Lead a remote team of RNs and LPNs managing real-time patient alerts in a high-volume triage environment.
Monitor queue metrics, conduct clinical audits, and provide coaching to ensure quality and operational targets.
Partner with leadership on workflow optimization, staffing, and contribute to direct patient care as needed.
Cadence is the clinical AI company automating the treatment of chronic disease with its Clinical Intelligence platform. They partner with over 20 leading health systems and serve a population of over 100,000 patients, recognized by TIME and LinkedIn as a top startup.
Perform medical necessity and level of care reviews using clinical judgment and guidelines.
Obtain member information via telephone and fax to assess condition and apply evidence-based criteria.
Meet decision-making SLAs and refer members for further care engagement when needed.
Oscar Health is a technology-driven health insurance company focused on simplifying healthcare for its members. We are a mission-driven organization with a diverse team, committed to innovation and equity in healthcare.
Provide evidence-based nursing care using the nursing process, including assessment, diagnosis, planning, implementation, and evaluation.
Act as a leader and decision maker, mentoring colleagues, delegating care, and prioritizing to optimize outcomes.
Foster a culture of inquiry, applying current evidence and contributing to research and quality improvement.
Dartmouth Hitchcock Medical Center and Clinics is a nationally recognized academic medical center located in the White Mountains of New Hampshire, part of the Dartmouth Health system. The system includes multiple hospitals and ambulatory clinics, offering a rigorous, research-focused environment with shared governance nursing model and a state-of-the-art simulation center.
Provide high quality care services virtually via telehealth to patients/families in home settings.
Navigate complex chronic comorbidities and create/implement treatment plans.
Collaborate with a transdisciplinary team and contribute to strategic direction.
Nolia Health is a healthcare company providing personalized, clinically-supported, and virtual-first services for older adults and their family caregivers. They are a growing company with a focus on elevating family caregiving as a central component of healthcare, and most of their team has lived experiences as family caregivers.
Provide comprehensive virtual acute care for medically complex pediatric patients via telehealth.
Execute clinical triage protocols to determine patient disposition for acute illnesses.
Collaborate with interdisciplinary teams to plan and implement patient-centered care.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care, enhancing existing care teams with an extra layer of support.
Provide Utilization Review and Case Management to Emergency Department patients with social or discharge needs.
Offer hospital-wide Utilization Review and Case Management coverage as needed and time allows.
Hold a valid RN state licensure; 3-5 years of nursing experience preferred.
Freeman Health System is a not-for-profit health system serving communities across Missouri, Arkansas, Oklahoma, and Kansas through a network of hospitals, physician clinics, and specialty services. The system is supported by over 7,000 employees and is the only Children's Miracle Network Hospital in a 70-mile radius.
Provide exceptional care, disease management, and health education to patients with chronic conditions.
Create personalized action plans and conduct regular outreach to support behavior change and engagement.
Coordinate with clinical team members and cross-functional product teams to improve the in-app patient experience.
Salvo Health is a digital health company that provides continuous, app-based care for chronic gut and metabolic conditions like IBS and obesity. Backed by leading health care investors, the company employs a team of board-certified specialists and uses remote patient monitoring to deliver personalized, interdisciplinary care.
Coordinate the Minimum Data Set (MDS) assessment process and interdisciplinary care planning for residents in a skilled nursing facility.
Ensure compliance with all Federal/State regulations and facility policies for resident assessments and care plans.
Collaborate with physicians, nursing staff, residents, and families to provide individualized nursing care and optimize resident outcomes.
Plumas District Hospital provides essential healthcare services to the residents of Quincy, California and the surrounding mountain communities. It is a small, community-focused hospital with a compassionate team and supportive culture dedicated to patient-centered care.
Conducts appeals reviews of new evidence disputing medical review audit findings.
Documents and reports appeals results accurately, upholding or overturning determinations.
Serves as a subject matter expert, supporting training and process improvements.
Machinify is a healthcare intelligence company offering an AI-powered platform for health plan payment and clinical review. It serves over 85 health plans and over 270 million lives, with a culture of innovation and continuous improvement.
Facilitate onboarding for new hires, with ownership of hands-on training for Care Team roles.
Partner with leadership to build scalable training content reflecting current oncology standards.
Review Care Team documentation against clinical quality measures and develop targeted training.
Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. It is a fast-paced startup environment backed by leading venture funds, focused on improving cancer care.