Provide leadership, training, and guidance to administrative teams across multiple hospice locations.
Support payroll, billing, and documentation processes while optimizing systems and workflows.
Partner with area leadership to analyze operational data, identify trends, and drive process improvements.
Care Hospice is a mission-driven, patient-centered leader in end-of-life care, dedicated to bringing dignity, peace, and human connection to every life we touch. The company offers a supportive, growth-oriented environment and comprehensive benefits.
Support payer audits and medical record reviews, ensuring timely submission of documentation.
Manage medical review requests and appeals associated with CMS contractors and regulatory agencies.
Review clinical documentation using audit checklists and partner with teams to gather required records.
VitalCaring is a provider of home health and hospice services founded in 2021. They are a growing company focused on quality and compliance, with a mission to deliver exceptional patient care.
Partner across five New Jersey hospice offices to support clinical quality, consistency, and regulatory readiness
Provide documentation support, clinical guidance, and education to office Clinical Managers and field clinicians
Participate in quality improvement activities and help prepare teams for audits, surveys, and operational reviews
BAYADA HOME HEALTH CARE is a nonprofit, leading home health care company. They believe their clients and their families deserve care delivered with compassion, excellence, and reliability. They are celebrating 50 years of compassion, excellence, and reliability.
Serve as the main point of contact for patients and families transitioning from or seeking post-acute services.
Make clinical level-of-care determinations using discussions, medical records, and other clinical data.
Provide patient education on home health, hospice, palliative care, Medicare coverage, and billing.
Gentiva is a national leader in hospice, palliative, and home health care, providing compassionate care to patients in their homes. With nearly 600 locations and thousands of clinicians across 38 states, they offer a collaborative environment where inspiring achievements are recognized.
Perform case reviews and process requests for elective services and durable medical equipment.
Collaborate with physicians, vendors, and providers to ensure regulatory compliance and timely service.
Provide high-quality customer service to members and healthcare professionals.
Elderplan provides Medicare and Medicaid managed care health plans designed to help people stay independent. They are part of MJHS, a supportive community committed to excellence, respect, and collaboration.
Conducts training for staff members related to Utilization Review process, clinical guidelines, and workflows.
Creates educational material by collaborating with key resources to incorporate clinical scenarios.
Reviews monthly quality audit findings and provides one-on-one coaching to staff for performance improvement.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries. With three global headquarters across four continents, operations in 13 countries, 65 delivery centers and more than 66,000 employees, the company combines scale, expertise and execution to create meaningful, measurable impact.
Manage the member's clinical experience from request through desired outcome, including account activation and medical history drafting.
Coordinate video or phone consults with specialists and schedule monitors in advance, troubleshooting issues as needed.
Conduct ongoing follow-up post-consult and facilitate local recommendations, communicating with primary care physicians or specialists.
Transcarent is a health and care platform that combines medical, pharmacy, and point solutions with a generative AI-powered experience for health consumers. With over 1,700 employer and health plan clients serving 21 million Members, they foster a culture of People First, Care, Resilience, Results, and Humble and Human.
Provide high-quality nursing care and perform study procedures like vital signs, specimen collection, and ECGs in patients' homes.
Conduct patient assessments, monitor for adverse events, and document all activities per study protocols.
Maintain adherence to ICH-GCP guidelines, HIPAA regulations, and communicate effectively with patients and study teams.
WEP Clinical connects skilled nurses with flexible clinical research opportunities, bringing trials directly to patients' homes. The company operates as a contractor network with a focus on patient-centered care and medical innovation.
Conduct comprehensive psychosocial assessments and provide grief/bereavement support via video and phone.
Provide medical social work case management and assist with accessing community resources.
Facilitate advance care planning including advance directives and POLST completion.
Vynca provides comprehensive care for more quality days at home for individuals with complex needs. We are a close-knit community guided by core values of Excellence, Compassion, Curiosity, and Integrity.
Provide education and clinical support to healthcare professionals on the PROVENGE treatment process from enrollment to infusion.
Collaborate with commercial teams and Key Account Managers to identify and educate accounts using data-driven reports.
Support patient navigation and foster relationships between apheresis sites and infusion sites to minimize treatment delays.
Dendreon is a biotechnology company focused on developing and commercializing PROVENGE, an immunotherapy for prostate cancer. It operates as a fast-paced, high-volume, adaptive commercial environment emphasizing team building and multidisciplinary problem-solving.