Work remotely to enhance member management and navigate the healthcare system.
Promote wellness and assist members in achieving their healthcare goals.
Conduct telephonic outreach, data analysis, clinical review, and documentation.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, improving patient health, and restoring provider fulfillment.
Develop trusting long-term patient relationships and empower you to do the best work of your career. Conduct holistic assessments to identify conditions, functional status and member values. Support chronic disease management, using motivational interviewing techniques.
Devoted Medical was founded on the belief that if we treat each member like we would our loved ones, we can meaningfully improve healthcare experiences.
Lead and manage clinical operations teams, ensuring high standards of service delivery and operational compliance.
Coordinate clinical programs, including utilization management, clinical review, and special initiatives.
Develop, implement, and maintain operational policies, procedures, and best practices.
Jobgether is a platform that uses AI to match candidates with job opportunities. They aim to ensure applications are reviewed quickly and fairly, connecting top-fitting candidates with hiring companies.
Authorizes and reviews utilization of mental health and substance abuse services.
Collects and analyzes utilization data and assists with discharge planning and care coordination.
Provides member assistance with mental health and substance abuse issues, and participates in quality improvement projects.
Magellan Health, Inc. is committed to making a difference in the healthcare industry and communities. They value professional growth and development, total health and wellness, rewards and recognition, as well as employee unity, offering a place where you can thrive.
Provide health assessments and treatment solutions via telephone, video, or chat functions.
Track and monitor follow-up calls, escalate when appropriate.
Receive inbound phone calls from patients seeking answers to various medical conditions.
PWNHealth is a national clinician network working to improve early detection and prevention of disease using advanced diagnostics and telehealth. They are a mission-driven, positive culture made up of the best and brightest in the industry.
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 the most underserved populations. As a tech-enabled medical group, they deliver whole-person care - clinical, behavioral, and social - by partnering with organizations deeply connected to the communities they serve.
Provides quality driven telephonic clinical assessments, health education, and utilization management services.
Provides assessments to individuals using telecommunications, in accordance with computer-based algorithms and guidelines.
Uses clinical knowledge to assess, make recommendations for care, provide education and health information.
Carenet Health values expertise and dedication, committed to providing appealing compensation. They celebrate diversity, creating an inclusive environment and are an equal opportunities employer.
Directly manage a remote team of Care Partners, providing guidance and support.
Design and improve operational processes to ensure high clinical quality.
Monitor key performance indicators to measure success across different teams.
Medsien provides scalable remote care management for a quality patient experience. Hundreds of organizations trust Medsien's technology solutions to implement remote care management programs, personalize every interaction, and improve the lives of the people who need it most.
Navigate the Medicare system for patients and caregivers.
Manage care coordination and logistics, including specialist visits.
Advocate for patients by identifying billing errors and cost-saving programs.
Carewell is dedicated to providing a trusted retail source for caregiving products, offering expert-vetted items like incontinence supplies and mobility aids. They are recognized as one of the fastest-growing companies in the US, committed to improving teams, partnerships, and solutions.
Lead and own full lifecycle client implementations from kickoff to go-live and stabilization.
Partner directly with healthcare organizations to understand workflows, requirements, and success criteria.
Serve as the primary liaison between clients and internal Engineering, Product, GTM, and Support teams.
Jobgether is a company that uses an AI-powered matching process to ensure job applications are reviewed quickly and fairly. They identify the top-fitting candidates and share this shortlist with the hiring company.
Responsible for application of appropriate medical necessity tools to maintain compliance and achieve cost effective and positive patient outcomes.
Acts as a resource to other team members including UR Tech and AA to support UR and revenue cycle process.
Utilizes Payer specific screening tools as a resource to assist in the determination process regarding level of service and medical necessity.
Virtua Health strives to connect individuals to the care they need, building a healthier community in South Jersey. They are a Magnet-recognized health system with over 14,000 colleagues, including over 2,850 doctors, physician assistants, and nurse practitioners.
Lead a team responsible for generating and posting physician and APP schedules, ensuring efficiency and compliance with operational goals.
Identify and implement opportunities to optimize scheduling processes, improve response times, and reduce costs.
Coach, mentor, and develop team members while managing performance, payroll, and administrative responsibilities.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements.
Act as the primary point of contact for new patients calling and emailing in.
Efficiently register and onboard a high volume of new patients.
Precisely verify patient insurance information to confirm active coverage and eligibility.
Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team that values its employees.
Be the face of NurseDash to our facility clients in designated market by building strong relationships through exceptional customer service and timely communication
Manages and grows our facility relationships to achieve and surpass targets while ensuring retention and customer satisfaction
NurseDash is an on-demand healthcare platform that matches healthcare workers with great facilities, delivering value to both facilities and clinicians by offering freedom, flexibility, and accessibility. Their team has successfully launched in multiple markets and is looking to bring on a great teammate to help expand and grow our company.
Supervise a team of approximately 10-15 Lead Care Managers to ensure high-quality care management services.
Oversee the creation of Individual Care Plans, assessing if clients' needs can be managed by an ECM Lead Care Manager.
Drive the team to meet key performance indicators (KPIs) effectively.
Vynca is dedicated to transforming care for individuals with complex needs, fostering a close-knit community. They are guided by core values such as Excellence, Compassion, Curiosity, and Integrity, committed to providing comprehensive care for more quality days at home.
Serve as a patient advocate and navigator, guiding patients and caregivers through the healthcare system.
Complete emergency room and hospital follow-up calls, offering education on alternative access points to reduce avoidable ED visits.
Facilitate medication education and adherence support, including alignment with standing orders, protocols, and chronic disease management goals.
Praxis Health is a family of medical groups providing high-quality healthcare throughout the state of Oregon. They foster a supportive and collaborative workplace where every team member is valued and empowered to succeed with community-based clinics.