Role Description Dane Street wants you to join our dynamic team of expert reviewers! In this role, you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases. This telework opportunity allows you to customize your schedule as a 1099 independent contractor. - Evaluate medical records - Provide clinical summaries - Engage in peer communications - Answer specific questions posed by clients We are on the lookout for talented professionals in the following areas: - Psychiatry - Addiction Psychiatry - Child & Adolescent Psychiatry - Geriatric Psychiatry - Psychology - Neuropsychology Qualifications - Board Certified - Current, unrestricted California Medical License - CALOCUS Training - 5+ years of clinical practice experience - Attends all required orientation and training - Maintains proper credentialing, state licenses, and any certifications or requirements necessary to perform the job Requirements - Independent consultant role allows for schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct this work based on your scheduled availability - No doctor/patient relationship is established, and no treatment is provided; these are advisory-only opinions Benefits - Streamlined case flow and user-friendly work portal - Facilitated communication and organized medical records - Support for all administrative processes - Extensive case preparation and quality assurance for timely delivery of all determinations/reports - Chronological listing of medical records and treatment guidelines provided in an easy, click-to-view format - Initial training and ongoing point of contact for questions about completing reviews

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This position exists to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to the request for prior authorization. Specific duties are determined by the work setting or patient population served; however, in all positions, serving patients with challenging and complex conditions requires a concentration of specialized staff able to work in highly coordinated teams. We organize care around each patient’s condition which requires staff at multiple levels and across many departments to exhibit exceptional teamwork qualities including: - Communicating efficiently and effectively - Adopting the behaviors required for high functioning integrated teams Qualifications - Minimum licensure as a Licensed Practical Nurse (LPN) from the MN Board of Nursing is required. Candidates/incumbents with a valid MN Registered Nursing (RN) License are qualified for this position as well. - Documentation of completion of a practical nursing program (LPN program) - If candidate holds a RN license instead of LPN license, documentation of RN education program is required. - Knowledge of pharmacy, pharmaceuticals or healthcare business. - Minimum one year of nursing experience in a healthcare environment Requirements - Knowledge of Payer requirements and expectations regarding prior authorization - Familiarity with CPT/HCPCS and ICD-10 - Ability to proficiently analyze and interpret clinical criteria - Works effectively across organization and fosters teamwork - Demonstrates the ability to utilize resources while building strong credible working relationships with clients, patients and internal partners - Demonstrated excellent customer service and communication skills – verbal, written, and listening. - Demonstrated knowledge of medical terminology - Proficient technology skills, including working with a computer (PC) using Microsoft Office Products, databases and other programs. - Must demonstrate ability to work independently with analytical, problem-solving and decision-making. Benefits - The hourly wage for this opportunity is $23.98 to $35.97, with a median wage of $29.97/hour. - Pay is dependent on several factors including relevant work experience, education, certification & licensure, and internal equity. - Gillette supports career progression and offers a competitive benefits package that includes: - Retirement savings match - Tuition and certification reimbursement - Paid time off - Health and wellness benefits for .5 FTE and above

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Under general supervision, provides routine nursing care via telephone within the limits of nursing knowledge, education, licensure, experience and ethical, legal standards of care. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization. - Assesses and prioritizes medical needs via telephone and directs patients to appropriate and necessary care. - Guides evaluation including instructing patient/caller how to evaluate normal/abnormal symptoms, effectiveness of treatment and when to call back. - Documents symptoms/complaints, nursing assessment, advice and patient/caller response. - Follows policies, procedures, and protocols to ensure consistency and departmental effectiveness as well as improve health care outcomes of patients/callers and their access to appropriate health care. - Collects data and makes assessments, develops a working diagnosis, determines interventions and disposition per guidelines. - Demonstrates best practices and quality care. - Assesses the physical, social, and emotional needs of patients and families. - Teaches and counsels patients and families concerning health assessment and care including prevention of disease and health maintenance. - Accurately and completely reports and documents status, care rendered, response to care, provider orders, contacts with patient and/or other healthcare providers. - Accurately and completely performs patient follow-up activities including laboratory results and diagnostics, appointments, referrals, medications, and call backs. - Able to assist in the ordering/re-ordering of prescriptions within the guidelines of the company protocol. - Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct. - Regular and dependable attendance. - Follows the core competencies set forth by the Company, which are available for review on CMSweb. - Works holiday shift(s) as required by Company policy. - Participates in the orientation of new employees. - Performs other duties as assigned. Qualifications - High school diploma or equivalent. - Graduation from an accredited school of vocational nursing. - Previous experience in an ambulatory or acute care setting preferred. - Two (2) or more years of clinical experience preferred (within the last five (5) years). - Experience working in the related specialty preferred. - Telephone triage experience preferred. - Previous experience in an ambulatory, hospital, or home health setting preferred. - Bilingual in English and Spanish preferred. - Current licensure as a Licensed Vocational Nurse (LVN) in the State of Texas. - Required to maintain a current vocational nursing license during employment. Requirements - Ability to utilize computer software and associated programs to triage and send reports to appropriate agencies or clinics. - Ability to use nursing judgment as an adjunct to the computer Software Program to reach appropriate dispositions and care advice. - Ability to respond appropriately to emergency situations. - Ability to apply nursing principles, practices and techniques. - Ability to exercise initiative and judgment in selecting proper treatment. - Ability to engage others, listen and adapt response to meet others’ needs. - Ability to align own actions with those of other team members committed to common goals. - Excellent computer and keyboarding skills, including familiarity with Windows. - Excellent verbal and written communication skills. - Ability to manage competing priorities. - Ability to perform job duties in a professional manner at all times. - Ability to understand, recall, and communicate factual information. - Ability to understand, recall, and apply oral and/or written instructions or other information. - Ability to organize thoughts and ideas into understandable terminology. - Ability to apply common sense in performing job. - Ability to understand and follow instructions and guidelines. - Knowledge of all activities associated with the delivery of quality nursing practices and duties assigned to this role. - Skill in nursing practices within the scope of responsibilities assigned to this role. - Skill in organization and efficiency. - Excellent customer service skills. - Excellent interpersonal & problem solving skills. - Ability to manage multiple nursing activities simultaneously with frequent interruptions in a fast-paced environment. - Ability to have excellent attention to detail. - Ability to work in a team environment. Work Schedule Monday-Friday from 8:30am to 5:30pm. Work Location Training and orientation at our Administrative facility. Work-from-home opportunities after ~90 days. Must reside in Texas and be willing to attend on-site training and occasional in-person department meetings in Austin, TX.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Remote Medical Liaison is responsible for medical liaison duties delineated below. This position works closely with other medical liaisons under the direction of the Clinical Manager. Midland focuses on excellence in healthcare to enable our patients to live a rewarding and fulfilling life. We work to support health awareness and engagement in our local community through events and partnerships all year round. Lastly, we strive to simplify access to healthcare, and therefore outcomes, by innovating as healthcare evolves. We are inspired by what we achieve alongside our patients and are proud members of the community we serve! - Promote and practice Midland Medical Broward, LLC’s mission and values and follow its policies and procedures. - Ensure confidentiality is maintained by entire team regarding patient/client information in accordance with HIPAA, professional and departmental standards. - Obtain Chief complaint, and pertinent information regarding patient visits as well as required history of present illnesses, medication reconciliation, immunizations update, procedure codes for all Telemed appointments. - Assess information obtained through telephone encounters, go over symptoms to determine proper management. (Self-care, in office visit or ER) - Prescribe medication request refills from pharmacy or patient on behalf of the provider. (all non-controlled meds) Qualifications - High school diploma or equivalent (GED) - Medical Assistant Certification issued by an accredited institution approved by the local state, or a minimum of 3 years’ experience working in a health care setting. - Basic Cardiac Life Support (CPR) Certification - 1-2 years' experience of customer service - Electronic Medical Records training - Certified Medical Assistant (CMA) preferred - Must be able to operate a motor vehicle and have valid insurance and driver’s license. - Must be able to pass a Level I and Level II Background check as required. Benefits - Competitive pay - Generous paid PTO and Sick time - 11 Paid Company Holidays - Paid training and certification support - Health, dental, vision, with generous company contribution, paid life and disability plans & retirement plan with generous match of up to 5% of your contribution - Tuition Reimbursement Plan - Other voluntary plans are available to support you and your family - Career growth opportunities in a supportive environment