18 jobs found

Circle Medical’s mission is to create the technology that enables quality, delightful primary care for everyone on the planet. Our environment brings together providers, engineers, operators and designers in pursuit of this goal, and we are the fastest-growing primary care practice in San Francisco.   Position Overview This remote role is an integral part of delivering on our mission’s promise for a delightful patient experience by using our proprietary technology stack. Your role is to provide clinical support to our in-office and telemedicine providers as well as provide clinical support to our patient care coordinators and laboratory technicians.  Your medical knowledge and clinical judgment will be of the utmost importance in ensuring excellent patient health care.   We offer the opportunity to work remotely on a fast-paced team that is revolutionizing primary care with a focus on growth.   This is a temp-to-hire...

Alpha Medical - Alpha Care Coordinator - Advice RN (Full-Time) - Remote Clinical Operations   Alpha Medical ( www.helloalpha.com ) is on a mission to make access to quality healthcare easy, affordable, and convenient.   Alpha Medical ( www.helloalpha.com ) is looking for a candidate that is passionate about our mission and understands the value we are bringing to our patients with our services.  Please make sure you have an understanding of our company and telemedicine before applying.   Job Description Alpha Medical is seeking an Alpha Care Coordinator - RN (ACC-RN) with a passion for patient advocacy and improving the way people access healthcare today.  The ACC-RN will work directly with the Chief Medical Director, Patient Operations Director, and Director of Clinical Operations to plan and implement clinical process improvements. The ACC-RN further functions as a liaison between patient care coordinators and the...

Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country. Position Summary/Mission Our Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical...

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.  Develop, assess and adjust, as necessary, the care plan and promote desired outcome Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients...

Are you a tech-savvy oncology nurse with an interest in helping to build a new digital health service for cancer patients? Do you have experience delivering care to cancer patients virtually? What about managing a small team of oncology nurses? If this describes you, apply now to join our team! About OncoHealth  OncoHealth is a leading digital health company dedicated to helping health plans, employers, providers, patients and life science researchers navigate the physical, mental and financial complexities of cancer through technology enabled services and real-world data analytics. By partnering with leading health plans across the US, we are collaborating to deliver next generation, mobile first solutions for patients with cancer and their families. About the Role The Oncology Registered Nurse participates as part of an interdisciplinary care team to apply oncology clinical skills and expertise to delivery of digital health solutions. This role is responsible...

Parsley Health is a digital health company with a mission to transform the health of everyone, everywhere with the world's best possible medicine. Today, Parsley Health is the nation's largest healthcare company helping people suffering from chronic conditions find relief with holistic medicine. Our work is inspired by our members’ journeys and our actions are focused on impact and results. The opportunity: We are excited for a Senior Manager of Clinical Quality and Compliance to join the clinical operations team.  This key leadership role will be responsible for the oversight and development of clinical quality and compliance policies, procedures, and adherence in our virtual and center-based clinical service delivery.  This is an excellent opportunity for a healthcare professional experienced in clinical quality implementation, federal and state regulations governing medical practice, and licensing standards to lead in our innovative digital health...

Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient’s healthcare experience, both in and out of the doctors office.  Founded in August, 2019, we are obsessed with eliminating wasteful friction patients and doctors experience in areas that have nothing to do with health and treatment, particularly for diagnoses that require expensive procedures or medications.  To that end, we build software that is expressly designed to ensure the appropriate plan of care is understood and expeditiously approved, so that patients and doctors can focus on health, rather than payment or administrative hassles. Opportunity Overview:  The RN Reviewer position is a crucial role in our organization — in this role you are responsible for performing a full range of activities that will positively impact the organization and contribute to guiding the strategic operations for the company.  As an RN...

You're looking for something bigger for your career. How about inventing the future of health care? UnitedHealthcare is offering an innovative new standard for care management. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Our growth is fueling the need for highly qualified professionals to join our elite team. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Join us. Take this opportunity to start doing  your life's best work.(sm)   As a  Behavioral Health Care Advocate  you will be responsible for case management and utilization review of behavioral health and substance abuse cases. You'll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan.   What makes your clinical career greater...

Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and participates in special quality improvement projects. Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness. Provides telephone triage, crisis intervention and emergency authorizations as assigned. Performs concurrent reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience.  In conjunction with providers and facilities, develops discharge plans and oversee their implementation.  Performs...

At Carbon Health, we believe in the power of health, of medicine, and of technology. We aim to create a supportive environment where you can develop your career and continuously refine your craft. To support this goal, we’ve built a diverse and passionate team of employees who are all driven to learn from one another and reach Carbon Health’s mission of bringing high-quality healthcare to everyone.   • Ranked on Inc.’s 5000 list as the second-fastest-growing private company in the U.S. in 2021 • Recognized as a LinkedIn Top 50 Startup in 2020 • More than 90 clinics in 14 states and growing with a goal to reach 1,500 clinics nationwide by 2025!   This is a full-time virtual position, with an active California license, that will care for adult and pediatric patients, including acute and ongoing care delivery. It is a very exciting time at Carbon Health and due to our expansion this role has been created as part of...

CircleLink Health is in need of a  registered nurse (20-25 hours per week) with a New York license,  to manage patients with chronic conditions enrolled in Medicare's Chronic Care Management and Behavioral Health Integration programs.  This is a telecommute/work from home position.  Job Type: 1099 contract position (no end date): Care coaches are responsible for taxes and insurance. Hourly Pay Rate (Efficiency-based)  Average $27 Maximum $40.5   Primary Responsibilities Educate patient on self-management skills and goal setting. These are patients with chronic conditions such as:  Diabetes, CHF, COPD/Asthma, Hypertension, CAD, Ischemic Heart Disease, Anxiety, Depression. Implement and update the Plan of Care. Update medications, appointments due, record biometrics, vital signs, and care coaching provided. Utilize Motivational Interviewing or other behavior change techniques to coach and assist the...

Alpha Medical ( www.helloalpha.com ) is looking for a candidate that is passionate about our mission and understands the value we are bringing to our patients with our services.  Please make sure you have an understanding of our company and telemedicine before applying.   Job Description Alpha Medical is seeking an Alpha Care Coordinator - RN (ACC-RN) with a passion for patient advocacy and improving the way people access healthcare today.  The ACC-RN will work directly with the Chief Medical Director, Patient Operations Director, and Director of Clinical Operations to plan and implement clinical process improvements. The ACC-RN further functions as a liaison between patient care coordinators and the clinical team. You will be a member of our clinical care team responsible for navigating patients through a telemedicine experience using your knowledge, clinical experience, and oral and written communicative prowess and passion for patient advocacy....

Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting. Kepro is seeking resumes for a highly experienced professional. RN Expert Claims Reviewer/Project Support Specialist (Remote Opportunity)  Summary Description The RN Expert Claims Reviewer/Project Support Specialist will work on several contract tasks and deliverables, including educational webinars and other work related to health center program improvement and patient safety. The candidate will analyze claims, prepare claim management/risk management reports and medical chronologies, collaborate with the Data Analytics team in preparing various data-driven reports, and perform other duties and/or special projects as required or assigned. Accountabilities Assist in the development, coordination, and implementation of health center educational webinars, the...

Are you an experienced RN looking for a new challenge? Do you value care management and quality improvement ? Are you motivated , energetic , and excited to become part of the Kepro team? If so, you might be our next new team member! Note: This is a fully remote role. You must have a compact active, unrestricted RN license. Who we need: Our Case Manager is responsible for assessing, planning, implementing, monitoring and evaluating options and services to effect an appropriate, individualized plan for the client across the continuum of care. Using independent judgment, the case manager utilizes clinical knowledge and competence, communication skills, problem solving and conflict resolution to effectively ensure optimal client outcomes with consideration to payor requirements. Will work effectively with all health care team members internally and externally. Why us? Kepro is a rapidly growing national quality improvement and care...

Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient’s healthcare experience, both in and out of the doctors office.  Founded in August, 2019, we are obsessed with eliminating wasteful friction patients and doctors experience in areas that have nothing to do with health and treatment, particularly for diagnoses that require expensive procedures or medications.  To that end, we build software that is expressly designed to ensure the appropriate plan of care is understood and expeditiously approved, so that patients and doctors can focus on health, rather than payment or administrative hassles.   Opportunity overview: We are looking for a Nurse Writer who will support how this department develops policy and patient content.  This role is responsible for creating and maintaining letter templates that meet regulatory, Health Plan and Plain Language requirements for adverse determination...

Olive’s AI workforce is built to fix our broken healthcare system by addressing healthcare’s most burdensome issues -- delivering hospitals and health systems increased revenue, reduced costs, and increased capacity. People feel lost in the system today and healthcare employees are essentially working in the dark due to outdated technology that creates a lack of shared knowledge and siloed data. Olive is designed to drive connections, shining a new light on the broken healthcare processes that stand between providers and patient care. She uses AI to reveal life-changing insights that make healthcare more efficient, affordable and effective. Olive’s vision is to unleash a trillion dollars of hidden potential within healthcare by connecting its disconnected systems. Olive is improving healthcare operations today, so everyone can benefit from a healthier industry tomorrow. As Olive continues to blaze a trail in AI and automation programs and solutions in the...

Are you looking for an innovative primary care practice model that uses technology and healthcare data to empower patients to take greater ownership and accountability over their healthcare? At Forward, we believe that the future of medicine combines the best attributes of healthcare professionals with the efficiency and grace of innovative technology.   We are looking for a motivated Registered Nurse who thrives in delivering care in an innovative tech environment. You will support our members via telemedicine, working alongside highly acclaimed, board certified physicians. This is an ideal opportunity for those seeking a flexible opportunity to deliver primary care via telemedicine.   Press and Videos: Virtual Tour of Forward [YouTube] 'Forward at Home' Product Launch [TechCrunch] "Health Moves Forward" [CEO Blog Post] Forward Doctors Respond to COVID-19   [FastCompany] WHAT YOU'LL DO: Remotely triage patients...

We are looking for certified tumor registrars, registered nurses, physician assistants, or those with equivalent backgrounds who are fluent in oncology terminology to help us interpret and organize clinical oncology data, as well as help us accomplish our mission to improve lives by learning from the experience of every cancer patient. Here's what you need to know about the role, our team, and why Flatiron Health is the right next step in your career.  What You'll Do In this role, you’ll primarily abstract data from electronic medical records and use our proprietary software system to enter the data into our database. You would also be responsible for providing feedback to our team about the software that you are using. As an abstractor you will:  Help generate robust data sets by extracting key data points from electronic health records using Flatiron’s proprietary software system Maintain a high level of performance, as measured by passing...