Role Description The Utilization Management Review Nurse reviews the medical necessity and appropriateness of healthcare services and treatments through the medical information of individual patients and the limited insurance coverage available to them. The Utilization Management Review Nurse works with healthcare providers, insurance companies, and patients to ensure the quality of patient care is cost efficient. - Conducts pre-certification, inpatient, retrospective reviews, in accordance with UM policies and procedures. - Conducts initial medical necessity reviews. Determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review. - Collaborate with healthcare providers to promote the most appropriate, highest quality member outcomes, and to optimize member benefits. - Conducts initial benefit determination reviews. - Consults with UM Medical Director to review requests that do not meet medical necessity. - Performs continued stay review, care coordination, and discharge planning for appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. - Generates appropriate written correspondence to providers and/or members in accordance with UM policies and procedures. - Adheres to company policies and procedures regarding confidentiality and privacy. Qualifications - Must have valid PHRN License; USRN license is a plus. - Minimum of 1 year experience in Utilization Management. - Experience utilizing UM criteria including MCG or InterQual. - Minimum of two (2) years clinical nursing experience in an ambulatory or hospital setting. - Proficient computer skills and experience with Microsoft web-based applications. - Experience in managed care and health insurance required. - Ability to communicate effectively in English, both written and verbal. - Ability to work holiday and weekend rotation. Requirements - Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. - Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. - Work Environment: The noise level in the work environment is usually minimal. Company Description Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Role Description AO Globe Life is seeking mission-driven professionals to serve veterans and their families through structured virtual consultations. This fully remote opportunity is designed for individuals who want to build meaningful careers while making a measurable impact—without the pressure of cold calling or traditional outbound sales tactics. Whether you are a veteran, military spouse, or passionate about supporting those who have served, we provide the systems, mentorship, and development support to help you thrive in a flexible, growth-oriented environment. Key Responsibilities - Conduct virtual consultations with veterans and their families to assess benefit needs - Present supplemental life, accident, and health coverage options with clarity and professionalism - Maintain accurate, compliant digital documentation - Support clients with policy updates, claims assistance, and post-enrollment service - Participate in team meetings, mentorship programs, and leadership development sessions Qualifications - Background in client service, consulting, advising, or benefits support (preferred, not required) - Strong virtual communication and relationship-building skills - Organized, detail-oriented, and self-motivated - Comfortable using Zoom, CRM systems, and digital platforms - Passion for serving the veteran community Requirements - Authorized to work in the United States - Reliable high-speed internet connection - Windows-based laptop or PC with a functioning webcam Benefits - 100% remote position (U.S.-based candidates only) - Flexible scheduling - Inbound client interest — no cold outreach or prospecting - Weekly performance-based pay with renewal income opportunities - Monthly and quarterly bonus programs - 3% equity opportunity at qualifying performance levels - Licensing support for qualified candidates - Structured promotion pathways and leadership development - Supportive, mission-focused team culture Company Description For more than 70 years, AO Globe Life has partnered with unions, credit unions, and veteran-focused organizations to deliver personalized supplemental benefits to working families nationwide. Our commitment to ethical service, structured development, and remote-first opportunity has established us as a trusted leader in our field. If you’re ready to build a flexible, mission-focused career that honors service and drives real impact, apply today.

Role Description Start a flexible remote career helping families understand and access important benefit programs. AO Globe Life is growing its remote workforce and seeking motivated professionals who want meaningful work, professional development, and the ability to build a long-term career from anywhere in the United States. Full training, structured mentorship, and pre-qualified client consultations are provided so you can focus on building relationships and supporting individuals and families with confidence. What You’ll Gain - 100% remote work environment - Flexible scheduling designed to support work-life balance - Pre-qualified client consultations provided — no cold outreach - Comprehensive training and licensing support - Health insurance premium reimbursement program - Monthly and quarterly performance bonuses - Equity opportunities for qualifying team members - Clear pathways for leadership and career advancement - Supportive and collaborative team culture What You’ll Do - Conduct scheduled virtual consultations with clients through Zoom - Help individuals and families understand available benefit options - Guide clients through the enrollment process and provide follow-up support - Maintain organized digital records of client interactions - Participate in weekly training sessions and mentorship programs Who Thrives in This Role - Strong communicators who enjoy helping others - Organized professionals comfortable working independently - Individuals confident using video meetings and digital tools - Candidates who are coachable and motivated by personal growth - Customer service or client-facing experience is helpful but not required Requirements - Authorized to work in the United States - Windows-based laptop or desktop computer with webcam - Reliable internet connection Company Description For more than 70 years, AO Globe Life has partnered with labor unions, credit unions, and veteran organizations to provide supplemental benefits to working-class families across the United States. Through a remote-first workforce and a commitment to mentorship and service, the company continues to create meaningful career opportunities nationwide.

Role Description AO Globe Life is seeking motivated professionals to join our fully remote team supporting union members and credit union clients. These members have already requested information about available coverage options, so all consultations are scheduled in advance—there is no cold calling or unsolicited outreach required. This opportunity is well suited for professionals with experience in client service, consulting, or sales who want purpose-driven work, flexible scheduling, and the ability to build a meaningful long-term career in a remote environment. - Conduct scheduled virtual consultations with union and credit union members via Zoom - Assess each client’s needs and provide personalized coverage recommendations - Explain available options clearly and guide clients through the enrollment process - Maintain accurate documentation and follow established compliance procedures - Participate in ongoing training sessions and team development programs Qualifications - Experience in financial services, consulting, client service, or sales is strongly preferred - Strong communication and relationship-building abilities - Self-motivated and organized professionals comfortable working independently - Coachable, adaptable, and confident working in a remote, digital environment - Authorized to work in the United States - Reliable high-speed internet and a Windows-based laptop or PC with a webcam Benefits - Fully remote position with flexible scheduling - Pre-qualified client appointments provided—no cold calling or prospecting required - Commission-based earnings with weekly payouts - Vested renewals that provide long-term income potential - Equity opportunities and monthly and quarterly performance bonuses - Comprehensive training and licensing support - Leadership development and promotion opportunities for high performers - Supportive team culture focused on service, integrity, and growth Company Description AO Globe Life partners with labor unions, credit unions, and veteran associations to provide personalized supplemental coverage to their members across the United States. With more than 70 years of experience, the organization is known for its commitment to service, ethical practices, and long-term professional growth for its team members.