Job DetailsJob Location: Remote, TN - Franklin, TN 37067Position Type: Full TimeEducation Level: High School Diploma/GEDJob Category: Other PositionsUS Heart and Vascular is looking for a Remote Cardiac Monitor Specialist to join our team. $3000.00 Sign-on Bonus Available. Position Summary Monitors patients with implanted cardiac devices, including pacemakers, defibrillators, and remote monitoring systems. Analyzes device data, providing technical support to patients and healthcare providers, and ensuring optimal device performance and patient care from a remote setting. Responsibilities: Remotely monitors patients' cardiac devices, including pacemakers, defibrillators, and other implantable cardiac devices, to track device performance, patient data, and any abnormal findings. Reviews and analyzes device data, including ECGs, event logs, and diagnostic reports, to assess device function and identify any issues or potential complications. Provides technical support and education to patients regarding their cardiac devices, including troubleshooting issues, answering questions, and guiding patients on device usage and maintenance. Works closely with cardiologists, electrophysiologists, and other healthcare professionals to communicate findings, provides updates on patient status, and coordinate care as needed. Responds to alerts and notifications from cardiac devices regarding patient conditions, such as arrhythmia or device malfunctions, and takes appropriate action. Maintains accurate and detailed records of patient interactions, device data, and any relevant observations. Ensures that all documentation is complete and up-to-date in the electronic health record (EHR) system. Ensures that all activities and procedures comply with relevant regulations, standards, and best practices related to cardiac device management and remote monitoring. Requirements: Knowledge and understanding of cardiac devices and clinical or remote patient monitoring practices. Strong understanding of cardiac device technology, including pacemakers, defibrillators, and remote monitoring systems. Excellent analytical skills and the ability to interpret complex device data and ECGs. Exceptional communication skills, with the ability to provide clear instructions and support to patients and healthcare providers remotely. Proficiency in using remote monitoring software, electronic health record (EHR) systems, and other relevant technology. Ability to work independently and manage time effectively in a remote work environment. A bachelor’s degree in nursing, Cardiovascular Technology, Biomedical Engineering, or a related field. Two (2) years of experience in monitoring, calibrating, or maintaining cardiac devices is required Certification in cardiac device management or similar certification (e.g., CCDS, RCIS) is preferred. Qualifications

Job Title: Alpha-1 Antitrypsin Deficiency (AATD) Thought Leader Liaison (TLL)- Missouri Location: Remote/Field- Missouri/Kansas About the Job Join the team transforming care for people with immune challenges, rare diseases, cancers, and neurological conditions. In Specialty Care, you’ll help deliver breakthrough treatments that bring hope to patients with some of the highest unmet needs. Join the team transforming care for people with immune challenges, rare diseases, cancers, and neurological conditions. In Specialty Care, you’ll help deliver breakthrough treatments that bring hope to patients with some of the highest unmet needs. Sanofi’s Alpha-1 Antitrypsin Deficiency (AATD) Thought Leader Liaison (TLL) is a field-based commercial role that: (1) leverages data to seamlessly identify and profile customers, (2) coordinates HCP peer-to-peer and patient programming, as well as (3) gathers insights across customer groups to inform commercial strategy and execution. The TLL is expected to possess a high level of knowledge regarding the AATD landscape and compliance to be successful in engaging customers, while adhering to all pharma, field, and headquarters protocols and procedures when engaging customers. The TLL engages key opinion leaders (KOLs) on the AATD speaker bureau to provide education to HCPs and patients, the latter of which is enabled by patient advocacy groups (PAGs). This role closely collaborates with internal customer-facing teams to ensure a One Sanofi approach, as well as with HQ teams, working within approved SOPs. The TLL directly reports through the US HQ Commercial organization to the AATD TLL Head, and succeeds through exceptional strategic planning, communication, collaboration, and flawless execution. At launch, Sanofi expects this role to transition into an HCP-facing Sales role, including transitioning to quarterly incentive compensation eligibility. About Sanofi We’re an R&D-driven, AI-powered biopharma company committed to improving people’s lives and delivering compelling growth. Our deep understanding of the immune system – and innovative pipeline – enables us to invent medicines and vaccines that treat and protect millions of people around the world. Together, we chase the miracles of science to improve people’s lives. Main Responsibilities: All TLL interactions are consistent with compliance, legal, privacy, and regulatory guidelines. KOL Engagement and Advocacy Development - Uses segmentation to engage KOLs, HCPs, and patients per SOPs - Aligns closely with HCP/account and patient marketing teams and patient advocacy organizations to compliantly engage HCP and patient communities - Serves as a single point of contact to resolve stakeholder issues related to education programs HCP Peer-to-Peer Program and Patient Program Execution - Coordinates outreach to KOLs, HCPs, and PAGs to deliver HCP P2P and patient programs - Plans and executes HCP P2P programs: in-office events, conferences/congresses, and webinars - Plans and executes patient educational programs: lunch/dinner programs, conferences/congresses, and webinars, in partnership with approved vendors and advocacy groups - Leads planning, execution, and pull-through of in-practice programs; manages logistics, invitations, attendance, and follow-up Insights and Advisory - Facilitates cross-functional planning, recruitment, and execution of regional/national advisory boards; capture and report feedback - Provides competitive and market intelligence derived from compliant interactions Speaker/Ambassador Bureau Operations and Content - Reviews approved marketing content with currently contracted speakers; contributes to the identification and nomination of future speakers - Attends programs to observe, coach, and remediate as needed for compliant execution. - Partners with HQ to provide input to content, and to reflect updated materials in ongoing programs - Manages reporting on program KPIs and field execution; optimize scheduling and utilization of high-volume speakers/ambassadors Conference and Event Engagement - Plans and executes stakeholder engagements and executive encounters at local, regional, and national congresses, webinars, and field visits Compliance, Governance, and Reporting - Adheres to all company policies, SOPs, PhRMA Code, OIG guidance, and privacy requirements related to HCP and patient interactions - Ensures appropriate approvals and documentation for all programs, materials, and consultants About You Education / Skills / Experience: - Bachelor’s degree required - Experience in pulmonology/rare respiratory disease, launches, rare communities, strongly preferred - Strong network development abilities, with a track record of establishing connections, referrals, and infrastructure for key accounts - Established understanding of pulmonologists, primary care physicians, allergists/immunologists, and care teams requested - Minimum 5 years in at least one of the following areas: HCP education, patient education, KOL engagement, patient advocacy group (PAG) engagement - Sales experience with proven results (preferably in the pharmaceutical or healthcare industry, with a focus on rare diseases or specialized therapeutic areas preferred) - Demonstrated success executing HCP peer-to-peer (P2P) and patient programs (live and virtual) with strong project management and logistics skills - Practice developing and executing meetings, training, programs, as well as strategic and tactical plans - Familiarity with AATD care pathways (e.g., diagnosis, genetic testing, multidisciplinary management) preferred - Proven leadership, executive presence, and cross-functional collaboration skills - Excellent communication and presentation abilities; strong organization and analytical planning - Ability to manage multiple projects under tight timelines; proficiency with CRM and reporting tools - Have valid driver’s license - Must reside within the geographic area of the assigned territory, or within a reasonable distance as determined by leadership - Ability to travel 60-80%; could be less depending on geography - Eligible for STI only (pre-launch); IC eligible (at launch), as Sanofi expects this role to transition into an HCP-facing Sales role Why Choose Us? - Bring the miracles of science to life alongside a supportive, future-focused team. - Discover endless opportunities to grow your talent and drive your career, whether it’s through a promotion or a lateral move, at home or internationally. - Enjoy a thoughtful, well-crafted rewards package that recognizes your contribution and amplifies your impact. - Take good care of yourself and your family, with a wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs, and at least 14 weeks’ gender-neutral parental leave. This position is eligible for a company car through the Company’s FLEET program. Candidates must complete all fleet safety training and must maintain an acceptable driving record regarding accidents and incidents. Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law. #GD-SG ​ #LI-GZ #LI-Remote #vhd Pursue progress, discover extraordinary Better is out there. Better medications, better outcomes, better science. But progress doesn’t happen without people – people from different backgrounds, in different locations, doing different roles, all united by one thing: a desire to make miracles happen. So, let’s be those people. At Sanofi, we provide equal opportunities to all regardless of race, colour, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, ability or gender identity. Watch our ALL IN video and check out our Diversity Equity and Inclusion actions at sanofi.com! US and Puerto Rico Residents Only Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally inclusive and diverse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; natural or protective hairstyles; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law. North America Applicants Only The salary range for this position is: $146,250.00 - $211,250.00 All compensation will be determined commensurate with demonstrated experience. Employees may be eligible to participate in Company employee benefit programs. Additional benefits information can be found through the LINK.

Role Description Trillium Health Resources has a career opening for a Pediatric Complex Care Manager to join our team! The Pediatric Complex Care Manager provides support to Medicaid-eligible children who require intensive support for a variety of needs, including but not limited to intellectual/developmental disabilities, mental health, and/or complex medical conditions. This position supports both the 0-5 and Children with Complex Needs populations within a managed care environment. The Pediatric Complex Care Manager engages an integrated care team that works toward meeting the health and well-being needs of each individual through assessment, planning, and linking to services and community support. On a typical day, you might: - Assist the member supported to direct the planning process/plan development to the extent desired by the member. - Facilitate timely development of the Comprehensive Care Management Assessment, Individual Support Plan/Care Plan, Crisis Plan, 1915(i) Assessment, and other assessments as needed. - Collaborate with members supported and members of the support team to ensure development of a comprehensive plan that reflects the member’s needs and desired life goals, as well as the physical, behavioral health, and social determinant needs, service delivery, and health and safety of the member. - Responsible for ensuring Care Coordination engagement, collaboration with members, and families to address issues, concerns, barriers to assessment and services/supports. - Provide resources and information to members, parents, and caregivers, as needed. Qualifications - Must meet QP status, defined as the following: - Fully licensed by the NC governing board regulating Human Services professions; - OR Fully licensed RN who is licensed to practice in the state of NC by the NC Board of Nursing who also has four (4) years of full-time experience with the MH/DD/SA population served; - OR A graduate of a college or university with a Master’s degree in a human services field and has one year of full-time, pre or post-graduate degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has one year of full-time, pre or postgraduate degree accumulated supervised experience in alcoholism and drug abuse counseling; - OR A graduate of a college or university with a bachelor's degree in a human service field and has two years of full-time, pre or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has two years of full-time, pre or post bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling; - OR A graduate of a college or university with a bachelor's degree in a field other than human services and has four years of full-time, pre- or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has four years of full-time, pre or post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling. - Minimum two (2) years of prior HCBS coordination, care delivery monitoring, and care management experience. This experience may be concurrent with the years of experience required to become a Qualified Professional. - Must have a valid driver’s license. - Must reside within North Carolina. - Must be able to travel within catchment as required. Requirements - Work experience in Care Management, Care/Service Coordination, Early Intervention, Mental Health Counseling, working with dually diagnosed children; IDD/BH/MH/SU. Benefits - Typical working hours: 8:30 am – 5:00 pm; flexible work schedules with some roles with management approval. - Work-from-home options available for most positions. - Health Insurance with no premium for employee coverage. - Flexible Spending Accounts. - 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year. - NC Local Government Retirement Pension (defined-benefit plan). - 401k with 5% employer match and immediate vesting. - Public Service Loan Forgiveness (PSLF) qualifying employer. - Quarterly stipend for remote work supplies. How to Apply To be considered, submit your application and resume through our ADP Career Center. Your resume must include: - Employer name, dates of service (month/year), average hours worked per week, and essential job duties. - Education details (degree type, date awarded, institution, field of study). - Licensure/certification information, if applicable. After submission, your resume will be reviewed to ensure it meets the essential criteria for the position. You’ll be notified by HR regarding your application status as appropriate. All applicants will receive a final update once the recruitment cycle closes. Join our Talent Community through ADP to stay informed about future opportunities. Be sure to keep your resume updated in your profile. Trillium Health Resources is an Equal Employment Opportunity (EEO) employer and a drug-free workplace. All candidates must pass a drug test as a condition of employment.

Evry Health is seeking a tech-savvy Nurse to join our team. This is an exciting role allowing the ability to work with members across the continuum with ~75% utilization review and ~25% care coordination. Our teams are 100% virtual. While this is a remote role, you must reside in the United States and in the Eastern or Central time zone. About Evry Health and Globe Life We are on a mission to bring humanity to health insurance. Our high-technology health plans expand benefits, increase access and transparency, and feature a personalized, human approach. We strive to ensure members live happier, healthier lives. Evry Health is the major medical division of Globe Life (NYSE:GL). Globe Life has 16.8 million policies in force, and more than 3,000 corporate employees and 15,000 agents. For more than 45 consecutive years, Globe Life has earned an A (Excellent) rating or higher from A.M. Best Company. Roles and Responsibilities - Prepares clinical reviews based on clinical guidelines and provides monitoring of cases involving medical decisions and quality of care or service decisions. Presents recommendations based on clinical review, criteria, and organizational policies to physician reviewers for final determination. - Conducts prior authorization, concurrent, and retrospective reviews with emphasis on utilization management, discharge planning, care coordination, clinical outcomes, and quality of care by applying MCG guidelines, medical policy, and benefit structure for defined service requests. - Monitors clinical quality concerns, make referrals appropriately, identify and escalate care quality issues, and quickly identifies outlier cases, long length of stay cases or complicated prior authorization requests. - Ability to interact with external facility or providers as needed to gather clinical information to support the medical necessity review process and plan of care. - Assists departmental staff with issues related to coding, medical records/documentation, pre-certification, reimbursement, and claim denials/appeals. - Employ active listening & motivational interviewing skills, and can handle difficult calls tactfully, courteously, professionally and document accordingly that can build patient trust and engagement. - Effectively assess and facilitate appropriate utilization of clinical programs and/or discharge planning by thoroughly assessing and screening for proper care coordination following discharge. - Effectively manages escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure. - Ability to assist and facilitate working relationship with Medical Director on CM and UM cases. - Demonstrates personal responsibility and accountability by meeting attendance and schedule adherence expectations with positivity, enthusiasm, and helpful personality. - Ability to effectively excel in a virtual work environment through active participation in team huddles, Supervisor 1:1s, Instant Messaging, or check-ins, efficiently answering and documenting member/provider calls. Experience and Skills Desired - Previous healthcare/managed care appeals experience. - Must have a current, unrestricted Texas nursing license or Compact License. Please include your license number(s) and the corresponding state(s) in your resume. - Diploma from an accredited school/college of nursing required. - You have 1-2 years of experience working at a health plan performing utilization management using standard practice guidelines. - You have working knowledge of medical and insurance industry terminology including basic level CPT/ICD10, authorizations, digital health programs, NCQA/URAC standards. - You have 3-5 years of clinical experience in a hospital or ambulatory setting assisting with direct patient care. - You have a passion for quality, teamwork, problem solving, and critical thinking. - You can work independently and comfortable in a fast-paced, deadline-oriented, tech savy, work environment. - You have an area of interest or experience within cardiology/pulmonology, women’s health, orthopedic surgery/physical medicine, primary care/pediatrics, and oncology. - You have experience outreaching and educating members telephonically. - You have an innovative and entrepreneurial spirit with a passion to contribute to a much-needed change in our health care system. - Bonus: Familiarity with Salesforce/Healthcloud/CareIQ. - Bonus: CCM or ACM certification, MCG certification - Bonus: Appeals experience Telecommuting Requirements - This is a remote position. Our whole company works remotely. Company headquarters are in Dallas, Texas. - Company business hours are weekdays 9-5 CST. We will only consider candidates in the United States who reside in the CST or EST time zones. This position requires work during the stated business hours as well as rotating on-call weekends for utilization review cases. - Required to have a dedicated work area established that is separate from other living areas and provides information privacy. - Ability to keep all company sensitive documents secure. - Must live in a location that receives an existing high-speed internet connection/service. Benefits Package - Competitive salary - Comprehensive health, dental, and vision insurance as well as life and disability - Retirement savings plan with company match - Generous time off/vacation - Professional development opportunities - Flexible and remote work environment Evry Health is an EEO employer - Read More Here