Oversees daily operations of the Care Management unit and ensures process implementation.
Facilitates staff development, provides regular performance feedback, and identifies areas of improvement.
Evaluates performance metrics, supports staff in care planning, and promotes interdisciplinary collaboration.
Capital Blue Cross promises to go the extra mile for our team and our community. They offer a caring team of supportive colleagues and invest heavily in training and continuing education. Employees consistently vote them one of the “Best Places to Work in PA.”
Work remotely to enhance member management and maximize cost effectiveness.
Collaborate with clients and members to promote wellness and assist in achieving health goals.
Collect data, conduct clinical reviews, and ensure documentation complies with regulations.
Guidehealth is a data-powered healthcare company dedicated to operational excellence. They aim to make healthcare affordable and improve patient health, employing remotely-embedded Healthguides™ and a Managed Service Organization to build stronger connections with patients and providers.
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.
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.
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.
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.
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.
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.
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.
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.
Serve as the primary point of contact for the RN team, providing mentorship and guidance.
Oversee resource management and allocate nurses to various initiatives.
Collaborate with healthcare teams to ensure timely completion of tasks.
Jobgether is a platform that connects job seekers with companies. They leverage AI to match candidates with appropriate roles and streamline the hiring process.
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.
Directly manage a team of clinicians through monthly 1:1s, ongoing check-ins, and clear expectation-setting.
Maintain an active clinical schedule, including patient panel visits, emergency visits, and recovery visits, as part of the hybrid role.
Reinforce Midi’s scope of care, protocols, and documentation standards within your clinician group.
Midi is a fast-scaling virtual care company on a mission to transform the way healthcare is delivered. With a focus on women’s health and whole-person care, our distributed clinical team delivers high-quality care through a modern, tech-forward platform.
Conduct thorough assessments of patients' needs and develop treatment plans.
Monitor treatment effectiveness and adjust plans while documenting outcomes.
Advocate for patients to ensure quality care delivery and assist in cost reduction.
The company provides remote case management nursing services. The posting mentions an engaging company culture that values diversity and continuous learning.
Manage provider onboarding processes and ensure a seamless experience.
Oversee compliance with clinician state licensure requirements.
Drive operational workflows and implement improvements within practice operations.
Jobgether uses an AI-powered matching process for job applications, ensuring quick and fair reviews. They share the top candidate shortlist with the hiring company, which manages the final decision and next steps.
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.
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.
Own end-to-end operations for your care team while partnering closely with Nurse Practitioner Managers.
Foster belonging and team connection to drive clarity, consistency, and reliability in daily workflows.
Conduct regular 1:1s and performance check-ins to reinforce expectations, accountability, and development.
Midi is a fast-scaling virtual care company on a mission to transform how healthcare is delivered—starting with women’s health and whole-person care. Their distributed clinical teams deliver high-quality, evidence-based care through a modern, tech-forward platform built for scale, safety, and reliability.
Oversee and manage a team of outreach and intake associates including training, onboarding and people management.
Ensure compliance with client and CMS standards across all workflows, ensuring quality of each caller interaction in alignment with Isaac Health’s standards.
Manage service level agreements (SLAs) and performance metrics including managing individual campaign staffing and reporting on KPIs.
Isaac Health aims to improve brain health at the population level by providing access to specialty brain health and dementia care services. Since launching in 2022, Isaac Health has scaled to provide services to more patients and families across the US.
Support newly onboarded clinicians with tools, access, and workflows.
Coach clinicians on patient communication in a virtual environment.
Assist with administrative tasks and improve patient care efficiency.
Midi is a fast-scaling virtual care company with a mission to transform healthcare delivery, starting with women’s health and whole-person care. Their distributed clinical team delivers evidence-based care through a tech-forward platform designed for consistency and scale.