Provide telephone support to patients, healthcare professionals, and funding organizations regarding access, reimbursement, compliance, and support programs.
Manage assigned patient cases and projects while following established operational processes and service standards.
Maintain accurate case documentation within program databases, ensuring all activities and interactions are properly recorded.
This role is posted on behalf of a partner company, which manages all applications and next steps. The company focuses on healthcare support and improving patient access to therapies, with a collaborative culture and opportunities for professional growth.
Build trusting relationships with patients and providers to address health barriers and coordinate care.
Navigate medical, behavioral, and social systems to connect patients with appropriate resources.
Support value-based care outcomes through proactive outreach, documentation, and quality measures.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. As a growing and innovative organization, we operate with a high degree of agility.
Serve as a community-based, patient-facing resource, building relationships with patients and caregivers through direct, in-person re-engagement in assigned geographic areas.
Provide hands-on support to patients and caregivers, including assisting with program re-enrollment, onboarding, and mobile app setup.
Educate patients and caregivers on Imagine Pediatrics services and available community resources to ensure they understand how to access care and support.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group that provides 24/7 virtual-first and in-home care for children with special health care needs. The company emphasizes compassion, creativity, and a commitment to children with medical complexity, though specific employee count is not provided.
You will serve as a critical liaison between patients, providers, care teams, and community resources to ensure continuity of care.
You will create and promote adherence to treatment plans developed by healthcare providers.
You will assess patients' unmet health and social needs and connect them to relevant community resources.
Point C is a national third-party administrator that delivers customized self-funded benefit programs. We are a mission-driven company focused on innovative cost containment strategies and driving down plan costs.
Provides active care management and coordinates action plans for members.
Evaluates outcomes and ensures accurate documentation of clinical information.
Serves as member advocate and promotes enrollment in care management programs.
BlueCross BlueShield of South Carolina is a leading health insurance company and administrator of government contracts. With an A+ rating and a diverse family of subsidiaries, they are the largest insurer in South Carolina and employ a dedicated team focused on outstanding customer service.
Lead, coach, and develop a team of Engagement Specialists through regular feedback and performance management.
Conduct compassionate outreach to patients, explain services, and guide them through onboarding with accurate EHR documentation.
Oversee daily operations, optimize PRM workflows, and collaborate with clinical teams for seamless care transitions.
The employer is a mission-driven healthcare organization dedicated to improving access to behavioral health support for individuals navigating complex medical journeys. It is a fast-growing, startup-like company with a collaborative culture focused on continuous learning and innovation.
Answer inbound calls and make outbound calls to participants enrolled in the Condition Management Program.
Assist participants via email and online messaging, and accurately document all participant communications.
Work independently and in a team environment with strong customer service skills; no experience required as training is provided.
Cottingham and Butler's Health and Wellness division focuses on reducing medical costs while increasing employee engagement and productivity through onsite screenings, technology, and condition management programs. They value an open-door culture where team opinions are appreciated.
Provide personalized onboarding and ongoing adherence support to patients and caregivers throughout their treatment journey.
Coordinate insurance coverage verification, reimbursement support, and financial assistance enrollment for eligible patients.
Serve as the primary point of contact for healthcare providers, resolving access barriers and ensuring seamless coordination with internal teams.
The partner company provides comprehensive non-clinical patient support for individuals managing rare and ultra-rare diseases. They foster a collaborative, patient-focused culture with a remote work environment and a commitment to improving healthcare access.
Execute and refine patient advocacy strategies to amplify patient and caregiver voices across the organization.
Cultivate trusted partnerships with advocacy groups, healthcare providers, and key opinion leaders.
Integrate patient insights into clinical development, regulatory submissions, and commercialization efforts.
Compass Pathways is a biotechnology company focused on developing innovative mental health treatments, including COMP360 psilocybin for depression and PTSD. As a publicly traded firm with a London HQ and U.S. office, it fosters a collaborative culture dedicated to improving patient outcomes.
Conduct telephonic outreach to Medicare members to improve medication adherence and HEDIS diabetes and blood pressure control.
Use motivational interviewing to assess health risks and engage members in behavior change.
Partner with members to identify opportunities for integration into internal/external programs and coordinate care.
CVS Health is building a world of health around every individual, shaping a more connected, convenient and compassionate health experience. They are a large company with passionate colleagues who care deeply, innovate with purpose, and prioritize safety and quality.
Take inbound calls from patients, providers, and members to assist with healthcare needs, insurance questions, and triage support.
Provide empathetic, patient-focused service in a remote environment, managing calls that may involve emergent situations.
Support members with insurance navigation, including changing primary care physicians, locating urgent care clinics, and obtaining prescription authorizations.
Carenet Health has pioneered healthcare consumer engagement for over 30 years, interacting with 1 in 3 Americans daily to deliver positive experiences and improve outcomes. We foster a culture of collaboration, creativity, and accountability, empowering growth through trust and opportunity.
Understand clients: listen deeply and build trust with older adults who feel lost in the healthcare system.
Educate and empower: help clients understand their Medicare benefits, care options, and community resources.
Solve problems: help seniors access affordable meals, transportation, find specialists, or understand options to stay independent.
EZ Health helps older adults navigate the complex healthcare system, empowering them to get healthier and live better. It is a small, fast-growing startup with a mission-driven culture and a focus on direct, compassionate communication.
Ensure admissions are coordinated from start to finish, maintaining knowledge of census and bed board for efficient patient flow.
Coordinate with patients, families, referral sources, UR, and finance to ensure expedited access to care.
Collect and present medical and psycho-social documentation to clinical staff to support timely admissions.
ERC Pathlight is a leading national provider of treatment for eating disorders, mood, anxiety, and trauma-related conditions. Founded in 2008, the organization supports over 6,000 patients annually with multiple locations and virtual programming.
Manage referrals and guide participants through the enrollment process with compassion and accuracy.
Provide empathetic communication and support to participants via phone, text, and other channels.
Collaborate with clinical and operational teams to track performance and improve engagement.
The partner company is a healthcare organization that provides participant success services. It offers a supportive, mission-driven culture with a focus on quality and empathy.
Provide evidence-based family, individual, and group therapy for eating disorders in a virtual clinic.
Maintain a caseload of 30-40 patients with 20-26 hours of direct care weekly.
Collaborate with a multidisciplinary care team including physicians, dietitians, and mentors.
Equip is a virtual evidence-based eating disorder treatment program. Founded in 2019, the company has a diverse and passionate team and was recognized as one of the most influential companies of 2023.
Teach core clinical skills in counseling techniques, therapy modalities, mental health assessment, and treatment planning.
Support career development including resume review, cover letters, interview prep, and salary negotiation.
Help students and professionals pursuing social work and counseling careers through consistent, practical skill building.
Leland is building the home for ambition in the age of AI, connecting people with experts, programs, and communities to achieve their goals. Since 2021, we've helped tens of thousands of people and raised $19M from world-class investors, fostering a high-energy, collaborative culture.
Serve as a primary point of contact for patients through phone, email, and in-app messaging.
Partner with cross-functional teams to ensure coordinated support throughout the care journey.
Resolve non-clinical inquiries while delivering a positive, patient-centered experience.
Sunrise Group is building the future of sleep health by combining breakthrough technology with expert care. The company has grown from a single innovation into a complete sleep health company with an international team across the US, France, and Belgium, and values clarity, trust, collaboration, and compassion.
Lead and develop a team of Patient Success Advocates, providing coaching and performance management.
Monitor team metrics like volume, response times, and patient satisfaction to drive improvements.
Serve as escalation point for complex patient interactions and collaborate cross-functionally.
Cadence is a clinical AI company that automates the treatment of chronic disease. It partners with 20+ leading health systems, serves over 100,000 patients, and has been recognized by TIME and LinkedIn as a top startup.
Handle incoming calls in a fast-paced call center environment, assisting members with benefits, eligibility, and claims inquiries.
Maintain composure and positivity while de-escalating challenging situations and managing relationships with members.
Apply standard operating procedures and recommend process improvements for a better member experience.
Blue Cross and Blue Shield of Minnesota is a nonprofit health insurance company committed to transforming healthcare. It is one of the most recognized healthcare brands in Minnesota with a large network of doctors and a culture based on collaboration and integrity.
Assess, plan, implement, and coordinate comprehensive care plans to meet individual health needs and ensure cost-effective healthcare delivery.
Serve as a liaison facilitating collaboration among patients, families, physicians, and providers to promote quality of care.
Provide specialized education on disease-specific conditions and remain current with medical trends and procedures.
Arkansas Blue Cross and Blue Shield is a health insurance company providing healthcare coverage and services. They are consistently ranked as a top workplace in Central Arkansas with an inclusive culture and average employee tenure of 10 years.