Maintain oversight over a specified panel of members by performing ongoing assessments.
Create comprehensive care plans addressing members' needs and conducting regular follow-ups.
Ensure achievement of targeted goals related to patient outcomes and care plan realization.
Jobgether is a company that uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements. Their system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Provide case management to members, addressing medical, social, psychological, physical, and spiritual needs.
Develop, implement, and monitor care plans in conjunction with PCPs, caregivers, and team members.
Help meet member's needs through coordinated care and support.
Elderplan and HomeFirst are Medicare and Medicaid managed care health plans expanding services to meet patient needs. At MJHS, they foster collaboration, celebrate achievements, and promote fairness, offering comprehensive compensation, career development, and work-life balance.
Manages clinical aspects of patient-centered medical home care.
Coordinates medical care of patients identified as high risk.
Identifies resources for patient self-management skills.
The University of Rochester is committed to fostering an inclusive and welcoming culture. They strive to uphold the values of equity, leadership, integrity, openness, respect, and accountability to set the highest standards for how they treat each other and ensure that their community is welcoming to all.
Conducting in-depth telephonic assessments to understand each patient’s needs.
Developing individualized care plans and guiding patients through their treatment goals and care options.
Monitoring progress by phone, adjusting care plans, and ensuring patients stay connected to their providers.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. They improve the health of patients, and restore the fulfillment of practicing medicine for providers leveraging remotely-embedded Healthguides™ and a centralized Managed Service Organization. Physician-led, Guidehealth empowers its partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.
Serve as a patient advocate and navigator, guiding patients and caregivers through the healthcare system.
Complete emergency room and hospital follow-up calls, offering education on alternative access points to reduce avoidable ED visits.
Facilitate medication education and adherence support, including alignment with standing orders, protocols, and chronic disease management goals.
Praxis Health is a family of medical groups providing high-quality healthcare throughout the state of Oregon. They foster a supportive and collaborative workplace where every team member is valued and empowered to succeed with community-based clinics.
Jobgether is a platform that connects job seekers with companies. They use an AI-powered matching process to ensure applications are reviewed quickly and fairly.
Support clinical staff by gathering data to complete the medical necessity review process.
Create and send letters to providers and/or members to communicate information.
Collaborate with care management teams and stakeholders to provide optimal service.
Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota, and they’ve built their reputation on over 80 years’ worth of trust. They are motivated by the well-being of their members, putting them first and committing to sustainability and innovation.
Oversees daily operations of the Care Management unit and ensures process implementation.
Facilitates staff development, provides regular performance feedback, and identifies areas of improvement.
Evaluates performance metrics, supports staff in care planning, and promotes interdisciplinary collaboration.
Capital Blue Cross promises to go the extra mile for our team and our community. They offer a caring team of supportive colleagues and invest heavily in training and continuing education. Employees consistently vote them one of the “Best Places to Work in PA.”
Navigate the Medicare system for patients and caregivers.
Manage care coordination and logistics, including specialist visits.
Advocate for patients by identifying billing errors and cost-saving programs.
Carewell is dedicated to providing a trusted retail source for caregiving products, offering expert-vetted items like incontinence supplies and mobility aids. They are recognized as one of the fastest-growing companies in the US, committed to improving teams, partnerships, and solutions.