
201 - 500 employees
⚕️ Healthcare Insurance
☁️ SaaS
🤝 B2B
💰 $100M Series C on 2021-03
Healthcare Insurance • SaaS • B2B
Rightway is a healthcare company focused on providing care navigation and pharmacy benefits management solutions. It specializes in helping employers and health systems lower healthcare costs and improve outcomes through personalized, proactive clinical support and transparent pharmacy benefits management. Rightway offers a human-first approach, providing real-time, one-on-one support to members to help them make better healthcare decisions and navigate the complexities of healthcare systems. The company aims to reduce healthcare costs while improving employee satisfaction with healthcare services.
🔥 0 minutes ago
🏄 California, New York, +3 more states – Remote
💵 $34 - $40 / hour
⏱ Part Time
🟡 Mid-level
🟠 Senior
🦅 H1B Visa Sponsor
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201 - 500 employees
⚕️ Healthcare Insurance
☁️ SaaS
🤝 B2B
💰 $100M Series C on 2021-03
Healthcare Insurance • SaaS • B2B
Rightway is a healthcare company focused on providing care navigation and pharmacy benefits management solutions. It specializes in helping employers and health systems lower healthcare costs and improve outcomes through personalized, proactive clinical support and transparent pharmacy benefits management. Rightway offers a human-first approach, providing real-time, one-on-one support to members to help them make better healthcare decisions and navigate the complexities of healthcare systems. The company aims to reduce healthcare costs while improving employee satisfaction with healthcare services.
• Clinical triage to assess the severity of the patient’s health concerns using evidence-based protocols and algorithms in directing care to the right healthcare resource in a timely manner without compromising quality or safety • Clinical navigation support includes but is not limited to: condition education, care options, and planning, care compliance, medication adherence, shared decision support, and care coordination • Appropriately leverages input and direction from the Rightway provider to determine the best clinical options for those more complex patient health care needs. • Accurately documents symptoms/complaints, nursing assessment, the guidance provided, and member/caller response. • Acts in the best interest of the member by being a health advocate and supporter in the member’s healthcare journey. • Proactive outreach engagement of high-risk, rising-risk, and gap in care members and assists them in making the necessary lifestyle and behavior changes. • Coordinates the completion of screening services in high-risk patients by providing care management and adherence follow-up and care coordination support. • Member’s trusted healthcare advisor, member experience and retention focus e.g. longitudinal care education, guidance, and support • Develops effective collaboration and working relationships across the Navigation team and organization. • Maintains a patient-centric, customer-driven professional attitude. • Stay within the RN scope of practice by strictly following the protocols set by Clear Triage unless directed to do otherwise by a provider on the clinical team, then documenting appropriately when a change does occur.
• RN, ADN, or BSN degree • Holds an active RN license in a compact state and reside in a compact state • Multiple RN state licenses desired CA, NY, MI, MA, MN • 5+ years of clinical experience required, preferably in family medicine • Triage nursing experience desired • Care management / chronic condition support experience desired
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