Oversee clinical enrollment for members, guiding them through protocols and eligibility for the most appropriate program.
Collaborate with a cross-functional team of nurses, health coaches, and providers to ensure a seamless member experience.
Utilize nursing judgment, motivational interviewing, and data tools to drive behavior change and improve health outcomes.
Twin Health is the only company applying AI Digital Twin technology to prevent and improve chronic metabolic diseases like type 2 diabetes and obesity. With more than $100 million raised and over 100 employees, Twin has been recognized as an Innovator of the Year and a Most Loved Workplace, backed by leading venture firms.
Serves as the first clinical point of contact, conducting comprehensive assessments and crisis intervention for individuals seeking brain and mental healthcare.
Guides patients from initial outreach through admission, treatment initiation, and post-treatment follow-up in collaboration with cross-functional teams.
Documents all interactions in the electronic health record and supports quality improvement initiatives to enhance patient experience and access to care.
Salma Health is a brain health company that integrates care delivery, technology, and research to diagnose, treat, and ultimately cure brain disorders. The company is expanding across the U.S. with a multidisciplinary team of psychiatrists, neurologists, neuropsychiatrists, therapists, and technologists.
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.
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.
Serve as the welcoming anchor for the practice, blending compassionate communication with organizational skills.
Schedule new patient appointments, manage scheduling systems, and collect intake data accurately.
Proactively address cancellations, re-engage patients, and maintain flawless EMR documentation.
Isaac Health improves brain health by providing accessible specialty dementia care services. Founded in 2022, it has scaled across the US with support from leading healthcare investors and a focus on clinical quality.
Initiate and handle outbound and inbound calls to set appointments and conduct interviews with prospective learners, guiding them through the Discover, Commit, Start Application journey.
Provide daily activity reports, generate leads through referrals, and maintain accurate records in the learner management system while ensuring compliance with accreditation standards.
Review applicant documentation and eLearn assessments to determine suitability for admission, collaborating with other functions to deliver high-quality enrollment support.
Nightingale Education Group is a healthcare education institution focused on higher learning in healthcare professions, using a blended-distance learning platform to transform rural health landscapes. The company has graduated nearly 5,000 nurses and fosters a community built around shared purpose and professional development.
Conduct comprehensive health assessments via telemedicine, evaluating risk scores and gaps in care.
Develop evidence-based care plans addressing clinical and non-clinical needs, prioritizing member goals.
Collaborate with Oncology Nurse Navigators and Community Health Workers to ensure high-quality follow-up care.
Thyme Care is a market-leading value-based oncology care enabler, partnering with health plans, providers, and employers to improve outcomes and lower costs. As a tech-native organization, we combine high-touch human support with technology and AI to strengthen the human connection in cancer care.
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.
Manage patient physiological markers and provide clinical triage.
Conduct wellness calls and collaborate with care teams to set health goals.
Drive patient engagement and ensure adherence to RPM program standards.
Vivo Care is building a platform to make healthcare continuous, personal, and truly connected. It is a fast-growing startup with a culture of inclusion, collaboration, and innovation.
Coordinate patient care remotely using phone or video, focusing on assessments, care plans, and resource access.
Identify process improvements through data collection and auditing, while navigating multiple EHR platforms.
Utilize home health expertise to triage patient needs and maintain open communication with patients, caregivers, and providers.
ThedaCare is a community health system consisting of seven hospitals and numerous clinics, serving as the third largest health care employer in Wisconsin. With approximately 6,800 employees, the organization emphasizes innovation, compassion, and a commitment to improving community health.
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 telephonic and video-based follow-up care for post-hospital discharge patients, focusing on medication reconciliation, symptom screening, and care coordination.
Collaborate with nursing team and coordinate across settings to keep patients connected and improve health outcomes.
Meet individual performance targets while contributing to team population health goals in a digital-first environment.
Galileo is a team-based medical practice working to improve the quality and affordability of health care for all. Operating across 50 states, Galileo offers high-touch, data-driven, multi-specialty, longitudinal care to diverse and complex patients. Founded by Dr. Tom X. Lee, the team of leading innovators from healthcare and technology is committed to transforming healthcare through inclusive and collaborative culture.
Perform medical necessity reviews of clinical documentation to determine appropriateness of inpatient and outpatient services.
Develop relationships with medical providers and health plans to confirm adherence to policies and guidelines.
Stay updated on technology changes, regulatory issues, and medical practices through ongoing training.
Trend Health Partners is a tech-enabled payment integrity company that facilitates collaboration between payers and providers to reduce waste and improve healthcare access. It promotes a collaborative and innovative work environment as a dynamic, growing organization.
Provide virtual wellness visits and health assessments from home.
Collaborate with in-home team members for comprehensive patient care.
Manage care coordination, medication reviews, and referrals to specialists.
Sprinter Health is an on-demand mobile health service that sends medical professionals to patients' homes for blood draws, diagnostics, and wellness visits. We have a rapidly growing team of visionary leaders dedicated to increasing access to care and lowering healthcare costs.
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.
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.
Manage patients through the palliative continuum from referral to hospice transition.
Coordinate care across providers, patients, and facilities with timely goals-of-care discussions.
Document care management minutes and communications accurately using EMR and CRM systems.
Ennoble Care is a mobile primary care, palliative care, and hospice service provider serving patients in multiple states. They offer a continuum of care for chronic conditions and limited mobility, with a focus on compassionate, patient-centered care.
Responsible for using assessment and communication skills to engage patients in need of clinical support, determine priorities, and deliver patient-centered care.
Identify patient education needs through telephonic assessment and collaborate with healthcare teams to coordinate care and keep patients stable at home.
Serve as point of contact for patients, families, and providers, implementing interventions to improve health outcomes and reduce costs.
Vytalize Health is a value-based healthcare company that coordinates care for patients with chronic conditions, aiming to improve outcomes and lower costs. It is a rapidly growing organization with a startup culture, offering a dynamic environment.