Build trusted relationships with older adults and their families, grounded in listening and empathy.
Serve as a go-to resource for navigating medical systems, social services, and emotional wellness needs.
Create individualized care plans that address both clinical needs and SDOH.
Sailor Health is revolutionizing mental health care for older adults, addressing one of the fastest-growing and most underserved healthcare segments in America. They aim to redefine the golden years, enabling older adults across the nation to live happier and healthier lives.
Develop trusting long-term patient relationships and empower you to do the best work of your career. Conduct holistic assessments to identify conditions, functional status and member values. Support chronic disease management, using motivational interviewing techniques.
Devoted Medical was founded on the belief that if we treat each member like we would our loved ones, we can meaningfully improve healthcare experiences.
The manager will oversee the team that provides patients with on-demand telephone-based care management services via a 24/7 Nurse Advice Line. They will assess caller symptoms/concerns to determine care urgency, refer patients to providers, and give health advice. The manager will handle inbound communications, conduct outbound communications for follow-up, and coordinate with team members to assess and implement patient care plans.
Privia Health™ is a national physician platform transforming the healthcare delivery experience by providing tailored solutions for physicians and providers.
Deliver comprehensive care navigation and access support for Sana members, ensuring they receive the right care at the right time, place, and cost.
Collaborate with cross-functional teams, including our virtual care practice and customer support, to provide seamless care navigation services.
Educate members on their care referral options, empowering them to make informed healthcare decisions.
Sana Benefits is building affordable health plans designed around Sana Care, their integrated care model connecting members with unlimited primary care and expert care navigation at no additional cost to them. They've compiled an innovative team with top talent from across the healthcare and technology industries to deliver engaging, modern, concierge-style healthcare for their members.
Provide empathetic and solution-focused assistance through various channels.
Drive member engagement from enrollment through program completion.
Establish human connections with members and provide personalized support.
Sword Health is shifting healthcare from human-first to AI-first through its AI Care platform, making world-class healthcare available anytime, anywhere.
Lead, coach, and mentor PCA Leads; indirectly oversee the full PCA team.
Own forecasting, staffing plans, and scheduling strategy for all PCA coverage across chat, phone, and ticket queues.
Design and oversee quality assurance programs, including auditing, coaching, and root-cause analysis.
9amHealth is a cardiometabolic care company that offers custom care plans, prescription medications, and expert guidance to help members live healthier. It is a San Diego, California-based company with a collaborative learning mindset and a passion for improvement.
Gain a deep understanding of Cohere’s product and our health plan partners
Provide general supervision over the nursing staff including hiring, training, and coaching
Assist in addressing any case escalations or provider issues
Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. They foster a supportive, growth-oriented environment.
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.
Work remotely to enhance member management and navigate the healthcare system.
Promote wellness and assist members in achieving their healthcare goals.
Conduct telephonic outreach, data analysis, clinical review, and documentation.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, improving patient health, and restoring provider fulfillment.
Manage client crises using evidence-based interventions, providing risk assessment and safety planning.
Identify roadblocks to clinical care and connect clients to the ideal treatment using Lyra’s proprietary software.
Independently manage a caseload of complex, multi-need clients.
Lyra Health is the leading provider of mental health solutions for employers, supporting more than 20 million people globally. They have delivered 13 million sessions of mental health care and are known for their AI-powered platform and focus on improving access to high-quality mental healthcare.
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.
Serve as the first line of support for residents and facility staff after-hours, providing direction and medical care over the phone.
Deliver high-quality, cost-effective care to patients—addressing acute, chronic, and behavioral health needs in collaboration with physicians and specialty providers.
Perform comprehensive assessments and document encounters accurately and thoroughly in the EMR, ensuring compliance with CMS requirements.
Curana Health is on a mission to radically improve the health, happiness, and dignity of older adults. Founded in 2021, they’ve grown quickly and now serving 200,000+ seniors in 1,500+ communities across 32 states, and their team includes more than 1,000 clinicians.
Provide in-the-moment clinical support and connection to appropriate referrals and resources.
Assess for risks and provide crisis support, safety planning, and follow up with high risk members.
Recommend a plan of action based on clinical presentation and coordinate connection to appropriate care and services.
Spring Health's mission is to eliminate every barrier to mental health. They partner with over 450 companies, from startups to multinational Fortune 500 corporations, providing care for 10 million people and are valued at $3.3 billion.
Coordinate with Front Desk Coordinators to manage and respond to house call requests promptly during your shift.
Formulate a differential diagnosis and treatment plan for urgent and emergent care in a patient’s home or other non-clinic settings, within the scope of emergency medicine.
Document clinical evaluations and treatments accurately in the electronic health record ( AthenaHealth ).
Sollis Health is the first and only medical membership that’s on-demand 24/7, 365. With unlimited 24/7 virtual and in-person support, Sollis puts our members in first class by handling all medical issues—big or small—with expert concierge care anytime, anywhere.
Lead and develop a team of RN Care Coordinators and non-clinical Care Coordinators.
Ensure timely progression of members through the surgical review and COE pathways.
Identify workflow issues and recommend process improvements.
Transcarent and Accolade have come together to create the One Place for Health and Care, the leading personalized health and care experience that delivers unmatched choice, quality, and outcomes. Together, more than 20 million people have access to the combined company’s offerings.
Provides triage telephone service to ensure prompt identification of patients with high-risk conditions.
Directs callers to appropriate level of care and provides healthcare advice/education using assessment skills, approved guidelines and protocols, and knowledge of self-care practices.
Serves as a liaison between customers, patients, physicians, other members of the public and hospital staff, programs, and other resources.
Lehigh Valley Health Network is a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work in health care. They are the region’s largest employer and health care provider of choice with nearly 20,000 health care professionals.
Supervise a team of approximately 10-15 Lead Care Managers to ensure high-quality care management services.
Oversee the creation of Individual Care Plans, assessing if clients' needs can be managed by an ECM Lead Care Manager.
Drive the team to meet key performance indicators (KPIs) effectively.
Vynca is dedicated to transforming care for individuals with complex needs, fostering a close-knit community. They are guided by core values such as Excellence, Compassion, Curiosity, and Integrity, committed to providing comprehensive care for more quality days at home.
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.