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.
Deliver medication for opioid use disorder (MOUD) in a fully remote outpatient setting.
Independently initiate and manage buprenorphine treatment within a team-supported model.
Provide compassionate, nonjudgmental care aligned with harm reduction principles.
Boulder Care is an award-winning digital clinic transforming addiction medicine. We provide fully virtual, evidence-based care and were named by Fortune as one of the Best Workplaces in Healthcare, fostering a culture of kindness, respect, and meaningful work.
Conduct Comprehensive Health Assessments via telehealth and document risk adjustment with HCC coding.
Review medical history, medications, and preventive needs, closing HEDIS care gaps during visits.
Deliver clear care plans and maintain accurate visit documentation for quality programs.
Our client is a fast-growing healthcare organization supporting Medicare and Medicaid populations through virtual care. At Urrly, fairness matters, using AI to review every application against clear requirements.
Perform medical claims audit reviews with a focus on the Home Health sector, applying medical review guidelines and documenting findings.
Collaborate with the audit team to identify vulnerabilities, generate audit letters, and support findings during appeals.
Maintain knowledge of coding systems (ICD-10, CPT-4, HCPCS) and regulatory changes to ensure high-quality, deadline-driven work.
Machinify is a leading healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients using an AI-powered platform. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, the company fosters a collaborative, fast-paced remote culture.