Coordinates and oversees all direct and indirect patient services provided by clinical organization personnel.
Provides guidance and counseling to coordinators and Clinical Supervisors to assist them in continually improving all aspects of home health care services.
Assists the Executive Director in the preparation and administration of the organization's budget.
Mission Healthcare, located in seven states, is the largest home health and hospice company in the western United States. They provide services that meet the needs of patients and families across the healthcare continuum and believe their people deserve care delivered with Compassion, Accountability, Respect, Excellence and Service.
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.
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.
Manage complex multi-workstream projects and oversee junior team members
Analyze data to implement performance improvement and organizational change
Collaborate with team members and clients to align with business objectives
Jobgether is a company that uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Provide direct supervision, coaching, and performance oversight to clinical managers.
Serve as a primary operational liaison between clinical teams and health plan care management teams.
Oversee onboarding and training for care teams and clinical managers.
Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. They deliver goal-centered care focused on alleviating physical symptoms and emotional stress for individuals and their caregivers. They cultivate a dynamic and inclusive team environment.
Oversee daily claim workflows ensuring accuracy, timeliness and adherence to compliance requirements within Required SLAs.
Own team performance across CSAT, Quality, Productivity, Aging, and SLA, translating results into clear action plans.
Coach and develop team members through 1:1s, performance management and targeted development plans.
Extend is revolutionizing the post-purchase experience for retailers and their customers by providing merchants with AI-driven solutions. Extend works with more than 1,000 leading merchant partners across industries and our headquarters is in downtown San Francisco.
Enhance the quality of member management and maximize satisfaction.
Assist in navigating the health care system as a collaborative health partner.
Promote wellness, problem-solve, and assist members in realization of their personal health-care related goals.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers.
Oversee day-to-day operations for the CCPM and TOC care management teams.
Ensure delivery of high-quality longitudinal chronic/complex care management and best-in-class transitions of care.
Continuously evaluate and improve the performance of CCPM and TOC programs and team members.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. They are committed to improving patient outcomes and quality of life for patients living with kidney disease. This is achieved by delaying disease progression, shifting care to the home, and accelerating kidney transplants.
Leading the Personal Support and Nursing Management team.
Providing professional knowledge and support to the team.
Supporting daily operations of client services, case management, and human resources.
CarePartners is one of Ontario’s largest accredited home health care providers, providing nursing, personal support, therapy and rehabilitation support services for patients of all ages. They care for approximately 72,000 patients each year in homes, schools, clinics, workplaces and retirement homes, through their 24 locations and 24 nursing clinics.
Provide operational leadership and oversight for Privia Health’s telephonic triage and after-hours care coordination platform.
Responsible for data-driven performance management, workflow optimization, staff scheduling, and resource planning to support safe, scalable, and cost-effective service delivery.
Oversee Health Advisors and operational support staff, ensuring adherence to protocols, communication standards, and service-level expectations.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care. The Privia Platform consists of scalable operations and end-to-end, cloud-based technology.
Develop and implement comprehensive plans to drive patient throughput, efficient discharge planning, and readmission prevention.
Provide clinical direction for patient flow and ensure consistent application of systemwide standards and best practices for care coordination.
Leverage deep understanding of local regulations and resources, building relationships with state agencies and community partners.
CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees and contributes more than $4.2 billion annually in charity care.
Manage team members in benefit configuration and testing.
Improve processes and institute best practices in benefit configuration.
Build and maintain pharmacy benefit plans for client groups.
SmithRx is a rapidly growing Health-Tech company disrupting the Pharmacy Benefit Management (PBM) sector. They focus on building a next-generation drug acquisition platform with technology, cost-saving tools, and customer service, fostering a mission-driven and collaborative culture.
Directly lead and manage a Patient Support team to ensure medication adherence or provide timely prior authorization and financial assistance.
Proactively manage support in assigned hospitals/clinics to ensure patients receive medications on time and that all service level goals are met.
Manage all aspects of ADP, Paid Time Off (PTO), and Time Reports for team members while completing audits of the team in supported systems.
Shields Health Solutions provides specialty pharmacy management services, helping patients get medications on time. They are a fast-growing company that values motivated self-starters focused on high quality.
Serve as a subject matter expert and coach to QA staff and leaders across multiple states, promoting consistent quality practices and continuous improvement.
Facilitate regular meetings with state QA leaders to review performance goals, challenges, and improvement opportunities.
Analyze QA metrics, KPI dashboards, and audit findings to identify trends and areas for operational improvement.
Dungarvin is dedicated to enhance the quality of life for people with intellectual and developmental disabilities, including those with mental health, behavioral, or complex medical needs. Dungarvin has services nationwide, and is united by a shared commitment to making a real difference.
Lead, coach, and mentor a team of Customer Operations Specialists to meet and exceed performance expectations.
Monitor daily workflows and queues to ensure timely, accurate resolution of provider and client inquiries.
Track and analyze team performance against key metrics, including OKRs and productivity KPIs.
Grow Therapy is a technology-powered marketplace that empowers therapists, augments insurance payors, and serves patients in need of mental healthcare. They have raised more than $178mm of funding and have empowered more than ten thousand therapists and hundreds of thousands of clients across the country.
Facilitate collaboration with health plan care managers
Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. They deliver goal-centered care focused on alleviating physical symptoms and emotional stress for individuals and their caregivers.
Work in a partially remote environment, collaborating with team members virtually each day.
Serve as a Subject Matter Expert (SME) on quality improvement measures, customer needs, and payer‑specific quality initiatives across commercial and government programs.
Conduct proactive patient outreach to identify and close quality gaps—educating patients, scheduling screenings, supporting treatment plan adherence, and improving outcomes.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers.