Carenet Health

Physician Assistant

• Receive and respond to prescription refill requests through phone, email, fax, and Telephone Encounter
• Verify the validity and accuracy of prescription refill requests in compliance with regulatory guidelines
• Prepare and dispense prescription refills accurately and efficiently according to organizational protocols
• Provide clear and comprehensive information and exceptional customer service to internal and external stakeholders
• Compile and analyze data, track key performance indicators, present findings to departmental leadership, and identify trends
• Adhere to assigned schedules and quality metrics while maintaining productivity and efficiency
• Provide administrative support to clinical staff and managers for special projects, studies, and reports related to medication refill programs
• Collaborate with interdisciplinary teams to optimize workflow efficiency and enhance patient care outcomes

Certified Medical Assistant

Nurse

• Provide telehealth and virtual care clinical triage assessments, health education, and other services to diverse patient and health plan member populations
• Work independently to make clinical decisions on routine patient care matters at the RN license level
• Provide patient-focused care and guidance by phone or online
• Accurately assess patient needs and deliver or direct patients to the appropriate level of care
• Identify potential health problems and influence patients to make better health decisions
• Communicate verbally and digitally with organizational clients and team members
• Monitor performance using dashboard metrics and identify improvement opportunities
• Participate in coaching sessions to improve performance
• Document all patient/member interactions using management software
• Maintain clinical skills and develop virtual rapport with patients through innovative channels
• Complete 2–4 weeks of virtual, interactive classroom training, with the first two weeks during daytime hours

Bilingual, RN – Registered Nurse

• Provide telephonic clinical assessments, health education, and utilization management services
• Conduct triage assessments using telecommunications, computer-based algorithms, protocols, and guidelines
• Use the nursing process to identify patient care needs, risks, safety issues, educational opportunities, and appropriate healthcare referrals
• Process calls according to Quality Management guidelines
• Meet product-specific performance metrics
• Assess, disposition, make care recommendations, and provide education and health information
• Apply nursing standards, company policies, and shared principles during clinical assessments
• Maintain regular, reliable attendance and punctuality
• Work four weekend shifts per month, either every Saturday or every other weekend
• Work evening schedules including at least two weekend days every two weeks
• Complete 2–4 weeks of virtual interactive classroom training, with the first two weeks during daytime hours
• Perform other duties as assigned

Registered Nurse, RN

Scheduler

• Serve as a key point of contact within Hoag’s Centralized Patient Service Center
• Manage inbound and outbound patient interactions for diagnostic imaging and specialty-service scheduling
• Schedule, reschedule, cancel, and confirm appointments across CT, MRI, mammography/DEXA, X-ray/ultrasound, laboratory, nuclear medicine, pulmonary, vascular, surgery, labor and delivery, radiology, and physician scheduling
• Respond to inquiries about imaging services, appointment availability, preparation instructions, insurance verification, and general service information
• Document patient interactions, appointment details, and updates in scheduling systems and CRM platforms
• Review patient orders, referrals, and provider instructions against established guidelines
• Navigate multiple scheduling, CRM, and communication systems simultaneously
• Coordinate with patients, providers, and internal teams to resolve scheduling needs
• Follow workflows, call flows, knowledge resources, HIPAA requirements, and privacy/security standards
• Identify patient needs and resolve concerns while meeting service expectations
• Maintain productivity, quality, attendance, and schedule-adherence standards in a high-volume contact center
• Participate in required imaging-modality training and coaching sessions
• Apply feedback to improve performance and service delivery
• Perform other assigned duties

Radiology Scheduler

Customer Support

• Make outbound calls to patients, members, and customers to discuss healthcare needs, benefits, and in-home or virtual healthcare evaluations
• Build rapport and present the value of healthcare programs while addressing hesitations and driving engagement
• Explain healthcare programs, manage resistance, address concerns, and highlight benefits to convert opportunities into successful outcomes
• Help members set healthcare goals and guide them toward achieving them
• Identify, research, and resolve potential issues while delivering exceptional customer service
• Address member concerns with empathy and sensitivity
• Resolve customer concerns, anticipate future needs, and deliver proactive support
• Achieve productivity targets while maintaining motivation and commitment to successful interactions
• Reset appointments and schedules as needed to meet customer needs and expectations

Healthcare Customer Service Representative

Patient Care Coordinator

• Take inbound calls from patients, providers, and members
• Help manage calls for patients who may be sick or in emergent situations
• Support members with insurance needs, questions, or concerns
• Help members understand how to use their health insurance, including changing primary care physicians, locating urgent care clinics, and obtaining prescription authorizations
• Provide 24/7 triage support and assign priority for a Registered Nurse to provide health advice
• Answer inquiries about benefit claims, appeals, and authorizations
• Work effectively from a home office by maintaining safety, security, communication, organization, and performance quality

• Provide quality-driven telephonic clinical assessments, health education, and utilization management services
• Provide triage assessments to individuals or defined patient populations using telecommunications, computer-based algorithms, protocols, and guidelines
• Use critical thinking, multitasking, and clinical knowledge to assess and disposition patients
• Make recommendations for care and provide education and health information
• Provide nursing assessments using the Nursing Process and state Nurse Practice Act standards
• Identify patient care needs, risk and safety issues, educational opportunities, and appropriate healthcare referrals
• Process calls according to Quality Management guidelines
• Meet product-specific performance metrics
• Report to the Clinical Services team
• Attend virtual, interactive classroom training for 2–4 weeks, with the first two weeks during daytime hours
• Perform other duties as assigned

Registered Nurse – RN

• Provide telehealth and virtual care clinical triage assessments, health education, and other services to diverse patient and health-plan-member populations
• Work independently to make clinical decisions on routine patient-care matters at the RN license level
• Provide patient-focused care and guidance by phone or online
• Assess patient needs and deliver or direct patients to the appropriate level of care
• Identify potential health problems and influence patients to make better health decisions
• Communicate verbally and digitally with organizational clients and team members
• Monitor performance using dashboard metrics and identify improvement opportunities
• Participate in coaching sessions to improve performance
• Document all patient/member interactions using management software
• Guide consumers through phone, video, chat, and other channels to appropriate care, wellness improvement, and healthcare-resource education

• Take inbound calls from patients, providers and members
• Help manage calls for patients who may be sick or in emergent situations
• Support members with insurance needs, questions or concerns
• Explain how to use health insurance, including changing primary care physicians, locating urgent care clinics, and obtaining prescription authorizations
• Provide 24/7 triage support and assign priority for a Registered Nurse to provide health advice
• Answer inquiries about benefit claims, appeals, and authorizations
• Deliver patient-focused support and help improve patients' healthcare experiences