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.
Provides triage telephone service to ensure prompt identification of patients with high-risk conditions.
Directs callers to appropriate level of care and provides healthcare advice/education using assessment skills, approved guidelines and protocols, and knowledge of self-care practices.
Serves as a liaison between customers, patients, physicians, other members of the public and hospital staff, programs, and other resources.
Lehigh Valley Health Network is a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work in health care. They are the region’s largest employer and health care provider of choice with nearly 20,000 health care professionals.
Conduct initial Psychiatric Diagnosis Interview Examinations (PDE) for new patient referrals and Evaluation & Management (E/M) sessions for established patients.
Use the Talkspace platform to conduct video call sessions with patients, submit clinical documentation, and manage patient treatment plans.
Talkspace is a Telehealth company focused on making quality behavioral health accessible and affordable. They connect users with a network of licensed mental health providers through a HIPAA-compliant platform and are focused on helping people feel better.
Guide women through perimenopause, menopause, and other midlife transitions.
Deliver compassionate, evidence-based care in a virtual-first model.
Participate in weekly accredited clinical education.
Midi Health is on a mission to revolutionize healthcare for women at midlife. They relieve symptoms, support wellbeing, and ensure women feel seen, heard, and cared for with personalized, evidence-based care covered by insurance. They are rapidly growing and looking for passionate team members.
Through telehealth, conduct consultations with patients, diagnosing and prescribing medication as needed and managing medication side effects.
Provide exceptional ongoing clinical support for patients, responding to medical issues and ensuring their well-being.
Assist in the creation of improved models of care, extensive support programs, and better patient outcomes.
Eucalyptus is dedicated to making good health attainable for everyone, focusing on delivering long-term healthcare solutions. They are the creators of Juniper, a comprehensive weight-management program that integrates GLP-1 medication with personalized support.
Manage complex medical issues and coordinate care, facilitating diagnostic and therapeutic treatment options worldwide.
Offer high-level clinical management and education to clients and families in a compassionate manner.
Collaborate with clinical and research teams to identify therapies and deliver information on medical conditions, treatments, and trials.
Private Health Management (PHM) supports people with serious and complex medical conditions, helping them obtain the best possible medical care. Trusted by healthcare providers and businesses, PHM offers independent, science-backed insights to help clients make informed decisions and access the best care.
Provide comprehensive assessments and diagnoses of eating disorders and co-occurring psychiatric conditions.
Implement medication treatment plans for eating disorders and co-occurring conditions in a virtual clinic (i.e. telehealth) setting.
Equip is a virtual, evidence-based eating disorder treatment program that aims to ensure everyone with an eating disorder can access effective treatment. The company has a highly-engaged, passionate, and diverse culture.
Provide inspiring clinical leadership to ensure the delivery of safe, high quality palliative care.
Oversee community services, support and line manage Clinical Nurse Managers, and drive continuous improvement across quality, performance and patient experience.
Monitor activity and KPIs against contractual requirements, maintain regulatory standards, manage budgets, and work collaboratively with partners to shape innovative, compassionate care in the community.
Marie Curie is the UK’s leading end-of-life charity and the largest non-NHS provider of end-of-life care in the UK. The care and support they provide is highly valued by the people they care for and their loved ones.
Provide direct patient care through evaluation, management, and treatment of maternal mental health patients.
Commit on a PRN basis approximately 4-5 hours per month.
Experience and familiarity with medical evaluation and medication management including SSRIs, SNRIs, and related pharmacologic therapies.
Seven Starling is a leading virtual provider of women's behavioral health services supporting every stage of motherhood. Their holistic clinical model combines specialized therapy, peer support, and medication management.
Conduct thorough patient assessments and develop personalized treatment plans via video visits.
Collaborate with a multidisciplinary team to deliver the highest standards of care.
Complete required trainings and adhere to company policies and best practices.
Allara is a comprehensive women’s health provider specializing in longitudinal care for women through every life stage. Trusted by over 40,000 women nationwide, Allara connects patients with multidisciplinary care teams, bridging long-overlooked gaps in women's healthcare.