The weekly schedule choice is either Monday - Friday 10am-7pm EST OR Tuesday - Saturday 9am-6pm EST
A bit about this role:
The Clinical Guide Part A will be part of the Utilization Management team, responsible for inpatient, behavioral health, and/or post-acute authorization review in alignment with CMS and Medicare Advantage regulations.
Reviews medical records to evaluate the medical necessity and appropriateness of requested inpatient and/or post-acute services in accordance with established clinical criteria and CMS guidelines.
Your Responsibilities and Impact will include:
Review Medical Records: Conduct prospective (pre-service), concurrent, and retrospective utilization review to evaluate medical necessity, appropriate level of care (Inpatient vs. Observation), and post-acute services in accordance with established clinical criteria and CMS guidelines.
Evaluate Treatment Plans: Assess the appropriateness, timing, and setting of requested services, ensuring alignment with medical necessity criteria and Medicare Advantage requirements. Recommend alternative levels of care when clinically appropriate.
Inpatient & Behavioral Health Review: Perform initial, concurrent, and discharge reviews for inpatient and behavioral health admissions. Ensure admission status accuracy and regulatory compliance with CMS timeliness (TAT) standards.
Post-Acute Review: Conduct initial authorization and concurrent review for post-acute services (SNF, LTACH, ARU, Home Health), evaluating ongoing medical necessity and appropriate length of stay. Issue NOMNC when coverage criteria are no longer met.
Medical Director Collaboration: Refer cases that do not meet criteria to the Medical Director for secondary review and final determination. Prepare clinical summaries and coordinate peer-to-peer (P2P) discussions. Manage authorization reopen requests as appropriate.
Resource Stewardship: Monitor utilization of inpatient and post-acute services to promote appropriate resource use while maintaining high-quality, member-centered care.
Regulatory & Documentation Compliance: Maintain accurate, defensible documentation of all determinations. Ensure adherence to CMS regulations, Medicare Advantage requirements, and internal compliance standards.
Required skills and experience:
Unrestricted RN license with a minimum of 4 years of clinical experience.
Minimum 3 years of Utilization Management or Inpatient UR experience within a health plan or hospital setting.
Strong knowledge of CMS regulations and Medicare Advantage requirements.
Experience preparing cases for Medical Director review
Able to work in a fast paced environment that is constantly evolving.
Desired skills and experience:
Experience with AI/LLM
Certified in InterQual
#LI-Remote #LI-DS1
Salary Range: $85,000-$95,000 / year
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
Employer sponsored health, dental and vision plan with low or no premium
Generous paid time off
$100 monthly mobile or internet stipend
Stock options for all employees
Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
Parental leave program
401K program
And more....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
Listed by Devoted Health for a position based in the United States. Employers on this board attest they are hiring domestically.
Bio + Health
61 days ago
Clinical Guide Part A: Utilization Management Nurse
Job Description A bit about this role: The Gold Care Program is a highly collaborative, multidisciplinary team of physicians, advanced practice providers, nurse case managers, social work case managers, community health workers, and scheduling team, united by our mission to build a better care delivery system for Devoted’s most complex members. We provide whole-person clinical, social and logistical support for patients with complex chronic conditions, frail elders, and patients at high risk of hospital admissions. The Advanced Practice Provider (APP) role on the Gold Care team is to reinforce and adjust the patient’s plan of care according to what matters most to the patient, their clinical picture, and in response to any barriers or obstacles they are facing. They manage the clinical trajectory of the patient including symptom management, chronic disease management, and adjustments to the clinical plan. The NP’s clinical decision making and bias-to-action ensures we continuously deliver on meeting patients’ needs as determined by both the interdisciplinary team and by the patient’s priorities. Your Responsibilities and Impact will include: Deliver exceptional care to a cohort of complex patients across multiple geographies, leveraging video telehealth visits and an interdisciplinary team. Guide and oversee the medical management of patients (utilizing the 5M framework) during their tenure with Gold Care. Work closely with other members of the patient's care team including their PCP, specialists, and other Devoted teams such as pharmacy, or specialty care. You will also collaborate with the patients’ support systems such as family members and caregivers in order to coordinate care for the patient and deliver a collaborative care plan. For patients in Gold Care, perform comprehensive assessment visits, provide post-acute transition support, comprehensive diagnosis/disease review, medication review, and assessment for quality of care (Stars/Hedis) interventions as well as social and home health/DME needs. In infrequent instances when appropriate and compliant with NP licensure, you may also provide telehealth visits to members outside of your panel to support other Devoted Medical service lines As the program continues to grow, there may be an infrequent weekend on-call component to support our clinical nurses who triage calls from our members during the weekend. Maintain accurate and up-to-date patient medical records, ensuring compliance with relevant legal and ethical guidelines. Adhere to all relevant laws, regulations, and industry standards, including patient privacy and telehealth regulations. Required skills and experience: An active and clear RN and APRN or Physician Assistant license must be maintained while employed at Devoted Medical with a willingness to obtain and maintain multiple state licenses. This role has specific state licensure requirements. We'll confirm which states you'll need to be licensed in at the offer stage, and all required licenses must be in place by your start date. Three or more years working as an APP with experience in primary care, house calls, internal medicine, family medicine, geriatrics, and/or palliative care Proficiency in using telehealth technology and electronic health records (EHR) Active BLS at time of hire and must maintain while employed at Devoted Medical Desired skills and experience: Virtual care experience is preferred with a strong desire to continue practicing clinical nursing and perform virtual visits - you believe in the mission of bringing care to where the patient lives Experience providing clinical care in collaboration with interdisciplinary teams is preferred Experience working with complex, frail, or vulnerable populations, including in Skilled Nursing Facility (SNF) setting Team player, continuous improvement mentality and can-do attitude Experience working in a fast-paced, high-energy organization Ability to adapt quickly and maintain flexibility with new workflows Proficiency in English and Spanish preferred for this position, but not required Salary range: $125,000 - $155,000 / year The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: Employer sponsored health, dental and vision plan with low or no premium Generous paid time off $100 monthly mobile or internet stipend Stock options for all employees Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles Parental leave program 401K program And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience. Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. We have been made aware of instances of fraudulent job postings and/or fraudulent recruiting activity by individuals purporting to represent Devoted Health. These fraudulent schemes often seek monetary contributions or payments from job seekers (such as for “start up costs” or “equipment”), or seek to collect sensitive personal information. These job postings and offers are NOT authorized by Devoted Health and Devoted is not responsible for fraudulent offers, personal information that you may have disclosed, or payments made to third parties purporting to represent Devoted. We have reported this matter and are cooperating with law enforcement agencies. Devoted Health will never ask for financial commitment or contribution from a candidate at any stage of the recruitment process.
Listed by Devoted Health for a position based in the United States. Employers on this board attest they are hiring domestically.
Job Description A bit about this role: We want to help members navigate the healthcare system in a better and safer way. The Transitions of Care (TOC) Team supports members who are newly discharged from the hospital (and in some cases prior to discharge). You’ll serve as an advocate for these members, coordinating care and ensuring they have the necessary resources and support to achieve better health outcomes. As a TOC Associate your goal will be to support members in safely recovering at home and to prevent hospital readmissions. Our ideal TOC Associate is caring, compassionate, energetic, and genuinely enjoys connecting with people. Your Responsibilities and Impact will include: Calling (inbound/outbound) patients to check in after discharge to see how they are doing, and that they have received the assistance they need. Work with affiliated vendors to coordinate services and care for members, to include transportation, DME, meals, home health care and more as appropriate. Assisting with scheduling of post discharge TOC APP, PCP, and Specialist visits. Collaborate with patients, providers, and caregivers to ensure a positive outcome. Working hand in hand with the other members of the TOC team to address patient needs towards team based goals. This may include interdisciplinary huddles. Participating in and assisting with pilot programs. Coordinating with medical providers and facilities to access necessary discharge records. Following escalation processes to the clinical team to ensure patients get needed evaluation and care. Required skills and experience: An active and clear Medical Assistant Certification 2-3 Years of Experience in healthcare, managed care, home health, and/or community health setting Desired skills and experience: Fully bilingual in English and Spanish Salary Range: $23.00 - $27.00 / hour The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: Employer sponsored health, dental and vision plan with low or no premium Generous paid time off $100 monthly mobile or internet stipend Stock options for all employees Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles Parental leave program 401K program And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience. Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. We have been made aware of instances of fraudulent job postings and/or fraudulent recruiting activity by individuals purporting to represent Devoted Health. These fraudulent schemes often seek monetary contributions or payments from job seekers (such as for “start up costs” or “equipment”), or seek to collect sensitive personal information. These job postings and offers are NOT authorized by Devoted Health and Devoted is not responsible for fraudulent offers, personal information that you may have disclosed, or payments made to third parties purporting to represent Devoted. We have reported this matter and are cooperating with law enforcement agencies. Devoted Health will never ask for financial commitment or contribution from a candidate at any stage of the recruitment process.
Listed by Devoted Health for a position based in the United States. Employers on this board attest they are hiring domestically.
Elder Care
63 days ago
Advanced Practice Provider: Complex Geriatric Care
Devoted Health · Waltham Massachusetts Office, United States of America
Job Description This position is a fully remote role and requires working hours in EST or CST. An active and clear RN and APRN or Physician Assistant license in GA, PA, and/or OH is required at time of hire. A bit about this role: The Gold Care Program is a highly collaborative, multidisciplinary team of physicians, advanced practice providers, nurse case managers, social work case managers, community health workers, and scheduling team, united by our mission to build a better care delivery system for Devoted’s most complex members. We provide whole-person clinical, social and logistical support for patients with complex chronic conditions, frail elders, and patients at high risk of hospital admissions. The Advanced Practice Provider (APP) role on the Gold Care team is to reinforce and adjust the patient’s plan of care according to what matters most to the patient, their clinical picture, and in response to any barriers or obstacles they are facing. They manage the clinical trajectory of the patient including symptom management, chronic disease management, and adjustments to the clinical plan. The NP’s clinical decision making and bias-to-action ensures we continuously deliver on meeting patients’ needs as determined by both the interdisciplinary team and by the patient’s priorities. Responsibilities and Impact will include: Deliver exceptional care to a cohort of complex patients across multiple geographies, leveraging video telehealth visits and an interdisciplinary team. Guide and oversee the medical management of patients (utilizing the 5M framework) during their tenure with Gold Care. Work closely with other members of the patient's care team including their PCP, specialists, and other Devoted teams such as pharmacy, or specialty care. You will also collaborate with the patients’ support systems such as family members and caregivers in order to coordinate care for the patient and deliver a collaborative care plan. For patients in Gold Care, perform comprehensive assessment visits, provide post-acute transition support, comprehensive diagnosis/disease review, medication review, and assessment for quality of care (Stars/Hedis) interventions as well as social and home health/DME needs. In infrequent instances when appropriate and compliant with NP licensure, you may also provide telehealth visits to members outside of your panel to support other Devoted Medical service lines As the program continues to grow, there may be an infrequent weekend on-call component to support our clinical nurses who triage calls from our members during the weekend. Maintain accurate and up-to-date patient medical records, ensuring compliance with relevant legal and ethical guidelines. Adhere to all relevant laws, regulations, and industry standards, including patient privacy and telehealth regulations. Required skills and experience: An active and clear RN and APRN or Physician Assistant license in GA, PA, and/or OH is required at time of hire and must be maintained while employed at Devoted Medical with a willingness to obtain and maintain multiple state licenses Three or more years working as an APP with experience in primary care, house calls, internal medicine, family medicine, geriatrics, and/or palliative care Proficiency in using telehealth technology and electronic health records (EHR) Active BLS at time of hire and must maintain while employed at Devoted Medical Desired skills and experience: Virtual care experience is preferred with a strong desire to continue practicing clinical nursing and perform virtual visits - you believe in the mission of bringing care to where the patient lives Experience providing clinical care in collaboration with interdisciplinary teams is preferred Experience working with complex, frail, or vulnerable populations, including in Skilled Nursing Facility (SNF) setting Team player, continuous improvement mentality and can-do attitude Experience working in a fast-paced, high-energy organization Ability to adapt quickly and maintain flexibility with new workflows Proficiency in English and Spanish preferred for this position, but not required Salary Range: $120K-155K base range plus performance based bonus paid out quarterly or annually ($10K-$20K) for a total comp range of $130K-170K Employer-sponsored health insurance and dental and vision plan with low or no premium #LI-Remote The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: Employer sponsored health, dental and vision plan with low or no premium Generous paid time off $100 monthly mobile or internet stipend Stock options for all employees Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles Parental leave program 401K program And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce. At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission! Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. We have been made aware of instances of fraudulent job postings and/or fraudulent recruiting activity by individuals purporting to represent Devoted Health. These fraudulent schemes often seek monetary contributions or payments from job seekers (such as for “start up costs” or “equipment”), or seek to collect sensitive personal information. These job postings and offers are NOT authorized by Devoted Health and Devoted is not responsible for fraudulent offers, personal information that you may have disclosed, or payments made to third parties purporting to represent Devoted. We have reported this matter and are cooperating with law enforcement agencies. Devoted Health will never ask for financial commitment or contribution from a candidate at any stage of the recruitment process.
Listed by Devoted Health for a position based in the United States. Employers on this board attest they are hiring domestically.
Bio + Health
63 days ago
Bilingual (Spanish/English) Advanced Practice Provider: Complex Geriatric Care
Devoted Health · Waltham Massachusetts Office, United States of America
Job Description A bit about this role: The Gold Care Program is a highly collaborative, multidisciplinary team of physicians, advanced practice providers, nurse case managers, social work case managers, community health workers, and scheduling team, united by our mission to build a better care delivery system for Devoted’s most complex members. We provide whole-person clinical, social and logistical support for patients with complex chronic conditions, frail elders, and patients at high risk of hospital admissions. The Advanced Practice Provider (APP) role on the Gold Care team is to reinforce and adjust the patient’s plan of care according to what matters most to the patient, their clinical picture, and in response to any barriers or obstacles they are facing. They manage the clinical trajectory of the patient including symptom management, chronic disease management, and adjustments to the clinical plan. The NP’s clinical decision making and bias-to-action ensures we continuously deliver on meeting patients’ needs as determined by both the interdisciplinary team and by the patient’s priorities. Your Responsibilities and Impact will include: Deliver exceptional care to a cohort of complex patients across multiple geographies, leveraging video telehealth visits and an interdisciplinary team. Guide and oversee the medical management of patients (utilizing the 5M framework) during their tenure with Gold Care. Work closely with other members of the patient's care team including their PCP, specialists, and other Devoted teams such as pharmacy, or specialty care. You will also collaborate with the patients’ support systems such as family members and caregivers in order to coordinate care for the patient and deliver a collaborative care plan. For patients in Gold Care, perform comprehensive assessment visits, provide post-acute transition support, comprehensive diagnosis/disease review, medication review, and assessment for quality of care (Stars/Hedis) interventions as well as social and home health/DME needs. In infrequent instances when appropriate and compliant with NP licensure, you may also provide telehealth visits to members outside of your panel to support other Devoted Medical service lines As the program continues to grow, there may be an infrequent weekend on-call component to support our clinical nurses who triage calls from our members during the weekend. Maintain accurate and up-to-date patient medical records, ensuring compliance with relevant legal and ethical guidelines. Adhere to all relevant laws, regulations, and industry standards, including patient privacy and telehealth regulations. Required skills and experience: An active and clear RN and APRN or Physician Assistant license must be maintained while employed at Devoted Medical with a willingness to obtain and maintain multiple state licenses. This role has specific state licensure requirements. We'll confirm which states you'll need to be licensed in at the offer stage, and all required licenses must be in place by your start date. Three or more years working as an APP with experience in primary care, house calls, internal medicine, family medicine, geriatrics, and/or palliative care Proficiency in using telehealth technology and electronic health records (EHR) Active BLS at time of hire and must maintain while employed at Devoted Medical Desired skills and experience: Virtual care experience is preferred with a strong desire to continue practicing clinical nursing and perform virtual visits - you believe in the mission of bringing care to where the patient lives Experience providing clinical care in collaboration with interdisciplinary teams is preferred Experience working with complex, frail, or vulnerable populations, including in Skilled Nursing Facility (SNF) setting Team player, continuous improvement mentality and can-do attitude Experience working in a fast-paced, high-energy organization Ability to adapt quickly and maintain flexibility with new workflows Proficiency in English and Spanish preferred for this position, but not required Salary range: $125,000 - $155,000 / year The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: Employer sponsored health, dental and vision plan with low or no premium Generous paid time off $100 monthly mobile or internet stipend Stock options for all employees Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles Parental leave program 401K program And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience. Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. We have been made aware of instances of fraudulent job postings and/or fraudulent recruiting activity by individuals purporting to represent Devoted Health. These fraudulent schemes often seek monetary contributions or payments from job seekers (such as for “start up costs” or “equipment”), or seek to collect sensitive personal information. These job postings and offers are NOT authorized by Devoted Health and Devoted is not responsible for fraudulent offers, personal information that you may have disclosed, or payments made to third parties purporting to represent Devoted. We have reported this matter and are cooperating with law enforcement agencies. Devoted Health will never ask for financial commitment or contribution from a candidate at any stage of the recruitment process.
Listed by Devoted Health for a position based in the United States. Employers on this board attest they are hiring domestically.
Bio + Health
64 days ago
Advanced Practice Provider: Complex Geriatric Care
Devoted Health · Waltham Massachusetts Office, United States of America
Job Description This position is a fully remote role and requires working hours in EST or CST. An active and clear RN and APRN or Physician Assistant license in GA, PA, and/or OH is required at time of hire. A bit about this role: The Gold Care Program is a highly collaborative, multidisciplinary team of physicians, advanced practice providers, nurse case managers, social work case managers, community health workers, and scheduling team, united by our mission to build a better care delivery system for Devoted’s most complex members. We provide whole-person clinical, social and logistical support for patients with complex chronic conditions, frail elders, and patients at high risk of hospital admissions. The Advanced Practice Provider (APP) role on the Gold Care team is to reinforce and adjust the patient’s plan of care according to what matters most to the patient, their clinical picture, and in response to any barriers or obstacles they are facing. They manage the clinical trajectory of the patient including symptom management, chronic disease management, and adjustments to the clinical plan. The NP’s clinical decision making and bias-to-action ensures we continuously deliver on meeting patients’ needs as determined by both the interdisciplinary team and by the patient’s priorities. Responsibilities and Impact will include: Deliver exceptional care to a cohort of complex patients across multiple geographies, leveraging video telehealth visits and an interdisciplinary team. Guide and oversee the medical management of patients (utilizing the 5M framework) during their tenure with Gold Care. Work closely with other members of the patient's care team including their PCP, specialists, and other Devoted teams such as pharmacy, or specialty care. You will also collaborate with the patients’ support systems such as family members and caregivers in order to coordinate care for the patient and deliver a collaborative care plan. For patients in Gold Care, perform comprehensive assessment visits, provide post-acute transition support, comprehensive diagnosis/disease review, medication review, and assessment for quality of care (Stars/Hedis) interventions as well as social and home health/DME needs. In infrequent instances when appropriate and compliant with NP licensure, you may also provide telehealth visits to members outside of your panel to support other Devoted Medical service lines As the program continues to grow, there may be an infrequent weekend on-call component to support our clinical nurses who triage calls from our members during the weekend. Maintain accurate and up-to-date patient medical records, ensuring compliance with relevant legal and ethical guidelines. Adhere to all relevant laws, regulations, and industry standards, including patient privacy and telehealth regulations. Required skills and experience: An active and clear RN and APRN or Physician Assistant license in GA, PA, and/or OH is required at time of hire and must be maintained while employed at Devoted Medical with a willingness to obtain and maintain multiple state licenses Three or more years working as an APP with experience in primary care, house calls, internal medicine, family medicine, geriatrics, and/or palliative care Proficiency in using telehealth technology and electronic health records (EHR) Active BLS at time of hire and must maintain while employed at Devoted Medical Desired skills and experience: Virtual care experience is preferred with a strong desire to continue practicing clinical nursing and perform virtual visits - you believe in the mission of bringing care to where the patient lives Experience providing clinical care in collaboration with interdisciplinary teams is preferred Experience working with complex, frail, or vulnerable populations, including in Skilled Nursing Facility (SNF) setting Team player, continuous improvement mentality and can-do attitude Experience working in a fast-paced, high-energy organization Ability to adapt quickly and maintain flexibility with new workflows Proficiency in English and Spanish preferred for this position, but not required Salary Range: $120K-155K base range plus performance based bonus paid out quarterly or annually ($10K-$20K) for a total comp range of $130K-170K Employer-sponsored health insurance and dental and vision plan with low or no premium #LI-Remote The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: Employer sponsored health, dental and vision plan with low or no premium Generous paid time off $100 monthly mobile or internet stipend Stock options for all employees Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles Parental leave program 401K program And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce. At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission! Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. We have been made aware of instances of fraudulent job postings and/or fraudulent recruiting activity by individuals purporting to represent Devoted Health. These fraudulent schemes often seek monetary contributions or payments from job seekers (such as for “start up costs” or “equipment”), or seek to collect sensitive personal information. These job postings and offers are NOT authorized by Devoted Health and Devoted is not responsible for fraudulent offers, personal information that you may have disclosed, or payments made to third parties purporting to represent Devoted. We have reported this matter and are cooperating with law enforcement agencies. Devoted Health will never ask for financial commitment or contribution from a candidate at any stage of the recruitment process.
Listed by Devoted Health for a position based in the United States. Employers on this board attest they are hiring domestically.
Administrative
64 days ago
Transitions of Care Medical Assistant - Member Outreach
Devoted Health engages in millions of member interactions every year through a frontline organization of team members and AI agents spanning Member Service, Specialty Care Coordination, and Member Outreach, Sales and more. The quality of those interactions is the mission. Every call, every outreach, every touchpoint is a moment where we either earn or lose a member's trust. Getting this right at scale requires a fundamentally new approach.
You will build AI systems that monitor the quality of every member interaction and turn those signals into coaching and feedback that elevates both frontline team performance and frontline AI agent performance. You will define what high performance looks like across these teams and AI agents and build the systems that ensure we hit our goals. You will be a close thought partner to the leaders of our frontline teams, ensuring that every tool you build is adopted and helps them meaningfully improve performance. This is a new role, and you will shape what AI-native quality and performance operations looks like for this organization.
Your Responsibilities and Impact will include:
Embed with frontline teams and their leaders to understand what quality looks like in practice: how members are engaged, where interactions break down, and how coaching happens (or doesn't) today.
Own the performance of our highest volume frontline AI agents, across voice and chat, and continue to build out those agents to drive higher performance.
Build AI-powered quality monitoring systems that move the needle on our most important business outcomes. Evaluate member interactions in real time across millions of touchpoints, moving beyond pass/fail scoring to nuanced assessment of what actually matters for member experience, safety, and outcomes.
Build coaching workflows that surface actionable feedback to leaders at all levels immediately, making every interaction an opportunity to improve. Every key stakeholder should have an approach to action on results so that we’re getting better every day.
Visualize interaction data, evaluation criteria, coaching signals, and performance trends so the right insight reaches the right person at the right time, from rep to team lead to senior leader.
Scale what works. Turn successful systems into reusable frameworks that extend to new teams, interaction types, and channels. What works for Member Service should accelerate what you build for Specialty Care Coordination, Member Outreach, and our Clinician orgs.
Partner closely with frontline team leaders across levels, coaching them on how to use the tools you build, ensuring adoption, and iterating in real time in response to their feedback to drive value.
Oversee a small team of operators and agent builders that will drive performance across all frontline agents and teams
Required skills and experience:
7+ years in high-ownership operator roles: startup strategy, biz ops, consulting, or internal tooling PM. You have built and run systems that made organizations meaningfully more effective, and you move quickly to working prototypes on real data with real feedback.
People leadership experience: you have directly managed, mentored, or grown individuals or teams, and you bring that lens to every cross-functional partnership. You know how to build trust quickly, give feedback that lands, and create the conditions for people around you to do their best work.
Fluency with modern AI tools and platforms, with an active practice of pushing their limits. You're adaptive and curious — willing to learn, teach, lead, and follow.
Systems thinking: you move from solving a single issue to designing a framework that prevents an entire category of issues. You generalize your work and think in feedback loops, not isolated fixes.
An instinct for quality in human interactions: you translate intuition about what a good member experience feels like into structured criteria an AI system can apply at scale. You care deeply about doing what's right for members and the teams serving them.
A coaching and enabling mindset: you work with frontline managers and quality leads to ensure AI-generated insights actually change behavior. You challenge assumptions, do what makes sense even when it's unconventional, and care more about outcomes than credit.
Exceptional communication: you tailor your style to move teams to action, from frontline guides to executives. You're comfortable with ambiguity and take ownership of outcomes end to end.
Salary range: $157,500 - $215,000 annually
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
Employer sponsored health, dental and vision plan with low or no premium
Generous paid time off
$100 monthly mobile or internet stipend
Stock options for all employees
Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
Parental leave program
401K program
And more....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology-to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
Listed by Devoted Health for a position based in the United States. Employers on this board attest they are hiring domestically.
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