Provides quality driven telephonic clinical assessments, health education, and utilization management services.
Provides assessments to individuals using telecommunications, in accordance with computer-based algorithms and guidelines.
Uses clinical knowledge to assess, make recommendations for care, provide education and health information.
Carenet Health values expertise and dedication, committed to providing appealing compensation. They celebrate diversity, creating an inclusive environment and are an equal opportunities employer.
Provides telephone and walk-in triage to patients seeking advice and medical services.
Provides direct nursing care to patients and distributes medications and treatments according to accepted standards of care.
Teaches and counsels patients and families concerning health assessment and care including prevention of disease, disability, hygiene and health maintenance.
CommUnityCare Health Centers provides community-based healthcare services. The job posting does not specify the company's size or culture.
Be accountable for improving clinical outcomes for empaneled patients, by overseeing their medical care
Attend daily clinical huddles focused on collaboration across a clinical pod, including RNs, LCSW, and RDs
Monitor adverse events and hold clinical retros to identify any areas for improvement in Pomelo’s protocols
Pomelo Care is the national leader in evidence-based healthcare for women and children. They deliver personalized, high-quality clinical interventions from reproductive care and pregnancy, infant care and pediatrics, to hormonal health through perimenopause and menopause, with long-term preventive care and condition management.
Gain a deep understanding of Cohere’s product and our health plan partners
Provide general supervision over the nursing staff including hiring, training, and coaching
Assist in addressing any case escalations or provider issues
Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. They foster a supportive, growth-oriented environment.
Conduct comprehensive psychiatric evaluations via telehealth to assess each patient’s mental health needs.
Develop individualized treatment plans in partnership with patients and their families.
Partner closely with therapists, psychiatrists, and care coordinators to ensure coordinated, patient-centered treatment.
Backpack Healthcare reimagines mental health care for children, teens, and young adults. As a clinician-led, minority-owned organization, their mission is to build a compassionate, innovative, and sustainable mental health system that honors both the provider and the patient.
Be accountable for improving clinical outcomes for empaneled patients, by overseeing their medical care
Attend daily clinical huddles focused on collaboration across a clinical pod, including RNs, LCSW, and RDs
Actively participate in on-call schedules including overnight and on weekends
Pomelo Care is the national leader in evidence-based healthcare for women and children providing personalized, high-quality clinical interventions. They deliver 24/7 multispecialty care to address the medical, behavioral, and social factors that most significantly impact outcomes for women and children.
Provide comprehensive, holistic psychiatric care to perinatal patients through a fully remote telehealth model.
Practice within a care model that prioritizes clinical quality and collaboration with the client’s Seven Starling therapist.
Adapt and grow with an early-stage startup environment, contributing to evolving workflows and best practices.
Seven Starling is a leading virtual provider of women's behavioral health services supporting every stage of motherhood. They combine specialized individual therapy, group therapy, and medical evaluation and management to effectively treat common perinatal mood disorders.
Build trusted relationships with older adults and their families, grounded in listening and empathy.
Serve as a go-to resource for navigating medical systems, social services, and emotional wellness needs.
Create individualized care plans that address both clinical needs and SDOH.
Sailor Health is revolutionizing mental health care for older adults, addressing one of the fastest-growing and most underserved healthcare segments in America. They aim to redefine the golden years, enabling older adults across the nation to live happier and healthier lives.
Provide and facilitate amazing patient-centered clinical care.
Ongoing clinical and psychosocial assessment of new patients.
Assessing the need for and educating patients on the equipment they will use to monitor their health remotely.
Pomelo Care is the national leader in evidence-based healthcare for women and children, delivering personalized, high-quality clinical interventions. They focus on reproductive care, pregnancy, infant care, pediatrics, and hormonal health, partnering with payers, employers, and providers to expand access to quality healthcare.
Responsible for application of appropriate medical necessity tools to maintain compliance and achieve cost effective and positive patient outcomes.
Acts as a resource to other team members including UR Tech and AA to support UR and revenue cycle process.
Utilizes Payer specific screening tools as a resource to assist in the determination process regarding level of service and medical necessity.
Virtua Health strives to connect individuals to the care they need, building a healthier community in South Jersey. They are a Magnet-recognized health system with over 14,000 colleagues, including over 2,850 doctors, physician assistants, and nurse practitioners.