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.
Conducting in-depth telephonic assessments to understand each patient’s needs.
Developing individualized care plans and guiding patients through their treatment goals and care options.
Monitoring progress by phone, adjusting care plans, and ensuring patients stay connected to their providers.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. They improve the health of patients, and restore the fulfillment of practicing medicine for providers leveraging remotely-embedded Healthguides™ and a centralized Managed Service Organization. Physician-led, Guidehealth empowers its partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.
Engage with members to support their chronic and/or complex health care needs.
Create and manage individualized care plans to meet healthcare goals.
Partner with members, families, providers, and resources to coordinate care.
Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota, built on over 80 years of trust. They prioritize members' well-being and are committed to service, sustainability, and innovation.
Working with a team of Intake Coordinators and Utilization Review Nurses to ensure quality and timely determinations.
Striving for continuous improvement and an excellent work-life balance to produce top-notch results.
Coordinating and providing care management that is timely, effective, efficient, equitable, safe, and member centered.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers.
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.
Work independently to make clinical decisions on routine patient care matters.
Provide patient-focused care and guidance on the phone or online.
Influence people to make better health decisions.
Carenet Healthcare Services provides telehealth and virtual care clinical triage assessments, health education and other services to diverse populations of patients and health plan members. They are a behind-the-scenes partner for 250+ of the nation’s premier health plans, health systems and their partners.
Deliver coordinated, patient-centered virtual Care Management by telephone or video that improves members' health outcomes.
Create impactful care plans together with members and our diverse care team, helping members achieve their desired goals.
Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system in general.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. They identify the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Empowers patients toward optimal health through remote support and collaborative care coordination.
Assesses patient needs, develops personalized care plans, and provides direct clinical coaching.
Monitors progress, coordinates diverse services, and leverages telehealth, tracking compliance.
St. Joseph's Hospital and Medical Center, located in Phoenix, Arizona, is a 571-bed non-profit hospital offering various health services. Founded in 1895, it is known for quaternary care, medical education, and research, and it consistently ranks among the top hospitals in the U.S.
Lead a team of BHCMs, providing training and feedback to deliver evidence-based treatments.
Conduct direct patient care via Collaborative Care Model, including assessments and treatment plans.
Maintain licensure in home state and obtain licensure in other states as requested by Protocol.
Protocol Behavioral Health provides cancer-specific behavioral health treatment to patients by partnering with oncology clinics and cancer centers. They deliver high-quality mental health support for cancer patients using the collaborative care model, integrated directly into oncology treatment centers.
Provide case management to members, addressing medical, social, psychological, physical, and spiritual needs.
Develop, implement, and monitor care plans in conjunction with PCPs, caregivers, and team members.
Help meet member's needs through coordinated care and support.
Elderplan and HomeFirst are Medicare and Medicaid managed care health plans expanding services to meet patient needs. At MJHS, they foster collaboration, celebrate achievements, and promote fairness, offering comprehensive compensation, career development, and work-life balance.
Manage a defined caseload of enrolled CCM members.
Identify and address social determinants of health, including food access, housing resources, transportation, and community supports.
Partner closely with the RN and NP to surface barriers impacting care or engagement.
Pair Team is a tech-enabled medical group delivering whole-person care - clinical, behavioral, and social - by partnering with organizations deeply connected to the communities they serve. They're building a care model that empowers clinicians and care teams to do what they do best: provide compassionate, high-impact care.
Assisting with provider credentialing by collecting documentation, entering provider data, submitting required materials to the health plan, tracking completion, and updating internal records.
Maintaining and updating provider records from various sources in internal systems to ensure accuracy and completeness.
Supporting reporting requirements, including completing health plan reports on assigned schedules.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. They aim to make healthcare affordable, improve patient health, and restore fulfillment in practicing medicine for providers. Powered by AI and Healthguides™, Guidehealth builds connections with patients and providers.
Review final 485/POCs for compliance and accuracy.
Cross-check orders, goals, frequencies, and documentation.
Approve or flag charts for correction.
Urrly uses AI to review every application against the same clear requirements for the role. Their goal is to create a more objective, consistent, and equal opportunity hiring process for all applicants.
Review clinical documentation for accuracy and compliance.
Identify errors and coordinate corrections with clinical staff.
Support education for nurses and caregivers on documentation standards.
Abby Care tackles the challenge of family caregiving by training and employing family caregivers to get paid for the care they already provide at home. They are building a tech-powered, family-first care platform to efficiently deliver care, improve health outcomes, and provide the best-in-class experience nationwide.
Oversee day-to-day case management operations across BH Field.
Monitor case manager task completion and identify workflow gaps.
Collaborate with internal teams and support onboarding of new Case Managers.
BH Field focuses on providing case management operations. They value consistency, efficiency, and quality in case management, and they foster collaboration with Clinical Leadership, HR, and Operations.
Manages clinical aspects of patient-centered medical home care.
Coordinates medical care of patients identified as high risk.
Identifies resources for patient self-management skills.
The University of Rochester is committed to fostering an inclusive and welcoming culture. They strive to uphold the values of equity, leadership, integrity, openness, respect, and accountability to set the highest standards for how they treat each other and ensure that their community is welcoming to all.
Monitor high-risk pediatric patients, ensuring appropriate follow-up and adjusting care plans as needed.
Conduct biopsychosocial assessments to address behavioral, social, emotional, and systemic needs of the patient and family.
Create and evaluate the effectiveness of the patient/family’s care plan and modify based on families evolving needs and goal progression.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs, delivering virtual-first and in-home care. They work alongside families and providers to enhance care, providing extra support with compassion and commitment.