Leads a team for virtual imaging and referral support.
Manages internal and external referrals for specialty and imaging orders.
Collaborates on quality and process improvement projects.
Included Health delivers integrated virtual care and navigation. The company is on a mission to raise the standard of healthcare for everyone and break down barriers to provide high-quality care for every person in every community.
Conduct comprehensive sleep histories and physical examinations to evaluate sleep-related complaints.
Develop and implement personalized treatment plans, including CPAP/BiPAP therapy, pharmacological interventions, and lifestyle counseling.
Guide patients on sleep hygiene, the mechanics of sleep disorders, and the long-term health benefits of compliance with therapy.
Sleep Doctor PC helps millions get a full night's rest. They combine clinical expertise with consumer-first experiences to help people understand their sleep, tackle real challenges, and wake up to healthier, more energized lives.
The RN Case Manager serves as a trusted clinical partner to patients, families, providers, and interdisciplinary teams, guiding individuals through complex health journeys with compassion, clinical excellence, and purpose.
The RN Case Manager is responsible for assessment, care planning, coordination, monitoring, and evaluation of services for a defined population, including members with chronic, complex, and high-risk conditions.
Working closely with primary care providers, patient navigators, and other care team members, the Care Manager – Registered Nurse ensures safe, effective, equitable, and patient-centered care within a value-based care model.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. They aim to make healthcare affordable, improve patient health, and restore fulfillment in practicing medicine for providers. This growing organization operates with agility, encouraging cross-training, development, and learning across all areas of the business.
Conduct virtual onboarding E/M visits, including history, assessment, documentation, orders/referrals, and follow-up planning
Provide clinical decision-making between visits; ensure timely care and appropriate escalation
Coordinate with member PCPs and specialists to support continuity of care
PreemptiveAI aims to redefine virtual care through our innovative remote patient monitoring and care management platform, Preemptive Clinic. They combine modern technology with high-touch clinical support to help members stay ahead of health issues.
Conduct in-depth telephonic assessments to understand patient needs.
Develop individualized care plans and guide patients through treatment goals.
Document clearly and accurately in the EHR and care-management systems.
Guidehealth is a data-powered healthcare company. They aim to make healthcare affordable and improve patient health with AI and predictive analytics. They operate with agility, encouraging cross-training and development to ensure employees thrive.
Manage complex medical issues, coordinating care and facilitating best diagnostic and therapeutic treatment options.
Offer high level clinical management and education to clients and families in a caring and compassionate manner.
Work closely with clinical and research team members to identify latest therapies and deliver comprehensive information.
Private Health Management (PHM) supports people with serious and complex medical conditions, helping them obtain the best possible medical care. They guide individuals and families to top specialists, advanced diagnostics, and personalized care and are trusted by healthcare providers and businesses.
Performs concurrent inpatient utilization review using InterQual criteria to determine if requests meet medical necessity criteria.
Engages in clinical collaboration with physicians, hospitalists, and care teams to obtain clinical information.
Maintains knowledge of regulations, accreditation requirements, and payer-specific guidelines.
WNS Healthhelp, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries. They bring together deep domain excellence with AI-powered platforms and analytics to help businesses innovate, scale, adapt and build resilience. With more than 66,000 employees, WNS combines scale, expertise and execution to create meaningful, measurable impact.
Deep-dive reviews of up to 500 pages of medical records.
Identifying "Clinical Hooks" and burning issues.
Creating persuasive narratives in our signature Arial 10pt format.
ACD Legal Support provides clinical audits to help trial attorneys find "Value Leakage" in their cases. Detail-obsessed RNs are encouraged to apply and join their elite team of Project Leads; they do not provide patient care.
Managing the overall care management of patient panel by leveraging experience, expertise, and knowledge in both the nursing field and value-based care operations.
Establishing trusting and empathetic relationships with patients and families to provide clinical and emotional support and foster collaboration throughout their care journey.
Serving as an advocate and community liaison for patients to ensure proper and timely resources and support while navigating the health care system and maintaining compliance with the primary care team’s/nephrologist’s treatment plan.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. They are committed to improving patient outcomes and improving quality of life.
Provide first level review for all outpatient and ancillary pre-certification requests.
Work with hospital staff to prepare patients for discharge and ensure a smooth transition to the next level of care.
Complete documentation for all reviews in Eldorado/Episodes and maintain confidentiality.
Personify Health created a personalized health platform bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together. Their team is on a mission to empower people to lead healthier lives.