Jobs in Toledo Oh Remote

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by Jobble

Job Description

Medical Solutions is seeking a local contract Cath Lab Technologist for a local contract job in Toledo, Ohio.

Job Description & Requirements

- Specialty: Cath Lab Technologist
- Discipline: Allied Health Professional
- Duration: 13 weeks
- 40 hours per week
- Shift: 8 hours
- Employment Type: Local Contract

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We’re 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.

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Medical Solutions Job ID #1060439L. Posted job title: Cardiac Cath Lab

About Medical Solutions

At Medical Solutions, we’re people who care, helping people who care. No matter how you look at it, there’s a whole lot of care going on in our world and that’s just the way we like it. What do we do? Medical Solutions is one of the nation’s 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 we’re the very best at what we do. You’ll love our culture that’s filled with heart and soul. As a company and employer, we’re 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, you’ll find a great place to work and a career home. We’ve received Best Places to Work awards, landed top industry awards, and received accolades for the impact we’ve made in business and within our community. But the only way to really get to know us, is to join us. We think you’ll 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

SUMMARY

The Administrator is responsible for the overall daily management and operation of the clinic. The Administrator reports directly to first line regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned.

GROWTH · Develop and implement processes for program growth in accordance with Company goals. · Plan/coordinate patient scheduling to assure timely acceptance of patients and effective staffing levels. · Implement clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. · Achieve financial targets to include budget, labor costs, supply costs and expenditures.

OUTCOMES · Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting. · Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Leads QAPI meetings and quality improvement committees. · Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. · Work with staff to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals. · Achieve program‘s target goals for patient outcomes in accordance with quality patient care and Company goals.

OPERATIONAL READINESS

· Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements. · Assure that the clinic is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies. · Develop, implement and follow up necessary Corrective Action Plans for internal and external surveys. · May assume Charge Nurse‘s responsibilities as needed. · Responsible for duties listed in Registered Supervising Nurse job description and nursing services policy # C-AD-0110 or must designate Registered Nurse meeting these qualifications. · May fulfill responsibility of facility CEO as delegated by Governing Body. · Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly. Assure that Quality Assessment & Performance Improvement Program is current at all times. · Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center. · Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations. · Oversee the maintenance of equipment and supplies to meet current laws and regulations.

OPERATIONAL READINESS (cont.) · Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. · Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center. · Know and understand the water treatment and mechanisms of the equipment of the facility. · Assist, when necessary, with disinfection of equipment and supplies including bicarbonate delivery systems and dialysis machines.

PARTNERSHIPS · Monitor all contractual agreements; update as needed with corporate oversight. · Maintain collaborative working relationship with Medical Director and physicians. · Establish and maintain a positive relationship with area hospitals, agencies, vendors and the community. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Respond effectively to inquiries or complaints.

STAFF DEVELOPMENT/ RETENTION · Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. · Recruit, train, develop, and supervise all personnel. · Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. · Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. · Effectively communicates expectations; accepts accountability and holds others accountable for performance.

Qualifications/Requirements:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

Requirements include:

- Demonstrated ability to function in a leadership position and to perform in new and emergent situations with sound judgment.
- Demonstrated analytical and problem-solving skills are required.
- Strong time management and organizational skills required.
- 1 year previous dialysis management experience preferred.
- Demonstrated working knowledge of the English language and ability to communicate verbally and in writing.
- Must have basic computer skills, including Microsoft Office (Word, Excel, Outlook); proficiency in all USRC clinical applications required within 90 days of hire.
- Must meet applicable, specific state requirements. (See addendum for Administrator.

Additionally, if the nursing requirements listed below are not met, an individual may be placed in the Administrator role without them; however, in the absence of these qualifications, there must be a designated Registered Supervising Nurse at the clinic who does possess these qualifications:

- Must be full-time employee of the Company and available to clinic staff during time clinic is open.
- Current RN license in applicable state. License must be maintained as current and in good standing.
- 18 months as an RN with 6 months experience in nursing care of a patient with kidney failure.
- CPR certification required within 90 days of hire.
- Confirmation of ability to distinguish all primary colors.
- Must meet any practice requirement(s) for the applicable state. (See addendum for Registered Supervising Nurse)

All Full Time employees are eligible for the following benefits: * Medical / Pharmacy * Dental * Vision * Voluntary benefits * 401k with employer match * Virtual Care * Life Insurance * Voluntary Benefits * PTO All Part Time employees are eligible for the following benefits: * 401k with employer match * PTO

Description:

Located in Hershey, PA, Milton Hershey School (MHS) is a top-notch home and school where over 2,200 pre-K through 12th grade students from disadvantaged backgrounds are provided an extraordinary, cost-free, career-focused education. This is made possible by the generosity of Milton and Catherine Hershey, who established the school in 1909 and ensured it was fully endowed. Thanks to their foresight and generosity, the school has over 12,000 graduates and continues to expand to serve more students.MHS is hiring married couples to serve as Full-time Flex Houseparents. In this unique and life-changing career, couples reside in on-campus student homes and provide care, guidance, supervision, and support for a group of approximately 8–13 students living in the home. Flex Houseparents play a vital role in creating a structured, family-like environment that fosters students’ academic, emotional, and social development so they can reach their full potential.Responsibilities include:

Providing daily supervision and mentorship

Managing household routines and student schedules

Administering medications and ensuring student wellness

Driving students to activities, as well as planning and actively engaging in developmental and recreational activities with students

Leading daily devotions and accompanying students to Sunday Chapel

Overseeing budgeting and household reporting

Upon hire, Flex Houseparents initially support various student homes and follow a working schedule of nine consecutive days on duty, followed by three days off. On weekdays, houseparents have unscheduled time while students are in school. Flex Houseparents eventually transition into a Placed Houseparent role, where they live and work with the same group of students in their own student home.Benefits include:

Salary: $44,768.00 per person (approximately $168,000 total compensation per couple, including free housing, meals while on duty, utilities, and more)

Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance; disability options; retirement savings

Relocation assistance and paid training provided

Paid time off provided at designated times throughout the year

Qualifications:

Qualifications include:

Experience working or volunteering with youth

This is a two-person role for couples legally married for at least two years

Both spouses must be age 27 or older

No more than three dependent children may reside in the student home

Commitment to a smoke-free and weapon-free campus; no alcohol permitted while on duty

Pet limitations: only fish and one dog of approved breeds allowed

Valid U.S. driver’s license and ability to become certified to drive student home vans

Comfort leading students in daily devotions and accompanying them to Judeo-Christian Sunday Chapel services (proselytizing prohibited)

High school diploma or GED required

Ability to lift to 50 lbs.

Demonstrated integrity and professionalism; MHS staff serve as role models for students

This is a unique, challenging, and rewarding career and life choice that requires a high level of commitment to student success from both spouses. For consideration, both spouses must complete individual employment applications. To learn more and apply, visit

Zepf Center has been serving the Lucas County community for over 50 years. We are the leading provider of behavioral health and substance use disorder services in Northwest Ohio. Services include adult and child psychiatric, substance abuse, case management, residential, Crisis Care, and therapy programs, as well as career development and wellness services. Zepf Center also offers primary care medical services to our patients to contribute to their continuum of care. Zepf Center is a trauma-informed agency and environment for both patients and staff.

We are currently seeking a CSU/SUD Float Nurse to provides direct nursing care to a variety of patients across multiple units with mental health or substance use disorders in multiple stages of healing and recovery. Responsibilities include monitoring vital signs, administering medications as prescribed, managing withdrawal/crisis symptoms, conducting nursing groups, providing education and ensuring patient safety and comfort. This individual will collaborates with a multidisciplinary team, including RNs, physicians, SUD and behavioral health professionals, to support patients through their healing/recovery process.

Working Hours: Monday - Friday 7:00am - 3:30pm

Essential Duties of this position include but are not limited to:

- Obtain vital signs and assessments. Administer medication and provide education.
- Conduct a nurse related group for recovery & mental health.
- Triage client concerns, assuring timely communication with appropriate practitioner/provider
- Provide clinical and nursing services as assigned to clients who have substance abuse disorders and mental health issues in the community recovery/mental health center setting.
- Identify and respond to medical or psychiatric emergencies.
- Obtain prior authorizations for medications and treatments for clients.
- Enroll clients in drug assistance and programs.
- Medical case management for the medication assisted treatment patients including treatment planning, monitoring of progress and completion of Ohio outcomes.
- Follow up on requested labs to facilitate communication with the practitioner/provider and the client.
- Assure medical record completeness for new clients and clients who are being discharged from the hospital and other settings. Review these charts to ensure relevant information is available.
- Provide support for the other nursing and ancillary staff within the center.
- Perform additional duties as assigned.

Specific/Individual Competencies:

- Strong computer skills and ability to operate in the EHR
- Recognize critical results obtained in the assessment and vitals and the importance of urgency in relaying the information to the appropriate provider/practitioner.
- Demonstrate knowledge and ability to implement care within the framework of standard nursing practice and agency policy and procedure.
- Knowledge and ability to administer and dispense medication in accordance with physicians’ orders.
- Knowledge of community resources, hospitals, community mental health services, and other appropriate referrals for use when indicated.

Organizational Competencies:

- Demonstrate knowledge of the agency mission, vision, goals and philosophy as well as the policies and procedures.
- Strives for high client satisfaction by providing leadership and/or assistance to coworkers and clients through the integrated care process.
- Demonstrate consistent professionalism.
- Understand the importance of teamwork and actively working together.
- Exhibits the ability to communicate effectively and approach situations with trauma informed care.
- Abide by the agencies and/or professional code of ethics.
- Successfully complete and obtain BLS and CPI certifications

Working Conditions & Physical Demands

Physical Requirements

- Able to sit or stand for extended periods of time.
- Able to hear ordinary conversation and phone communications.

Environmental Conditions

- Air-conditioned and/or heated office/floor setting.

Accommodations:

Physical demands described are representative of those that must be routinely met by an employee to successfully perform the essential duties of this position. Reasonable accommodation may be provided to enable qualified individuals with disabilities to perform the essential duties.

- Ability to lift up to 25 pounds.
- Able to climb stairs
- Ability to perform job responsibilities in a facility with multiple levels and without elevator or mechanical transportation.
- Operates a computer and keyboard

- Active RN or LPN License. RN preferred.
- Experience in addiction treatment, behavioral health, or medical detox preferred
- Strong communication and critical thinking skills
- Ability to work in a fast-paced environment with patient centered care
- Ability to obtain and maintain licensure and provide documentation for personnel records.
- Valid driver’s license and the ability to be covered under the agency’s commercial car insurance.
- Proof of car insurance for the vehicle that will be driven in the course of business.

EOE/M/F/D/V/SO

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Fully remote (Must be licensed in NJ)! Growing firm looking to add tenured attorneys to their NJ team! Fully benefits, competitive pay, remote! This Jobot Job is hosted by: Bryan Thompson Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.

Salary: $90,000
- $125,000 per year A bit about us: Established firm in NJ looking to add tenured attorneys to their growing practice.

Why join us? Full benefits Remote opportunity Competitive salary and bonuses Work/life balance If you're interested in learning more about this role please send a confidential email with a resume to: 2 /?utm_source=CareerBuilder /> Job Details Fully remote $90,000-$125,000 plus bonuses Monday-Friday Full benefits 401k Interested in hearing more? Easy Apply now by clicking the "Apply Now" button.

Jobot is an Equal Opportunity Employer.

We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws.

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Sometimes Jobot is required to perform background checks with your authorization.

Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.

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Remote working/work at home options are available for this role.

IMMEDIATE NEED!! Work from home!! The Montgomery Agency is looking for motivated people who appreciate a cutting-edge company with the desire to work for themselves.

If you want to help clients with their Insurance needs and have a desire for personal growth and development, READ ON! SERIOUS INQUIRIES ONLY.

THIS IS A HIGH-COMPENSATION, 100% COMMISSION POSITION No cold calling or door-to-door sales! You will reach people who have requested our services via our cutting-edge leads program.

We are all facing unprecedented times and situations.

What are people looking for more now than ever? Safety, Security, Stability? This is what we give to our clients every day and why we have seen a surge in demand in recent weeks.

Our first core value is "Relationships matter, people come first" and that is why we are finding new ways to serve our clients and future clients during these times.

It is also why we may need you.

Are you looking for the ability to work from home ? If so, we would love to talk to you about our open positions that are available nationwide! Our goal is to protect families no matter what and we have thousands that reach out to us every week.

As we see an increased demand from the public to receive new policies and increase existing, we have switched our sales online via webinars and over the phone.

We offer extensive training for telesales and selling via webinar along with continued support from a mentor team.

If you are currently looking for more or extra income and a way to work from home, apply now ! Are you ready to see the rewards from your hard work? Are you ready to earn the work-life balance you are looking for by helping others achieve the same goal? If so, this position may be for you! The Montgomery Agency has created a business model and support system that will allow you to achieve the financial success and purpose that you deserve.

Earn a six-figure income as a field agent, or choose to develop an agency of your own where the sky truly is the limit – it’s up to you and we’ll help you every step of the way.

We are seeking self-motivated individuals to join us to continue the phenomenal growth we have had! There has never been a greater opportunity in this industry in the past 20 years.

We partner with the leading insurance carriers to offer our clients, Mortgage Protection, Life Insurance, Final Expense, DEBT FREE LIFE PROGRAM, Retirement Protection, Advanced Markets, Children’s Policies, Long Term Care coverage and many other avenues to secure their financial legacy.

If you would like to have a conversation with our team and be a part of the growth we are having, apply now and let us know what makes you one of the best! Requirements: · Self-Motivated and know what you are worth · Licensed or willing to get licensed once testing centers reopen · Coachable, Teachable, and Hungry to Learn · A person of integrity that has a heart for people The Pay: Agents that have followed our proven system have earned up to $100k in their first year We have agents now averaging 4-5 sales per week using our webinar-based model! No agent’s success, earnings, or production results should be viewed as typical, average, or expected.

Not all agents achieve the same or similar results, and no particular results are guaranteed.

Your level of success will be determined by several factors, including the amount of work you put in, your ability to successfully follow and implement our training and sales system and engage with our lead system, and the insurance needs of the customers in the geographic areas in which you choose to work.

About The Montgomery Agency: Meet with your potential clients using webinars and the telephone! We will train! We are affiliated with the fastest growing insurance marketing organization in the country.

As a company, we reward people who add value to themselves, our clients, and the overall organization.

The more value you add, the more you will be compensated, both financially and in your lifestyle.

We believe that the future of any company depends on its people.

Therefore, we’ve structured our corporate philosophy around personal growth for all.

About The Montgomery Agency: The Montgomery Agency was established with the goal of helping to bring balance to the professional and personal lives of independent insurance agents and agency builders across the country.

By focusing on a more balanced distribution of commissions, We are truly committed to sharing the wealth of opportunity with you, all while delivering high levels of service and training to our sales force.

Combining our direct mail lead program with business values of trust, reliability and integrity, The Montgomery Agency is committed to ensuring your personal goals and objectives can be successfully defined and subsequently achieved over the short, medium and long term.

We have access to the freshest and hottest leads in the nation.

But make no mistake, we are in the business of selling Insurance, NOT SELLING LEADS! This means that our agents pay exactly what the leads cost us to produce, or less.

If you are looking for the ability to make a great living while helping people, this could be the opportunity for you.

Why Work Here? The Montgomery Agency Offers: True Agency Ownership in as Little as 11 Months!! The Best Carriers Amazing Company Culture Work From Home In House lead system (NO Prospecting!) Full or Part Time No experience necessary! Comprehensive training and mentoring program Flexible schedule.

Work for yourself not by yourself.

Incentive and Bonus programs About The Montgomery Agency: OUR CORE VALUES Relationships matter, people come first Relentless pursuit of personal growth Open, honest, and productive communication We do the right thing even when no one is looking We work as a true team and strive to be a positive influence We act like owners because we own it Being of service and doing good in the world We have fun and we get stuff done We are looking for a highly motivated, goal oriented and ambitious salesperson.

Our main goal is to help families protect their homes in the event of tragedy.

Our company promotes a work/life balance and gives the right person the tools to achieve this.

If you are a team player and a leader with sales experience, we want to talk to you.

We ask that you watch our company overview videos provided in the link below.

After watching the company overview you can schedule a phone interview directly through the link below.

Our company offers:
- 100% Commission-based income with bonuses
- -Complimentary life insurance for new agents -Multiple incentives including trips, monthly bonus, etc..

-Continuing education in sales, products and self-development Each week our company mails thousands of letters to people who have refinanced or purchased a home in your area.

Our letter states that the client is eligible for Mortgage Protection that will pay off the mortgage in the event of the death or provide money to the client if they become disabled or sick.

Also, if the client outlives certain plans, they will get back all of the premiums from day one! These plans are protecting families and creating a savings account for the future! There is no cold calling with our system.

All the leads that you will have are from people who are expecting your phone call to hear what their options are.

Simply put, we need a Field Underwriter who will contact the leads and place these families in a policy that best suits their situation and budget.

Part-time positions are also available.

We are also looking for a select few to lead teams and mentor new agents as they come in.

Please inquire about this during the phone interview.
Remote working/work at home options are available for this role.

Clinical Pharmacist Advisor – Medicare Part D (REMOTE) Location: 100% Remote (U.S.) Pay Rate: $53.00/hr Schedule: Set rotation within business hours (see below) Opportunity: Contract with potential for full-time conversion About the Role We are hiring 50 Remote Clinical Pharmacist Advisors to support Medicare Part D members and providers in a fast-paced, high-volume, production-driven environment.

This role is ideal for pharmacists with prior authorization, managed care, or PBM experience who thrive in a structured, remote setting.

As a Clinical Pharmacist Advisor, you will review pharmacy benefit requests, make clinical determinations, and ensure compliance with CMS and Medicare guidelines while delivering best-in-class service.

Key Responsibilities Review and process prior authorizations, coverage determinations, and appeals Evaluate clinical documentation to support approval/denial decisions Ensure all cases meet Medicare Part D and CMS compliance standards Conduct provider outreach to obtain additional clinical information Document all decisions clearly and accurately in system workflows Manage high-volume queues while meeting productivity and quality metrics Apply clinical knowledge using drug compendia and established guidelines Required Qualifications Active Pharmacist license in state of residence (in good standing) PharmD or Bachelor’s Degree in Pharmacy Strong computer skills (Excel, Word required; Access, PowerPoint, Visio preferred) Experience with data entry, dual screens, and multiple systems Ability to work independently in a productivity-driven remote environment Strong attention to detail and documentation accuracy Preferred Experience Managed Care / PBM experience Prior Authorization, Coverage Determinations, or Appeals Medicare Part D knowledge and CMS guideline familiarity Remote pharmacist or high-volume review experience Retail + Managed Care hybrid background Schedule & Training Requirements Training: Monday–Friday, 9:00 AM – 5:30 PM EST (first 8 weeks – no time off allowed) Post-Training Schedule: Business Hours: 7:00 AM – 8:00 PM EST (Mon–Fri) Weekends: 7:00 AM – 4:30 PM EST Must be flexible to work assigned 8-hour shifts, including weekends Work Environment Requirements (MANDATORY) Dedicated, quiet, private workspace Wired internet connection: Minimum 25 Mbps download / 5 Mbps upload Speed test screenshot required (must be included on resume) Ability to remain on camera during training and team meetings Ability to sit and focus for full shift with minimal interruptions Submission Requirements (MUST BE INCLUDED ON RESUME) Screenshot of internet speed test ( ) Screenshot of active pharmacist license (showing name, state, expiration) Completed candidate questionnaire (see below) Candidate Pre-Screen Questionnaire (Include with Submission) Are you available for full-time training (M–F, 9–5:30 EST) for 8 weeks with no time off? Can you work any assigned 8-hour shift between 7 AM – 8 PM EST, including weekends? Do you have a dedicated, quiet workspace for remote work? Do you have wired internet meeting 25/5 Mbps requirements? Can you sit and focus for the entire shift without interruptions? Do you have experience with data entry and multiple systems/screens? Do you have an active pharmacist license in your state of residence? Are you comfortable working independently in a productivity-based role? Do you bring a positive, engaged attitude to a team environment? We are hiring 50 Remote Clinical Pharmacist Advisors to support Medicare Part D members and providers in a fast-paced, high-volume, production-driven environment.

This role is ideal for pharmacists with prior authorization, managed care, or PBM experience who thrive in a structured, remote setting.

As a Clinical Pharmacist Advisor, you will review pharmacy benefit requests, make clinical determinations, and ensure compliance with CMS and Medicare guidelines while delivering best-in-class service.

Key Responsibilities Review and process prior authorizations, coverage determinations, and appeals Evaluate clinical documentation to support approval/denial decisions Ensure all cases meet Medicare Part D and CMS compliance standards Conduct provider outreach to obtain additional clinical information Document all decisions clearly and accurately in system workflows Manage high-volume queues while meeting productivity and quality metrics Apply clinical knowledge using drug compendia and established guidelines
Remote working/work at home options are available for this role.

***A-Line Staffing is looking for qualified Benefit Verification Representatives or Prior Authorization Representatives for our Pittsburgh location
*** Benefit Verification Representative Hours: 8 hr shift, Must have availability from 7am to 10pm M-F & work rotating weekends Sat & Sun7-5:30 Benefit Verification Representative Job Description: The Benefit Verification Representative II will work closely with providers to process prior authorization (PA), and drug benefit exception requests on behalf of the client and in accordance with Medicare Part D CMS Regulations.

The Benefit Verification Representative Must apply information [provided through multiple channels] to the plan criteria defined through work instruction.

Research and conduct outreach via phone to requesting providers to obtain additional information to process coverage requests and complete all necessary actions to close cases.

Responsible for research and correction of any issues found in the overall process.

Phone assistance is required to initiate and/or resolve coverage requests.

Escalate issues to Coverage Determinations and Appeals clinical pharmacists and management team as needed.

Must maintain compliance at all times with CMS and department standards.

Position requires schedule flexibility including rotations through nights, weekend and holiday coverage.

Benefit Verification Representative Experience: 2 Years of experience High School Diploma or G.E.D.

Strong Attention to detail Excellent verbal and written communication and interpersonal skills w/ ability to maintain patient confidentiality Proficient computer skills and the ability to navigate in a Windows based environment Ability to follow directions, and adapt in dynamic work environment; ability to adapt to change and remain flexible If you are interested in the Benefit Verification Representative please reach out to Jacob Zaffuto ASAP at 412-823-2500 Ext 425 or by email at
Remote working/work at home options are available for this role.

IMMEDIATE NEED!! Work from home!! The Montgomery Agency is looking for motivated people who appreciate a cutting-edge company with the desire to work for themselves.

If you want to help clients with their Insurance needs and have a desire for personal growth and development, READ ON! SERIOUS INQUIRIES ONLY.

THIS IS A HIGH-COMPENSATION, 100% COMMISSION POSITION No cold calling or door-to-door sales! You will reach people who have requested our services via our cutting-edge leads program.

We are all facing unprecedented times and situations.

What are people looking for more now than ever? Safety, Security, Stability? This is what we give to our clients every day and why we have seen a surge in demand in recent weeks.

Our first core value is "Relationships matter, people come first" and that is why we are finding new ways to serve our clients and future clients during these times.

It is also why we may need you.

Are you looking for the ability to work from home ? If so, we would love to talk to you about our open positions that are available nationwide! Our goal is to protect families no matter what and we have thousands that reach out to us every week.

As we see an increased demand from the public to receive new policies and increase existing, we have switched our sales online via webinars and over the phone.

We offer extensive training for tele sales and selling via webinar along with continued support from a mentor team.

If you are currently looking for more or extra income and a way to work from home, apply now ! Are you ready to see the rewards from your hard work? Are you ready to earn the work-life balance you are looking for by helping others achieve the same goal? If so, this position may be for you! The Montgomery Agency has created a business model and support system that will allow you to achieve the financial success and purpose that you deserve.

Earn a six-figure income as a field agent, or choose to develop an agency of your own where the sky truly is the limit – it’s up to you and we’ll help you every step of the way.

We are seeking self-motivated individuals to join us to continue the phenomenal growth we have had! There has never been a greater opportunity in this industry in the past 20 years.

We partner with the leading insurance carriers to offer our clients, Mortgage Protection, Life Insurance, Final Expense, DEBT FREE LIFE PROGRAM, Retirement Protection, Advanced Markets, Children’s Policies, Long Term Care coverage and many other avenues to secure their financial legacy.

If you would like to have a conversation with our team and be a part of the growth we are having, apply now and let us know what makes you one of the best! Requirements: · Self-Motivated and know what you are worth · Licensed or willing to get licensed once testing centers reopen · Coachable, Teachable, and Hungry to Learn · A person of integrity that has a heart for people The Pay: Agents that have followed our proven system have earned up to $100k in their first year We have agents now averaging 4-5 sales per week using our webinar-based model! No agent’s success, earnings, or production results should be viewed as typical, average, or expected.

Not all agents achieve the same or similar results, and no particular results are guaranteed.

Your level of success will be determined by several factors, including the amount of work you put in, your ability to successfully follow and implement our training and sales system and engage with our lead system, and the insurance needs of the customers in the geographic areas in which you choose to work.

About The Montgomery Agency: Meet with your potential clients using webinars and the telephone! We will train! We are affiliated with the fastest growing insurance marketing organization in the country.

As a company, we reward people who add value to themselves, our clients, and the overall organization.

The more value you add, the more you will be compensated, both financially and in your lifestyle.

We believe that the future of any company depends on its people.

Therefore, we’ve structured our corporate philosophy around personal growth for all.

About The Montgomery Agency: The Montgomery Agency was established with the goal of helping to bring balance to the professional and personal lives of independent insurance agents and agency builders across the country.

By focusing on a more balanced distribution of commissions, We are truly committed to sharing the wealth of opportunity with you, all while delivering high levels of service and training to our sales force.

Combining our direct mail lead program with business values of trust, reliability and integrity, The Montgomery Agency is committed to ensuring your personal goals and objectives can be successfully defined and subsequently achieved over the short, medium and long term.

We have access to the freshest and hottest leads in the nation.

But make no mistake, we are in the business of selling Insurance, NOT SELLING LEADS! This means that our agents pay exactly what the leads cost us to produce, or less.

If you are looking for the ability to make a great living while helping people, this could be the opportunity for you.

Why Work Here? The Montgomery Agency Offers: True Agency Ownership in as Little as 11 Months!! The Best Carriers Amazing Company Culture Work From Home In House lead system (NO Prospecting!) Full or Part Time No experience necessary! Comprehensive training and mentoring program Flexible schedule.

Work for yourself not by yourself.

Incentive and Bonus programs About The Montgomery Agency: OUR CORE VALUES Relationships matter, people come first Relentless pursuit of personal growth Open, honest, and productive communication We do the right thing even when no one is looking We work as a true team and strive to be a positive influence We act like owners because we own it Being of service and doing good in the world We have fun and we get stuff done We are looking for a highly motivated, goal oriented and ambitious salesperson.

Our main goal is to help families protect their homes in the event of tragedy.

Our company promotes a work/life balance and gives the right person the tools to achieve this.

If you are a team player and a leader with sales experience, we want to talk to you.

Our company offers:
- 100% Commission-based income with bonuses
- -Complimentary life insurance for new agents -Multiple incentives including trips, monthly bonus, etc..

-Continuing education in sales, products and self-development Each week our company mails thousands of letters to people who have refinanced or purchased a home in your area.

Our letter states that the client is eligible for Mortgage Protection that will pay off the mortgage in the event of the death or provide money to the client if they become disabled or sick.

Also, if the client outlives certain plans, they will get back all of the premiums from day one! These plans are protecting families and creating a savings account for the future! There is no cold calling with our system.

All the leads that you will have are from people who are expecting your phone call to hear what their options are.

Simply put, we need a Field Underwriter who will contact the leads and place these families in a policy that best suits their situation and budget.

Part-time positions are also available.

We are also looking for a select few to lead teams and mentor new agents as they come in.

Please inquire about this during the phone interview.
Remote working/work at home options are available for this role.