Provide patient-centered care navigation and telephonic clinical outreach to patients with chronic conditions.
Collaborate with PCPs, NPs, and care teams to coordinate treatment and support safe transitions home.
Serve as a key resource for patients, caregivers, and community agencies, implementing interventions that improve outcomes.
Vytalize Health is a healthcare company focused on value-based care for patients with chronic or serious conditions. It is a rapidly growing organization with an entrepreneurial, patient-forward culture, and you will play a key role in building a market leader.
Manage a diverse caseload of patients with kidney health needs, including assessments, care planning, and follow-up.
Educate patients on treatment options, including dialysis and transplant pathways, while advocating for their care.
Collaborate with physicians, nurses, and families to coordinate services and address barriers to care.
This partner company provides care navigation and case management for patients with complex kidney health needs. It operates as a fully remote, interdisciplinary clinical team focused on patient advocacy and high-quality, cost-effective outcomes.
Perform prospective, concurrent, and retrospective reviews of healthcare services to ensure medical necessity and appropriate level of care.
Contact medical and support personnel to recommend alternative treatment plans and coordinate care across the healthcare continuum.
Research and resolve issues related to benefits, eligibility, and appeals while delivering targeted education to providers.
HealthEdge provides AI-powered operational infrastructure for health insurance companies, covering claims administration, payment integrity, and care management. The company is experiencing significant momentum and investing in employees who directly shape the future of healthcare technology.
Performs pre-admission, admission, and continued stay reviews using approved medical necessity criteria.
Coordinates patient care and communicates with physicians, patients, caregivers, and third-party payers.
Manages patient progression through the healthcare system and proactively works with payers to secure certification and minimize denials.
Ochsner Health is a leading not-for-profit healthcare provider in the Gulf South, with 46 hospitals and 370+ care centers. It employs more than 38,000 team members and has been recognized as a top workplace and the No. 1 hospital in Louisiana.
Provide case management addressing medical, social, psychological, physical, and spiritual needs of members.
Develop, implement, and monitor care plans in conjunction with the PCP, caregivers, and other team members.
Help members meet their needs through coordinated care and support.
Elderplan and HomeFirst are Medicare and Medicaid managed care health plans that help members stay independent. MJHS is a supportive community committed to excellence, respect, and high-quality personalized care, fostering collaboration and career development.