Provide proactive care coordination for patients with complex chronic conditions, including chronic kidney disease.
Conduct high-volume outbound patient outreach via text and phone to maintain engagement and compliance.
Support clinical workflow by coordinating referrals, follow-ups, and documenting interactions for billing compliance.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They are a committed team focused on improving patient outcomes and quality of life, with a culture of innovation and compassion.
Conduct telephonic outreach to Medicare members to improve medication adherence and HEDIS diabetes and blood pressure control.
Use motivational interviewing to assess health risks and engage members in behavior change.
Partner with members to identify opportunities for integration into internal/external programs and coordinate care.
CVS Health is building a world of health around every individual, shaping a more connected, convenient and compassionate health experience. They are a large company with passionate colleagues who care deeply, innovate with purpose, and prioritize safety and quality.
Consult directly with patients and care teams to implement comprehensive pharmacy care management programs.
Optimize medication therapy regimens using principles of Comprehensive Medication Management (CMM).
Drive medication-related clinical quality initiatives, including GDMT optimization and adherence improvement.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. The company provides interdisciplinary clinical resources and analytical tools to improve patient outcomes, and fosters a culture of innovation and compassion.
Evaluate, diagnose, and manage chronic kidney diseases through a fully remote platform.
Conduct follow-up visits and longitudinal care for established patients with accurate documentation.
Collaborate with care team members and maintain compliance with clinical protocols.
TeleMed2U is a technology-enabled healthcare services company that provides virtual specialty care across 20 specialties since 2011. They are dedicated to increasing access to care and breaking down barriers to specialty care.