Remote Work From Home Data Entry Clerk, $1400 Per Week

68W Health Care Specialist

Army National Guard · Centralia, WA

Retirement benefits for part-time service. Most non-prior service candidates will earn between $200 and $250 per drill weekend, subject to change.

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a healthcare organization-we're a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and well-being of individuals and families throughout Douglas County, Oregon. We provide integrated, whole-person care through primary care, specialty care, behavioral health services, and care coordination. Our collaborative approach ensures members receive high-quality, personalized care while supporting a stronger, healthier community. POSITION PURPOSE The Utilization Management Nurse evaluates clinical service requests to ensure medically necessary, cost-effective, and evidence-based care for members. This role conducts prior authorizations, facilitates care coordination, and supports safe transitions across care settings, ensuring compliance with Oregon Health Plan (OHP), Medicare, and applicable regulations. The UM Nurse collaborates with interdisciplinary teams and community providers to promote integrated, high-quality care. ESSENTIAL JOB RESPONSIBILITIES • Perform clinical assessments and prior authorizations to determine medical necessity • Escalate complex cases to Medical Directors and request additional documentation as needed • Collaborate with care coordinators, discharge planners, and interdisciplinary teams for care transitions • Liaise with internal departments to resolve eligibility, benefits, or service issues • Participate in discharge planning for members transitioning from acute, long-term, or residential care • Conduct audits and support quality improvement initiatives • Provide training and mentorship on UM protocols and workflows • Maintain relationships with community providers and service organizations • Ensure compliance with organizational policies, clinical standards, and federal/state regulations • Perform other nursing-related duties as assigned CHALLENGES • Working with a variety of personalities, maintaining a consistent and fair communication style. • Satisfying the needs of a fast-paced and challenging company. MINIMUM QUALIFICATIONS • Active, unrestricted RN license (BSN or MSN) in Oregon or a compact state • Graduation from an accredited nursing program • Minimum 5 years of direct patient care experience • Proficiency with Microsoft Office, EHR systems, and UM software • Strong clinical knowledge, communication, and organizational skills • No suspension, exclusion, or debarment from federal healthcare programs PREFERRED QUALIFICATIONS • 2+ years of utilization review or case management experience in managed care • Oregon residency and license • Bilingual or translation skills a plus • Experience with quality improvement audits and diverse team collaboration • Ability to work independently in fast-paced environments SCHEDULE Monday through Friday - 8:00am - 5:00pm; standard business hours with flexibility to meet service timelines. SALARY Wage Band: $85,000- $105,340 BENEFITS • Salary is dependent on skills, experience, and education • Generous benefits package including vacation PTO, sick leave, federal holidays, and birthday leave • Medical, dental, and vision insurance • 401(k) with company match (fully vested immediately) • Company-sponsored life insurance and additional benefits • Fitness reimbursement program • Tuition reimbursement and more Why Umpqua Health? We are committed to advancing health equity by collaborating across communities, addressing systemic barriers, and ensuring fair access to care and resources. At Umpqua Health, every team member plays a vital role in making a meaningful impact, empowering healthier lives and strengthening the communities we serve. Inclusive Culture We foster a respectful, inclusive environment where employees feel valued, supported, and empowered. Growth & Development We support ongoing learning through mentorship, clear career pathways, and professional development opportunities. Work/Life Balance We promote flexibility and well-being so employees can thrive both professionally and personally. Equal Opportunity Umpqua Health is an equal opportunity employer that embraces individuals from all backgrounds. We prohibit discrimination and harassment of any kind, ensuring that all employment decisions are based on qualifications, merit, and the needs of the business. Our dedication to fairness and equality extends to all aspects of employment, including hiring, training, promotion, and compensation, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected category under federal, state, or local law.

Customer Service Rep Associate

Corewell Health · Centralia, WA

Job Summary Inbound call center to assist and educate members, employer groups, providers, colleagues, and/or agents of health plan benefits with accessing services, facilitating and resolving problems, understanding claims, billing and coding, along with other questions. Consistently create an exceptional experience with each contact, via inbound and outbound calls, face-to-face interactions, online chat, email, etc. Essential Functions • Analyzes, evaluates, resolves and responds to service inquires from members, providers, employer groups, colleagues, agents, Elite agents (customers), and others within departmental guidelines. Professional and pleasant interactions are ongoing expectations. • Partnering with internal and external resources, promptly provides customers with information and education concerning benefit clarification, eligibility requirements, verification, authorization, billing and claim status. • Promptly identifies and resolves or escalates customer concerns or complaints to achieve positive outcomes. Places outbound welcome calls to members to educate them on their benefits as needed. Assists walk-in members and agents if assigned by leadership. • Adheres to established procedure and quality guidelines in support of Priority Health service promise, key drivers, performance indicators, as well as Corporate values and codes of excellence. Identifies potential trends or issues that impact health plan members and works with coworkers and leadership resources to suggest process improvements. • Assists members with administrative issues, such as submitting enrollment record changes, providing letter explaining coverage or benefits, and obtaining and relaying certain member information to other departments as needed. • Facilitates claims resolution through follow-up on member calls and correspondence received to appropriate departments. • Effectively tracks and/or documents all service interactions with customers within appropriate systems according to guidelines. • Develops and maintains behaviors of productivity, availability to customers, and adherence to work schedule. • Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis. • Performs other duties as assigned. Qualifications Required • High School Diploma or equivalent • 1 years of relevant experience customer-facing service on phone or face to face; customer service, high volume call center, medical billing, insurance environment relevant to benefits, provider contracting, claims processing, and/or managed health care Preferred • Associate's degree About Corewell Health As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence. How Corewell Health cares for you • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here. • On-demand pay program powered by Payactiv • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! • Optional identity theft protection, home and auto insurance • Traditional and Roth retirement options with service contribution and match savings • Eligibility for benefits is determined by employment type and status Primary Location SITE - 1700 Magnavox Way Suite 201 - Fort Wayne Department Name Physicians Health Plan of Northern Indiana Admin - PH Managed Benefits Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8 a.m. to 5 p.m. Days Worked Monday to Friday Weekend Frequency N/A CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only. Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team. You may request assistance in completing the application process by calling 616.486.7447.

$16–$17/hr

Customer Service Representative

Weed Man · Centralia, WA

COME GROW WITH US!! MUST live in states KY, IN, SC, WV, AL, VA, MD, OH, TN or FL to qualify! Full Time Work Hours Or Shift: Monday - Friday, 9 am - 6 pm Salary: $16-$17 per hour Location: Fully Remote Weed Man is the fastest growing lawn care company. As we continue our successful growth, now is the perfect time for you to join our amazing team. Together, with the greatest products, service, and employees in the world, Weed Man Louisville will continue to be Louisville's choice when it comes to selecting a lawn care professional. Come to work with your passionate, enthusiastic attitude, and you will experience the thrill of being a part of a winning team as well as being rewarded with many opportunities for personal growth! Excellent phone & organizational skills are a must. Computer skills, the ability to perform multiple tasks, & keen attention to details required for our fast-paced office. As our Customer Service Representative professional, you will be responsible to work closely with our Sales, Technical, and Administrative managers to coordinate and process numerous duties, as well as answering a large volume of incoming phone calls and addressing the needs of those callers. You will interact with customers by phone, text and email to answer questions, resolve concerns, collect accounts receivable, verify customer information, and make phone sales. Please apply if you are a highly motivated and passionate individual looking for a great opportunity who meets the following job requirements: • Excellent oral & written communication skills • Advanced problem-solving skills • Proven time management • Ability to perform multiple tasks simultaneously, accurately, & in correct priority • Previous customer service experience Technology Requirements • High Speed Internet • Webcam • Noise Canceling Headphones • Desktop/Laptop (No Chromebooks) • Distraction Free Workspace • 2 Monitors highly preferred but not required As an associate, you will enjoy: • Ability to work independently and as part of a team • Health Benefits • Competitive Salary and Bonus Program • Industry and Company Training • Advancement Opportunities Job Type: Full-time Benefits: • Dental insurance • Health insurance • Paid time off • Vision insurance • Holiday pay • Work from home Work Location: Remote