Communicate and provide education to members and providers on insurance plan benefits and digital health solutions.
Employ active listening & motivational interviewing skills, and can handle difficult calls tactfully, courteously, professionally and document accordingly that can build patient trust and engagement.
Accurately track and document work on a variety of internal software tools and platforms.
Coordinate care and collaborate with multiple disciplinary team members to improve the quality of care and clinical outcomes.
Conduct thorough assessments to determine unmet needs and develop individualized care plans.
Promote quality cost-effective outcomes with the goal of improved care coordination.
Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services. They strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships.
Perform telephonic outreach to enroll and engage patients in the clinical program.
Develop and implement care plans addressing the unique needs of patients.
Guide members in understanding and utilizing health and social services.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. They are committed to improving patient outcomes and quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants.
Provide exceptional care, disease management and health education to patients.
Support goal setting for individual patients asynchronously to help them better manage their chronic conditions.
Create personalized action plans with guidelines to reduce or eliminate unwanted behaviors.
Salvo Health is a new approach to help millions of Americans facing chronic health conditions, centered on chronic gut health and metabolic conditions from IBS to obesity. They bring multidisciplinary virtual care to patients at community specialty care practices. Salvo offers a competitive salary and health benefits, a remote work environment, flexible time-off, a larger sense of mission, and professional development and entrepreneurial opportunities.
Perform outbound calls to engage patients about the benefits of Salvo’s program and tech-enabled services.
Enroll patients in Salvo’s program and schedule an initial virtual nurse visit to onboard patients.
Assist patients in understanding the cost of the program, including insurance coverage and financial responsibilities.
Salvo Health offers virtual care to patients at community specialty care practices, focusing on chronic gut health and metabolic conditions. The company has raised a Series A investment round and aims to provide continuous, interdisciplinary wraparound care.
Take inbound calls from patients, providers and members.
Support members with their insurance needs, questions or concerns.
Provide 24/7 Triage Support and assign priority for a Registered Nurse to provide health advice.
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. The company interacts with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Conduct outbound telephonic patient outreach and provide one-on-one coaching and support to patients managing chronic conditions.
Help patients execute personalized care plans and achieve their goals by providing education and coaching focused on behavior modification, nutrition, physical activity, and self-management strategies.
Document patient interactions, outcomes, and follow-up plans in the Cadence platform; identify barriers to care and connect patients with resources or internal support pathways.
Cadence is a clinical AI company that delivers continuous, proactive care for older adults with chronic conditions. They pair patients with a dedicated clinical team, integrate deeply into health system EMRs and workflows, and use their Clinical Intelligence platform.
Pulling, sorting, and analyzing data to determine member eligibility for the Population Health management Program.
Coordinating and providing care that is timely, effective, equitable, safe, and member-centric while following HMO processes.
Managing case assignments which includes outreach, documentation, monitoring for case progression, and case closure.
Guidehealth is a data-powered healthcare company dedicated to operational excellence. They aim to make healthcare affordable, improve patient health, and restore fulfillment in practicing medicine. Guidehealth is a growing and innovative organization and employees are expected to adapt to evolving business needs.
Serve as an expert diabetes health coach, supporting individuals to achieve the best health outcomes possible.
Engage members with empathy and care via telephone calls and text messaging.
Deliver education and personalized guidance according to Perry Health protocols to help members better self-manage their condition and adhere to their care plan.
Perry Health is rethinking chronic care through a fully remote, continuous care model. They provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized CDCES Registered Nurses, Registered Dietitians, and Accountability Coaches.
Provides real-time call queue support for Care Advice Line functions not requiring RN licensure.
Answers incoming calls promptly and according to SOP and training guidelines, ensuring effective communication.
Charts in the EMR and applicable applications accurately and efficiently according to national healthcare standards.
Privia Health is a technology-driven physician enablement company that collaborates with medical groups, health plans, and health systems. They optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care.
Conduct outbound calls and virtual outreach to provide information and education about Accompany Health services.
Support patients by answering questions, addressing concerns, and providing guidance.
Document interactions and maintain accurate records of patient outreach activities.
Accompany Health provides dignified, high-quality primary, behavioral, and social care to patients with complex needs, offering at-home and virtual care, plus 24/7 support. Their teams are distributed across the country and are committed to evidence-based practice, focusing on the health outcomes most important to their patients.
Primarily responsible for making outbound calls to healthcare providers.
Accepting inbound calls from healthcare providers.
Answer questions about participation requirements, registration, assessment completion and scoring results.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries. With over 66,000 employees, we combine scale, expertise and execution to create meaningful, measurable impact.
Evaluates member health metrics and professional resources to inform UM/CM initiatives and programs.
Refers members and providers to G.E.H.A resources and programs, as indicated, maximizing their health plan benefits.
Monitors and evaluates program effectiveness, tracks relevant metrics, and reports outcomes.
Government Employees Health Association (G.E.H.A) is a nonprofit member association providing health and dental benefits to millions of federal employees and retirees since 1937. G.E.H.A is headquartered in Lee's Summit, Missouri, offering hybrid and work-from-home options for many roles.
Provide health assessments and treatment solutions via telephone, video, or chat functions.
Receive inbound phone calls from patients seeking answers to various medical conditions.
Stay up to date with current health trends and recommendations.
PWNHealth is a national clinician network improving early disease detection and prevention using advanced diagnostics and telehealth, serving all 50 states and Puerto Rico. They are a mission-driven company with a positive culture, backed by leading growth equity firms Spectrum Equity and the Blue Venture Fund (BVF).
Handle calls (inbound/outbound) as assigned, responding as appropriate within their scope of practice, and consulting with other clinicians, including on-call providers
Coordinate telehealth meetings between participants and clinicians
Support the clinical care and home health teams to manage smooth care transitions between settings (hospitals, skilled nursing facilities, etc.), escalating changes in participants’ conditions as appropriate
WelbeHealth PACE helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. The company serves the most vulnerable seniors with better quality and compassion in a value-based model.
Handle calls and respond appropriately within their scope of practice.
Coordinate telehealth meetings between participants and clinicians and ensure timely care delivery.
Troubleshoot logistical care delivery issues and support smooth care transitions between settings.
WelbeHealth PACE helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. They serve the most vulnerable seniors with better quality and compassion in a value-based model, showing they care about their team members and offer great benefits.
You'll spend your day reaching out to health plan members.
You'll guide them toward scheduling their care assessments, and giving them the encouragement they need to take that next step.
You'll be the reason someone gets the care they deserve.
Carenet Health turns everyday conversations into meaningful connections that help people take charge of their health. The company values expertise and dedication, fostering a supportive environment for its team members.
Deliver an outstanding customer experience by supporting inquiries across phone, email, text, and chat.
Manage high-complexity insurance workflows and inbound support requests to collect documentation.
Partner with clinical, scheduling, and operations teams to ensure accurate treatment plan alignment and continuity of care.
Expressable is a virtual speech therapy practice that aims to transform care delivery and expand access to high-quality services. Since 2019, they serve thousands of clients with a focus on parent-focused intervention and an e-learning platform with home-based learning modules.
Serve as the first point of contact, creating a welcoming experience for patients.
Partner with the branch team to coordinate timely equipment delivery and solutions.
Secure health plan authorizations, ensure compliance, and maximize patient health plan benefits.
Accendra Health simplifies healthcare by delivering care beyond traditional settings. They provide essential products and services, promoting health outside hospitals with brands like Apria and Byram Healthcare, aiming for personalized, long-term patient care.
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.
Works with field staff and Manager, Clinical Services (MCS) to appropriately schedule clinicians for cases in assigned areas of responsibility.
Communicates appropriately regarding changes in schedule or service delivery.
Demonstrates the ability to be efficient and productive by organizing job duties and responsibilities.
CommonSpirit Health at Home is a full-service health care organization that believes the best place for someone to get better is in their own home. As a faith-based organization, we are committed to finding new ways to improve the health of our patients and the health of the communities we serve.