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Upperline Health

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Upperline Health provides high-quality foot care to patients in need with its compassionate and highly skilled team. The company is building out a network of to

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Senior Director of Analytics

Upperline Health

Upperline Health provides high-quality foot care to patients in need with its compassionate and highly skilled team. The company is building out a network of to

Director11 days ago

Title: Sr. Director of Analytics Location: Nashville, Tennessee, 37209, United States Department: Operations Requisition Number: SRDIR002310 Full-Time Job Description: About Us Upperline Health is one of the nation’s largest multispecialty physician groups introducing value-based care into places it’s never been. We’re rebuilding how healthcare works by bringing the impact of primary care into non-traditional settings and redefining the role specialists can play in driving patient outcomes. We deliver whole-person care—wherever the patient is. Clinic. Telehealth. Home. No barriers. Triage is temporary. Treatment is transformative. Our care teams include physicians, advanced practice providers, care navigators, pharmacists, dietitians, and social workers and works to solve both the immediate challenges and the long-term trajectory of every patient we touch. Upperline is headquartered in Nashville with operations across the country. We put patients at the center of value-based care and design everything else around that. This is a hybrid position with flexibility for up to 5% travel. About the Senior Director of Analytics We are hiring a Senior Director of Analytics to build and lead the data backbone of our company. This role is for someone who can do it all analytically – someone who writes SQL in the morning, sets a multi-year data strategy in the afternoon, and leads a team that delivers real outcomes, not slide decks. You will take ownership of our analytics function: the people, the systems, the roadmap, and the results. This role reports to the SVP Strategy & Analytics. If you want to build, lead, and own something that actually matters, this is that role. What you’ll do - Lead and develop a team of analysts and developers (onshore and offshore); set direction and hold a high bar. - Work with senior leadership to turn company strategy into clear, measurable analytics outputs. - Translate business problems into precise data workflows and reporting that drive action. - Ensure high quality output and build out our QC function. - Own the full Power BI reporting ecosystem—clinic, provider, operator, and central dashboards. - Build and execute the 2–3 year roadmap for the analytics function. Qualifications of the Senior Director of Analytics - 5–10+ years in an analytics heavy role with a track record of building and shipping. - Proficient in Python and SQL; you can dive into raw data and partner with the analysts in the nitty gritty. - Strong experience with Snowflake; Athena and dbt are a plus. - Experience with claims or value-based care analytics is a plus, not a requirement. - Exceptional at breaking down and solving complex reporting logic. - Skilled at translating messy business problems into clean, precise reporting requirements. - Advanced proficiency in Excel, PowerPoint, and AI tools (ChatGPT or similar). - Clear, direct communicator—written, verbal, and executive-facing. - Proven leader who can influence across teams and move stakeholders toward alignment. - Comfortable running multiple projects at once without losing the thread. - Strategic thinker who can also operate tactically when the moment demands it. - Naturally curious; always pushing to improve systems, tools, and outcomes. - Thrives in fast-moving, high-growth environments; steady under ambiguity. - Highly organized with a talent for building scalable, repeatable processes. Compensation Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience Benefits Comprehensive benefit options include medical, dental and vision, 401K, and PTO.

Tennessee
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Medical Director, Value Based Care

Upperline Health

Upperline Health provides high-quality foot care to patients in need with its compassionate and highly skilled team. The company is building out a network of to

Medical Director11 days ago

Title: Medical Director, Value Based Care Location: Chattanooga, Tennessee, 37411, United States Department: Medical Leadership Job Description: Job Category: Medical Leadership Requisition Number: MEDIC002450 - Full-Time - Hybrid - Locations Showing more locations Chattanooga, TN 37411, USA Chattanooga, TN 37421, USA Nashville, TN 37209, USA less locations Job Details Description ABOUT US Founded in 2017 and headquartered in Nashville, Tennessee, Upperline Health delivers comprehensive care through a growing national network, with teams spanning podiatry, endocrine, primary care, urgent care, wound, vascular and more. The organization’s mission is to integrate and transform specialty care for chronically ill, high-risk patients through frequent specialist engagement and coordinated, value-based programs. With a patient-centered approach, Upperline delivers care across 21 states and has been recognized as one of the nation’s largest multi-specialty physician practices. The platform has demonstrated meaningful improvements in outcomes, such as lowering hospitalization rates, decreasing total cost of care, reducing amputations, and accelerating wound-healing times, supported in part by its optimized EHR and analytics infrastructure.  Our Upperline Plus program is the value-based care pillar of Upperline, which allows for the integration of primary and specialty care. Patients are part of full risk arrangements with Medicare and MA plans, and the Upperline Plus interdisciplinary team extends an extra layer of support for high-risk patients. This care model - a full interdisciplinary team (physicians, APPs, RNs, pharmacists, social workers) working across clinics, home, and telehealth - reduces avoidable utilization and total cost of care. The Upperline team enhances the healthcare experience by living our Upperline CARES values—fostering strong Connections, holding ourselves to the highest level of Accountability, demonstrating Resilience in navigating and tackling complex challenges, committing to Excellence in patient care, and focusing on a Service mentality that places patients at the heart of everything we do. ABOUT THE MEDICAL DIRECTOR, VALUE BASED CARE Upperline is seeking a Medical Director, Value Based Care (VBC) to join the clinical leadership team in developing, implementing, and growing our unique value-based care model in Tennessee. The VBC Medical Director will serve as a clinical leader partnering with Operations and Population Health leaders to deliver successful value-based care results across the region. The majority of clinics are in the Chattanooga area. Residing in Chattanooga or Nashville is ideal. What You’ll Do - Oversee the care management and medical management of the Upperline Plus patients being seen by Upperline’s Nurse Practitioners in the in the market or region - Responsible for supervising medical management of patients in the region including clinical quality review of providers and serving as the collaborating physician for APPs in the region (as necessary based on state law) - Accountable for value-based care outcomes (e.g., ADK, total cost of care), medical management, care management, utilization management, and quality improvement tools and processes in the region - Manage and drive value-based care initiatives with APPs and doctors ensuring positive impact on patient outcomes - Analyze population health data and identify gaps and develop solutions to improve delivery of care, decrease hospitalizations and reduce medical costs - Educate providers on value-based care metrics and best practices and foster a culture that prioritizes accountability around outcomes-based performance - Ensure the region is meeting VBC operations metrics such as addressing Quality gaps, accurate documentation, patient engagement and retention - Design, implement and manage new value-based care programs and service lines in collaboration with population health and operations teams - Conduct interdisciplinary team meetings to discuss management of the most complex patients (including high cost and high-risk patients) - Establish and maintain relationships with VBC team, specialists, and PCPs in the region; educate on Upperline Plus program and advocate for collaborative partnerships benefiting patients - Support onboarding and training of new providers and provide onsite and virtual clinical coaching and feedback with a focus on ensuring consistency and continuous improvement of managing patients more efficiently - Build relationships in the region and identify best partners (e.g., other specialists, home health agencies, hospitals) for Upperline to send referrals when needed - Develop clinical compliance guidelines and protocols Required Experience and Qualifications - Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.) - Board certified in Internal Medicine, Family Medicine, Preventative Medicine, or Geriatrics - Active license in Tennessee and willing to pursue multi-state licensure if needed - Fellowship training in Geriatrics and/or other advanced degrees (e.g., M.B.A., M.P.H., M.H.A.) valued but not required - ~ 5 years of outpatient practice experience - Clinical leadership experience in a VBC or Population Health company - Experience with managed care and familiarity with payer-provider collaboration - Owned or been part of creating, improving, and/or implementing clinical processes, protocols, or evidence-based guidelines - Experience or exposure to rolling out and/ or managing VBC programs (e.g. Transitional Care Management, Complex Care Management, ED Diversion, Advanced Care Planning, High Risk Patient Outreach) - Talent for synthesizing information and solving complex problems; can independently translate high-level goals into actionable plans - Proven leadership skills and servant leadership mentality with a passion for people and culture - Ability to communicate, collaborate and work effectively with staff, providers, and organizational leaders - Self-starter with a bias for action orientation; demonstrates a service excellence mindset - Exceptional organizational and project management skills and the ability to prioritize and multi-task autonomously - Comfortable working in Excel; able to analyze data and present findings - Must be willing and able to routinely visit clinics and providers within the region; Residing in the market or region is strongly preferred BENEFITS Comprehensive benefit options include medical, dental and vision, 401K, PTO, and parental leave. COMPENSATION Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience. Job Type: Full-time Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Tennessee
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Care Navigator - Inbound

Upperline Health

Upperline Health provides high-quality foot care to patients in need with its compassionate and highly skilled team. The company is building out a network of to

Therapist12 days ago

Job Title: Care Navigator (Inbound) Location: Remote (Applicants residing in Alabama, Arizona, Florida, Georgia, Illinois, Indiana, Kentucky, Michigan, Pennsylvania, South Carolina, or Tennessee) Company Headquarters: Nashville, Tennessee Employment Type: Full-time Work Arrangement: Remote Salary: Commensurate with experience and regional market rates Travel: Weekend support as needed; no travel requirement listed Education: Associate's degree or higher required (BSW, CNA, LPN, or MA preferred) Application Deadline: Not listed Description Upperline Health is an innovative and fast-growing healthcare company focused on bringing more specialties into value-based care. We are a physician practice caring for patients with chronic illnesses with an emphasis on diabetes and vascular disease who we treat through co-management with our specialists such as podiatrists, endocrinologists, wound care providers and vascular care providers and in collaboration with their PCP. Our team provides an additional layer of clinical and psychosocial support for patients with chronic illnesses. Upperline's interdisciplinary team sees patients in the clinic, home, hospital and facilities and provides wrap-around services including 24/7 clinical support, remote patient monitoring, behavioral health telemedicine and other resources. We help provide relief from the burdensome symptoms of chronic illness, help patients and caregivers navigate the healthcare system, and guide patients through difficult treatment choices. Upperline Health is based out of Nashville, TN and has clinics in Alabama, California, Florida, Georgia, Indiana, Kentucky and Tennessee. About the Care Navigator Role Upperline Health is seeking an Inbound Care Navigator, ideally with prior healthcare experience, to support a team of clinicians in delivering complex plans of care in accordance with the patient’s health status and overall goals and values. This person will provide all telephonic and back-office support required by the team of clinicians. In this role, you will provide critical support activities to coordinate care delivery for Upperline+ patients. This includes a range of clinical support and administrative tasks such as telephonic coordination of care to Upperline+ patients and families, scheduling in-home, clinic, and telehealth patient visits for clinicians, managing patient care referrals and orders to completion, coordination of preventative care needs, and other tasks as assigned. Ideal candidates will have experience identifying and coordinating the needs of patients with multiple chronic conditions and supporting clinicians to help them operate as efficiently as possible. Responsibilities will be highly varied, and appropriate candidates will be multitalented, flexible problem solvers who are eager to tackle complex problems and tasks with a strong focus on customer service excellence. As Upperline continues to expand, this individual will be able to explore a wide range of career opportunities within the company. Ideal candidates will have experience working with an older adult population. Most importantly, candidates must demonstrate compassion for patient needs, pay great attention to detail and thrive in a collaborative environment. This is a remote opportunity available to applicants who currently reside in Alabama, Arizona, Florida, Georgia, Illinois, Indiana, Kentucky, Michigan, Pennsylvania, South Carolina, or Tennessee. The working hours will be an agreed upon shift between the hours of 7:00 AM – 7:00 PM CT (Monday–Friday). What You'll Do - Telephonic conversations with Upperline patients and their families, including triaging incoming calls as well as making proactive outgoing calls as requested by Upperline’s clinicians. - Identifying community resources and assisting Upperline’s patients and families in accessing those resources. - Various clinical and administrative tasks including scheduling in-home, clinic, and telehealth patient visits. - Participation in weekly interdisciplinary team meetings. - Provide weekend support as needed by the team. - Other related duties as deemed necessary by Upperline Health. Qualifications of the Care Navigator - Associate's degree or higher education required. - Preferred: Education/certification as a BSW, CNA, LPN, or MA highly desired. - Prior healthcare experience, ideally serving chronically ill patients, required. - Patient engagement experience highly preferred. - Candidates should be excited and energized by the prospect of working collaboratively as part of an innovative team. - Strong customer-service orientation. - Exceptional phone etiquette. - Exceptional organizational skills and ability to multi-task. - Self-starter with an entrepreneurial spirit and demonstrated problem-solving skills. - Strong writing, Microsoft Word, Excel, and database management skills. - Extremely strong work ethic. - Access to a strong and secure internet connection. - Ability to work independently in a virtual setting. - Dedicated private workspace. Compensation Compensation is commensurate with compensation for similar positions in the region and based on prior training and experience. Job Type Full-time. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Alabama + 10 moreAll locations: Alabama | Arizona | Florida | Georgia | Kentucky | Indiana | Illinois | Michigan | Pennsylvania | South Carolina | Tennessee
Upperline Health logo

Medical Director, Value Based Care

Upperline Health

Upperline Health provides high-quality foot care to patients in need with its compassionate and highly skilled team. The company is building out a network of to

Medical Director13 days ago

Title: Medical Director, Value Based Care - Full-Time - Hybrid - Baltimore, MD 21212, USA Department: Medical Leadership Job Description: ABOUT US ABOUT US Founded in 2017 and headquartered in Nashville, Tennessee, Upperline Health delivers comprehensive care through a growing national network, with teams spanning podiatry, endocrine, primary care, urgent care, wound, vascular and more. The organization’s mission is to integrate and transform specialty care for chronically ill, high-risk patients through frequent specialist engagement and coordinated, value-based programs. With a patient-centered approach, Upperline delivers care across 20+ states and has been recognized as one of the nation’s largest multi-specialty physician practices. The platform has demonstrated meaningful improvements in outcomes, such as lowering hospitalization rates, decreasing total cost of care, reducing amputations, and accelerating wound-healing times, supported in part by its optimized EHR and analytics infrastructure.  Our Upperline Plus program is the value-based care pillar of Upperline, which allows for the integration of primary and specialty care. Patients are part of full risk arrangements with Medicare and MA plans, and the Upperline Plus interdisciplinary team extends an extra layer of support for high-risk patients. This care model - a full interdisciplinary team (physicians, APPs, RNs, pharmacists, social workers) working across clinics, home, and telehealth - reduces avoidable utilization and total cost of care. The Upperline team enhances the healthcare experience by living our Upperline CARES values—fostering strong Connections, holding ourselves to the highest level of Accountability, demonstrating Resilience in navigating and tackling complex challenges, committing to Excellence in patient care, and focusing on a Service mentality that places patients at the heart of everything we do. The Upperline team enhances the healthcare experience by living our Upperline CARES values—fostering strong Connections, holding ourselves to the highest level of Accountability, demonstrating Resilience in navigating and tackling complex challenges, committing to Excellence in patient care, and focusing on a Service mentality that places patients at the heart of everything we do. ABOUT THE MEDICAL DIRECTOR, VALUE BASED CARE Upperline is seeking a Medical Director, Value Based Care (VBC) to join the clinical leadership team in developing, implementing, and growing our unique value-based care model in the Baltimore market. The VBC Medical Director will serve as a clinical leader partnering with Operations and Population Health leaders to deliver successful value-based care results across the market. As the VBC expert and clinical leader, this individual will be focused on improving outcomes and quality of life for our most high-risk patients while lowering the total cost of care. Key aspects include leading population health initiatives as well as clinical supervision, coaching and working closely with Upperline Plus' nurse practitioners and central interdisciplinary care team to provide high-quality comprehensive care. In partnership with the Population Health and Operations teams, the VBC Medical Director will be accountable for the strategic design, improvement and implementation of critical value-based care initiatives and programs. The Medical Director, VBC is a critical leader within Upperline and requires physicians with strong leadership, exceptional relationship building and communication skills, analytical capabilities and a desire to innovate, drive change and deliver results. Successful candidates will have experience working both on the clinical and business side of value-based care and will be present in the region. As Upperline expands, this individual will be able to explore expansion of scope into specific care programs and/or larger market roles in operations or population health. What You’ll Do - Oversee the care management and medical management of the Upperline Plus patients being seen by Upperline’s Nurse Practitioners in the in the market - Responsible for supervising medical management of patients in the region including clinical quality review of providers and serving as the collaborating physician for APPs in the region (as necessary based on state law) - Accountable for value-based care outcomes (e.g., ADK, total cost of care), medical management, care management, utilization management, and quality improvement tools and processes in the region - Manage and drive value-based care initiatives with APPs and doctors ensuring positive impact on patient outcomes - Analyze population health data and identify gaps and develop solutions to improve delivery of care, decrease hospitalizations and reduce medical costs - Educate providers on value-based care metrics and best practices and foster a culture that prioritizes accountability around outcomes-based performance - Ensure the region is meeting VBC operations metrics such as addressing Quality gaps, accurate documentation, patient engagement and retention - Design, implement and manage new value-based care programs and service lines in collaboration with population health and operations teams - Conduct interdisciplinary team meetings to discuss management of the most complex patients (including high cost and high-risk patients) - Establish and maintain relationships with VBC team, specialists, and PCPs in the region; educate on Upperline Plus program and advocate for collaborative partnerships benefiting patients - Support onboarding and training of new providers and provide onsite and virtual clinical coaching and feedback with a focus on ensuring consistency and continuous improvement of managing patients more efficiently - Build relationships in the region and identify best partners (e.g., other specialists, home health agencies, hospitals) for Upperline to send referrals when needed - Develop clinical compliance guidelines and protocols Required Experience and Qualifications - Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.) - Board certified in Internal Medicine, Family Medicine, Preventative Medicine, or Geriatrics - Active license in Maryland and willing to pursue multi-state licensure if needed - Fellowship training in Geriatrics and/or other advanced degrees (e.g., M.B.A., M.P.H., M.H.A.) valued but not required - ~ 5 years of outpatient practice experience - Clinical leadership experience in a VBC or Population Health company - Experience with managed care and familiarity with payer-provider collaboration - Owned or been part of creating, improving, and/or implementing clinical processes, protocols, or evidence-based guidelines - Experience or exposure to rolling out and/ or managing VBC programs (e.g. Transitional Care Management, Complex Care Management, ED Diversion, Advanced Care Planning, High Risk Patient Outreach) - Talent for synthesizing information and solving complex problems; can independently translate high-level goals into actionable plans - Proven leadership skills and servant leadership mentality with a passion for people and culture - Ability to communicate, collaborate and work effectively with staff, providers, and organizational leaders - Self-starter with a bias for action orientation; demonstrates a service excellence mindset - Exceptional organizational and project management skills and the ability to prioritize and multi-task autonomously - Comfortable working in Excel; able to analyze data and present findings - Must be willing and able to routinely visit clinics and providers within the region; Residing in the market or region is strongly preferred BENEFITS Comprehensive benefit options include medical, dental and vision, 401K, PTO, and parental leave. COMPENSATION Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience. Job Type: Full-time

Maryland
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Registered Nurse

Upperline Health

Upperline Health provides high-quality foot care to patients in need with its compassionate and highly skilled team. The company is building out a network of to

Title: Registered Nurse Location: Nashville United States Job Category: Comprehensive Care Requisition Number: REGIS003029 Job Description: About Us A Specialty Path to Good Health Upperline Health is the nation's largest provider group dedicated to lower extremity, wound and vascular care. Founded in 2017 with the ambitious goal of transforming specialty care, Upperline Health is a pioneer in bringing value-based care models into specialty care. Upperline delivers a more efficient path for patients to receive consistent and effective treatment for chronic illnesses. Triage is temporary. Treatment is transformative. Upperline Health providers coordinate patients' care among a team of specialists - physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients' immediate and long-term health needs. We put patients at the center of value-based care. About the Registered Nurse Role Upperline Health is seeking a weekday Registered Nurse to support a team of clinicians in delivering complex plans of care in accordance with the patient's health status and overall goals and values. This individual will be based in one of our Upperline markets and will be responsible for providing care navigation and patient support as well as coordination of post-discharge care management services. This role supports high-risk and recently discharged patients to ensure safe transitions across care settings, prevent avoidable readmissions, close care gaps, and improve quality outcomes under value-based care contracts. This will include a range of clinical and administrative tasks such as directly providing telephonic support to patients, families and working collaboratively with the team of Nurse Practitioners and ancillary staff. Ideal candidates will have experience working with an older adult patient population and telehealth triage experience. Most importantly, candidates must demonstrate compassion for patient needs, have great attention to detail and thrive in a collaborative environment. What You'll Do: - Telephonic care management with patients and their families, including triaging incoming calls and addressing and escalating urgent patient issues, as well as making proactive outgoing calls as requested by Upperline's Providers. - Provide chronic care management and transitional care management outreach, assessment and intervention to assess, identify and close clinical and non-clinical gaps in patient care. - Appropriate triage and escalation of routine, urgent and emergent patient issues. - Clinical care coordination with other providers and specialists, including: - Upperline clinic, telephonic, and home-based visit coordination - PCP or specialist office visit appointment coordination - Initiating clinical service orders on behalf of the patient - Initiating health plan authorization for Home Health, DME, Home Infusion and other critical services. Verifying the timely delivery of these services. - Medication reconciliation and management to include the following, prescription updates and refill requests, identifying potential medication issues, answering patient questions on side effects and medication conflicts, and coordinating refills in coordination with Upperline Pharmacy team. - Various clinical and administrative tasks. - Potentially participation in weekly/monthly interdisciplinary team meetings and clinical huddles. - Other related duties as deemed necessary by Upperline Health Required Skills & Competencies: - Candidates should be excited and energized by the prospect of working collaboratively as part of an innovative team - Active Compact RN licensure required A plus if you are licensed in CA, CT, or MI - Minimum of 3 years clinical experience required, preferably in a centralized care management team environment - Prior healthcare experience serving chronically ill patients preferred - Previous experience in ER, Critical Care or Home Health a plus - Strong customer-service orientation - Previous experience with Athena EMR a plus - Must be able to help provide weekend and holiday coverage on a rotating basis - Patient, compassionate and professional demeanor required - Exceptional organizational skills and ability to multi-task - Self-starter with an entrepreneurial spirit and demonstrated problem solving skills - Strong writing, Word, Excel, and database management skills - Extremely strong work ethic - Experience working in a fast-growing, rapidly changing environment Compensation Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience.

Tennessee
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Registered Nurse, Lead

Upperline Health

Upperline Health provides high-quality foot care to patients in need with its compassionate and highly skilled team. The company is building out a network of to

Title: Registered Nurse, Lead Location: Nashville United States Job Category: Comprehensive Care Requisition Number: REMOT002790 Job Description: The Remote RN Lead is a working RN who completes standard Remote RN clinical duties while providing administrative and operational leadership support to the RN team. This role maintains a 50% clinical workload and 50% administrative/managerial responsibilities, with a focus on onboarding, timekeeping, PTO management, and daily team support. This position does not replace the Managers' role but supports team efficiency and consistency. Clinical Responsibilities (50%) - Performs all duties outlined in the Remote RN Job Description - Carries an assigned clinical workload with productivity expectations adjusted for lead responsibilities - Functions as a clinical resource for Remote RNs - Assists with complex or escalated patient cases as needed - Models documentation, communication, and workflow expectations Administrative / Lead Responsibilities (50%) Onboarding - Responsible for creating, updating, and delivering training on new workflow implementations to ensure team efficiency and compliance. - Coordinate and support onboarding for new Remote RNs - Ensure onboarding tasks, access, and required training are completed Timekeeping - Track attendance concerns and escalate to leadership as needed Daily Team Support - Serve as first point of contact for RN operational questions - Assist with daily staffing coordination and workload balancing - Reinforce workflows, documentation standards, and policies - Identify operational issues and communicate trends to leadership - Conduct weekly or monthly one-on-one check-ins with Remote RNs focused on support, communication, and workflow alignment; escalate trends or concerns to leadership as appropriate What You'll Do - Telephonic care management with patients and their families, including triaging incoming calls and addressing and escalating urgent patient issues, as well as making proactive outgoing calls as requested by Upperline's Providers. - Provide chronic care management and transitional care management outreach, assessment and intervention to assess, identify and close clinical and non-clinical gaps in patient care. - Appropriate triage and escalation of routine, urgent and emergent patient issues. - Clinical care coordination with other providers and specialists, including: - Upperline clinic, telephonic, and home-based visit coordination - PCP or specialist office visit appointment coordination - Initiating clinical service orders on behalf of the patient - Initiating health plan authorization for Home Health, DME, Home Infusion and other critical services. Verifying the timely delivery of these services. - Medication reconciliation and management to include the following, prescription updates and refill requests, identifying potential medication issues, answering patient questions on side effects and medication conflicts, and coordinating refills in coordination with Upperline Pharmacy team. - Assist Upperline providers in managing their calendars when needed to manage urgent and emergent visit needs in collaboration with Care Coordinators. - Various clinical and administrative tasks. - Potentially participation in weekly interdisciplinary team meetings and clinical huddles. - Other related duties as deemed necessary by Upperline Health Qualifications - Active, unrestricted compact RN license - Minimum of 3 years RN experience - Prior care management, case management, or remote RN experience preferred - Demonstrated organization, reliability, and accountability - Informal leadership, preceptor, or coordination experience preferred Role Clarification - This role is a lead position, not a disciplinary or performance management role - Employee coaching, corrective action, and evaluations remain with leadership - Clinical and administrative time expectations may flex based on team needs

Tennessee
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Care Navigator

Upperline Health

Upperline Health provides high-quality foot care to patients in need with its compassionate and highly skilled team. The company is building out a network of to

Therapist81 days ago

Title: Care Navigator (Outbound) Locations: AL, AZ, FL, GA, KY, IN, IL, MI, NV, OH, PA, SC, TN, and TX. Remote Job Category: Upperline Plus Requisition Number: CAREN002890 Full-Time Remote Job Description: A Specialty Path to Good Health Upperline Health is the nation's largest provider dedicated to lower extremity, wound and vascular care. Founded in 2017 with the ambitious goal of changing specialty care, Upperline Health delivers a more efficient path for patients to receive consistent and effective treatment for chronic illnesses. Triage is temporary. Treatment is transformative. Upperline Health providers coordinate patients' care among a team of specialists - physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients' immediate and long-term health needs. We put patients at the center of value-based care. About the Care Navigator Role Upperline Health is seeking Care Navigators with prior healthcare experience, to support a team of clinicians in delivering complex plans of care in accordance with the patient's health status and overall goals and values. This individual will be responsible for providing all telephonic and back-office support required by the team of clinicians. In this role, you will provide remote critical support activities to coordinate care delivery for Upperline Plus patients. This includes a range of clinical support and administrative tasks such as telephonic coordination of care to Upperline Plus patients and families, scheduling in-home, clinic, and telehealth patient visits for clinicians, managing patient care referrals and orders to completion, coordination of preventative care needs, and other tasks as assigned. Ideal candidates will have experience identifying and coordinating the needs of patients with multiple chronic conditions and supporting clinicians to help them operate as efficiently as possible. Responsibilities will be highly varied, and appropriate candidates will be multitalented, flexible problem solvers who are eager to tackle complex problems and tasks with a strong focus on customer service excellence. As Upperline continues to expand, this individual will be able to explore a wide range of career opportunities within the company. Ideal candidates will have experience working with the older adult population. Most importantly, candidates must demonstrate compassion for patient needs, pay great attention to detail and thrive in a collaborative environment. This is a remote opportunity available to applicants who currently reside in AL, AZ, FL, GA, KY, IN, IL, MI, NV, OH, PA, SC, TN, and TX. The working hours for this position is Monday through Friday from 8am - 5pm CST. What You'll Do: - Conduct telephonic communication with Upperline patients and their families, including triaging incoming calls and initiating proactive outreach calls at the request of Upperline clinicians. - Develop, implement, and manage patient care plans, while collaborating with patients monthly to establish and work toward individual health goals. - Provide care coordination by acting as a liaison between patients, their families, and providers, ensuring clear and timely communication across the care team. - Advocate for the patient's needs by providing education and resources while helping them navigate the healthcare system. - Communicate and refer to support staff based on the patient's needs. - Various clinical and administrative tasks including scheduling in home, clinic, and telehealth patient visits. - Participation in weekly interdisciplinary team meetings. - Other related duties as deemed necessary by Upperline Health. Qualifications of the Care Navigator: - Associates degree or higher education - Additional education/certification as a BSW, CNA, LPN, or MA highly required - Candidates should be excited and energized by the prospect of working collaboratively as part of an innovative team - Prior healthcare experience, ideally serving chronically ill patients, required - Bilingual English/Spanish is preferred - Strong customer-service orientation - Exceptional organizational skills and ability to multi-task - Self-starter with an entrepreneurial spirit and demonstrated problem solving skills - Strong writing, Word, Excel, and database management skills - Extremely strong work ethic Benefits Competitive benefit options include comprehensive medical, dental and vision plans, 401K (matching), PTO and parental leave. Compensation Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience Job Type: Full-time

Alabama + 13 moreAll locations: Alabama | Arizona | Florida | Georgia | Kentucky | Indiana | Illinois | Michigan | Nevada | Ohio | Pennsylvania | South Carolina | Tennessee | Texas