Remote Medical receptionist Jobs in Pompano Beach, FL

Last updated: 8 days ago

Telephonic Medical Case Manager

Crawford & CompanyUS, Florida

Remote

Free CEU’s for licenses and certificates.License and national certification reimbursement.This is a work from home telephonic case management position!. Compact licensure and an advanced Nurse case ...Show moreLast updated: 30+ days ago

Medical Director-Psychiatrist, Remote Position

SentaraFlorida

Remote

Full-time

The Behavioral Health (BH) Medical Director provides clinical oversight and management of SHP activities including, case management, utilization management, quality management, and contracted servi...Show moreLast updated: 30+ days ago

Customer Service Representative-Remote (Ultimate Medical Academy Grads Only)

ConcentrixUSA, FL, Work, at, Home

Remote

Full-time

This requisition is being posted for a list of Ultimate Medical Academy Graduates.If you were not provided a direct link to this job posting please do not apply. Customer Service Representative.Remo...Show moreLast updated: 30+ days ago

Senior Medical Education Account Executive

Elsevier Inc. CompanyFlorida

Remote

Full-time

You'll Identify opportunities within Medical Schools, Physician Assistant Programs, Nurse Practitioner Programs, and school of health professions. You'll partner with accounts calling on decision ma...Show moreLast updated: 30+ days ago

Claims Clinical Specialist – Medical Review Team

Genworth FinancialFlorida

$124,600.00 yearly

Remote

Full-time

At Genworth, we empower families to navigate the aging journey with confidence.We are compassionate, experienced allies for those navigating care with guidance, products, and services that meet fam...Show moreLast updated: 30+ days ago

NIMAA Medical Assistant Instructor- 42 week position

Community Health Center, IncRemote - Florida

Remote

Full-time

A NIMAA instructor is responsible for providing instruction to persons participating in the NIMAA Medical Assisting program. S / He is also responsible for supporting other NIMAA staff in suggesting i...Show moreLast updated: 30+ days ago

NON-COMPACT STATE - PT Remote CCM / RTM Care Management Nurse (CA)

Gateway Electronic Medical Management Systems, Inc.Florida, United States

$16.00 hourly

Remote

Part-time

Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients with two...Show moreLast updated: 30+ days ago

Medical Sales Representative

LifelancerFort Lauderdale, Florida, United States

$75,000.00 yearly

Remote

Full-time

Quick Apply

H-Wave offers an exciting medical sales career with unlimited earning potential and the ability to sell a product that makes profound improvements in patients' lives.You’ll get to work ...Show moreLast updated: 8 days ago

Medical Director - Florida (Telemed MD)

Restore Hyper WellnessFL, US

Remote

Quick Apply

Restore Hyper Wellness (“Restore”) is the award-winning creator of an innovative new category of health—Hyper Wellness.Restore delivers expert guidance and an extensive array of cutting-edge health...Show moreLast updated: 30+ days ago

Quality & Regulatory Manager - Medical Device / Equipment (Remote with travel)

BelimedFlorida

Remote

Full-time

Belimed is a leading supplier of medical and surgical instrument sterilization, disinfection, and cleaning products and services. We are headquartered in Zug, Switzerland, and look back on more than...Show moreLast updated: 30+ days ago

Senior Clinical Vascular Training Specialist (Tampa, FL)

0006 Varian Medical Systems Inc, Corp HeadquarterFlorida

Remote

Full-time

At Varian, a Siemens Healthineers Company, we bring together the world's best talent to realize our vision of a world without fear of cancer. Together, we work passionately to develop and deliver ea...Show moreLast updated: 30+ days ago

Part-time / Remote Medical Director - Community-Based Care (Palliative Care)

Highmark HealthFL, Working at Home, Florida

$170,000.00 yearly

Remote

Part-time

The Medical Director will provide qualified medical direction and consultation for care delivery and complex case management for our community-based palliative care program.In addition, this role w...Show moreLast updated: 30+ days ago

Workday HCM Functional Analyst

Vanderbilt University Medical CenterRemote, Florida

Remote

Full-time

Discover Vanderbilt University Medical Center : .Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of diverse individ...Show moreLast updated: 30+ days ago

Medical Director (Medical Affairs)

CVS HealthWork from home, FL, US

Remote

Full-time

Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced...Show moreLast updated: 30+ days ago

Medical Physicist (Onsite - Thomasville, GA)

0101 D3 Oncology Inc.Ft. Lauderdale, FL

Remote

Full-time

Respiratory Care Sales Specialist - Central / South Florida-Remote

ICU MedicalFlorida, US

Remote

This position will need to understand and demonstrate the ability to perform activities necessary for Infusion Pump Service operations, including repair, refurbishment, out of box failures analysis...Show moreLast updated: 30+ days ago

VP, Market Chief Medical Officer(Need To Live In Florida)

CareSourceFlorida WFH

$150,000.00–$300,000.00 yearly

Remote

The Vice President, Market Chief Medical Officer has accountability for ensuring that local health plan, CareSource initiatives focusing on clinical excellence, quality improvement, appropriate inp...Show moreLast updated: 30+ days ago

Telephonic Medical Case Manager

Crawford & CompanyUS, Florida

30+ days ago

Job type

Remote

Job description

Position Summary

Great Work Life Balance!
Monthly Bonus Program!
Free CEU’s for licenses and certificates
License and national certification reimbursement
This is a work from home telephonic case management position!
No Travel involved!
RN is required!
Compact licensure and an advanced Nurse case Management certification (ex : CCM, COHN, CRN) are preferred!

To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients / employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care Management.

Responsibilities

Reviews case records and reports, collects and analyzes data, evaluates injured worker / disabled individual’s medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services.

Render opinions regarding case costs, treatment plan, outcome and problem areas, and makes recommendations to facilitate case management goals to include RTW.

Demonstrates ability to meet administrative requirements, including productivity, time management and QA standards, with a minimum of supervisory intervention.

May perform job site evaluations / summaries to facilitate case management process.

Facilitates timely return to work date by establishing a professional working relationship with the injured worker / disabled individual, physician, and employer. Coordinate RTW with injured worker, employer and physicians.

Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure authorization for services. Maintains contact with all parties involved on case, necessary for case management the injured worker / disabled individual.

May obtain records from the branch claims office.

May review files for claims adjusters and supervisors for appropriate referral for case management services.

May meet with employers to review active files.

Makes referrals for Peer reviews and IME’s by obtaining and delivering medical records and diagnostic films, notifying injured worker / disabled individual and conferring with physicians.

Utilizes clinical expertise and medical resources to interpret medical records and test results and provides assessment accordingly.

Meets monthly production requirements and quality assessment (QA) requirements to ensure a quality product.

Reviews cases with supervisor monthly to evaluate files and obtain directions.

Upholds the Crawford and Company Code of Business Conduct at all times.

Demonstrates excellent customer service, and respect for customers, co-workers, and management.

Independently approaches problem solving by appropriate use of research and resources.

May perform other related duties as assigned.

Requirements

Associate’s degree or relevant course work / certification in Nursing is required; BSN Degree is preferred.

Minimum of 1-3 years diverse clinical experience and one of the below :

Certification as a case manager from the URAC-approved list of certifications (preferred);

A registered nurse (RN) license.

Must be compliant with state requirements regarding national certifications.

Based on federal, state, or local law, this position may require you to be fully vaccinated for COVID-19.

Active RN home state licensure in good standing without restrictions with the State Board of Nursing.

Must meet specific requirements to provide medical case management services.

Minimum of 1 National Certification (CCM, CDMS, CRRN, and COHN) is preferred. If not attained, must plan to take certification exam within proceeding 36 months.

National certification must be obtained in order to reach Senior Medical Case Management status.

Must maintain a valid driver’s license in state of residence.

General working knowledge of case management practices and ability to quickly learn and apply workers compensation / case management products and services.

Excellent oral and written communications skills to effectively facilitate return-to-work solutions within a matrix organization and ensure timely, quality documentation.

Excellent analytical and customer service skills to facilitate the resolution of case management problems.

Basic computer skills including working knowledge of Microsoft Office products and Lotus Notes.

Demonstrated ability to establish collaborative working relationships with claims adjusters, employers, patients, attorneys and all levels of employees.

Demonstrated ability to gather and analyze data and establish plans to improve trends, processes, and outcomes.

Excellent organizational skills as evidenced by proven ability to handle multiple tasks simultaneously.

Demonstrated leadership ability with a basic understanding of supervisory and management principles.

When you accept a job with Crawford, you become a part of the One Crawford family.

Our total compensation plans provide each of our employees with far more than just a great salary

Pay and incentive plans that recognize performance excellence

Benefit programs that empower financial, physical, and mental wellness

Training programs that promote continuous learning and career progression while enhancing job performance

that give back to the communities in which we live and work

A culture of respect, collaboration, entrepreneurial spirit and inclusion