Build trusting relationships with patients, families, and providers, addressing health questions and care needs.
Identify medical, behavioral, social, emotional, and financial needs to support whole‑person care.
Strengthen the connection between patients and healthcare providers by addressing barriers and facilitating communication.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, with the goal to make great healthcare affordable, improve patient health, and restore fulfillment for providers. They leverage remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers.
Provides after hours support to members and leaders seeking services.
Problem-solves and assists with high touch and escalated/sensitive calls.
Spring Health is on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. They partner with over 450 companies, from startups to multinational Fortune 500 corporations, providing care for 10 million people.
Build trusting, ongoing relationships with patients, families, caregivers, and medical/behavioral health providers.
Engage high‑risk or targeted patient populations using bi-directional communication to address health questions, concerns, and care needs.
Accurately and promptly document all interactions, assessments, and interventions in the electronic health record (EHR) and Guidehealth documentation systems.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers.
Guide older adults and their caregivers through the intake process.
Match patients with the right therapist with warmth and clarity.
Help each new patient navigate the journey into care.
Sailor Health is revolutionizing mental health care for older adults. They aim to provide seamless access to compassionate, effective, and personalized mental health care for seniors and has a thoughtful, collaborative team rooted in purpose.
Assess member needs in physical health, mental health, and social supports.
Oversee the development of client care plans and goal settings.
Connect clients to social services, advocate for their needs, and ensure documentation.
Vynca is dedicated to transforming care for individuals with complex needs, fostering a close-knit community committed to caring for each other and the people they serve. Guided by core values like excellence and compassion, Vynca empowers employees to make a profound difference in providing comprehensive care for more quality days at home.
Collaborates with members, family, and healthcare providers to coordinate services and address barriers.
Guides members to achieve optimal health by providing tools and information to understand their healthcare options.
Identifies and assesses members’ medical, behavioral, social, emotional, and financial needs.
Capital Blue Cross promises to go the extra mile for their team and community. They are one of the “Best Places to Work in PA”, with a caring and supportive culture that values professional and personal growth through training and continuing education.
Communicate and provide education to members and providers on insurance plan benefits and digital health solutions.
Employ active listening & motivational interviewing skills, and can handle difficult calls tactfully, professionally and document accordingly that can build patient trust and engagement.
Accurately track and document work on a variety of internal software tools and platforms.
Evry Health is on a mission to bring humanity to health insurance. They provide high-technology health plans that expand benefits, increase access and transparency, and feature a personalized, human approach. Evry Health is the major medical division of Globe Life (NYSE:GL), which has 16.8 million policies in force, and more than 3,000 corporate employees and 15,000 agents.
Facilitate collaboration with health plan care managers
Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. They deliver goal-centered care focused on alleviating physical symptoms and emotional stress for individuals and their caregivers.
Provide empathetic, structured support to callers seeking help for substance use and related needs; de-escalate and maintain rapport.
Conduct clinical intakes using Scope, following Akido protocols, scripts, and decision support.
Connect callers to the right level of care (MAT access, outpatient, detox/residential referrals, counseling, harm-reduction services, basic needs).
Akido builds AI-powered doctors. It is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network. They serve 500K+ patients across California, Rhode Island, and New York.
Conduct patient onboarding via phone, explaining program goals.
Receive follow-up calls and document information in charting systems.
Communicate concerns and changes in condition to the Provider Team.
CopilotIQ + Biofourmis is transforming in-home care with the industry's first AI-driven platform for pre-surgical optimization to chronic care. With commitment to enhancing the lives of seniors with chronic conditions and advanced data-driven insights, they're setting a new standard in accessible healthcare.
Own high-volume inbound patient and provider communication queues.
Serve as the first point of contact for patients, resolving inquiries in real time.
Act as a reliable liaison between patients and their care teams.
Oshi Health is revolutionizing GI care with a digital clinic model, providing convenient access to an integrated and multidisciplinary care team. They are dedicated to creating a workplace that prioritizes their team and fosters inclusivity, reflected in their "Best Place to Work" awards.
Reaches out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, make provider appointments and follow ups, etc.
Creates cases, tasks, and completes assessments in Case Management module for all Hospital and SNF discharges
Works as a team with the Case Manager to engage and manage a panel of SNP members
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve.
Provide case management to members including medical, social, psychological, physical, and spiritual needs.
Develop, implement, and monitor the care plan in conjunction with the PCP, caregivers, and other team members.
Help meet the member's needs.
Elderplan and HomeFirst are Medicare and Medicaid managed care health plans that are expanding services in response to patients' needs. At MJHS, they are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services.
Contact patient and complete a thorough assessment, including physical, psychosocial, emotional, spiritual, environmental, and financial needs.
Develop treatment plan for standard and catastrophic cases in collaboration with the patient, caregivers or family, community resources and multi-disciplinary healthcare providers that include obtainable short- and long-term goals.
Advocate for the patient by facilitating the delivery of quality patient care, and by assisting in reducing overall costs; provide patient/family with emotional support and guidance.
Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. They serve employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes and have a mission to empower people to lead healthier lives.
Responsible for coordination of services for members, emphasizing education/self-management and quality care. \n- Assesses member needs, reviews service options, develops and implements care plans, and coordinates resources. \n- Manages a caseload of moderate-high risk members with complex medical/behavioral/psychosocial needs.
Capital Blue Cross is committed to improving the health and well-being of our members and the communities in which they live. They offer flexibility, prioritize health and well-being, and encourage employees to volunteer in their community.
Provide exceptional care, disease management and health education to patients
Support goal setting for individual patients asynchronously to help them better manage their chronic conditions
Create personalized action plans with guidelines to reduce or eliminate unwanted behaviors
Salvo is focused on chronic gut health and metabolic conditions from IBS to obesity, assigning patients a care team and providing app-based care seven days a week. Salvo is backed by leading health care investors from innovators; they offer a culture that drives constant innovation and is marked by relentless curiosity and a sense of empathy.
Establish positive first impressions with patients and customers, establishing a role as patient advocate
Triage all incoming telephone calls and electronic messages, prioritizing and resolving, involving the provider as appropriate, successfully completing the communication cycle.
Document all communications in the electronic medical record Schedules patient for visit with provider as appropriate based upon protocols
At Northwestern Medicine, they believe every patient interaction makes a difference in cultivating a positive workplace. As an integral part of the team, employees have the opportunity to join the quest for better health care, no matter where they work within the Northwestern Medicine system.
Play an active role in member registration and enrollment, including organizing community engagement and outbound outreach calls/texts.
Engage with a panel of assigned members to provide care navigation, appointment logistics, prescription drug support, lab support, referral coordination, care plan adherence support, and resource sharing.
Serve as the primary relationship holder for members with behavioral health needs; provide consistent outreach, follow-up, and re-engagement support, including after ED/inpatient discharge when applicable.
Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the one-size-fits-all healthcare system. They combine local, community-based teams with virtual care and modern technology to deliver coordinated, whole-person care where members live and receive support.
Serves as a primary point of contact for members, caregivers, and providers regarding nurse appointments and care coordination activities.
Coordinates and schedules nurse case management activities, including assessments, follow-ups, and interdisciplinary care team meetings.
Supports accurate documentation by ensuring required scheduling and encounter-related data is entered into designated systems.
Fallon Health is dedicated to providing equitable, high-quality, coordinated care to its members and is consistently recognized as a top health plan for member experience, service, and clinical quality. With roots dating back to 1977 in Worcester, Massachusetts, they focus on government-sponsored health insurance programs and value diversity and inclusion.
Developmentally appropriate telephonic and telehealth screening, brief intervention, and referral of members to a trauma specialty treatment provider.
Apply active listening, psychoeducation, and motivational interviewing skills to understand each member’s or family’s needs and provide support as they set goals.
Identify an appropriate level of care, facilitate referral, and coordinate care with Spring Health providers and, when needed, community resources and schools.
Spring Health is on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. They partner with over 450 companies, from startups to multinational Fortune 500 corporations, providing care for 10 million people.