Identify members meeting outreach criteria using internal data and systems.
Conduct telephone and in-person outreach to coordinate appointments and address care barriers.
Connect members with community resources and support Medicaid eligibility and care integration.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They focus on efficient, objective application review and data privacy compliance.
Serve as a community-based, patient-facing resource, building relationships with patients and caregivers through direct, in-person re-engagement in assigned geographic areas.
Provide hands-on support to patients and caregivers, including program re-enrollment, onboarding, and mobile app setup and utilization.
Conduct community events and facility rounding to engage eligible patients, strengthen relationships, and support ongoing program participation.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs through 24/7 virtual-first and in-home medical, behavioral, and social care. The company values children first, earning trust, innovation, humanity, and diverse perspectives, fostering a collaborative and inclusive culture.
Conduct educational telephone calls to advise members of benefits, complete health needs assessments, and refer to population health management programs.
Reach out to members with gaps in care, encourage compliance, and assist with locating providers and scheduling appointments.
Manage system work queues, screen members for eligibility and history, and assign to clinical teams for intervention.
BlueCross BlueShield of Tennessee is the state's largest health benefit plan company, helping Tennesseans find paths to good health since 1945. They are a remote-first organization with many employees working from home, fostering a culture of innovation and collaboration.
Act as point-of-contact to help individuals live in their home or community, linking them to services and resources.
Identify barriers to healthcare compliance and create solutions to empower individuals in managing their health.
Communicate and collaborate with the individual's healthcare team, including facility social workers and waiver case managers.
CareStar is a leader in long-term care case management and population health, founded in 1988 in Cincinnati, Ohio. They serve individuals across Ohio with a mission to improve communities by improving lives, and their team values expertise, growth, and making a real difference.
Oversee a team of Patient Outreach Coordinators and Onboarding Specialists to ensure compliant and effective patient communications.
Coach team members on calling best practices and conversational techniques to address patient concerns.
Manage workflows, audits, and collaboration with hospital sites to optimize outreach operations.
Shields Health Solutions partners with hospitals to enhance their pharmacy services by connecting patients with hospital-based pharmacies. The company is dedicated to improving patient care and operates with a focus on teamwork and growth.
Serve as a key point of contact for community members, managing inbound inquiries with empathy and professionalism.
Resolve non-clinical needs accurately and efficiently, aiming for first-contact resolution.
Collaborate with internal teams to troubleshoot complex issues and ensure appropriate member support.
This company provides support services for individuals navigating complex healthcare needs. It operates with a focus on empathy, professionalism, and high-quality service, though specific size and culture details are not provided.
Assess member needs across physical health, mental health, SUD, oral health, and social supports.
Develop and oversee client care plans, set SMART goals, and evaluate progress.
Coordinate with healthcare providers, connect clients to community services, and advocate on their behalf.
Vynca is a healthcare company dedicated to transforming care for individuals with complex needs, focusing on providing comprehensive care for more quality days at home. They are a close-knit community committed to core values of Excellence, Compassion, Curiosity, and Integrity, fostering an inclusive workplace.
Conduct face-to-face eligibility evaluations and develop person-centered care plans.
Coordinate and authorize services across behavioral health, medical, and community-based systems.
Assist individuals in accessing Medicaid and other essential services while monitoring service delivery.
CareStar, Inc. is a recognized leader in long-term care case management and population health, serving individuals across Ohio since 1988. They are a mission-driven organization with a focus on compassionate care coordination and employee ownership through an ESOP.
Make outbound calls to eligible health-plan members using an automated dialing system.
Follow established scripts and enrollment procedures accurately.
Engage members in professional, friendly, and conversational discussions.
Five Star Solutions provides healthcare enrollment services for eligible health-plan members. The company values diversity and cultivates a professional, diverse workforce.
Deliver a respectful, compassionate experience for every caller, aiming for one-call resolution.
Complete crisis screening assessments and coordinate with crisis teams when immediate intervention is needed.
Manage and track referrals in Salesforce, including conducting outbound follow-up calls.
Centerstone is a nonprofit behavioral health system providing mental health and substance use disorder treatments. With thousands of employees, it is a dynamic, well-established organization focused on delivering care that changes people's lives.
Conduct administrative intake and scripted clinical intake of calls, providing quality customer service to providers and staff.
Collect and enter confidential information with high confidentiality, maintaining high-quality documentation standards.
Meet key performance indicators like Average Talk Time and quality, while adhering to HIPAA and regulatory standards.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving over 700 clients across 10 industries. With operations in 13 countries and more than 66,000 employees, WNS combines scale, expertise, and execution to create meaningful, measurable impact.
Serve as a key point of contact for members seeking support with healthcare and wellness programs via phone, email, and live chat.
Help participants understand their eligibility, benefits, and available resources while resolving inquiries and escalations.
Support outbound outreach campaigns and accurately document member interactions across multiple systems.
This company connects individuals with healthcare and wellness programs and provides member support services. The team is collaborative and performance-oriented, with a focus on professional development and growth opportunities.
Conduct home and virtual visits to develop wellness coaching relationships with patients, caregivers, and families.
Collaborate with advanced practice clinicians and social workers to develop action plans for better health.
Assist patients with accessing community resources and social services to address social determinants of health.
Alignment Health is a healthcare company dedicated to serving seniors and the chronically ill, breaking the mold in conventional care. They have built a passionate team focused on transforming lives, offering growth opportunities in a fast-growing environment.
Engage with prospective clients through 60-100 outbound calls daily, recording interactions in CRM.
Review medical charts and support clients in completing psychosocial assessments.
Apply evidence-based practices like Motivational Interviewing and Trauma-Informed Care in all interactions.
Vynca provides comprehensive care for individuals with complex needs, aiming for more quality days at home. They are a close-knit community guided by values of Excellence, Compassion, Curiosity, and Integrity.
Educate patients about eligible healthcare services and directly schedule them with the provider team.
Build trust-based relationships with patients, empathetically presenting Strive's care model and addressing inquiries and objections.
Handle high call volumes in a remote contact center, meeting daily performance metrics and quality standards.
Strive Health is on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey. They are a dedicated team of passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday.
Make outbound calls to existing healthcare plan members and explain the available services.
Answer basic member questions and handle objections professionally using approved information.
Schedule appointments and accurately document call outcomes to meet quality and conversion goals.
Knowledge Rhino specializes in healthcare outreach and appointment setting for existing plan members. The company is a growing remote team that offers flexible work schedules and a supportive culture.
The Customer Engagement Advocate uses sales skills and product expertise to influence customers and support Concentra's valued customers.
This role contacts existing Strategic and Key Customers to onboard new decision makers and maximize utilization of services.
The advocate leverages customer knowledge to identify sales opportunities for continued growth and retention.
Concentra is the nation's leading occupational health care company, dedicated to improving the health of America's workforce. With over 40 years of experience, the company provides a wide range of services with a proactive approach to care.
Serve as the central telephonic point of contact for prospective participants, building trust-based relationships from the first conversation.
Make outbound follow-up calls to prospects and support inbound campaigns by educating about PACE services and eligibility.
Coordinate warm handoffs to on-the-ground Enrollment Specialists and ensure a seamless transition from central touchpoint to local engagement.
Habitat Health empowers older adults through the Program of All-Inclusive Care for the Elderly (PACE), providing comprehensive medical care and support for daily needs. They are a growing organization supported by leading healthcare investors, focused on mission-driven care.
Serve as the primary financial contact for caregivers during onboarding, explaining insurance benefits and estimated costs.
Collaborate with care coordination and clinical teams to ensure a seamless onboarding experience.
Maintain accurate documentation of all caregiver interactions while upholding HIPAA and privacy standards.
Lyra Health is a leading provider of evidence-based mental health care, serving over 20 million people globally. The company has a collaborative culture focused on delivering transformative care through technology.
Conduct a high volume of outbound calls, including cold calls, to medical offices and healthcare facilities.
Research medical facilities and use creative problem-solving to identify additional sources when information is hard to find.
Accurately document outreach, findings, and case-related information in internal systems and prepare professional email communications.
Magna Legal Services is a trusted nationwide partner to law firms, corporations, insurance carriers, and government agencies, delivering comprehensive legal support at every stage of a case. The company fosters a culture where talented people can do meaningful work and grow their careers.