Provide clinical assessment and nursing triage to diverse patients across the health continuum.
Assist in directing patients to the most appropriate level of care via telephonic health information.
Work in collaboration with Telehealth providers for virtual care visits and follow-up calls.
We bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, and 400 healthcare facilities, we are a leader in clinical practice management with a culture of belonging and empowerment.
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.
Provide telephonic triage assessments and health education using nursing protocols and algorithms.
Utilize critical thinking and communication skills to manage diverse patient populations.
Work a flexible schedule that includes evenings and weekend shifts from your home office.
Carenet Health provides telephonic clinical assessments, health education, and utilization management services to patients and members. They are a growing organization with a collaborative national team of Registered Nurses, offering work-from-home options and a supportive culture.
Oversee clinical enrollment for members, guiding them through protocols and eligibility for the most appropriate program.
Collaborate with a cross-functional team of nurses, health coaches, and providers to ensure a seamless member experience.
Utilize nursing judgment, motivational interviewing, and data tools to drive behavior change and improve health outcomes.
Twin Health is the only company applying AI Digital Twin technology to prevent and improve chronic metabolic diseases like type 2 diabetes and obesity. With more than $100 million raised and over 100 employees, Twin has been recognized as an Innovator of the Year and a Most Loved Workplace, backed by leading venture firms.
Support the Care Advice Line call queue after hours, weekends, and holidays, answering calls promptly and accurately.
Triage and transfer calls to RNs, providers, or 911 as needed, while charting in EMR and maintaining patient communications.
Provide patient education, referrals, and scheduling assistance to support care coordination and proactive health management.
Privia Health is a technology-driven national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and physician leadership, focusing on reducing healthcare costs and improving outcomes.
Oversee and manage the CareConnect Clinical Triage and Treat team, ensuring timely, high-quality remote patient care 7 days a week.
Analyze operational data, lead performance improvement initiatives, and communicate staffing and operational needs to Market Leadership.
Provide backup clinical coverage and support recruitment, onboarding, training, and professional development of team members.
WellBe provides comprehensive healthcare services focused on helping patients lead healthier, more meaningful lives. They are a value-based care organization with a patient-first approach, operating across multiple states with a culture centered on teamwork and clinical excellence.
Review Home Health prior authorization requests for medical necessity using CMS regulations and Clover clinical guidelines.
Perform initial and concurrent clinical reviews, ensuring appropriate care in the least restrictive setting.
Collaborate with providers and internal teams to support timely decision-making and positive member outcomes.
Clover Health is a healthcare company that uses data and technology to provide affordable, high-quality insurance plans for seniors. The company fosters a remote-first culture with a diverse and mission-driven team focused on improving member outcomes.
Provide telephonic and video-based follow-up care for post-hospital discharge patients, focusing on medication reconciliation, symptom screening, and care coordination.
Collaborate with nursing team and coordinate across settings to keep patients connected and improve health outcomes.
Meet individual performance targets while contributing to team population health goals in a digital-first environment.
Galileo is a team-based medical practice working to improve the quality and affordability of health care for all. Operating across 50 states, Galileo offers high-touch, data-driven, multi-specialty, longitudinal care to diverse and complex patients. Founded by Dr. Tom X. Lee, the team of leading innovators from healthcare and technology is committed to transforming healthcare through inclusive and collaborative culture.
Guide patients through the healthcare system by translating medical complexity into plain language and coordinating care.
Build and own care plans that address both medical needs and social determinants like transportation and food access.
Solve real problems with persistence by navigating denied claims, missed referrals, and unaffordable medications.
Careway Health is building an advocacy-first telehealth platform to help seniors overcome complex health and social challenges and maximize independence. They are a growing company focused on democratizing access to high-quality care with a team of physicians and health advocates.
Conduct virtual exams and history for patients across all ages.
Diagnose and treat a broad range of acute, chronic, and mental health conditions.
Develop treatment plans, order tests, and educate patients and families.
Included Health is a healthcare company delivering integrated virtual care and navigation. They aim to break down barriers to provide high-quality care for everyone, offering services like urgent care, primary care, and behavioral health.
Conduct comprehensive health assessments for Medicare Advantage members via telehealth.
Create personalized care plans and coordinate with primary care physicians and care teams.
Document visits and close gaps in care using Clover's software and EMR systems.
Clover is reinventing health insurance by combining data with human empathy to keep members healthier. The company is a mission-driven team focused on improving healthcare, with a culture that values diversity and inclusion.
Respond to patient medical questions and concerns with empathy and evidence-based practice.
Hey Jane provides safe, discreet medication abortion treatment and offers a range of reproductive and sexual health care services via telemedicine. They have helped over 100,000 people and their in-house clinical team includes board certified doctors, advanced practice clinicians, nurses, and patient care advocates.
Performs utilization review of cases to determine if the request meets medical necessity criteria in accordance with medical policies.
Collaborates with client personnel to resolve customer concerns and facilitates resolution of escalated cases.
Maintains written documentation per HealthHelp’s policy and ensures compliance with HIPAA, state, and federal regulations.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries. With three global headquarters, operations in 13 countries, 65 delivery centers, and more than 66,000 employees, WNS combines scale, expertise, and execution to create meaningful, measurable impact.
Serve as the main point of contact for a portfolio of customers, ensuring successful platform utilization to achieve their business goals.
Provide clinical guidance and workflow expertise to support organizational change management and user adoption initiatives.
Build strong relationships with clinical stakeholders and facilitate ongoing customer discussions to evaluate adoption and improvement opportunities.
We create software solutions combining lean principles, predictive analytics, and machine learning to transform hospital and infusion center operations. More than 190 health systems and over 1,200 hospitals rely on our award-winning products, and we have raised over $300 million from top-tier investors.
Provide professional and friendly proactive care and triage for clinical issues.
Perform comprehensive assessments and establish clinical milestones and goals.
Document all care management assessments and interventions.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group providing 24/7 virtual and in-home care for children with special health care needs. They are guided by five core values and offer a comprehensive benefits package.
Optimize clinical workflows, manage EHR systems, and analyze lab results daily.
Collaborate with vendors, handle patient/clinician calls, and process prior authorizations.
Maintain flexibility with on-call shifts and a Tuesday-Saturday schedule.
K Health is an AI-powered virtual care engine that partners with health systems to run virtual primary care clinics. Backed by nearly $400 million and founded in 2016, the company is headquartered in New York City and is an Equal Opportunity Employer.
Perform utilization review including precertification and concurrent reviews using medical necessity criteria.
Collaborate with medical directors and providers on complex cases and integrate AI tools into workflow.
Initiate referrals to disease management programs and participate in quality improvement initiatives.
Guidehealth is a data-powered healthcare company that uses AI and predictive analytics to improve healthcare affordability and patient outcomes. It is a physician-led organization with a culture of accountability, learning, innovation, and empathy.
Provide telephonic case management and utilization review for assigned consumers.
Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Collaborate with healthcare providers, payors, and internal teams to coordinate care.
Cottingham & Butler helps clients through life's toughest moments by providing insurance and benefits solutions. The company fosters a culture of continuous improvement, seeking to hire, train, and grow the best professionals in the industry.
Serves as the single point of contact for patients, building personalized relationships through empathy and clinical expertise.
Provides disease education, product overview, device training, and side effect management to support therapy adherence.
Utilizes motivational interviewing and health coaching to uncover barriers and empower patients to start and stay on therapy.
Momentum Life Sciences helps the healthcare industry connect, motivate, and empower people to engage in their health. With more than 30 years of experience, we partner with life science companies to design, build and deliver patient support programs.
Review and clinically assess incoming referrals to determine appropriateness for home health services.
Collaborate with Clinical Managers, Intake Coordinators, and referral sources to coordinate admissions and manage capacity.
Serve as a clinical resource and maintain accurate documentation in the electronic medical record.
Croí Health is a mission-driven, non-profit organization providing home health, palliative, hospice, and wellness services across 27 communities from Milton to Plymouth. They consistently earn five-star CMS ratings and lead with innovation, quality, and heart.