Act as a liaison for a patient panel of medically stable patients, coordinating care between internal and external providers.
Monitor and triage lab orders and results, providing education and medical management support to patients and families.
Triage emergent issues in a time-sensitive manner and coordinate care with hospitals for medical stabilization admissions.
Equip is the leading virtual, evidence-based eating disorder treatment program on a mission to ensure everyone with an eating disorder can access treatment that works. Founded in 2019, the company is fully virtual and has been recognized as one of the most influential companies of 2023, with a diverse and passionate team.
Manage patient physiological markers and provide clinical triage.
Conduct wellness calls and collaborate with care teams to set health goals.
Drive patient engagement and ensure adherence to RPM program standards.
Vivo Care is building a platform to make healthcare continuous, personal, and truly connected. It is a fast-growing startup with a culture of inclusion, collaboration, and innovation.
Conduct outbound telephonic patient outreach and provide one-on-one coaching to patients managing chronic conditions.
Help patients execute personalized care plans by providing education on behavior modification, nutrition, and self-management.
Monitor patients' progress, document interactions in the Cadence platform, and collaborate with clinicians to coordinate next steps.
Cadence is a clinical AI company that delivers continuous, proactive care for older adults with chronic conditions like hypertension, heart failure, and diabetes. They operate as a full clinical care delivery organization, working alongside health system partners to extend primary care into patients' homes.
Provide clinical review and correspondence for utilization management, including medical necessity reviews and member communications.
Collaborate with Medical Directors to ensure evidence-based decisions that meet NCQA and CMS standards.
Maintain productivity and quality while working 100% remotely in a fast-paced environment.
Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With over 250 employees, the company fosters a supportive, growth-oriented environment and has been named to the Inc. 5000 list and a Top 5 LinkedIn Startup.
Provide patient-focused telehealth clinical triage assessments and health education via phone, video, and chat.
Work independently to make clinical decisions, assess needs, and direct patients to appropriate care levels while documenting interactions.
Monitor performance metrics, participate in coaching sessions, and communicate with clients and team members.
Carenet Health is a behind-the-scenes partner for over 250 of the nation's premier health plans and health systems, providing telehealth and virtual care clinical triage assessments and health education. Named one of America's fastest-growing private companies by Inc. Magazine for eight consecutive years, the company is integrity-driven and focused on compassionate, evidence-based care.
Serve as the main point of contact for patients and families transitioning from or seeking post-acute services.
Make clinical level-of-care determinations using discussions, medical records, and other clinical data.
Provide patient education on home health, hospice, palliative care, Medicare coverage, and billing.
Gentiva is a national leader in hospice, palliative, and home health care, providing compassionate care to patients in their homes. With nearly 600 locations and thousands of clinicians across 38 states, they offer a collaborative environment where inspiring achievements are recognized.
Provide clinical and operational leadership to support timely, evidence-based coverage determinations in Utilization Management.
Coach reviewers on consistent application of medical-necessity criteria, medical policy, and benefit plan language.
Monitor daily workflow health, coordinate coverage plans, and communicate barriers and risks to the UM Manager.
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. The company serves employers, health plans, and health systems with data-driven solutions and is on a mission to empower people to lead healthier lives.
Provide timely, efficient, and accurate triage response and documentation according to nursing standards and physician protocols.
Evaluate patient needs, perform triage, and coordinate with the clinical team in an ambulatory practice setting.
Maintain accurate documentation in medical records, schedule patient visits, and provide education on patient care and health promotion.
Piedmont Healthcare is a healthcare provider offering services across Georgia. It is a large organization with a focus on patient care and corporate operations.
Perform concurrent and retrospective reviews on all facility and appropriate home health services.
Monitor level and quality of care and proactively manage acutely and chronically ill patients.
Act as liaison to Plan Medical Director and coordinate interdisciplinary approach.
Curana Health is a national leader in value-based care for senior living communities and skilled nursing facilities. Founded in 2021, they serve 200,000+ seniors in 1,500+ communities across 32 states with a team of over 1,000 clinicians.
Support care navigation for oncology members by facilitating treatment, symptom tracking, and re-education.
Collaborate with RNs and providers to coordinate care plans, referrals, and authorizations.
Maintain regular contact with members via phone, text, email, and video calls for follow-up and support.
Renalogic helps clients manage the human and financial costs of chronic kidney disease. We hire people who are humble, hungry, and smart, and our 96% client retention shows we're building a company we're proud of.
Manage the member's clinical experience from request through desired outcome, including account activation and medical history drafting.
Coordinate video or phone consults with specialists and schedule monitors in advance, troubleshooting issues as needed.
Conduct ongoing follow-up post-consult and facilitate local recommendations, communicating with primary care physicians or specialists.
Transcarent is a health and care platform that combines medical, pharmacy, and point solutions with a generative AI-powered experience for health consumers. With over 1,700 employer and health plan clients serving 21 million Members, they foster a culture of People First, Care, Resilience, Results, and Humble and Human.
Provides remote RN approvals and support for field users, responding to requests via phone, fax, and email.
Manages workflow tasks such as data entry, eligibility, scheduling, and POC approvals within 30 minutes.
Monitors communication systems, prioritizes tasks by patient needs, and escalates unresolved issues to management.
Moments Hospice is a leading hospice organization dedicated to personalizing end-of-life care and treating patients, families, and team members like family. The company fosters a supportive community and workplace culture where employees are proud to be part of the Moments family.
Conduct virtual evaluations for acute and routine clinical concerns in skilled nursing and long-term care settings.
Collaborate with facility nursing staff and leadership to coordinate care and reduce avoidable hospitalizations.
Complete all encounter documentation and maintain compliance with federal, state, and organizational requirements.
Theoria Medical is a healthcare innovation company serving the post-acute sector with multispecialty physician services and remote patient monitoring. They operate a national network covering skilled nursing facilities, offering a remote work environment.
Conduct comprehensive clinical assessments and develop individualized care plans for high-risk members.
Coordinate transitions of care and collaborate with interdisciplinary team members including Community Health Workers and providers.
Provide health coaching and disease management education to help members achieve their health goals.
Zócalo Health is a tech-enabled, community-oriented primary care organization serving historically underserved populations. Founded in 2021 and backed by leading healthcare investors, it is scaling rapidly with a culture focused on value-based, whole-person care.
Support licensing activities for clinicians including physicians, nurse practitioners, and behavioral health providers.
Ensure successful completion of licensing plans and escalate issues that jeopardize success.
Collaborate cross-functionally to maintain accurate clinician information and improve licensing processes.
Included Health is a healthcare company delivering integrated virtual care and navigation. With a remote-first culture, we break down barriers to provide high-quality care for every person in every community.
Provide care to adolescent and adult patients, diagnosing psychiatric disorders and prescribing medications.
Collaborate with interdisciplinary teams to develop, implement, and evaluate treatment plans.
Maintain accurate documentation in the EHR while adhering to HIPAA and state regulations.
Brave Health expands access to compassionate, high-quality mental health care through technology, focusing on Medicaid patients. As a community health-centered organization, nearly 1 in 4 people in the U.S. receive healthcare through Medicaid, and we are closing the gap by making mental health care accessible and affordable.
Answer emergency and non-emergency calls, dispatch responses, and monitor medical alerts with compassion.
Provide exceptional customer support using scripted and non-scripted responses in high-pressure situations.
Record call details accurately, troubleshoot alarms, and recommend preventative healthcare services.
VRI connects people with care through non-emergency medical transportation and personal home care services. They serve the underserved to improve access and outcomes, with a focus on compassionate support.
Responsible for using assessment and communication skills to engage patients in need of clinical support, determine priorities, and deliver patient-centered care.
Identify patient education needs through telephonic assessment and collaborate with healthcare teams to coordinate care and keep patients stable at home.
Serve as point of contact for patients, families, and providers, implementing interventions to improve health outcomes and reduce costs.
Vytalize Health is a value-based healthcare company that coordinates care for patients with chronic conditions, aiming to improve outcomes and lower costs. It is a rapidly growing organization with a startup culture, offering a dynamic environment.
Deliver virtual, patient-centered care with empathy and clinical excellence.
Triage patient concerns using evidence-based protocols and sound clinical judgment.
Coordinate laboratory follow-ups, referrals, and diagnostic services across the care team.
MyLaurel is a healthcare organization delivering virtual acute care support to vulnerable patients. They are a collaborative, high-performing team focused on transforming healthcare delivery.
Conducts utilization review to determine medical necessity of admission and continued stay using established criteria.
Communicates with payers to secure authorization and negotiate medical necessity decisions.
Educates providers on documentation requirements and participates in strategies to reduce length of stay and readmissions.
OHSU is Oregon’s only public academic health center, providing patient care and conducting groundbreaking research while training health care professionals. As Portland’s largest employer, it offers a diverse and inclusive culture with opportunities for growth across Oregon and Southwest Washington.