12 Results for

Work From Home Jobs in Pocatello, ID

Jobs

Pocatello, ID

Remote

Assesses patient's symptoms utilizing a physician-written algorithms • When appropriate, provide home care instructions using the approved, written guidelines as well as approved reference material provided • Utilize all resources and guidelines to effectively assess, prioritize, advise, schedule classes or physician appointments, or refer calls when necessary to the appropriate medical facility, personnel or specialized community service • Completes all documentation in the appropriate software • Provides guidance recommending a variety of levels of care (e.g. home care, an office visit, emergency room) • Responds to patient's questions • Provides and documents health education to help patients manage their symptoms when indicated • Consults with physicians as needed.

30+ days ago

Remote

$20.50–$30.80 / hour

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Assist with auditing and investigations of medication-related claims, cases, and providers to identify misuse of medications, misuse of resources, substance abuse, and erroneous and fraudulent billing practices; investigate and organize workflow for claims referred to Pharmacy Services for review and allowable determination including miscellaneous J codes, providers on review, and reconsiderations.

Support wellness and disease state management programs for Pharmacy Service and corporately which contribute to NCQA accreditation and ongoing quality improvement; contribute to and support the corporation's quality initiatives through process improvement teams and by encouraging team and individual contributions toward quality improvement efforts.

19 days ago

Remote

$19–$22.25 / hour

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6 months of customer service call center experience; or 6 months of customer service experience in insurance, retail, banking, hospital, medical office or similar industry with extensive customer contact; or equivalent combination of education and experience. As the face of Cambia, our CSPs play multiple roles - listener, problem-solver, investigator and advocate - all in service of making our members' health journeys easier and days brighter.

15 days ago

Remote

$34.20–$55.70 / hour

As a member of the Clinical Services team, our Utilization and Care Management Nurses provide utilization and care management (such as prospective concurrent, retrospective review, post-discharge care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes and appropriate payment for services - all in service of making our members' health journeys easier.

Must have at least one of the following: Bachelor's degree (or higher) in a health or human services-related field (psychiatric RN or Masters' degree in Behavioral Health preferred for behavioral health); or Registered nurse (RN) license (must have a current unrestricted RN license for medical care management).

17 days ago

Pocatello, ID

Remote

$36.80–$49.80 / hour

As a member of the Clinical Services team, our Care Management RN's provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Collaborates with physician advisors, internal and external customers, and other departments to resolve claims, quality of care, member or provider issues, and identifies problems or needed changes, recommending resolutions and participating in quality improvement efforts.

22 days ago

Pocatello, Idaho

Remote

p>Join our growing remote team and build a rewarding work-from-home career with flexibility, mentorship, and unlimited potential.. We’re seeking motivated, self-driven individuals to join our remote team as an Appointment Setter & Agent.

30+ days ago

Pocatello, ID

Remote

Full time

p> Join our growing remote team and build a rewarding work-from-home career with flexibility, mentorship, and unlimited potential..

This opportunity offers the flexibility to work from home, performance-based income potential, and ongoing mentorship to help you grow professionally in a supportive remote environment.

30+ days ago

Pocatello, ID

Remote

$76,500–$103,500 / year

As a member of the Clinical Program Management team, the Clinical RFP Coordinator & Communications Specialist partners with the Marketing and Sales teams by representing clinical areas of the company in business acquisition and retention opportunities.

What You Will Do at Cambia:

Facilitates responses to RFPs, RFIs, and surveys for clinical areas in collaboration with sales bid response teams and other divisions to ensure timely delivery of high-quality responses.

22 days ago

Remote

$25.90–$37.30 / hour

p>What You Will Do at Cambia:

You'll utilize clinical knowledge and critical thinking to research and review IP UM requests, ensuring completeness of information and taking action to obtain necessary details, while also completing non-clinical tasks to close cases accurately and efficiently.
You'll perform detailed research and problem-solve using sound decision-making skills to ensure IP UM case accuracy and completeness, and contribute to continuous improvement by identifying opportunities for improvement within systems and workflows.

19 days ago

Pocatello, Idaho

Remote

We serve the luxury travel niche, curating journeys that embrace luxury and slow travel—savoring each moment, immersing in culture, and valuing quality over speed.

Travel industry savvy and AI tools for quick personalization (preferred, not required - zero experience also welcomed.

30+ days ago

Pocatello, ID

Remote

$76,500–$103,500 / year

As a member of the Clinical Services team, our Appeals Clinician I utilizes clinical expertise to complete the clinical component of all appeal types to resolve member and/or provider appeals - all in service of making our members' health journeys easier. Active licensure or certification, in a state or territory of the United States, in a health or human services discipline that allows the professional to conduct an assessment independently as permitted within the scope of practice for the discipline (e.g.

19 days ago

Pocatello, ID

Remote

$121,600–$164,500 / year

As a member of the Pharmacy Services team, our Clinical Pharmacist Consultant provides professional and clinical pharmacy expertise in making or guiding clinical decisions based on best practices by applying evidence-based medicine evaluations to determine the best quality medication choices that represent the best value in efficacy, safety and affordability. Advanced responsibilities may include analyzing health care cost information, development of position papers, medication coverage policies, formulary monographs and class reviews, cross-functional projects, and/or initiatives related to the provision of pharmacy benefits that impact safety, quality and affordability - all in service of making our members' health journeys easier.

22 days ago

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Work From Home Jobs in Pocatello, ID

RN Telephone Triage (Work from Home) Team Health Holdings Inc

Pharmacy Services Technician Cambia Health Solutions Inc

Temporary Customer Service Professional I Cambia Health Solutions Inc

Utilization and Care Management Nurse Cambia Health Solutions Inc

Remote Care Management Nurse Cambia Health Solutions Inc

Appointment Setter & Agent (WFH) - Globe Life AIL Lisa Russel

Appointment Setter & Agent (WFH) Globe Life AIL - Lisa Russel

Clinical RFP Coordinator Cambia Health Solutions Inc

Utilization Management Inpatient Clinical Specialist Cambia Health Solutions Inc

Remote Travel Customer Service Agent Dream Voyages

Appeals Clinician I Cambia Health Solutions Inc

Clinical Pharmacist Consultant Cambia Health Solutions Inc