Conduct comprehensive telephonic assessments and develop individualized care plans for patients with chronic conditions.
Use Motivational Interviewing to promote self-management and coordinate care with interdisciplinary teams.
Monitor biometric data and IVR trends to identify clinical risks and prevent hospitalizations.
The company provides telephonic nurse care management services for patients with chronic conditions, using technology-enabled care delivery. It has a mission-driven, collaborative culture focused on innovation and patient impact, with a fully remote team.
Coordinate interdisciplinary care plans and serve as a liaison between patients, providers, and insurance partners.
Provide telephonic nursing triage, health guidance, and on-call support according to agency protocols.
Manage lab results, referrals, prescription refills, and patient follow-up to ensure continuity of care.
Planned Parenthood of the Pacific Southwest provides sexual and reproductive healthcare across 20 health centers in Southern California. The organization fosters a collaborative, mission-driven culture with over 100 years of advocacy.
Conduct nursing assessments and enroll patients in chronic care management programs.
Develop individualized care plans and coordinate transitions to improve outcomes.
Collaborate with providers and teams to support value-based care delivery.
Jobgether is an AI-powered job platform that matches candidates with hiring companies. It focuses on objective, efficient recruitment and partners with healthcare organizations.
Conduct prospective, concurrent, and retrospective reviews for medical necessity and appropriateness of services.
Collaborate with Medical Directors to draft denial language and ensure consistent use of standardized UM criteria.
Support the UM Team with benefit interpretation and participate in LEAN activities to achieve department goals.
IEHP is a health plan committed to healing and inspiring the human spirit. They offer a supportive culture with career advancement opportunities, wellness programs, and a state-of-the-art fitness center.
Manage patient messages through the telehealth platform and address routine clinical questions within your nursing scope.
Escalate complex medical concerns, coordinate with providers, and ensure timely follow-ups.
Maintain accurate documentation, follow HIPAA protocols, and work independently in a fast-paced remote environment.
LumiMeds is a fast-growing U.S.-based telehealth startup focused on weight management and long-term metabolic health. It is an early-stage, remote-first company with a globally distributed team that values clarity, accountability, and initiative.
Assess patients' immediate and long-term needs through evaluation of social and medical history.
Develop and continuously evaluate individualized plans of care in collaboration with the interdisciplinary team.
Act as a patient advocate, coordinating resources, ensuring compliance, and negotiating cost-effective quality care.
Independent Health provides innovative health care products and benefits designed to engage consumers in their health and well-being. The company serves nearly 400,000 members and fosters a culture of growth, innovation, and collaboration.
Conduct telephonic nursing assessments and triage using clinical protocols.
Provide health education and care recommendations to patients.
Collaborate with remote RNs to meet quality and performance metrics.
Carenet Health delivers telephonic clinical assessments, health education, and utilization management services. They are a growing, collaborative company with a nationwide remote team of registered nurses.
Conduct timely post-discharge outreach and assessments for high-risk patients.
Coordinate telephonic care, medication reconciliation, and patient education.
Connect patients with community resources and collaborate with care teams.
UnityPoint Health is a healthcare system delivering coordinated care and services across clinics and hospitals. Recognized as a top workplace in healthcare, it fosters a culture of belonging and team member support.
Perform prospective, concurrent, and retrospective utilization review to ensure medical necessity and appropriate level of care.
Research and respond to appeals, coordinate discharge planning, and analyze care patterns.
Collaborate with providers and internal teams to resolve benefit and eligibility issues.
HealthEdge provides AI-powered operational infrastructure for health insurance companies, helping them modernize operations and compete effectively. The company is expanding and investing in its people, offering opportunities to shape the future of healthcare technology.
Conduct high-volume outbound telephone outreach to patients to introduce pharmacy services and guide them through enrollment.
Document patient consent and update electronic health records, including preferred pharmacy and electronic prescriptions.
Manage outreach queues, meet call center performance expectations, and uphold HIPAA privacy standards.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. The company fosters an innovative, evolving environment focused on improving patient outcomes and quality of life.
Serve as the primary non-clinical contact for members, providing timely and empathetic assistance via phone, email, and other channels.
Explain healthcare benefits and programs, coordinate appointments, and manage cases from intake through resolution.
Collaborate with clinical teams and providers to remove barriers to care and ensure a seamless healthcare journey.
The company provides healthcare navigation and member support services, helping members access essential healthcare services. The culture emphasizes customer service, remote work, and professional development in a technology-driven healthcare environment.
Conduct clinical reviews of inpatient admissions and continued stays using approved medical necessity criteria.
Collaborate with physicians, care managers, and payer teams to resolve utilization concerns and prevent denials.
Support quality improvement initiatives, maintain accurate documentation, and communicate review outcomes effectively.
This role is with a partner company focused on healthcare utilization management, helping hospitals improve patient outcomes and ensure appropriate resource use. The team operates as a distributed remote group supporting care coordination, revenue integrity, and clinical compliance.
You perform complex medication reconciliations and identify clinical red flags to prevent ER visits and readmissions.
You deliver high-touch engagement for high-risk patients through post-discharge follow-up and care coordination.
You collaborate with practices and document interventions across multiple EHRs to ensure care gaps are closed.
Aledade PBC is a public benefit corporation that empowers independent primary care by creating value-based contracts. Founded in 2014, we are the largest network of independent primary care in the country, with a remote-first culture that is collaborative and inclusive.
Deliver comprehensive, coordinated health services remotely using telehealth and digital tools.
Assess patients' medical, physical, and psychological status and develop interdisciplinary care plans.
Support enterprise-wide Virtual Health Services implementation, including travel to hospitals for expansions.
CommonSpirit Health is a nonprofit Catholic healthcare organization providing integrated health services and virtual care across 24 states. With over 157,000 employees and 45,000 nurses, it fosters a culture of humankindness and delivers more than 20 million patient encounters annually.
Conduct telephone and video consultations with patients to assess needs and provide social work case management support.
Collaborate with multidisciplinary care teams to develop personalized care plans addressing psychosocial and healthcare needs.
Support patients and families with emotional guidance, resource navigation, and long-term care planning.
Jobgether is a platform that uses AI-powered matching to connect candidates with jobs, including roles at partner companies. They aim to ensure applications are reviewed quickly and fairly, focusing on top-fitting candidates.
Clarity Pediatrics is a virtual clinic reimagining pediatric chronic care, starting with ADHD and expanding to obesity and overweight management. It is a fast-growing startup with a remote-friendly culture and a leadership team committed to clinical excellence.
Monitor provider workloads and patient communication queues across a distributed network of clinicians.
Escalate urgent concerns and follow up to ensure timely patient care and consistent service delivery.
Track operational metrics and recommend workflow improvements to support scalable virtual care.
This growing telehealth organization focuses on weight management and long-term metabolic health. It operates as a remote-first team that values initiative, accountability, and practical problem-solving.
Conduct Annual Wellness Visits and E/M follow-up visits by phone or video.
Manage chronic conditions, review medications, and prescribe where clinically appropriate.
Document every encounter accurately in SOAP format and close care gaps.
CareTalk Health is a fully remote, nationwide virtual medical practice that partners with Medicare Advantage plans to deliver Annual Wellness Visits and close care gaps. It is a fast-growing virtual healthcare organization with a collaborative team of support staff and nurses working at the top of their licenses.
Conduct comprehensive member needs assessments and coordinate care plans, referrals, and follow-up activities with payer care management teams.
Build trusted relationships with members through compassionate, culturally responsive communication and motivational techniques.
Perform outreach by phone, text, and email while maintaining accurate documentation and escalating high-risk concerns when needed.
Mae Health improves maternal health outcomes by helping mothers, babies, and families access compassionate, culturally responsive healthcare and community-based support. The company builds a talent pool of qualified Care Coordinators to support members across Medicaid health plan partnerships, with a culture rooted in solution-oriented, curious, mission-connected, and data-driven values.
Coordinate patient enrollment, device setup, and education for remote monitoring technology.
Monitor patient data, analyze trends, and escalate health changes to healthcare providers.
Ensure device configuration, data management, and quality assurance for remote patient monitoring.
Optima Medical is an Arizona-based medical group providing personalized healthcare and a full spectrum of services across 34 locations with 150+ providers. They care for over 200,000 patients, focusing on preventing leading causes of death and promoting wellness.