Source Job

• Strategically assess, plan, and facilitate comprehensive care across the continuum for high-risk patients.
• Collaborate with physicians, nursing, insurers, and post-acute providers to ensure timely transitions.
• Work remotely from California, using provided equipment, with potential weekend/holiday coverage.

Dignity Health Management Services provides integrated managed care administrative and clinical services to medical groups, hospitals, and health plans. It is part of CommonSpirit Health, one of the largest nonprofit health systems in the US, with a focus on coordinated patient care and community health.

• Manage a portfolio of clients, providing clinical support, education, advocacy, and care coordination throughout their healthcare journey.
• Conduct clinical intakes, collaborate with internal teams, and ensure smooth transitions across care delivery.
• Communicate clearly and compassionately with clients, caregivers, providers, and internal partners.

Private Health Management guides patients and families through serious medical care, acting as an independent advocate to orchestrate the best treatment and support. The company is a mission-driven organization with a team of experts that provides compassionate, high-quality care coordination.

• Provide clinical education, focused interventions, and care transition support for members with low-acuity needs.
• Conduct in-person and virtual clinical exams, medication reconciliation, and chart reviews.
• Triage referrals and collaborate with care team to ensure timely follow-up and handoffs.

Cityblock Health is a tech-driven provider for communities with complex needs, offering personalized primary care, behavioral health, and social services. Founded in 2017 and backed by Alphabet, the company has a diverse, inclusive culture and is growing rapidly.

• Provide telephonic outreach and scheduled video/phone visits for post-hospital discharge patients, focusing on medication reconciliation and symptom screening.
• Coordinate care across hospital, ED, pharmacy, and community settings to keep patients connected and moving forward.
• Collaborate with the nursing team and meet individual performance targets to achieve population health goals.

Galileo is a team-based medical practice dedicated to improving healthcare quality and affordability. Operating across 50 states, the company employs a team of innovators from healthcare and technology, fostering an inclusive, collaborative culture focused on health equity.

• Assess and coordinate care for members, ensuring continuity and person-centered service plans.
• Manage a caseload of 20-30 calls per day, including crisis calls, and lead interdisciplinary care teams.
• Coach and mentor less experienced Care Managers to support team development.

Integrated Resources, Inc. is a workforce solutions company that delivers strategic talent management services. Founded in 1996, the company has grown steadily and focuses on matching qualified professionals with employers, building long-term partnerships based on performance and integrity.

• Serve as a key liaison between patients, providers, and pharmacies to ensure seamless care coordination.
• Own a queue of active clinical cases, reviewing them and driving each to resolution through persistent follow-up.
• Use sharp clinical judgment to separate real issues from noise and communicate clearly with all stakeholders.

GoldenScript is an AI-native pharmacy services platform that optimizes medication management for patients. The company is a small startup focused on clinical care coordination and patient outcomes.

• Manage care for high-risk members by identifying needs and coordinating clinical, community, and in-network resources.
• Perform utilization management reviews, ensure quality oversight, and support accreditation readiness.
• Collaborate with multidisciplinary teams to analyze member outcomes and drive continuous improvement.

They are a health plan focused on improving outcomes for high-risk members through care coordination and quality initiatives. Their team values collaboration, clinical excellence, and mission-driven work to enhance community health.

• Provides comprehensive remote patient support and care coordination to optimize health outcomes in a virtual environment.
• Collaborates with physicians and healthcare team members to assess patient status and develop personalized care plans.
• Monitors patient progress, educates on disease processes, and advocates for patient needs to ensure high-quality care.

St. Joseph's Hospital and Medical Center is a 571-bed not-for-profit hospital in Phoenix, Arizona, offering quaternary care, medical education, and research. It is a nationally recognized center with over 125 years of history, consistently named an outstanding place to work.

• Analyze health plan reports and clinical data to identify members eligible for case management.
• Conduct comprehensive telephonic and virtual assessments to evaluate medical, behavioral, and social needs.
• Develop, implement, and monitor individualized care plans with measurable goals and interventions.

Duly Health and Care is a physician-led medical group offering a connected network of primary and specialty care, surgery centers, imaging, lab, and therapy services. They foster a collaborative culture centered on putting patients first and supporting team growth.

• Manage an assigned patient panel, addressing specialized needs based on individual conditions and care goals.
• Collaborate with physicians, APPs, and interdisciplinary team members to coordinate holistic care.
• Perform assessments, create care plans, and monitor effectiveness to ensure high-quality outcomes.

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They focus on improving patient outcomes and quality of life in an innovative and evolving environment.

• Conduct detailed assessments and coordinate individualized care plans with healthcare teams.
• Educate patients and families on disease processes, treatment options, and self-care strategies.
• Advocate for patients' needs within the healthcare system, ensuring timely access to services.

Empowers individuals facing health challenges by providing compassionate, expert-guided care advocacy services. Dedicated to ensuring personalized support and seamless care coordination.

• Manage the healthcare journey of kidney disease patients in the Compassionate Care Program, focusing on advance care planning and goals of care discussions.
• Collaborate with physicians and interdisciplinary teams to coordinate transitions to hospice or ongoing care based on patient preferences.
• Educate internal and external partners on identifying and referring patients to the program.

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. As a startup, it is committed to improving patient outcomes and quality of life with an innovative and evolving culture.

• Conduct telehealth visits for patients in the House Calls program, managing chronic conditions and geriatric syndromes.
• Perform care management assessments, coordinate care with providers, and document accurately in the EMR.
• Ensure compliance with clinical protocols and participate in interdisciplinary case reviews.

Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to underserved residents. Founded in 1999, the network has grown to 50+ locations with 500+ providers, fostering a team-oriented culture focused on population health.

• Take triaged cases and build urgent execution plans using resource directories and independent research.
• Work the plan, call patients to update them, and document every interaction accurately for seamless 24/7 handoffs.
• Push through obstacles like busy signals, denials, and system hurdles until the problem is solved, typically within 2–3 days.

Mira Mace is a venture-backed company on a mission to help people navigate a complicated healthcare system with clarity and confidence. They pair people-centered navigation with technology, and their advocates cut through insurance denials, medication costs, and paperwork so patients get what they need without fighting alone.

• Conduct telephonic clinical assessments and health education using nursing process and protocols.
• Utilize critical thinking to triage, make care recommendations, and document patient interactions.
• Work a schedule including evenings and weekends, with full-time flexibility and remote setup.

Carenet Health provides clinical services and health education to patients through innovative telephonic channels. They are a growing organization with a collaborative team of registered nurses across the United States.

• Review and evaluate electronic medical records of emergency department admissions to screen for medical necessity using InterQual or MCG criteria.
• Apply evidence-based clinical guidelines to assess and ensure proper utilization of healthcare resources.
• Enter clinical review information into the system for transmission to insurance companies for authorization.

Netsmart provides advanced healthcare technology solutions for post-acute and human services clients, enabling better care through a comprehensive platform. We are a vision-driven team passionate about innovation, and we have been recognized as one of the best companies to work for.

• Coordinate patient identification and care planning for the Remote Care Management program, including attending inpatient rounds and reviewing charts.
• Support program expansion by teaching and promoting RCM to primary care providers and community partners through virtual and in-person formats.
• Track referrals, validate program data, and assist in developing new RCM pathways through collaboration with internal and external teams.

Halton Healthcare provides quality, compassionate healthcare services to rapidly growing communities in Ontario. As a progressive and vibrant organization, they are committed to being an innovative center of excellence in community hospital care, with a culture focused on exemplary patient and staff experiences.

• Manage high volume of outbound and inbound new patient onboarding calls.
• Build trust with patients and clinical care team through exceptional omnichannel customer service.
• Collaborate with interdisciplinary care team to schedule visits and support patient goals.

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They are a growing, innovative organization focused on interdisciplinary teamwork and improving patient outcomes.

• Coordinate and oversee collaborative patient care under physician direction, guiding patients through intake, diagnosis, treatment, and discharge.
• Communicate with patients, physicians, and agencies to manage referrals, treatment plans, and pre-authorizations for desired clinical and financial outcomes.
• Perform patient intake and discharge activities, including vital signs, room turnover, and documentation in accordance with hospital policy.

Virginia Mason Franciscan Health provides exceptional healthcare services, building on a legacy of compassionate care and innovation dating back to 1891. The organization employs a dedicated team across 10 hospitals and nearly 300 care sites, committed to healing the whole person and fostering a collaborative purpose.

• Learn Solace's proprietary system, tools, and technology while providing your unique experience in every interaction.
• Build strong, trusting relationships with patients, using listening and empathy as the foundation for every interaction.
• Identify and prioritize patients’ needs and build out a care plan that holistically addresses social determinants of health.

Solace helps patients navigate healthcare complexity by pairing them with expert advocates. They are a Series C startup founded in 2022, with a lean, mission-driven team growing quickly, and a culture that is intense and not for coasting.