Manage complex medical issues, coordinating care and facilitating best diagnostic and therapeutic treatment options.
Offer high level clinical management and education to clients and families in a caring and compassionate manner.
Work closely with clinical and research team members to identify latest therapies and deliver comprehensive information.
Private Health Management (PHM) supports people with serious and complex medical conditions, helping them obtain the best possible medical care. They guide individuals and families to top specialists, advanced diagnostics, and personalized care and are trusted by healthcare providers and businesses.
Performs concurrent inpatient utilization review using InterQual criteria to determine if requests meet medical necessity criteria.
Engages in clinical collaboration with physicians, hospitalists, and care teams to obtain clinical information.
Maintains knowledge of regulations, accreditation requirements, and payer-specific guidelines.
WNS Healthhelp, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries. They bring together deep domain excellence with AI-powered platforms and analytics to help businesses innovate, scale, adapt and build resilience. With more than 66,000 employees, WNS combines scale, expertise and execution to create meaningful, measurable impact.
Deep-dive reviews of up to 500 pages of medical records.
Identifying "Clinical Hooks" and burning issues.
Creating persuasive narratives in our signature Arial 10pt format.
ACD Legal Support provides clinical audits to help trial attorneys find "Value Leakage" in their cases. Detail-obsessed RNs are encouraged to apply and join their elite team of Project Leads; they do not provide patient care.
Managing the overall care management of patient panel by leveraging experience, expertise, and knowledge in both the nursing field and value-based care operations.
Establishing trusting and empathetic relationships with patients and families to provide clinical and emotional support and foster collaboration throughout their care journey.
Serving as an advocate and community liaison for patients to ensure proper and timely resources and support while navigating the health care system and maintaining compliance with the primary care team’s/nephrologist’s treatment plan.
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 improving quality of life.
Provide first level review for all outpatient and ancillary pre-certification requests.
Work with hospital staff to prepare patients for discharge and ensure a smooth transition to the next level of care.
Complete documentation for all reviews in Eldorado/Episodes and maintain confidentiality.
Personify Health created a personalized health platform bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together. Their team is on a mission to empower people to lead healthier lives.
As part of the RN team, you will provide education about a patient’s diagnosis, test results and treatment plan.
Collaborate closely with cardiologists, PCPs and other healthcare professionals to ensure comprehensive and coordinated care for patients.
Maintain accurate and detailed patient records, including patient interactions, medical histories, assessments, treatment plans, progress notes, and discharge summaries within scope of practice.
Heartbeat Health is the leading virtual-first cardiovascular care company in the country, providing patients with convenient, high-quality heart care through telemedicine, diagnostics, and virtual care programs. They are redefining how cardiovascular care is delivered in the digital age, led by their medical group of cardiologists, advanced practitioners, nurses, and care coordinators.
Manages a defined patient panel with accountability for quality, cost and outcomes.
Obtains patient history, performs physical exam, orders and interprets diagnostic tests and formulates a plan for individual patient short-term and longitudinal needs.
Serves patients and performs patient visits in multiple care settings a including patient home, telehealth visits or dialysis clinics/partner MD space (where applicable).
Strive Health is on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey. They are composed of passionate Strivers who care deeply about making an impact and show up for one another as One Team.
Communicates changes to the physician and other personnel.
Initiates a plan for patient safety, using patient, family, and community resources.
Manages and directs field team to ensure the delivery of safe, effective hospice services.
Optimal Care is a clinician-owned and operated company focused on providing Physician Services, Home Health, and Hospice Care. With an integrated care delivery model, they incorporate technology, innovation, and best practices to produce value-based outcomes in managing chronic disease, rehabilitation, and end-of-life care.
Guide women through perimenopause, menopause, and other midlife transitions.
Deliver personalized care that truly supports your patients.
Practice with purpose in a virtual-first care model that puts women’s needs front and center.
Midi Health is on a mission to revolutionize healthcare for women at midlife—to relieve their symptoms, support their wellbeing, and ensure they feel seen, heard, and cared for. They are rapidly growing and looking for passionate full-time employees.
Responsible for supporting nursing communities within the geographic location assigned.
Audits clinical services, reviews outcomes, and strategizes to improve resident care.
Works alongside the management teams at each building to develop and implement processes, identify and resolve issues, while also managing staff.
Tutera Senior Living & Health Care is guided by one single purpose: To live the YOUNITE philosophy in every decision, every day. Based on genuine respect, YOUNITE is how they get to know residents and team members on a personal level and offer stability as a family-owned company founded in 1985.