Establish and maintain contact with assigned oncology members via phone, text, email, and video calls.
Initiate nursing care plans, educating members on treatment regimens, symptom management, side effects, and disease-specific program benefits.
Obtain and use clinical information to develop individualized member and clinician-centered care plans that complement oncologist guidance/plan of care.
Engage with patients and healthcare providers via phone and virtually.
Serve as a clinical resource for therapy adherence, addressing inquiries related to medication and side effects.
Act as a liaison between healthcare professionals and patients, navigating therapy access challenges.
EVERSANA provides commercialization services to the life sciences industry with a global team of more than 7,000 employees. They serve over 650 clients, ranging from innovative biotech start-ups to established pharmaceutical companies, to bring therapies to market and support patients.
Manage communications between patients and doctors and associated documentation.
Collaborate with Customer Service to troubleshoot patient requests pertaining to physician requirements.
Provide clinical feedback in response to patient inquiries involving medication, lab, side effects.
Hone is an online medical clinic transforming healthcare and enhancing longevity. They use scientific advancements to empower individuals to take control of their health. Hone is a remote-first employer with a focus on people and a culture that values collaboration and joy.
Triage patient care needs over the phone, providing medical advice, and coordinating with healthcare providers to address urgent concerns.
Use motivational interviewing and active listening skills to understand patient needs and effectively communicate to identify/resolve issues.
Implement strategies to prevent hospital re-admissions, including patient education, follow up telephonic touchpoints, and care coordination.
VitalCaring is a leading provider of home health and hospice services. Founded in 2021, it has over 65 locations across the country and is committed to fostering a culture of support, growth, and excellence for its team.
Conduct thorough reviews of medical records to support program eligibility determinations.
Apply established clinical criteria and program-specific guidelines to evaluate medical necessity and eligibility determinations.
Accurately abstract and document relevant clinical findings, diagnoses, procedures, and treatment history from the medical record.
Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. Daymark’s comprehensive, personalized cancer care platform empowers patients with dedicated care navigation, symptom-focused support, behavioral health care, and social resources.
Work independently to make clinical decisions on routine patient care matters.
Provide patient-focused care and guidance on the phone or online.
Monitor your own performance with dashboard metrics and look for ways to improve.
Carenet Healthcare Services provides telehealth and virtual care clinical triage assessments, health education and other services to diverse populations of patients and health plan members. They are known to connect nurses and clinical staff with consumers as a trusted, behind-the-scenes partner for health plans and health systems.
Serve as the remote support hub for Nurse Practitioners (NPs) practicing in Skilled Nursing Facilities (SNFs).
Improve NP efficiency and patient outcomes by owning clinical, data, and communication tasks.
Perform clinical triage, educate families, manage program data, and coordinate complex care.
HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities. They connect patients in need of vital healthcare to doctors committed to dignity and excellence.
Handle inbound calls from patients and caregivers, providing compassionate and informed triage.
Assist with finding appropriate providers, community resources, and care solutions and coordinate priority virtual appointments.
Research information online and in Privia’s internal knowledge databases to make the most appropriate triage and care advice decisions.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems. They optimize physician practices, improve patient experiences, and reward doctors. Their platform is led by top industry talent and consists of scalable operations.
Remotely triage after hours calls 5pm to 8:30am during the week and full days on Saturdays and Sundays
Responsible for after hour admissions and triaging clinical concerns after business hours
Problem solve and maintain emergencies by coordinating all clinical issues with the on-call manager
BAYADA Home Health Care is a leading home health care company that believes that our clients and their families deserve home health care delivered with compassion, excellence, and reliability. As a mission-driven nonprofit, BAYADA is celebrating 50 years offering compassion, excellence, and reliability.
Conduct targeted patient outreach to close care gaps and ensure timely care transitions.
Deliver high-touch engagement for high-risk patients to prevent readmissions through follow-up.
Collaborate with Practices to support interventions such as Transitional Care Management.
Aledade empowers independent primary care practices, helping them deliver better care and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Manage a caseload and deliver exemplary member-centric care as part of the interdisciplinary team.
Deliver coaching and mentoring for quality improvement, best practices, and help drive performance.
Transcarent is the One Place for Health and Care, bringing medical, pharmacy, and point solutions together. More than 1,700 employers and health plans rely on them to provide information, guidance, and care, empowering health consumers with more choice and higher-quality care.
Provide clinical oversight and guidance to CHWs and BHCMs, including escalation support for complex and high-risk patients
Lead clinical case reviews, identifying gaps in care and ensuring care plans are clinically appropriate and aligned with health plan requirements
Support care coordination across medical, behavioral health, and social needs, including collaboration with external providers and hospitals
Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the one-size-fits-all healthcare system. Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations.
Contact patient and complete a thorough assessment, including physical, psychosocial, emotional, spiritual, environmental, and financial needs.
Develop treatment plan for standard and catastrophic cases in collaboration with the patient, caregivers or family, community resources and multi-disciplinary healthcare providers that include obtainable short- and long-term goals.
Advocate for the patient by facilitating the delivery of quality patient care, and by assisting in reducing overall costs; provide patient/family with emotional support and guidance.
Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. They serve employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes and have a mission to empower people to lead healthier lives.
Provides remote nursing support to assist in the delivery of patient care through telehealth services.
Works under the supervision of the Regional Telehealth Nurse Manager and in collaboration with onsite clinical staff to assess patient needs.
Supports the nursing process by assisting with assessment, planning, implementation, and evaluation of care.
Wellpath provides healthcare services to unique individuals in correctional facilities. They focus on clinical care and saving lives, offering training and development opportunities for healthcare team members.
Coordinate and implement medical case management to facilitate case closure.
Assess appropriate utilization of medical treatment and services.
Review medical records and assess data to ensure appropriate case management process.
Berkley Medical Management Solutions (BMMS) provides managed-care service for W.R. Berkley Corporation, focusing on injured worker’s return to work. BMMS was started in 2014 and combines clinical practices, return-to-work strategies, and software for workers’ compensation cases.
Triages new patient appointments to the appropriate provider(s) and assures timely scheduling of initial appointments.
Assesses barriers to care and refers to support services, local, and national organizations when needed.
Educates on the treatment plan for patients based on diagnosis.
The University of Miami (UHealth) is South Florida's only university-based health system, providing leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. With more than 17,000 faculty and staff, the University strives for excellence.
Coordinate case management activities related to medication optimization, adherence, and therapeutic appropriateness
Collaborate with providers, PBMs, and pharmacy partners to support evidence-based medication use and access
Conduct member outreach, education, and follow-up to support adherence and understanding
Point C is a national third-party administrator (TPA) delivering customized self-funded benefit programs with local market presence. They focus on cost containment strategies with innovative solutions. They are driven by a clear and impactful mission.
Provide comprehensive medication management, including reconciliation, dose optimization, adherence support, and drug‑level assessments aligned with evidence‑based standards.
Partner with physicians, specialists, and interdisciplinary teams to order individualized care plans under a CPA and promote seamless medication coordination.
Monitor therapy effectiveness and safety, identify optimization and intervene as appropriate.
Shields Health Solutions is redefining patient care through health-system integrated specialty pharmacy. They are known for elevating patient care at nationally recognized Academic Medical Centers and building meaningful relationships with patients and providers.
Use phone and video to provide follow-up care to post-hospital discharge patients.
Coordinate patient care between hospitals, pharmacies, and community providers.
Collaborate with the nursing team and meet individual performance targets.
Galileo is a team-based medical practice working to improve healthcare quality and affordability. They operate across 50 states, offering data-driven, multi-specialty care via phone and in-home visits; regional health plans, employers, and Fortune 500 organizations trust Galileo to improve population health.