$44/hr
Clinical Review Nurse - Prior Authorization Various, NV
ESR Healthcare · Centralia, WA
Job description(tap to read)
Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they have an NV RN License. SHIFT: Training schedule is 3 weeks M-Fri 8AM-5PM PSt time ON CAMERA - NO TIME OFF Work Schedule after training: M-Fri 8AM-5PM PST time Duration: 3 months, Possibility to extend and/or convert to FTE Start Date: 3/9/2026 Description: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care. Responsibilities: • Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria • Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care • Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member • Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care • Assists with service authorization requests for a member's transfer or discharge plans to ensure a timely discharge between levels of care and facilities • Collects, documents, and maintains all members clinical information in health management systems to ensure compliance with regulatory guidelines • Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members • Provides feedback on opportunities to improve the authorization review process for members • Performs other duties as assigned Candidate Requirements Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. Required: Requires Graduate from an Accredited School of Nursing RN/LPN or Bachelors degree in Nursing and 2 – 4 years of related experience. Preferred: Required: MUST BE RN, Must Live in Nevada MUST HAVE A NV LICENSE Preferred: Years of experience required: MUST HAVE 2-4 years experience in health prior authorizations, case management, medical terminology/hipaa guidelines, Disqualifiers: job hopping (want someone that will eventually be permanent at the client if the position comes available within department) PLEASE STATE IF CONTRACT ROLE. Additional qualities to look for: Trucare, interqual Top 3 must-have hard skills stack-ranked by importance • 1 Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred/analytical and critical thinking skills/problem solving/attention to detail • 2 Knowledge of Medicaid regulations preferred. • 3 Knowledge of utilization management processes preferred. Pay Rate: up to $44/hr. *** Working Place: Nevada, Nevada, United States Company: ESR Healthcare
Spanish Speaking Flood Servicing Representative
MCI Careers · Wichita, KS
LOCATION Wichita, KS POSITION OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that extend across multiple countries. We deliver Customer Experience (CX), Business Process Outsourcing (BPO), and Anything-as-a-Service (XaaS) cloud technology solutions across a wide range of industries, including healthcare, retail, government, education, telecom, technology e-commerce, and financial services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability and reduce costs. At MCI we are committed to fostering an environment where professionals can build meaningful careers, access continuous learning and development opportunities and contributeto the success of a globally expanding, industry-leading organization. We are seeking dedicated and compassionate Spanish Servicing Representative to join our team. In this role, you will play a vital part in assisting individuals impacted by severe flooding. This position is an excellent opportunity for those who are passionate about providing exceptional customer support and helping communities recover during challenging times. This position involves working on a U.S. Federal Contract, and strict compliance with federal guidelines and protocols is mandatory. Candidates must demonstrate the ability to perform duties with precision and maintain confidentiality at all times. Candidates must pass a Level 2 fingerprint background check. Work Schedule: • Hours of Operation: 7:00 AM to 7:00 PM CST • Available Shifts: • 7:00 AM to 4:00 PM CST • 10:00 AM to 7:00 PM CST • Flexibility to work assigned shifts is required. Training: • A comprehensive 6-week training program is provided. • Attendance for the full duration of the training is mandatory; no time off is allowed during this period. To be considered for this role, you must complete a full application on our company careers page, including all screening questions and a brief pre-employment test. - POSITION RESPONSIBILITIES Key Responsibilities: • Assist callers impacted by severe flooding, providing empathetic and effective support. • Respond to customer inquiries and provide accurate and helpful information. • Resolve customer issues in a timely and professional manner. • Document all interactions thoroughly and accurately. • Maintain confidentiality and handle sensitive information appropriately. • Escalate complex issues to the appropriate department or supervisor as needed. • Provide follow-up communication to ensure customer satisfaction. • Stay informed about company policies, procedures, and service updates. • Participate in team meetings and training sessions to enhance service quality. • Offer feedback and suggestions to improve customer service processes. CANDIDATE QUALIFICATIONS WONDER IF YOU ARE A GOOD FIT FOR THIS POSITION? All positive, and driven applicants are encouraged to apply. The Ideal candidates for this position are highly motivated and dedicated and should possess the below qualities: • High school diploma or equivalent; college education is a plus. • Strong communication and problem-solving skills. • Previous customer service experience preferred. • Ability to handle high-stress situations calmly and effectively. • Must pass a Level 2 fingerprint background check. ABOUT MCI (PARENT COMPANY) MCI helps customers take on their CX and DX challenges differently, creating industry-leading solutions that deliver exceptional experiences and drive optimal performance. MCI assists companies with business process outsourcing, staff augmentation, contact center customer services, and IT Services needs by providing general and specialized hosting, software, staff, and services. In 2019, Marlowe Companies Inc. (MCI) was named by Inc. Magazine as Iowa's Fastest Growing Company in the State of Iowa and was named the 452nd Fastest Growing Privately Company in the USA, making the coveted top 500 for the first time. MCI's subsidiaries had previously made Inc. Magazine's List of Fastest-Growing Companies 15 times, respectively. MCI has ten business process outsourcing service delivery facilities in Georgia, Florida, Texas, New Mexico, California, Kansas, Nova Scotia, South Africa, and the Philippines. Driving modernization through digitalization, MCI ensures clients do more for less. MCI is the holding company for a diverse lineup of tech-enabled business services operating companies. MCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum. POSITION OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that extend across multiple countries. We deliver Customer Experience (CX), Business Process Outsourcing (BPO), and Anything-as-a-Service (XaaS) cloud technology solutions across a wide range of industries, including healthcare, retail, government, education, telecom, technology e-commerce, and financial services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability and reduce costs. At MCI we are committed to fostering an environment where professionals can build meaningful careers, access continuous learning and development opportunities and contribute to the success of a globally expanding, industry-leading organization. We are seeking dedicated and compassionate Spanish Servicing Representative to join our team. In this role, you will play a vital part in assisting individuals impacted by severe flooding. This position is an excellent opportunity for those who are passionate about providing exceptional customer support and helping communities recover during challenging times. This position involves working on a U.S. Federal Contract, and strict compliance with federal guidelines and protocols is mandatory. Candidates must demonstrate the ability to perform duties with precision and maintain confidentiality at all times. Candidates must pass a Level 2 fingerprint background check. Work Schedule: • Hours of Operation: 7:00 AM to 7:00 PM CST • Available Shifts: • 7:00 AM to 4:00 PM CST • 10:00 AM to 7:00 PM CST • Flexibility to work assigned shifts is required. Training: • A comprehensive 6-week training program is provided. • Attendance for the full duration of the training is mandatory; no time off is allowed during this period. To be considered for this role, you must complete a full application on our company careers page, including all screening questions and a brief pre-employment test. - POSITION RESPONSIBILITIES Key Responsibilities: • Assist callers impacted by severe flooding, providing empathetic and effective support. • Respond to customer inquiries and provide accurate and helpful information. • Resolve customer issues in a timely and professional manner. • Document all interactions thoroughly and accurately. • Maintain confidentiality and handle sensitive information appropriately. • Escalate complex issues to the appropriate department or supervisor as needed. • Provide follow-up communication to ensure customer satisfaction. • Stay informed about company policies, procedures, and service updates. • Participate in team meetings and training sessions to enhance service quality. • Offer feedback and suggestions to improve customer service processes. CANDIDATE QUALIFICATIONS WONDER IF YOU ARE A GOOD FIT FOR THIS POSITION? All positive, and driven applicants are encouraged to apply. The Ideal candidates for this position are highly motivated and dedicated and should possess the below qualities: • High school diploma or equivalent; college education is a plus. • Strong communication and problem-solving skills. • Previous customer service experience preferred. • Ability to handle high-stress situations calmly and effectively. • Must pass a Level 2 fingerprint background check. CONDITIONS OF EMPLOYMENT All MCI Locations • Must be authorized to work in the country where the job is based. Subject to the program and location of the position • Must be willing to submit up to a LEVEL II background and/or security investigation with a fingerprint. Job offers are contingent on background/security investigation results. • Must be willing to submit to drug screening. Job offers are contingent on drug screening results. COMPENSATION DETAILS WANT AN EMPLOYER THAT VALUES YOUR CONTRIBUTION? At MCI, we believe that your hard work deserves recognition and reward. Our compensation and benefits packages are designed to be competitive and to grow with you over time. Starting compensation is based on experience, and we offer a variety of benefits and incentives to support and reward our team members. What You Can Expect from MCI: We understand the importance of balance and support, which is why we offer a variety of benefits and incentives that go beyond a paycheck. Our team members enjoy: • Paid Time Off: Earn PTO and paid holidays to take the time you need. • Incentives & Rewards: Participate in daily, weekly, and monthly contests that include cash bonuses and prizes ranging from electronics to dream vacations and sometimes even cars! • Health Benefits: Full-time employees are eligible for comprehensive medical, dental, and vision coverage after 60 days of employment, and all employees have access to MEC medical plans after just 30 days. Benefit options vary by location. • Retirement Savings: Secure your future with retirement savings programs, where available. • Disability Insurance: Short-term disability coverage is available to help protect you during unexpected challenges. • Life Insurance: Access life insurance options to safeguard your loved ones. • Supplemental Insurance: Accident and critical illness insurance • Career Growth: With a focus on internal promotions, employees enjoy significant advancement opportunities. • Paid Training: Learn new skills while earning a paycheck. • Fun, Engaging Work Environment: Enjoy a team-oriented culture that fosters collaboration and engagement. • Casual Dress Code: Be comfortable while you work. Compensation & Benefits that Fit Your Life MCI takes pride in tailoring our offerings to fit the needs of our diverse team across subsidiaries and locations. While specific benefits and incentives may vary by geography, the core of our commitment remains the same: rewarding effort, providing growth opportunities, and creating an environment where every employee feels valued. If you're ready to join a company that recognizes your contributions and supports your growth, MCI is the place for you. Apply today! PHYSICAL REQUIREMENTS This job operates in a professional office environment. While performing the duties of this job, the employee will be largely sedentary and will be required to sit/stand for long periods while using a computer and telephone headset. The employee will be regularly required to operate a computer and other office equipment, including a phone, copier, and printer. The employee may occasionally be required to move about the office to accomplish tasks; reach in any direction; raise or lower objects, move objects from place to place, hold onto objects, and move or exert force up to forty (40) pounds. REASONABLE ACCOMMODATION Consistent with the Americans with Disabilities Act (ADA), it is the policy of MCI and its affiliates to provide reasonable accommodations when requested by a qualified applicant or employee with a disability unless such accommodations would cause undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment. If reasonable accommodations are needed, please contact Human Resources. DIVERSITY AND EQUALITY At MCI and its subsidiaries, we embrace differences and believe diversity is a benefit to our employees, our company, our customers, and our community. All aspects of employment at MCI are based solely on a person's merit and qualifications. MCI maintains a work environment free from discrimination, one where employees are treated with dignity and respect. All employees share in the responsibility for fulfilling MCI's commitment to a diverse and equal opportunity work environment. MCI does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations, and ordinances. MCI will consider for employment qualified applicants with criminal histories in a manner consistent with local and federal requirements. MCI will not tolerate discrimination or harassment based on any of these characteristics. We adhere to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline. In addition, it is the policy of MCI to provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances where an employee works. PHYSICAL REQUIREMENTS This job operates in a professional office environment. While performing the duties of this job, the employee will be largely sedentary and will be required to sit/stand for long periods while using a computer and telephone headset. The employee will be regularly required to operate a computer and other office equipment, including a phone, copier, and printer. The employee may occasionally be required to move about the office to accomplish tasks; reach in any direction; raise or lower objects, move objects from place to place, hold onto objects, and move or exert force up to forty (40) pounds. REASONABLE ACCOMMODATION Consistent with the Americans with Disabilities Act (ADA), it is the policy of MCI and its affiliates to provide reasonable accommodations when requested by a qualified applicant or employee with a disability unless such accommodations would cause undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment. If reasonable accommodations are needed, please contact Human Resources.
CPS & Foster Care Services Specialist 9-12
State of Michigan · Lewisburg, TN
Salary : $53,851.20 - $88,608.00 Annually Location : Petoskey, MI Job Type: Permanent Full Time Remote Employment: Flexible/Hybrid Job Number: 4308-26-EMMET/CHARLEVOIX Department: Health and Human Services - Counties Opening Date: 12/17/2025 Closing Date: Continuous Bargaining Unit: UNITED AUTO WORKERS (UAW) Job Description The Services Specialist will utilize child welfare practice skills to ensure children are protected from abuse and neglect. When child abuse or neglect is indicated, specialists work closely with families and the legal system toward a goal of reunification, independent living, or other permanent living situation. Position Location: This position is located in Petoskey, MI at the Michigan Department of Health and Human Services, 2229 Summit Park Drive, Petoskey, MI 49770. Review the position description at: (9-P11), Review the job specification at: Pay negotiations within the classification pay range will only be considered based on your current employment earnings and/or relevant position specific experience. Required Education and Experience Alternate Education and Experience Additional Requirements and Information The MDHHS mission is to provide opportunities, services, and programs that promote a healthy, safe, and stable environment for residents to be self-sufficient. We are committed to ensuring a diverse workforce and a work environment whereby all employees are treated with dignity, respect and fairness. For more information, please visit our Follow us on for more job opportunities! MDHHS is proud to be a Michigan Veteran's Affairs Agency (MVAA) Gold Level Veteran-Friendly Employer. Accommodations If you require a reasonable accommodation to participate in the application or selection processes, please contact the for the agency that posted this position vacancy. State employment also offers rewarding careers where you can help Michiganders enjoy better lives. Many State of Michigan jobs offer alternate work schedules and remote-work options that can help give the flexibility you need. The State of Michigan has been recognized as a leading U.S. employer by new graduates from 2021-2023 and a best large U.S. and state employer. Recognized on the international stage for fostering positive employee engagement, the State of Michigan is a past recipient of a North America Government Agency Employees Engagement Award. More details on benefits for our new hires are below: Rewarding Work: State of Michigan jobs allow you to serve Michiganders in many different ways depending on your interests and skills. Help preserve and protect our environment and the public health; enforce state laws and regulations; advocate for children, families, and victims of discrimination; support our state's military and veterans; rebuild our state's infrastructure; or support other state agencies through our fiscal, IT, and HR systems. Insurance Benefits: The State of Michigan offers health, mental health, dental, and vision insurance to eligible career employees, their spouses, and their children. The state also covers a life-insurance benefit of two times employees' annual salary (up to $200,000). The state also offers long-term-disability insurance that can provide continuing benefits if an injury or illness prevents employees from working. More information is available at www.mi.gov/employeebenefits. Retirement Programs: The State of Michigan offers 401(k) and 457 plans for new hires to save for retirement. The state will automatically contribute an amount equal to 4% of your pay to a 401(k) account. The state will also match up to 5% of your pay if you contribute to your 401(k) account. Your contributions vest immediately, and the state's contributions fully vest after just 4 years. More information is available at Vacation and Sick Leave: Eligible full-time employees receive between 15 and 35 personal days and 13 sick days per year that may be rolled over to the following year if not used. Eligible employees also receive an additional day each year for community service or school functions. Paid Parental Leave: Eligible employees can take 12 weeks of paid leave immediately after a birth or adoption to allow needed time together at home with a new child. Paid Holidays: Eligible employees receive 13 or 14 paid holidays each year including New Year's Eve and Day, Martin Luther King Jr. Day, Presidents' Day, Memorial Day, Juneteenth, the Fourth of July, Labor Day, Election Day, Veterans Day, Thanksgiving, Thanksgiving Friday, Christmas Eve and Day. Bonus Programs: Eligible employees with five years of service also receive annual longevity bonuses that grow as seniority increases. Some positions also may qualify for recruitment, retention, and performance bonuses or other special pay premiums. Military Pay Differential: Employees in the guard or reserves may also qualify for supplemental pay benefits if miliary pay during qualifying duty is less than normal state pay. Prior military service may also allow seniority credits to accelerate eligibility for longevity bonuses and additional personal leave accrual. Tax-Advantaged Programs: In addition to 401(k) and 457 retirement accounts, the state also offers flexible spending account (FSA), health savings account (HSA), and qualified transportation fringe benefit (QTFB) programs that can help you save money by reducing your taxable income. Student Loan Forgiveness: Working for the State of Michigan may allow you to participate in programs that forgive the balance of qualifying student loans. Please view Student Loan Information to help determine if you could qualify is available from the U.S. Department of Education. Tuition Reduction: Some colleges and universities offer savings to eligible employees and family members to further their education while working for the State of Michigan. Professional Development: To help develop your career, programs are available to apply for reimbursement of up to $2,000 a year for education and training for college course credits and non-degree programs. Alternative and Remote Work Schedules: Depending on the nature of their duties, many state jobs offer flexible work schedules and remote or hybrid telecommuting options that can help obtain the work-life balance that you seek. Great Lakes and Great Times: Michigan boasts four Great Lakes, 11,000 inland lakes, 36,000 miles of rivers and streams, 20 million acres of forests, 100 state and national parks and recreation areas, 1,300 miles of bike trails, 6,500 miles of snowmobile trails, the second-most ski areas in the nation, 650 public golf courses, 600 campgrounds, and an international dark-sky park-just for starters. Our cities offer concerts and cultural events, storied sports teams, education hubs, vibrant downtowns, one-of-a-kind craft beverages, and renowned restaurants for every appetite. From urban centers to beach towns to the great outdoors, the opportunities are endless. With your state salary and benefits and Michigan's affordable cost of living, you can explore all that Michigan has to offer. Updated: 2/28/24 01 Are you a current MDHHS employee classified as a Services Specialist 9-12 interested in moving to the same class and level at this location? • Yes • No 02 SOCSSPL - Do you possess one of the following?Possession of a bachelor's or master's degree with a major in one of the following human services areas: social work, sociology, psychology, forensic psychology, education, community development, law enforcement, behavioral science, gerontology, special education, education of the emotionally disturbed, education of the gifted, family ecology, community services, family studies, family and/or child development, counseling psychology, criminal justice, human services, a human services-related counseling major, or interdisciplinary studies in social science.ORPossession of a bachelor's degree in any major with at least 30 semester (45 term) credits in one or a combination of the following human services areas: social work, sociology, psychology, forensic psychology, education, community development, law enforcement, behavioral science, gerontology, special education, education of the emotionally disturbed, education of the gifted, family ecology, community services, family studies, family and/or child development, counseling psychology, criminal justice, human services, a human services-related counseling major, or interdisciplinary studies in social science. If yes, please attach ALL copies of your official college transcripts. • Yes • No 03 If you do not have a bachelor's degree and/or master's degree in any of the above, will you have your degree completed within 30 days of your application? (If not, please reapply when you are within 30 days of completing your degree) • Yes • No 04 How has your background and experience prepared you to be effective in an environment where we see awareness of and respect for diversity as an important value? 05 Please select from the options below: (Please note, actions that have been expunged, formal counseling, and layoff actions such as a reduction in force need not be reported.) Please select all that apply. • I have been dismissed within the last two years • I have resigned in lieu of discipline or dismissal within the last two years • I have been suspended without pay within the last two years • I have received a written reprimand within the last two years • I have received an unsatisfactory rating within the last two years • I have signed a last chance agreement with MDHHS within the last two years • I certify that none of the above circumstances apply to me 06 If you selected that you have been dismissed with in the last two years, resigned in lieu of dismissal within the last two years, suspended without pay within the last two years, received a written reprimand within the last two years, received an unsatisfactory rating within the last two years, or signed a last chance agreement with MDHHS within the last two years, please provide an explanation below. 07 Do you have any substantiated cases of abuse or neglect, as a perpetrator reported on the Department of Human Services Central Registry? • Yes • No 08 Have you ever been found responsible in a confirmed case of child abuse or neglect? • Yes • No 09 If yes, please explain in detail what changes you have made to mitigate your previous actions. 10 Have you lived outside the State of Michigan in the previous 5 years? (Selected applicants who have lived outside the State of Michigan within the previous 5 years will need to provide a Central Registry record for the State(s) in which they resided in for the previous 5 years prior to being hired.) • Yes • No 11 Do you have an Intentional Program Violation from the Department of Health and Human Services? • Yes • No 12 Have you ever been convicted of a felony? • Yes • No 13 Have you ever been convicted of a misdemeanor? • Yes • No 14 If you answered "yes" to the previous question, Please document all instances including date and disposition. If "no", please indicate N/A. 15 Do you possess a valid driver's license?(This is a requirement of this position) • Yes • No 16 If yes, please list the issuing State, License Number and Expiration Date. If you have a driver's license issued in any other State than Michigan, please attach a 2 year driving history from that State to your application. 17 Have you completed or are you currently enrolled in the Child Welfare Certificate Program from an endorsed Michigan School of Social Work? (Attach certificate if completed) • Yes • No 18 This posting is used for both permanent and limited term appointments. Would you accept a limited term position? • Yes • No 19 Have you previously completed the new worker training institute provided by MDHHS for any of the following child welfare programs: Children's Protective Services, Adoption, Foster Care? • Yes • No 20 Were you previously employed as a Services Specialist with the Michigan Dept. of Health and Human Services and are seeking to return to that position? • Yes • No Required Question
Become a part of our caring community The Community Health Worker (CHW) 1 serves as a liaison between health and social services and the community, identifying health-related issues, collecting data, and discussing concerns with the people served. In this role, you will address members housing concerns and connect them with community resources. This will include helping with completion of applications, identifying housing vacancies, adding members to wait lists. Additionally, you will help members with understanding and utilizing their housing benefits in partnership with the community and including policies related to the Medicaid population. This is a field role and you will need to travel up to 25% to member homes and facilities. You will report to a Manager of Care Management. The Community Health Worker (CHW) 1 serves as a key member of our care teams, applying a hands-on approach to member engagement. The CHW 1 supports case management functions. It addresses social determinants of health (SDOH) needs, improves self-management of chronic conditions, navigates the healthcare system, and promotes prevention and health education tailored to the needs of the communities we serve. You will leverage your knowledge of the community and shared life experiences to close gaps in care. • Conduct in-person assessments to understand member care needs, preferences, socioeconomic barriers, and evaluate the home environment. • Assist members in navigating healthcare and social service systems, coordinating access to basic needs with a focus on housing (e.g., housing, food, income, and transportation). • Identify and address barriers to housing, ensuring members can attend their appointments. • Provide social support to boost members' morale and sense of self-worth, serving as a trustworthy, reliable, non-judgmental, consistent, and accepting team member. • Support member independence through appropriate education and coaching. • Conduct research and in-person outreach to locate difficult-to-contact members to increase assessment completion and participation in clinical programs. • Build and maintain relationships with providers and community resources to support member referrals and implement community assessments to identify resource gaps. • Regularly travel to conduct member visits and community-based visits as needed to ensure effective program administration. • Work collaboratively with other associates as a member of the care support team. Use your skills to make an impact Required Qualifications • Must reside in the state of South Carolina • Able to travel up to 25% • Minimum two (2) years of experience with community resources, health agencies, or social services (e.g., Area Agency on Aging, DME providers, Meals on Wheels) • Proficiency in Microsoft Office such as (Teams, Excel, PowerPoint, Outlook, Word) • Build rapport with members and community partners • Respect for cultural and demographic diversity • Strong written & verbal communication skills and advocacy for members at all care levels • Must have a separate room with a locked door that can be used as a home office to ensure continuous privacy while you work Preferred Qualifications • Community Health Worker training and/or certificate or willingness to complete within one (1) year • Bachelor's degree in social work or related field • Familiarity with state Medicaid program guidelines • Experience engaging with Medicaid enrollees, including those with physical health and behavioral health needs and varied health literacy Additional information Work-At-Home Requirements: To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. • Satellite, cellular and microwave connection can be used only if approved by leadership. • Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. • Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Interview Format: As part of our hiring process for this opportunity, we will be using exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a first-round interview, you will receive an email correspondence inviting you to participate in a HireVue interview. In this interview, you will receive a set of interview questions you may answer via by phone or computer, and you will provide recorded or text message responses to each question. Some of the questions may require longer responses and using a computer vs phone to type responses may work best. You should anticipate this interview to take about 15-20 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews. Why Humana? Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including: Health benefits effective day 1 Paid time off, holidays, volunteer time and jury duty pay Recognition pay 401(k) retirement savings plan with employer match Tuition assistance Scholarships for eligible dependents Parental and caregiver leave Employee charity matching program Network Resource Groups (NRGs) Career development opportunities TB Statement: This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Driving Statement: This role is part of our company's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher. Medicaid Mileage Reimbursement: We provide mileage reimbursement for work-related travel. Eligible mileage includes: • Travel from your home to your first work location of the day. • Travel between client or assignment locations during the workday. • Travel from your final work location back to your home. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $41,900 - $56,600 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Customer Service Keynote/Guest Speaker | Marketing And SERVQUAL Customer Service
ProSidian Consulting · Lewisburg, TN
Customer Service Keynote/Guest Speaker | Marketing And SERVQUAL Customer Service [ESC1Q152] ProSidian seeks a Customer Service Keynote/Guest Speaker | Marketing And SERVQUAL Customer Service [ESC1Q152] for Speakers Bureau (Keynote/Guest Speaker) on a Exempt 1099 Contract: No Overtime PayBasis Contract Contingent generally located across the CONUS - Texas (Remote W/ Travel or Virtual) Across The South Central Region supporting an education-centered state organization that targets outcomes via leadership, instruction, training, and diverse, transparent, partnership-driven procurement practices. We seek Customer Service Speakers Bureau (Keynote/Guest) Speaker candidates with relevant Education, And Academia Sector Experience (functional and technical area expertise also ideal) to support professional services engagement for Education, And Academia Sector Clients such asESC1. This as a Contract Contingent or Contract W-2 (IRS-1099) Marketing And SERVQUAL Customer Service Functional Area / Swim Lane / Category Discipline Professional - Speakers Bureau (Keynote/Guest Speaker) Position; however, ProSidian reserves the right to convert to a Full-Time ProSidian employed W-2 Position. Job Overview Provide services and support as a Customer Service Keynote/Guest Speaker [Speakers Bureau (Keynote/Guest Speaker)] in the Education, And Academia Industry Sector focussing on Human Capital Solutions for clients such as Texas Education Agency (TEA) | Region One Education Service Center (ESC1) Generally Located In CONUS - Texas (Remote W/ Travel or Virtual) and across the South Central Region (Of Country/World). ProSidian Speakers Bureau delivers expert-led, purpose-driven keynote and guest speaking engagements that align strategic messaging with event objectives—empowering audiences through impactful communication by industry leaders, subject matter experts, and thought influencers across conferences, academic forums, corporate summits, and community events. Marketing And SERVQUAL Customer Service Category Speakers Provides targeted content and insights tailored to Customer Service / Customer Loyalty Topic Areas while collaborating with a Speakers Bureau (Keynote/Guest) as part of a General/Other Functional Area / Swim Lane / Category Discipline/Category with the objective(s) of engaging audiences through expert knowledge, real-world experience, or motivational storytelling. Delivers value by educating, inspiring, and energizing event participants. Often aligned with the event theme or goals to reinforce key messages. Customer Service / Customer Loyalty speakers specialize in delivering compelling insights, stories, or strategies within their area of expertise. They engage audiences through education, motivation, and actionable guidance rooted in their field. Responsibilities and Duties - Customer Service Keynote/Guest Speaker | Marketing And SERVQUAL Customer Service [ESC1Q152] Deliver impactful, purpose-driven customer service speaker sessions that engage, inform, and inspire diverse audiences. Customer service involves creating positive, solution-oriented experiences for clients and end-users across industries. It includes communication, empathy, responsiveness, and systems that build loyalty and satisfaction. Speakers address service excellence, team training, and customer-centric business strategies. Design and deliver presentations, customize content, engage with audience Q&A, and represent core themes aligned with customer service subject matter topics and themes. The role(s) are located in the South Central Region is at or near CONUS - Texas (Remote W/ Travel or Virtual). Initially identified Work Site Address (Subject to Change or Working Remotely): 1801 9th Ave N, Texas City, TX 77592 Qualifications Desired Qualifications For Customer Service Keynote/Guest Speaker | Marketing And SERVQUAL Customer Service [ESC1Q152] (ESC1Q152) Candidates: Recognized subject matter expertise, excellent communication, and proven engagement outcomes. Bachelor's degree minimum; advanced degree preferred depending on topic area. 5–10 years of relevant speaking, industry, or subject experience. Skills Required Primarily focused on Professional and Management Development Training initiatives and aligned with Speakers Bureau (Keynote/Guest Speaker) activities Marketing And SERVQUAL Customer Service Functional Area Activities. Public speaking, storytelling, audience engagement, adaptability. Competencies Required Emotional intelligence, strategic communication, cultural competence. Ancillary Details of the Roles Contribute to speaker bureau knowledge base and mentoring junior speakers. Collaborate with event teams to align messaging and logistics for optimal audience impact. Other Details Availability for in-person and virtual events, flexibility in schedule, alignment with client objectives. Additional Information Core Competencies * Teamwork – ability to foster teamwork collaboratively as a participant, and effectively as a team leader * Leadership – ability to guide and lead colleagues on projects and initiatives * Business Acumen – understanding and insight into how organizations perform, including business processes, data, systems, and people * Communication – ability to effectively communicate to stakeholders of all levels orally and in writing * Motivation – persistent in pursuit of quality and optimal client and company solutions * Agility – ability to quickly understand and transition between different projects, concepts, initiatives, or work streams * Judgment – exercises prudence and insight in decision-making process while mindful of other stakeholders and long-term ramifications * Organization – ability to manage projects and activity, and prioritize tasks Other Requirements * Business Tools – understanding and proficiency with business tools and technology, including Microsoft Office. The ideal candidate is advanced with Excel, Access, Outlook, PowerPoint and Word, and proficient with Adobe Acrobat, data analytic tools, and Visio with the ability to quickly learn other tools as necessary * Commitment - to work with smart, interesting people with diverse backgrounds to solve the biggest challenges across private, public and social sectors * Curiosity – the ideal candidate exhibits an inquisitive nature and the ability to question the status quo among a community of people they enjoy and teams that work well together * Humility – exhibits grace in success and failure while doing meaningful work where skills have impact and make a difference * Willingness - to constantly learn, share, and grow and to view the world as their classroom Benefits and Highlights At ProSidian, we invest in our employees to help them stay healthy and achieve work-life balance. Our team members receive a comprehensive benefits package that includes Competitive Compensation, Group Health Insurance Health Benefits, 401(k) Retirement Savings Plan Contributions, Vacation and Paid Time off (PTO) Benefits, Pre-Tax Payment Programs, Purchasing Discounts & Savings Plans, a ProSidian Employee & Contractor Referral Bonus Program, Performance Incentives, etc. Our comprehensive benefits package includes a medical, dental and vision plan. Our growing list of benefits currently include the following: Competitive Compensation: Pay range begins in the competitive ranges with full Gold Level (Tier 1) Group Medical Benefits, Pretax Employee Benefit Plan, plus performance incentives Group Health Insurance Health Benefits: Group Health Insurance Including Medical, Dental And Vision Insurance: Contributions are deducted from pay on a Pretax basis - Employee and family coverage is available with employer contribution of 50% of Employee (only) premiums under the Health and Vision Plan through Blue Cross Blue Shield NC (Blue Options Medical Plan Code: PB07840 / Metallic Level: Gold - - bcbsnc.com) and Dental Plan (Ameritas - www.ameritas.com). 401(k) Retirement Savings Plan: 401(k) Retirement Savings Plans help you save for your retirement. Eligible employees can make before-tax contributions to the 401(k) Retirement Savings Plan to help you save for retirement. Contributions are deducted from pay on a pretax basis the employee can contribute up to $18k. A wide range of investment options are available with a personal financial planner available to assist you. Immediate 100% vesting of both your contribution and the ProSidian matching contribution. The Plan is a Safe Harbor 401(k) Retirement Savings Plan. ProSidian Consulting participates in a Basic Match: 4% of pay for participants who defer at least 5% of their pay. Vacation And Paid Time Off (PTO) Benefits: The flexibility of Paid Time Off (PTO) lets you set your own priorities. Eligible employees use PTO for vacation, a parent-teacher conference, a doctor's appointment, or any number of events in your life. Currently these benefits include Vacation/Sick days – 2 weeks | Holidays - 10 Federal Government. Pre-Tax Payment Programs: Pre-Tax Payment Programs currently exist in the form of a Premium Only Plan (POP). These Plans offer a full Flexible Spending Account (FSA) Plan and a tax benefit for eligible employees. Purchasing Discounts &