
51 - 200 employees
⚕️ Healthcare Insurance
☁️ SaaS
💰 $5M Venture Round on 2019-04
Healthcare Insurance • SaaS
Episode Solutions is a company that provides a value-based specialty care platform aimed at delivering cost-effective care for patient populations at scale. Using a proven evidence-based approach, they focus on managing at-risk specialty care patient populations to improve outcomes, increase patient satisfaction, and reduce costs. The company's proprietary platform is designed for various stakeholders, including at-risk primary care provider groups, payors, hospitals, and specialty care physician groups, with a particular emphasis on orthopedic, spine, and cardiac specialties. They partner with these groups to enhance quality specialty care and generate savings, especially in managing episodic care. Episode Solutions is also engaged in guiding partners through the CMS TEAM Program, utilizing their expertise to reduce administrative burdens and achieve better outcomes.
🔥 3 minutes ago
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51 - 200 employees
⚕️ Healthcare Insurance
☁️ SaaS
💰 $5M Venture Round on 2019-04
Healthcare Insurance • SaaS
Episode Solutions is a company that provides a value-based specialty care platform aimed at delivering cost-effective care for patient populations at scale. Using a proven evidence-based approach, they focus on managing at-risk specialty care patient populations to improve outcomes, increase patient satisfaction, and reduce costs. The company's proprietary platform is designed for various stakeholders, including at-risk primary care provider groups, payors, hospitals, and specialty care physician groups, with a particular emphasis on orthopedic, spine, and cardiac specialties. They partner with these groups to enhance quality specialty care and generate savings, especially in managing episodic care. Episode Solutions is also engaged in guiding partners through the CMS TEAM Program, utilizing their expertise to reduce administrative burdens and achieve better outcomes.
• Serve as primary clinical contact for patients throughout their episode of care, providing guidance and support from initial engagement through recovery and program graduation. • Respond to patient concerns or symptoms that arise outside of normal provider office hours. • Provide clinical triage and guidance, including: Self-care instructions, Urgent care referral, Escalation to on-call physicians or clinical teams • Offer reassurance and coaching to patients experiencing symptoms or uncertainty overnight • Conduct proactive outreach calls to monitor patient progress and ensure adherence to care plans. • Provide coaching, education, and support to patients and families navigating complex healthcare systems. • Act as a consistent point of contact to help patients avoid unnecessary emergency department visits or hospital readmissions. • Conduct structured post-discharge follow-up and monitoring to identify early signs of complications. • Ensure patients complete timely follow-up appointments with primary care providers and specialists. • Address medication adherence issues. • Escalate clinical concerns to physicians or care teams when early warning signs are identified. • Document all patient interactions, risk factors, and interventions within the care management platform. • Coordinate closely with physicians, discharge planners, case managers, and other healthcare providers to ensure continuity of care. • Facilitate access to services such as home health, rehabilitation, transportation, and durable medical equipment. • Connect patients with community resources and support services when needed.
• Associate’s or Bachelor’s degree in Nursing (BSN preferred) • An active nursing license in good standing is REQUIRED for this role • 3+ years of clinical nursing experience preferred • Experience in care management, case management, population health, or telehealth. • Experience working with high-risk patient populations • Familiarity with value-based care models (ACO, Medicare Advantage, bundled payment, or risk contracts preferred) • Strong clinical triage and patient assessment skills • Exceptional patient communication and empathy • Ability to establish trust quickly with patients and caregivers • Strong care coordination and organizational skills • Comfort working with remote care technologies and EMR systems is a must • Ability to remain calm and decisive in overnight clinical situations.
• Health insurance • Professional development opportunities
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