Provide patient education on diagnoses, test results, and treatment plans in a virtual setting.
Collaborate with cardiologists, PCPs, and care teams to coordinate comprehensive patient care.
Triage incoming patient requests and manage a patient panel with clinical decision-making.
Heartbeat Health is a virtual-first cardiovascular care company providing telemedicine, diagnostics, and virtual care programs. It is a remote-first, mission-driven organization with a fast-paced, collaborative culture.
Manage patient flow, triage, and direct patient care in an ambulatory cardiology clinic.
Coordinate continuity of care and communicate with patients, families, and physicians to ensure understanding of the plan of care.
Navigate new cardiology patients by obtaining records, preparing charts, and scheduling visits.
The University of Kansas Health System is a world-class academic medical center in Kansas City providing complex care and diagnosis. It fosters a collaborative culture of physicians, nurses, researchers, and educators advancing life-changing treatments.
Provide palliative care and advance care planning via phone, email, and video for members with serious illness.
Conduct comprehensive symptom assessments and facilitate end-of-life care discussions with the care team.
Support members and their care networks, manage clinical escalations, and collaborate with payers and providers.
Thyme Care is a value-based oncology care enabler partnering with health plans, providers, and employers to improve outcomes and lower costs for cancer patients. It is a tech-native organization that combines high-touch human support with technology and AI to make cancer care more connected and compassionate.
Provide high-quality, person-centered care management to high-risk members.
Coordinate care across medical, behavioral, and social services using evidence-based approaches.
Engage members through motivational interviewing and develop individualized care plans.
IEHP is a not-for-profit health plan serving members in Southern California's Inland Empire. It fosters a team culture focused on healing and inspiring the human spirit, offering competitive benefits and professional development.
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.
Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
Assess payment determinations using clinical information and established coverage guidelines.
Educate teams on medical review processes and support quality control activities.
Broadway Ventures is a veteran-owned small business delivering mission-critical support to federal health and defense customers. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business, it is built on integrity, collaboration, and excellence.
Conduct comprehensive reviews of home health pre-claim review packages for Medicare compliance.
Document review outcomes with clinical rationale and meet a 7-business-day turnaround.
Maintain 98% accuracy and complete required training and quality assurance sessions.
Broadway Ventures is a consulting firm providing program management, technology, and innovative solutions to government and private sector clients. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business, it emphasizes integrity, collaboration, and excellence in its culture.
Conduct comprehensive pre-operative assessments and collect patient health histories to ensure readiness for anesthesia and surgery.
Collaborate with physicians, anesthesiologists, and healthcare team members to optimize patient safety and reduce surgical delays.
Perform related support activities such as answering phones, checking patients in and out, and assembling charts.
Virginia Mason Franciscan Health provides exceptional healthcare with a full spectrum of services from routine wellness to complex disease management. The organization has a network of 10 hospitals and nearly 300 care sites across the Puget Sound region, committed to compassionate care and innovation.
Oversee system-level utilization management activities across the organization.
Ensure compliance with medical necessity criteria such as InterQual and Milliman.
Manage professional staff and review processes to optimize patient care.
Piedmont Healthcare is a healthcare system providing comprehensive medical services. It is a large organization focused on utilization management and quality care.
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.