FULL_TIME

FEED

OTHER

Technical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.

TriWest Healthcare Alliance

Supervisor, Utilization Management

equestftpin

Ensures accuracy and completion of authorization data from customer information, medical records, referral/authorization forms, Military Treatment Facility electronic transmission and other documents into medical management system. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

Referral Specialist

Develop compelling proposal content that clearly articulates TriWest's unique capabilities, market expertise, provider relationships, analytical capabilities, and demonstrated ability to build and maintain networks that meet complex customer requirements. The Director of Network Strategy is responsible for developing and executing TriWest's enterprise strategy for network adequacy and network optimization across its VA Community Care Network (CCN) and TRICARE programs.

Dir, Provider Network Strategy

Accurately assesses caller requests, answers caller inquires and processes requests while focusing on first call resolution and/or appropriate call escalation protocols. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

Customer Service Rep

Medicaid, Medicare, TRICARE, VAPC3), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel. Develops hospital, physician and ancillary service agreements, ensures adherence with government operational manuals, monitors network shortfalls, and resolves access issues throughout the assigned region.

Direct Contracting Manager

UNKNOWN

Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.

YEAR

<p>CorVel is a leader of risk and healthcare management solutions to employers, third party administrators, insurance companies and government agencies. We are publicly traded (NASDAQ:CRVL) and annual revenues exceeded $493 million in FY2015. Our continued customer growth is a testament to our financial stability and our significant investments in new systems and technologies allows us to continue to deliver industry-leading solutions to the marketplace. CorVel has approximately 3,500 associates who serve more than 2,000 customers through a national branch office network covering all 50 states.</p>

CorVel Corp

Claims Supervisor

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We're looking for organized, client-focused individuals to help travelers explore destinations, compare options, and keep important planning details organized from home. As a Work From Home Destination Support Specialist , you'll assist with destination research, reservations, accommodations, transportation, activities, and client follow-up throughout the planning process.

PedrosVacations

Work From Home Destination Support Specialist

Manatal

HOUR

Should an agency choose to send unsolicited resumes, Glory reserves the right to review such resumes but will not be held liable for any fees/charges associated with a candidate hire except where a formal written agreement is in place between Glory and the Agency to source candidates for a specific role. Experience repairing high-speed paper handling machines such as check sorters, mail sorters, currency sorters; ATM’s or copier machines experience is preferred.

GLORY

Field Service Technician - Nashville, TN

PinpointHQ

TriWest will prioritize candidates with experience with healthcare regulatory matters, including Medicare and Medicaid and conditions of participation in federal healthcare programs, anti-kickback laws, self-referral laws, HIPAA, and transactional matters for health care providers. Supports the Office of General Counsel in advising and producing attorney work products that support TriWest's healthcare-related departments including, but not limited to, Provider Services, Medical Management, Program Integrity, and Claims.

Healthcare Counsel

Maintaining up-to-date knowledge of destinations, cruise lines, resorts, and travel packages offered by True Adventure Travel. In this part-time, remote position, you'll play a key role in helping clients plan and manage their trips with confidence and ease.

True Adventure Travel

Remote Travel Planner

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Important Outside Agency Notice: Only solicited resumes/candidate profiles that are submitted by a Berkley Preferred Agency Partner that have been requested by Berkley Internal Recruiting to engage in a particular search will be subject to the payment of Agency fees as defined in the formal agency agreement. Our unique marriage of technology, software platforms, data analytics and professional services ensures we provide Berkley's operating units with reliable results, and reduced time and expenses associated with case management.

W. R. Berkley Corp

Workers Compensation Telephonic Nurse Case Manager (Remote)

PART_TIME

Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.

CorVel Enterprise Claims, Inc.

The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic indemnity claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.

Indemnity Claims Specialist

Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

Claims Assistant

This role focuses on helping individuals navigate emotional, behavioral, and personal challenges through consistent therapy, practical support, and goal-focused care. The position is well suited for an LPC who values quality client relationships, organized clinical work, and the ability to provide meaningful support in a remote environment.

Gotham Enterprises Ltd

Licensed Professional Counselor (LPC)

Workable

NOTE: Upper Compensation Range ($115K+) Candidates considered for the upper compensation range must demonstrate hands-on experience developing and optimizing direct-response ad copy, video scripts/VSLs, creative hooks, messaging angles, and conversion-focused funnels. You'll own a portfolio of client accounts end to end - leading client conversations, managing Meta performance, writing direct-response copy and video sales letter scripts, developing testing strategies, and diagnosing where performance can improve across the funnel.

Clients Blackbox, Inc.

Senior Acquisition Marketing Manager

You'll own a portfolio of accounts, lead bi-weekly client calls, manage Meta campaigns, monitor results, contribute to ad messaging, and serve as the primary point of contact for your clients. Our clients hire us to deliver qualified appointments at a specific cost per appointment, with target show rates and close rates that make the economics work for their practice.

Work From Home Jobs in Smyrna, TN

Supervisor, Utilization Management TriWest Healthcare Alliance

Referral Specialist TriWest Healthcare Alliance

Dir, Provider Network Strategy TriWest Healthcare Alliance

Customer Service Rep TriWest Healthcare Alliance

Direct Contracting Manager TriWest Healthcare Alliance

Claims Supervisor CorVel Corp

Work From Home Destination Support Specialist PedrosVacations

Field Service Technician - Nashville, TN GLORY

Healthcare Counsel TriWest Healthcare Alliance

Remote Travel Planner True Adventure Travel

Workers Compensation Telephonic Nurse Case Manager (Remote) W. R. Berkley Corp

Claims Supervisor CorVel Enterprise Claims, Inc.

Indemnity Claims Specialist CorVel Enterprise Claims, Inc.

Claims Assistant CorVel Enterprise Claims, Inc.

Licensed Professional Counselor (LPC) Gotham Enterprises Ltd

Senior Acquisition Marketing Manager Clients Blackbox, Inc.

Meta Media Buyer Clients Blackbox, Inc.

Meta Ads Strategist Clients Blackbox, Inc.

Paid Acquisition Lead Clients Blackbox, Inc.

Senior Demand Generation Manager Clients Blackbox, Inc.

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