Remote Policyholder Care Coordinator
The coordinator will speak with warm leads to map their needs to available protection options and run simple enrollment flows. They are also responsible for building and servicing a client list.
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The coordinator will speak with warm leads to map their needs to available protection options and run simple enrollment flows. They are also responsible for building and servicing a client list.
The role involves speaking with warm leads to map their needs to available protection options and running simple enrollment flows. You will also be responsible for building and servicing a client list while utilizing provided remote tools.
Lead the operational execution of global medical device clinical studies from site start-up through close-out. Manage investigative sites, ensure protocol compliance, and maintain high data quality while mitigating operational risks.
Conduct tele-health sessions and deliver comprehensive patient assessments while assisting in treatment planning. Develop meaningful connections with clients and participate in monthly clinical case reviews.
The Nurse Navigator serves as the primary point of contact for patients, coordinating care, scheduling appointments, and facilitating communication between patients and the multidisciplinary care team. They also provide patient education, assess barriers to care, and support patients throughout the entire treatment and survivorship continuum.
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The PMHNP will provide psychiatric evaluations, medication management, and ongoing care to the Medicaid population. They will collaborate with a multidisciplinary team while maintaining clinical decision-making autonomy.
Provide one-on-one physical therapy to older adults in their homes or senior living communities using evidence-based treatment plans. Collaborate with an interdisciplinary team and utilize telehealth tools to support patient mobility, independence, and wellness.
Provide one-on-one occupational therapy to older adults in various residential settings to improve mobility and functional independence. Collaborate with an interdisciplinary team and utilize telehealth tools to deliver evidence-based care and effective documentation.
Provide one-on-one occupational therapy to older adults in various settings including private residences and senior living communities. Develop individualized plans of care, document effectively in the EMR, and collaborate with an interdisciplinary team to support patient wellness.
Provide one-on-one occupational therapy to older adults in their homes or senior living communities to improve mobility and functional independence. Collaborate with an interdisciplinary team and utilize telehealth tools to deliver evidence-based care and document patient progress.
Provide one-on-one physical therapy to older adults in their homes or senior living communities while developing individualized plans of care. Collaborate with an interdisciplinary team and utilize telehealth when appropriate to support patient mobility and functional independence.
The Medical Director performs prior authorization reviews for chemotherapy treatment requests and provides clinical oncology expertise. They also collaborate with multidisciplinary teams on research projects and quality improvement initiatives.
The Senior Medical Science Liaison serves as a field-based scientific expert, developing strategic relationships with key thought leaders and healthcare providers. They are responsible for delivering objective, evidence-based scientific information and identifying unmet medical needs within the rheumatology therapeutic area.
The Medical Science Liaison acts as a field-based scientific expert, fostering relationships with healthcare professionals and providing objective, non-promotional scientific information. They are responsible for developing scientific engagement plans, generating actionable insights, and supporting clinical research initiatives within the thoracic and head & neck oncology therapeutic area.
The supervisor oversees coding teams, performs quality assurance reviews, and ensures compliance with ICD-10 and CPT coding guidelines. They are responsible for training staff, managing work queues, and communicating with clients and providers to resolve coding issues.
The Triage Nurse provides clinical guidance and symptom management for oncology patients via telephone to minimize emergency department readmissions. They also facilitate communication among the multidisciplinary care team and provide patient education regarding treatments and diagnostic results.
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The therapist will manage a caseload of 25–36 sessions per week, providing individual, family, and group therapy via telehealth. Responsibilities include conducting clinical assessments, developing trauma-informed treatment plans, and maintaining accurate clinical documentation.
Provide comprehensive psychiatric care to children, teens, and young adults through telehealth, including evaluations and treatment planning. Manage psychotropic medications and collaborate with an interdisciplinary team of therapists and coordinators.
Conduct comprehensive psychiatric evaluations and provide ongoing treatment for children, teens, and young adults via telehealth. Collaborate with an integrated care team including therapists, PMHNPs, and primary care providers to develop individualized treatment plans.
Provide compassionate, evidence-informed individual, family, and group therapy to children and families via secure telehealth platforms. Maintain accurate clinical documentation and collaborate with an interdisciplinary team to develop individualized treatment plans.
The therapist will conduct clinical intakes, develop trauma-informed treatment plans, and provide individual, family, and group therapy via telehealth. They will also collaborate with an interdisciplinary team and maintain accurate clinical documentation.
Conduct clinical intakes, develop trauma-informed treatment plans, and provide individual, family, and group therapy via telehealth. Collaborate with an interdisciplinary team to support families through education and accurate clinical documentation.
Care coordinators manage member caseloads by performing health navigation and care management services to support health system access. They also conduct outreach calls, document member interactions in the PHI system, and collaborate with interdisciplinary teams to improve health outcomes.
Facilitate new hire, upskilling, and refresher training in classroom or virtual environments while providing just-in-time support and coaching. Monitor learner progress through performance metrics and collaborate with operations teams to ensure clinical and operational standards are met.
The Clinical Pharmacist reviews prior authorization requests for non-formulary medications to ensure clinical and cost-effectiveness. They also communicate with providers regarding formulary alternatives and contribute to drug utilization reporting.
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Directs and oversees multidisciplinary healthcare services teams including utilization management, care management, and behavioral health programs. Collaborates with senior leadership to establish strategic plans and ensures the delivery of quality, cost-effective member care.
Provide high-quality emergency medical care to patients within a physician-owned partnership model. Collaborate with a multidisciplinary team to ensure effective clinical outcomes and contribute to the shared success of the practice.
The specialist processes and verifies reimbursement claims to ensure accuracy, compliance, and timely resolution. They also analyze account balances, resolve claim discrepancies, and collaborate with internal teams to support revenue integrity.
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