Identify members meeting outreach criteria using internal data and systems.
Conduct telephone and in-person outreach to coordinate appointments and address care barriers.
Connect members with community resources and support Medicaid eligibility and care integration.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They focus on efficient, objective application review and data privacy compliance.
Engages members proactively and reactively to build trust and drive benefit and program engagement through motivational interviewing.
Develops individualized care plans based on comprehensive clinical, psychosocial, and SDOH assessments, coordinating resources across the care continuum.
Educates members and providers on benefits, digital health solutions, and self-management strategies while supporting utilization review and documentation.
Evry Health is a digital-first health plan focused on delivering comprehensive, member-centered care coordination for its fully insured commercial population. The company operates as a fully remote team with headquarters in Dallas, Texas, emphasizing a technology-forward and collaborative culture.
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.
Act as point-of-contact to help individuals live in their home or community, linking them to services and resources.
Identify barriers to healthcare compliance and create solutions to empower individuals in managing their health.
Communicate and collaborate with the individual's healthcare team, including facility social workers and waiver case managers.
CareStar is a leader in long-term care case management and population health, founded in 1988 in Cincinnati, Ohio. They serve individuals across Ohio with a mission to improve communities by improving lives, and their team values expertise, growth, and making a real difference.
Provide non-clinical care coordination, patient engagement, and program support across FamilyWell's integrated mental health program.
Communicate with patients via text and phone to facilitate engagement, provide reminders, and follow up on care.
Maintain accurate patient records in EHRs, collaborate with clinic partners, and prepare routine progress reports.
FamilyWell Health is an AI-enabled mental health startup focused on providing equitable, affordable mental health care for women across the reproductive lifecycle. Following a Series A raise, the company is expanding nationally with a mission-driven team and high patient success rates.
Coordinate and provide care that is timely, effective, and member-centric while following HMO processes.
Manage case assignments including outreach, documentation, monitoring for case progression, and case closure.
Assist members in reaching wellness by addressing barriers, social determinants, and psychosocial issues.
Guidehealth is a data-powered healthcare company dedicated to making great healthcare affordable and improving patient outcomes. It is a physician-led, performance-driven organization with a culture of empathy, accountability, and continuous learning.
Build meaningful relationships with patients and families to create personalized care plans addressing medical, behavioral, and social needs.
Coordinate care across providers and settings while educating and empowering members to navigate the healthcare system confidently.
Collaborate with an interdisciplinary team, using data for insight and maintaining compliance while prioritizing compassion and connection.
Guidehealth is a data-powered, performance-driven healthcare company using AI and predictive analytics to improve healthcare affordability and patient outcomes. It is a physician-led, fully remote organization with a collaborative, agile culture focused on innovation and empathy.
Conduct face-to-face eligibility evaluations and develop person-centered care plans.
Coordinate and authorize services across behavioral health, medical, and community-based systems.
Assist individuals in accessing Medicaid and other essential services while monitoring service delivery.
CareStar, Inc. is a recognized leader in long-term care case management and population health, serving individuals across Ohio since 1988. They are a mission-driven organization with a focus on compassionate care coordination and employee ownership through an ESOP.
Engage with prospective clients through 60-100 outbound calls daily, recording interactions in CRM.
Review medical charts and support clients in completing psychosocial assessments.
Apply evidence-based practices like Motivational Interviewing and Trauma-Informed Care in all interactions.
Vynca provides comprehensive care for individuals with complex needs, aiming for more quality days at home. They are a close-knit community guided by values of Excellence, Compassion, Curiosity, and Integrity.
Authorizes and reviews utilization of mental health and substance abuse services in inpatient and outpatient settings.
Provides telephone triage, crisis intervention, and discharge planning while collaborating with clinical teams and providers.
Analyzes utilization data, participates in quality improvement projects, and advocates for patient treatment needs.
Magellan Health is a managed care organization focused on behavioral health and substance abuse services. They are a large employer with a culture centered on caring, professional growth, and employee wellbeing.
Manage a defined patient caseload while overseeing the clinical performance and compliance of an assigned team of Care Managers.
Conduct proactive outreach, device data review, care plan updates, and care coordination consistent with team standards.
Lead client-facing engagements, performance reviews, and escalation calls, representing Welby Health with clinical authority.
Welby Health is a San Diego-based healthcare organization that transforms complex condition management through technology-enabled care coordination and data-driven insights. The company partners with physicians and health systems to deliver scalable solutions improving quality of care.
Serve as a subject matter expert on VA healthcare, Veteran benefits, and community resources.
Develop and refine Veteran-specific care coordination workflows and escalation pathways.
Provide direct support to Veterans navigating healthcare and social needs such as food and housing.
The company specializes in connecting Veterans with healthcare, benefits, and community resources through dedicated care navigation. It operates as a fully remote, collaborative team focused on improving member access to care and quality of life.
Conduct patient outreach and enrollment for chronic care management programs.
Coordinate communication between patients, providers, and healthcare partners.
Document patient interactions and ensure compliance with Medicare billing requirements.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They are committed to improving patient outcomes and quality of life, with a culture of innovation and compassion.
Conduct educational telephone calls to advise members of benefits, complete health needs assessments, and refer to population health management programs.
Reach out to members with gaps in care, encourage compliance, and assist with locating providers and scheduling appointments.
Manage system work queues, screen members for eligibility and history, and assign to clinical teams for intervention.
BlueCross BlueShield of Tennessee is the state's largest health benefit plan company, helping Tennesseans find paths to good health since 1945. They are a remote-first organization with many employees working from home, fostering a culture of innovation and collaboration.
Make outbound calls to existing healthcare plan members and explain the available services.
Answer basic member questions and handle objections professionally using approved information.
Schedule appointments and accurately document call outcomes to meet quality and conversion goals.
Knowledge Rhino specializes in healthcare outreach and appointment setting for existing plan members. The company is a growing remote team that offers flexible work schedules and a supportive culture.
Coordinate and oversee patient care requests, ensuring timely and compassionate responses.
Serve as the central point of contact throughout the patient journey.
Maintain accurate electronic medical records and coordinate medical testing and follow-up care.
This company provides patient-centered healthcare coordination, connecting patients with physicians and specialists. They are a mission-driven organization that values collaboration, professional growth, and a supportive, inclusive workplace.
Coordinate patient onboarding, device setup, and education on remote monitoring technology.
Monitor patient data, analyze trends, and escalate health changes to providers.
Collaborate with healthcare professionals to optimize care and ensure documentation accuracy.
Optima Medical is an Arizona-based medical group providing personalized healthcare with a focus on preventing leading causes of death. With 30 locations and over 130 providers serving 200,000 patients, they offer a supportive and positive work environment.
Serve as a key point of contact for members seeking support with healthcare and wellness programs via phone, email, and live chat.
Help participants understand their eligibility, benefits, and available resources while resolving inquiries and escalations.
Support outbound outreach campaigns and accurately document member interactions across multiple systems.
This company connects individuals with healthcare and wellness programs and provides member support services. The team is collaborative and performance-oriented, with a focus on professional development and growth opportunities.
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.