Jobs in Roseville Ca Wfh
249 positions found — Page 4
StartDate: ASAP Available Shifts: Regular 10 Pay Rate: $148.41 - $160.65
This facility is seeking a Certified Registered Nurse Anesthetist (CRNA) for locum tenens support as they look to fill a current need.
Multiple shifts are available from 7am - 12am. Monday - Sunday schedule - 4x10's - 3-month contract with option to extend.
general surgery, orthopedics, gynecology, podiatry, robotics.
Credentialing Timeframe: 30 - 60 days.
Facility Location
The community’s streets come alive with vendors and bands during the summer, offering a great way to enjoy those cool summer nights.
AMN Healthcare typically arranges medical or dental malpractice insurance for the contractor providers we match to client opportunities. In addition, our locum tenens can receive highly competitive pay and a dedicated team that handles all travel, lodging, \u0009rentals and transportation needs.
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
Nurse Anesthetist, Certified Registered, Healthcare, Health Care, Patient Care, Hospital, CRNA
AMN Healthcare is a digitally enabled workforce solutions partner focused on solving the biggest challenges affecting healthcare organizations today. We offer a single-partner approach to optimize labor sources, increase operating margins, and provide technologies to expand the reach of care.
- Monday through Friday scheduling -- 8am - 5pm PST
- Clinical evaluations for non-urgent issues
- Sports medicine and musculoskeletal focus
- Primary care physician referrals accepted
- Ability to order imaging and labs
- Can refer to in-person orthopedic evaluation when needed
- We negotiate better pay and deposit it weekly
- We arrange complimentary housing and travel and comprehensive malpractice coverage
- We simplify the credentialing and privileging process
- Access to online portal for assignment details and time entry
- Your specialized recruiter takes care of every detail
From $175.00 to $250.00 Hourly
Ranges shown should be used as an estimate and are affected by many factors including the critical need of the position, your overall experience and qualifications, and other considerations. Rates shown are all-inclusive and combine an hourly base pay with other potential earnings like overtime, call, and holiday pay. Please contact your consultant for details.
CompHealth JOB-3132709
CompHealth started in 1979 with the idea of connecting top healthcare providers to the communities who need them and has since become the industry leader in healthcare staffing. Connecting with each person?s unique story in order to find them the right job for their lifestyle is what makes us different. And with 1,000 employees in offices across the nation, we have the team in place to ensure that every provider and facility staff recruiter receives the excellent customer service we?ve offered for nearly forty years. Learn more at so we can find the job that?s just right for you.
Primary Care Physician | Family Medicine or Internal Medicine Trained
StartDate: ASAP Available Shifts: 4 or 5-day work week Pay Rate: $31 $320000.00
A respected healthcare practice in the Greater Sacramento metro is seeking a qualified primary care physician to join its team. Family medicine and Internal Medicine physicians are encouraged to apply.
Opportunity Highlights
- Up to $330,000 + annual bonuses
- Full-time 4-day or 5-day workweek available
- 100% outpatient position with NO call required
- Up to $10,000 in relocation assistance available
- Full benefits package including annual employer retirement contribution, PTO , CME, time, CME allowance, health, dental, vision, disability, and life insurance.
Community Information
Roseville is where everyone wants to move—it offers an affordable California lifestyle with access to natural beauty in every direction.
- Higher affordability than most areas in California
- Huge cultural and arts scene to enjoy
- One of the fastest-growing cities in California
- America’s Farm-to-Fork Capital with farm-fresh restaurants, markets, and more
- Spectacular access to nature: Lake Tahoe, Lassen National Park, Muir Woods National Monument, Yosemite, and more
- Variety of weekend getaways available—San Francisco to wineries to ocean resorts to the mountains in Lake Tahoe.
Located at the Sierra Nevada foothills, Roseville was developed during the California Gold Rush and today is rich in its large variety of culture and entertainment, pristine parks, and abundant recreational programs. The community’s streets come alive with vendors and bands during the summer, offering a great way to enjoy those cool summer nights. Job Benefits About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable. Family Practice Physician, Family Practice Md, Family Practice, Family Doctor, Primary Care, Fp, Fm, Physician, Healthcare, Health Care, Patient Care, Hospital, Medical, Doctor, Md, family-practice-medicine, family practice, family medicine
AMN Healthcare is a digitally enabled workforce solutions partner focused on solving the biggest challenges affecting healthcare organizations today. We offer a single-partner approach to optimize labor sources, increase operating margins, and provide technologies to expand the reach of care.
Highlights:
* High income potential (initial income guarantee and transition to production-based compensation)
* $5 $800000.00 Salary
* Join one of the largest and fastest growing dermatology groups in the state of California with a workforce of 100+ providers
* Area has experienced rapid growth over the last 20 years, increasing its population 75% by way of economic growth and new housing developments
* Walk into a busy and established practice with unmet patient demand in this community, current provider seeing 40+ patients per day
* Mohs surgeons are employed directly by group for seamless referrals and continuity of care
* Excellent in-house dermatopathologist & path lab located less than an hour away
* EMA (electronic medical record) is industry leading and optimized specifically for dermatology practices
* Practice boasts a highly trained & dedicated support team
Benefits:
* Health Insurance
* Life, Accidental Death and Dismemberment, Short-Term and Long-Term Disability Insurance
* 401(k) retirement plan
* CME, license, membership dues
* PTO
* Relocation
* Malpractice and tail coverage
APPLY NOW or TEXT Job & email address to 636 - 628 - 2412.
Search all of our provider opportunities at: brittmedical DOT com
Internal Medicine Physician
StartDate: ASAP Available Shifts: 4 or 5 day workweek Pay Rate: $31 $320000.00
A respected healthcare practice in the Greater Sacramento metro is seeking a qualified Internal Medicine physician to join its adult primary care team. Experienced physicians and resident physicians are encouraged to apply.
Opportunity Highlights
* Up to $320,000 + annual bonuses
* Full-time 4-day or 5-day workweek available
* 100% outpatientposition with NO call required
* Up to $10,000 in relocation assistance available
* Full benefits package including annual employer retirement contribution, PTO , CME, time, CME allowance, health, dental, vision, disability, and life insurance.
Community Information
Roseville is where everyone wants to moveit offers an affordable California lifestyle with access to natural beauty in every direction.
* Higher affordability than most areas in California
* Americas Farm-to-Fork Capital with farm-fresh restaurants, markets, and more
* Spectacular access to nature: Lake Tahoe, Lassen National Park, Muir Woods National Monument, Yosemite, and more
* Variety of weekend getaways availableSan Francisco to wineries to ocean resorts to the mountains in Lake Tahoe.
Jacob Bass , Senior Managing Consultant at AMN Healthcare, represents this search and would like to provide you with further details. To schedule a meeting with Jacob to discuss this opportunity, please click this link: . Engaging with Jacob directly will allow you to streamline your application process with minimal delays, as it ensures that you interact solely with individuals directly involved in representing this opportunity. I look forward to talking with you!
Facility Location
Located at the Sierra Nevada foothills, Roseville was developed during the California Gold Rush and today is rich in its large variety of culture and entertainment, pristine parks, and abundant recreational programs. The communitys streets come alive with vendors and bands during the summer, offering a great way to enjoy those cool summer nights.
Job Benefits
About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
Internal Medicine, Internist, Internal Medicine, Internal Care, Physician, Healthcare, Health Care, Patient Care, Hospital, Medical, Doctor, Md
As a Bilingual Customer Service Representative
- (Spanish-English) working remotely in Sacramento, CA, you’ll be a part of bringing humanity to business.
#experienceTTEC Our employees have spoken.
Our purpose, team, and company culture are amazing and our Great Place to Work® certification in the United States says it all! This position requires that you reside within 50 miles of Sacramento, CA.
What You’ll be Doing Do you have a passion for helping others and giving them peace of mind? Whether it’s getting answers for customers quickly or resolving their issues with a smile, you’ll be the difference between their customer experience being just average or an exceptional one.
During a Typical Day, You’ll Answer incoming communications from customers Conduct research to provide answers for customers to resolve their issues What You Bring to the Role 6 months of customer service experience High school diploma or equivalent Great written and verbal communication skills in Spanish-English Computer experience High speed internet (> 15mbps) may be required for some programs What You Can Expect Supportive of your career and professional development An inclusive culture and community minded organization where giving back is encouraged A global team of curious lifelong learners guided by our company values Base wage starting at $18.48 per hour And we have a healthy benefits package based on your position that could include PTO, tuition reimbursement, health and wellness incentives Visit for more information.A Bit More About Your Role We’re committed to helping you build the skills and confidence to succeed, from day one and throughout your career.
Your training experience includes engaging, instructor‑led online sessions that use both webcam video and audio, so you can connect visually with trainers, leaders, and fellow teammates.
Webcam participation is expected during all instructor‑led TTEC and client‑required training, either throughout the session or at designated times, and is encouraged during coaching sessions to support meaningful connection and collaboration.
Along the way, you’ll also have access to individualized coaching and thousands of free courses to support your growth.
And while skills can be learned, your caring, supportive nature is what truly sets you apart.
At TTEC, you’re part of one dynamic, global family that’s here to support you every step of the way.
You'll report to Team Lead.
You'll contribute to the success of the customer experience and the overall success of the team.
About TTEC TTEC is a global consulting, technology, and managed services company that helps brands deliver smarter, more human customer experiences through data, AI, and technology.
Our work connects people and brands every day—and it starts with the talent behind the experience.
TTEC is proud to be an equal opportunity employer where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
TTEC embraces and is committed to building a diverse and inclusive workforce that respects and empowers the cultures and perspectives within our global teams.
We aim to reflect the communities we serve, by not only delivering amazing service and technology, but also humanity.
We make it a point to make sure all our employees feel valued, belonging, and comfortable being their authentic selves at work.
As a global company, we know diversity is our strength because it enables us to view things from different vantage points and for you to bring value to the table in your own unique way.
OUR APPROACH CENTERS ON QUALITY OF LIFE
Make an Impact in our Home and Community Program in the Greater Sacramento Region:
What you will receive:
- No Weekends OR Holidays
- Flexible Schedule Created by You
- Paid per hour (not just per visit)
- Mileage Reimbursement
- Growth/Advancement Opportunities
Who we are looking for:
- An experienced PT, enthusiastic about providing functional rehabilitation wherever life happens, whether at home, school, work, or in the community
- You are ready to treat your client beyond a staged environment into real life experiences like cooking in their kitchen, navigating grocery stores, restaurants, outdoor activities, and the workplace
- You thrive in an autonomous setting, and value being a part of a collaborative team of dynamic therapists
What you will do: Responsibilities listed include but not limited to:
- Perform evaluations and develop treatment plans
- Regularly re-assess effectiveness of treatment plans, attend staffing meetings and family conferences
- Perform discharge evaluations, make appropriate recommendations for home and community safety, and provide referral and education resources
- Communicate patient's needs and progress to the treatment team, physician, person receiving services and family members
- Communicates with other disciplines to ensure collaboration, coordination of care and enhance patient outcomes
What you will need:
- Minimum of bachelor's degree in Physical Therapy from a college or university with accredited Physical Therapy program
- Current, unrestricted license as Physical Therapist by state in which practicing
- Current Basic Life Support or Cardiopulmonary Resuscitation certification in accordance state regulations
- A minimum of one year's work experience as a physical therapist preferred
- Demonstrates knowledge of rehabilitation techniques related to complex neurological injury
- Communicates effectively and professionally in verbal and written interactions
- Ability to lift 50 pounds
- Moving, lifting, or transferring of patients which may involve lifting of up to 100 pounds following safety procedures
- Duties require fine motor skills, visual acuity, and walking/ standing for extended periods
- Additional physical requirements include: pushing/pulling, bending/stooping, reaching, kneeling, and positioning frequently at times
- A health screen or examination may be required prior to assignment and periodically thereafter, depending on the specific location policy, local or state regulations to verify that he/she is physically capable of performing assigned duties with or without reasonable accommodations
About our Line of Business
Rehab Without Walls is a revolutionary neuro rehabilitation program that moves individuals outside the walls of institutional settings and into their natural home and community environment through a continuum of care. It is designed to significantly help people - who have primarily experienced a brain injury, spinal cord injury or stroke/CVA through accident or illness - regain functional capabilities. By providing care in the home, community, workplace, or school, Rehab Without Walls promotes greater health through the recovery process, all with industry-leading outcomes that dramatically improve functional skills and independence for patients. For more information visit Follow us on Facebook and LinkedIn.
Additional Job Information
Join our creative team as we continue to expand in California:
- Experience with neurological conditions preferred
- Experience in home health or community settings a plus
- Functional, creative neuro rehabilitation; unbound by traditional barriers which could include activities such as:
- Going to the Beach
- Navigating the Mall
- Going to the Park
- Music or Yoga Therapy
- Aqua Therapy
- Careers across the Greater Sacramento Region
- New Grads Welcome!
- Opportunities for PTA's and PT's to join our growing team
Start your new journey today!
Imagine a career helping patients get back to what's most important to them - whether that's returning to work, playing the piano or coaching Little League baseball. Now imagine having the flexibility to be creative in how you do that - blending scientifically backed rehab methods with the patient's unique environment and interests. That's what makes every day different for Rehab Without Walls team members!
Make an Impact in our Home and Community Program:
Who we are looking for:
- An experienced OT, enthusiastic about providing functional rehabilitation wherever life happens, whether at home, school, work, or in the community
- You are ready to treat your client beyond a staged environment into real life experiences like cooking in their kitchen, navigating grocery stores, restaurants, outdoor activities, and the workplace
- You thrive in an autonomous setting, and value being a part of a collaborative team of dynamic therapists
What you will receive:
- Free Continuing Education Hours
- Paid Time Off/Paid Holidays
- Medical/Dental/Vision/401K
- Work Life Balance
- Supportive Leadership and Team Environment
Responsibilities
What you will do: Responsibilities listed include but not limited to:
- Perform evaluations and develop treatment plans
- Regularly re-assess effectiveness of treatment plans, attend staffing meetings and family conferences
- Perform discharge evaluations, make appropriate recommendations for home and community safety, and provide referral and education resources
- Communicate patient's needs and progress to the treatment team, physician, person receiving services and family members
- Communicates with other disciplines to ensure collaboration, coordination of care and enhance patient outcomes
Qualifications
What you will need:
- Minimum of a bachelor's degree in Occupational Therapy from a college or university with an accredited Occupational Therapy program
- Current, unrestricted license as an Occupational Therapist by state in which practicing
- Current CPR Certification
- A minimum of one year's work experience as an Occupational Therapist
- Demonstrates knowledge of rehabilitation techniques related to complex neurological diagnoses preferred
- Communicates effectively and professionally in verbal and written interactions
- Ability to lift 50 pounds
- Moving, lifting, or transferring of patients which may involve lifting of up to 100 pounds following safety procedures
- Duties require fine motor skills, visual acuity, and walking/ standing for extended periods
- Additional physical requirements include: pushing/pulling, bending/stooping, reaching, kneeling, and positioning frequently at times
- A health screen or examination may be required prior to assignment and periodically thereafter, depending on specific location policy, local and state regulations to verify employee is physically capable of performing assigned duties with or without reasonable accommodations
About our Line of Business
Rehab Without Walls is a revolutionary neuro rehabilitation program that moves individuals outside the walls of institutional settings and into their natural home and community environment through a continuum of care. It is designed to significantly help people - who have primarily experienced a brain injury, spinal cord injury or stroke/CVA through accident or illness - regain functional capabilities. By providing care in the home, community, workplace, or school, Rehab Without Walls promotes greater health through the recovery process, all with industry-leading outcomes that dramatically improve functional skills and independence for patients. For more information visit Follow us on Facebook and LinkedIn.
Additional Job Information
Join our Home and Community Rehabilitation Program in Sacramento, CA:
- Active OT Licensure in the state of CA
- Neuro experience: TBI, SCI, CVA, Parkinson's and varied neurological conditions highly preferred
- 2 years experience preferred
- Acute, post-acute or home health experience preferred
- Per Diem and Full Time Opportunities
Start your journey with Rehab Without Walls and apply today!
Salary Range
USD $93,000.00 - $99,000.00 / Year
Rite-HiteService Technicianswill install, maintain, and repair loading dock equipment and industrial doors at customer facilities. In addition, Service Technicians act as a technical resource for our customers and our sales force. This position works independently or in small teams in a field service environment, and is a primary customer contact.
Required Experience:Rite-Hitesells the best and we hire the best. This position requires experience welding and working with mechanical, hydraulic, and electrical systems. Prior experience in the repair or installation of industrial equipment is preferred. Selected candidate must be able to work independently in a field environment. Good customer service skills are required. This position requires the ability to work outdoors, at heights, and lift up to 100 pounds. As this position requires driving a company vehicle, a pre-employment drug test and clean driving record are required, as is a DOT physical.
Company Description:Arbon Equipment - A Rite-Hite Company is the global leader in the manufacture and distribution of industrial loading dock and door equipment. Our innovative products and world class sales organization ensure solid, consistent growth, both for our company and our staff. We are always looking ahead to develop innovative new products and services to improve our customers' safety, security, and productivity.
We Offer:Arbon Equipment - A Rite-Hite Company provides competitive compensation and a comprehensive benefits package with medical, dental, and vision coverage along with life and paid medical leave. We also provide a retirement savings plan that combines 401(K) with company match and profit sharing. Paid holidays, vacation, and up to five paid personal/sick days per year round out the package.
Rite-Hite is an Equal Opportunity/Affirmative Action employer offering a drug free workplace for our customers and employees.
Job Description:
- Deliver comprehensive, multi-disciplinary, multi-line customer onboarding experience and oversight, including project coordination across key PMA disciplines
- Understand and comply with all excess and unbundled carrier guidelines; ensure timely and appropriate carrier engagement and communication protocols are adhered to in accordance with carrier service agreements
- Execute key program objectives throughout the client engagement; develop and implement short and long-range customer objectives consistent with client business goals and expectations
- Deliver consultative risk management services across all client and program types to solution for non-standard inquiries, including, but not limited to data management, program oversight, and strategic program direction
- Serve as a complete subject matter expert on all PMA products and services while maintaining a deep understanding of operational implications of the services provided
- Maintain deep understanding of services sold on each program and implement comprehensive procedures to control and prevent service creep
- In partnership with TPA sales and TPA claims timely identify and develop customer solutions to support renewals and demonstrate PMAMC value proposition throughout the life of the program
- Regularly engage in brand building activity with prospects, customers, brokers, and carriers
- Demonstrate strong ongoing understanding of industry landscape by participating in industry conferences, webinars, and available learning opportunities
- Recommend and develop client education opportunities to show PMAMC value to clients and their brokers
- Drive customer compliance with utilization of PMAMC approved vendor partners by maintaining a strong understanding of the products and services (and their value proposition) offered through PMA
- Timely initial and ongoing review of Account Management Database ensuring all data is consistently accurate and current
- Assist assigned customers with interpretation of data analytics specific to the needs of their programs and associated lines of business
- Partner with TPA data analytics team to evolve ongoing client reporting based on the program expectation, marketplace demands, and long-term customer objectives
- Implement customer-specific scorecards to showcase value
- Obtain appropriate industry certifications
- Expand understanding and technical competency utilizing key PMA software platforms, including, but not limited to Excel, Power Point, Qlik, Hyperion, Sharepoint, and project management tools
- Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards, and laws applicable to job responsibilities in the performance of work
#LI-Remote
Requirements:Requirements:
- Six plus years workers' compensation and auto/general liability claims experience required.
- Prior TPA and/or account management experience preferred.
- MUST RESIDE IN CA
- Bachelor's degree and/or equivalent work experience required.
- Excellent verbal and written communication skills with demonstrated presentations skills required.
- Strong analytical and problem solving skills with a solid customer service orientation required.
- Travel up to 35%
- Associate in Claims (AIC) or Chartered Property Casualty Insurance (CPCU) designation preferred.
PMA is providing applicants with the anticipated wage range for this position in compliance with state regulations. The wage range for this role is $117,000 to $142,000. Wage ranges are based on national market data and may cover a wide range of geographies. Applicants may be paid above, within or below this range based on a variety of factors.
Our organization follows the triple aim while delivering high quality and low cost healthcare to patients.
VPA is committed to high quality, patient satisfaction and value-based healthcare.
Through quality medicine and compassionate care, our providers are able to ease the burden for patients that are unable to access necessary care in a traditional practice setting due to their health status.
Over 43 locations in 12 states Completed over 5 million house calls in the last decade 24/7 Care Center support The largest ACO dedicated to home based primary care Experienced with clinically integrated network (CIN), population health management, and value-based healthcare initiatives Best practice protocols including COPD, Pneumonia, CHF, Diabetes, and Chronic Care Management Web-based EHR for all clinicians Fully implemented compliance, QAPI, infection prevention and control plansWe are currently looking for physicians in the Marysville, MI area to join the VPA team.
Competitive base salary and aggressive quarterly incentive pay Comprehensive benefit package including 401K with match Annual stipend for CME and license/association dues UpToDate for your tablet and phone A+ rated Malpractice Coverage with tail coverage No nights, No holidays, No hospital rounds Minimal call responsibilities Average of 10 patients per day More quality, face-to-face interaction with patients and families EMR with dedicated training and support staff Teamed with a medical assistant and patient care coordinatorLearn more about changes we are making in patients lives here.
Remote working/work at home options are available for this role.
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 HomeJob 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 AmericaRemote working/work at home options are available for this role.
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.
Remote working/work at home options are available for this role.
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.
Remote working/work at home options are available for this role.
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.
Remote working/work at home options are available for this role.
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.
Remote working/work at home options are available for this role.
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.
Remote working/work at home options are available for this role.
Responsibilities: · Handle customer inquiries and complaints · Provide information about the products and services · Troubleshoot and resolve product issues and concerns · Document and update customer records based on interactions · Develop and maintain a knowledge base of the evolving products and services Qualifications: · Previous experience in customer service, sales, or other related fields · Ability to build rapport with clients · Ability to prioritize and multitask · Positive and professional demeanor · Excellent written and verbal communication skills Work from home! Awesome CEO, opportunity for advancement and great income earning potential!
Remote working/work at home options are available for this role.
Senior Project Manager
Construction | Chicago, IL | Hybrid Flexibility
A globally recognized Architecture, Engineering, and Construction firm is seeking an experienced Senior Project Manager to join their downtown Chicago office. This firm delivers complex, high profile projects across the United States and internationally, with a diverse portfolio including industrial, residential, commercial, education/public, mixed use, and hospitality developments valued up to $200M+.
This role offers the opportunity to lead large scale projects from preconstruction through completion while working within a fully integrated AEC delivery model alongside architecture, engineering, and construction teams.
The Opportunity
The Senior Project Manager will be responsible for overall project leadership, managing teams, coordinating stakeholders, and ensuring projects are delivered safely, on schedule, and within budget.
You will oversee complex projects across multiple sectors, working closely with internal design teams, consultants, subcontractors, and clients to deliver successful outcomes on high value projects across the U.S. and internationally.
Key Responsibilities
- Lead the planning, execution, and delivery of construction projects valued up to $200M+.
- Manage projects from preconstruction through project closeout, ensuring schedule, budget, and quality objectives are achieved.
- Oversee project teams including project managers, project engineers, superintendents, and subcontractors.
- Coordinate closely with architectural and engineering teams within the integrated AEC environment.
- Manage project financials including budgets, forecasting, cost control, and change management.
- Maintain strong client relationships and serve as the primary point of contact throughout the project lifecycle.
- Lead project meetings, reporting, and communication with internal and external stakeholders.
- Ensure compliance with safety standards, contractual requirements, and company procedures.
Qualifications
- 10+ years of construction project management experience.
- Proven experience delivering large scale commercial, mixed use, residential, industrial, hospitality, or institutional projects.
- Experience managing projects valued $50M to $200M+.
- Strong leadership and team management capabilities.
- Ability to oversee project financials, schedules, and client relationships.
- Excellent communication and stakeholder coordination skills.
- Bachelor’s degree in Construction Management, Engineering, Architecture, or related field preferred.
Why Join
- Globally respected Architecture, Engineering, and Construction firm with an international project portfolio.
- Opportunity to lead large scale projects across multiple sectors.
- Collaborative environment working alongside architecture and engineering teams in an integrated delivery model.
- Downtown Chicago office with a hybrid work schedule (2 days work from home).
Remote working/work at home options are available for this role.
Assistant Project Manager
Construction | Chicago, IL | Hybrid Flexibility
A globally recognized Architecture, Engineering, and Construction firm is seeking an Assistant Project Manager to join their downtown Chicago office. This firm delivers complex, high profile projects across the United States and internationally, with a diverse portfolio including industrial, residential, commercial, education/public, mixed use, and hospitality developments valued up to $200M+.
This role offers the opportunity to support the delivery of large scale projects while working within a fully integrated AEC delivery model alongside architecture, engineering, and construction teams.
The Opportunity
- The Assistant Project Manager will support senior project leadership in the planning and execution of construction projects from preconstruction through completion. This role will assist with coordination across project teams, consultants, subcontractors, and clients to ensure projects are delivered safely, on schedule, and within budget.
- You will gain exposure to complex projects across multiple sectors while developing your leadership and project management capabilities within a collaborative AEC environment.
Key Responsibilities
- Support the planning and execution of construction projects valued up to $200M+.
- Assist in managing projects from preconstruction through project closeout.
- Coordinate with project managers, superintendents, project engineers, and subcontractors to maintain project progress.
- Work closely with internal architectural and engineering teams within the integrated AEC environment.
- Assist with project financial tracking including budgets, cost reporting, forecasting, and change management.
- Help maintain project schedules, documentation, and reporting.
- Support communication between clients, consultants, subcontractors, and internal teams.
- Participate in project meetings and assist in tracking action items and deliverables.
- Ensure project documentation complies with safety standards, contractual requirements, and company procedures.
Qualifications
- 2 to 6 years of construction project management experience.
- Experience supporting commercial, mixed use, residential, industrial, hospitality, or institutional construction projects preferred.
- Exposure to projects valued $10M to $100M+.
- Strong organizational and coordination skills.
- Ability to support project financials, schedules, and documentation.
- Excellent communication and teamwork capabilities.
- Bachelor’s degree in Construction Management, Engineering, Architecture, or related field preferred.
Why Join
- Globally respected Architecture, Engineering, and Construction firm with an international project portfolio.
- Opportunity to work on complex projects across multiple sectors.
- Strong mentorship and career progression toward Project Manager and Senior Project Manager roles.
- Collaborative environment working alongside architecture and engineering teams in an integrated delivery model.
- Downtown Chicago office with a hybrid work schedule with 2 days work from home.
Remote working/work at home options are available for this role.
