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.
Provides quality driven telephonic clinical assessments, health education, and utilization management services.
Provides assessments to individuals using telecommunications, in accordance with computer-based algorithms and guidelines.
Uses clinical knowledge to assess, make recommendations for care, provide education and health information.
Carenet Health values expertise and dedication, committed to providing appealing compensation. They celebrate diversity, creating an inclusive environment and are an equal opportunities employer.
Provide health assessments and treatment solutions via telephone, video, or chat functions.
Track and monitor follow-up calls, escalate when appropriate.
Receive inbound phone calls from patients seeking answers to various medical conditions.
PWNHealth is a national clinician network working to improve early detection and prevention of disease using advanced diagnostics and telehealth. They are a mission-driven, positive culture made up of the best and brightest in the industry.
Provides triage telephone service to ensure prompt identification of patients with high-risk conditions.
Directs callers to appropriate level of care and provides healthcare advice/education using assessment skills, approved guidelines and protocols, and knowledge of self-care practices.
Serves as a liaison between customers, patients, physicians, other members of the public and hospital staff, programs, and other resources.
Lehigh Valley Health Network is a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work in health care. They are the region’s largest employer and health care provider of choice with nearly 20,000 health care professionals.
Work remotely to enhance member management and navigate the healthcare system.
Promote wellness and assist members in achieving their healthcare goals.
Conduct telephonic outreach, data analysis, clinical review, and documentation.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, improving patient health, and restoring provider fulfillment.
Provides telephone and walk-in triage to patients seeking advice and medical services.
Provides direct nursing care to patients and distributes medications and treatments according to accepted standards of care.
Teaches and counsels patients and families concerning health assessment and care including prevention of disease, disability, hygiene and health maintenance.
CommUnityCare Health Centers provides community-based healthcare services. The job posting does not specify the company's size or culture.
Provide and facilitate amazing patient-centered clinical care.
Ongoing clinical and psychosocial assessment of new patients.
Assessing the need for and educating patients on the equipment they will use to monitor their health remotely.
Pomelo Care is the national leader in evidence-based healthcare for women and children, delivering personalized, high-quality clinical interventions. They focus on reproductive care, pregnancy, infant care, pediatrics, and hormonal health, partnering with payers, employers, and providers to expand access to quality healthcare.
Deliver high-quality, evidence-based virtual care through synchronous (video) and asynchronous consults
Review patient intake information, including medical history and patient-submitted documentation, to support clinical decision-making
Conduct thorough clinical assessments aligned with established clinical guidelines
Tomorrow Health enables exceptional healthcare for patients and their families in the place they want to be most — home. They build technology that rewires the way home-based care is ordered, delivered, and paid for. Their goal is to raise the industry standard for patient experience.
Responsible for application of appropriate medical necessity tools to maintain compliance and achieve cost effective and positive patient outcomes.
Acts as a resource to other team members including UR Tech and AA to support UR and revenue cycle process.
Utilizes Payer specific screening tools as a resource to assist in the determination process regarding level of service and medical necessity.
Virtua Health strives to connect individuals to the care they need, building a healthier community in South Jersey. They are a Magnet-recognized health system with over 14,000 colleagues, including over 2,850 doctors, physician assistants, and nurse practitioners.
Making outbound calls to patients, members, and customers.
Helping patients make decisions that will enhance their healthcare experience.
Assisting members and patients with benefits and insurance information.
Carenet Health pioneers advancements for experiences across the healthcare consumer journey, interacting with 1 in 3 Americans daily. They integrate human touch with data-driven technology to improve healthcare, offering best-in-class clinical expertise and personalized solutions.
Act as the primary point of contact for new patients calling and emailing in.
Efficiently register and onboard a high volume of new patients.
Precisely verify patient insurance information to confirm active coverage and eligibility.
Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team that values its employees.
Conduct virtual assessments, diagnoses and treatment for patients across various ages.
Manage and coordinate care for chronic conditions.
Provide preventive care, wellness counseling, and health education.
Curai's mission is to radically transform healthcare by harnessing the power of artificial intelligence and clinical expertise to make care more affordable, accessible, and effective for everyone. The company is committed to building a diverse and inclusive environment.