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Role Overview:
- Perform brief, structured telehealth visits to establish medical necessity for care navigation programs and identify high-risk conditions or unmet social needs.
- Ensure patients are enrolled safely, compliantly, and compassionately into the right level of support in collaboration with care advocates and the clinical operations team.
Key Responsibilities:
- Conduct telehealth-based E/M or Annual Wellness Visits (AWVs) to validate eligibility for ongoing care navigation services.
- Document findings in Baba’s platform with accurate coding, including SDOH Z-codes, diagnoses, and risk factors.
- Develop and approve individualized care plans to align with each patient’s medical treatment plan and confirm continued medical necessity.
Qualifications and Collaboration:
- Completion of an accredited Nurse Practitioner program and an active Nurse Practitioner or APRN license in good standing, licensed in multiple states.
- 2+ years of experience in primary care, telehealth, or care management, with familiarity in Medicare programs, care navigation, and SDOH documentation.
- Collaborate with advocates and nurse care managers to finalize care plans that address both medical and social needs, using proficiency in EMRs and telehealth workflows.
Baba
Baba is rebuilding healthcare for older adults by pairing them with expert advocates who coordinate care, including writing insurance appeals and scheduling appointments. The team consists of over 50% former founders with backgrounds from companies like Stripe and Palantir, and is backed by investors including General Catalyst.