For ambitious, culturally diverse, curious minds seeking booming careers, Job Duck unlocks and nurtures your potential. We connect you with rewarding, remote job opportunities with US-based employers who recognize and appreciate your skills, allowing you to not just survive but thrive. As a lifestyle company, we ensure that everybody working here has a fantastic time, which is why we’ve earned the Great Place to Work Certification every year since 2022! Job Description: We are seeking a detail-oriented and proactive Case Coordination Specialist to support ongoing client cases. This role is critical to ensuring accurate record management, timely follow-ups with medical providers, and smooth coordination across internal teams. The ideal candidate is organized, communicative, and comfortable handling multiple administrative tasks in a fast-paced environment. Monthly Compensation: 1,220 to 1,320 USD Schedule: Monday to Friday 08:30AM to 04:30PM. CST Responsibilities include, but are not limited to: - Join Zoom meetings to discuss tasks, priorities, and case updates - Upload, organize, and index faxed and electronic documents within the case management system - Obtain balances from medical providers and lienholders - Open insurance claims and prepare/send letters of representation - Maintain and manage a follow-up calendar for outstanding medical records - Perform other related administrative and case-support duties as needed - Manage and update the firm-wide calendar - Coordinate with medical providers throughout client treatment - Submit Medicare requests as required - Order, track, and follow up on medical records from hospitals, clinics, and other providers Requirements: - Previous experience in a legal, medical, or case management environment preferred - Familiarity with medical records requests, insurance claims, and liens is a strong plus - Excellent organizational and time-management skills - Strong written and verbal communication skills - Comfortable working with calendars, case management systems, and digital filing tools - Ability to follow up persistently and professionally with hospitals and clinics - Reliable internet connection and ability to attend Zoom meetings Work Shift: Languages: English, Spanish Ready to dive in? Apply now and make sure to follow all the instructions!  Our application process involves multiple stages, and submitting your application is just the first step. Every candidate must successfully pass each stage to move forward in the process. Please keep an eye on your email and WhatsApp for the next steps. A recruiter will be assigned to guide you through the application process. Be sure to check your spam folder as well.

At Dearborn, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary The Clinical Advisor is responsible for providing day to day client support on behalf of the Health Care Management department. Under the direction of the Senior Director, Clinical Consultant, the primary responsibilities will be to support our members and clients day to day and strategically collaborate with all Healthcare Management and non-Healthcare Management team members to ensure the needs of our clients are met. The Clinical Advisor will strategically collaborate with these teams to ensure our current workflows and processes for Utilization Review and Case Management meet the needs of new and existing clients. The position will have additional responsibility to have active visible presence with internal and external (client facing) clients for management and support for our business needs and growth. The Clinician Advisor will support the Senior Director, Clinical Consultant by maintaining active communication and relationships with all internal and external stake holders in sales, clinical teams, client management, claims, managed care, etc. to deliver solutions and results for our business. Required Job Qualifications: Education: - Associate Degree - Active State Registered Nursing License Experience - Minimum five years’ experience in direct clinical care and/ or - Minimum of three years’ experience in medical management including case management or utilization management - Minimum 1 year in healthcare consulting (client facing role or experience in delivery of results to clients) - Knowledge of Health Care, Industry and Managed Care Delivery systems. This includes current standards of medical practice, insurance benefit structure, related legal/medical issues, utilization management, case management and quality management processes. General Abilities/Competencies: - Ability to actively manage and delivery on client expectations around projects, timelines, deliverables, outcomes, etc. - Experience working with all levels within a client organization - Excellent oral, written and presentation communication skills with the ability to interact effectively with new and existing clients and other internal clients (ie: claims, client management, senior leadership, etc.)Evaluate problems, develop alternative solutions and identify trends and patterns. - Deal with problems involving several concrete variables in standardized situation. - Ability to prioritize efforts when faced with tight deadlines and multiple, complex projects - Strong organizational skills with attention to detail - A demonstrated ability to adapt, quickly learn new skills and serve as a sponsor of change - Maintain high level of confidentiality, flexibility and willingness to learn new tasks and take on new duties as needed - Critical thinking skills allowing one to carry out instruction furnished in written, oral or diagram form - A demonstrated ability to think/work/prioritize independently - Work in a dynamic team-oriented environment - Write/create routine correspondence and reports - Read and interpret documents, criteria, instructions, and policy and procedure manuals. - Ability to travel as needed. - Demonstrates knowledge of Microsoft Office Suite products. Preferred Job Qualifications: - Bachelor of Science in Nursing - Prior Utilization Management and/or Case Management experience - TPA or Health Insurance related experience - Personnel management experience a plus - Strong consultative and analytical skills Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Dearborn, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. Dearborn Group Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range $67,600.00 - $127,000.00 Exact compensation may vary based on skills, experience, and location.

Home Infusion Registered Nurse – Accredo Specialty Pharmacy Join Accredo Specialty Pharmacy, part of Evernorth Health Services, and bring your nursing expertise to patients where they feel most comfortable—their homes. As a Home Infusion Registered Nurse, you’ll deliver life-changing care while building meaningful relationships and driving positive health outcomes. Responsibilities: - Provide safe and effective administration of IV infusion medications in patients’ homes. - Partner with pharmacists and care teams to ensure holistic patient well-being. - Document assessments, treatments, and progress to maintain accurate patient records. - Serve as the primary point of contact for patient updates and care coordination. - Demonstrate autonomy in clinical decision-making to achieve optimal outcomes. Required Qualifications: - Active RN license in the state of practice. - Minimum 2 years of RN experience. - At least 1 year in critical care, acute care, or home healthcare. - Proficiency in IV insertion and infusion techniques. - Valid driver’s license and ability to travel within a large geographic region. - Availability for a 40-hour workweek, including evenings and weekends as needed. Preferred Qualifications: - Bachelor of Science in Nursing (BSN). - Experience with specialty pharmacy or infusion therapy programs. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 79,200 - 132,000 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

ptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This position supports the Medicaid line of business by ensuring continuity, accuracy, and timeliness of drug file management, formulary updates, and related reporting activities. The role focuses on weekly drug file reviews, coverage decisioning, attending quarterly Pharmacy & Therapeutics (P&T) meetings and aid in the preparation of the P&T meetings material. The position serves as backup support to the Account Manager and clinical pharmacist in maintaining compliance with contractual and regulatory requirements. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Review weekly drug compendia drug file to assess coverage status of newly released medications - Analyze clinical data, comparative drug reports, cost metrics, and utilization trends to develop evidence-based drug criteria - Recommend drug placement strategies for client formulary based on clinical and financial evaluations - Prepare and deliver error-free quarterly drug formulary change requests for approved changes from P&T meetings - Review and perform quality checks of all pre- and post-P&T deliverable documents along with virtually attending quarterly P&T meetings - Support all weekly, monthly, quarterly, and annual formulary-related and contractual deliverable reports - Present findings and updates to clients confidently; serve as a backup for the account manager and clinical pharmacist when needed You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - Active PharmD license - 2+ years of experience in formulary management and clinical data analysis - Experience in communicating to clients and presenting data - Experience working collaboratively in cross-functional teams and client-facing environments - Intermediate proficiency with drug databases and reporting tools (e.g., MediSpan, Excel) Preferred Qualifications: - Experience with fee-for-service Medicaid plans - Working knowledge of CMS rules, regulations, and guidance regarding Medicaid *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.