Provide palliative care and advance care planning via phone, email, and video for members with serious illness.
Conduct comprehensive symptom assessments and facilitate end-of-life care discussions with the care team.
Support members and their care networks, manage clinical escalations, and collaborate with payers and providers.
Thyme Care is a value-based oncology care enabler partnering with health plans, providers, and employers to improve outcomes and lower costs for cancer patients. It is a tech-native organization that combines high-touch human support with technology and AI to make cancer care more connected and compassionate.
Acts as a patient advocate coordinating transitions to the next level of care per regulations and agency policies.
Collaborates with MJHC and inpatient facilities to evaluate inpatients for transitional planning and home health services.
Uses telephonic outreach with discharge planners and case managers for Elderplan's SNP.
Elderplan and HomeFirst are Medicare and Medicaid managed care health plans under MJHS, offering personalized care to help people remain independent. MJHS fosters a collaborative culture focused on excellence, respect, work-life balance, and career development.
Conduct comprehensive assessments of psychosocial distress, mental health needs, and social determinants of health for patients with serious illness.
Facilitate serious illness conversations and advance care planning, providing clinical recommendations and escalation to physicians and other clinicians.
Deliver short-term clinical counseling, psychoeducation, and emotional support to patients and caregivers within LCSW licensure.
Tuesday Health is a value-based palliative care provider dedicated to transforming serious illness and end-of-life care. They focus on alleviating physical symptoms and emotional stress for individuals and their caregivers, reducing avoidable hospitalizations and improving quality of life wherever individuals call home.
Conduct structured outreach to patients and caregivers throughout the treatment journey, providing program-approved education and support.
Identify barriers to treatment initiation and adherence, develop practical strategies, and escalate clinical or safety concerns as needed.
Accurately document interactions and outcomes while managing an assigned caseload and collaborating with case management teams.
We provide patient support programs that deliver individualized clinical education, treatment-support services, and care coordination to patients and caregivers. Our culture is supportive, dedicated, and teamwork-driven, and we are proud of our relentless focus on improving the lives of the patients we support.
Provide virtual biopsychosocial support and care coordination to older adults and family caregivers navigating chronic and serious illnesses.
Develop personalized, culturally responsive care plans, connect families to community resources, and advocate within health and social systems.
Collaborate with a transdisciplinary team including MDs, neuropsychologists, nurse practitioners, and social workers to ensure continuity of care.
Nolia Health is a healthcare startup that provides personalized, clinically-supported, virtual-first services for older adults and their family caregivers. As an early-stage company, it fosters a caring, inclusive culture where many team members have lived experience as family caregivers.
Support scheduling and reminder calls for Complex Care Navigators and collaborate with health plan clinicians.
Ensure proper documentation of patient contacts and assist with non-clinical operational tasks.
Deliver a patient-centered experience by answering patient calls and resolving escalated issues empathetically.
Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. Their interdisciplinary care teams focus on alleviating symptoms and improving quality of life, and they pride themselves on a dynamic, inclusive, and mission-driven culture.
You perform complex medication reconciliations and identify clinical red flags to prevent ER visits and readmissions.
You deliver high-touch engagement for high-risk patients through post-discharge follow-up and care coordination.
You collaborate with practices and document interventions across multiple EHRs to ensure care gaps are closed.
Aledade PBC is a public benefit corporation that empowers independent primary care by creating value-based contracts. Founded in 2014, we are the largest network of independent primary care in the country, with a remote-first culture that is collaborative and inclusive.
Provide fully remote virtual serious illness care management to patients and families across hospice, palliative care, and PACE programs.
Perform virtual assessments, prescribe medications and equipment, and support plans of care in collaboration with interdisciplinary teams.
Maintain licensure and certifications, document in EMR, and participate in QAPI activities to ensure quality and compliance.
Chapters Health System is a community-based, not-for-profit organization delivering innovative care through chronic illness progression and beyond. Since 1983, it has grown into a multi-state health system across the Southeast and Mid-Atlantic, with a mission-driven culture focused on outstanding patient care.
Serve as the first point of contact for patients, managing incoming calls with professionalism and compassion.
Conduct phone-based assessments to gather medical history, symptoms, and urgency of patient concerns.
Guide patients to the appropriate level of care and relay messages between patients and healthcare teams.
Curana Health is a national leader in value-based care for senior living communities and skilled nursing facilities. Founded in 2021, it serves 200,000+ seniors in 1,500+ communities across 32 states with over 1,000 clinicians.
Provide after-hours triage, clinical assessment, and symptom management via phone.
Coordinate care with physicians, facilities, and internal teams while dispatching visits as needed.
Deliver compassionate education and support to families and document all interactions in the EMR.
Moments Hospice provides compassionate end-of-life care and supportive services to patients and their families. The company fosters a patient-centered culture with a focus on clinical excellence and team collaboration.
Provide education and self-management support based on the patient's unique learning style, and coordinate care as an advocate and resource.
Conduct comprehensive assessments of medical, behavioral, pharmaceutical, and social needs, and collaborate with the care team to design care plans.
Support population health initiatives and measure quality outcomes to reduce unnecessary utilization and improve patient health.
Aledade PBC empowers independent primary care by creating value-based contracts and flipping the script on fee-for-service. Founded in 2014, it is the largest network of independent primary care in the country, with a remote-first, collaborative, and inclusive culture.
Serve as a vital clinical resource for cancer patients and their care networks via phone, email, and video.
Conduct comprehensive clinical assessments, coordinate care, and manage escalations across the oncology continuum.
Collaborate with nurse leaders, payers, and providers to deliver high-quality, value-based cancer care.
Thyme Care is a cancer care navigation company enabling value-based cancer care and transforming the patient experience. It is building a diverse, mission-driven team of problem solvers dedicated to reshaping healthcare.
Take inbound calls from patients, providers, and members, handling everything from routine questions to emergent situations.
Support members with insurance needs, including changing primary care physicians, locating urgent care clinics, and getting prescription authorizations.
Provide 24/7 Triage Support and assign priority for a Registered Nurse to deliver health advice.
Carenet Health pioneers advancements across the healthcare consumer journey, interacting with 1 in 3 Americans daily to deliver positive healthcare experiences and improve outcomes. For over 30 years, the company has combined clinical expertise with data-driven technology, fostering a collaborative and innovative culture that empowers growth through trust, opportunity, and accountability.
Provide patient-centered care navigation and telephonic clinical outreach to patients with chronic conditions.
Collaborate with PCPs, NPs, and care teams to coordinate treatment and support safe transitions home.
Serve as a key resource for patients, caregivers, and community agencies, implementing interventions that improve outcomes.
Vytalize Health is a healthcare company focused on value-based care for patients with chronic or serious conditions. It is a rapidly growing organization with an entrepreneurial, patient-forward culture, and you will play a key role in building a market leader.
Connect with eligible patients through inbound calls, outbound outreach, and AI-assisted tools.
Serve as the main point of contact, coordinating with physicians, PTs, and health coaches.
Maintain organized documentation and use motivational interviewing to support patient engagement.
Protera Health is a fast-growing digital health company reimagining musculoskeletal care. Founded by orthopedic surgeons, we combine technology and personalized human support; our multidisciplinary virtual care team treats patients like family.
Conduct telephonic outreach and engagement to schedule clinical assessments and connect members to supportive care services.
Educate members on Tuesday Health's offerings, overcome objections, and provide ongoing customer service to members and caregivers.
Maintain performance accountability around member enrollment, use dashboards to prioritize outreach, and exceed engagement targets.
Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. Its interdisciplinary care teams reduce avoidable hospitalizations and improve quality of life wherever individuals call home, fostering a dynamic and inclusive environment.
Provide direct patient care and comprehensive care coordination through virtual platforms for oncology patients.
Triage symptoms, escalate to Nurse Practitioners, and support patients from screening to survivorship.
Build trusting relationships and collaborate with an integrated care team to address social and clinical needs.
Daymark Health is a value-based oncology company that redefines the cancer care experience with a personalized care platform including navigation, symptom support, and behavioral health. It is led by a pioneer in cancer care, backed by multiple venture funds, and fosters a mission-driven culture focused on improving patient outcomes.
Identify and assess high-acuity patients who need more than virtual outpatient therapy.
Build and execute individualized transition-of-care plans, connecting patients to the right level of care.
Coordinate referrals, schedule appointments, and confirm patients arrive at their next step.
Sailor Health is building a new care model for aging by combining behavioral health, healthcare advocacy, wellness classes, and AI care agents into a virtual platform, and partners with Medicare to make care accessible to older adults nationwide. The collaborative, mission-driven team is focused on real patient impact.
Conduct high-volume outbound calls to schedule patients for services like mammograms, bone density screenings, and primary care visits.
Coordinate care end-to-end and connect patients to community resources addressing social determinants of health barriers.
Manage multiple workflows with accurate documentation and collaborate across teams to ensure seamless patient experiences.
Sprinter Health is building the clinical and technological infrastructure to expand access to healthcare by delivering care at home powered by technology. They are a rapidly growing team backed by prominent VCs and led by former executives from Google, Facebook, LabCorp, and Disney, with a culture that values flexibility, humility, and humor.
Provide triage, assessment, and brief intervention for escalated behavioral health and social needs consults via phone, video, or ThymeBox.
Conduct comprehensive psychosocial assessments, safety planning, and crisis management for cancer patients and caregivers.
Collaborate with nurses, providers, and community organizations to coordinate care and document high-quality clinical records.
Thyme Care is a value-based oncology care company that partners with health plans, providers, and employers to support people with cancer. It is a tech-native organization with a compassionate culture focused on making cancer care more human.