
201 - 500 employees
🏥 Healthcare
🤝 B2B
💼 Consulting
Healthcare • B2B • Consulting
Honest Health is a physician-led company that partners with health systems, physician organizations, and payers to enable primary care transformation and the transition to value-based care. It focuses on helping partners build sustainable shared financial risk models (e. g. , ACO REACH, MSSP), improve care coordination for Medicare and senior populations, integrate clinical capabilities and documentation integrity into PCP-led care teams, and strengthen financial performance through risk solutions and revenue strategies. Honest Health offers partnership programs, clinical support roles (care coordinators, dietitians, behavioral health specialists, pharmacists, etc. ), and tools such as an estimator to model savings from value-based care.
🔥 0 minutes ago
🗽 New York, Michigan – Remote
💵 $76.6k - $88.9k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
👔 Manager
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201 - 500 employees
🏥 Healthcare
🤝 B2B
💼 Consulting
Healthcare • B2B • Consulting
Honest Health is a physician-led company that partners with health systems, physician organizations, and payers to enable primary care transformation and the transition to value-based care. It focuses on helping partners build sustainable shared financial risk models (e. g. , ACO REACH, MSSP), improve care coordination for Medicare and senior populations, integrate clinical capabilities and documentation integrity into PCP-led care teams, and strengthen financial performance through risk solutions and revenue strategies. Honest Health offers partnership programs, clinical support roles (care coordinators, dietitians, behavioral health specialists, pharmacists, etc. ), and tools such as an estimator to model savings from value-based care.
• Manage patients’ specialized needs based on their conditions and/or recent healthcare utilization • Take ownership of assigned patients with complex chronic conditions, serious illness, advanced frailty, or recent healthcare utilization • Identify patient needs through standardized assessments and workflows • Develop comprehensive nursing care plans in partnership with patients and providers • Coordinate care with Honest clinicians, network providers, contracted vendors, and community-based services • Build empathetic relationships with patients and families • Collaborate with physicians, advanced practice providers, specialists, and multidisciplinary teams on case management plans • Coordinate access to health services across multiple providers and disciplines • Monitor care and identify cost-effective measures and alternative levels of care • Coordinate patient admissions and discharges from hospitals and skilled nursing facilities • Build relationships with hospitals, SNFs, home health companies, and DME vendors • Evaluate and modify nurse care plans based on quality and cost drivers • Coordinate continuity of care, transfers, discharge planning, and authorizations • Advocate for and educate patients and families • Develop and deliver individualized disease-state education plans • Address social determinants of health such as transportation, housing, and food resources • Participate in clinical outcomes and customer satisfaction data collection and analysis • Maintain accurate patient care records • Participate in huddles, interdisciplinary team sessions, and patient case conferences • Represent Honest Health to patients, families, and the community • Perform other related responsibilities as assigned
• Must be licensed in the state(s) where the role is based: New York and/or Michigan • Reliable access to high-speed internet • Active Registered Nurse license required in Michigan and/or New York • Willing and able to obtain additional state nursing license(s) as business needs dictate • Experience engaging patients virtually using phone, text, video, and other technologies required • Prior experience with electronic health records or health registries required • Microsoft Office skills, including Excel, Word, PowerPoint, and Outlook required • Bachelor’s of Science in Nursing preferred • Certified Case Manager (CCM) credential preferred • 3+ years of clinical practice highly preferred • Case management experience with a senior population preferred • Disease management and/or physician office experience highly preferred • Experience with PowerPoint preferred
• Short-term incentives for eligible roles • Comprehensive benefits package • Reimbursement for required fees for additional state nursing licenses • Reasonable accommodations for applicants with disabilities
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