Provide clinical assessment and nursing triage to diverse patients across the health continuum.
Assist in directing patients to the most appropriate level of care via telephonic health information.
Work in collaboration with Telehealth providers for virtual care visits and follow-up calls.
We bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, and 400 healthcare facilities, we are a leader in clinical practice management with a culture of belonging and empowerment.
Perform clinical reviews for medical necessity, level of care, and authorization-related denials.
Review inpatient and outpatient medical records to support appeal submissions and apply payer-specific guidelines.
Document review findings accurately and meet assigned turnaround times while maintaining quality standards.
CorroHealth helps clients exceed their financial health goals by providing scalable solutions and clinical expertise across the reimbursement cycle. The company fosters a supportive culture that invests in professional development and personal growth.
Provide operational oversight for clinical escalations, patient safety, and abnormal laboratory result workflows.
Lead quality improvement initiatives and investigate patient safety events.
Manage cross-functional projects to improve workflows and drive operational excellence.
Sprinter Health is an on-demand mobile health service that sends medical professionals to patients’ homes for blood draws, diagnostics, and wellness visits. We have a rapidly growing team of visionary leaders passionate about increasing access to care, lowering costs, and improving patient outcomes.
Review Home Health prior authorization requests for medical necessity using CMS regulations and Clover clinical guidelines.
Perform initial and concurrent clinical reviews, ensuring appropriate care in the least restrictive setting.
Collaborate with providers and internal teams to support timely decision-making and positive member outcomes.
Clover Health is a healthcare company that uses data and technology to provide affordable, high-quality insurance plans for seniors. The company fosters a remote-first culture with a diverse and mission-driven team focused on improving member outcomes.
The Joint Commission evaluates and accredits health care organizations across the United States. It is a large organization that employs surveyors nationwide, with a culture focused on quality improvement and regulatory compliance.
Provide virtual patient care and treatment for lifestyle health concerns across Canada.
Work flexible hours from home using a laptop or mobile device, with a minimum of 4 scheduled hours per week.
Join a community of healthcare professionals at the cutting edge of virtual care, with engineering and clinical support.
Felix is a digital healthcare company that provides online treatment, prescription delivery, and ongoing care for Canadians. The company is Canada's first end-to-end healthcare experience, focusing on daily health categories like weight loss and birth control.
Provides visionary leadership and strategic direction for care coordination and service delivery teams.
Drives transformational initiatives to scale operations, enhance quality, and improve patient outcomes.
Uses data analytics and key performance indicators to monitor program effectiveness and guide evidence-based decision-making.
WellSky is a technology company that provides software, analytics, and services for intelligent, coordinated care across health and community care. The company fosters a culture of independent thinking, collaboration, and innovation, with a focus on improving outcomes and lowering costs.
Provide professional, non-promotional medical cannabis information via a telephonic care line for Maryland patients and providers.
Triage concurrent calls and return callbacks within 15 minutes while maintaining strict confidentiality and HIPAA compliance.
Record call data in a de-identified format and collaborate with clinical leadership on complex questions.
CLF Consultants is a federal contractor providing healthcare staffing and language access services across U.S. federal, state, and local agencies. They have a network of over 500 healthcare professionals and 200 interpreters, and are a self-certified small disadvantaged business.
Collaborate with a multidisciplinary care team to deliver whole-person care for chronic GI conditions via telehealth.
Develop individualized care plans incorporating nutrition, behavioral health, and medication management.
Provide longitudinal support to patients through virtual visits and asynchronous communication, helping them achieve sustainable health improvements.
Ayble Health is a digital health company transforming care for chronic GI conditions through a combination of clinical care, behavior science, and technology. The company is backed by prominent venture capital firms and has a multidisciplinary, patient-centered culture.
Performs utilization review of cases to determine if the request meets medical necessity criteria in accordance with medical policies.
Collaborates with client personnel to resolve customer concerns and facilitates resolution of escalated cases.
Maintains written documentation per HealthHelp’s policy and ensures compliance with HIPAA, state, and federal regulations.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries. With three global headquarters, operations in 13 countries, 65 delivery centers, and more than 66,000 employees, WNS combines scale, expertise, and execution to create meaningful, measurable impact.