Maintain oversight over a specified panel of members by performing ongoing assessments.
Create comprehensive care plans addressing members' needs and conducting regular follow-ups.
Ensure achievement of targeted goals related to patient outcomes and care plan realization.
Jobgether is a company that uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements. Their system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Jobgether is a platform that connects job seekers with companies. They use an AI-powered matching process to ensure applications are reviewed quickly and fairly.
Provide health assessments and treatment solutions via telephone, video, or chat functions.
Track and monitor follow-up calls, escalate when appropriate.
Receive inbound phone calls from patients seeking answers to various medical conditions.
PWNHealth is a national clinician network working to improve early detection and prevention of disease using advanced diagnostics and telehealth. They are a mission-driven, positive culture made up of the best and brightest in the industry.
Provides quality driven telephonic clinical assessments, health education, and utilization management services.
Provides assessments to individuals using telecommunications, in accordance with computer-based algorithms and guidelines.
Uses clinical knowledge to assess, make recommendations for care, provide education and health information.
Carenet Health values expertise and dedication, committed to providing appealing compensation. They celebrate diversity, creating an inclusive environment and are an equal opportunities employer.
Deliver high-quality, evidence-based virtual care through synchronous (video) and asynchronous consults
Review patient intake information, including medical history and patient-submitted documentation, to support clinical decision-making
Conduct thorough clinical assessments aligned with established clinical guidelines
Tomorrow Health enables exceptional healthcare for patients and their families in the place they want to be most — home. They build technology that rewires the way home-based care is ordered, delivered, and paid for. Their goal is to raise the industry standard for patient experience.
Responsible for application of appropriate medical necessity tools to maintain compliance and achieve cost effective and positive patient outcomes.
Acts as a resource to other team members including UR Tech and AA to support UR and revenue cycle process.
Utilizes Payer specific screening tools as a resource to assist in the determination process regarding level of service and medical necessity.
Virtua Health strives to connect individuals to the care they need, building a healthier community in South Jersey. They are a Magnet-recognized health system with over 14,000 colleagues, including over 2,850 doctors, physician assistants, and nurse practitioners.
Conduct virtual patient consultations (synchronous and asynchronous, as applicable)
Review patient intake forms, medical histories, and laboratory results
Determine medical necessity and prescribe treatment when clinically appropriate, in accordance with state and federal regulations
LumiMeds is a fast-growing U.S.-based telehealth company focused on weight management and long-term metabolic health. They work with a fully remote, globally distributed team and pride themselves on moving quickly, communicating clearly, and building systems that actually work.
Authorizes and reviews utilization of mental health and substance abuse services.
Collects and analyzes utilization data and assists with discharge planning and care coordination.
Provides member assistance with mental health and substance abuse issues, and participates in quality improvement projects.
Magellan Health, Inc. is committed to making a difference in the healthcare industry and communities. They value professional growth and development, total health and wellness, rewards and recognition, as well as employee unity, offering a place where you can thrive.
Manage patient questions and follow-ups through the Coverage Inbox.
Review prescriptions and lab results, ensuring accuracy and safety.
Conduct same-day and next-day visits for urgent patient needs.
Midi Health provides patient-centered clinical support through asynchronous care. The company values collaboration and clear communication, and are committed to professional growth.
Act as the primary point of contact for new patients calling and emailing in.
Efficiently register and onboard a high volume of new patients.
Precisely verify patient insurance information to confirm active coverage and eligibility.
Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team that values its employees.
Provide virtual clinical care to patients located in Canada via Hims & Hers Canada’s telehealth platform.
Review patient-submitted health information and conduct asynchronous and/or synchronous consultations as appropriate.
Prescribe treatments in accordance with applicable provincial regulations, clinical guidelines, and Hims & Hers Canada-supported protocols.
Hims & Hers Canada provides virtual clinical care to patients in Canada, focusing on conditions like erectile dysfunction and weight management. They aim to deliver timely, evidence-based, and patient-centered care through their virtual platform, maintaining high clinical standards.
Conduct thorough patient assessments and develop personalized treatment plans via video visits.
Collaborate with a multidisciplinary team to deliver the highest standards of care.
Complete required trainings and adhere to company policies and best practices.
Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women.
Making outbound calls to patients, members, and customers.
Helping patients make decisions that will enhance their healthcare experience.
Assisting members and patients with benefits and insurance information.
Carenet Health pioneers advancements for experiences across the healthcare consumer journey, interacting with 1 in 3 Americans daily. They integrate human touch with data-driven technology to improve healthcare, offering best-in-class clinical expertise and personalized solutions.
Conduct thorough patient assessments and develop personalized treatment plans via video visits.
Collaborate with a multidisciplinary team to deliver the highest standards of care.
Maintain accurate and up-to-date patient records.
Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women and trusted by over 40,000 women nationwide.
Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system
Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members
Pair Team is an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, they deliver whole-person care - clinical, behavioral, and social - by partnering with organizations deeply connected to the communities they serve.
Conduct thorough health risk assessments, medication reviews and cognitive screenings.
Visit patients in the comfort of their homes using easy and modern technology.
Empower patients’ with educational information regarding their health and well-being.
Sprinter Health is an on-demand mobile health service that sends medical professionals to patients’ homes. They aim to increase access to care, lower healthcare costs, and improve outcomes for patients and have a rapidly growing team of visionary leaders.
Serve on interdisciplinary care team as patient health coach, in partnership with a clinical RN and Pharmacist.
Empower patients to set their own health and wellness goals (or support them as they strive to stick to a treatment plan from a healthcare practitioner) and offer support as they make progress.
Provide remote telephonic coaching services at a frequency based on risk, need, and program specific workflows.
Vytal Care operates as a market leader in value-based healthcare, experiencing rapid growth. They focus on proactive and coordinated care, particularly in the home, powered by technology and a human-centered approach.
Navigate the Medicare system for patients and caregivers.
Manage care coordination and logistics, including specialist visits.
Advocate for patients by identifying billing errors and cost-saving programs.
Carewell is dedicated to providing a trusted retail source for caregiving products, offering expert-vetted items like incontinence supplies and mobility aids. They are recognized as one of the fastest-growing companies in the US, committed to improving teams, partnerships, and solutions.