Pharmacy Technician - Prior Authorizations - Work From Home

CDL-A Owner Operator Truck Driver Job (Earn $5,500 - $9,000/Wk)

Hiring Drivers Now · Centralia, WA

Class A Owner Operator Truck Driver Job (Earn $5,500 - $9,000/Wk) Apply today and within 24 hours you'll receive multiple job offers. Earn $5,500 - $9,000/Wkr based on position/location. Simply select the driving job that offers you what is most important. Higher pay, increased benefits or more home-time: You choose. Owner Operator Driver Pay: $5,500 - $9,000/Wk Apply now to receive your job offers!

$85k–$110k/yr

$85 - $110K /Yr! Hiring CDL-A Truck Drivers - Quick Apply!

Hiring Drivers Now · Centralia, WA

Now Hiring CDL-A Truck Drivers! Apply today and within 24 hours you'll receive multiple job offers. Earn $.60 - $.80+ CPM and up per year based on position. Simply select the driving job that offers you what is most important. Higher pay, increased benefits or more home-time: You choose. Avg. Company Driver Job Offers Salary: $85,000-$110,000+ Avg. Owner Operator Job Offers Salary: $200,000-$325,000+ Apply now to receive your job offers!

CareHarmony's Care Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients CareHarmony is seeking an experienced Licensed Practical Nurse - LPN Nurse (LPN) (NLC) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced environment, is self-motivated, has impeccable attention to detail, and values the impact they can have on a patient's healthcare journey. You will have experience identifying resources and coordinating needs for chronic care management patients. What's in it for you? • Fully remote position - Work from the comfort of your own home in cozy clothes without a commute. Score! • Consistent schedule - Full-Time Monday - Friday, no weekends, rotational on-call-once per year on average. • Career growth - Many of our team members move up in the company at a faster-than-average rate. We love to see our people succeed! Requirements Responsibilities: • Manage patient census with a resolution-driven approach to close gaps in clinical and non-clinical patient care. • Identify and coordinate community resources with patients that would benefit their care. • Provide patient education and health literacy on the management of chronic conditions. • Perform medication management, including identifying potential medication concerns, reconciliation, adherence, and coordinating refills. • Assist in ensuring timely delivery of services to your patients; Home Health, DME, Home Infusion, and other critical needs. • Resolve patients' questions and create an open dialogue to understand needs. • Assist/Manage referrals and appointment scheduling. Additional Requirements: • Active Massachusetts License (LPN) • Technical aptitude - Microsoft Office Suite • Excellent written and verbal communication skills Plusses: • Epic Experience • Bilingual • Additional state licensures (LPN) Remote Requirements: • Must have active high-speed Wi-Fi • Must have a home office or HIPAA-compliant workspace Physical Requirements • This position is sedentary and will require sitting for long periods of time • This position will require the ability to speak clearly and listen attentively, often by telephone, for an extended period of time • The position will require the ability to understand, process, and take thorough notes in real-time on telephone conversations Benefits • Health Benefits (core medical, dental, vision) • Paid Holidays • Paid Time Off (PTO) • Sick Time Off (STO) • 401k with company match • Company laptop provided Pay: • The position starts at $23/hr ($21/hr + $2/hr MA license bump) with the ability to earn up to $28/hr based on production • Quarterly bonus program • Opportunities to pick up OT to increase earnings

Utilization Review Nurse (Ur Nurse) Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse), you'll play an important role in helping us offer customized, self-funded insurance options to our clientsand members. The UR Nurse is responsible for reviewing clinical information to determine the medical necessity, appropriateness, and efficiency of healthcare services, procedures, and levels of care in accordance with established criteria, payer guidelines, and organizational policies. This role involves evaluating healthcare services and facilities under the provisions of applicable health benefit plans to ensure quality and cost-effective patient care. The UR Nurse collaborates closely with intake staff, physicians, specialists, case managers, and other members of the care team to facilitate timely and effective care authorizations, transitions, and utilization determinations. Strong communication, clinical judgment, and attention to detail are essential to ensure services meet both clinical standards and benefit requirements. Responsibilities • Perform utilization and concurrent reviews of inpatient cases using Milliman, Aetna, and BCBS criteria. • Conduct medical necessity reviews for services requiring prior authorization, applying utilization-specific criteria. • Request and evaluate clinical information needed to review requested services. • Discuss cases and determinations with healthcare professionals and physician reviewers. • Identify cases requiring intervention and collaborate with Case Managers as needed. • Maintain appropriate and accurate documentation, ensuring compliance with audit standards. • Participate in team meetings, educational sessions, and related activities. • Review medical claims and pre-determinations for medical necessity and appropriateness. • Identify opportunities for process improvement and enhance communication among departments. • Consult with Physician Reviewers for complex or challenging cases. Requirements • Current, unrestricted RN license (State license required). • Minimum 3 years of clinical nursing experience. • Minimum 1 year of Utilization Management (UM) or Utilization Review (UR) experience. • Strong analytical, critical thinking, and problem-solving skills. • Proficiency in Microsoft Office Suite (Excel, Word, Outlook) and familiarity with utilization management systems. • Excellent verbal and written communication skills, with the ability to interact effectively with internal and external stakeholders. • Strong organizational and time management skills, with the ability to handle multiple priorities independently. Preferred Qualifications • Experience with Milliman or Aetna criteria. • Background in healthcare administration, medical necessity determination, or benefits management. • Experience in data interpretation and medical trend analysis. Work Environment & Physical Demands • Prolonged periods of sitting may be required. • Regular use of a computer, keyboard, and mouse is necessary; reasonable accommodations will be provided upon request. • Employees should ensure an ergonomically appropriate desk and chair setup. • Comfort with being on camera for virtual meetings (e.g., Microsoft Teams) Benefits After successfully completing a waiting period, eligible full-time employees have access to our comprehensive benefits package, including: • Fantastic medical, dental, and vision insurance* • Twice annual employer HSA contributions, covering 50% of the HDHP plan's annual deductible! • Company-provided Basic Life and AD&D • Company-paid Short-Term and Long-Term Disability** • Flexible Spending Accounts* • 401(k) Retirement Plan with up to a 6% employer match** (100% fully vested after 3 years) • 10+ paid holidays • Half-day Summer Fridays • Generous paid vacation and sick time • Annual paid Volunteer Day • Annual Tuition reimbursement • Annual Health and Wellness reimbursement • Lots of fun company events Benefit Waiting Period Notes: *60-day waiting period, **90-day waiting period Who We Are As a trusted Third-Party Administrator (TPA) specializing in self-funded benefit plans, Cobalt Benefits Group (CBG) is committed to helping employers find high-quality coverage at a cost they can afford. We administer self-funded insurance benefits through our four companies: EBPA, Blue Benefit Administrators of Massachusetts, CBA Blue, and Great Bay Administrators. With over 30 years of experience and a dedicated team of nearly 300 employees, we work collaboratively to build customized self-funded health plans, manage claim payments and disputes, and administer other specialized programs such as FSAs, HSAs, COBRA, and retiree billing. Cobalt Benefits Group is one of the fastest growing TPA's in the country and the fastest growing in New England. Join us as we match employers across our region with the right solutions for their employee benefit needs.