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
Manage a defined caseload of enrolled CCM members.
Identify and address social determinants of health, including food access, housing resources, transportation, and community supports.
Partner closely with the RN and NP to surface barriers impacting care or engagement.
Pair Team is a tech-enabled medical group delivering whole-person care - clinical, behavioral, and social - by partnering with organizations deeply connected to the communities they serve. They're building a care model that empowers clinicians and care teams to do what they do best: provide compassionate, high-impact care.
Handle high volume of incoming calls (80+ per week), serving as the primary contact.
Coordinate care, patient referrals , timely scheduling of initial and follow-up appointments.
Schedule, reschedule, and monitor care assignments across multiple care locations.
SnappyCX is connecting top talent with leading healthcare innovators to improve patient access and outcomes. They provide professionals with diverse clinical and non-clinical backgrounds the opportunity to do meaningful work from home.
Enjoy making outbound calls and reaching out to patients, members, and customers
Outreach to patients to schedule appointments for preventative health screenings
Assist members and patients with benefits and insurance information
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. Interacting with 1 in 3 Americans every day, they deliver positive healthcare experiences and improving outcomes.
Team members will perform outbound calls to enroll the person into their food box program or to reauthorize the person into the program.
Have a passion for helping members make decisions that will enhance their healthcare experience
You will be making a difference in someone’s life!
Carenet Health has pioneered advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Answer a high volume of inbound calls; transfer and directs calls; provide exceptional customer service via telephone
You’ll be responsible for all front office patient coordination; to be completed in a timely manner (e.g. appointment scheduling, transport coordination)
Communicate clearly and effectively (both oral and written) with patients, clients, Team Members, peers and Leadership.
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Conduct patient outreach using telephonic and other communication methods.
Accurately document patient communications, outreach activities, and relevant clinical information in the Electronic Health Record (EHR).
Educate patients on wellness, preventive care, and recommended screenings.
Lone Star Circle of Care (LSCC) strives for exceptional, equitable patient care that leads to healthier communities. They offer a friendly and fun environment for their employees.
You will be responsible for using your assessment and communication skills to engage with patients in need of clinical support to determine and prioritize their needs.
Conduct timely telephonic clinical outreach to identified patients.
Collaborate with PCPs, NPs, and other members of the healthcare team to coordinate care for patients and actively help keep them stable at home.
Vytalize Health is building a market leader in value-based healthcare. They are a rapidly growing organization that embraces the power of AI and encourages innovative, responsible use of emerging technologies in their work.
Take inbound calls from patients, providers and members
Support members with their insurance needs, questions or concerns
Answer inquiries on benefit claims, appeals, and authorizations
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Provides telephonic assessments of members’ medical, psychosocial, physical and spiritual needs.
Develops, implements, and monitors person centered service plan and ensures continuity of care across all healthcare settings.
Educates members on disease processes, preventative health, and quality of life interventions.
MJHS is a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. They foster collaboration, celebrate achievements, and promote fairness for all with comprehensive compensation and benefits.
Receive and respond to prescription refill requests through various communication channels.
Verify the validity and accuracy of prescription refill requests, ensuring compliance with regulatory guidelines.
Prepare and dispense prescription refills accurately and efficiently, following established organizational protocols and procedures.
Carenet Health pioneers advancements for healthcare consumer experience. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Engaging patients over the phone to deliver services, explaining clinical programs and benefits.
Identifying potential medication and health-related issues and escalating them to the pharmacist.
Answering phone calls from patients, providers, and pharmacies and responding to inquiries professionally.
Arine is a healthcare technology and clinical services company focused on ensuring individuals receive the safest and most effective treatments. They are backed by leading healthcare investors and collaborate with top healthcare organizations, managing more than 18 million lives across health plans.
Work independently to make clinical decisions on routine patient care matters.
Provide patient-focused care and guidance on the phone or online.
Influence people to make better health decisions.
Carenet Healthcare Services provides telehealth and virtual care clinical triage assessments, health education and other services to diverse populations of patients and health plan members. They are a behind-the-scenes partner for 250+ of the nation’s premier health plans, health systems and their partners.
Outbound calls, calling members to inform them of their Specialist Management Solutions benefits and act as a care guide on behalf of the customer helping them receive treatment from a network of high-quality surgeons
Receive inbound calls from members to educate them on their Specialist Management Solutions benefits and provide guidance with appointment scheduling
Assist in the coordination of care across a variety of settings, while maintaining strict confidentiality and the highest level of professionalism
Lantern is a specialty care platform connecting people with the best care when they need it most. They curate a Network of Excellence comprised of the nation’s top specialists for surgery, cancer care, infusions and more, delivering excellent care with significant cost savings to employers and their workforces.
Coordinating care and supporting Registered Nurses.
Ensuring clear communication and maintaining patient privacy standards.
Collaborating with medical professionals to improve patient outcomes.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging their extensive global network, they connect clients with highly qualified professionals, offering tailored services to meet their clients' unique business needs.
As the first point of contact, you'll assist patients and providers.
Interwell Health is a kidney care management company that partners with physicians to reimagine healthcare. They aim to set the standard for the industry and help patients live their best lives and is committed to diversity, equity, and inclusion.
Manage patient care coordination and caregiver-related issues.
Ensure continuity of care for HHA and PDN cases.
Provide timely staffing support and attendance monitoring.
SnappyCX is in the business of something, but the job description does not specify what the company's purpose is. No information is provided regarding the size/employees and culture.
Conduct thorough research on attributed patients to better understand their healthcare needs and utilization.
Perform telephonic outreach to the caregivers of attributed patients with the goal of enrolling their child in care and ensuring a seamless onboarding experience.
Collaborate with Provider Engagement Specialists to conduct embedded outreach to support the enrollment process.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group that reimagines care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care.
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.
Engage with members to support their chronic and/or complex health care needs.
Create and manage individualized care plans to meet healthcare goals.
Partner with members, families, providers, and resources to coordinate care.
Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota, built on over 80 years of trust. They prioritize members' well-being and are committed to service, sustainability, and innovation.