Source Job

• Manages clinical aspects of patient-centered medical home care.
• Coordinates medical care of patients identified as high risk.
• Identifies resources for patient self-management skills.

The University of Rochester is committed to fostering an inclusive and welcoming culture. They strive to uphold the values of equity, leadership, integrity, openness, respect, and accountability to set the highest standards for how they treat each other and ensure that their community is welcoming to all.

• Maintain oversight over a specified panel of members by performing ongoing assessments.
• Create comprehensive care plans addressing members' needs and conducting regular follow-ups.
• Ensure achievement of targeted goals related to patient outcomes and care plan realization.

Jobgether is a company that uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements. Their system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.

• Serve as a patient advocate and navigator, guiding patients and caregivers through the healthcare system.
• Complete emergency room and hospital follow-up calls, offering education on alternative access points to reduce avoidable ED visits.
• Facilitate medication education and adherence support, including alignment with standing orders, protocols, and chronic disease management goals.

Praxis Health is a family of medical groups providing high-quality healthcare throughout the state of Oregon. They foster a supportive and collaborative workplace where every team member is valued and empowered to succeed with community-based clinics.

• Provide continuity of care and identify care gaps.
• Complete assessments and assist with care plan development.
• Advocate for resources and connect families with services.

Imagine Pediatrics is a tech-enabled, pediatrician-led medical group that reimagines care for children with special healthcare needs, delivering 24/7 virtual and in-home care. It enhances existing care teams by providing extra support with compassion and commitment.

• Conducting in-depth telephonic assessments to understand each patient’s needs.
• Developing individualized care plans and guiding patients through their treatment goals and care options.
• Monitoring progress by phone, adjusting care plans, and ensuring patients stay connected to their providers.

Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. They improve the health of patients, and restore the fulfillment of practicing medicine for providers leveraging remotely-embedded Healthguides™ and a centralized Managed Service Organization. Physician-led, Guidehealth empowers its partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.

• Build trusted relationships with older adults and their families, grounded in listening and empathy.
• Serve as a go-to resource for navigating medical systems, social services, and emotional wellness needs.
• Create individualized care plans that address both clinical needs and SDOH.

Sailor Health is revolutionizing mental health care for older adults, addressing one of the fastest-growing and most underserved healthcare segments in America. They aim to redefine the golden years, enabling older adults across the nation to live happier and healthier lives.