Guide patients through the healthcare system by translating medical complexity into plain language and coordinating care.
Build and own care plans that address both medical needs and social determinants like transportation and food access.
Solve real problems with persistence by navigating denied claims, missed referrals, and unaffordable medications.
Careway Health is building an advocacy-first telehealth platform to help seniors overcome complex health and social challenges and maximize independence. They are a growing company focused on democratizing access to high-quality care with a team of physicians and health advocates.
Provide remote patient advocacy for Medicare members, untangling health situations and addressing Social Determinants of Health.
Use LPN/LVN clinical background to build trust with patients via phone or video calls.
Design care plans factoring in everyday barriers like food access and transportation.
Solace is a healthcare advocacy company that helps patients navigate the complex U.S. healthcare system. Founded in 2022, it is a Series C startup with a lean, mission-driven team backed by major investors.
Provide telephonic triage assessments and health education using nursing protocols and algorithms.
Utilize critical thinking and communication skills to manage diverse patient populations.
Work a flexible schedule that includes evenings and weekend shifts from your home office.
Carenet Health provides telephonic clinical assessments, health education, and utilization management services to patients and members. They are a growing organization with a collaborative national team of Registered Nurses, offering work-from-home options and a supportive culture.
Provide telehealth clinical triage assessments and health education to diverse populations via phone, video, and chat.
Utilize critical thinking and clinical skills to assess patient needs, direct to appropriate care, and influence health decisions.
Document interactions and monitor performance metrics while participating in coaching sessions to improve quality.
Carenet Health provides telehealth and virtual care clinical triage assessments, health education, and services to patients and health plan members. The company has been named one of America's fastest-growing private companies by Inc. Magazine for eight consecutive years and fosters a culture of compassion, innovation, and work-life balance.
Review Home Health prior authorization requests for medical necessity using CMS regulations and Clover clinical guidelines.
Perform initial and concurrent clinical reviews, ensuring appropriate care in the least restrictive setting.
Collaborate with providers and internal teams to support timely decision-making and positive member outcomes.
Clover Health is a healthcare company that uses data and technology to provide affordable, high-quality insurance plans for seniors. The company fosters a remote-first culture with a diverse and mission-driven team focused on improving member outcomes.
Provide clinical assessment and nursing triage to diverse patients across the health continuum.
Assist in directing patients to the most appropriate level of care via telephonic health information.
Work in collaboration with Telehealth providers for virtual care visits and follow-up calls.
We bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, and 400 healthcare facilities, we are a leader in clinical practice management with a culture of belonging and empowerment.
Conduct high-volume telehealth pre-assessment consults, educating patients on safe usage and side effects.
Provide empathetic, non-judgmental care while documenting accurately to support safe prescribing.
Liaise with prescribers and the Patient Care Team to ensure continuity of care in a fast-paced remote environment.
Montu is Australia's largest healthtech business focused on alternative healthcare, supporting patients through its Alternaleaf clinic and other platforms. Founded in 2019, it has grown rapidly, ranked #1 in Deloitte TechFast 50 for two consecutive years and #1 on LinkedIn's Top Startups Australia 2024, with a remote-first culture.
Provide compassionate telehealth patient engagement and monitoring for opioid use disorder treatment.
Coordinate care with multidisciplinary teams, including Nurse Practitioners and Peer Recovery Specialists.
Maintain accurate medical records and ensure HIPAA compliance while delivering patient education and support.
Boulder Care is a telehealth provider specializing in medication-assisted recovery for substance use disorder. They are a remote-first company focused on harm reduction and patient-centered care, with a supportive team culture that values empathy and innovation.
Provide on-demand telephone-based care management services through a 24/7 Nurse Advice Line.
Assess symptoms and concerns of callers to determine urgency and type of care needed.
Coordinate care across the healthcare delivery system and record patient data in medical record systems.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and physician leadership, and focuses on reducing healthcare costs and improving outcomes.
Perform prospective, concurrent, and retrospective utilization reviews for behavioral health services across multiple care settings.
Assess medical necessity and coordinate care with providers, members, and internal teams to ensure appropriate access and treatment.
Support discharge planning, benefit utilization, and regulatory compliance while improving overall care quality.
This company provides high-quality behavioral health coordination and utilization management services to improve member outcomes. They foster a supportive, collaborative environment focused on professional growth and clinical excellence.
Perform daily audits on client data for completeness and accuracy of coding using clinical knowledge.
Respond to provider appeals and meet client turnaround time and KPI goals.
Utilize coding validation training to become familiar with claims payment policies and regulations.
Cotiviti is a healthcare analytics company that uses data-driven solutions to improve payment accuracy and quality in healthcare. The company offers a competitive benefits package and fosters a collaborative, fast-paced work environment.
Triage and provide clinical support for incoming patient communications.
Conduct phone assessments of clinical symptoms to determine the best path of care.
Assist in the development of processes and systems for urgent care and virtual triage.
Galileo is a team-based medical practice providing high-touch, data-driven, multi-specialty care across the United States. They are a team of healthcare and technology innovators focused on improving care quality and affordability for all.
Provide high-quality virtual primary care through video visits, including assessment, diagnosis, treatment, and patient education.
Manage a panel of patients, delivering comprehensive care across acute, chronic, and preventive needs.
Collaborate with the Care and Case Management team to develop care plans and support successful outcomes.
Included Health delivers integrated virtual care and navigation, aiming to raise the standard of healthcare for everyone. It is a growing company with a remote-first culture and a focus on breaking down barriers to provide high-quality care for every community.
Provides disease-specific management and oncology care coordination for patients and families throughout treatment.
Documents assessments and interventions in real time, collaborates with oncologists, and proactively manages symptoms.
Requires two years of oncology experience, an active RN license, and strong computer skills for a remote work environment.
AON is an alliance of physicians and veteran healthcare leaders dedicated to ensuring the long-term success and viability of oncology diagnosis and treatment in community-based settings. It is the fastest growing national network of community oncology practices, employing staff across the country to empower physicians and deliver exceptional cancer care.
Conduct comprehensive health assessments for Medicare Advantage members via telehealth.
Create personalized care plans and coordinate with primary care physicians and care teams.
Document visits and close gaps in care using Clover's software and EMR systems.
Clover is reinventing health insurance by combining data with human empathy to keep members healthier. The company is a mission-driven team focused on improving healthcare, with a culture that values diversity and inclusion.
Supervise daily operations of clinical compliance auditors and specialists.
Assist in developing coordinated team processes and managing UM and PHM plan adherence.
Serve as clinical services liaison to senior management and ensure timely documentation.
Guidehealth is a data-powered healthcare company focused on operational excellence and value-based care. They emphasize empathy, AI, and collaboration, with a remote-first culture.
Deliver virtual comprehensive care to patients of all ages across a wide range of conditions.
Evaluate, diagnose, and treat acute, chronic, and mental health conditions.
Collaborate with provider and support teams to improve healthcare access and quality.
Included Health is a healthcare company delivering integrated virtual care and navigation, aiming to raise the standard of healthcare for everyone. They have a remote-first culture and offer a range of benefits for employees.
Perform clinical reviews for medical necessity, level of care, and authorization-related denials.
Review inpatient and outpatient medical records to support appeal submissions and apply payer-specific guidelines.
Document review findings accurately and meet assigned turnaround times while maintaining quality standards.
CorroHealth helps clients exceed their financial health goals by providing scalable solutions and clinical expertise across the reimbursement cycle. The company fosters a supportive culture that invests in professional development and personal growth.
Perform utilization review including precertification and concurrent reviews using medical necessity criteria.
Collaborate with medical directors and providers on complex cases and integrate AI tools into workflow.
Initiate referrals to disease management programs and participate in quality improvement initiatives.
Guidehealth is a data-powered healthcare company that uses AI and predictive analytics to improve healthcare affordability and patient outcomes. It is a physician-led organization with a culture of accountability, learning, innovation, and empathy.
Engage patients and help them navigate their care, improving communication with their medical practice.
Accurately document patients' medical history and issues in the electronic health record.
Utilize effective communication modalities to engage and schedule high-risk patients.
Guidehealth is a data-powered healthcare company using AI to make healthcare affordable and improve patient outcomes. They are a physician-led, remote-first company with a culture focused on accountability, growth, collaboration, and empathy.