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Medical Review Specialist (Hybrid - Local Candidates)
Salary not disclosed

The Medical Review Specialist is responsible for reviewing, analyzing, and interpreting medical documentation to support eligibility determinations and alternative treatment evaluations in alignment with Christian Healthcare Ministries’ guidelines and values. This role exists to ensure medical review decisions are accurate, evidence-based, and applied consistently while maintaining compassion and clarity in member interactions.


At the highest level, the Medical Review Specialist focuses on clinical analysis, guideline interpretation, and professional judgment, supporting sound decision-making that upholds CHM’s mission, stewardship, and commitment to member care.


WHAT WE OFFER


  • Compensation based on experience.
  • Faith and purpose-based career opportunity!
  • Fully paid health benefits
  • Retirement and Life Insurance
  • 12 paid holidays PLUS birthday
  • Lunch is provided DAILY.
  • Professional Development
  • Paid Training


PRIMARY RESPONSBILITIES


  • Review and analyze complex medical records to assess eligibility, appropriateness of services, and alignment with CHM medical guidelines.
  • Apply clinical judgment and established criteria to support consistent, evidence-based eligibility determinations.
  • Conduct medical literature reviews and research to support recommendations, alternative treatment considerations, and guideline application.
  • Collaborate with the Eligibility Review Supervisor, Medical Director, and Medical Review leadership to ensure alignment and consistency in medical review decisions.
  • Communicate clearly and compassionately with members and internal teams regarding medical review outcomes, addressing questions and concerns professionally.
  • De-escalate sensitive or emotionally charged interactions while maintaining CHM standards and values.
  • Maintain accurate documentation of medical review findings, rationale, and decisions within CHM systems.
  • Stay current on medical research, industry standards, and regulatory considerations relevant to medical review activities.
  • Uphold strict confidentiality and HIPAA compliance in all handling of protected health information.


CORE COMPETENCIES & SKILLS


  • Medical analysis and critical thinking – Interpret complex medical information and applies clinical reasoning.
  • Evidence-based decision making – Utilizes research and guidelines to support review outcomes.
  • Clear and compassionate communication – Explains medical determinations in an understandable and empathetic manner.
  • Case management and prioritization – Manages multiple cases while meeting accuracy and timeliness standards.
  • Documentation and compliance – Maintain thorough, accurate records aligned with regulatory and internal requirements.
  • Collaboration – Works effectively with leadership, medical reviewers, and cross-functional teams.


REQUIRED QUALIFICATIONS & CONSIDERATIONS


Education

  • Bachelor’s degree in a healthcare-related field (e.g., nursing, health sciences, biology) preferred.
  • Equivalent clinical or medical review experience may be considered in lieu of a degree.


Experience

  • Prior experience in medical record review, utilization review, clinical review, or a related healthcare role preferred.
  • Experience applying medical guidelines or clinical criteria to eligibility or treatment determinations strongly preferred.
  • Familiarity with HIPAA regulations and protected health information handling required.
  • Experience working with EMR/EHR systems, medical coding, or health information systems is a plus.


Certifications

  • No certifications required at time of hire.
  • Clinical licensure or healthcare-related certifications (e.g., RN, LPN, CPC) are a plus but not required.


About Christian Healthcare Ministries

Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other’s medical bills. The mission of CHM is to glorify God, show Christian love, and experience God’s presence as Christians share each other’s medical bills.


Remote working/work at home options are available for this role.
Not Specified
Delivery Driver - KADE Industries, LLC
✦ New
Salary not disclosed
Blythewood, SC 1 day ago
Hiring Full-Time and Part-Time Delivery Drivers in Columbia, SC- Pay Starting at $20.50/hour
KADE Industries, LLC is an Amazon Delivery Service Partner (DSP) based in Columbia, South Carolina!
We have immediate openings for Full-Time and Part-Time Delivery Drivers in the Columbia, South Carolina area! Drivers will be responsible for safely delivering packages to homes and businesses in the immediate Columbia, South Carolina area!
  • Do you want to earn $20.50/hour?
  • Do you enjoy fast-paced independent work?
  • Do you enjoy working outside and in your community?
  • Are you customer service and safety-obsessed?

Come join our team and build a career with us! We train and coach our team to success on a daily basis! We need YOU!
KADE Delivery Driver Basic Requirements:
  • Must be at least 21 years old and eligible to work in the U.S.
  • High-school diploma (or equivalent)
  • Lift packages up to 50 lbs
  • Must have a valid driver's license
  • Must be free of major accidents or major driving infractions
  • Full Time: Must be able to work 10-hour days, 4 days a week
  • Part Time: Must be able to work 10-hour days and weekends
  • All applicants must be able to work weekends and holidays

What You'll Do as a KADE Delivery Driver:
As a KADE Delivery Driver, you'll safely operate an Amazon-branded vehicle and deliver Amazon packages in a timely manner across Columbia, SC.
Why You'll Love Working as a KADE Delivery Driver:
  • Professional growth: We offer career growth opportunities such as moving into Lead Driver, Dispatcher, or Operations Manager roles, DOT certification opportunities, and professional development coaching and training!
  • Team environment: A fun, fast-paced, and supportive company culture that focuses on winning together!
  • Independence: Spend the majority of your day on the road delivering smiles to customers in your community!
  • Stay active: You'll be on the move during your shift as you deliver packages from the delivery vehicle to the customer's doorstep!

JOIN US! APPLY NOW!
We are an Equal Opportunity Employer. All qualified applicants will be considered for employment regardless of age, national origin, race, color, disability, religious beliefs, or sexual orientation.
Not Specified
Mid-Level Litigation Associate
Salary not disclosed

Litigation Associate – Miami, FL

I'm working with a top-tier litigation practice in South Florida that is seeking a mid-level Litigation Associate (3–5 years) to join its Miami office. This is a standout opportunity for a litigator looking to be part of a preeminent, high-caliber litigation team with meaningful responsibility and strong courtroom exposure.

The practice handles sophisticated civil litigation matters and offers associates hands-on experience, close collaboration with senior attorneys, and the chance to further develop advocacy skills in a fast-paced environment.

Associates in this role are involved in all stages of litigation, including:

  • Managing civil litigation matters from pleadings through resolution
  • Conducting legal research and drafting motions and briefs
  • Developing case strategy and supporting advocacy efforts
  • Working closely with partners and clients on complex disputes

Qualifications:

  • 3–5 years of civil litigation experience at a law firm
  • Strong academic credentials
  • Excellent research, analytical, writing, and advocacy skills
  • Admission to the Florida Bar is required

Compensation:

  • 2026 base salary to be determined, with final compensation dependent on experience, class year, and qualifications

If you're a litigation associate in the Miami or South Florida market looking to join a respected and well-established litigation practice, feel free to reach out for a confidential discussion.

About Us

Marina Sirras Associates LLC is a boutique legal recruiting firm committed to connecting exceptional legal talent with top-tier law firms and in-house legal departments nationwide. With decades of experience and a personalized, relationship-driven approach, we take pride in understanding the unique needs of both our clients and candidates.

We are proud members of the National Association of Legal Search Consultants (NALSC) and strictly adhere to its Code of Ethics. Marina Sirras, our founder, is a former President and Chairperson of the organization, reflecting our longstanding commitment to integrity and professionalism in legal recruiting.

To learn more about our team and services, please visit us at

Not Specified
Entry-Level Logistics Coordinator (Bilingual in Mandarin)
Salary not disclosed
Inglewood, CA 3 days ago

Pay: $45,000.00 - $50,000.00 per year


Job description

Responsibilities Overview

  • Assist with the communication between the customer services team and our US vendor.
  • Responsible for ensuring the completeness of customs clearance information and documents. Ensure the comminication between our service providers and airlines is completed in a timely manner.
  • Real-time monitoring and tracking of shipment's customs clearance information and status, investigate, resolve and communicate operational or entry issues.
  • Coordinate and follow-up with our warehouse and 3rd party warehouses for the customer's needs. Such as: order fulfillment, forwarding, dropship, transshipment, and demolition etc.
  • Monitor and coordinate import customs clearance and transportaion.
  • Coordinate with our customer service team to follow up with our last mile solution providers regarding lost packages, undeliverable packages and refund requests.


Qualifications

  • Bachelor’s degree from four-year college or university and 1-2 years related experience and/or training
  • Excellent analytical and problem-solving skills
  • Excellent written and verbal communication skills
  • Proficient with Microsoft Office Suite or similar software


Schedule: 5 days a week with weekend availability

Job Type: Full-time


Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance


IM Global LLC is an equal opportunity employer and offers visa sponsorship for the right candidate.

Not Specified
Entry Level Outside Sales Consultant
Salary not disclosed
Paris, Texas 5 days ago
Job Description

Job Description

Our company is actively seeking driven individuals who are eager to embark on a rewarding journey in the sales industry. This entry-level opportunity is perfect for those with or without prior sales experience. Our extensive training program ensures that all team members receive the support they need to excel.
Joining our team means embracing a culture of determination, ambition, and passion. You'll find yourself surrounded by like-minded individuals who thrive on challenge and are committed to personal and professional growth. This role offers the autonomy to manage your own schedule and conquer new territories, making each day dynamic and exciting. If you're ready to make a meaningful impact while enjoying independence and endless opportunities for advancement, we want to hear from you!

Position Overview:

Step into the role of a territory-based sales representative, where you'll thrive in an environment focused on direct engagement. Receive comprehensive training tailored to equip you for success in reaching out to a diverse array of small and medium-sized businesses spanning various sectors. Your primary goal will be to introduce top-tier supplemental insurance solutions to both business proprietors and their workforce. Prepare for a range of interactions, from one-on-one discussions with decision-makers to delivering product showcases to sizable audiences of 50 to 100 or more. This position offers a dynamic blend of personalized engagement and group presentations, ensuring every day brings fresh challenges and opportunities for growth.

Core Responsibilities:

* Utilize our customized Salesforce CRM to curate leads and generate clients while expanding your professional network within your territory and neighboring communities
* Respond to client inquiries via phone, email, or text as needed
* Schedule meetings with potential and existing clients to understand their insurance needs
* Attend scheduled calls and meetings with your sales manager and team
* Personally visit new businesses, develop relationships with local business owners, follow up on referral leads, and re-service existing clients
* Build and nurture your own client portfolio
* Collaborate with your sales team manager to set monthly and quarterly sales targets for yourself
* Plan and adhere to your weekly schedule and working hours; submit your schedule to your sales team manager each week
* Record daily work stats and sales activity updates at the end of each work day

ADDITIONAL QUALIFICATIONS:

* Pass a high-level pre-employment background check
* Active Driver's License and reliable transportation
* Active Health & Life Insurance Producer license in your resident state (or willing to obtain - study course provided at no cost and state licensing fees reimbursement available)
* Bachelor's degree or minimum of 4 years post-high school work experience (candidates within 6 months of degree completion or less than 4 years of professional work experience with relevant sales or athletic background will be considered)

COMPENSATION & BENEFITS:

* Comprehensive classroom and field training program
* Weekly draw pay option plus commissions (no caps and short sales cycle-3 business days) as well as monthly cash sales bonuses, quarterly stock share bonuses, incentive trips, and vested renewal commissions
* Health, dental, and vision benefits offered after 60-days of employment
* Performance-based promotions
* Control of your schedule based on results achieved rather than time worked
* Continuing professional development classes, advanced sales trainings, and leadership development classes
* Culture of camaraderie, friendly competition, and success mindset

Apply now to be part of a team that embraces challenges and rewards effort!
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Not Specified
Entry Level Restaurant Sous Chef
Salary not disclosed
Entry-Level Sous Chef We are seeking a motivated Entry-Level Sous Chef to join our kitchen team.

This position is ideal for someone with 1–2 years of restaurant experience who is eager to grow, learn, and thrive in a fast-paced kitchen.

Italian cuisine experience is a plus but not required.
Not Specified
Crane Service Technician Level 1
Salary not disclosed
St. Louis, Missouri 2 days ago
Description:

About Us


At American Equipment Holdings, we are one of the nation’s leading providers of overhead crane solutions. Our success is built on a simple philosophy: take care of our customers and take care of our people. We offer competitive wages, comprehensive benefits, and opportunities for growth and development. Join one of the fastest-growing companies in the industry and be part of a team that values integrity, safety, and excellence.


Position Summary


We are seeking a Crane Service Technician – Level 1 to join our team in St. Louis. This entry-level position is ideal for mechanically inclined individuals who are eager to learn and grow in the overhead crane service industry. You will assist in performing inspections, preventative maintenance, and basic repairs on overhead cranes and hoists under the guidance of experienced technicians.


Key Responsibilities

  • Assist with inspections, maintenance, and repairs of overhead cranes and hoists per OEM manuals and OSHA standards.
  • Perform basic mechanical tasks such as lubrication, adjustments, and component replacements.
  • Correctly reeve load cables and identify incorrect reeving in simple/common configurations.
  • Properly check for 3-phase power and continuity using appropriate tools.
  • Explain the difference between AC and DC electrical systems.
  • Identify and understand crane control components in hoist and bridge panels.
  • Explain the basic function of hoist brakes.
  • Understand and recognize issues related to single phasing and reverse phasing.
  • General mechanical knowledge to perform PMs on overhead cranes per OEM manuals.
  • Maintain accurate service records and documentation.
  • Follow all safety procedures and company policies.
  • Communicate effectively with customers and team members.


Qualifications

  • High school diploma or GED required.
  • Basic mechanical aptitude and willingness to learn.
  • Familiarity with electrical concepts and safe troubleshooting practices.
  • Ability to read and interpret technical manuals and schematics.
  • Strong attention to detail and problem-solving skills.
  • Valid driver’s license and clean driving record.
  • Ability to work at heights and in industrial environments.


Preferred Skills (Not Required)

  • Prior experience in mechanical or electrical maintenance.
  • Technical training or certifications in industrial maintenance or electrical systems.


Schedule

Full-time, Monday to Friday

Occasional overtime and travel may be required


Benefits

  • Three Medical Plan offerings through Cigna
  • FSA & HSA options
  • Dental and Vision Insurance
  • Short-Term & Long-Term Disability
  • Life and AD&D Insurance
  • 4% 401(k) Match
  • 80 Hours PTO
  • Company-provided PPE
  • Ongoing training and development opportunities


American Equipment Holdings is proud to be an equal opportunity employer. All qualified applicants will receive consideration without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.



Requirements:




Compensation details: 30-40 Hourly Wage



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Not Specified
Crane Service Technician - Level 2 or 3
🏢 American Equipment HR LLC Careers
Salary not disclosed
Boise, Idaho 2 days ago
Description:

At American Equipment Holdings, we are one of the nation’s leading providers of overhead crane solutions. Our success is built on a simple philosophy: take care of our customers and take care of our people. We offer competitive wages, comprehensive benefits, and opportunities for growth and development. Join one of the fastest-growing companies in the industry and be part of a team that values integrity, safety, and excellence.


Position Summary 


We are seeking a Crane Service Technician – Level 2  or Level 3 to join our Boise/Twin Falls location. This position is ideal for experienced technicians with strong mechanical and electrical skills who are ready to take on more complex service tasks. You will perform inspections, preventative maintenance, repairs, and installations on overhead cranes and hoists, including advanced troubleshooting and customer communication.


Responsibilities


Perform inspections, maintenance, and repairs of overhead cranes and hoists per OEM manuals and OSHA standards.

  • Work on 3-motion cranes with VFDs (no encoder) or contactors, including 5-speed pendants or remotes.
  • Service and troubleshoot uncommon brake systems such as Whiting SESA and Magnetek thruster brakes.
  • Demonstrate thorough understanding of AC control circuit principles including Ohm’s Law and voltage drop.
  • Troubleshoot and repair contactor motor control systems.
  • Rig up and install new crane equipment with proper safety and mechanical procedures.
  • Explain repair plans, troubleshooting processes, and required parts to customers clearly and professionally.
  • Properly diagnose mechanical components including wheels, bearings, and reducers.
  • Identify and understand crane control components in hoist and bridge panels.
  • Maintain accurate service records and documentation.
  • Follow all safety procedures and company policies.
  • Communicate effectively with customers and team members.

Qualifications

  • High school diploma or GED required.
  • Minimum 2 years of experience in crane service or industrial maintenance.
  • Strong mechanical and electrical aptitude.
  • Ability to read and interpret technical manuals and schematics.
  • Familiarity with electrical troubleshooting tools and safe practices.
  • Strong attention to detail and problem-solving skills.
  • Valid driver’s license and clean driving record.
  • Ability to work at heights and in industrial environments.

Preferred Skills (Not Required)

  • Technical training or certifications in industrial maintenance or electrical systems.
  • Experience with crane installations and rigging.
  • Customer service experience in a technical field.

Schedule


Full-time, Monday to Friday

Occasional overtime and travel may be required


Benefits

  • Three Medical Plan offerings through Cigna
  • FSA & HSA options
  • Dental and Vision Insurance
  • Short-Term & Long-Term Disability
  • Life and AD&D Insurance
  • 4% 401(k) Match
  • 80 Hours PTO
  • Company-provided PPE
  • Ongoing training and development opportunities


American Equipment Holdings is proud to be an equal opportunity employer. All qualified applicants will receive consideration without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.



Requirements:




Compensation details: 28-55 Hourly Wage



PIde6d6ffe6f2e-37344-39429590

Not Specified
Entry Level Field Engineer (Pompano Beach, FL)
✦ New
Salary not disclosed
Pompano Beach, FL 1 day ago
Entry Level Field Engineer (Pompano Beach, FL)

Roles and Responsibilities:

  • Review of plans and specifications.
  • Managing the submittal process by reviewing all shop drawings against the project specifications, maintaining the submittal log, and coordinating the information with the architect, engineer, subcontractors and Project Superintendent.
  • Maintain control of all plans, specifications and revisions to ensure that the construction team is in possession of all current documents published by design team.
  • Managing the RFI process.
  • Coordinating and conducting Pre-Construction Meetings and Mock-ups with architects and subcontractors.
  • Assist in processing change orders.
  • Photographic documentation of the Project.
  • Management of the Project Closeout by securing all warrantees, guarantees, as-builts, etc.

Qualifications and Experience:

  • A four-year building construction/engineering degree.
  • Preferred 2-3 years' experience.
  • Knowledge of construction, architectural and engineering terminology.
  • Basic estimating skills.
  • Planning and organization skills.
  • The ability to operate a personal computer and various software programs.
  • The ability to manage multiple tasks and shift priorities.
  • Basic knowledge of scheduling in Microsoft Project, Suretrak or P6.

Job Type: Full Time

Location: Pompano Beach FL

Seniority Level: Entry Level

permanent
RN Clinical Review Nurse {167271}
Salary not disclosed
Alameda 1 week ago
Clinical Review Nurse Schedule for Clinical Review Nurse Monday – Friday | 8:00 AM – 5:00 PM Interview Process for Clinical Review Nurse One virtual interview Job Overview for Clinical Review Nurse We are seeking an experienced Clinical Review Nurse to support the investigation and resolution of complex member and provider grievances, appeals, and disputes .

This role is responsible for conducting detailed clinical reviews, evaluating medical necessity, and ensuring compliance with applicable regulatory requirements and organizational policies.

The Clinical Review Nurse will collaborate with internal teams and medical leadership to ensure timely and accurate resolution of cases while maintaining high standards of care and service.

Key Responsibilities for Clinical Review Nurse Conduct investigations and clinical reviews of member and provider grievances and appeals related to medical necessity .

Review prospective, inpatient, and retrospective medical records associated with denied services.

Summarize and present medical findings for Medical Directors, consultants, and external reviewers .

Apply clinical guidelines, policies, and benefit plan documentation when evaluating cases.

Prepare recommendations to uphold or overturn determinations and submit to the Medical Director for final approval.

Ensure appeals, grievances, and disputes are resolved within required regulatory timelines .

Evaluate requests for expedited review and determine urgency criteria.

Document case details and maintain accurate records within relevant tracking systems.

Draft written correspondence for members, providers, and regulatory entities .

Communicate with members, providers, and internal staff to support resolution of clinical concerns.

Identify potential quality-of-care concerns and escalate appropriately.

Serve as a clinical resource and subject matter expert to assist team members with appeals and grievance resolution.

Participate in additional projects and duties as assigned.

Essential Functions for Clinical Review Nurse Conduct thorough investigations of appeals, grievances, and provider disputes .

Evaluate the appropriateness of care within contractual, regulatory, and accreditation standards.

Identify system or process issues that may impact member care or service expectations and recommend improvements.

Perform documentation, reporting, and analytical tasks related to case reviews.

Maintain compliance with organizational policies, regulatory requirements, and professional standards .

Minimum Qualifications for Clinical Review Nurse Education / Licensing Active and unrestricted California Registered Nurse (RN) license Bachelor’s degree preferred Experience for Clinical Review Nurse Minimum 3 years of acute care clinical experience Minimum 2 years of appeals and grievances casework Preferred Experience for Clinical Review Nurse Utilization Management or Quality Management Experience applying standardized clinical guidelines Familiarity with Milliman Care Guidelines (MCG) , Managed Care, and NCQA standards Additional Details for Clinical Review Nurse No direct supervisory responsibilities Collaborative role working with clinical, operational, and leadership teams If you are an experienced nurse with strong clinical review and case evaluation skills and are looking to contribute to a team focused on quality care and regulatory excellence, we encourage you to apply.
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