Are you a detail-oriented individual with a passion for research and a good understanding of national and local geography? This freelance opportunity allows you to work at your own pace and from the comfort of your own home.

A Day in the Life of an Online Data Analyst:

In this role, you will be working on a project aimed at enhancing the content and quality of digital maps that are used by millions of people worldwide

Completing research and evaluation tasks in a web-based environment such as verifying and comparing data, and determining the relevance and accuracy of information.

Join us today and be part of a dynamic and innovative team that is making a difference in the world!

TELUS Digital AI Community

Our global AI Community is a vibrant network of 1 million+ contributors from diverse backgrounds who help our customers collect, enhance, train, translate, and localize content to build better AI models. Become part of our growing community and make an impact supporting the machine learning models of some of the world’s largest brands. 

Qualification path

No previous professional experience is required to apply to this role, however, working on this project will require you to pass the basic requirements and go through a standard assessment process. This is a part-time long-term project and your work will be subject to our standard quality assurance checks during the term of this agreement. 

Basic Requirements

• Full Professional Proficiency in Punjabi and English language
• Being a resident in The United States or the last 2 consecutive years and having familiarity with current and historical business, media, sport, news, social media, and cultural affairs in India
• Ability to follow guidelines and conduct online research using search engines, online maps, and website information

Flexibility to work across a diverse set of task types, including maps, news, audio tasks, and relevance

Daily access to a broadband internet connection, computer, and relevant software

Assessment

In order to be hired into the program, you’ll take an open book qualification exam that will determine your suitability for the position and complete ID verification. Our team will provide you with guidelines and learning materials before your qualification exam. You will be required to complete the exam in a specific timeframe but at your convenience.

Equal Opportunity

All qualified applicants will receive consideration for a contractual relationship without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. At TELUS Digital AI, we are proud to offer equal opportunities and are committed to creating a diverse and inclusive community. All aspects of selection are based on applicants’ qualifications, merits, competence, and performance without regard to any characteristic related to diversity.

Are you a detail-oriented individual with a passion for research and a good understanding of national and local geography? This freelance opportunity allows you to work at your own pace and from the comfort of your own home.

A Day in the Life of an Online Data Analyst:

• In this role, you will be working on a project aimed at enhancing the content and quality of digital maps that are used by millions of people worldwide
• Completing research and evaluation tasks in a web-based environment such as verifying and comparing data, and determining the relevance and accuracy of information.

Join us today and be part of a dynamic and innovative team that is making a difference in the world!

TELUS Digital AI Community

Our global AI Community is a vibrant network of 1 million+ contributors from diverse backgrounds who help our customers collect, enhance, train, translate, and localize content to build better AI models. Become part of our growing community and make an impact supporting the machine learning models of some of the world’s largest brands. 

Qualification path

No previous professional experience is required to apply to this role, however, working on this project will require you to pass the basic requirements and go through a standard assessment process. This is a part-time long-term project and your work will be subject to our standard quality assurance checks during the term of this agreement. 

Basic Requirements

• Full Professional Proficiency in Urdu and English language
• Being a resident in The United States or the last 2 consecutive years and having familiarity with current and historical business, media, sport, news, social media, and cultural affairs in India
• Ability to follow guidelines and conduct online research using search engines, online maps, and website information
• Flexibility to work across a diverse set of task types, including maps, news, audio tasks, and relevance
• Daily access to a broadband internet connection, computer, and relevant software

Assessment

In order to be hired into the program, you’ll take an open book qualification exam that will determine your suitability for the position and complete ID verification. Our team will provide you with guidelines and learning materials before your qualification exam. You will be required to complete the exam in a specific timeframe but at your convenience.

Equal Opportunity

All qualified applicants will receive consideration for a contractual relationship without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. At TELUS Digital AI, we are proud to offer equal opportunities and are committed to creating a diverse and inclusive community. All aspects of selection are based on applicants’ qualifications, merits, competence, and performance without regard to any characteristic related to diversity.

Are you a detail-oriented individual with a passion for research and a good understanding of national and local geography? This freelance opportunity allows you to work at your own pace and from the comfort of your own home.

A Day in the Life of an Online Data Analyst:

• In this role, you will be working on a project aimed at enhancing the content and quality of digital maps that are used by millions of people worldwide
• Completing research and evaluation tasks in a web-based environment such as verifying and comparing data, and determining the relevance and accuracy of information.

Join us today and be part of a dynamic and innovative team that is making a difference in the world!

TELUS Digital AI Community

Our global AI Community is a vibrant network of 1 million+ contributors from diverse backgrounds who help our customers collect, enhance, train, translate, and localize content to build better AI models. Become part of our growing community and make an impact supporting the machine learning models of some of the world’s largest brands

Qualification path

No previous professional experience is required to apply to this role, however, working on this project will require you to pass the basic requirements and go through a standard assessment process. This is a part-time long-term project and your work will be subject to our standard quality assurance checks during the term of this agreement. 

Basic Requirements

• Full Professional Proficiency in Spanish language
• Being a resident in United States for the last 2 consecutive years and having familiarity with current and historical business, media, sport, news, social media, and cultural affairs in United States
• Ability to follow guidelines and conduct online research using search engines, online maps, and website information
• Flexibility to work across a diverse set of task types, including maps, news, audio tasks, and relevance
• Daily access to a broadband internet connection, computer, and relevant software

Assessment

In order to be hired into the program, you’ll take an open book qualification exam that will determine your suitability for the position and complete ID verification. Our team will provide you with guidelines and learning materials before your qualification exam. You will be required to complete the exam in a specific timeframe but at your convenience.

Equal Opportunity

All qualified applicants will receive consideration for a contractual relationship without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. At TELUS Digital AI, we are proud to offer equal opportunities and are committed to creating a diverse and inclusive community. All aspects of selection are based on applicants’ qualifications, merits, competence, and performance without regard to any characteristic related to diversity.

Are you a detail-oriented individual with a passion for research and a good understanding of national and local geography? This freelance opportunity allows you to work at your own pace and from the comfort of your own home.

A Day in the Life of an Online Data Analyst:

• In this role, you will be working on a project aimed at enhancing the content and quality of digital maps that are used by millions of people worldwide
• Completing research and evaluation tasks in a web-based environment such as verifying and comparing data, and determining the relevance and accuracy of information.

Join us today and be part of a dynamic and innovative team that is making a difference in the world!

TELUS Digital AI Community

Our global AI Community is a vibrant network of 1 million+ contributors from diverse backgrounds who help our customers collect, enhance, train, translate, and localize content to build better AI models. Become part of our growing community and make an impact supporting the machine learning models of some of the world’s largest brands. 

Qualification path

No previous professional experience is required to apply to this role, however, working on this project will require you to pass the basic requirements and go through a standard assessment process. This is a part-time long-term project and your work will be subject to our standard quality assurance checks during the term of this agreement. 

Basic Requirements

• Full Professional Proficiency in Bengali and English language
• Being a resident in The United States or the last 2 consecutive years and having familiarity with current and historical business, media, sport, news, social media, and cultural affairs in India
• Ability to follow guidelines and conduct online research using search engines, online maps, and website information
• Flexibility to work across a diverse set of task types, including maps, news, audio tasks, and relevance
• Daily access to a broadband internet connection, computer, and relevant software

Assessment

In order to be hired into the program, you’ll take an open book qualification exam that will determine your suitability for the position and complete ID verification. Our team will provide you with guidelines and learning materials before your qualification exam. You will be required to complete the exam in a specific timeframe but at your convenience.

Equal Opportunity

All qualified applicants will receive consideration for a contractual relationship without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. At TELUS Digital AI, we are proud to offer equal opportunities and are committed to creating a diverse and inclusive community. All aspects of selection are based on applicants’ qualifications, merits, competence, and performance without regard to any characteristic related to diversity.