You perform telephonic outreach to enroll and engage patients in the clinical program.
You develop and implement care plans addressing unique patient needs in collaboration with nurse care managers.
You connect patients to community resources such as housing, transportation, and food security to address social determinants of health.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. They are a growing company committed to improving patient outcomes and quality of life, fostering a collaborative and innovative culture.
Conduct patient outreach and enrollment for chronic care management programs.
Coordinate communication between patients, providers, and healthcare partners.
Document patient interactions and ensure compliance with Medicare billing requirements.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They are committed to improving patient outcomes and quality of life, with a culture of innovation and compassion.
Manage an assigned patient panel, addressing specialized needs based on individual conditions and care goals.
Collaborate with physicians, APPs, and interdisciplinary team members to coordinate holistic care.
Perform assessments, create care plans, and monitor effectiveness to ensure high-quality outcomes.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They focus on improving patient outcomes and quality of life in an innovative and evolving environment.
Manage high volume of outbound and inbound new patient onboarding calls.
Build trust with patients and clinical care team through exceptional omnichannel customer service.
Collaborate with interdisciplinary care team to schedule visits and support patient goals.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They are a growing, innovative organization focused on interdisciplinary teamwork and improving patient outcomes.
Manage the healthcare journey of kidney disease patients in the Compassionate Care Program, focusing on advance care planning and goals of care discussions.
Collaborate with physicians and interdisciplinary teams to coordinate transitions to hospice or ongoing care based on patient preferences.
Educate internal and external partners on identifying and referring patients to the program.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. As a startup, it is committed to improving patient outcomes and quality of life with an innovative and evolving culture.
Coordinate and oversee collaborative patient care under physician direction, guiding patients through intake, diagnosis, treatment, and discharge.
Communicate with patients, physicians, and agencies to manage referrals, treatment plans, and pre-authorizations for desired clinical and financial outcomes.
Perform patient intake and discharge activities, including vital signs, room turnover, and documentation in accordance with hospital policy.
Virginia Mason Franciscan Health provides exceptional healthcare services, building on a legacy of compassionate care and innovation dating back to 1891. The organization employs a dedicated team across 10 hospitals and nearly 300 care sites, committed to healing the whole person and fostering a collaborative purpose.
Conduct detailed assessments and coordinate individualized care plans with healthcare teams.
Educate patients and families on disease processes, treatment options, and self-care strategies.
Advocate for patients' needs within the healthcare system, ensuring timely access to services.
Empowers individuals facing health challenges by providing compassionate, expert-guided care advocacy services. Dedicated to ensuring personalized support and seamless care coordination.
Monitor and interpret patient vitals, assessments, and alerts within Welby Health’s platform to provide timely, evidence-based guidance and escalate clinically significant findings.
Develop, implement, and adjust individualized care plans addressing both clinical and social needs, coordinating with physicians, specialists, and community resources.
Deliver patient education and coaching via telephone and secure messaging, empowering patients to manage chronic conditions and build sustainable health habits.
Welby Health is a San Diego-based healthcare organization committed to transforming the way complex conditions are managed. The company leverages technology and clinical expertise to improve patient outcomes and practice efficiency.
Coordinate patient care plans and communication between patients, providers, and care teams.
Manage administrative tasks including EHR updates, referrals, insurance verification, and patient inquiries.
Advocate for patients through routine check-ins, care barrier resolution, and compliance with HIPAA.
SnappyCX provides patient care coordination and healthcare support services. They focus on delivering high-quality, empathetic care management while maintaining a remote and flexible work environment.
Provide professional and friendly proactive care and triage for clinical issues.
Perform comprehensive assessments and establish care plans with interdisciplinary teams.
Coordinate transitions of care and establish rapport with patients and families.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs, delivering 24/7 virtual-first and in-home medical, behavioral, and social care. We are a mission-driven team guided by five core values, committed to diversity, equity, and inclusion.
Respond to referral sources and coordinate delivery of sleep therapy equipment.
Follow up with patients to assess service quality and ensure compliance through phone, email, and text.
Document all interactions and maintain accurate patient data in internal systems.
This company provides sleep therapy equipment coordination and patient support services. Team size and culture are not specified, but the role emphasizes collaboration and a patient-focused environment.
Work with a multi-disciplinary team to ensure a high-quality patient experience.
Manage patient/provider messaging and coordinate care plans.
Provide administrative and communication support for the provider network.
Thirty Madison is now part of Remedy, revolutionizing healthcare accessibility. The company is dedicated to building a diverse, inclusive, and authentic workplace, with a focus on patient care and provider support.
Conduct high-volume outbound telephone outreach to patients, introducing the pharmacy service and guiding them through enrollment.
Deliver standardized messaging, obtain consent, and document all activity in the EHR.
Manage outreach queues, meet performance targets, and uphold HIPAA standards.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. They are a growing company committed to improving patient outcomes and quality of life, with a culture of innovation and patient focus.
Assess patients' knowledge of late-stage CKD and educate them on treatment options to enable informed decisions.
Coordinate care and act as a liaison to ensure patients receive comprehensive information on modalities and vascular access.
Use motivational interviewing techniques and participate in clinical data interpretation to improve CKD care processes.
Interwell Health is a kidney care management company that partners with physicians to reimagine healthcare. The company is mission-driven and values diversity, equity, and inclusion, with a collaborative culture focused on helping patients live their best lives.
Coordinate home care assignments and serve as a key contact for patients, families, and aides.
Document communications and resolve cases in HHA Exchange, escalating issues as needed.
Monitor daily reports, manage schedules, and ensure accurate, timely care coordination.
SnappyCX provides home healthcare coordination services, connecting patients, families, and caregivers. They operate with a patient-focused, team-oriented culture in a fast-paced healthcare environment.
Engage members through inbound and outbound calls to encourage participation in care management programs.
Complete non-clinical assessments and identify health risks, care needs, and opportunities for clinical follow-up.
Help members schedule healthcare appointments and connect with appropriate resources and benefits.
This company provides care management support services to help members improve their health and well-being. They operate as a fast-paced remote call center environment with a focus on compassionate service and structured processes.
Manages a defined patient panel, ensuring quality, cost, and outcome accountability through collaboration and comprehensive care planning.
Obtains patient history, performs exams, orders diagnostic tests, and formulates plans for chronic conditions like CKD and heart failure.
Accurately documents diagnoses for risk adjustment and care gaps, while serving patients across home, telehealth, and clinic settings.
Strive Health transforms chronic conditions by identifying risk earlier and coordinating thoughtful care to reduce emergency visits and improve patient outcomes. The company fosters a passionate, one-team culture where Strivers care deeply about making an impact and elevating the everyday.
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.
Serve as a key liaison between patients, providers, and pharmacies to ensure seamless care coordination.
Own a queue of active clinical cases, reviewing them and driving each to resolution through persistent follow-up.
Use sharp clinical judgment to separate real issues from noise and communicate clearly with all stakeholders.
GoldenScript is an AI-native pharmacy services platform that optimizes medication management for patients. The company is a small startup focused on clinical care coordination and patient outcomes.