Support scheduling and reminder calls for Complex Care Navigators and collaborate with health plan clinicians.
Ensure proper documentation of patient contacts and assist with non-clinical operational tasks.
Deliver a patient-centered experience by answering patient calls and resolving escalated issues empathetically.
Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. Their interdisciplinary care teams focus on alleviating symptoms and improving quality of life, and they pride themselves on a dynamic, inclusive, and mission-driven culture.
Coordinates utilization review and prior authorization requests, ensuring accurate entry into the UM platform.
Provides customer service to providers and members, confirming benefits and answering authorization questions.
Facilitates communication between reviewers, hospitals, and physicians to ensure timely decisions.
University of Utah Health Plans is a patient-focused organization that enhances health through patient care, research, and education. It is part of a nationally ranked academic medical center with five hospitals and eleven clinics, fostering a culture of collaboration and excellence.
Serve as the first point of contact, greeting patients and handling inbound calls.
Verify insurance, update demographics, and register patients in EMR (EPIC).
Document patient concerns, triage messages, and escalate emergent issues promptly.
U.S. Urology Partners provides urology and specialty services, including surgery and cancer treatment. It has over 50 offices across the East Coast and Midwest, with values of compassion, collaboration, respect, and accountability.
Provide non-clinical administrative support for utilization management operations.
Maintain accurate records and documentation across relevant systems.
Collaborate with internal teams to support operational objectives.
They support utilization management operations that help members access appropriate care and services. The company offers a structured, remote work environment with established processes and quality standards.
Serve as a liaison between Medicaid members, providers, and community organizations.
Conduct outreach to educate members on preventive care and address health-related social needs.
Build community partnerships and support members in navigating healthcare services.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. It uses AI to review applications and share top candidates with employers, while the hiring company manages the final decisions.