Manage a defined patient caseload while overseeing the clinical performance and compliance of an assigned team of Care Managers.
Conduct proactive outreach, device data review, care plan updates, and care coordination consistent with team standards.
Lead client-facing engagements, performance reviews, and escalation calls, representing Welby Health with clinical authority.
Welby Health is a San Diego-based healthcare organization that transforms complex condition management through technology-enabled care coordination and data-driven insights. The company partners with physicians and health systems to deliver scalable solutions improving quality of care.
Lead and support a remote clinical support team to ensure exceptional patient service and operational excellence.
Coach and mentor team members while overseeing performance, quality audits, and provider workflows.
Drive continuous improvement initiatives and maintain adherence to clinical and quality standards.
Ways2Well is redefining healthcare through regenerative and preventive medicine, offering data-driven personalized care. They operate as a remote clinical support team with a focus on high-impact healthcare and patient empowerment.
Coordinate clinical appointments, manage referrals, and proactively follow up with families to reduce gaps in care and no-show rates.
Provide evidence-based education to families on chronic condition management and explain medication regimens in accessible language.
Initiate and manage medication prior authorization requests, coordinate with pharmacies, and maintain accurate medication records.
Clarity Pediatrics is reimagining pediatric chronic care, starting with ADHD, by offering a tech-enabled virtual clinic for ADHD and anxiety, now expanding to obesity and overweight management. The company is a fast-growing startup led by a CEO with an MBA from Harvard Business School and a Chief Medical Officer trained at UCSF and Stanford, focused on clinical excellence.
Provide professional and friendly proactive care and triage for clinical issues.
Perform comprehensive assessments and establish care plans with interdisciplinary teams.
Coordinate transitions of care and establish rapport with patients and families.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs, delivering 24/7 virtual-first and in-home medical, behavioral, and social care. We are a mission-driven team guided by five core values, committed to diversity, equity, and inclusion.
Manage care for high-risk members by identifying needs and coordinating clinical, community, and in-network resources.
Perform utilization management reviews, ensure quality oversight, and support accreditation readiness.
Collaborate with multidisciplinary teams to analyze member outcomes and drive continuous improvement.
They are a health plan focused on improving outcomes for high-risk members through care coordination and quality initiatives. Their team values collaboration, clinical excellence, and mission-driven work to enhance community health.
Review Home Health prior authorization requests using CMS guidelines and clinical judgment.
Lead and mentor the Home Health UM nursing team, ensuring quality and compliance.
Collaborate with cross-functional partners to optimize care and improve utilization.
Clover Health provides high-quality, affordable healthcare for America's seniors by combining data, technology, and preventive care. They are a mission-driven team with diverse expertise, focused on improving members' lives through innovation and empathy.
Monitor and interpret patient vitals, assessments, and alerts within Welby Health’s platform to provide timely, evidence-based guidance and escalate clinically significant findings.
Develop, implement, and adjust individualized care plans addressing both clinical and social needs, coordinating with physicians, specialists, and community resources.
Deliver patient education and coaching via telephone and secure messaging, empowering patients to manage chronic conditions and build sustainable health habits.
Welby Health is a San Diego-based healthcare organization committed to transforming the way complex conditions are managed. The company leverages technology and clinical expertise to improve patient outcomes and practice efficiency.
Strategically assess, plan, and facilitate comprehensive care across the continuum for high-risk patients.
Collaborate with physicians, nursing, insurers, and post-acute providers to ensure timely transitions.
Work remotely from California, using provided equipment, with potential weekend/holiday coverage.
Dignity Health Management Services provides integrated managed care administrative and clinical services to medical groups, hospitals, and health plans. It is part of CommonSpirit Health, one of the largest nonprofit health systems in the US, with a focus on coordinated patient care and community health.
Coordinate patient care plans and communication between patients, providers, and care teams.
Manage administrative tasks including EHR updates, referrals, insurance verification, and patient inquiries.
Advocate for patients through routine check-ins, care barrier resolution, and compliance with HIPAA.
SnappyCX provides patient care coordination and healthcare support services. They focus on delivering high-quality, empathetic care management while maintaining a remote and flexible work environment.
Supervise a team of 10-15 ECM staff to ensure high-quality care management services.
Oversee client outreach, enrollments, and Individual Care Plans, serving as escalation point.
Drive team to meet KPIs, collaborate on process improvements, and provide clinical oversight 30% of the time.
Vynca provides comprehensive care for individuals with complex needs, focusing on more quality days at home. The company fosters a close-knit community culture guided by core values of Excellence, Compassion, Curiosity, and Integrity.
Oversee the Complex Clinical Bill Review team, managing production expectations, SLAs, client communication, and team performance.
Analyze and track internal business requirements, continuously evaluate functionality across programs, and perform requirements gathering to solve process issues.
Monitor team performance metrics, identify growth opportunities, and coordinate system enhancements including JIRA and UAT testing.
Machinify is a leading healthcare intelligence company providing an AI-powered platform for health plan clients. They are deployed by over 85 health plans, representing more than 270 million lives, with a culture of innovation and efficiency.
Oversee all nursing activities for clinical research studies in the Southeast region, ensuring compliance with regulations and protocols.
Manage per diem mobile research nurses, including training, documentation, and quality control of data collection.
Serve as the nursing subject matter expert for assigned studies, collaborating cross-functionally to support study execution.
Science 37 accelerates clinical research by enabling universal trial access for patients through Direct-to-Patient Site and Patient Recruitment solutions, powered by a proprietary technology stack. The company employs in-house medical and operational experts to enhance quality and streamline study orchestration, fostering a culture of innovation and teamwork.
Conduct detailed assessments and coordinate individualized care plans with healthcare teams.
Educate patients and families on disease processes, treatment options, and self-care strategies.
Advocate for patients' needs within the healthcare system, ensuring timely access to services.
Empowers individuals facing health challenges by providing compassionate, expert-guided care advocacy services. Dedicated to ensuring personalized support and seamless care coordination.
Conduct monthly clinical check-ins and build ongoing relationships with patients and caregivers.
Perform structured symptom assessments and escalate clinical concerns using licensed judgment.
Collaborate with providers and care teams to ensure accurate documentation and care coordination.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They are building a team focused on improving outcomes for kidney disease patients with a supportive culture.
Conduct telephonic clinical assessments and health education using nursing process and protocols.
Utilize critical thinking to triage, make care recommendations, and document patient interactions.
Work a schedule including evenings and weekends, with full-time flexibility and remote setup.
Carenet Health provides clinical services and health education to patients through innovative telephonic channels. They are a growing organization with a collaborative team of registered nurses across the United States.
Analyze health plan reports and clinical data to identify members eligible for case management.
Conduct comprehensive telephonic and virtual assessments to evaluate medical, behavioral, and social needs.
Develop, implement, and monitor individualized care plans with measurable goals and interventions.
Duly Health and Care is a physician-led medical group offering a connected network of primary and specialty care, surgery centers, imaging, lab, and therapy services. They foster a collaborative culture centered on putting patients first and supporting team growth.
Directly manage a team of registered nurses and clinical staff, overseeing hiring, coaching, and performance management.
Own scheduling, coverage, and workflow management to ensure smooth clinic operations.
Serve as the operational owner of Carrot's EMR, including configuration and clinical content.
Carrot is a global fertility and family care platform that provides clinical guidance and support to members worldwide. The company serves over a thousand multinational clients and millions of members across 195 countries, and is recognized for its innovative workplace culture and awards.
Survey ambulatory care organizations across the United States within the scope of Joint Commission's Ambulatory Programs.
Engage health care staff in interactive dialogues to assess compliance and identify opportunities for improving care quality.
Prepare management reports that link standards deficiencies with systems vulnerabilities and communicate findings to leadership.
The Joint Commission accredits and certifies health care organizations to improve patient safety and quality of care. It employs a nationwide team of surveyors who work remotely and travel extensively.
Work with a multi-disciplinary team to ensure a high-quality patient experience.
Manage patient/provider messaging and coordinate care plans.
Provide administrative and communication support for the provider network.
Thirty Madison is now part of Remedy, revolutionizing healthcare accessibility. The company is dedicated to building a diverse, inclusive, and authentic workplace, with a focus on patient care and provider support.
Serve as a key liaison between patients, providers, and pharmacies to ensure seamless care coordination.
Own a queue of active clinical cases, reviewing them and driving each to resolution through persistent follow-up.
Use sharp clinical judgment to separate real issues from noise and communicate clearly with all stakeholders.
GoldenScript is an AI-native pharmacy services platform that optimizes medication management for patients. The company is a small startup focused on clinical care coordination and patient outcomes.