Deliver competent, high-quality nursing care and administer investigational medications/products to study patients in their homes.
Ensure compliance with study protocols by performing patient assessments, collecting vital signs and specimens, and providing thorough documentation.
Communicate effectively with patients, providing education, and adhere to clinical research policies to protect vulnerable populations.
WEP Clinical is a clinical research services company that supports medical research studies. It appears to be a mid-sized organization, fostering a culture focused on flexible work and meaningful contributions to medical advancements.
Perform medical necessity reviews for prior authorization and concurrent review across various healthcare services.
Apply CMS guidelines, NCD/LCD policies, and MCG criteria to support determinations and manage cases end-to-end.
Collaborate with providers and facilities for care coordination and ensure compliance with regulatory requirements and turnaround times.
Clover Health provides high-quality, affordable healthcare plans for seniors by leveraging data and technology through tools like the Clover Assistant to empower physicians. The company is a mission-driven, remote-first organization with a diverse and inclusive culture focused on improving healthcare outcomes.
Receive and assess phone calls from hospice patients and families to coordinate needed care and schedule home visits.
Manage patients' pain and symptoms according to physicians' orders, updating care plans and medication lists as needed.
Collaborate with the transdisciplinary team and the patient's Attending Physician to facilitate communication and care delivery.
By The Bay Health is a non-profit healthcare provider established in 1975 that set the standard for hospice in the US, offering a spectrum of home-based services including Skilled Home Health Care, Palliative Care, and Hospice Care. It employs a team approach to care, focusing on practical, social, emotional, and spiritual aspects for patients and families.
Provides disease-specific management and symptom monitoring for oncology patients undergoing treatment.
Collaborates with oncologists and clinic staff to manage and coordinate patient care in a remote work environment.
Documents assessments and interventions in real-time within the electronic medical record system.
AON is an alliance of physicians and veteran healthcare leaders dedicated to ensuring the long-term success and viability of oncology diagnosis and treatment in community-based settings. As a fast-growing national network, it offers a collaborative career with flexible work options and promotes from within.
Review admissions and service requests for medical necessity and reimbursement compliance.
Provide case management and consultation for complex cases and coordinate discharge planning.
Oversee compliance with federally mandated and third-party payer utilization management rules.
UAB St. Vincent's is a trusted healthcare provider serving Alabama for over 125 years, offering comprehensive care across five hospitals and clinics. The organization employs over 4,800 people and fosters a collaborative culture rooted in compassion, service, respect, and teamwork.
Triage medical inquiries and provide outstanding advice via email and phone to ensure patient safety and care.
Proactively engage with patients throughout their treatment journey, managing side effects and creating educational content.
Collaborate with clinical and support teams to build and improve processes and systems for high-quality, personalized healthcare.
Eucalyptus builds digital healthcare clinics, such as Juniper for weight management, across men's health, fertility, skincare, and preventative health. The company is a fast-growing, internationally-focused startup with over 350,000 patients and a motivated team that values high ownership and impact.
Perform in-depth reviews of medical claims utilizing the UB-04 and detailed itemized statements.
Verify the accuracy of itemized charges to be reimbursed according to client policy and industry standards.
Validate automatic system denials and create additions to enhance efficient processing of IBR claims.
Machinify is a healthcare intelligence company delivering value, transparency, and efficiency to health plan clients. They have a fully configurable and content-rich, AI-powered platform along with best-in-class expertise, deployed by over 85 health plans, including many of the top 20, representing more than 270 million lives.
Leads a team for virtual imaging and referral support.
Manages internal and external referrals for specialty and imaging orders.
Collaborates on quality and process improvement projects.
Included Health delivers integrated virtual care and navigation. The company is on a mission to raise the standard of healthcare for everyone and break down barriers to provide high-quality care for every person in every community.
Conduct comprehensive sleep histories and physical examinations to evaluate sleep-related complaints.
Develop and implement personalized treatment plans, including CPAP/BiPAP therapy, pharmacological interventions, and lifestyle counseling.
Guide patients on sleep hygiene, the mechanics of sleep disorders, and the long-term health benefits of compliance with therapy.
Sleep Doctor PC helps millions get a full night's rest. They combine clinical expertise with consumer-first experiences to help people understand their sleep, tackle real challenges, and wake up to healthier, more energized lives.
The RN Case Manager serves as a trusted clinical partner to patients, families, providers, and interdisciplinary teams, guiding individuals through complex health journeys with compassion, clinical excellence, and purpose.
The RN Case Manager is responsible for assessment, care planning, coordination, monitoring, and evaluation of services for a defined population, including members with chronic, complex, and high-risk conditions.
Working closely with primary care providers, patient navigators, and other care team members, the Care Manager – Registered Nurse ensures safe, effective, equitable, and patient-centered care within a value-based care model.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. They aim to make healthcare affordable, improve patient health, and restore fulfillment in practicing medicine for providers. This growing organization operates with agility, encouraging cross-training, development, and learning across all areas of the business.