Reaches out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, make provider appointments and follow ups, etc.
Creates cases, tasks, and completes assessments in Case Management module for all Hospital and SNF discharges
Works as a team with the Case Manager to engage and manage a panel of SNP members
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve.
Build trusting relationships with patients, families, and providers, addressing health questions and care needs.
Identify medical, behavioral, social, emotional, and financial needs to support whole‑person care.
Strengthen the connection between patients and healthcare providers by addressing barriers and facilitating communication.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, with the goal to make great healthcare affordable, improve patient health, and restore fulfillment for providers. They leverage remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers.
Collaborate with hospital marketers to ensure patients are well taken care of
Coordinate with the clinical team to confirm that necessary medical services are in place before accepting patient referrals
Manage the referral process and maintain accurate, up-to-date patient documentation
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.
Help patients access care more quickly by ensuring referrals are processed smoothly.
Support Midi’s rapidly growing network of health system partnerships.
Directly improve the experience for referred patients.
Midi Health is expanding its health system and provider partnerships. They're committed to pay equity and ensuring that all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Coordinate all aspects of organ donation for transplant and research.
They are Oregon's only public academic health center. They care for patients, lead groundbreaking research, and train the next generation of healthcare professionals and is Portland's largest employer, providing opportunities for learning and advancement.
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.
Acts as primary point of contact for oncology pain patients after referral to the CPC, until the patient has sufficient knowledge and resources to direct self-care.
Responsible for monitoring, coordinating care, and educating cancer patients and families as they move through the CPC.
Responds to criteria-based referrals as soon as possible, no longer than 24 hours, and schedules with appropriate provider within 72 hours.
OHSU is Oregon's only public academic health center that cares for patients, leads groundbreaking research, and trains the next generation of health care professionals. As Portland's largest employer, they offer opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.
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.
Take inbound calls from patients, providers and members
Support members with their insurance needs, questions or concerns
Answer inquiries on benefit claims, appeals, and authorizations
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Own day-to-day service delivery execution across assigned districts, managing a portfolio tied to annual revenue targets aligned to National, East, or West regional accounts.
Lead delivery conversations with district stakeholders, ensuring alignment, responsiveness, and movement toward contract goals.
Monitor and analyze service delivery performance to identify trends, risks, and opportunities for operational improvement across providers and districts.
Presence is the leading provider of teletherapy solutions for children with diverse needs. With a growing network of over 2,000 clinicians and more than 7 million teletherapy sessions delivered, they’re dedicated to ensuring every child has access to the support they need.
Conduct outbound telephone outreach to patients and engage patients in pharmacist-led consultations.
Serve as a liaison between patients and pharmacies to resolve medication barriers.
Collaborate closely with Care Management Pharmacists to support medication adherence initiatives.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. They are committed to improving patient outcomes and quality of life by delaying disease progression and shifting care to the home.
Deliver compassionate, personalized service to support each member’s unique therapy journey.
Manage new and ongoing therapy cases, ensuring accurate documentation and coordination.
Resolve inquiries quickly and accurately, using critical thinking to address complex issues.
VIVIO Health helps make data the basis for clinical decision-making. Their evidence-based, data-driven specialty drug management and cost control solution has improved healthcare outcomes and lowered costs for large, self-insured employers since 2016.
Own all patient communication, including outreach, engagement, data entry into internal and external systems, scheduling, appointment coordination, pre-authorizations, and billing follow-up
Schedule virtual visits and outpatient procedures (such as stress tests, echocardiograms, and cardiac calcium scoring) with both Heartbeat and third parties
Follow up with patients via email, phone, and/or text to drive patient engagement
Heartbeat Health is a virtual-first cardiovascular care company, providing patients with convenient, high-quality heart care. They leverage real-time data and AI-powered insights, empowering providers and patients with personalized treatment plans.
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.
Complete all documentation associated with client calls.
Complete all required reports associated with Needs Assessment/Referral Development.
Pyramid Healthcare is dedicated to offering high-quality care in addiction treatment, mental health recovery, and eating disorder treatment. They focus on client-centered care and comprehensive behavioral healthcare, supporting clients at every recovery stage.
Manage patient care coordination and caregiver-related issues.
Ensure continuity of care for HHA and PDN cases.
Provide timely staffing support and attendance monitoring.
SnappyCX is in the business of something, but the job description does not specify what the company's purpose is. No information is provided regarding the size/employees and culture.
Facilitate collaboration with health plan care 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.
Deliver patient centric health coaching that integrates medical needs with patient preferences.
Triage patient reported symptoms and side effects according to internal protocols, escalating to Providers when appropriate.
Provide comprehensive diabetes, hypertension, hyperlipidemia, and weight management care and education via chat, phone, and video.
9amHealth is a specialized cardiometabolic care provider, offering custom care plans, prescription medications, and expert guidance to help members live healthier. They are a San Diego, California-based company with a small, flexible team and are backed by 7Wire Ventures, Human Capital, Founders Fund, and Define Ventures.
Performs complex secretarial and administrative duties.
Responsible for all clinic preparations and optimizing provider patient schedule.
Triages incoming calls, schedules patient appointments, and obtains pertinent medical information.
The University of Rochester is committed to education, research and making the world ever better. One of the world’s leading research universities, Rochester has a long tradition of breaking boundaries—always pushing and questioning, learning and unlearning.
Act as a Gentiva representative supporting patients seeking post-acute care.
Navigate healthcare options, including post-acute offerings and Medicare coverage.
Assist in the admissions process by coordinating with Gentiva branch staff.
Gentiva offers compassionate care in the comfort of patients' homes and is a national leader in hospice care, palliative care, home health care, and advanced illness management. They have nearly 600 locations and thousands of dedicated clinicians across 38 states, fostering a collaborative environment.