Coordinates and oversees all direct and indirect patient services provided by clinical organization personnel.
Provides guidance and counseling to coordinators and Clinical Supervisors to assist them in continually improving all aspects of home health care services.
Assists the Executive Director in the preparation and administration of the organization's budget.
Oversee the RN Reviewer team including one RN Team Lead
Manage the daily timeliness report and ensure all cases meet expected turnaround times
Monitor the nurse productivity reports daily and provide feedback to the nurses, managing performance to ensure consistency
Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. They work with over 660,000 providers and handle over 12 million prior authorization requests annually.
Coordinates home infusion services for compliance.
Organizes, plans, and evaluates agency services and programs.
Ensures effective delivery of services to maintain quality care.
BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Their compassionate care team helps patients navigate the often-challenging healthcare environment and treats their patients like family.
Responsible for coordination of services for members, emphasizing education/self-management and quality care. \n- Assesses member needs, reviews service options, develops and implements care plans, and coordinates resources. \n- Manages a caseload of moderate-high risk members with complex medical/behavioral/psychosocial needs.
Capital Blue Cross is committed to improving the health and well-being of our members and the communities in which they live. They offer flexibility, prioritize health and well-being, and encourage employees to volunteer in their community.
Enhance healthcare quality by overseeing performance improvement initiatives.
Ensure compliance with regulations and support data analysis.
Monitor quality metrics and drive projects to improve healthcare outcomes.
Jobgether is a platform that connects job seekers with potential employers, using AI to match candidates with roles. They focus on ensuring applications are reviewed fairly and efficiently.
Managing the care of patient panel by leveraging experience and knowledge.
Establishing relationships with patients and families to provide support.
Serving as an advocate and community liaison for patients.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. We are committed to improving patient outcomes and quality of life by delaying disease progression and shifting care to the home.
Provide direct supervision, coaching, and performance oversight to clinical managers.
Serve as a primary operational liaison between clinical teams and health plan care management teams.
Oversee onboarding and training for care teams and clinical managers.
Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. They deliver goal-centered care focused on alleviating physical symptoms and emotional stress for individuals and their caregivers. They cultivate a dynamic and inclusive team environment.
Conduct assessments, establish care goals, and deliver telephonic coaching and education to support clients in managing chronic conditions.
Perform first‑level Utilization Review for inpatient and outpatient services based on plan guidelines.
Document all condition management activities, track client progress, and report outcomes, savings, and quality improvements.
HealthCheck360 focuses on reducing medical costs while increasing employee engagement and productivity. They accomplish this by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through Health Coaching and Condition Management programs.
Utilize advanced clinical judgment to triage patient symptoms per protocol.
Conduct thorough reviews of refill requests and abnormal lab results.
Lead follow-up care for positive PHQ-9 screenings, ensuring patients are safely navigated to the appropriate level of care.
Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team, deeply invested in creating a culture where every employee is valued and we learn and improve together.
Provides telephonic assessments of members’ medical, psychosocial, physical and spiritual needs.
Develops, implements, and monitors person centered service plan and ensures continuity of care across all healthcare settings.
Educates members on disease processes, preventative health, and quality of life interventions.
MJHS is a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. They foster collaboration, celebrate achievements, and promote fairness for all with comprehensive compensation and benefits.
Administer assessments/screening tools to identify and prioritize member needs.
Develop individualized care plans and lead care coordination efforts.
Build strong, empathetic relationships with members, driving collaboration.
Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. They deliver goal-centered care focused on alleviating physical symptoms and emotional stress for individuals and their caregivers; through our leading-edge care model, Tuesday Health is shaping the future of community-based palliative care nationwide.
Provides quality driven telephonic clinical assessments, health education, and utilization management services.
Provides assessments to individuals using telecommunications in accordance with computer-based algorithms, protocols, and guidelines.
Uses clinical knowledge to assess, disposition, make recommendations for care, provide education and health information.
Carenet Health values the expertise and dedication of their team members. They are committed to offering an appealing compensation package and creating an inclusive environment for all employees.
Leads and supports the assimilation, hiring, and training process for identified de novo locations.
Oversees the orientation and training of new employees to company policies and standard operating procedures.
Manages branch operations, services, personnel performance, and office management ongoing.
Enhabit Home Health & Hospice is an equal opportunity employer. They work to promote differences in a collaborative and respectful manner and are committed to a work environment that supports, encourages and motivates all individuals.
Answer and triage after-hours calls across Ohio markets.
Conduct remote clinical assessments to determine patient and family needs.
Evaluate patient status changes and provide symptom management guidance.
Luminary Hospice is a mission-driven organization that empowers its team members to shape the culture and provide high-quality support to patients and families during their end-of-life journey. They are centered on caring for the whole person, providing expert medical care, pain management, and emotional and spiritual support to families and caregivers.
Responsible for daily operations of direct reports while driving operational initiatives.
Leads clinical implementation efforts within an assigned team or partner for new technologies and workflows.
Drives change management and adoption of new tools and workflows at team level by partnering with training and peer leaders.
Twin Health empowers people to improve and prevent chronic metabolic diseases, like type 2 diabetes and obesity, with a new standard of care, applying AI Digital Twin technology exclusively toward metabolic health. The company has been recognized for its innovation and culture and is scaling rapidly across the U.S. and globally.
Participate in provider case reviews to identify trends and deficits.
Coach providers and participate in client meetings to support expectations.
Contribute to workflow design, QA improvements, and risk management.
Amwell transforms healthcare with technology and people. They aim to provide convenient, affordable, and effective care, serving large healthcare organizations in the U.S. and worldwide.
Provide operational leadership and oversight for Privia Health’s telephonic triage and after-hours care coordination platform.
Responsible for data-driven performance management, workflow optimization, staff scheduling, and resource planning to support safe, scalable, and cost-effective service delivery.
Oversee Health Advisors and operational support staff, ensuring adherence to protocols, communication standards, and service-level expectations.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care. The Privia Platform consists of scalable operations and end-to-end, cloud-based technology.
Deliver coordinated, patient-centered virtual Care Management by telephone or video that improves members' health outcomes.
Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system in general.
Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family.
Included Health is a healthcare company that delivers integrated virtual care and navigation, aiming to raise the standard of healthcare for everyone. They break down barriers to provide high-quality care for every person, offering care guidance, advocacy, and access to personalized virtual and in-person care.
You will be responsible for using your assessment and communication skills to engage with patients in need of clinical support to determine and prioritize their needs.
Conduct timely telephonic clinical outreach to identified patients.
Collaborate with PCPs, NPs, and other members of the healthcare team to coordinate care for patients and actively help keep them stable at home.
Vytalize Health is building a market leader in value-based healthcare. They are a rapidly growing organization that embraces the power of AI and encourages innovative, responsible use of emerging technologies in their work.
Oversee full operational execution of the Thera Nurse Navigator Program, ensuring alignment with program goals, compliance standards, and client expectations.
Deliver high‑quality patient education on therapy, disease state, expectations, and adherence support.
Provide coaching, guidance, and ongoing mentorship to Nurse Navigators to ensure adherence to program protocols, SOPs, and quality standards.
EVERSANA is committed to creating and delivering next-generation commercialization services to the life sciences industry, serving more than 650 clients. Their global team of more than 7,000 employees are grounded in their cultural beliefs and dedicated to improving patient lives around the world.