Manage the member's clinical experience from request through desired outcome, including account activation and medical history drafting.
Coordinate video or phone consults with specialists and schedule monitors in advance, troubleshooting issues as needed.
Conduct ongoing follow-up post-consult and facilitate local recommendations, communicating with primary care physicians or specialists.
Transcarent is a health and care platform that combines medical, pharmacy, and point solutions with a generative AI-powered experience for health consumers. With over 1,700 employer and health plan clients serving 21 million Members, they foster a culture of People First, Care, Resilience, Results, and Humble and Human.
Provide direct clinical support to patients undergoing medication abortion through telemedicine, including triage, assessment, and nursing guidance.
Deliver culturally responsive, evidence-based care ensuring every patient feels heard and supported during critical moments.
Maintain active RN licensure in CA and at least one other state, with bilingual Spanish fluency and 2+ years clinical experience.
Hey Jane provides safe, discreet medication abortion and reproductive health care via telemedicine, having helped over 100,000 patients. The in-house clinical care team includes board-certified doctors, advanced practice clinicians, nurses, and patient care advocates, fostering a mission-driven culture focused on equitable healthcare.
Perform case reviews and process requests for elective services and durable medical equipment.
Collaborate with physicians, vendors, and providers to ensure regulatory compliance and timely service.
Provide high-quality customer service to members and healthcare professionals.
Elderplan provides Medicare and Medicaid managed care health plans designed to help people stay independent. They are part of MJHS, a supportive community committed to excellence, respect, and collaboration.
Act as a liaison for a patient panel of medically stable patients, coordinating care between internal and external providers.
Monitor and triage lab orders and results, providing education and medical management support to patients and families.
Triage emergent issues in a time-sensitive manner and coordinate care with hospitals for medical stabilization admissions.
Equip is the leading virtual, evidence-based eating disorder treatment program on a mission to ensure everyone with an eating disorder can access treatment that works. Founded in 2019, the company is fully virtual and has been recognized as one of the most influential companies of 2023, with a diverse and passionate team.
Provide clinical support and handle medical inquiries via a ticketing system with empathetic written communication.
Manage inbound and outbound calls to address patient queries and offer support.
Maintain accurate documentation and collaborate with internal teams across time zones.
Eucalyptus is a digital healthcare company on a mission to make good health last a lifetime, building clinics like Juniper for weight management and other personalized care programs. The company, now part of Hims & Hers, has supported over 350k patients, achieved 130% YoY revenue growth, and operates across multiple countries.
Perform concurrent inpatient utilization review using InterQual criteria to determine medical necessity.
Engage in clinical collaboration with physicians and care teams to support appropriate level-of-care decisions.
Maintain documentation, comply with regulations, and ensure quality customer service.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations serving over 700 clients across 10 industries. With over 66,000 employees across 13 countries and 65 delivery centers, the company combines scale and expertise to create meaningful impact.
Lead multiple Nurse Team Leads and nursing teams to deliver high standards of clinical care and efficiency.
Coach and mentor Nurse Team Leads, setting goals, providing feedback, and fostering accountability.
Champion NCQA-compliant workflows and use data to drive performance and compliance across teams.
Thyme Care is a market-leading value-based oncology care enabler that partners with health plans, providers, and employers to improve outcomes and lower costs for people with cancer. As a tech-native organization of several hundred employees, it combines high-touch human support with technology and AI, fostering a culture of compassion, trust, and growth.
Conducts utilization review to determine medical necessity of admission and continued stay using established criteria.
Communicates with payers to secure authorization and negotiate medical necessity decisions.
Educates providers on documentation requirements and participates in strategies to reduce length of stay and readmissions.
OHSU is Oregon’s only public academic health center, providing patient care and conducting groundbreaking research while training health care professionals. As Portland’s largest employer, it offers a diverse and inclusive culture with opportunities for growth across Oregon and Southwest Washington.
Provide primary teaching responsibilities in NR-228: Nutrition, Health & Wellness, supporting student development in foundational knowledge and patient care application.
Implement the College’s philosophy, curriculum and course objectives through didactic instruction and service to the College, community, and profession.
Monitor clinical agencies and provide direct/indirect supervision and evaluation of nursing students delivering patient care.
Chamberlain University has a 130-year history and the mission to educate, empower, and embolden diverse healthcare professionals. We’re 99,000 strong, with 31,000 students and 68,000 alumni, and we've built a culture where colleagues and students thrive.
Provide patient-focused telehealth clinical triage assessments and health education via phone, video, and chat.
Work independently to make clinical decisions, assess needs, and direct patients to appropriate care levels while documenting interactions.
Monitor performance metrics, participate in coaching sessions, and communicate with clients and team members.
Carenet Health is a behind-the-scenes partner for over 250 of the nation's premier health plans and health systems, providing telehealth and virtual care clinical triage assessments and health education. Named one of America's fastest-growing private companies by Inc. Magazine for eight consecutive years, the company is integrity-driven and focused on compassionate, evidence-based care.