Pulling, sorting, and analyzing data to determine member eligibility for the Population Health management Program.
Coordinating and providing care that is timely, effective, equitable, safe, and member-centric while following HMO processes.
Managing case assignments which includes outreach, documentation, monitoring for case progression, and case closure.
Guidehealth is a data-powered healthcare company dedicated to operational excellence. They aim to make healthcare affordable, improve patient health, and restore fulfillment in practicing medicine. Guidehealth is a growing and innovative organization and employees are expected to adapt to evolving business needs.
Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system
Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members
Pair Team is an innovative, mission-driven company reimagining how Medicaid and Medicare serves underserved populations. As a tech-enabled medical group, they deliver whole-person care by partnering with organizations deeply connected to communities.
Answer calls and resolve questions, routing to appropriate departments.
Complete documentation in EMR and marketing systems, including initial prescreening.
Schedule new and returning patients and complete follow-up duties.
Pyramid Healthcare provides addiction treatment, mental health recovery, and eating disorder treatment. They focus on client-centered care and offer supportive environments that help patients overcome life’s challenges.
Act as the first contact for new patients, discussing services with a supportive approach and coordinating patient/provider matching.
Conduct insurance eligibility verification and update patient charts with benefit information like copay and deductible.
Manage patient intake via phone, email, and text, schedule evaluations, and handle tasks like waitlist management and processing referrals.
Rivia Mind is a psychiatrist-owned mental health practice providing compassionate, science-based care through virtual and hybrid appointments across multiple US states. The company cultivates a collegial, growth-oriented culture rooted in shared values, curiosity, and authentic connection.
Works with field staff and Manager, Clinical Services (MCS) to appropriately schedule clinicians for cases in assigned areas of responsibility.
Communicates appropriately regarding changes in schedule or service delivery.
Demonstrates the ability to be efficient and productive by organizing job duties and responsibilities.
CommonSpirit Health at Home is a full-service health care organization that believes the best place for someone to get better is in their own home. As a faith-based organization, we are committed to finding new ways to improve the health of our patients and the health of the communities we serve.
Perform outbound calls to engage patients about the benefits of Salvo’s program and tech-enabled services.
Enroll patients in Salvo’s program and schedule an initial virtual nurse visit to onboard patients.
Assist patients in understanding the cost of the program, including insurance coverage and financial responsibilities.
Salvo Health offers virtual care to patients at community specialty care practices, focusing on chronic gut health and metabolic conditions. The company has raised a Series A investment round and aims to provide continuous, interdisciplinary wraparound care.
Provide health assessments and treatment solutions via telephone, video, or chat functions.
Receive inbound phone calls from patients seeking answers to various medical conditions.
Stay up to date with current health trends and recommendations.
PWNHealth is a national clinician network improving early disease detection and prevention using advanced diagnostics and telehealth, serving all 50 states and Puerto Rico. They are a mission-driven company with a positive culture, backed by leading growth equity firms Spectrum Equity and the Blue Venture Fund (BVF).
Monitor and interpret patient vitals, assessments, and alerts within Welby Health’s platform.
Develop, implement, and adjust individualized care plans that address both clinical and social needs.
Deliver patient education and coaching via telephone and secure messaging.
Welby Health is committed to transforming the way complex conditions are managed. They aim to advance patient outcomes by integrating efficient care coordination, data-driven insights, and enhanced communication across the care continuum. Welby Health is headquartered in San Diego.
Provide exceptional care, disease management and health education to patients.
Support goal setting for individual patients asynchronously to help them better manage their chronic conditions.
Create personalized action plans with guidelines to reduce or eliminate unwanted behaviors.
Salvo Health is a new approach to help millions of Americans facing chronic health conditions, centered on chronic gut health and metabolic conditions from IBS to obesity. They bring multidisciplinary virtual care to patients at community specialty care practices. Salvo offers a competitive salary and health benefits, a remote work environment, flexible time-off, a larger sense of mission, and professional development and entrepreneurial opportunities.
Provide compassionate, evidence-based care to clients across the country.
Treat a variety of clients, including couples and children.
Help clients achieve measurable progress using modern clinical technology.
Thriveworks is a mental health care company founded by clinicians. They have 340+ locations with a nationwide hybrid care model, serving over 175,000 clients annually through more than 1.7 million sessions and growing.
Manage a caseload of ECM members with complex behavioral health needs.
Conduct in-person home visits and community-based meetings.
Utilize brief behavioral health therapeutic interventions as necessary.
Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the one-size-fits-all healthcare system. Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations.
Lead program operations including onboarding, scheduling, communication, and documentation to meet CARF standards.
Track and support residents' supervision hours, training progress, and licensure milestones while coordinating with clinical, HR, and compliance teams.
Maintain a small clinical therapy caseload, providing direct client care and assisting with client coordination such as referrals.
Backpack Health delivers behavioral health care with a focus on youth and families. It is a collaborative, mission-driven team that offers a supportive culture and values diversity and inclusion.
Communicate and provide education to members and providers on insurance plan benefits and digital health solutions.
Employ active listening & motivational interviewing skills, and can handle difficult calls tactfully, courteously, professionally and document accordingly that can build patient trust and engagement.
Accurately track and document work on a variety of internal software tools and platforms.
Evry Health is on a mission to bring humanity to health insurance. They are a high-technology health plan that expands benefits, increases access and transparency, and features a personalized, human approach. Evry Health is the major medical division of Globe Life (NYSE:GL) with more than 3,000 corporate employees and 15,000 agents.
Conduct outbound calls and virtual outreach to provide information and education about Accompany Health services.
Support patients by answering questions, addressing concerns, and providing guidance.
Document interactions and maintain accurate records of patient outreach activities.
Accompany Health provides dignified, high-quality primary, behavioral, and social care to patients with complex needs, offering at-home and virtual care, plus 24/7 support. Their teams are distributed across the country and are committed to evidence-based practice, focusing on the health outcomes most important to their patients.
Coordinate medical record retrieval, ensuring complete and timely submission of patient documentation for provider review
Prepare and process referrals to specialists and manage prior authorization requests in coordination with insurance payors
Virtually greet and room patients prior to telehealth appointments, confirming patient information and visit readiness
Synapticure is a patient and caregiver-founded company that provides instant access to expert neurologists, cutting-edge treatments and trials, and wraparound care coordination and behavioral health support in all 50 states through a virtual care platform. They are dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases like Alzheimer’s, Parkinson’s, and ALS.
Build caring connections with every member by always leading with empathy, patience, and respect, ensuring members feel heard, supported, and valued.
Own each member interaction end-to-end, taking accountability to resolve inquiries during the initial contact and ensuring clear follow-through when additional steps are required.
Accurately respond to member inquiries regarding benefits, eligibility, services, policies, and procedures in a clear, confident, and member-friendly manner.
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and the chronically ill. It is a fast-growing company with a team passionate about transforming lives through high-quality, low-cost care.
Conducts phone screens and clinical evaluations for patients and families seeking admission.
Provides education, orientation, and motivation to engage patients and families in care.
Produces robust, timely documentation to support seamless transitions into treatment, leveraging AI note-writing tools.
InStride Health delivers specialty anxiety and OCD care for kids, teens, young adults, and families. They combine research-backed clinical care and innovative technology to eliminate the major problems with care today. The company is focused on expanding access to insurance-based care to improve outcomes.
Manage daily hospital census of engaged members, reviewing alerts and updating information in the EMR system.
Communicate with hospital/discharge planners, notifying patients of WellBe's awareness of their hospitalization, and track admissions.
Engage in telephonic conversations with patients and families, explaining the WellBe program and aiming to schedule post-discharge appointments.
WellBe is pioneering a new way of healthcare that is revolutionizing the industry. They have a patient-focused environment that ensures patients can live a fulfilling life, offering growth and development opportunities across expanding markets and celebrating success globally.
Performs utilization review to determine medical necessity criteria compliance and facilitates resolution of escalated cases.
Collaborates with clients and physician reviewers, ensuring adherence to all HIPAA, state, federal, and regulatory standards like URAC & NCQA.
Utilizes various computer systems to manage cases, engages in provider communication, and participates in quality management programs while prioritizing independent work.
WNS, part of Capgemini, is an AI-powered leader in intelligent operations and transformation, serving over 700 clients across industries like Healthcare and Financial Services. It is a large global company with over 66,000 employees, combining deep domain expertise with AI platforms to create lasting business value.
Manage day-to-day credentialing and re-credentialing workflows for Tia’s provider network.
Support medical licensing workflows for MDs, DOs, NPs, PAs, and RNs across multiple states, including tracking requirements, deadlines and renewals.
Track onboarding progress and help ensure providers are licensed, credentialed, enrolled, and compliant before go-live.
Tia is building a new model for women’s healthcare, one that treats women as whole people. They are a Series D, venture-backed company trusted by more than 120,000 women across four markets, building a culture of excellence in people, process, and product.