Manage a caseload of ECM members with complex behavioral health needs.
Conduct in-person home visits and community-based meetings.
Utilize brief behavioral health therapeutic interventions as necessary.
Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the one-size-fits-all healthcare system. Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations.
Oversee the Care Navigation program, ensuring efficient operation and successful implementation of new programs.
Manage relationships with health plan partners and oversee internal policies and procedures for care navigation activities.
Provide telephonic care navigation services to individuals receiving services through various programs as needed.
Mom's Meals is a provider of home-delivered meals. They focus on delivering medically tailored meals to individuals with chronic health conditions. The company values its team members and strives to show it through benefits and other offerings.
Conduct telephonomic assessments of members' medical, psychosocial, physical, and spiritual needs.
Develop and revise Person-Centered Service Plans (PCSP) in response to changes in member condition.
Collaborate with interdisciplinary care teams and educate members on Advanced Directives and Health Care Proxy.
Elderplan and HomeFirst are Medicare and Medicaid managed care health plans designed to help keep people independent. MJHS is a supportive community of over 6,000 employees committed to excellence, respect, and providing high-quality, personalized health care services.
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.
Provides telephonic and in-home assessments of members' medical, psychosocial, physical, and spiritual needs.
Develops, implements, and monitors care plans to ensure continuity of care and chronic care benefit management.
Demonstrates strong assessment, communication, interpersonal, and crisis intervention skills in an interdisciplinary environment.
MJHS Home Care provides Medicare and Medicaid managed care health plans designed to help people stay independent. They foster a supportive community committed to excellence, respect, and personalized health care services.
Collaborate with physicians, APPs, and interdisciplinary team members to manage a patient panel and address specialized needs post-hospitalization.
Perform assessments and develop comprehensive care plans based on individual patient values, goals, and preferences.
Coordinate patient care delivery with clinicians, network providers, contracted vendors, and community-based services.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. The company provides interdisciplinary clinical resources and analytical tools to improve patient outcomes, operating with a team that values innovation and comprehensive care.
Supervise a team of 10-15 direct reports under the ECM team to ensure high-quality care management services.
Oversee client outreach, enrollments, and creation of Individual Care Plans, serving as an escalation point.
Drive the team to meet key performance indicators (KPIs) and collaborate with Directors on process improvements.
Vynca provides comprehensive care for individuals with complex needs, focusing on more quality days at home. They are a close-knit community guided by core values of Excellence, Compassion, Curiosity, and Integrity.
Effectively present Mom's Meals products and services to a variety of audiences including managed care organizations, case managers, social workers, physicians, nurses and dietitians.
Consistently utilize company programs and systems to maximize account engagements and create efficient sales routes to meet scheduled meetings and client educational opportunities.
Drive sales forecast, growth goals, and key initiatives, while maintaining CRM database documenting sales leads and follow-ups.
Mom's Meals is a home-delivered meal service providing fully prepared, refrigerated meal solutions direct to homes nationwide since 1999. We are a family operated business looking for fun, compassionate, and friendly people who want to make a difference.
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.
Direct and oversee operations of the Enhanced Care Management program, including CalAIM performance and staff supervision.
Refine program policies, manage P&L, and develop KPIs to align performance with business objectives.
Collaborate cross-functionally with other departments and represent the organization externally.
Vynca provides comprehensive care for more quality days at home for individuals with complex needs. It is a close-knit community guided by core values of Excellence, Compassion, Curiosity, and Integrity, fostering a transformative movement.
Serve as primary contact for Continuous Care clients, managing caregiver schedules and urgent coverage needs.
Respond to call-outs and disruptions in real time, matching caregivers based on personality and skillset.
Handle client concerns and service recovery with professionalism while collaborating with recruiting and leadership.
Tandem Care is a home care agency that provides continuous care services, including 24/7 coverage, to seniors. They are a growing organization with a collaborative team environment and clear systems.
Serve as a community-based, patient-facing resource, building relationships with patients and caregivers through direct, in-person re-engagement.
Provide hands-on support to patients and caregivers, including assisting with program re-enrollment, onboarding, and mobile app setup and utilization.
Educate patients and caregivers on Imagine Pediatric services and available community resources, ensuring they understand how to access care and support.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs. They deliver virtual and in-home medical, behavioral, and social care, working alongside families, providers, and health plans.
Conduct telephonic case management and thorough assessments of patients' physical, psychosocial, and financial needs.
Develop and monitor treatment plans in collaboration with patients, caregivers, and multidisciplinary teams.
Negotiate cost management strategies and maintain detailed documentation while meeting productivity and quality standards.
Personify Health created the first and only personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. They serve employers and health plans with data-driven solutions and are on a mission to empower people to lead healthier lives.
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.
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.
Evry Health is on a mission to bring humanity to health insurance. They are a high-technology health plan that expands benefits, increases access and transparency, and features a personalized, human approach. Evry Health is the major medical division of Globe Life (NYSE:GL) with more than 3,000 corporate employees and 15,000 agents.
Serve as the primary contact for CM/UM programs and operational questions related to the MyCare Platform.
Build relationships with provider offices through outreach and timely follow-up, resolving issues within defined turnaround times.
Educate providers on submission requirements, documentation, timelines, and available CM/UM resources.
Personify Health created a personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together. They serve employers, health plans, and health systems with data-driven solutions that reduce costs while improving health outcomes.
Support care navigation for oncology members by facilitating treatment, symptom tracking, and re-education.
Collaborate with RNs and providers to coordinate care plans, referrals, and authorizations.
Maintain regular contact with members via phone, text, email, and video calls for follow-up and support.
Renalogic helps clients manage the human and financial costs of chronic kidney disease. We hire people who are humble, hungry, and smart, and our 96% client retention shows we're building a company we're proud of.