Curana Health

Care Navigator

• Address patient and durable power of attorney (DPOA) inquiries via telephone
• Respond to patient or caregiver messages received via the Curana Patient Portal
• Assist patients with scheduling follow-up appointments with Curana Providers or specialists
• Manage electronic health records (EHR) and ensure accurate and up-to-date patient records
• Coordinate documents needed for provider review or signature
• Facilitate provider orders and escalate findings
• Maintain patient rosters for patients enrolled in APCM and GUIDE
• Support provider scheduling
• Assist with prior authorizations
• Obtain patient records and diagnostic test results
• Answer and manage incoming calls professionally and courteously
• Collaborate with the Curana Interdisciplinary Care Team to ensure seamless communication within the health network
• Perform other duties as assigned

Nurse Practitioner

• Provide compassionate telephonic care and clinical direction during evenings, nights, weekends, and holidays
• Serve as the first line of support for residents and facility staff after-hours, providing direction and medical care over the phone
• Use Curana’s telephonic platform to take and place calls, coordinating care between facilities, hospitals, and clinics
• Deliver high-quality, cost-effective care addressing acute, chronic, and behavioral health needs in collaboration with physicians and specialty providers
• Perform at least 30% telehealth visits, including evaluation of acute changes, falls, and controlled substance visits
• Manage high call volumes and multiple calls independently across several states
• Perform comprehensive assessments and accurately document encounters in the EMR in compliance with CMS requirements
• Apply Curana’s clinical protocols and practice guidelines to support treatment in place whenever possible
• Work 24 hours per week on a set schedule
• Cover two six-hour weeknight shifts and every other weekend Saturday and Sunday 12-hour shifts
• Provide required overnight and holiday coverage

Nurse Practitioner – National After-Hours Team

• Provide compassionate telephonic care and clinical direction to residents and facility staff during evenings, nights, weekends, and holidays
• Serve as the first line of after-hours support, providing medical direction and care over the phone
• Use Curana’s telephonic platform to take and place calls
• Coordinate care between facilities, hospitals, and clinics
• Deliver cost-effective care addressing acute, chronic, and behavioral health needs in collaboration with physicians and specialty providers
• Perform at least 30% telehealth visits, including evaluations of acute changes, falls, and controlled substance visits
• Perform comprehensive assessments and accurately document encounters in the EMR in compliance with CMS requirements
• Apply clinical protocols and practice guidelines to support safe treatment in place whenever possible
• Participate in mandatory education and training
• Work a set 24-hour-per-week schedule: two six-hour weeknight shifts and every other weekend Saturday and Sunday 12-hour shifts
• Provide required overnight and holiday coverage

Nurse Practitioner – National After-Hours Team, Part Time

• Address patient and durable power of attorney (DPOA) inquiries via telephone
• Respond to patient or caregiver messages received via the Curana Patient Portal
• Assist patients with scheduling follow-up appointments with Curana Providers or specialists
• Manage electronic health records (EHR) and ensure accurate and up-to-date patient records
• Coordinate documents needed for review or signature by a provider
• Facilitate provider orders and escalate findings
• Maintain patient rosters for patients enrolled in APCM and GUIDE
• Support provider scheduling
• Assist with prior authorizations
• Obtain patient records and diagnostic test results
• Answer and manage incoming calls professionally and courteously
• Collaborate with the Curana Interdisciplinary Care Team to ensure seamless communication within the health network
• Perform other duties as assigned

Insurance

• Build and lead the Company's risk management function
• Lead insurance claims management from first notice through final resolution
• Manage complex medical professional liability claims, including investigation, medical-record review, liability and damages evaluation, reserves, counsel oversight, mediation, settlement, and trial preparation
• Design and implement a clinical risk management program using claims, complaints, adverse events, and near-misses to identify trends and reduce risk
• Establish claims governance, triage, escalation, documentation, authority protocols, metrics, and total-cost-of-risk reporting
• Evaluate and deploy AI and analytics tools for claims intake, medical-record review, exposure analysis, trend detection, and defense-budget review
• Oversee insurance portfolio strategy, broker relationships, renewals, coverage, pricing, limits, retentions, and risk financing
• Develop recommendations regarding self-insurance, TPAs, fronted programs, and captive formation
• Own the risk management AI roadmap and advise leadership on AI-related risk
• Develop the risk management roadmap, budget, risk register, and risk management information system
• Oversee insurance and claims diligence for acquisitions, joint ventures, and new market entry
• Report to and advise the Chief Legal Officer, Chief Financial Officer, and executive leadership

Senior Director, Risk Management

• Provide after-hours telephonic direction and medical care to residents and facility staff
• Serve as the first line of support during evenings, nights, weekends, and holidays
• Use Curana’s telephonic platform to take and place calls
• Coordinate care between facilities, hospitals, and clinics
• Deliver care for acute, chronic, and behavioral health needs in collaboration with physicians and specialty providers
• Perform comprehensive assessments and accurately document encounters in the EMR
• Ensure documentation complies with CMS requirements
• Apply clinical protocols and practice guidelines to support treatment in place when possible
• Perform telehealth visits for acute changes, falls, and controlled substance visits
• Manage multiple calls independently across several states
• Participate in mandatory education and training

• Provide after-hours telephonic care and clinical direction to residents and facility staff
• Serve as the first line of support during evenings, nights, weekends, and holidays
• Take and place calls using Curana’s telephonic platform
• Coordinate care between facilities, hospitals, and clinics
• Deliver care for acute, chronic, and behavioral health needs in collaboration with physicians and specialty providers
• Perform comprehensive assessments and accurately document encounters in the EMR in compliance with CMS requirements
• Evaluate acute changes, falls, and controlled substance visits through telehealth
• Apply clinical protocols and practice guidelines to support treatment in place whenever possible
• Participate in mandatory education and training
• Work two weeknight shifts from 8pm–2am
• Provide every-other-weekend coverage with 12-hour night shifts on Saturday and Sunday, 6pm–6pm
• Provide required overnight and holiday coverage

• Provide after-hours telephonic direction and medical care to residents and facility staff
• Serve as the first line of support during evenings, nights, weekends, and holidays
• Use Curana’s telephonic platform to take and place calls
• Coordinate care between facilities, hospitals, and clinics
• Deliver care for acute, chronic, and behavioral health needs in collaboration with physicians and specialty providers
• Perform at least 30% telehealth visits, including evaluations of acute changes, falls, and controlled substance visits
• Perform comprehensive assessments and accurately document encounters in the EMR in compliance with CMS requirements
• Apply clinical protocols and practice guidelines to support treatment in place when possible
• Participate in mandatory education and training
• Work 24 hours per week on a set schedule, including two weeknight shifts from 8pm–2am and every-other-weekend 12-hour night shifts on Saturday and Sunday
• Provide overnight and holiday coverage for skilled nursing and senior living facilities

• Provide compassionate telephonic care and clinical direction during evenings, nights, weekends, and holidays
• Serve as the first line of support for residents and facility staff after-hours
• Provide medical direction and care over the phone
• Use Curana’s telephonic platform to take and place calls
• Coordinate care between facilities, hospitals, and clinics
• Deliver high-quality, cost-effective care for acute, chronic, and behavioral health needs in collaboration with physicians and specialty providers
• Perform at least 30% telehealth visits, including evaluation of acute changes, falls, and controlled substance visits
• Manage high call volumes and multiple calls independently across several states
• Perform comprehensive assessments and accurately document encounters in the EMR in compliance with CMS requirements
• Apply clinical protocols and practice guidelines to support safe treatment in place when possible
• Participate in mandatory education and training
• Provide 24 hours per week of on-call coverage on a set schedule
• Work weeknight coverage, every other weekend coverage, overnight shifts, and holidays
• Complete two 12-hour holiday shifts per year

Data Specialist

• Maintain and update provider information within Provider Data Management systems
• Verify provider data from external sources, including provider applications and credentialing teams, and update systems accordingly
• Coordinate with internal and external partners to obtain missing or incomplete data and ensure regulatory compliance
• Monitor data quality and accuracy, identifying and correcting discrepancies
• Respond to inquiries from internal and external stakeholders regarding provider data
• Generate reports to track data accuracy, completeness, and timeliness
• Collaborate with claims, customer service, and network management teams to resolve provider issues
• Assist with audits and data verification to ensure compliance with industry standards
• Provide training and support to internal teams on provider data management systems and processes
• Stay current with industry standards, regulatory requirements, and best practices in provider data management

Provider Data Specialist

General

• Coordinate the end-to-end provider enrollment process for physicians, nurse practitioners, and physician assistants joining the medical group
• Prepare and submit enrollment applications to Medicare, Medicaid, and other applicable payers to establish billing privileges
• Manage and track facility privileging and attestation requirements across skilled nursing and senior living communities
• Maintain accurate provider data within internal systems, including NPPES, PECOS, CAQH, and iCIMS/HRIS
• Partner with Credentialing, HR, and Operations teams to align enrollment timelines with provider onboarding and start dates
• Follow up with payers, facilities, and providers to obtain missing information or resolve discrepancies
• Track enrollment status and communicate progress updates to stakeholders, including Market Operations and Finance teams
• Process revalidations, address changes, and terminations to maintain active enrollment status for current providers
• Support reporting, audits, and internal reviews related to provider enrollment and compliance

Care Navigator

Nurse Practitioner – National After-Hours Team

Nurse Practitioner – National After-Hours Team, Part Time

Care Navigator

Senior Director, Risk Management

Nurse Practitioner – National After-Hours Team, Part Time

Nurse Practitioner – National After-Hours Team, Part Time

Nurse Practitioner – National After-Hours Team

Nurse Practitioner – National After-Hours Team, Part Time

Provider Data Specialist

Provider Enrollment Coordinator