Conduct targeted risk-based audits of high-risk diagnoses and HCCs to ensure clinical documentation supports reported diagnoses.
Deliver peer-level education and feedback to providers to improve documentation accuracy, specificity, and defensibility.
Collaborate with coding, compliance, and clinical leadership to reduce documentation risks and enhance audit readiness.
WellBe Senior Medical provides senior-focused healthcare services with an emphasis on risk adjustment and documentation integrity. The company fosters a remote, collaborative work environment and values compliance, education, and high-quality patient care.
Conduct nursing assessments and enroll patients in chronic care management programs.
Develop individualized care plans and coordinate transitions to improve outcomes.
Collaborate with providers and teams to support value-based care delivery.
Jobgether is an AI-powered job platform that matches candidates with hiring companies. It focuses on objective, efficient recruitment and partners with healthcare organizations.
Evaluate AI-generated clinical interactions for accuracy, safety, and appropriateness.
Annotate and score AI responses against evidence-based protocols and structured rubrics.
Provide detailed written feedback and participate in calibration sessions to enhance AI reliability.
The company focuses on improving AI-powered clinical solutions by leveraging clinical expertise. It is an early-stage partner organization offering flexible, remote contract opportunities for healthcare professionals.
You perform complex medication reconciliations and identify clinical red flags to prevent ER visits and readmissions.
You deliver high-touch engagement for high-risk patients through post-discharge follow-up and care coordination.
You collaborate with practices and document interventions across multiple EHRs to ensure care gaps are closed.
Aledade PBC is a public benefit corporation that empowers independent primary care by creating value-based contracts. Founded in 2014, we are the largest network of independent primary care in the country, with a remote-first culture that is collaborative and inclusive.
Conduct clinical reviews of medical records during fraud investigations and program integrity initiatives.
Apply Medicare and Medicaid guidelines to determine appropriateness of payment coverage.
Compile investigative summary reports and provide training on medical terminology and policy interpretation.
CoventBridge Integrity Systems delivers investigative services, technology, and expertise that help healthcare and government organizations protect critical programs, strengthen oversight, and address fraud, waste, abuse, and operational risk. They are an equal opportunity employer committed to diversity and inclusion, maintaining a drug-free workplace.
Review, investigate, and appeal denied hospital insurance claims using clinical documentation and payer policies.
Develop evidence-based appeal letters addressing medical necessity, level-of-care, and charge discrepancies.
Collaborate with nursing, revenue integrity, and financial teams to resolve denials and prevent future rejections.
This partner company is a healthcare system that provides hospital services and focuses on revenue integrity. It supports fully remote work and values clinical expertise, collaboration, and financial sustainability.
Provide high-quality nursing care and study procedures to clinical trial participants in their homes.
Enjoy flexible, project-based PRN work with paid travel time and mileage reimbursement.
Work independently, travel 1-2 hours to patient homes, and support protocol compliance.
WEP Clinical partners with biopharma sponsors to deliver clinical trials and home health services, improving patient access. With 15+ years and 150+ countries' reach, it values integrity, accountability, and inclusion.
Deliver comprehensive, coordinated health services remotely using telehealth and digital tools.
Assess patients' medical, physical, and psychological status and develop interdisciplinary care plans.
Support enterprise-wide Virtual Health Services implementation, including travel to hospitals for expansions.
CommonSpirit Health is a nonprofit Catholic healthcare organization providing integrated health services and virtual care across 24 states. With over 157,000 employees and 45,000 nurses, it fosters a culture of humankindness and delivers more than 20 million patient encounters annually.
Lead, coach, and onboard Utilization Management nurses while managing daily workloads and escalations.
Ensure reviews and determinations are timely, accurate, and compliant with CMS and Clover policies.
Collaborate with Medical Directors and cross-functional teams to improve workflows and member outcomes.
Clover Health provides data-driven healthcare plans for seniors, using the Clover Assistant to support physician decisions. The company is a mission-driven team of diverse experts focused on improving members' quality of life.
Review lab results issued through Maple and assign appropriate follow-up recommendations for patients.
Contact patients directly when critical results require immediate emergency care and escalate complex cases to physicians.
Support specialist referrals, prepare documentation, and review consult reports to ensure timely follow-up.
Maple is Canada's leading on-demand healthcare platform, connecting patients with Canadian-licensed doctors, nurse practitioners and specialists. With over 8 million patients and 7,000 business and government partners, Maple empowers bold thinking and an inspiring team culture focused on making an impact.