Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system
Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members
Pair Team is an innovative, mission-driven company reimagining how Medicaid and Medicare serves underserved populations. As a tech-enabled medical group, they deliver whole-person care by partnering with organizations deeply connected to communities.
Serve as the point of contact for new client referrals and guide families through the intake process.
Obtain insurance benefit information and assist families with understanding their plan details.
Collaborate with cross-functional team members to ensure optimal service delivery.
LEARN Behavioral is dedicated to nurturing children with autism and special needs to lead resilient and fulfilling lives. They specialize in evidence-based applied behavior analysis, delivering personalized treatment plans, and have 20 years of clinical insights.
Serve as the first point of contact for families seeking behavioral health treatment during after-hours, providing empathetic support and guidance.
Conduct initial phone assessments to understand client needs and use active listening to build rapport with families.
Accurately document all interactions in Salesforce CRM and coordinate with internal teams to ensure seamless care transitions.
Embark Behavioral Health provides behavioral health treatment programs, offering hope and healing to families. It is an organization committed to diversity and enriching therapeutic experiences for its community.
Conduct IOP orientations for new patients, introducing program structure, expectations, and resources.
Lead discharge planning beginning at admission, ensuring linkage to outpatient providers, community resources, and payor-approved step-down services.
Track engagement, discharge, and readmission metrics; report trends to the Clinic IOP Director for quality-improvement initiatives.
Salma Health is reimagining brain healthcare by bringing together advanced diagnostics, evidence-based treatments, and continuous support under one connected system. Their multidisciplinary team delivers personalized care for people living with brain and mental health conditions.
Monitor high-risk pediatric patients, ensuring appropriate follow-up and assistance with meeting resource needs.
Conduct comprehensive assessments to address behavioral, social, emotional, and systemic needs of patients and families.
Perform daily tracking of family needs, continuously evaluate the effectiveness of the patient/family care map, and modify plans based on evolving needs.
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.
Monitor and interpret patient vitals, assessments, and alerts within Welby Health’s platform.
Develop, implement, and adjust individualized care plans that address both clinical and social needs.
Deliver patient education and coaching via telephone and secure messaging.
Welby Health is committed to transforming the way complex conditions are managed. They aim to advance patient outcomes by integrating efficient care coordination, data-driven insights, and enhanced communication across the care continuum. Welby Health is headquartered in San Diego.