Data Entry Clerk - 100% Work From Home

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.

USD 18.50 Hourly | Sales in 1309 Lum Rd, Centralia, WA 98531-1817, United States Full TimeStarting pay range with bonus for this position is approximately: $18.50 - $23.00The latest phone trends. The newest innovation in wearable tech. The explosion of 5G nationwide.If you want to be at the forefront of wireless communications then WE WANT YOU! Be unique, bold, confident, reliable and excited as a part of the T-MOBILE brand!The Wireless Industry is booming and now is the time to join the movement. Our mission is to provide exceptional service in the most professional manner and we believe that customer satisfaction is the keystone to our success. These values have kept our company consistently ranked in the top bracket for customer service in the country.As a T-Mobile Retail Assistant Store Manager, you will work together with the Store Manager to create a sales environment that provides exceptional customer service and a successful business. You will inspire and motivate your team by teaching and coaching them out on the sales floor. You will encourage success and learning opportunities within your team and analyze their performance.Qualifications:Management experience or equivalent.At least 1 years experience in a retail or customer service setting.Analyze and address areas of improvement for the sales team in order to achieve and exceed sales goals.Able to communicate with and take instructions from leadership staffBasic computer skills (word processing, email, google sheets or excel)Must be available to work evenings, weekends and holidaysMust be able to stand for long periods of timeMust be able to lift and or move 20lbsAt Exclusive Wireless, we're re-imagining the rules of wireless and we're just getting started. Join our revolution and be a part of a new wireless nation! #EDUBNATIONStatementWe Take Equal Opportunity Seriously. We are an Equal Opportunity Employer. All decisions concerning the employment relationship will be made without regard to age, race, ethnicity, color, religion, creed, sex, sexual orientation, gender identity or expression, national origin, marital status, citizenship status, veteran status, the presence of any physical or mental disability, or any other status or characteristic protected by federal, state, or local law. Discrimination or harassment based upon any of these factors is wholly inconsistent with our Company values and will not be tolerated. Furthermore, such discrimination or harassment may violate federal, state, or local law.About UsExclusive Wireless, Inc. began as a single location in 2006 and has since grown to 148stores in California, Washington, Nevada, Oregon,Idaho, West Virginia, Virgina, Ohio, Kentucky, and Pensylvania. We are continuing to grow and look forward to your intrest in joining our team.We are one of the largest T-Mobile Premium Retailers and have built our success on putting employees and customers first. T-Mobile has taken over the United States by storm, and we have stood at the forefront of bringing T-Mobile's reputation of excellent service and competitive edge to all communities.#J-18808-Ljbffr

The School Registered Nurse oversees the application of the nursing process and the delivery of student care in a school setting. The School RN supports the physical, mental and emotional well-being of students within the school setting. The School RN plays an essential role in promoting the health and safety, responding to medical emergencies, managing chronic conditions and serving as a liaison between families, school staff and healthcare providers. The School RN provides services in accordance with Amergis' philosophy, standards, policies and physician orders. Minimum Requirements: • Current Registered Nurse (RN) license in the state of employment • Bachelor's Degree, preferred • School Nurse Certification as required by state or contract • One year of school nursing, public health or pediatric experience, preferred • Complies with all relevant professional standards of practice • Current CPR if applicable • TB questionnaire, PPD or chest x-ray if applicable • Current Health certificate (per contract or state regulation) • Must meet all federal, state and local requirements • Must be at least 18 years of age Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: • Competitive pay & weekly paychecks • Health, dental, vision, and life insurance • 401(k) savings plan • Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions. Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. Job Category: Education Job Function: Education | RN | RN - School Job Type: Contract - Full Time Setting: Schools Position Type: Healthcare Office Number: 0680 Contract Duration: 42 Pay Rate: $1750 / Week Date Posted: 2026-07-13T14:39:54

Customer Service Representative - Inbound Calls

Talkdesk · Centralia, WA

Company Description Genesis Call Center recruits, trains, and manages U.S.-based Customer Service Representatives (CSRs) who support national brands across customer service, roadside assistance, healthcare logistics, retail support, and more. Our secure cloud-based systems allow team members to perform their duties from their designated workspace while contributing to a modern, environmentally conscious support model. As a W2 employer, we provide structured onboarding, real support, and real opportunities for advancement. Job Description We are hiring service-focused individuals to join our team as Customer Service Agents. In this role, you will handle inbound interactions for major brands, assisting customers with questions, service requests, account needs, and product support. You will use our guided systems and resources to deliver high-quality customer care while maintaining professionalism, accuracy, and brand alignment. This role offers schedule flexibility once certified and is ideal for individuals seeking a stable, structured support role with growth potential. Qualifications • High school diploma or GED • Must be at least 18 years of age • Authorized to work in the United States • U.S. resident (excluding CA, CO, CT, MA, MD, NY, OR, WA, WI) • Ability to follow detailed processes and meet performance expectations • Strong communication and active listening skills • Comfortable navigating computer applications and web-based tools • Ability to work independently and remain accountable to schedules Preferred: • Prior call center or customer service experience • Bilingual (Spanish/English) preferred but not required • Familiarity with phone-based or computer-based support environments Additional Information • Flexible scheduling options after certification • Paid training following successful client certification • W2 employment structure with payroll, protections, and stability • Paid time off and optional supplemental insurance (Aflac) • Household telehealth access through MDLive • Access to performance-based incentives • Career advancement pathways into support, QA, and leadership roles • All applicant information is kept confidential under EEO guidelines Please Note: This role requires completion of a multi-step onboarding process, including client-specific assessments, a basic background check, and participation in a certification course before servicing begins. Follow us on Facebook at: Videos To Watch