NewRemote after Training - Customer Service Rep AxelonRemote after Training - Customer Service RepWarwick, RIRemote$18–$20 / hourA demonstrated ability to quickly learn and continuously develop functional knowledge and an understanding of company products as well as administrative, claims, underwriting, and marketing functions. Ensure each customer experience is exceptional by leveraging effective listening skills, attention to detail, strong intellectual curiosity, and an honest desire to make a difference.
NewRemote After Training - Customer Service Rep AxelonRemote After Training - Customer Service RepWarwick, RIRemoteA demonstrated ability to quickly learn and continuously develop functional knowledge and an understanding of company products as well as administrative, claims, underwriting, and marketing functions. Superb listening skills and professional oral & written communication skills with an ability to inspire trust and accountability through an empathetic communication style.
Nurse Case Manager II LancesoftNurse Case Manager IIPlease note: Actual location may vary., RIRemote$34.35Duties:Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Pharmacist Clinical Pharmacist Advisor Medicare LancesoftPharmacist Clinical Pharmacist Advisor MedicarePlease note: Actual location may vary., RIRemote$53This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of Medicare Part B requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience. Position Summary: As a Clinical Pharmacist Advisor, Medicare B Operations, you will support Medicare Part B members, prescribers, and providers by processing coverage-related requests for injectable and infused medications covered under their medical benefits.
Hiring for Clinical Pharmacist - Prior Authorization Remote role LancesoftHiring for Clinical Pharmacist - Prior Authorization Remote rolePlease note: Actual location may vary., RIRemote$65.75The Prior Authorization Pharmacist is responsible for reviewing and evaluating medication prior authorization requests to ensure appropriate, safe, and cost-effective therapy in accordance with clinical guidelines, regulatory requirements, and organizational policies. Evaluate patient-specific factors including diagnosis, laboratory results, prior therapy, dosing, contraindications, and comorbid conditions.
Family Nurse Practitioner Virtual Care - MC LancesoftFamily Nurse Practitioner Virtual Care - MCPlease note: Actual location may vary., RIRemote$74.87You will work in collaboration with a dedicated team of professionals as you independently provide holistic, evidenced based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients ranging in age 18 months and above. •Assure complete and accurate payment for services through comprehensive documentation in the patient chart, verification of payment method (insurance, cash or combination) for each visit, and collection of payment as directed by the EMR.
Remote opportunity for Family Nurse Practitioner Virtual Care LancesoftRemote opportunity for Family Nurse Practitioner Virtual CarePlease note: Actual location may vary., RIRemote$70You will work in collaboration with a dedicated team of professionals as you independently provide holistic, evidenced based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients ranging in age 18 months and above. •Assure complete and accurate payment for services through comprehensive documentation in the patient chart, verification of payment method (insurance, cash or combination) for each visit, and collection of payment as directed by the EMR.
Family Nurse Practitioner Virtual Care Every Other Weekend - MC LancesoftFamily Nurse Practitioner Virtual Care Every Other Weekend - MCPlease note: Actual location may vary., RIRemote$74.87Assure complete and accurate payment for services through comprehensive documentation in the patient chart, verification of payment method (insurance, cash or combination) for each visit, and collection of payment as directed by the EMR. You will work in collaboration with a dedicated team of professionals as you independently provide holistic, evidenced based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients ranging in age 18 months and above.
Family Nurse Practitioner Virtual Care Weekend + PRN - MC LancesoftFamily Nurse Practitioner Virtual Care Weekend + PRN - MCPlease note: Actual location may vary., RIRemote$74.87You will work in collaboration with a dedicated team of professionals as you independently provide holistic, evidenced based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients ranging in age 18 months and above. •Assure complete and accurate payment for services through comprehensive documentation in the patient chart, verification of payment method (insurance, cash or combination) for each visit, and collection of payment as directed by the EMR.
Licensed Vocational Nurse-LPN LancesoftLicensed Vocational Nurse-LPNPlease note: Actual location may vary., RIRemote$26Position Summary: We are seeking experienced LPN/LVN candidates with prior authorization experience in a specialty medical office (MDO), PBM, or clinical setting. This role requires the ability to work in a high-volume, metrics-driven environment while maintaining strong clinical judgment, accuracy, and efficiency.
*Licensed Vocational Nurse - LPN LanceSoft Inc*Licensed Vocational Nurse - LPNPlease note: Actual location may vary., RIRemote$26–$28.50 / hourPerforms and handles inbound and outbound phone calls with technicians, prior authorization team members, physicians, healthcare providers, and/or patients to facilitate prior authorization requests, answer inquiries, and/or resolve calls with a one call solution. Education: A LVN (Licensed Vocational Nurse) or LPN (Licensed Practical Nurse) that must hold an unrestricted license in their state of residence or a compact license.
NewRemote opportunity for Pharmacist LanceSoft IncRemote opportunity for PharmacistPlease note: Actual location may vary., RIRemote$50–$58 / hourIf you believe you're qualified for this position and are currently in the job market or interested in making a change, please give me a call as soon as possible at 571 678 0714. *Must list internet speed test on the resume - www.speedtest.net.
New*Pharmacist LanceSoft Inc*PharmacistPlease note: Actual location may vary., RIRemote$53–$58 / hourThis role will work from supported systems and take inbound calls from physicians or members regarding their pending, approved, or denied prior authorizations, internally support the Prior Auth team and member services department, as well as provide on call after hours availability for urgent PA request as needed. Collaborates with the technicians and prior authorization team members to process referrals, including answering clinical questions and collecting appropriate clinical/medical data needed to perform clinical assessments and reviews as per the health plan/employer-agreed criteria within the designated service level agreements.
NewRemote Pharmacist Clinical Pharmacist Advisor Medicare : Work from Home LanceSoft IncRemote Pharmacist Clinical Pharmacist Advisor Medicare : Work from HomePlease note: Actual location may vary., RIRemote$50–$58 / hourDuties: • The role involves ensuring the accuracy of case setup and clinical review of Medicare appeals cases by thoroughly reviewing internal notes or fax requests for pertinent information, providing clear and concise documentation, and contacting providers when necessary to obtain clinical details for case decisions. • You will be responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines.
*Coordinator II - Eligibility Consultant Paper Ops (Fully Remote) Lancesoft*Coordinator II - Eligibility Consultant Paper Ops (Fully Remote)Please note: Actual location may vary., RIRemote$18G., sales, competition, ethnicity of clientele, etc.) in an effort to maximize individual store profit;and to confirm product mix, category adjacency and service issues as they relate to customer needs. Advocate alternative approaches, as needed, and communicate incremental scope of work and added cost to field management and project partners.
High Commission Remote Sales Opportunity - Advertising Terraboost MediaHigh Commission Remote Sales Opportunity - AdvertisingPawtucket, RIRemote$800–$1,500Earn While You Train – After completing training, you’ll be joined by a seasoned Terraboost pro who helps present and close. Advertising Sales on Jumbo 5-Foot Ads at Major Retailers — Amazing Opportunity for Independent Sales Contractors .
RN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorWarwick, Rhode IslandRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide .
*Pharmacy Tech I LanceSoft Inc*Pharmacy Tech IPlease note: Actual location may vary., RIRemote$19–$20 / hourExperience: Minimum (1) year experience required in a customer service position with high volume call center experience; preferably in healthcare, social services, or a similar service position. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.
Senior Systems Administrator Judge GroupSenior Systems AdministratorProvidence, RIRemote$50–$55 / yearBy providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. The Senior Systems Administrator supports, maintains, and enhances enterprise IT systems across on‑premises and cloud environments.
Veterinarian - In-Home Hospice & End-of-Life Care - Franklin, MA Heartstrings Pet Hospice, In-Home Euthanasia & AftercareVeterinarian - In-Home Hospice & End-of-Life Care - Franklin, MANorth Attleborough, MARemote$85,000–$130,000 / yearAt Heartstrings Pet Hospice, we believe veterinarians deserve a career built around compassion, balance, and purpose without corporate pressure or restrictive non-compete agreements. As a P rivate, Family-Owned Veterinary practice , we are committed to supporting our doctors both professionally and personally while providing exceptional end-of-life care for pets and the families who love them.