Provide timely, high-quality clinical recommendations grounded in evidence-based practice.
Effectively communicate assessment findings and provide advice to the in-center team.
Provide input into resident care plans in collaboration with the in-center team.
Summerset is the second largest retirement village operator in New Zealand, passionately dedicated to providing quality service to its clients. They are growing quickly, with 39+ villages, and proud of their dynamic work environment and diverse workforce.
The NP will use their expertise and clinical judgment to provide telehealth sessions to patients via phone and/or video for prescriptive and/or informational sessions.
The NP will adhere to the required state telemedicine regulatory guidelines.
The NP will use their expertise and clinical judgment to conduct comprehensive health assessments on patients as they deem appropriate.
Everlywell's mission is to transform lives with modern, diagnostics-driven care. They are headquartered in Austin, Texas with a national clinician network composed of hundreds of physicians, nurses, genetic counselors, PharmDs, and member care specialists.
Conduct consultations with patients through telehealth, including diagnosis and medication prescription.
Provide ongoing clinical support for patients and respond to medical issues.
Assist in the creation of improved models of care and patient outcomes.
Eucalyptus is on a mission to make good health last a lifetime, focusing on long-term care for chronic conditions like obesity. They have shown significant growth, reducing cash burn and raising over $100M from investors, supporting over 350k patients across multiple markets.
Responsible for quality assurance, accuracy and overall integrity of the UAS-NY assessment data and visit documentation completed by core team nurses as well as, business partners’ nurses.
Performing assessment audits, identifying trends that require staff retraining, and implementing corrective action plans in collaboration with Clinical management staff.
Responsible for ongoing orientation, training and education of Assessment Nurses conducting UAS-NY assessments, and participate in establishing educational modules for staff orientation and re-training.
Elderplan and HomeFirst are Medicare and Medicaid managed care health plans that are expanding services in response to patients' and members' needs. MJHS is a supportive community committed to excellence, respect, and providing high-quality, personalized health care services.
Conduct a virtual health risk assessment within Montana, including evaluating medical history and medication.
Perform evidence-based practice screening with point-of-care testing.
Formulate a list of current and past medical conditions based on assessment findings.
Porter Cares is dedicated to providing transparency throughout the healthcare continuum by combining healthcare analytics with compassion and trust. They consider the whole person and their environment for a personalized health approach to revolutionize treatment experiences and outcomes.
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.
Receive and respond to telephone, email, web and other customer, country and patient inquiries.
Enter new customer information in Salesforce.
Appropriately field calls for payment collection or reimbursement and billing and process them.
Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant is transforming patient care and accelerating new cancer therapies by providing critical insights into what drives disease through its advanced blood and tissue tests, real-world data and AI analytics.
Provide medical record review and medical waiver adjudication.
Conduct military medical assessments.
Maintain familiarity with USCG and DoD medical policies and HIPAA compliance standards.
Spectrum Healthcare Resources provides healthcare professionals to government and civilian healthcare facilities. We focus on delivering comprehensive solutions. We are dedicated to providing the best service possible.
Responsible for review and analysis of underwriting data to expand and maintain a profitable book of business under direct supervision.
Manages agency relationships through continued customer service and supports marketing activities led by marketing manager.
Possess knowledge, critical analytical and strategic decision making skills to make independent underwriting decisions within letter of authority
Crum & Forster (C&F) provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. They have more than 2000 employees and is increasingly winning recognition as a great place to work, earning several workplace and wellness awards.
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.
Supervise, direct and evaluate a diverse group of health care professionals to assure effectiveness of care coordination activities.
Develop audit plans and tools for teams to ensure compliance with state contracts on performance metrics and to ensure member needs are met.
Interview, hires, mentors, evaluates, coaches and manage performance for a diverse care coordination team.
Humana Inc. is committed to putting health first for its teammates, customers, and company. Through Humana insurance services and CenterWell healthcare services, they aim to make it easier for the millions of people they serve to achieve their best health.
Own the day-to-day tracking and progress of clinician credentialing and payer enrollment workflows.
Identify and resolve blockers across credentialing, enrollment, and re-credentialing processes.
Support clinicians directly by guiding them through credentialing and enrollment requirements.
Wheel is evolving the traditional care ecosystem by equipping companies with a premier platform to deliver virtual care at scale. They offer strategies and technologies to foster consumer engagement, build brand loyalty, and maximize return on investment.
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.
Lead one of Rula’s most critical operational functions.
Own end-to-end credentialing and enrollment outcomes.
Partner across the company to ensure providers are credentialed and enrolled accurately, compliantly, and efficiently.
Rula is dedicated to treating the whole person, not just the symptoms and aim to create a world where mental health is no longer stigmatized or marginalized, but rather is embraced as an integral part of one's overall well-being. Rula is a remote-first company that values diversity, equity, and inclusion.
Own the development and maintenance of standardized role-specific resources
Deliver engaging and inspiring training, both virtually and in person
Act as a key resource for new hires throughout the onboarding process
WelbeHealth serves vulnerable seniors with quality and compassion using the Program of All-Inclusive Care for the Elderly (PACE). The company seems to value its employees and offers work/life balance.
Working with a team of Intake Coordinators and Utilization Review Nurses to ensure quality and timely determinations.
Striving for continuous improvement and an excellent work-life balance to produce top-notch results.
Coordinating and providing care management that is timely, effective, efficient, equitable, safe, and member centered.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers.
Utilize active listening and written communication skills to interact with and support patients via phone, chat, and emails.
Manage all care coordination needs, including platform sign up, troubleshooting tech issues, and scheduling appointments.
Conduct a clinical needs assessment to develop a plan of action for each member and refer to an appropriate level of care.
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, from startups to multinational Fortune 500 corporations, providing care for 10 million people and are valued at $3.3 billion.
Deliver coordinated, patient-centered virtual Care Management by telephone or video that improves members' health outcomes.
Create impactful care plans together with members and our diverse care team, helping members achieve their desired goals.
Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system in general.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. They identify the top-fitting candidates, and this shortlist is then shared directly with the hiring company.