Jobs in remote
Find opportunities in remote
Find opportunities in remote
APN Consulting, Inc. is a progressive IT staffing and services company offering innovative business solutions to improve client business outcomes. We focus on high impact technology solutions in ServiceNow, Fullstack, Cloud & Data, and AI / ML. Due to our globally expanding service offerings we are seeking top-talent to join our teams and grow with us. Job Title: Care Review Clinician II Location: Remote (Must possess an active CA Nursing license) Duration: 3 months Job Description: Nurse (LVN or RN) who must be licensed in California. Strong inpatient and outpatient medical and hospital analytical experience is needed. Excellent computer multi-tasking skills and good productivity is essential for this fast-paced role. Strong computer skills, being able to toggle back and forth and use multiple databases. Good analytical thought process is important to be successful in this role, this is a metric-based environment. This role is the clinical support for the COC and Community Support Teams. This nurse will serve as a clinical reviewer to help determine whether requests meet COC criteria or Community Support Criteria. Will create authorizations and send for MD review when appropriate while following the UM process. Will complete phone calls to providers when applicable. Required Years of Experience: 3-5 Required Licensure / Education: LVN or RN- CA Summary: Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Client Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Client Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines. Essential Functions: Provides concurrent review and prior authorizations (as needed) according to Client policy for Client members as part of the Utilization Management team. Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures. Participates in interdepartmental integration and collaboration to enhance the continuity of care for Client members including Behavioral Health and Long Term Care. Maintains department productivity and quality measures. Attends regular staff meetings. Assists with mentoring of new team members. Completes assigned work plan objectives and projects on a timely basis. Maintains professional relationships with provider community and internal and external customers. Conducts self in a professional manner at all times. Maintains cooperative and effective workplace relationships and adheres to company Code of Conduct. Consults with and refers cases to Client medical directors regularly, as necessary. Complies with required workplace safety standards. Knowledge/Skills/Abilities: Demonstrated ability to communicate, problem solve, and work effectively with people. Excellent organizational skill with the ability to manage multiple priorities. Work independently and handle multiple projects simultaneously. Knowledge of applicable state, and federal regulations. In depth knowledge of Interqual and other references for length of stay and medical necessity determinations. Experience with NCQA. Ability to take initiative and see tasks to completion. Computer Literate (Microsoft Office Products). Excellent verbal and written communication skills. Ability to abide by Client's policies. Ability to maintain attendance to support required quality and quantity of work. Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). Skilled at establishing and maintaining positive and effective work relationships with coworkers, clients, members, providers and customers. Required Education: Completion of an accredited Registered Nursing program. (a combination of experience and education will be considered in lieu of Registered Nursing degree). Required Experience: Minimum 2-4 years of clinical practice. Preferably hospital nursing, utilization management, and/or case management. Required Licensure/Certification: Active, unrestricted State Nursing (RN, LVN, LPN) license in good standing. We are committed to fostering a diverse, inclusive, and equitable workplace where individuals from all backgrounds feel valued and empowered to contribute their unique perspectives. We strongly encourage applications from candidates of all genders, races, ethnicities, abilities, and experiences to join our team and help us build a culture of belonging.
Remote Licensed Marriage and Family Therapist (LMFT) Wage: Between $95-$122 an hour Are you a Licensed Marriage and Family Therapist looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across the United States in our mission to rewire the mental healthcare system for access and affordability. We equip mental health practitioners with the tools and resources they need to run a flourishing private practice. Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients to providing and overseeing medication management. Whether you're new to private practice or already have an established practice of your own, we’re excited to support you in reaching your goals! By joining the Headway community, we’ll help you: Accept insurance hassle-free by credentialing you with the nation’s largest networks and handling the billing and admin paperwork for you. Maintain a flexible schedule by deciding how many clients you see through Headway, so that you can set the hours that work for you. Grow your caseload by providing marketing support and patient referrals. We’ll also support your patients by Providing customized support to clinicians and patients in order to streamline the process of both seeking and providing care. Verifying client insurance benefits instantly and automatically, so that access to care is never delayed, and you can see your patients with confidence. And we do this completely free of charge to you! Headways is a flexible service, meaning your hours are yours to set, and it’s up to you whether you see your patients in-person or remotely via telehealth while working from home. We accept the following licenses on a state by state basis: LMFT LMFTS LCMFT Ready to get started? We are excited to begin helping you if you are a fully-licensed Marriage and Family Therapist at a Master’s level or above with: A valid NPI number Malpractice insurance Please note, at this time, we are unable to service mental health professionals that are not fully licensed. Your application will be rejected until you obtain a valid license.
Remote Licensed Professional Counselor (LPC) Wage: Between $95-$122 an hour Are you a Licensed Professional Counselor looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across the United States in our mission to rewire the mental healthcare system for access and affordability. We equip mental health practitioners with the tools and resources they need to run a flourishing private practice. Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients to providing and overseeing medication management. Whether you're new to private practice or already have an established practice of your own, we’re excited to support you in reaching your goals! By joining the Headway community, we’ll help you: Accept insurance hassle-free by credentialing you with the nation’s largest networks and handling the billing and admin paperwork for you. Maintain a flexible schedule by deciding how many clients you see through Headway, so that you can set the hours that work for you. Grow your caseload by providing marketing support and patient referrals. We’ll also support your patients by Providing customized support to clinicians and patients in order to streamline the process of both seeking and providing care. Verifying client insurance benefits instantly and automatically, so that access to care is never delayed, and you can see your patients with confidence. And we do this completely free of charge to you! Headways is a flexible service, meaning your hours are yours to set, and it’s up to you whether you see your patients in-person or remotely via telehealth while working from home. We accept the following licenses on a state by state basis: LPC LPCC LCPC LCPCS LPCC-S Ready to get started? We are excited to begin helping you if you are a fully-licensed professional counselor at a Master’s level or above with: A valid NPI number Malpractice insurance Please note, at this time, we are unable to service mental health professionals that are not fully licensed. Your application will be rejected until you obtain a valid license.
" Licensed Psychiatrist Wage: Between $148-$269 an hour Licensed psychiatrist - Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About the role This position is for licensed psychiatrists looking to build or grow their private practice. Headway provides the tools, resources, and support to help you navigate insurance, streamline operations, and focus on delivering quality care - on your own terms. About you You’re a fully licensed psychiatrist with your DEA or CDS number , ANCC board certification , a valid NPI number and malpractice insurance . You’re looking to start or expand your private practice while maintaining control over your schedule, client load, and work environment. We accept the following licenses on a state by state basis: MD / DO Why partner with Headway? As an independent provider with Headway, you’ll gain access to: Hassle-free insurance credentialing: Get credentialed for free in multiple states within as little as 30 days. Increased earnings: Secure competitive rates with top insurance plans through our nationwide network. Predictable bi-weekly payments: Receive reliable payouts directly from Headway. Built-in EHR tools: Access real-time scheduling, secure client messaging, documentation templates, assessments, and more. Compliance & audit support: Stay up-to-date with insurance requirements and industry regulations. Free continuing education: Earn CEUs and expand your expertise through Headway Academy. How Headway supports your patients Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Important Notes This is a 1099 independent contractor role. You’ll have full autonomy over your practice, including setting your hours and managing your caseload. At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. About Headway We make it easy for mental health providers to take insurance by credentialing you with the nation’s largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. With Headway, you can finally focus on what matters most: providing life-changing care. We’ll take care of the rest.