You will serve as a critical liaison between patients, providers, care teams, and community resources to ensure continuity of care.
You will create and promote adherence to treatment plans developed by healthcare providers.
You will assess patients' unmet health and social needs and connect them to relevant community resources.
Point C is a national third-party administrator that delivers customized self-funded benefit programs. We are a mission-driven company focused on innovative cost containment strategies and driving down plan costs.
Assess and coordinate care for members, ensuring continuity and person-centered service plans.
Manage a caseload of 20-30 calls per day, including crisis calls, and lead interdisciplinary care teams.
Coach and mentor less experienced Care Managers to support team development.
Integrated Resources, Inc. is a workforce solutions company that delivers strategic talent management services. Founded in 1996, the company has grown steadily and focuses on matching qualified professionals with employers, building long-term partnerships based on performance and integrity.
Strategically assess, plan, and facilitate comprehensive care across the continuum for high-risk patients.
Collaborate with physicians, nursing, insurers, and post-acute providers to ensure timely transitions.
Work remotely from California, using provided equipment, with potential weekend/holiday coverage.
Dignity Health Management Services provides integrated managed care administrative and clinical services to medical groups, hospitals, and health plans. It is part of CommonSpirit Health, one of the largest nonprofit health systems in the US, with a focus on coordinated patient care and community health.
Provide high quality, prompt assistance with triaging and coordination of transfers from other facilities.
Monitor and respond to triage needs, completing direct referral acceptance process.
Collaborate closely with referral sources, physicians, and nurses to ensure effective communication.
PAM Health provides specialty healthcare services for chronically and critically ill patients requiring extended hospital care. They have over 80 hospital locations and employ over 11,000 people, fostering a collaborative and compassionate culture.
Provides active care management and coordinates action plans for members.
Evaluates outcomes and ensures accurate documentation of clinical information.
Serves as member advocate and promotes enrollment in care management programs.
BlueCross BlueShield of South Carolina is a leading health insurance company and administrator of government contracts. With an A+ rating and a diverse family of subsidiaries, they are the largest insurer in South Carolina and employ a dedicated team focused on outstanding customer service.
Coordinate care for all Invasive Cardiology or Radiology patients, including intake, education, and pre-procedure planning.
Manage medication histories, order labs and imaging, and coordinate with multidisciplinary teams.
Ensure insurance pre-authorization, follow up post-procedure, and provide patient education and support.
University of Utah Health is a patient-focused organization dedicated to enhancing health and well-being through patient care, research, and education. As a Level 1 Trauma Center, it is nationally ranked for academic research, quality standards, and patient experience, employing thousands across five hospitals and eleven clinics.
Plan, direct, and evaluate potential patients through assigned referral system.
Establish consistent communication with admitting hospitals to ensure a best-in-class admission process.
Work with Outreach Managers to assess patient needs in accordance with the Pre-Screening Evaluation Form.
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. With locations in Indiana, Michigan, Texas, and Arizona, we are expanding access to our unique model of care across the United States.
Provide clinical education, focused interventions, and care transition support for members with low-acuity needs.
Conduct in-person and virtual clinical exams, medication reconciliation, and chart reviews.
Triage referrals and collaborate with care team to ensure timely follow-up and handoffs.
Cityblock Health is a tech-driven provider for communities with complex needs, offering personalized primary care, behavioral health, and social services. Founded in 2017 and backed by Alphabet, the company has a diverse, inclusive culture and is growing rapidly.
Manage a portfolio of clients, providing clinical support, education, advocacy, and care coordination throughout their healthcare journey.
Conduct clinical intakes, collaborate with internal teams, and ensure smooth transitions across care delivery.
Communicate clearly and compassionately with clients, caregivers, providers, and internal partners.
Private Health Management guides patients and families through serious medical care, acting as an independent advocate to orchestrate the best treatment and support. The company is a mission-driven organization with a team of experts that provides compassionate, high-quality care coordination.
Conduct high-volume outbound telephone outreach to patients, introducing the pharmacy service and guiding them through enrollment.
Deliver standardized messaging, obtain consent, and document all activity in the EHR.
Manage outreach queues, meet performance targets, and uphold HIPAA standards.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. They are a growing company committed to improving patient outcomes and quality of life, with a culture of innovation and patient focus.
Work with a multi-disciplinary team to ensure a high-quality patient experience.
Manage patient/provider messaging and coordinate care plans.
Provide administrative and communication support for the provider network.
Thirty Madison is now part of Remedy, revolutionizing healthcare accessibility. The company is dedicated to building a diverse, inclusive, and authentic workplace, with a focus on patient care and provider support.
Manage care for high-risk members by identifying needs and coordinating clinical, community, and in-network resources.
Perform utilization management reviews, ensure quality oversight, and support accreditation readiness.
Collaborate with multidisciplinary teams to analyze member outcomes and drive continuous improvement.
They are a health plan focused on improving outcomes for high-risk members through care coordination and quality initiatives. Their team values collaboration, clinical excellence, and mission-driven work to enhance community health.
Serve as the dedicated point of contact for clinicians from hire to go-live, orienting them to culture and workflows.
Train clinicians on Synapse and site-specific processes through live sessions and create training materials.
Own institutional knowledge for each hospital site and lead remedial education when gaps arise.
Sevaro is a physician-founded virtual specialty care company providing teleneurology and multispecialty virtual care through its Synapse AI platform. They foster a collaborative, mission-driven culture focused on patient outcomes and operational excellence.
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.
Engage Thyme Care members to identify health and social needs, discuss goals, and connect them to resources and support. - Work within a structured phone queue handling inbound and outbound calls in a high-volume, metrics-driven environment. - Collaborate with an interdisciplinary team to provide holistic care coordination and help members navigate their cancer journey.
Thyme Care is a tech-native value-based oncology care enabler that partners with health plans and providers to deliver better outcomes and lower costs for people with cancer. The company is a growing organization with a culture that blends human support with technology and AI, aiming to create a more connected and compassionate experience for members.
Serve as precept and mentor to new oncology nurses and provide ongoing support.
Provide remote chemotherapy order and chart verifications and assist with nursing assessments.
Coordinate between on-site nurses, non-clinical coordinators, and oncologists.
Main Street Health is the nation's largest provider of value-based care exclusively serving rural America. We believe in the old ways of medicine when healthcare was simpler, and we partner with rural health systems to reinforce trust and relationship-driven care.
Responsible for primary oversight of the schedule in coordination with nursing leadership.
Works with the nursing team to provide coverage proactively by scheduling weeks in advance.
Educates facility nursing leaders on SmartForce system and runs reports to track attendance.
Acadia Healthcare provides compassionate behavioral healthcare to improve lives and elevate communities. They operate a nationwide network of facilities and offer professional growth opportunities.
Act as a Gentiva representative helping patients navigate post-acute care, Medicare, billing, and healthcare resources.
Handle non-clinical inbound calls, escalate to nurses when needed, and assist in the admissions process.
Maintain awareness of performance objectives, ensure patient satisfaction, and adhere to company policies.
Gentiva provides compassionate in-home care including hospice, palliative, home health, and advanced illness management. It operates nearly 600 locations with thousands of clinicians in 38 states, fostering a collaborative and supportive culture.
Take triaged cases and build urgent execution plans using resource directories and independent research.
Work the plan, call patients to update them, and document every interaction accurately for seamless 24/7 handoffs.
Push through obstacles like busy signals, denials, and system hurdles until the problem is solved, typically within 2–3 days.
Mira Mace is a venture-backed company on a mission to help people navigate a complicated healthcare system with clarity and confidence. They pair people-centered navigation with technology, and their advocates cut through insurance denials, medication costs, and paperwork so patients get what they need without fighting alone.
Provide telephonic case management to proactively drive return to work.
Perform utilization review and coordinate care with providers and adjusters.
Evaluate treatment plans and partner with adjusters to achieve optimal outcomes.
AmTrust Financial Services is a fast-growing commercial insurance company providing comprehensive telephonic case management. They foster a diverse and inclusive culture with a focus on attracting and retaining the best talent.