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case management nurse

clinical appeals nurse

Mindrift

<div>
 
 
 Please submit your resume in English and indicate your level of English proficiency.
 
 
 
 
 Mindrift connects specialists with project-based AI opportunities for leading tech companies, focused on testing, evaluating, and improving AI systems.
 
 Participation isproject-based, not permanent employment.
 
 
 
 
 What This Opportunity Involves
 
 
 
 As an AI Trainer - Writer, your work will help train AI models, shaping how they understand and generate human-like text. This isn't just traditional writing&mdash;you'll be crafting text that teaches AI reasoning, logic accuracy, nuance, and clarity.
 
 
 While each project involves unique tasks, contributors may:
 
 
 <ul>
 <li>
 Crafting original, clear, and fact-checked responses based on project guidelines.
 </li>
 <li>
 Following style and quality standards to ensure consistency.
 </li>
 <li>
 Collaborating with Quality Assurance Specialists to refine and improve content
 
 
 </li>
 </ul>
 
 What We Look For
 
 
 
 This opportunity is a good fit if you are seeking for open to part-time, non-permanent projects. Ideally, contributors will have:
 
 
 <ul>
 <li>
 Bachelor's degree in any subject field;
 </li>
 <li>
 At least 1 year of professional or educational experience in any field;
 </li>
 <li>
 Strong written English (C1/C2);
 </li>
 <li>
 Stable internet connection.
 
 
 </li>
 </ul>
 
 How It Works
 
 
 
 Apply &rarr; Pass qualification(s) &rarr; Join a project &rarr; Complete tasks &rarr; Get paid
 
 
 
 Project time expectations
 
 
 
 For this project, tasks are estimated to require around 10-20 hours per week during active phases, based on project requirements. This is an estimate, not a guaranteed workload, and applies only while the project is active.
 
 
 
 Compensation
 
 
 
 On this project, contributors can earn up to
 
 $30 per hour equivalent
 
 , depending on their level and pace of contribution.
 
 
 Compensation varies across projects depending on scope, complexity, and required expertise. Please note that other projects on the platform may offer different earning levels based on their requirements.
</div>

Freelance English Writer - AI Trainer

Boldly Premium Executive Assistants

<div>
 
 
 We are currently hiring for multiple part-time and full-time roles across several industries, including nonprofit, finance, venture capital, tech, and casual fine dining.
 
 
 
 
 
 
 Are you a dynamic, caring and ridiculously talented executive assistant who is looking to work remotely while still making a difference for the executive(s) you support? If so, Boldly is looking for you! Boldly is 100% remote and has been since day one. Remote work isn&rsquo;t just a perk for us, it&rsquo;s how we operate. We are seeking full-time employees to support established Fortune 500 companies, non-profits, senior-level executives, and successful business owners as they make a greater impact in the world.
 
 
 
 
 
 
 About the position
 
 
 
 As an executive assistant and employee of Boldly, you will play the pivotal role of providing top-notch administrative support. You&rsquo;ll have the opportunity to choose the clients you support based on company and organizational values and your preferences. These are long term assignments where you&rsquo;ll create rewarding partnerships with the executives that you assist while gaining valuable experience in a variety of industries. As a Boldly employee, your work will be 100% remote and flexible with no night or weekend work. This full time position requires your availability for 40 hours a week during business hours.
 
 
 
 
 
 
 As an executive assistant, you&rsquo;ll apply your professional skills in a wide range of tasks, including:
 
 
 <ul>
 <li>
 Maintaining appointment schedules and calendars
 </li>
 <li>
 Planning and scheduling meetings, conferences, and travel
 </li>
 <li>
 Making travel arrangements including flight and hotel bookings
 </li>
 <li>
 Maximizing the executive&rsquo;s time by reading, researching, and routing correspondence; drafting letters and documents; collecting and analyzing information; initiating phone calls on their behalf
 </li>
 <li>
 Managing multiple email inboxes for executives
 </li>
 <li>
 Managing expenses
 </li>
 <li>
 Providing customer/supplier support
 </li>
 <li>
 Other executive admin responsibilities as needed
 </li>
 </ul>
 
 
 
 
 
 About you
 
 
 
 You have at least 7 years of experience serving in a senior administrative support position where you provided support as an executive assistant
 
 working in a fast-paced environment supporting multiple high-level executives
 
 . At this point in your career, your #1 priority is to join a fully remote company that prioritizes flexibility in the workplace, and that promotes a culture of respect, kindness, and transparency. You are a team player with excellent communication skills and a positive outlook who cares deeply about helping others succeed. You take great pride in the quality of your work; you are proactive, dynamic, flexible, tech-savvy, results-oriented, and a stickler for details! And you do it all with a smile!
 
 
 
 
 
 
 Required Skills and Experience:
 
 
 <ul>
 <li>
 A minimum of
 
 7 years
 
 of direct hands-on experience as an executive assistant or senior administrative assistant to one or more executives (general admin experience as part of another role will not qualify)
 </li>
 <li>
 Advanced knowledge of online software such as Google Workspace, Office 365, Zoom, and other popular productivity tools
 </li>
 <li>
 Ability to multitask with ease and prioritize work as needed
 </li>
 <li>
 Highly organized with excellent time management skills
 </li>
 <li>
 Ability to learn new tools quickly
 </li>
 <li>
 Excellent interpersonal communication
 </li>
 <li>
 Strong writing skills
 </li>
 <li>
 Ability to work independently and under the pressure of deadlines
 </li>
 <li>
 Solution driven!
 </li>
 </ul>
 
 
 
 
 
 Benefits you'll love, for full-time employees:
 
 
 <ul>
 <li>
 W2 employment status
 </li>
 <li>
 Medical, dental, vision, and life insurance, with 100% of the premium paid by Boldly
 </li>
 <li>
 401k with employer match
 </li>
 <li>
 Paid time off including vacation/sick leave
 </li>
 <li>
 Paid holidays
 </li>
 <li>
 Paid parental leave
 </li>
 <li>
 Technology stipend
 </li>
 <li>
 Ongoing mentoring and support from your Boldly Team Leader to help you succeed with clients
 </li>
 </ul>
 
 
 
 
 
 Compensation
 
 
 
 The pay range for this position is $27-$31 per hour, with starting pay based on location. Specific starting rates for full-time are as follows:
 
 <ul>
 <li>
 California &amp; New York: $29 per hour
 </li>
 <li>
 Washington, New Jersey, Colorado, &amp; Massachusetts: $28 per hour
 </li>
 <li>
 All other locations: $27 per hour
 </li>
 </ul>
 
 
 
 
 
 About our culture
 
 
 
 We believe that it is possible to have a rewarding career that doesn&rsquo;t conflict with your personal responsibilities and life choices. Our diverse team of executive assistants includes parents, military spouses, caregivers, and those with unique life situations where working remotely, part-time or full-time, and on a flexible schedule is not just a &lsquo;nice to have&rsquo;. Fostering a thriving company culture where everyone has a sense of belonging and enjoys coming to work is our # 1 priority. As a woman-owned business, we are intimately familiar with the challenges women and minorities face in the workplace and we are committed to maintaining a diverse, equitable, and inclusive workplace for all. And of course, as a remote-first company since our inception in 2012, we are longtime established experts at leading and succeeding in a remote work environment!
 
 
 
 
 
 As a premium executive assistant company, we set the standard for remote professionals. We&rsquo;ve been proudly certified as a Great Place to Work for 5 years in a row, and our accolades include being named by Fortune Magazine as one of the &ldquo;50 Best Small Workplaces&rdquo;, and Entrepreneur Magazine in their Entrepreneur 360 List as one of the &ldquo;Best Entrepreneurial Companies in America&rdquo; and by Color Magazine as a top Inclusive Workplace. Military Friendly named us as part of the Top 10 Military Spouse Friendly Employers, and FlexJobs as a Top 100 Company to watch for. We are also accredited by Flexa as a truly flexible employer.
 
 
 
 
 
 
 For more information about our company culture and to hear from team members about their experience in roles filled with variety and new learning - visit our jobs page at
 
 https://boldly.com/jobs/
 
 
 
 
 
 
 
 Please note that the requirements in this job description are the minimum qualifications to join our team of premium executive assistants and we are unable to consider any applicant who does not have at least 7 years of experience as an executive assistant. Additionally, Boldly considers LinkedIn to be the foundation of your professional online presence and we require all candidates that wish to apply to have an up-to-date LinkedIn Profile.
 
 
 
 
 
 At Boldly, we are committed to hiring military spouses and recognize that their unique circumstances pose significant obstacles to employment. We understand that military families often experience frequent relocations and we offer our support by reducing barriers that may hinder their employment. If you are a military spouse with diverse experience, please take care to show us with your detailed resume how your experience aligns with the requirements listed above. By understanding your experience, we can better assess how your background aligns with our open position.
 
</div>

Executive Assistant (100% Remote, Part-time or Full-time)

LanceSoft, Inc.

<div>
 
 
 Job Responsibilities:
 
 
 <ul>
 <li>
 The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social needs.
 </li>
 <li>
 They serve as the single point of contact for members, caregivers, and providers using a variety of communication channels including phone calls, emails, text messages and the online messaging platform.
 </li>
 <li>
 The Care Manager RN uses the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the members health across the care continuum.
 </li>
 <li>
 They work in partnership with the member, providers of care and community resources to develop and implement the plan of care and achieve stated goals.
 </li>
 </ul>
 
 
 
 
 
 Education and Experience:
 
 
 <ul>
 <li>
 Nursing Diploma or Associates degree in nursing required.
 </li>
 <li>
 Bachelor&rsquo;s degree in nursing strongly preferred.
 </li>
 <li>
 3 years of clinical nursing experience in a clinical, acute/post-acute care, and community setting required.
 </li>
 <li>
 1 year of case management experience in a managed care setting strongly preferred.
 </li>
 <li>
 Experience managing patients telephonically and via digital channels (mobile applications and messaging) preferred.
 </li>
 <li>
 Current, active, and unrestricted Michigan Registered Nurse license required
 </li>
 <li>
 Certification in Case Management (CCM) required or to be obtained within 18 months of hire
 </li>
 <li>
 Certification in Chronic Care Professional (CCP) preferred
 </li>
 </ul>
</div>

Case Management Nurse

Strategic Staffing Solutions

<div>
 
 
 
 Medicare Advantage RN Review Analyst
 
 
 
 
 
 Location:
 
 Detroit, MI
 
 (Remote however must be local to Michigan)
 
 
 
 
 Duration:
 
 12+ Months with opportunity for FTE
 
 
 
 Role Type:
 
 W2 Contract role
 
 
 
 Max Pay Rate:
 
 $36/HR
 
 
 
 Schedule:
 
 Monday - Friday 9-5
 
 
 
 
 
 
 SUMMARY
 
 
 
 Responsible for the approval or rejection of claims and/or benefit interpretation. May be required to enter or reference data via PC and/or Clinical Review Team terminal.
 
 
 
 
 
 
 REQUIREMENTS
 
 
 <ul>
 <li>
 Registered Nurse with current Michigan Registered Nurse License.
 </li>
 <li>
 Associate degree or nursing diploma required, bachelor&rsquo;s degree preferred.
 </li>
 <li>
 Two (2) years RN patient care experience.
 </li>
 <li>
 Triage, case management and/or rehabilitation experience preferred.
 </li>
 <li>
 Medicare Advantage Part B experience a plus.
 </li>
 <li>
 Expertise in the use of medical terminology.
 </li>
 <li>
 Finely honed critical thinking skills are a must.
 </li>
 <li>
 Knowledge of CPT/HCPCS coding and Medicare regulations desirable.
 </li>
 </ul>
 
 
 
 
 
 CERTIFICATES, LICENSES, REGISTRATIONS
 
 
 <ul>
 <li>
 Current unrestricted state of Michigan registered nurse license required.
 </li>
 </ul>
</div>

Medicare Advantage RN Review Analyst

Munson Healthcare

<div>
 
 
 More Than Just Care, It&rsquo;s Community
 
 
 
 
 Imagine doing meaningful work in a place where people vacation. That&rsquo;s life at Munson Healthcare - northern Michigan&rsquo;s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties.
 
 
 If you want a career in healthcare and a lifestyle most people only dream about &ndash; with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be
 
 Munson Material.
 
 To us, that means teammates who live by our values of
 
 excellence, teamness, positivity, creativity,
 
 and a commitment to creating
 
 exceptional experiences
 
 for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country.
 
 
 
 
 Invested in You
 
 
 
 
 <ul>
 <li>
 Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance.
 </li>
 <li>
 Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling.
 </li>
 <li>
 Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges.
 </li>
 <li>
 Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings
 
 
 </li>
 </ul>
 
 Job Description
 
 
 
 
 
 A Day In The Life
 
 
 
 
 <ul>
 <li>
 The Coder Abstractor is responsible for charge capture process for professional charges within the Munson system, including but not limited to: verifying and/or analyzing medical record and/or encounter form documentation to determine the principle and all secondary diagnoses and procedures; assigning diagnostic codes, procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS) and Munson; performing data entry; and, performing discrepancy resolution.
 </li>
 <li>
 Serves as a liaison between CBO and sites/departments. Assists in the orientation and training of new employees within the coding and charge capture area.
 </li>
 <li>
 Responsible for reviewing office based electronic charges and encounter forms for completion and accuracy, including accuracy of ICD9/10CM, CPT and HCPCS modifier assignment. Codes and enters charges at a 95% accuracy rate.
 </li>
 <li>
 Reviews and interprets physician documentation of surgical procedures to accurately assign and enter billing codes. Identifies all applicable diagnosis procedures and codes. Codes and enters charges at a 95% accuracy rate.
 </li>
 <li>
 Works with central billing team to ensure charges are coded and entered within two business days.
 </li>
 <li>
 Identifies educational needs and/or compliance issues and reports them to the Director of Central Billing Office. Performs accurate data entry of charges.
 </li>
 <li>
 Responsible for resolving coding discrepancies related to coding and revenue capture. Responsible for obtaining and maintaining education appropriate to the position.
 </li>
 <li>
 Serves as an expert resource for physicians, office management staff and central billing staff. Researches and responds to coding and compliance questions, coordinates accurate assignment of procedure codes and modifiers.
 </li>
 <li>
 Performs other duties as assigned.
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 
 
 What's Required
 
 
 
 
 <ul>
 <li>
 Associate&rsquo;s degree in Health Record Technology, or related healthcare field and two years of professional coding experience and must obtain the credentials of a Certified Professional Coder (CPC), Registered Health Information Administrator (RHIT), or Registered Health Information Administrator (RHIA) within 18 months of employment.
 </li>
 <li>
 OR three years of professional coding experience and has obtained the credentials of a certified professional coder (CPC), Registered Health Information Administrator (RHIT), or Registered Health Information Administrator (RHIA)
 </li>
 <li>
 OR four to five years of professional coding experience and must obtain the credentials of a certified professional coder (CPC) Registered Health Information Administrator (RHIT), or Registered Health Information Administrator (RHIA) within 18 months of employment
 
 
 </li>
 </ul>
 
 Additional Information
 
 
 
 
 Fully remote! Must have at least two years of general surgery coding.
 
 
 
 <ul>
 <li>
 Eligible for a sign-on bonus of $5,000*
 
 
 </li>
 </ul>
 
 
 Are you Munson Material? Apply today!
 
 
 
 
 Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.
</div>

Coder Abstractor - General Surgery - REMOTE

Talentoma

<div>
 
 
 Job Title: Remote Phone Representative
 
 
 
 
 
 
 
 Monthly Pay: $4,000 &ndash; $4,600
 
 
 
 
 
 
 
 Summary:
 
 
 
 The Remote Phone Representative provides phone-based customer support, assisting with inquiries and ensuring a positive customer experience.
 
 
 
 
 
 
 Job Responsibilities:
 
 
 <ul>
 <li>
 Handle inbound and outbound calls
 </li>
 <li>
 Provide accurate information to customers
 </li>
 <li>
 Resolve customer concerns efficiently
 </li>
 <li>
 Document call details and outcomes
 </li>
 <li>
 Follow communication scripts and guidelines
 </li>
 <li>
 Meet call performance metrics
 </li>
 </ul>
 
 
 
 
 
 Qualifications:
 
 
 <ul>
 <li>
 Phone support or call center experience preferred
 </li>
 <li>
 Strong verbal communication skills
 </li>
 <li>
 Customer-focused approach
 </li>
 <li>
 Ability to multitask
 </li>
 <li>
 Reliable internet and remote setup
 </li>
 </ul>
 
 
 
 
 
 Perks &amp; Benefits:
 
 
 <ul>
 <li>
 $4,000&ndash;$4,600 monthly pay
 </li>
 <li>
 Fully remote role
 </li>
 <li>
 Paid training
 </li>
 <li>
 Flexible scheduling
 </li>
 <li>
 Career growth opportunities
 </li>
 </ul>
</div>

Remote Phone Representative

<div>
 
 Job Title: Remote IT Help Desk Associate
 
 
 
 
 
 
 Monthly Pay:
 
 $4,700 &ndash; $5,400
 
 
 
 
 
 
 Summary:
 
 
 
 The Remote IT Help Desk Associate provides first-level IT support, assisting users with technical issues and system access.
 
 
 
 
 
 
 Job Responsibilities:
 
 
 <ul>
 <li>
 Respond to help desk tickets
 </li>
 <li>
 Troubleshoot basic IT issues
 </li>
 <li>
 Maintain support logs
 </li>
 <li>
 Assist users with system access
 </li>
 <li>
 Escalate advanced issues
 </li>
 <li>
 Follow IT procedures
 </li>
 </ul>
 
 
 
 
 
 Qualifications:
 
 
 <ul>
 <li>
 Basic IT knowledge preferred
 </li>
 <li>
 Problem-solving skills
 </li>
 <li>
 Communication abilities
 </li>
 <li>
 Detail-oriented mindset
 </li>
 <li>
 Remote workspace
 </li>
 </ul>
 
 
 
 
 
 Perks &amp; Benefits:
 
 
 <ul>
 <li>
 Monthly pay: $4,700&ndash;$5,400
 </li>
 <li>
 Remote IT support role
 </li>
 <li>
 Paid training
 </li>
 <li>
 Growth opportunities
 </li>
 <li>
 Stable schedule
 </li>
 </ul>
 
 
</div>

Remote IT Help Desk Associate

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