Serve as a patient advocate and navigator, guiding patients and caregivers through the healthcare system.
Complete emergency room and hospital follow-up calls, offering education on alternative access points to reduce avoidable ED visits.
Facilitate medication education and adherence support, including alignment with standing orders, protocols, and chronic disease management goals.
Praxis Health is a family of medical groups providing high-quality healthcare throughout the state of Oregon. They foster a supportive and collaborative workplace where every team member is valued and empowered to succeed with community-based clinics.
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.
Lead and develop a team of RN Care Coordinators and non-clinical Care Coordinators.
Ensure timely progression of members through the surgical review and COE pathways.
Identify workflow issues and recommend process improvements.
Transcarent and Accolade have come together to create the One Place for Health and Care, the leading personalized health and care experience that delivers unmatched choice, quality, and outcomes. Together, more than 20 million people have access to the combined company’s offerings.
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.
Processes acute and post-acute inpatient medical or behavioral health and select intensive outpatient higher level of care requests through review of the submitted request and applicable clinical records
Collaborates with UM department staff, including Clinical Support Specialists and Medical Directors to make a final determination, and with Care Management staff on discharge planning and transition of care activities.
Identifies and refers members with complex needs to the appropriate population health and/or care management program.
Capital Blue Cross promises to go the extra mile for our team and our community. Our employees consistently vote us one of the “Best Places to Work in PA, and we foster a flexible environment where your health and wellbeing are prioritized.
Monitor high-risk pediatric patients, ensuring appropriate follow-up and adjusting care plans as needed.
Conduct biopsychosocial assessments to address behavioral, social, emotional, and systemic needs of the patient and family.
Create and evaluate the effectiveness of the patient/family’s care plan and modify based on families evolving needs and goal progression.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs, delivering virtual-first and in-home care. They work alongside families and providers to enhance care, providing extra support with compassion and commitment.
Provides quality driven telephonic clinical assessments, health education, and utilization management services.
Provides assessments to individuals using telecommunications, in accordance with computer-based algorithms and guidelines.
Uses clinical knowledge to assess, make recommendations for care, provide education and health information.
Carenet Health values expertise and dedication, committed to providing appealing compensation. They celebrate diversity, creating an inclusive environment and are an equal opportunities employer.
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.
Serve on interdisciplinary care team as patient health coach, in partnership with a clinical RN and Pharmacist.
Empower patients to set their own health and wellness goals (or support them as they strive to stick to a treatment plan from a healthcare practitioner) and offer support as they make progress.
Provide remote telephonic coaching services at a frequency based on risk, need, and program specific workflows.
Vytal Care operates as a market leader in value-based healthcare, experiencing rapid growth. They focus on proactive and coordinated care, particularly in the home, powered by technology and a human-centered approach.
Provide continuity of care and identify care gaps.
Complete assessments and assist with care plan development.
Advocate for resources and connect families with services.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group that reimagines care for children with special healthcare needs, delivering 24/7 virtual and in-home care. It enhances existing care teams by providing extra support with compassion and commitment.
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.
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.
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.
Coordinate with Front Desk Coordinators to manage and respond to house call requests promptly during your shift.
Formulate a differential diagnosis and treatment plan for urgent and emergent care in a patient’s home or other non-clinic settings, within the scope of emergency medicine.
Document clinical evaluations and treatments accurately in the electronic health record ( AthenaHealth ).
Sollis Health is the first and only medical membership that’s on-demand 24/7, 365. With unlimited 24/7 virtual and in-person support, Sollis puts our members in first class by handling all medical issues—big or small—with expert concierge care anytime, anywhere.
Lead and manage clinical operations teams, ensuring high standards of service delivery and operational compliance.
Coordinate clinical programs, including utilization management, clinical review, and special initiatives.
Develop, implement, and maintain operational policies, procedures, and best practices.
Jobgether is a platform that uses AI to match candidates with job opportunities. They aim to ensure applications are reviewed quickly and fairly, connecting top-fitting candidates with hiring companies.
Responsible for application of appropriate medical necessity tools to maintain compliance and achieve cost effective and positive patient outcomes.
Acts as a resource to other team members including UR Tech and AA to support UR and revenue cycle process.
Utilizes Payer specific screening tools as a resource to assist in the determination process regarding level of service and medical necessity.
Virtua Health strives to connect individuals to the care they need, building a healthier community in South Jersey. They are a Magnet-recognized health system with over 14,000 colleagues, including over 2,850 doctors, physician assistants, and nurse practitioners.
Gain a deep understanding of Cohere’s product and our health plan partners
Provide general supervision over the nursing staff including hiring, training, and coaching
Assist in addressing any case escalations or provider issues
Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. They foster a supportive, growth-oriented environment.