Provides quality driven telephonic clinical assessments, health education, and utilization management services.
Provides assessments to individuals using telecommunications in accordance with computer-based algorithms, protocols, and guidelines.
Uses clinical knowledge to assess, disposition, make recommendations for care, provide education and health information.
Carenet Health values the expertise and dedication of their team members. They are committed to offering an appealing compensation package and creating an inclusive environment for all employees.
Answer and triage after-hours calls across Ohio markets.
Conduct remote clinical assessments to determine patient and family needs.
Evaluate patient status changes and provide symptom management guidance.
Luminary Hospice is a mission-driven organization that empowers its team members to shape the culture and provide high-quality support to patients and families during their end-of-life journey. They are centered on caring for the whole person, providing expert medical care, pain management, and emotional and spiritual support to families and caregivers.
Deliver patient centric health coaching that integrates medical needs with patient preferences.
Triage patient reported symptoms and side effects according to internal protocols, escalating to Providers when appropriate.
Provide comprehensive diabetes, hypertension, hyperlipidemia, and weight management care and education via chat, phone, and video.
9amHealth is a specialized cardiometabolic care provider, offering custom care plans, prescription medications, and expert guidance to help members live healthier. They are a San Diego, California-based company with a small, flexible team and are backed by 7Wire Ventures, Human Capital, Founders Fund, and Define Ventures.
Supervise, direct and evaluate a diverse group of health care professionals to assure effectiveness of care coordination activities.
Develop audit plans and tools for teams to ensure compliance with state contracts on performance metrics and to ensure member needs are met.
Interview, hires, mentors, evaluates, coaches and manage performance for a diverse care coordination team.
Humana Inc. is committed to putting health first for its teammates, customers, and company. Through Humana insurance services and CenterWell healthcare services, they aim to make it easier for the millions of people they serve to achieve their best health.
Provide timely, high-quality clinical recommendations grounded in evidence-based practice.
Effectively communicate assessment findings and provide advice to the in-center team.
Provide input into resident care plans in collaboration with the in-center team.
Summerset is the second largest retirement village operator in New Zealand, passionately dedicated to providing quality service to its clients. They are growing quickly, with 39+ villages, and proud of their dynamic work environment and diverse workforce.
Coordinates home infusion services for compliance.
Organizes, plans, and evaluates agency services and programs.
Ensures effective delivery of services to maintain quality care.
BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Their compassionate care team helps patients navigate the often-challenging healthcare environment and treats their patients like family.
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.
Conducts telephonic visits with clients to complete assessments and provide disease management education.
Support program enrollment and monitor participation for clients post-discharge.
Document communication with clients, caregivers, and providers timely and accurately.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.
Conduct virtual wellness visits directly to patients in their homes.
Offer a wide range of healthcare services, including virtual adult and/or pediatric wellness visits and health assessments.
Provide personalized care to every patient.
Sprinter Health is an on-demand mobile health service that sends medical professionals to patients’ homes. They are building the clinical and technological infrastructure to realize a future of healthcare untethered and have a rapidly growing team of visionary leaders.
Oversee the RN Reviewer team including one RN Team Lead
Manage the daily timeliness report and ensure all cases meet expected turnaround times
Monitor the nurse productivity reports daily and provide feedback to the nurses, managing performance to ensure consistency
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. They work with over 660,000 providers and handle over 12 million prior authorization requests annually.
Conduct virtual wellness visits to patients in their homes.
Perform health risk assessments and medication reviews.
Provide comprehensive care coordination and management.
Sprinter Health is an on-demand mobile health service that sends medical professionals to patients’ homes. They are building the clinical and technological infrastructure to realize a future of healthcare untethered with a rapidly growing team of visionary leaders.
Provide professional and friendly proactive care for our patients.
Utilize standard triage protocols to accurately assess and provide a disposition for clinical issues using our platform.
Embed a family centered care philosophy in care delivery.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining 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 and health plans.
The NP will use their expertise and clinical judgment to provide telehealth sessions to patients via phone and/or video for prescriptive and/or informational sessions.
The NP will adhere to the required state telemedicine regulatory guidelines.
The NP will use their expertise and clinical judgment to conduct comprehensive health assessments on patients as they deem appropriate.
Everlywell's mission is to transform lives with modern, diagnostics-driven care. They are headquartered in Austin, Texas with a national clinician network composed of hundreds of physicians, nurses, genetic counselors, PharmDs, and member care specialists.
Conduct assessments, establish care goals, and deliver telephonic coaching and education to support clients in managing chronic conditions.
Perform first‑level Utilization Review for inpatient and outpatient services based on plan guidelines.
Document all condition management activities, track client progress, and report outcomes, savings, and quality improvements.
HealthCheck360 focuses on reducing medical costs while increasing employee engagement and productivity. They accomplish this by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through Health Coaching and Condition Management programs.
Responsible for coordination of services for members, emphasizing education/self-management and quality care. \n- Assesses member needs, reviews service options, develops and implements care plans, and coordinates resources. \n- Manages a caseload of moderate-high risk members with complex medical/behavioral/psychosocial needs.
Capital Blue Cross is committed to improving the health and well-being of our members and the communities in which they live. They offer flexibility, prioritize health and well-being, and encourage employees to volunteer in their community.
Complete all documentation associated with client calls.
Complete all required reports associated with Needs Assessment/Referral Development.
Pyramid Healthcare is dedicated to offering high-quality care in addiction treatment, mental health recovery, and eating disorder treatment. They focus on client-centered care and comprehensive behavioral healthcare, supporting clients at every recovery stage.
You will be responsible for using your assessment and communication skills to engage with patients in need of clinical support to determine and prioritize their needs.
Conduct timely telephonic clinical outreach to identified patients.
Collaborate with PCPs, NPs, and other members of the healthcare team to coordinate care for patients and actively help keep them stable at home.
Vytalize Health is building a market leader in value-based healthcare. They are a rapidly growing organization that embraces the power of AI and encourages innovative, responsible use of emerging technologies in their work.
Responsible for quality assurance, accuracy and overall integrity of the UAS-NY assessment data and visit documentation completed by core team nurses as well as, business partners’ nurses.
Performing assessment audits, identifying trends that require staff retraining, and implementing corrective action plans in collaboration with Clinical management staff.
Responsible for ongoing orientation, training and education of Assessment Nurses conducting UAS-NY assessments, and participate in establishing educational modules for staff orientation and re-training.
Elderplan and HomeFirst are Medicare and Medicaid managed care health plans that are expanding services in response to patients' and members' needs. MJHS is a supportive community committed to excellence, respect, and providing high-quality, personalized health care services.
Provide professional and friendly proactive care and triage for clinical issues.
Embed a family-centered care philosophy in care delivery.
Demonstrate cultural competence and sensitivity as ability to work with culturally diverse populations and seek out additional resources when needed.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining 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.