Providing remote health coaching to members at risk for chronic kidney disease or have chronic kidney disease.
Working in partnership with participating members to increase their understanding and management of conditions that impact kidney health.
Establishing and maintaining contact with assigned and active members via video, phone, text, and email.
Renalogic is dedicated to helping clients manage the human and financial costs of chronic kidney disease. They hire people who are humble, hungry, and smart, and they have a 96% client retention rate.
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.
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.
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.
Collaborate with interdisciplinary team members to deliver comprehensive virtual care services to patients.
Develop personalized, evidence-based nutrition care plans tailored to the needs and preferences of patients.
Educate patients and their caregivers on kidney-related dietary and lifestyle adjustments.
Interwell Health is a kidney care management company that partners with physicians on its mission to reimagine healthcare. They aim to set the standard for the industry and help patients live their best lives.
Collaborate with interdisciplinary team members to deliver comprehensive virtual care services to patients.
Provide support for patients and families coping with life transitions, chronic illnesses, and other psychosocial challenges.
Develop and implement individualized care plans that address patients' needs, connecting them with relevant community resources.
Interwell Health is a kidney care management company that partners with physicians. They aim to reimagine healthcare and set the standard for the industry to help patients live their best lives. They are committed to diversity, equity, and inclusion throughout their recruiting practices.
Responsible for conducting monthly clinical check-ins, identifying and addressing clinical concerns.
Reinforcing care plans, escalating issues appropriately, and ensuring clinical documentation accuracy.
Supporting patients between office visits while collaborating closely with Evergreen’s providers, care teams, and leadership.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. They are committed to improving patient outcomes and improving quality of life.
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.
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.
Responsible for professional nursing skills to provide personalized high-touch telephonic support to patients.
Provide clinically relevant individualized education in conjunction with product support.
Partner closely with cross-functional stakeholders to ensure continuity of care and escalation as appropriate across teams.
Momentum Life Sciences helps the healthcare industry connect, motivate, and empower people to engage in their health. We are a leading provider of patient and healthcare professional engagement solutions with more than 30 years of experience in the healthcare industry.
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.