Collaborate with clinic teams to deliver hands-on patient care.
Process prior authorizations, resolve insurance issues, and support financial assistance.
Educate patients on pharmacy services and assist with specialty and retail prescriptions.
Shields Health Solutions is redefining patient care through specialty pharmacy. They are hiring motivated people and seem to have a good employee culture.
Provide skills-based individual and group sessions to caregivers in treatment at Equip.
Implement motivational strategies with caregivers to engage with their care plans, including monitoring adherence to care plans and completion of program elements.
Participate in multidisciplinary treatment team huddles to support patient progress in treatment.
Equip is a virtual eating disorder treatment program, committed to accessible and effective care. Founded in 2019, it operates in all 50 states and partners with major health insurance plans, with a highly-engaged, passionate, and diverse team that has created Equip’s culture.
Processes acute and post-acute inpatient medical and select intensive outpatient higher level of care requests through clinical review.
Interprets and applies InterQual criteria, CMS-issued guidelines, Capital Blue Cross Medical Policies to requests.
Collaborates with UM department staff and Medical Directors to make a final determination, and with Care Management staff on discharge planning.
Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association. At Capital, employees work alongside a caring team of supportive colleagues and are encouraged to volunteer in their community.
Manage incoming messages, route to appropriate recipients, and answer questions.
Contact pharmacies, proactively or by returning voicemails, regarding prescriptions.
Update patient medical records, including documenting medical history and arranging lab services.
FOLX Health is the leading health and wellness platform for LGTBQIA care, providing end-to-end services virtually and in person. They foster a culture of reliability, transparency, access, and agency, trusting their team to achieve individual goals.