Provide on-demand telephone-based care management services through a 24/7 Nurse Advice Line.
Assess symptoms and concerns of callers to determine urgency and type of care needed.
Coordinate care across the healthcare delivery system and record patient data in medical record systems.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and physician leadership, and focuses on reducing healthcare costs and improving outcomes.
Manage a portfolio of clients, providing clinical support, education, advocacy, and care coordination throughout their healthcare journey.
Conduct clinical intakes, collaborate with internal teams, and ensure smooth transitions across care delivery.
Communicate clearly and compassionately with clients, caregivers, providers, and internal partners.
Private Health Management guides patients and families through serious medical care, acting as an independent advocate to orchestrate the best treatment and support. The company is a mission-driven organization with a team of experts that provides compassionate, high-quality care coordination.
Manage care for high-risk members by identifying needs and coordinating clinical, community, and in-network resources.
Perform utilization management reviews, ensure quality oversight, and support accreditation readiness.
Collaborate with multidisciplinary teams to analyze member outcomes and drive continuous improvement.
They are a health plan focused on improving outcomes for high-risk members through care coordination and quality initiatives. Their team values collaboration, clinical excellence, and mission-driven work to enhance community health.
Conduct telephonic clinical assessments and health education using nursing process and protocols.
Utilize critical thinking to triage, make care recommendations, and document patient interactions.
Work a schedule including evenings and weekends, with full-time flexibility and remote setup.
Carenet Health provides clinical services and health education to patients through innovative telephonic channels. They are a growing organization with a collaborative team of registered nurses across the United States.
Triage and provide clinical support for incoming patient communications.
Conduct phone assessments of clinical symptoms to determine the best path of care.
Assist in the development of processes and systems for urgent care and virtual triage.
Galileo is a team-based medical practice providing high-touch, data-driven, multi-specialty care across the United States. They are a team of healthcare and technology innovators focused on improving care quality and affordability for all.
You will serve as a critical liaison between patients, providers, care teams, and community resources to ensure continuity of care.
You will create and promote adherence to treatment plans developed by healthcare providers.
You will assess patients' unmet health and social needs and connect them to relevant community resources.
Point C is a national third-party administrator that delivers customized self-funded benefit programs. We are a mission-driven company focused on innovative cost containment strategies and driving down plan costs.
Strategically assess, plan, and facilitate comprehensive care across the continuum for high-risk patients.
Collaborate with physicians, nursing, insurers, and post-acute providers to ensure timely transitions.
Work remotely from California, using provided equipment, with potential weekend/holiday coverage.
Dignity Health Management Services provides integrated managed care administrative and clinical services to medical groups, hospitals, and health plans. It is part of CommonSpirit Health, one of the largest nonprofit health systems in the US, with a focus on coordinated patient care and community health.
Assess and coordinate care for members, ensuring continuity and person-centered service plans.
Manage a caseload of 20-30 calls per day, including crisis calls, and lead interdisciplinary care teams.
Coach and mentor less experienced Care Managers to support team development.
Integrated Resources, Inc. is a workforce solutions company that delivers strategic talent management services. Founded in 1996, the company has grown steadily and focuses on matching qualified professionals with employers, building long-term partnerships based on performance and integrity.
Provide telehealth clinical triage assessments and health education to diverse populations via phone, video, and chat.
Utilize critical thinking and clinical skills to assess patient needs, direct to appropriate care, and influence health decisions.
Document interactions and monitor performance metrics while participating in coaching sessions to improve quality.
Carenet Health provides telehealth and virtual care clinical triage assessments, health education, and services to patients and health plan members. The company has been named one of America's fastest-growing private companies by Inc. Magazine for eight consecutive years and fosters a culture of compassion, innovation, and work-life balance.
Conduct initial screening and triage for psychiatric and chemical dependency admissions through virtual assessment.
Utilize nursing process and telephone guidelines to provide quality care and ensure positive patient outcomes.
Collaborate with multidisciplinary team and manage multiple priorities in a fast-paced environment.
Sutter Health is a healthcare organization dedicated to providing high-quality medical services. It is a large, integrated system with a supportive culture that values employee contributions and patient-centered care.
Review and evaluate electronic medical records of emergency department admissions to screen for medical necessity using InterQual or MCG criteria.
Apply evidence-based clinical guidelines to assess and ensure proper utilization of healthcare resources.
Enter clinical review information into the system for transmission to insurance companies for authorization.
Netsmart provides advanced healthcare technology solutions for post-acute and human services clients, enabling better care through a comprehensive platform. We are a vision-driven team passionate about innovation, and we have been recognized as one of the best companies to work for.
Conduct high-volume telehealth pre-assessment consults, educating patients on safe usage and side effects.
Provide empathetic, non-judgmental care while documenting accurately to support safe prescribing.
Liaise with prescribers and the Patient Care Team to ensure continuity of care in a fast-paced remote environment.
Montu is Australia's largest healthtech business focused on alternative healthcare, supporting patients through its Alternaleaf clinic and other platforms. Founded in 2019, it has grown rapidly, ranked #1 in Deloitte TechFast 50 for two consecutive years and #1 on LinkedIn's Top Startups Australia 2024, with a remote-first culture.
Review medical history with patients in preparation for prescriber review.
Provide patient counseling on medication use, safety, and side effects.
Collaborate with the Customer Experience team and medical network to coordinate care.
Remedy (formerly Thirty Madison) revolutionizes healthcare accessibility by providing remote care and support. The company is building a diverse and inclusive workplace as part of a larger organization.
Coordinate care for all Invasive Cardiology or Radiology patients, including intake, education, and pre-procedure planning.
Manage medication histories, order labs and imaging, and coordinate with multidisciplinary teams.
Ensure insurance pre-authorization, follow up post-procedure, and provide patient education and support.
University of Utah Health is a patient-focused organization dedicated to enhancing health and well-being through patient care, research, and education. As a Level 1 Trauma Center, it is nationally ranked for academic research, quality standards, and patient experience, employing thousands across five hospitals and eleven clinics.
Review Home Health prior authorization requests using CMS guidelines and clinical judgment.
Lead and mentor the Home Health UM nursing team, ensuring quality and compliance.
Collaborate with cross-functional partners to optimize care and improve utilization.
Clover Health provides high-quality, affordable healthcare for America's seniors by combining data, technology, and preventive care. They are a mission-driven team with diverse expertise, focused on improving members' lives through innovation and empathy.
Provide exceptional care, disease management and health education to patients.
Support goal setting for individual patients to help them better manage chronic conditions.
Coordinate with other clinical team members to provide an exceptional patient experience.
Salvo Health is a tech-enabled healthcare company focused on chronic gut and metabolic conditions. Backed by leading health investors, it offers a multidisciplinary care team approach with board-certified specialists and digital tools.
Serve as a compassionate point of contact for patients and family caregivers, using social work skills to connect them with resources.
Support clinical operations including scheduling, intake, onboarding, and documentation follow-up.
Maintain accurate patient records and escalate clinical concerns as needed.
We are a healthcare company dedicated to providing personalized, clinically-supported, and virtual-first services for older adults and their family caregivers. We are a mission-driven startup focused on transforming caregiving, with a small but growing team.
Assess, plan, implement, and coordinate comprehensive care plans to meet individual health needs and ensure cost-effective healthcare delivery.
Serve as a liaison facilitating collaboration among patients, families, physicians, and providers to promote quality of care.
Provide specialized education on disease-specific conditions and remain current with medical trends and procedures.
Arkansas Blue Cross and Blue Shield is a health insurance company providing healthcare coverage and services. They are consistently ranked as a top workplace in Central Arkansas with an inclusive culture and average employee tenure of 10 years.
Conduct remote patient assessments, triage, and education via virtual platforms.
Develop individualized care plans and collaborate with patients and providers.
Document patient interactions accurately in EMR and ensure compliance with HIPAA.
Emory Healthcare is a leading academic health system dedicated to providing comprehensive and compassionate healthcare services. It is a large organization with a strong focus on employee development, offering robust benefits and a supportive culture.