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At Home Remote Jobs in Springfield, TN (NOW HIRING)

TeleMate Health

Certified Medical Assistant

Old Hickory, TN · Remote

$17 - $22/hr

Ability to work independently and manage time effectively in a remote environment. * Proficiency with electronic health record (EHR) systems and telehealth technologies. * High speed internet at home

Everlight Solar

Salesforce Administrator

Nashville, TN · Remote

$80K - $100K/yr

This will be a full-time, work-from-home "remote" position. Must own a Mac computer and be fluent ... Our culture at Everlight is extremely important to us. The work environment is fast-paced and ...

Everlight Solar

Finance Assistant

Nashville, TN · Remote

$30K - $40K/yr

This will be a work-from-home "remote" position. Must own a Mac computer and be fluent with the ... Our culture at Everlight is extremely important to us. The work environment is fast-paced and ...

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All JobsAt Home Remote JobsAt Home Remote Jobs in Springfield, TN

At Home Remote information

What are some common challenges faced by employees in at-home remote roles, and how can they be addressed?

At-home remote roles often present challenges such as maintaining work-life balance, avoiding distractions, and staying connected with team members. To address these, it's important to create a dedicated workspace, establish clear boundaries between work and personal time, and communicate regularly with colleagues through digital collaboration tools. Employers may also offer virtual team meetings, wellness resources, and flexible scheduling to support remote staff. Embracing strong time-management practices and proactive communication can help remote workers thrive in this environment.

What are the key skills and qualifications needed to thrive as a Remote Worker, and why are they important?

To thrive as a remote worker, you generally need strong self-motivation, time management, and proficiency in your core job function, often supported by relevant degrees or experience. Familiarity with digital communication tools (like Slack, Zoom, and project management software) and secure remote access systems is typically required. Excellent written communication, adaptability, and proactive problem-solving help remote professionals stand out. These skills and qualities are crucial to ensure productivity, collaboration, and accountability while working independently from home.

What are At Home Remote jobs?

At Home Remote jobs are positions that allow employees to work from their own homes instead of commuting to a traditional office. These roles can range from customer service and data entry to software development and project management. Remote jobs often require a reliable internet connection, effective communication skills, and the ability to work independently. Many companies offer remote work opportunities to provide flexibility and access to a wider talent pool.

What is the difference between At Home Remote vs Customer Service Representative?

AspectAt Home RemoteCustomer Service Representative
CredentialsHigh school diploma or equivalent; sometimes additional certificationsHigh school diploma or equivalent; customer service training often preferred
Work EnvironmentHome-based, flexible hoursTypically office or call center, but can be remote
Industry UsageCommon in various industries like tech, retail, healthcarePrimarily in retail, telecom, and service sectors
Search & Comparison IntentLooking for remote job opportunities with flexible schedulesSeeking customer service roles, possibly remote or on-site

At Home Remote jobs focus on providing flexible, home-based work across multiple industries, often requiring basic credentials. Customer Service Representative roles are customer-focused positions that may be remote or on-site, emphasizing communication skills. Both roles share similar credentials but differ mainly in work environment and industry usage.

What are the most commonly searched types of Remote jobs in Springfield, TN? The most popular types of Remote jobs in Springfield, TN are:
What job categories do people searching At Home Remote jobs in Springfield, TN look for? The top searched job categories for At Home Remote jobs in Springfield, TN are:
What cities near Springfield, TN are hiring for At Home Remote jobs? Cities near Springfield, TN with the most At Home Remote job openings:
At Home Remote jobs near you
Remote RN - Medical Claims Reviewer

Remote RN - Medical Claims Reviewer

Broadway Ventures

Nashville, TN • Remote

Full-time

Posted 20 days ago

Job description

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we're more than a service provider—we're your trusted partner in innovation.

Job Type: Full-time (40 hours/week)
Schedule: Monday–Friday, 8:00 AM – 5:00 PM

Max Salary: W-2 ($65,000/$31.25)

Location: Remote (U.S. – Work from home)
Remote Work Requirements: High-speed internet (non-satellite) and a private, lockable home office
Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed.

About the Role

We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements.

Key Responsibilities
  • Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
  • Assess payment determinations using clinical information and established guidelines.
  • Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement.
  • Provide clear, well-documented rationales for service approvals or denials.
  • Educate internal and external teams on medical review processes, coverage determinations, and coding requirements.
  • Support quality control activities to meet corporate and team objectives.
  • Provide guidance to LPN team members and support non-clinical staff through training and discussions.
  • Assist with special projects and additional responsibilities as assigned.
Minimum QualificationsLicensure:
  • Active, unrestricted RN license in the U.S. and in the state of hire
    OR
  • Active compact multistate RN license (as defined by the Nurse Licensure Compact).
Education:
  • Associate Degree in Nursing
    OR
  • Graduate of an accredited School of Nursing.
Experience:
  • Two years of clinical experience plus at least two years in one of the following:
    • Home Health
    • Utilization/Medical Review
    • Quality Assurance
Skills & Competencies:
  • Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical settings.
  • Ability to interpret and apply medical review criteria and clinical guidelines.
  • Proficiency in Microsoft Office and word processing software.
  • Strong analytical, organizational, and decision-making skills.
  • Ability to work independently while managing priorities effectively.
  • Excellent customer service, communication, and critical thinking skills.
  • Ability to handle confidential information with discretion.
Preferred Qualifications
  • Three years of clinical nursing experience in Home Health, Utilization Review, Medical Review, or Quality Assurance (strongly preferred).
  • Proficiency in using multiple screens and software programs simultaneously.

If you are a detail-oriented RN with a passion for medical review, we encourage you to apply!

What to Expect Next:

After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting.

Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law.

Reasonable accommodations are available for applicants with disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).