Care Delivery Specialist

Job Title:Nurse Specialist – Healthcare DeliveryAbout the Role:We are seeking a skilled Clinical Appeals Nurse to join our team in a challenging healthcare environment. This role involves reviewing patients' medical charts and determining if they require admission, observation or no hospital care at all.Key Responsibilities:Review patients' medical charts...

Care Operations RoleThis is a full-time remote position with a standard Monday to Friday, 9AM–5PM US Eastern Time schedule.As a Care Operations Associate, you will play a pivotal role in our care coordination efforts, ensuring precision and empathy in managing patient records and medical documentation. Your key responsibilities will include serving as a...

Home Care CoordinatorThe position of a Home Care Coordinator involves creating and managing schedules for caregivers to ensure seamless service delivery in fast-paced home care settings. Key responsibilities include coordinating caregiver shifts, communicating schedule changes, and providing administrative support as needed.About the RoleThis role is crucial...

As a skilled Medical Reviewer, you will be responsible for managing patient wound care records, verifying insurance eligibility and coordinating the supply of essential medical materials.This role is ideal for individuals with a strong background in clinical wound care and excellent communication skills. You will work closely with the Payer team to determine...

Job SummaryWe are seeking a dedicated Care Coordinator to join our team. As a key liaison between families, healthcare providers, and hospitals, you will be responsible for managing patient documents, coordinating care delivery processes, and facilitating timely communication.This is a full-time remote role that requires strong organizational skills,...

The Opportunity:The Case Manager plays a pivotal role as the primary liaison between patients and caregivers, ensuring seamless delivery of high-quality, continuous care. This position requires proactive communication, exceptional organizational skills, and the ability to manage complex patient care needs while maintaining confidentiality.This role offers...

Care Operations Scheduling PositionThis is a full-time remote opportunity where you will work Monday to Friday, 9AM–5PM. As a Care Operations Specialist, you'll play a pivotal role in our care coordination efforts, ensuring patient records and medical documentation are managed with precision and empathy.Key Responsibilities:Manage patient documents and...

Optimizing Patient CareThe role of a Utilization Management specialist involves assessing and interpreting customer needs, requirements, and medical records to ensure the best possible outcomes for patients.Key Responsibilities:Reviewing medical claims for medical necessity to provide accurate and timely information to customersCoordinating patient care by...

Medical Coding SpecialistWe are seeking an experienced and detail-oriented Senior Medical Coder to join our team. The ideal candidate will have extensive experience in coding for primary care services and a thorough understanding of medical coding guidelines and regulations.This role is pivotal in ensuring accurate and compliant coding of diagnoses,...

Long-Term Care Billing SpecialistWe are seeking a skilled and detail-oriented professional to join our team as a Long-Term Care Billing Specialist. This role involves managing insurance billing and collections for assigned facilities with high accuracy and efficiency.Responsibilities include reviewing and processing claims in a timely manner, investigating...