Lead, manage, and hold accountable the team of GUIDE Program Coordinators.
Own day-to-day compliance with the CMS GUIDE Model, ensuring eligibility and alignment.
Monitor and operationalize new and updated CMS GUIDE rules into clear workflows.
Ceresti Health provides personalized coaching, care coordination, and care planning to families. They are a quickly scaling company, focused on innovation and supporting caregivers of people living with dementia.
Supervise call center staff and provide day-to-day supervision to communicators, implementing performance standards.
Monitor inbound/outbound customer service calls to ensure script adherence, call integrity, compliance, and proper phone technique.
Analyze call metric and productivity reports, share analysis with leadership, and offer recommendations based on analysis.
Inizio Engage is a strategic, commercial, and creative engagement partner that specializes in healthcare. We have a passionate, global workforce of over 7,000 experts in more than 20 countries and an exceptional, collaborative culture.
Coordinate care and collaborate with multiple disciplinary team members to improve the quality of care and clinical outcomes.
Conduct thorough assessments to determine unmet needs and develop individualized care plans.
Promote quality cost-effective outcomes with the goal of improved care coordination.
Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services. They strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships.
Monitor compliance with assigned responsibilities and coordinate with patient financial services.
Conduct initial and continued clinical authorization reviews.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly. They identify the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Supervise day-to-day operations of assigned Utilization Management staff.
Provide full people management for assigned Utilization Management teams, including hiring and performance management.
Drive team performance against key metrics, including engagement, productivity, and quality scores.
Personify Health has created a personalized health platform, bringing health plan administration, wellbeing solutions, and care navigation together. Their data-driven solutions aim to reduce costs while improving health outcomes, empowering people to lead healthier lives.
Perform telephonic outreach to enroll and engage patients in the clinical program.
Develop and implement care plans addressing the unique needs of patients.
Guide members in understanding and utilizing health and social services.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. They are committed to improving patient outcomes and quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants.
Collaborate with interdisciplinary team members to deliver comprehensive virtual care services to patients.
Provide support for patients and families coping with life transitions, chronic illnesses, and other psychosocial challenges.
Develop and implement individualized care plans that address patients' needs, connecting them with relevant community resources.
Interwell Health is a kidney care management company that partners with physicians. They aim to reimagine healthcare and set the standard for the industry to help patients live their best lives. They are committed to diversity, equity, and inclusion throughout their recruiting practices.
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.
Monitor high-risk pediatric patients, ensuring appropriate follow-up and assistance with meeting resource needs.
Conduct comprehensive assessments to address behavioral, social, emotional, and systemic needs of patients and families.
Perform daily tracking of family needs, continuously evaluate the effectiveness of the patient/family care map, and modify plans based on evolving needs.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group that reimagines care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care, working alongside families, providers, and health plans.
Assist in monitoring compliance of medication prescribed by the physician or psychiatric provider.
Provide psychoeducation, coping skills, and therapeutic worksheets through a structured care plan.
Provide information to patient on community services and resources.
Optima Medical is an Arizona-based medical group with 30 locations and over 130 medical providers, who care for more than 200,000 patients statewide. They aim to improve the quality of life throughout Arizona by helping communities live better and longer through personalized healthcare.
Assist nursing students in completing practicum application materials and locating field placement sites across various programs.
Process and maintain student Field Experience files, applications, and preceptor and site information.
Communicate with students via phone and electronic methods to counsel and advise on Field Experience requirements, policies, and procedures.
Walden University is an accredited online institution founded over 50 years ago to help adult learners achieve their academic goals and make a greater impact in their professions and communities. It offers over 100 online degree and certificate programs to students across the U.S. and more than 115 countries.
Serve as a liaison between contracts, patients, patient families, and HHAs.
Ensure effective communication and identify areas of concern.
Support the delivery of high-quality care by completing required tasks.
SnappyCX connects experienced Patient Coordinators with its clients’ care teams. They focus on ensuring effective communication and supporting the delivery of high-quality care.
Conduct IOP orientations for new patients, introducing program structure, expectations, and resources.
Lead discharge planning beginning at admission, ensuring linkage to outpatient providers, community resources, and payor-approved step-down services.
Track engagement, discharge, and readmission metrics; report trends to the Clinic IOP Director for quality-improvement initiatives.
Salma Health is reimagining brain healthcare by bringing together advanced diagnostics, evidence-based treatments, and continuous support under one connected system. Their multidisciplinary team delivers personalized care for people living with brain and mental health conditions.
Directly lead and manage a team of Patient Support Associates to ensure medication adherence or timely prior authorization.
Proactively manage support in assigned hospitals and/or clinics to ensure patients receive medications on-time.
Provide front-line supervision and ongoing coaching and performance management to Patient Support team.
Shields Health Solutions is a specialty pharmacy management service provider. They are a fast-growing company that values motivated self-starters with a positive outlook and a focus on high-quality work.