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The Intake Coordinator manages incoming calls, emails, and faxes to process patient demographic information and determine precertification requirements. They also perform outgoing calls to verify patient and provider data, coordinate with nurses, and handle administrative documentation tasks.
The Quality Performance Specialist leads and coordinates clinical quality reviews, including member concerns and medical records, to ensure adherence to standards of care. They also support accreditation activities, HEDIS reporting, and quality improvement initiatives through data analysis and committee coordination.
The therapist will conduct thorough assessments, formulate individualized treatment plans, and provide individual, group, and family counseling. They are also responsible for documenting services, participating in clinical staffing meetings, and managing crisis situations as they arise.
The OB/NICU Nurse Case Manager performs care management for members with complex and chronic needs by assessing, developing, and monitoring individualized care plans. They coordinate internal and external resources, facilitate authorizations, and collaborate with medical directors to optimize healthcare outcomes.
The Nurse Case Manager performs care management for members with complex and chronic needs by assessing, developing, and monitoring individualized care plans. They coordinate with medical groups, providers, and community resources to ensure appropriate service access and effective discharge planning.
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The RN Pre-Service Authorization manages managed care programs, including referral and prior authorization processes, while providing clinical leadership to Access Coordinators. They collaborate with internal and external stakeholders to ensure efficient insurance issue resolution and support health care compliance initiatives.
The primary therapist will provide individual, group, and family therapy while serving as a liaison with families and outpatient providers. They are also responsible for managing insurance pre-certifications and participating in discharge and aftercare planning.
The Sr Clinical Specialist provides clinical support during surgical procedures, including device programming, troubleshooting, and equipment management. They also educate medical staff on ENT therapies and partner with sales representatives to achieve district business goals.
The Clinical Specialist provides on-site clinical support during surgical procedures, including device programming, troubleshooting, and equipment management. They also educate hospital staff on ENT therapies and partner with sales representatives to achieve district business goals.
Provide clinical and technical support for electrophysiology procedures, including mapping assistance and staff training. Develop and maintain account relationships while executing clinical staffing strategies to drive growth.
The Case Manager serves as the primary point of contact for patients, managing their treatment journey from onboarding through long-term adherence support. They collaborate with internal teams and external vendors to resolve access issues and ensure a seamless patient experience.
The Remote On-Call Nurse provides real-time clinical assessment, triage, and care coordination for members during after-hours. They document all encounters in the electronic health record and facilitate smooth transitions between on-call and daytime operations.
The Clinical Services Specialist evaluates therapeutic treatment needs for high-acuity youth and collaborates with multidisciplinary teams to implement effective interventions. They also provide clinical guidance, facilitate family therapy, and manage discharge processes to ensure positive outcomes for children and families.
The analyst supports enterprise clinical applications and ensures the reliable exchange of clinical information across the organization. They investigate application issues, monitor integration queues, and coordinate with vendors to resolve data flow and connectivity problems.
The manager supports initiatives to optimize contract performance and drive growth across GPO programs by partnering with health systems and biopharma manufacturers. They are responsible for conducting financial analysis, developing contract strategies, and executing cross-functional initiatives to enhance member economics.
The Nurse Practitioner will conduct virtual clinical encounters to improve access to care and address healthcare needs. They will provide high-quality, independent clinical assessments while maintaining an excellent member experience.
Support members through virtual clinical encounters to improve access to care and address healthcare needs. Provide high-quality clinical care while maintaining an excellent member experience within a technology-enabled model.
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The Nurse Practitioner will conduct virtual clinical encounters to improve patient access to care and address healthcare needs. They will work independently within a technology-enabled model while receiving support from clinical and operations teams.
The Case Manager processes and monitors new annuity business submissions while maintaining strong relationships with financial advisors. They are responsible for conducting suitability reviews, managing case resolution, and providing high-quality service via phone and email.
Conduct comprehensive in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. Build trusted relationships with patients while providing personalized health education and diagnostic services in their homes.
The faculty member will facilitate prelicensure nursing education through clinical instruction, skills lab supervision, and simulation activities. They will also manage clinical partnerships, mentor students, and support the development of part-time clinical instructors.
The receptionist will greet patients virtually and coordinate their care from initial evaluation to discharge. Responsibilities include managing electronic scheduling, maintaining patient charts, and processing payments.
The Nurse Practitioner will conduct face-to-face patient encounters, manage symptoms, and provide physician support within a hospice setting. They will also collaborate with the interdisciplinary team to develop and enhance patient care plans.
The Director of Clinical Affairs will build and lead the clinical function, establishing strategy and processes for the company's product portfolio. They will oversee clinical study design, execution, and evidence generation while ensuring regulatory compliance and cross-functional alignment.
The physical therapist provides skilled outpatient physical therapy directly in patients' homes and integrates telehealth services for patient education and follow-up. They maintain primary responsibility for patient plans of care, collaborate with the healthcare team, and ensure accurate documentation in the electronic medical record.
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The Patient Care Coordinator manages daily workflow, including prescription intake, insurance verification, and prior authorization processes. They also provide high-level customer service by handling high-volume calls and coordinating prescription delivery with pharmacies.
Provide overnight on-call clinical support and decision-making for floor nurses. Manage acute changes in patient conditions and oversee admissions to ensure patient safety.
The Transition Care Manager performs multidisciplinary discharge planning for plan members in emergency or acute settings to ensure continuity of care. They identify gaps in care, coordinate behavioral health needs, and facilitate referrals to appropriate community resources.
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