Jobs in Tampa Florida Wfh
958 positions found — Page 4
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.
Β· Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.
Β· Performs ongoing, systematic collection and analysis of patient data pre β during β post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.
Β· Assesses, collaborates, and documents patient/familyβs basic learning needs to provide initial and ongoing education to patients and family.
Β· Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.
Β· Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
Β· Initiates or assists with emergency response measures.
Β· Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
Β· Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
Β· Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
Β· Ensures patient awareness related to transplant and treatment modality options.
Β· Required to complete CAP requirements to advance.
Β· Performs all other duties as assigned by Supervisor.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Β· The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
Β· This position requires frequent, prolonged periods of standing and the employee must be able to bend over.
Β· The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
Β· The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
Β· May be exposed to infectious and contagious diseases/materials.
Β· Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.
Β· The position may require travel to training sites or other facilities.
Β· May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.
SUPERVISION:
Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:
Β· Successful completion of all FKC education and training requirements for new employees.
Β· Must have a minimum of 9 months experience as a RN.
Β· Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.
EDUCATION and LICENSURE:
Β· Graduate of an accredited School of Nursing.
Β· Current appropriate state licensure.
Β· Current or successful completion of CPR BLS Certification.
Β· Must meet the practice requirements in the state in which he or she is employed.
EXPERIENCE AND REQUIRED SKILLS:
Β· Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
Β· Chronic/acute hemodialysis experience (preferred).
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
Provides routine and complex care, with the ability to on long-range goals or plans.
Continues to develop the ability to cope with and manage contingencies of clinical nursing.
Makes appropriate assignments and delegates to other care providers to help manage the clinical situation.
Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Organizing and overseeing patient care delivery during an assigned shift, ensuring proper staffing and smooth operations of a patient care unit.
Coaching/counseling individual team members; monitoring and providing feedback on performance and addressing training needs.
Documenting daily staffing, operational, and administrative records; maintaining compliance with governmental policies and procedures.
Providing direction and support to nursing staff demonstrating and promoting respect for the dignity and rights of every patient; assisting with communications with patients and families Allocates team resources responsibly and equitably, delegates appropriate levels of responsibility and authority, and provides oversight and guidance.
Mediates and resolves conflicts among individuals, groups, and departments.
Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 2 years of clinical patient care experience in a relevant setting Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.
Work Schedule: MULTIPLE SHIFTS AVAILABLE Work Type: Full Time
Are you looking for a career where compassion meets purpose? At VitalCaring, weβre more than a home health and hospice providerβweβre a family that supports, inspires, and uplifts both our patients and our team members.
Who We Are
Founded in 2021, VitalCaring has grown into a leading provider of home health and hospice services, with over 100 locations across the country. We are committed to fostering a culture of support, growth, and excellence for our team that is the backbone of how we ensure we deliver exceptional patient care.
Why Choose VitalCaring?
Work That Fits Your Life β Discover the ideal balance of purpose and flexibility. As a full-time salaried clinician, youβll enjoy the stability of a consistent role with the freedom to manage personal commitments throughout your day. Our field team thrives in an environment that empowers them to make a real impactβwhile still having the time and space to prioritize what matters most at home. With a generous 6 weeks of paid time off each year, youβll have the opportunity to recharge, reconnect, and return ready to do your best work.
Make a Meaningful Impact β Help patients and families navigate their healthcare journey with compassion and dignity.
Thrive in a Supportive Team β Work with a team who genuinely care and invest in your success.
Grow Your Career β Take advantage of advanced training, mentorship, and career development opportunities.
Competitive Pay & Benefits β Be rewarded for your dedication and expertise with a compensation package that truly reflects your value. Our benefits are thoughtfully designed to support your well-beingβoffering the flexibility, security, and resources you need to thrive both at work and in life. We celebrate success at every level, with meaningful recognition for both individual contributions and team achievements.
Health & Wellness
β’ Medical, Dental & Vision
β’ Pharmacy Benefits
β’ Virtual & Mental Health Support
β’ Flexible Spending Accounts (FSAs) & Health Savings Account (HSA)
β’ Supplemental Health & Life Insurance
Financial & Legal
β’ 401(k) with Company Match
β’ Employee Referral Program
β’ Prepaid Legal Plans
β’ Identity Theft Protection
Work-Life Balance & Perks
β’ Paid Time Off
β’ Pet Insurance
β’ Tuition & Continuing Education Reimbursement
Join VitalCaring Group and experience a company that invests in you every step of the way!
Job Summary
At VitalCaring, our team members transform lives and foster hope through genuine caring. As a Hospice Physical Therapist, you will plan, organize, and deliver therapy services focused on maintaining comfort, function, and quality of lifeβnot active rehabilitation. You will guide patients and caregivers through supportive techniques, safe mobility, and meaningful education to promote dignity and ease at the end of life. Every encounter reflects our values: trustworthy, capable, compassionate, proactive, and called.
Essential Functions
Patient Care
- Provide physical therapy services according to the written physicianβs plan of care and the state Physical Therapy Practice Act.
- Assess and evaluate therapeutic, rehabilitative, and functional status; participate in developing the total plan of care.
- Evaluate the home environment to support patient safety and comfort.
- Assess muscle strength, mobility, gait, range of motion, and transfer abilitiesβwith a hospice focus on comfort rather than rehabilitation.
- Direct physical therapy treatments and instruct patients/families on the use and care of therapeutic appliances.
- Identify and prioritize therapy needs and report patient responses or condition changes to the physician.
- Initiate the therapy program and instruct family/caregivers and interdisciplinary team members on therapy techniques and care goals.
- Train patients in the use of prosthetic devices when appropriate.
- Identify the need for additional home health services and make referrals as necessary.
- Provide consultation to patients, families, and caregivers.
Communication & Documentation
- Prepare and submit clinical notes, progress summaries, and discharge summaries per organizational policy.
- Participate in patient discharge planning to ensure smooth care transitions.
- Communicate effectively with physicians, caregivers, and interdisciplinary team members.
- Participate in interdisciplinary group (IDG) meetings to support coordinated hospice care.
Additional Responsibilities
- Provide in-service education for nursing and organizational personnel as needed.
- Participate in peer consultation and QAPI activities.
- Supervise Physical Therapy Assistants (PTAs) according to policy and state regulations.
- When therapy is the only skilled service, instruct, supervise, and evaluate home health aide care every two weeks.
Qualifications
- Bachelorβs or masterβs degree in physical therapy from an accredited program.
- Licensed to practice as a physical therapist in the state of practice.
- Two years of relevant experience preferred; home health or community-based experience helpful.
- Strong verbal, written, and organizational skills.
- Current CPR certification.
- Licensed driver with an insured automobile that meets organizational requirements.
Join us in making a difference in the early detection of hearing loss in newborns as a Newborn Hearing Screen Technician! As a newborn hearing screen technician, you will provide hearing screens in the hospital after a baby is born. You will work on-site at one or more hospital locations to screen newborns for hearing loss. At Pediatrix, you will receive on-the-job training. This includes annual certification accredited by the American Academy of Audiology. By offering this certification, we strive to ensure our employees are adept in improving early detection of hearing impairments and encouraging timely intervention. St. Joseph's Women's Hospital
Responsibilities
On a typical day, you will conduct newborn hearing screens, usually in a new mom's hospital room, and help educate parents about the importance of the screen using video and printed tools we provide. You will also be in charge of entering patient data and validation of hearing screens, as needed. Additional responsibilities may include helping to confirm or reschedule outpatient appointments, following up on any equipment issues and training new staff.
- Performing newborn hearing screens
- Verifying insurance information with parent/guardian
- Documenting hearing screen results accurately
- Following protocol for timely submission of billing
- Following protocol related to security and identification of infants
- Following infection control, safety awareness and other hospital, company, and program policies
- Recognizing potential problems and obtaining assistance, when necessary, in a timely manner
- Completion of company and hospital orientation or classes, including patient privacy training
- Completion and maintenance of employee health requirements
- Other duties as assigned
Qualifications
Experience Industry: Entry Level Healthcare
Minimum Qualification/Education Level:
- High school diploma or general education degree (GED).
- Flexibility to work on weekends and national holidays required
Preferred Experience Years: Entry Level. One to three months related experience
- Experience working with infants preferred
- Experience in a hospital setting preferred
Skills/Abilities:
- Excellent communication and interpersonal skills
- Computer proficiency and ability to perform accurate data entry
- Ability to prioritize daily tasks and assignments
- Ability to work both independently and as part of a team
- Flexibility to work on weekends and national holidays required
- Ability to frequently lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds
- Ability to stand and walk frequently (95% of shift)
- Ability to push/pull up to 100 pounds frequently
.
Benefits and Compensation
Take great care of the patient, every day and every way.TM At Pediatrix & Obstetrix, that's not only our motto at work each day; it's also how we view our employees and their families. We know that our greatest asset is YOU.
We take pride in offering comprehensive benefits in a vast array of plans that fit your life and lifestyle, supporting your health and overall well-being. Benefits offered include, but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA and HSAs, as well as a 401k plan and Employee Stock Purchase Program. Some benefits are provided at no cost, while others require a cost share between employees and the company. Employees may also select voluntary plans and pay for these benefits through convenient payroll deductions. Our benefit programs are just one of the many ways Pediatrix & Obstetrix helps our employees take care of themselves and their families.
About Us
Pediatrix Medical Group is one of the nation's leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The group's high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives.
Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site: is an Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
Medical Solutions is seeking a local contract nurse RN CVICU for a local contract nursing job in Tampa, Florida.
Job Description & Requirements
- Specialty: CVICU
- Discipline: RN
- Duration: 13 weeks
- 36 hours per week
- Shift: 12 hours, nights
- Employment Type: Local Contract
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Weβre seeking talented healthcare professionals whose adventure game is as strong as/n their clinical game. Those that want flexibility and high pay, we have the positions for/n you!
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Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and/n travel allied healthcare professionals include:
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- Day One Medical, Dental, and Vision with low premiums
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- Day One 401(k) with Company Contribution
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- Personalized Compensation Packages
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- Paid, Private, Fully Furnished, Pet-Friendly Housing
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- Dedicated Recruiter and 24/7 Customer Care Line
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- Per Diem Allowance and Paid Travel
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- Licensure and Certification Reimbursement
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- Free Liability Coverage
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- Voluntary Benefits: Critical Illness, Hospital Indemnity, Accident, and Pet Insurance
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- Equal Employment Opportunity
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- And More!
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Estimated pay package based on bill rate at time job was posted. Bill rates can/n change frequently and without notice. Exact pay package may vary based on guaranteed hours,/n distance being traveled, and customizations available for travelers.
/n Medical Solutions is looking for a CVICU RN for Sunny FL. The hospital would like the traveler to start in July and work an 8 week assignment. Please call today to learn more at .
Medical Solutions Job ID #1068160L. Posted job title: Cardio IC (Cardiovascular Intensive Care)
About Medical Solutions
At Medical Solutions, weβre people who care, helping people who care. No matter how you look at it, thereβs a whole lot of care going on in our world and thatβs just the way we like it. What do we do? Medical Solutions is one of the nationβs largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Through our family of brands, we also serve a segment of clients outside of the healthcare space. And weβre the very best at what we do. Youβll love our culture thatβs filled with heart and soul. As a company and employer, weβre sincerely and unabashedly us. We lead as humans first and believe the unique qualities of each team member make us better together. We share a purpose for helping others and the drive to make a difference. And we offer endless opportunities for personal and professional growth, throughout your career. At Medical Solutions, youβll find a great place to work and a career home. Weβve received Best Places to Work awards, landed top industry awards, and received accolades for the impact weβve made in business and within our community. But the only way to really get to know us, is to join us. We think youβll fit right in.
Benefits
- Weekly pay
- Holiday Pay
- Guaranteed Hours
- Continuing Education
- 401k retirement plan
- Pet insurance
- Company provided housing options
- Cancelation protection
- Wellness and fitness programs
- Mileage reimbursement
- Referral bonus
- Employee assistance programs
- Medical benefits
- Dental benefits
- Vision benefits
- Benefits start day 1
- License and certification reimbursement
- Life insurance
- Discount program
Pulm/CC position in central gulf coast area of FL - North of Tampa!!
Pulmonology/Critical Care opportunity to join a private group practice. Group consists of 2 providers (1 Pulm/CC and 1 GI).
Office Space available. Physician group is in MAB adjacent to the hospital.
Call Schedule: 1 in 2 hospital call.
ABMS/AOA Board Certification or Eligible with Certification in Process Required
Compensation Package May Include:
* Competitive Salary (via income guarantee)
β’ Commencement bonus
β’ Assistance with medical education debt
β’ CME expenses
β’ Relocation assistance
* Option for Partnership
No Visa Assistance Available
Non-Invasive Cardiologist-Tampa FL
StartDate: ASAP Pay Rate: $45 $650000.00
General cardiologist needed to office alongside the largest and fastest growing value-based care , senior focused primary care providers in the country, operating multiple centers across eight states.
* Outpatient practice
* No call
* No weekends
* Co Office with primary care physicians
* Value based care
* Ample support staff
* Base salary +bi-annual incentive
* Earning potential $600,000-$650,000
* Excellent benefit package health insurance effective on your 1stday of employment
* 18 days PTO + 9 holidays
* Sign on Bonus/Relocation
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Welcome to Tampa, Florida! This vibrant Gulf Coast city combines endless sunshine, sparkling beaches, and an energetic community spirit that makes every day feel like a vacation. Whether youre drawn by career opportunities, coastal adventures, or a lively cultural scene, Tampa offers something for everyone from young professionals to growing families and retirees alike.
Why People Love Living in Tampa:
* Year-Round Sunshine & Beaches: Enjoy warm weather, beautiful coastlines, and endless opportunities for boating, biking, and outdoor fun.
* Thriving Job Market: A growing economy with opportunities in healthcare, finance, and technology.
* No State Income Tax: Keep more of your paycheck while enjoying a high quality of life.
* Vibrant Culture & Nightlife: Explore diverse restaurants, festivals, museums, and a bustling downtown scene.
* Family-Friendly Lifestyle: Safe neighborhoods, quality schools, and countless kid-friendly attractions make it a great place to raise a family.
Facility Location
Boasting world-class beaches, a scenic harbor, barrier islands and year-round blue skies, Tampa offers all the attractions of a sunny, welcoming coastal destination. Visitors and residents alike relish the citys luxurious beach resorts, laid-back lifestyle, sprawling parks and nature preserves, as well as the opportunity to soak up the sun any time of the year.
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, Cardiologist, Cardiology, Heart Care, Cardio Surgery, Physician, Heart Surgery, Md, internal medicine cardiology
Competitive compensation package with opportunity to make more based-on productivity.
Generous sign-on bonus and CME stipend with eligibility for a productivity bonus.
Benefits package includes 20 paid days off year one, with an additional 8 paid holidays, health/vision/dental insurance is available along with disability coverage, deferred compensation and a retirement savings plan is available.
Full malpractice coverage is provided including tail coverage
- $288.75 This facility is seeking an Emergency Medicine Physician for locum tenens support as they look to fill a current need.
Details & requirements for this opportunity: Schedule: Day and Night Shifts Job Setting: Hospital Types of Cases: Standard Emergency Medicine Cases Credentialing Timeframe: 45 Days Board Certification required Must have an active Florida license Facility Location Boasting world-class beaches, a scenic harbor, barrier islands and year-round blue skies, Tampa offers all the attractions of a sunny, welcoming coastal destination.
Visitors and residents alike relish the citys luxurious beach resorts, laid-back lifestyle, sprawling parks and nature preserves, as well as the opportunity to soak up the sun any time of the year.
Job Benefits 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, rentals and transportation needs.
Additionally, our Physician Mobility initiative decreases the amount of time you must wait to work at a facility where you are presented or have worked from 24 months to 6 months.
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.
Emergency Medicine Physician, Emergency Physician, Em Physician, Em Doctor, Urgent Care, Emergency Room, Er, Em, Emergency Medicine, Physician, Healthcare, Health Care, Patient Care, Hospital, Medical, Doctor, Md, emergency-medicine, emergency
For more information contact Jason Honshell or call Ext.
1000
Our organization follows the triple aim while delivering high quality and low cost healthcare to patients.
Visiting Physicians Association 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 St.
Louis, MO 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.
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 β Friday; 8:00 AM - 5:00 PM CST
- Production Schedule: Monday β 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+ yearsβ 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 worldβs largest brands.Β
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.Β
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, youβll 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 applicantsβ 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 worldβs largest brands.Β
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.Β
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, youβll 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 applicantsβ 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 worldβs 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.Β
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, youβll 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 applicantsβ 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 worldβs largest brands.Β
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.Β
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, youβll 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 applicantsβ 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: Β· Handle customer inquiries and complaints Β· Provide information about the products and services Β· Troubleshoot and resolve product issues and concerns Β· Document and update customer records based on interactions Β· Develop and maintain a knowledge base of the evolving products and services Qualifications: Β· Previous experience in customer service, sales, or other related fields Β· Ability to build rapport with clients Β· Ability to prioritize and multitask Β· Positive and professional demeanor Β· 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.
- Bachelorβs 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.