Serves as a liaison between service providers and assists with enrollment in community resources.
Completes applications for resources and paperwork for provider visits.
Follows up and tracks referrals and outcomes for pharmacy, DME, and home care.
Strive Health aims to transform the kidney care system through early identification and comprehensive coordinated care. They integrate with local providers, embrace diversity, and support each other, making Strive a great destination for top talent in healthcare.
Conduct routine patient check‑ins to monitor therapy experience, identify concerns, and support adherence to treatment plans.
Assist with initial outreach to confirm therapy start and assess early treatment experience.
Coordinate patient appointments, follow‑up visits, and clinical monitoring schedules.
Shields Health Solutions partners with hospitals and health systems to develop and manage specialty pharmacies. They focus on improving patient outcomes, enhancing financial performance, and ensuring regulatory compliance for their partners.
Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
Assess payment determinations using clinical information and established guidelines.
Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement.
Broadway Ventures transforms challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), they empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth.