Triage oncology patient calls regarding treatment, surgery, and appointment information while providing symptom management.
Assess barriers to care and deliver individualized patient education, resources, and referrals to patients and caregivers.
Collaborate with the multidisciplinary cancer care team to prevent fragmented care and support optimal patient outcomes.
Florida Cancer Specialists & Research Institute is a community oncology practice providing world-class cancer care and access to clinical trials. With over 250 physicians, 220 nurse practitioners and PAs, and nearly 100 locations across Florida, the organization is committed to professional growth and team-based care.
Conduct ESRD medical record reviews comparing documentation to EQRS and NHSN data.
Classify discrepancies by type and severity, including missing data, incorrect values, and wrong fields.
Participate in quality control activities and support special projects as assigned.
Broadway Ventures transforms challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As a small, veteran-owned business, we empower government and private clients with tailored solutions built on integrity, collaboration, and excellence.
Review and validate assigned assessments (SOC, ROC, Recert, Transfer, Discharge) for accuracy and completeness.
Identify and correct errors impacting reimbursement, quality measures, or compliance before submission.
Provide actionable feedback and education to field clinicians to improve documentation and process outcomes.
Adaptive Home Health is a Texas-based home health agency building a higher-acuity, patient-centered care model. They use technology to streamline documentation and QA workflows, supporting clinical operations and compliance teams in a remote-first environment.
Provide virtual, remote diagnostic care for after-hours and weekend clinical calls.
Assess, diagnose, treat, and document patients' physical and psychosocial health status.
Collaborate with physicians and care teams to ensure safe, high-quality telehealth outcomes.
ChenMed is a family-owned, physician-led primary care provider transforming healthcare for seniors. The growing, family-oriented team emphasizes compassion, innovation, and superior patient outcomes.
Audit skilled nursing facility (SNF) medical claims for medically appropriate services using applicable guidelines and policies.
Document findings, generate audit letters, and support audit findings during the appeals process.
Work collaboratively with the audit team, clients, and contractors to improve medical policies and audit workflows.
Machinify is a healthcare intelligence company with expertise across the payment continuum, delivering value, transparency, and efficiency to health plan clients. Deployed by over 85 health plans representing more than 270 million lives, the company combines an AI-powered platform with best-in-class expertise to drive down healthcare costs.
Perform clinical reviews to evaluate medical necessity, level of care, and benefit coverage for members.
Apply internal policies, MCG, and NCCN guidelines to deliver timely and compliant utilization management decisions.
Escalate complex cases and build audit-ready documentation for Medical Director review.
Personify Health created the first and only personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. Their mission-driven culture empowers diverse perspectives to drive real impact on people's health.
Conduct peer-to-peer educational programs for advanced practice providers and nurses on Legend cell therapy products.
Collaborate with sales, marketing, and cross-functional teams to deliver on-label education and support regional initiatives.
Build relationships with key nurse opinion leaders and provide training on disease management and adverse event identification.
Legend Biotech is a global biotechnology company dedicated to treating and curing life-threatening diseases through innovative cell therapies. It partners with Johnson & Johnson to develop and commercialize CARVYKTI® and is committed to discovering safe, effective therapies for patients worldwide.
Provide fully remote virtual serious illness care management to patients and families across hospice, palliative care, and PACE programs.
Perform virtual assessments, prescribe medications and equipment, and support plans of care in collaboration with interdisciplinary teams.
Maintain licensure and certifications, document in EMR, and participate in QAPI activities to ensure quality and compliance.
Chapters Health System is a community-based, not-for-profit organization delivering innovative care through chronic illness progression and beyond. Since 1983, it has grown into a multi-state health system across the Southeast and Mid-Atlantic, with a mission-driven culture focused on outstanding patient care.
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.
Review a variety of claim types including Radiology, Ambulance, Physical Therapy, and Surgical for medical necessity and coverage.
Document medical rationale for payment or denial decisions using Medicare guidelines and established criteria.
Educate internal and external staff on medical review, terminology, coverage determinations, and coding.
We transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business, we are built on integrity, collaboration, and excellence.