Prepare comprehensive AWV charts and conduct face-to-face virtual visits via Zoom.
Review patient histories, medications, screenings, and assessments to identify care gaps.
Maintain accurate documentation and ensure compliance with Medicare, CMS, and HIPAA standards.
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 telehealth organization with a nationwide clinical team focused on making virtual care simple, reliable, and human.
Perform prospective, concurrent, and retrospective reviews of healthcare services to ensure medical necessity and appropriate level of care.
Contact medical and support personnel to recommend alternative treatment plans and coordinate care across the healthcare continuum.
Research and resolve issues related to benefits, eligibility, and appeals while delivering targeted education to providers.
HealthEdge provides AI-powered operational infrastructure for health insurance companies, covering claims administration, payment integrity, and care management. The company is experiencing significant momentum and investing in employees who directly shape the future of healthcare technology.
Provide high-quality, person-centered care management to high-risk members.
Coordinate care across medical, behavioral, and social services using evidence-based approaches.
Engage members through motivational interviewing and develop individualized care plans.
IEHP is a not-for-profit health plan serving members in Southern California's Inland Empire. It fosters a team culture focused on healing and inspiring the human spirit, offering competitive benefits and professional development.
Provide product and disease education to allied health professionals in academic and community oncology settings.
Develop customized educational plans and educate clinicians on patient identification, dosing, administration, and side effect management.
Collaborate with field teams and document customer interactions to support patient care teams.
AbbVie discovers and delivers innovative medicines and solutions across therapeutic areas like immunology, oncology, and neuroscience. The company fosters an inclusive culture that values trust, growth, and making a remarkable impact on people's lives.
Conduct QDI review of assigned inpatient cases and identify clinically supported documentation opportunities in real time.
Communicate directly with physicians and APPs on documentation and quality risk adjustment gaps.
Manage daily review queues and support provider education and calibration activities.
Tendo builds software that improves the care journey for patients, clinicians, and caregivers. It is a fast-growing, mission-driven company recognized as a Forbes Top Startup Employer, with a culture that enables teams and individuals to thrive.
Provide direct patient care and symptom triage through virtual platforms as part of an integrated care team.
Navigate oncology patients from screening through survivorship, coordinating care and addressing social determinants of health.
Build trusting relationships with patients and collaborate with clinical and non-clinical partners to ensure optimal care pathways.
Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. The company is led by CEO Dr. Justin Bekelman and backed by leading investors, with a focus on comprehensive, personalized cancer care.
Performs pre-admission, admission, and continued stay reviews using approved medical necessity criteria.
Coordinates patient care and communicates with physicians, patients, caregivers, and third-party payers.
Manages patient progression through the healthcare system and proactively works with payers to secure certification and minimize denials.
Ochsner Health is a leading not-for-profit healthcare provider in the Gulf South, with 46 hospitals and 370+ care centers. It employs more than 38,000 team members and has been recognized as a top workplace and the No. 1 hospital in Louisiana.
Provide strategic and operational leadership for assigned onsite health centers, ensuring alignment with client and organizational goals.
Oversee occupational health services including injury prevention, return-to-work programs, and workers' compensation management.
Mentor nursing leaders and collaborate with interdisciplinary teams to drive clinical quality, compliance, and workforce health outcomes.
Concentra is the nation's leading occupational health care company, with more than 40 years of experience providing employer-sponsored workplace health services. Its culture emphasizes service mentality, attention to detail, and proactive care for America's workforce.
Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
Assess payment determinations using clinical information and established coverage guidelines.
Educate teams on medical review processes and support quality control activities.
Broadway Ventures is a veteran-owned small business delivering mission-critical support to federal health and defense customers. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business, it is built on integrity, collaboration, and excellence.
Provide clinical and administrative support to a remote healthcare team during weekends, holidays, and peak patient volume.
Review laboratory results, coordinate referrals and pharmacy communications, and document actions in the EMR.
Work independently while collaborating with physicians, PAs, and care coordinators to ensure continuity of care.
The partner company is a growing virtual care organization delivering remote healthcare services across Canada. Their team focuses on inclusive, accessible patient care and multidisciplinary collaboration.