The Medical Case Manager will provide in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and medical necessity, attending provider visits, and coordinating necessary care like durable medical equipment.
Remote Jobs & Work From Home Opportunities (200,976)
The primary role involves identifying restaurants with unused kitchen capacity and introducing them to Global Food Ventures' virtual brand system to launch delivery-focused brands. Partners must support the onboarding process, ensure successful brand launches, and actively build and maintain a portfolio of restaurant partners.
AI Marketing Specialist, Agentic AI & Automation 28 APPLICANTS
Creative Fabrica
·
Full Time
·
12 Weeks Ago
Creative Fabrica
The specialist will design, deploy, and iterate on multi-agent systems to automate end-to-end marketing processes, focusing heavily on building agent-driven email frameworks for autonomous segmentation and personalization. They will also develop AI-powered pipelines to adapt core assets into various formats while maintaining brand compliance.
Senior Associate, Analytics (Data Scientist)
Ensemble Health Partners, India
·
Full Time
·
12 Weeks Ago
Ensemble Health Partners, India
The Senior Associate will analyze operational and transactional data to find improvements in the revenue cycle management process, collaborating with teams to develop solutions using LLMs/Gen AI/AI/ML models. Responsibilities include building solutions, conducting thorough analysis of healthcare revenue cycle processes, and developing data-driven recommendations for process improvement.
This role will support the development of the 2030 ESG Roadmap by structuring and maintaining the ESG evidence library and coordinating stakeholder requests and documentation collection. Responsibilities also include assisting with data inventory, risk categorization, reporting templates, and preparing inputs for legal and benchmark-related work.
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The Sales Representative is responsible for positioning Sika Sarnafil as a quality provider, achieving sales objectives for Roofing and Waterproofing systems, and coordinating with local manufacturer’s representatives. Key duties include overseeing specification activity through consultants, managing roofing contractor accounts, establishing owner relationships, and providing sales activity reports.
The IT Compliance Analyst is primarily responsible for collaborating with external and internal auditors to finalize all IT department audits, which includes maintaining and providing necessary compliance evidence. Essential functions also involve conducting regular audits on IT systems, procedures, and user accounts to ensure adherence to regulatory compliance.
Team members will assist healthcare providers and patients by phone, addressing questions and requests, and coordinating medication refill deliveries. They will also serve as the primary contact for calls and work with insurance companies regarding claim rejections and prior authorizations.
Patient Assistance Program / Financial Advocacy Coordinator
Onco360
·
Full Time
·
12 Weeks Ago
Onco360
The Patient Advocacy Coordinator assists patients and/or families in accessing financial resources for pharmacy co-pays by navigating systems to find suitable assistance through Not for Profit Organizations and Manufacturer Programs. This involves explaining processes, aiding in application completion, and reviewing required documentation.
The specialist will manage prior authorization requests and appeals with insurance carriers to ensure patients receive necessary medications. This involves receiving prescriptions, rectifying rejected claims, and conducting third-party authorization requests.
The specialist manages customer care escalations via email, works with the manager to address sales team escalations daily, and handles address exception reports from operations leadership. They must escalate issues to the proper director or team and collaborate with other functional areas to resolve customer problems.
The role involves assisting healthcare providers and patients via phone by answering questions and coordinating medication refill deliveries. Responsibilities also include communicating with insurance companies regarding claim rejections and prior authorizations, serving as a primary contact for calls.
Patient Assistance Program / Financial Advocacy Coordinator
Onco360
·
Full Time
·
12 Weeks Ago
Onco360
The Patient Advocacy Coordinator is responsible for assisting patients and/or families in accessing financial resources for pharmacy co-pays by navigating systems to find suitable assistance through non-profit organizations and manufacturer programs. This involves explaining processes, assisting with applications, and reviewing required documentation to secure financial aid.
The Customer Care Specialist manages the customer care escalations email workflow and works with the customer service manager to ensure all sales team escalations are addressed daily. They must also resolve customer problems by working with other functional areas and notifying appropriate parties of the resolution actions taken.
Team members will assist healthcare providers and patients by phone, addressing questions and requests, and coordinating medication refill deliveries. They will also serve as the primary contact for calls and work with insurance companies regarding rejected claims and prior authorizations.
Patient Assistance Program / Financial Advocacy Coordinator
Onco360
·
Full Time
·
12 Weeks Ago
Onco360
The Patient Advocacy Coordinator is responsible for assisting patients and/or families in accessing financial resources for pharmacy co-pays by navigating systems to find suitable assistance through non-profit organizations and manufacturer programs. This involves explaining processes, aiding in application completion, and ensuring required documents are submitted.
The Customer Care Specialist manages the customer care escalations email workflow and works with the manager to ensure all sales team escalations are addressed daily. They must also work exception reports, escalate issues to the proper personnel, and collaborate with other functional areas to resolve customer problems.
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Team members will assist healthcare providers and patients by phone, addressing questions and coordinating medication refill deliveries. Responsibilities also include communicating with insurance companies regarding claim rejections and prior authorizations, serving as a primary contact for calls.
The Quality Nurse ensures the organization provides quality patient care by leveraging relationships across teams, patients, and providers, participating in clinical and quality management activities like audits and medical record reviews. Major duties include performing chart audits, interacting with patients for counseling, tracking quality results for continuous improvement, and collaborating with the Director on auditing processes and training.
Team members will assist healthcare providers and patients by phone, addressing questions and coordinating medication refill deliveries. Responsibilities also include communicating with insurance companies regarding claim rejections and prior authorizations.
The specialist manages the customer care escalations email workflow and works with the customer service manager to ensure all sales team escalations are addressed daily. They must also work exception reports, report potential issues, and escalate problems to the proper pharmacy director, sales team representative, or analytics team.
Team members will assist healthcare providers and patients by phone, addressing questions and coordinating medication refill deliveries. They will also serve as the primary contact for calls and work with insurance companies regarding claim rejections and prior authorizations.
Patient Assistance Program / Financial Advocacy Coordinator
Onco360
·
Full Time
·
12 Weeks Ago
Onco360
The Patient Advocacy Coordinator assists patients and/or families in accessing financial resources for pharmacy co-pays by navigating systems to find suitable assistance through Not for Profit Organizations and Manufacturer Programs. This involves aiding patients with application processes, explaining requirements, and striving for first call resolution.
The Customer Care Specialist manages the customer care escalations email workflow and works with the manager to ensure all sales team escalations are addressed daily. They will also work on address exception reports and escalate issues to the proper pharmacy director, sales team representative, or analytics team.
The role involves assisting healthcare providers and patients via phone by answering questions and coordinating medication refill deliveries. Responsibilities also include communicating with insurance companies regarding claim rejections and prior authorizations, serving as a primary contact for calls.
Team members will assist healthcare providers and patients via phone by answering questions and coordinating medication refill deliveries. Responsibilities also include communicating with insurance companies regarding claim rejections and prior authorizations, serving as a primary contact for calls.
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Be the first to know when matching positions are posted
The Customer Care Specialist manages the customer care escalations email workflow and works with the customer service manager to ensure all sales team escalations are addressed daily. They are also responsible for working exception reports, escalating issues to the proper personnel, and collaborating with other functional areas to resolve customer problems.
Team members will assist healthcare providers and patients by phone, addressing questions and coordinating medication refill deliveries. They will also serve as the primary contact for calls and work with insurance companies regarding claim rejections and prior authorizations.
Patient Assistance Program / Financial Advocacy Coordinator
Onco360
·
Full Time
·
12 Weeks Ago
Onco360
The Patient Advocacy Coordinator is responsible for assisting patients and/or families in accessing financial resources for pharmacy co-pays by navigating systems to find suitable assistance through Not for Profit Organizations and Manufacturer Programs. This involves explaining processes, aiding in application completion, and ensuring first call resolution for securing financial assistance.
The primary responsibility involves developing and managing a designated territory using account management and direct telephone outreach to educate prescribers on Onco360 products and services, acting as a single point of contact for care coordination. This role also includes achieving call expectations, identifying new business relationships, supporting sales escalations, and meticulously documenting customer interactions in the CRM.
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