HarmonyCares

Nurse Practitioner

• Deliver annual risk assessments in residential settings or via telehealth within the nurse practitioner scope of practice
• Conduct comprehensive in-home health risk assessments to identify active and chronic disease conditions and physical, mental, and social needs
• Take patient histories, perform examinations, and determine diagnoses
• Provide written documentation of patient visits according to NCQA standards
• Take patient vital signs as necessary
• Place case management referrals and communicate with primary care physicians as necessary
• Communicate with patients, caregivers, agency nurses, other providers, and vendors to support proper diagnosis
• Perform clinical duties while observing OSHA Universal Precautions
• Maintain patient confidentiality
• Attend required meetings and in-services; participate in committees as requested
• Participate in professional development activities and maintain professional licenses and affiliations
• Perform other job-related assignments as requested

Family Nurse Practitioner, Homevisits/Telehealth

Social Worker

• Manage a caseload of high-risk socially complex patients
• Conduct face-to-face and telephonic psychosocial assessments with patients and/or caregivers
• Investigate psychological and social determinant barriers and design interventions to close gaps in care and needs
• Provide short-term counseling services as needed
• Coordinate services so patients and families understand treatment plans
• Collaborate with the care team to achieve quality and patient experience outcomes, including participating in High-Risk Huddles
• Reach out to community-based services to support patients’ ability to age at home
• Develop and implement shared goals of care with patients and families
• Work with community-based agencies to develop relationships and provide resources supporting patient independence

Clinical Social Worker, LCSW

• Manage a caseload of high-risk socially complex patients
• Conduct face-to-face and telephonic psychosocial assessments with patients and/or caregivers
• Investigate psychological and social determinant barriers and design appropriate interventions to close gaps in care and needs
• Provide short-term counseling services as needed
• Coordinate services to ensure patients/families understand treatment plans
• Collaborate with the care team to achieve quality and patient experience outcomes, including participation in High-Risk Huddles
• Conduct outreach to community-based services to support patients’ ability to age at home
• Develop and implement shared goals of care with patients and families
• Work with community-based agencies to develop relationships and provide resources supporting patient independence

Clinical Social Worker – LCSW

• Manage a caseload of high-risk socially complex patients
• Conduct face-to-face and telephonic psychosocial assessments with patients and/or caregivers
• Investigate psychological and social determinant barriers and design interventions to close gaps in care and needs
• Provide short-term counseling services as needed
• Coordinate services to ensure patients/families understand treatment plans
• Collaborate with the care team to achieve quality and patient-experience outcomes, including participating in High-Risk Huddles
• Provide outreach to community-based services supporting patients’ ability to age at home
• Develop and implement shared goals of care with patients and families
• Work with community-based agencies to develop relationships and provide resources supporting patient independence

• Deliver annual risk assessments in residential settings or via telehealth within the nurse practitioner scope of practice, as delegated by the Collaborative Physician
• Conduct comprehensive in-home health risk assessments to identify active and chronic disease conditions and physical, mental, and social needs
• Take patient histories, perform examinations, and determine diagnoses
• Provide written documentation of patient visits according to NCQA standards
• Take patient vital signs as necessary
• Place case management referrals and communicate with primary care providers as necessary
• Communicate with patients, caregivers, agency nurses, other providers, and vendors to ensure proper diagnosis
• Perform clinical duties while observing OSHA Universal Precautions
• Maintain patient confidentiality
• Attend required meetings and in-services and participate in committees as requested
• Participate in professional development activities and maintain professional licenses and affiliations
• Perform other job-related assignments as requested

Actuary

• Support Actuarial Finance in the analysis, forecasting, and recognition of VBC Membership, Revenue, and Medical Expense
• Assess trend drivers, utilization dynamics, and emerging risks
• Design, build, and maintain actuarial and financial models supporting trend projections, forecasting, VBC performance tracking, and risk arrangement evaluation
• Translate complex modeling results and data analyses into decision-ready outputs, executive-level summaries, financial commentary, and performance narratives
• Collaborate with actuarial, finance, clinical, and strategy teams
• Lead or contribute to data tools that stratify large datasets across financial, utilization, quality, and outcomes dimensions
• Communicate findings to stakeholders while adjusting technical depth and framing for the audience
• Develop repeatable, automated analytical workflows using scripting, templated models, and AI-assisted tools
• Improve processes through automation, standardization, or AI-assisted augmentation while maintaining transparency, controls, and documentation
• Establish trusted performance narratives for senior leadership decision-making
• Reduce cycle time and manual effort for recurring VBC performance analyses
• Perform other job-related assignments as requested

Senior Actuarial Analyst – Actuarial Finance, Value-Based Care

• Manage a caseload of high-risk socially complex patients
• Conduct face-to-face and telephonic psychosocial assessments with patients and/or caregivers
• Investigate psychological and social determinant barriers and design interventions to close gaps in care and needs
• Provide short-term counseling services as needed
• Coordinate services so patients and families understand treatment plans
• Collaborate with the care team to achieve quality and patient experience outcomes, including active participation in High-Risk Huddles
• Conduct outreach to community-based services to support patients’ ability to age at home
• Develop and implement shared goals of care with patients and families
• Work with community-based agencies to develop relationships and provide resources that support patient independence

Clinical Social Worker

Solutions Engineer

• Translate complex healthcare business needs into scalable, production-ready data solutions
• Collaborate with departments to understand user requirements, create technical designs, validate solutions through rapid POCs, and build data assets for analytics, business intelligence, and decision-making
• Understand user needs and refine or articulate solution features
• Break down complex features, identify risky assumptions, and flag dependencies
• Build and iterate on data pipelines using cloud technologies such as Azure ADF and Databricks
• Design and develop RESTful APIs exposing curated healthcare datasets and analytics products
• Create Power BI/Tableau dashboards and semantic models
• Work with claims, clinical, and operational healthcare data
• Ingest, transform, and normalize HL7, FHIR, ICD-10, CPT, NDC, and related healthcare vocabularies
• Collaborate with data engineers, data scientists, and analysts to productionize solutions
• Ensure data quality, performance, scalability, and security
• Provide technical leadership and mentorship to junior engineers and analysts
• Support stakeholder demos, feedback sessions, and solution walkthroughs
• Work with IT, clinical, operational, vendor, and consultant teams
• Perform other job-related assignments as requested

Senior Solutions Engineer

• Deliver annual risk assessments in residential settings or via telehealth within the nurse practitioner scope of practice
• Conduct comprehensive in-home health risk assessments to identify active and chronic conditions and physical, mental, and social needs
• Take patient histories, perform examinations, and determine diagnoses
• Provide written documentation of patient visits according to NCQA standards
• Take patient vital signs as necessary
• Place case management referrals and communicate with PCPs
• Communicate with patients, caregivers, agency nurses, other providers, and vendors to support proper diagnosis
• Perform clinical duties while observing OSHA Universal Precautions
• Maintain patient confidentiality
• Attend required meetings and in-services and participate in committees as requested
• Participate in professional development activities and maintain professional licenses and affiliations

Family Nurse Practitioner – Telehealth

• Manage a caseload of high-risk socially complex patients
• Conduct face-to-face and telephonic psychosocial assessments with patients and/or caregivers
• Investigate psychological and social determinant barriers and design interventions to close gaps in care
• Provide short-term counseling services as needed
• Coordinate services so patients and families understand treatment plans
• Collaborate with the care team to achieve quality and patient experience outcomes, including participating in High-Risk Huddles
• Outreach to community-based services supporting patients’ ability to age at home
• Develop and implement shared goals of care with patients and families
• Work with community-based agencies to develop relationships and provide resources supporting patient independence

Nurse

• Triage inbound sick calls from Medical Group patients
• Assess patient symptoms and provide appropriate medical advice
• Determine the level of care required and coordinate care with the care team
• Review clinical test results and summarize findings to assist providers
• Prioritize and respond to inbound phone calls, voicemails, and test results
• Assess patients’ symptoms and medical history over the phone using probing questions and the EMR
• Use evidence-based guidelines to determine urgency and assign triage priority
• Identify crisis situations and connect patients with emergency services according to protocol
• Educate patients, caregivers, and others on health maintenance, disease prevention, self-care, medications, and follow-up steps
• Make outbound calls to communicate provider orders
• Collaborate with care teams to complete patient follow-ups and promote quality outcomes
• Communicate with patients and families, addressing concerns and providing emotional support
• Analyze test-result data and communicate needs, patterns, and variances to providers
• Enter patient results and quality metrics according to protocol
• Maintain compassionate written and verbal communication with care team members
• Adhere to company policies, quality standards, and productivity expectations
• Identify, acknowledge, escalate, and address patient complaints, grievances, and concerns
• Participate in assigned projects and quality improvement initiatives
• Perform additional duties assigned by the Clinical Triage Manager and/or Director

Clinical Triage Nurse, RN

• Deliver annual risk assessments in residential settings or via telehealth within the nurse practitioner scope of practice
• Conduct comprehensive in-home health risk assessments to identify active and chronic disease conditions and patients’ physical, mental, and social needs
• Take patient histories, perform examinations, and determine diagnoses
• Provide written documentation of patient visits according to NCQA standards
• Take patient vital signs as necessary
• Place case management referrals and communicate with PCPs as necessary
• Communicate with patients, caregivers, agency nurses, other providers, and vendors to assure proper diagnosis
• Perform clinical duties while observing OSHA Universal Precautions
• Maintain patient confidentiality
• Attend required meetings and in-services and participate in committees as requested
• Participate in professional development activities and maintain professional licenses and affiliations
• Perform other job-related assignments as requested

Family Nurse Practitioner, Home Visits/Telehealth

• Deliver annual risk assessments in residential settings or via telehealth within the nurse practitioner scope of practice
• Conduct comprehensive in-home health risk assessments to identify active and chronic disease conditions and physical, mental, and social needs
• Take patient histories, perform examinations, and determine diagnoses
• Provide written documentation of patient visits according to NCQA standards
• Take patient vital signs as necessary
• Place case management referrals and communicate with PCPs
• Communicate with patients, caregivers, agency nurses, providers, and vendors to support proper diagnosis
• Perform clinical duties while observing OSHA Universal Precautions
• Maintain patient confidentiality
• Attend required meetings and in-services and participate in committees as requested
• Participate in professional development activities and maintain professional licenses and affiliations
• Perform other job-related assignments as requested

Pharmacist

• Support care of HarmonyCares patients through the centralized Patient Contact Center
• Provide exceptional customer service to inbound inquiries from external and internal entities
• Serve as the first point of contact for medication refill requests
• Resolve calls or redirect callers to other teams or escalate to the pharmacist per protocols
• Enter prescription renewal requests into the EMR and review patient records for discrepancies
• Follow renewal protocols for medication quantities and refills
• Identify and escalate medication issues outside established protocols
• Optimize refill service workflows and processes
• Maintain accurate EMR documentation
• Complete opening and closing shift duties as assigned
• Update patient information, pharmacies, and medication lists
• Provide backup coverage to Patient Advocates as needed
• Adhere to HIPAA and all state and federal laws
• Address and escalate patient complaints, grievances, and concerns
• Collaborate with care team members and participate in quality improvements

Patient Advocate – Pharmacy Technician

• Deliver annual risk assessments in residential settings or via telehealth within the nurse practitioner scope of practice
• Conduct comprehensive in-home health risk assessments to identify active and chronic disease conditions and physical, mental, and social needs
• Take patient histories, perform examinations, and determine diagnoses
• Provide written documentation of patient visits according to NCQA standards
• Take patient vital signs as necessary
• Place case management referrals and communicate with PCPs as necessary
• Communicate with patients, caregivers, agency nurses, other providers, and vendors to assure proper diagnosis
• Perform clinical duties while observing OSHA Universal Precautions
• Maintain patient confidentiality
• Attend required meetings and in-services and participate in committees as requested
• Participate in professional development activities and maintain professional licenses and affiliations

Family Nurse Practitioner, Homevisits/Telehealth

Clinical Social Worker, LCSW

Clinical Social Worker – LCSW

Clinical Social Worker – LCSW

Family Nurse Practitioner, Homevisits/Telehealth

Senior Actuarial Analyst – Actuarial Finance, Value-Based Care

Clinical Social Worker

Senior Solutions Engineer

Family Nurse Practitioner – Telehealth

Clinical Social Worker

Clinical Triage Nurse, RN

Family Nurse Practitioner, Home Visits/Telehealth

Family Nurse Practitioner, Homevisits/Telehealth

Patient Advocate – Pharmacy Technician

Family Nurse Practitioner – Homevisits, Telehealth