Communicate and provide education to members and providers on insurance plan benefits and digital health solutions.
Employ active listening & motivational interviewing skills, and can handle difficult calls tactfully, professionally and document accordingly that can build patient trust and engagement.
Accurately track and document work on a variety of internal software tools and platforms.
Evry Health is on a mission to bring humanity to health insurance. They provide high-technology health plans that expand benefits, increase access and transparency, and feature a personalized, human approach. Evry Health is the major medical division of Globe Life (NYSE:GL), which has 16.8 million policies in force, and more than 3,000 corporate employees and 15,000 agents.
Own all patient communication, including outreach, engagement, data entry into internal and external systems, scheduling, appointment coordination, pre-authorizations, and billing follow-up
Schedule virtual visits and outpatient procedures (such as stress tests, echocardiograms, and cardiac calcium scoring) with both Heartbeat and third parties
Follow up with patients via email, phone, and/or text to drive patient engagement
Heartbeat Health is a virtual-first cardiovascular care company, providing patients with convenient, high-quality heart care. They leverage real-time data and AI-powered insights, empowering providers and patients with personalized treatment plans.
Provides front-line support to community callers seeking healthcare-related information.
Triages the caller's condition/needs, giving appropriate protocol-driven guidance and directs callers to the most appropriate level of care.
Communicates effectively and efficiently to other members of the care team to ensure caller needs are met in a timely manner.
Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. Teammates live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other.
Deliver patient centric health coaching that integrates medical needs with patient preferences.
Triage patient reported symptoms and side effects according to internal protocols, escalating to Providers when appropriate.
Provide comprehensive diabetes, hypertension, hyperlipidemia, and weight management care and education via chat, phone, and video.
9amHealth is a specialized cardiometabolic care provider, offering custom care plans, prescription medications, and expert guidance to help members live healthier. They are a San Diego, California-based company with a small, flexible team and are backed by 7Wire Ventures, Human Capital, Founders Fund, and Define Ventures.
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.
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
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve.
Establish positive first impressions with patients and customers, establishing a role as patient advocate
Triage all incoming telephone calls and electronic messages, prioritizing and resolving, involving the provider as appropriate, successfully completing the communication cycle.
Document all communications in the electronic medical record Schedules patient for visit with provider as appropriate based upon protocols
At Northwestern Medicine, they believe every patient interaction makes a difference in cultivating a positive workplace. As an integral part of the team, employees have the opportunity to join the quest for better health care, no matter where they work within the Northwestern Medicine system.
Provides telephone and walk-in triage to patients seeking advice and medical services.
Teaches and counsels patients and families concerning health assessment and care.
Accurately reports and documents status, care rendered, and response to care.
CommUnityCare Health Centers is dedicated to providing accessible and comprehensive healthcare services to the community. They focus on patient needs in a community healthcare center setting.
Provides quality driven telephonic clinical assessments, health education, and utilization management services.
Provides assessments to individuals using telecommunications in accordance with computer-based algorithms, protocols, and guidelines.
Uses clinical knowledge to assess, disposition, make recommendations for care, provide education and health information.
Carenet Health values the expertise and dedication of their team members. They are committed to offering an appealing compensation package and creating an inclusive environment for all employees.
Own high-volume inbound patient and provider communication queues.
Serve as the first point of contact for patients, resolving inquiries in real time.
Act as a reliable liaison between patients and their care teams.
Oshi Health is revolutionizing GI care with a digital clinic model, providing convenient access to an integrated and multidisciplinary care team. They are dedicated to creating a workplace that prioritizes their team and fosters inclusivity, reflected in their "Best Place to Work" awards.
Conducts telephonic visits with clients to complete assessments and provide disease management education.
Support program enrollment and monitor participation for clients post-discharge.
Document communication with clients, caregivers, and providers timely and accurately.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.
Conduct virtual wellness visits to patients in their homes.
Perform health risk assessments and medication reviews.
Provide comprehensive care coordination and management.
Sprinter Health is an on-demand mobile health service that sends medical professionals to patients’ homes. They are building the clinical and technological infrastructure to realize a future of healthcare untethered with a rapidly growing team of visionary leaders.
Guide older adults and their caregivers through the intake process.
Match patients with the right therapist with warmth and clarity.
Help each new patient navigate the journey into care.
Sailor Health is revolutionizing mental health care for older adults. They aim to provide seamless access to compassionate, effective, and personalized mental health care for seniors and has a thoughtful, collaborative team rooted in purpose.
Conduct assessments, establish care goals, and deliver telephonic coaching and education to support clients in managing chronic conditions.
Perform first‑level Utilization Review for inpatient and outpatient services based on plan guidelines.
Document all condition management activities, track client progress, and report outcomes, savings, and quality improvements.
HealthCheck360 focuses on reducing medical costs while increasing employee engagement and productivity. They accomplish this by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through Health Coaching and Condition Management programs.
Treat patients virtually through a HIPAA-compliant telehealth platform.
Support the development of virtual care protocols and guidelines.
Participate in case reviews, consultations and utilization review.
Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors. The Privia Platform consists of operations and technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.
Engage and enroll eligible health plan members in supportive care services.
Educate members on Tuesday Health’s service offerings and support ongoing engagement.
Provide ongoing telephonic customer service to members and their caregivers.
Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. They deliver goal-centered care focused on alleviating physical symptoms and emotional stress for individuals and their caregivers and are shaping the future of community-based palliative care nationwide.
Developmentally appropriate telephonic and telehealth screening, brief intervention, and referral of members to a mood and/or anxiety specialty treatment provider.
Apply active listening, psychoeducation, and motivational interviewing skills to understand each member’s or family’s needs and provide support as they set goals.
Identify an appropriate level of care, facilitate referral, and coordinate care with Spring Health providers and, when needed, community resources and schools.
Spring Health is on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. They partner with over 450 companies and provide care for 10 million people.
Proactively outreach to patients via phone to educate them on the care services available to them.
Meet or exceed performance targets defined as “completed first visits” on a daily basis.
Research and update patient information, leveraging internal and external data platforms, including EHRs and local market resources.
Strive Health strives to transform the broken kidney care system through early identification, engagement, and comprehensive coordinated care. They are an organization that embraces diversity and supports each other and is the destination for top talent in healthcare.