Source Job

• Manage an assigned patient panel, addressing specialized needs based on individual conditions and care goals.
• Collaborate with physicians, APPs, and interdisciplinary team members to coordinate holistic care.
• Perform assessments, create care plans, and monitor effectiveness to ensure high-quality outcomes.

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They focus on improving patient outcomes and quality of life in an innovative and evolving environment.

• You are responsible for supporting care delivery by partnering with Advanced Practice Providers to execute individualized care plans for patients with chronic kidney disease, hypertension, diabetes, and congestive heart failure.
• This role focuses on enhancing clinical outcomes, patient engagement, and care coordination through education, remote monitoring, medication management, and longitudinal patient support.
• Key responsibilities include visit preparation, care plan execution, disease management education, medication management, quality measure support, and cross-functional collaboration.

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They are a growing company building a healthcare delivery model focused on improving patient outcomes and quality of life, with a robust team and culture that emphasizes innovation and support.

• You will serve as a critical liaison between patients, providers, care teams, and community resources to ensure continuity of care.
• You will create and promote adherence to treatment plans developed by healthcare providers.
• You will assess patients' unmet health and social needs and connect them to relevant community resources.

Point C is a national third-party administrator that delivers customized self-funded benefit programs. We are a mission-driven company focused on innovative cost containment strategies and driving down plan costs.

• Supervise interdisciplinary team members including RNs, LVNs, and social workers to ensure high-quality care delivery.
• Lead key initiatives to improve clinical care and launch new programs while resolving workflow issues.
• Collaborate with providers to enhance patient care and support team performance reviews and onboarding.

Vynca provides comprehensive care for individuals with complex needs, aiming for more quality days at home. They are a close-knit community guided by core values of Excellence, Compassion, Curiosity, and Integrity.

• Lead internal case rounds to ensure care coordination and appropriate care plan development.
• Coordinate with network and longitudinal care providers to support serious illness conversations.
• Monitor network data and metrics to drive quality improvement and cost-effectiveness.

Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. They deliver goal-centered care with interdisciplinary teams to reduce avoidable hospitalizations and improve quality of life.

• Provide proactive care coordination for patients with complex chronic conditions, including chronic kidney disease.
• Conduct high-volume outbound patient outreach via text and phone to maintain engagement and compliance.
• Support clinical workflow by coordinating referrals, follow-ups, and documenting interactions for billing compliance.

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They are a committed team focused on improving patient outcomes and quality of life, with a culture of innovation and compassion.

• Manage a portfolio of clients, providing clinical support, education, advocacy, and care coordination throughout their healthcare journey.
• Conduct clinical intakes, collaborate with internal teams, and ensure smooth transitions across care delivery.
• Communicate clearly and compassionately with clients, caregivers, providers, and internal partners.

Private Health Management guides patients and families through serious medical care, acting as an independent advocate to orchestrate the best treatment and support. The company is a mission-driven organization with a team of experts that provides compassionate, high-quality care coordination.

• Provide fully remote virtual serious illness care management to patients and families throughout the continuum of care.
• Perform virtual assessments, manage medications, and collaborate with interdisciplinary teams to ensure optimal patient care.
• Maintain licensure and prescriptive authority in multiple states, and participate in quality assurance and regulatory compliance activities.

Chapters Health System is a community-based not-for-profit organization dedicated to providing hospice, palliative care, and serious illness care to patients and families. It has been a progressive leader since 1983, offering services through multiple managed affiliates across the Southeast and Mid-Atlantic regions.

• Manage high volume of outbound and inbound new patient onboarding calls.
• Build trust with patients and clinical care team through exceptional omnichannel customer service.
• Collaborate with interdisciplinary care team to schedule visits and support patient goals.

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They are a growing, innovative organization focused on interdisciplinary teamwork and improving patient outcomes.

• Serve as a compassionate point of contact for patients and family caregivers, using social work skills to connect them with resources.
• Support clinical operations including scheduling, intake, onboarding, and documentation follow-up.
• Maintain accurate patient records and escalate clinical concerns as needed.

We are a healthcare company dedicated to providing personalized, clinically-supported, and virtual-first services for older adults and their family caregivers. We are a mission-driven startup focused on transforming caregiving, with a small but growing team.

• Perform monthly clinical check-ins and structured symptom assessments for assigned patient panels.
• Collaborate with providers to escalate urgent issues and reinforce care plans within LPN scope.
• Document all patient interactions in EHR and CCM platform while ensuring compliance with billing and quality metrics.

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. The company is committed to improving patient outcomes and quality of life, but specific employee size is not mentioned.

• Provide exceptional care, disease management and health education to patients.
• Support goal setting for individual patients to help them better manage chronic conditions.
• Coordinate with other clinical team members to provide an exceptional patient experience.

Salvo Health is a tech-enabled healthcare company focused on chronic gut and metabolic conditions. Backed by leading health investors, it offers a multidisciplinary care team approach with board-certified specialists and digital tools.

• Assess, plan, implement, and coordinate comprehensive care plans to meet individual health needs and ensure cost-effective healthcare delivery.
• Serve as a liaison facilitating collaboration among patients, families, physicians, and providers to promote quality of care.
• Provide specialized education on disease-specific conditions and remain current with medical trends and procedures.

Arkansas Blue Cross and Blue Shield is a health insurance company providing healthcare coverage and services. They are consistently ranked as a top workplace in Central Arkansas with an inclusive culture and average employee tenure of 10 years.

• Provide after-hours triage, clinical assessment, and interventions via phone to support patients and families.
• Coordinate care with physicians, facilities, and internal teams while dispatching visits and managing vendor services.
• Document all interactions accurately in the EMR and review team documentation for compliance.

Moments Hospice is a hospice care provider dedicated to delivering compassionate, patient-centered end-of-life support. The organization fosters a structured, supportive culture with experienced leadership and opportunities for internal growth.

• Provides disease-specific management and oncology care coordination for patients and families throughout treatment.
• Documents assessments and interventions in real time, collaborates with oncologists, and proactively manages symptoms.
• Requires two years of oncology experience, an active RN license, and strong computer skills for a remote work environment.

AON is an alliance of physicians and veteran healthcare leaders dedicated to ensuring the long-term success and viability of oncology diagnosis and treatment in community-based settings. It is the fastest growing national network of community oncology practices, employing staff across the country to empower physicians and deliver exceptional cancer care.