Provide front-line support to community callers seeking healthcare-related information, applying physiological, psychosocial, and spiritual knowledge.
Triage caller conditions using protocol-driven guidance to direct them to the appropriate level of care.
Communicate effectively with care team members to ensure caller needs are met in a timely manner.
Munson Healthcare is northern Michigan's largest healthcare system with eight award-winning community hospitals serving over half a million residents across 29 counties. The culture emphasizes excellence, teamness, positivity, creativity, and commitment to exceptional experiences for patients and each other.
Provide telephonic case management to proactively drive return to work.
Perform utilization review and coordinate care with providers and adjusters.
Evaluate treatment plans and partner with adjusters to achieve optimal outcomes.
AmTrust Financial Services is a fast-growing commercial insurance company providing comprehensive telephonic case management. They foster a diverse and inclusive culture with a focus on attracting and retaining the best talent.
Conduct high-volume telehealth pre-assessment consults, educating patients on safe usage and side effects.
Provide empathetic, non-judgmental care while documenting accurately to support safe prescribing.
Liaise with prescribers and the Patient Care Team to ensure continuity of care in a fast-paced remote environment.
Montu is Australia's largest healthtech business focused on alternative healthcare, supporting patients through its Alternaleaf clinic and other platforms. Founded in 2019, it has grown rapidly, ranked #1 in Deloitte TechFast 50 for two consecutive years and #1 on LinkedIn's Top Startups Australia 2024, with a remote-first culture.
You are responsible for supporting care delivery by partnering with Advanced Practice Providers to execute individualized care plans for patients with chronic kidney disease, hypertension, diabetes, and congestive heart failure.
This role focuses on enhancing clinical outcomes, patient engagement, and care coordination through education, remote monitoring, medication management, and longitudinal patient support.
Key responsibilities include visit preparation, care plan execution, disease management education, medication management, quality measure support, and cross-functional collaboration.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They are a growing company building a healthcare delivery model focused on improving patient outcomes and quality of life, with a robust team and culture that emphasizes innovation and support.
Provides active care management and coordinates action plans for members.
Evaluates outcomes and ensures accurate documentation of clinical information.
Serves as member advocate and promotes enrollment in care management programs.
BlueCross BlueShield of South Carolina is a leading health insurance company and administrator of government contracts. With an A+ rating and a diverse family of subsidiaries, they are the largest insurer in South Carolina and employ a dedicated team focused on outstanding customer service.
Perform prospective, concurrent, and retrospective utilization reviews for behavioral health services across multiple care settings.
Assess medical necessity and coordinate care with providers, members, and internal teams to ensure appropriate access and treatment.
Support discharge planning, benefit utilization, and regulatory compliance while improving overall care quality.
This company provides high-quality behavioral health coordination and utilization management services to improve member outcomes. They foster a supportive, collaborative environment focused on professional growth and clinical excellence.
Assess, plan, implement, and coordinate comprehensive care plans to meet individual health needs and ensure cost-effective healthcare delivery.
Serve as a liaison facilitating collaboration among patients, families, physicians, and providers to promote quality of care.
Provide specialized education on disease-specific conditions and remain current with medical trends and procedures.
Arkansas Blue Cross and Blue Shield is a health insurance company providing healthcare coverage and services. They are consistently ranked as a top workplace in Central Arkansas with an inclusive culture and average employee tenure of 10 years.
Triage and provide clinical support for incoming patient communications.
Conduct phone assessments of clinical symptoms to determine the best path of care.
Assist in the development of processes and systems for urgent care and virtual triage.
Galileo is a team-based medical practice providing high-touch, data-driven, multi-specialty care across the United States. They are a team of healthcare and technology innovators focused on improving care quality and affordability for all.
Provide direct, evidence-based GI care via telehealth to members across all 50 states.
Conduct virtual assessments, diagnose GI conditions, and develop care plans with a multidisciplinary team.
Prescribe medications, order tests, and document patient encounters in the EHR.
Cylinder delivers personalized, clinician-backed care to those suffering from digestive issues through its virtual health platform. It is an early-stage company with a collaborative, multidisciplinary care model.
Provide personalized, evidence-based longevity and functional medicine care via telehealth.
Prescribe and manage targeted therapies including hormones, peptides, and optimization-focused interventions.
Apply a root-cause, systems-based approach to optimize long-term health outcomes for patients.
Superpower is a new health system on a mission to extend and enhance human life, starting with lab testing, data aggregation, and AI-driven care. Backed by top-tier investors and growing rapidly, the team is building a modern, personalized model of functional and longevity medicine with a culture of excellence and putting health first.