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• Serve as the primary contact for patients throughout the therapy process.
• Monitor all patient cases for delays or obstacles and coordinate with healthcare providers.
• Maintain accurate documentation and reporting of access barriers, interventions, and outcomes.

Jobgether is a platform advertising this job on behalf of a partner company. They are looking for candidates to fill the role.

• Deliver coordinated, family-centered virtual Care Management by phone that improves behavioral health outcomes.
• Develop personalized, goal-oriented care plans in collaboration with families and the multidisciplinary team.
• Support members through behavioral health treatment plans, transitions of care, and episodes of acute behavioral health crises.

Included Health is a healthcare company that delivers integrated virtual care and navigation. They aim to raise the standard of healthcare for everyone by breaking down barriers to provide high-quality care for every person, offering care guidance, advocacy, and access to personalized virtual and in-person care.

• 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.

• Administer assessments/screening tools to identify and prioritize member needs.
• Develop individualized care plans and lead care coordination efforts.
• Build strong, empathetic relationships with members, driving collaboration.

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; through our leading-edge care model, Tuesday Health is shaping the future of community-based palliative care nationwide.

• Provides quality driven telephonic clinical assessments, health education, and utilization management services.
• Provides assessments to individuals using telecommunications in accordance with computer-based algorithms, protocols, and guidelines.
• Uses clinical knowledge to assess, disposition, make recommendations for care, provide education and health information.

Carenet Health values the expertise and dedication of their team members. They are committed to offering an appealing compensation package and creating an inclusive environment for all employees.

• Coordinates home infusion services for compliance.
• Organizes, plans, and evaluates agency services and programs.
• Ensures effective delivery of services to maintain quality care.

BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Their compassionate care team helps patients navigate the often-challenging healthcare environment and treats their patients like family.

• Provide operational leadership and oversight for Privia Health’s telephonic triage and after-hours care coordination platform.
• Responsible for data-driven performance management, workflow optimization, staff scheduling, and resource planning to support safe, scalable, and cost-effective service delivery.
• Oversee Health Advisors and operational support staff, ensuring adherence to protocols, communication standards, and service-level expectations.

Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care. The Privia Platform consists of scalable operations and end-to-end, cloud-based technology.

• Conduct assessments, establish care goals, and deliver telephonic coaching and education to support clients in managing chronic conditions.
• Perform first‑level Utilization Review for inpatient and outpatient services based on plan guidelines.
• Document all condition management activities, track client progress, and report outcomes, savings, and quality improvements.

HealthCheck360 focuses on reducing medical costs while increasing employee engagement and productivity. They accomplish this by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through Health Coaching and Condition Management programs.

• 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.

• Provide professional and friendly proactive care for our patients.
• Utilize standard triage protocols to accurately assess and provide a disposition for clinical issues using our platform.
• Embed a family centered care philosophy in care delivery.

Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care, working alongside families and health 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.

• Answer and triage after-hours calls across Ohio markets.
• Conduct remote clinical assessments to determine patient and family needs.
• Evaluate patient status changes and provide symptom management guidance.

Luminary Hospice is a mission-driven organization that empowers its team members to shape the culture and provide high-quality support to patients and families during their end-of-life journey. They are centered on caring for the whole person, providing expert medical care, pain management, and emotional and spiritual support to families and caregivers.

• Oversee the RN Reviewer team including one RN Team Lead
• Manage the daily timeliness report and ensure all cases meet expected turnaround times
• Monitor the nurse productivity reports daily and provide feedback to the nurses, managing performance to ensure consistency

Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. They work with over 660,000 providers and handle over 12 million prior authorization requests annually.

• Participate in provider case reviews to identify trends and deficits.
• Coach providers and participate in client meetings to support expectations.
• Contribute to workflow design, QA improvements, and risk management.

Amwell transforms healthcare with technology and people. They aim to provide convenient, affordable, and effective care, serving large healthcare organizations in the U.S. and worldwide.

• Responsible for daily operations of direct reports while driving operational initiatives.
• Leads clinical implementation efforts within an assigned team or partner for new technologies and workflows.
• Drives change management and adoption of new tools and workflows at team level by partnering with training and peer leaders.

Twin Health empowers people to improve and prevent chronic metabolic diseases, like type 2 diabetes and obesity, with a new standard of care, applying AI Digital Twin technology exclusively toward metabolic health. The company has been recognized for its innovation and culture and is scaling rapidly across the U.S. and globally.

• Conduct virtual wellness visits to patients in their homes.
• Perform health risk assessments and medication reviews.
• Provide comprehensive care coordination and management.

Sprinter Health is an on-demand mobile health service that sends medical professionals to patients’ homes. They are building the clinical and technological infrastructure to realize a future of healthcare untethered with a rapidly growing team of visionary leaders.

• Build meaningful relationships with patients and families, understanding their goals, barriers, and motivators.
• Creating personalized care plans that go beyond diagnoses, addressing social determinants, emotional well-being, and behavioral health when applicable.
• Coordinate care across providers and settings, ensuring safety, quality, and continuity.

Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers.

• Provides telephonic assessments of members’ medical, psychosocial, physical, and spiritual needs.
• Develops a Person-Centered Service Plan (PCSP) utilizing UAS-NY assessments.
• Revises the PCSP and communicates changes with interdisciplinary care team and PCP in response to changes in members’ condition.

MJHS provides high-quality, personalized health care services. At MJHS, they foster collaboration, celebrate achievements, and promote fairness.

• Utilize advanced clinical judgment to triage patient symptoms per protocol.
• Conduct thorough reviews of refill requests and abnormal lab results.
• Lead follow-up care for positive PHQ-9 screenings, ensuring patients are safely navigated to the appropriate level of care.

Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team, deeply invested in creating a culture where every employee is valued and we learn and improve together.

• Treat patients virtually through a HIPAA-compliant telehealth platform.
• Support the development of virtual care protocols and guidelines.
• Participate in case reviews, consultations and utilization review.

Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors. The Privia Platform consists of operations and technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.