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.
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.
Manage a portfolio of clients, providing education, advocacy, and care coordination.
Conduct clinical intakes via email or phone to assess needs and guide next steps.
Collaborate with internal teams and support triage for new patients.
Private Health Management guides patients and families through serious medical care as an independent advocate. A remote company with employees across the US, it focuses on better outcomes through expert coordination and compassionate support.
Coordinate interdisciplinary care plans and serve as a liaison between patients, providers, and insurance partners.
Provide telephonic nursing triage, health guidance, and on-call support according to agency protocols.
Manage lab results, referrals, prescription refills, and patient follow-up to ensure continuity of care.
Planned Parenthood of the Pacific Southwest provides sexual and reproductive healthcare across 20 health centers in Southern California. The organization fosters a collaborative, mission-driven culture with over 100 years of advocacy.
Conduct nursing assessments and enroll patients in chronic care management programs.
Develop individualized care plans and coordinate transitions to improve outcomes.
Collaborate with providers and teams to support value-based care delivery.
Jobgether is an AI-powered job platform that matches candidates with hiring companies. It focuses on objective, efficient recruitment and partners with healthcare organizations.
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.
Perform clinical reviews to evaluate medical necessity, level of care, and benefit coverage for members.
Apply internal policies, MCG, and NCCN guidelines to deliver timely and compliant utilization management decisions.
Escalate complex cases and build audit-ready documentation for Medical Director review.
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. Their mission-driven culture empowers diverse perspectives to drive real impact on people's health.
Assess member needs across physical health, mental health, social supports, and housing.
Oversee care plans, coordinate with providers, and advocate for clients.
Connect clients to community services and complete documentation in EMR systems.
Vynca provides comprehensive care for individuals with complex needs, aiming for more quality days at home. They are a close-knit, values-driven community committed to excellence, compassion, curiosity, and integrity.
Perform prospective, concurrent, and retrospective utilization review to ensure medical necessity and appropriate level of care.
Research and respond to appeals, coordinate discharge planning, and analyze care patterns.
Collaborate with providers and internal teams to resolve benefit and eligibility issues.
HealthEdge provides AI-powered operational infrastructure for health insurance companies, helping them modernize operations and compete effectively. The company is expanding and investing in its people, offering opportunities to shape the future of healthcare technology.
Conduct comprehensive member needs assessments and coordinate care plans, referrals, and follow-up activities with payer care management teams.
Build trusted relationships with members through compassionate, culturally responsive communication and motivational techniques.
Perform outreach by phone, text, and email while maintaining accurate documentation and escalating high-risk concerns when needed.
Mae Health improves maternal health outcomes by helping mothers, babies, and families access compassionate, culturally responsive healthcare and community-based support. The company builds a talent pool of qualified Care Coordinators to support members across Medicaid health plan partnerships, with a culture rooted in solution-oriented, curious, mission-connected, and data-driven values.
Provide direct patient care using the nursing process, from assessment to evaluation.
Collaborate with the care team to monitor patients, adjust care plans, and ensure safety.
Maintain EHR documentation, administer treatments, and delegate to support staff.
Advocate Health is a top nonprofit, integrated health system in the US, formed from Advocate Aurora and Atrium Health. It serves 6 million patients and employs 155,000 teammates across 69 hospitals, with a culture focused on equitable care and innovation.
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.
Conduct timely post-discharge outreach and assessments for high-risk patients.
Coordinate telephonic care, medication reconciliation, and patient education.
Connect patients with community resources and collaborate with care teams.
UnityPoint Health is a healthcare system delivering coordinated care and services across clinics and hospitals. Recognized as a top workplace in healthcare, it fosters a culture of belonging and team member support.
Lead, coach, and onboard Utilization Management nurses while managing daily workloads and escalations.
Ensure reviews and determinations are timely, accurate, and compliant with CMS and Clover policies.
Collaborate with Medical Directors and cross-functional teams to improve workflows and member outcomes.
Clover Health provides data-driven healthcare plans for seniors, using the Clover Assistant to support physician decisions. The company is a mission-driven team of diverse experts focused on improving members' quality of life.
Conduct clinical and billing reviews of claims, itemized bills, and UB-04 forms to ensure accuracy.
Perform utilization reviews to assess medical necessity and validate charges against policies.
Mentor reviewers, meet productivity targets, and maintain active RN licensure with CEUs.
Our partner is a healthcare services company that conducts medical claims and utilization reviews to ensure accurate billing and appropriate care. They offer a collaborative, quality-focused remote environment with opportunities for professional development.
Manage and triage patient vital signs remotely, using motivational interviewing to drive positive health behavior changes.
Perform monthly wellness calls with patients, collaborating with care teams to set patient-centric goals.
Escalate urgent care needs appropriately and meet program engagement metrics in a remote MST-based role.
Vivo Care is building a future where care is continuous, personal, and connected, challenging the status quo in healthcare. We are a fast-growing startup where everyone has a voice, fostering a culture of inclusion, collaboration, and innovation.
Support patients with complex behavioral health needs through enrollment, engagement, and care transitions.
Coordinate with clinicians, insurers, and external partners to remove barriers and close referrals.
Document case management activity in the EHR and escalate changes in risk or acuity promptly.
Talkiatry is transforming mental health care by making high-quality psychiatry more accessible, human, and sustainable for both patients and clinicians. Today it is the largest dedicated psychiatry practice in the U.S., with 750+ psychiatrists, 250+ therapists, and over two million patient visits delivered nationwide.
Audit medical summaries, timelines and record classifications against source records.
Write clinical review guidelines and gold-standard examples for research and engineering teams.
Flag clinically significant omissions, causation issues and prior-history findings.
Brighterway builds AI-native claims software and administration for casualty claims, starting with workers' compensation medical-legal review. The team is small, technical, and close to customers, with everyone shipping and talking directly to users.