10,333 Medical Care jobs in the United States

Medical Care Analyst

27601 Raleigh, North Carolina Curi

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Job Description

Title

Medical Care Analyst

Location

Remote

About Us

A full-service advisory firm, Curi is comprised of three distinct businesses: Curi Insurance, its flagship medical malpractice liability insurer; Curi Advisory, its consulting arm; and Curi Capital, a registered investment advisor (RIA). What we all have in common is an unwavering commitment to serving clients. As fierce healthcare advocates, business leaders, and thoughtful partners, Curi offers unmatched access and exudes a deep understanding of specific client circumstances. With exceptional accessibility and dedication, Curi's trusted expertise, ability to form deep relationships, and holistic approach deliver outcomes that are proven, actionable, and meaningful-in medicine, business, and life.

The Role

We are looking for a detail-oriented individual with medico-legal experience to work on our Claims team as a Medical Care Analyst. In this role, you will report to the Senior Medical Care Analyst and be responsible for reviewing and evaluating medical professional liability claims and supporting the claims examiners/claims team in their review and assessment of cases. You will organize and review records with regard to liability and causation, obtain expert reviews, and participate in expert review communication and video conferencing calls. You will also review expert testimony and depositions for relevance and efficacy.

Key Result Areas

  • Organize and prepare medical records and other legal documents for medical expert review
  • Communicate with medical experts and aid in obtaining expert reviews to assess standard of care and causation issues
  • Review expert testimony and depositions and develop an expert database for use by claims staff and defense counsel
  • Conduct standard of care research using Up to Date, sources from the National Library of Medicine and other sources for use by claims staff and defense counsel
  • Aid in preparation and coordination of digital focus groups for claim analysis
  • Analyze claims data to identify and interpret trends and emerging clinical issues

Key Skills

  • Exceptional organizational skills with the ability to manage multiple complex projects and competing priorities
  • Proficiency in document and records management systems (BOX, ShareFile) and medical imaging review tools (DICOM)
  • Strong written communication skills, with the ability to produce clear and concise analyses, reports, and case summaries
  • Advanced critical thinking and analytical skills for evaluating medical records, liability issues, and expert testimony
  • Solid computer proficiency, including Microsoft Office Suite and Adobe; experience with claims or litigation platforms (eOasis, Sunlight, OnBase) is a plus
  • Demonstrated ability to collaborate effectively with claims staff, defense counsel, and medical experts

Key Qualifications

  • Bachelor's degree in nursing with experience in medical malpractice, claims review, or medico-legal casework OR Paralegal certificate or degree with demonstrated experience in medical malpractice, healthcare litigation, or medical professional liability claims
  • Minimum of 3 years of experience in a healthcare, claims, or legal setting involving review of medical records, expert testimony, or liability assessment
  • Familiarity with medical terminology, standard of care concepts, and healthcare documentation required
  • Medico-Legal RN strongly preferred
  • Experience communicating with medical experts and/or defense counsel preferred

Travel

Up to 25% travel is expected for this position.

Our Vision: To be the trusted partner in medicine, business, and life.

Our Mission: By providing valued advice and support, we help strengthen care, mitigate risk, and build financial futures to enhance the lives of those we serve.

Our Values:

ACCOUNTABILITY: We are driven to act, work with integrity, and deliver results.
CURIOSITY: We ask and listen, stay curious, and are eager to learn.
TEAMWORK: We build strong relationships, celebrate success, and partner for greater impact.
INCLUSION: We respect, recognize, and encourage the differences that make us stronger-we are better together.
SERVICE COMMITMENT: We demonstrate an unwavering commitment to our clients, business partners, teammates, and communities.

Our Benefits

Curi offers eligible team members and their dependents comprehensive health benefits, including medical, dental, vision, and life insurance.Other benefits for eligible team members include education assistance, annual bonus opportunity, 401(k) and employer match, short-term disability, long-term disability, flexible time off, and 13 paid holidays annually.

#LI-JG-1

#LI-remote

#LI-JG-1

#LI-remote

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Medical Care Coordinator

48083 Troy, Michigan Physician Care Solutions, PC

Posted 1 day ago

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Job Description

Physician Care Solutions is looking for a highly motivated and energetic medical assistant to join our team! This position is responsible for reaching out to qualifying patients and on-boarding them to the Chronic Care Management (CCM) program. We focus heavily on coordinating care for our patients as well as improving patient outcomes.

Responsibilities:

The ability to promote the CCM program to patients over the phone

Engage in conversations with patients

Documentation of conversations with patients

Answer patient questions regarding CCM services

Explaining benefits of the program to the patient

Conducting onboard and follow-up calls with patients

Follow HIPAA guidelines and regulations

Requirements:

Certified Medical Assistant OR qualifying medical certification

High School diploma or equivalent

Advanced computer skills

Telephone communications skills

Ability to work with multiple computer screens and programs simultaneously

Positive attitude and ability to work well with others in a team environment

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Medical Care Coordinator

19046 Jenkintown, Pennsylvania Ennoble Care

Posted 2 days ago

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Job Description

Medical Care Coordinator

Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, "To Care is an Honor." Join Ennoble Care today!

Ennoble Care is seeking an experienced care/scheduling coordinator to join our growing team! This position would be working within a Monday-Friday 8:30am-5:00pm schedule in Jenkintown, PA.

Duties and Responsibilities:
  • Scheduling patient appointments in adherence to Provider availability/area.
  • Prioritize urgent appointment task and schedule them accordingly
  • Assures that all messages are completed and distributed appropriately
  • Reschedules patient appointments as needed
  • Reviews and updates patient insurance information
  • Manage a high-volume workload, effectively prioritize tasks to remain organized, promote prompt and courteous service
  • Displays excellent communication skills
  • Reaches out to referring sources for patients expressing difficulty with scheduling
  • Updates account information at the point of scheduling
  • Maintains provider daily appointment quota
  • Have new patients scheduled within 3-5 business days
  • Insurance preauthorization
  • Places calls to the patients for the providers when needed
  • Handles voicemails daily and ensures all inquiries are handled properly.
  • Correctly notate patient charts to maintain up to date accuracy.
Benefits

Full-time employees qualify for the following benefits:

  • Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity.
  • Paid Time Off
  • Paid Office Holidays

All employees qualify for these benefits:

  • Paid Sick Time
  • 401(k) with up to 3% company match
  • Referral Program
  • Payactiv: pay-on-demand. Cash out earned money when and where you need it!

Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

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Medical Care Manager

98417 Tacoma, Washington AIDS Healthcare Foundation

Posted 5 days ago

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Job Description

AIDS Healthcare Foundation Opportunity

AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE AT AIDS HEALTHCARE FOUNDATION!

Does the idea of doing something that really makes a difference in people's lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?

If so, AIDS Healthcare Foundation is the place for you! Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.

AHF's core values are to be:

  • Patient-Centered
  • Value Employees
  • Respect for Diversity
  • Nimble
  • Fight for What's Right

STILL INTERESTED? Please continue!

#INDAHF

Your Contribution To Our Success!

A Medical Care Manager contributes to AHF by utilizing their experience, skills, and education together with a thorough understanding of the Ryan White Care Act Program within their specific area. With a caring and knowledgeable focus, you will work with our providers and healthcare center team so that every Ryan White client receives the support they require and access to available resources. This will include providing education and assistance so that eligibility for the program is understood. Working directly within the Healthcare Center, you will meet with clients and complete Needs Assessments, develop Action/Care Plans, and provide ongoing education to patients so that they understand their diagnoses and their medications. For Ryan White contracts that combine psychosocial needs within Medical Care Management, you will understand mental health needs and basic needs such as housing, food, and clothing and develop relationships with programs and agencies serving those needs and facilitate referrals, support, and assistance for your patients who lack those services.

A Medical Care Manager enhances the reputation of AHF by utilizing your case management experience, you will meet our clients where they are, identify strengths and opportunities for growth, and assist them with realistic goal setting. With your skills of collaboration and engagement, you will bring the essence of the Ryan White Care Act - the safety net for uninsured HIV/AIDS patients - to our most vulnerable population. By establishing Needs Assessments, Action/Care Plans, referrals, and support, your work will directly contribute to AHF's success in meeting the deliverables of our Ryan White contract. Beyond the scope of the contract, your work contributes to measures established by the HIV/AIDS Bureau (HAB) Measures and the Department of Health and Human Services.

You will be a passionate advocate for our top initiatives.

To be successful as a Medical Care Manager it is crucial to ensure that the AHF Core Values and Mission stay top of mind with all that you do. At AHF we are nimble and able to adapt in a dynamic environment to assist in providing the best experience for our clients and workplace for our employees.

AHF has a collaborative organizational structure where staff are accountable to multiple leaders.

The Medical Care Manager will work as a part of a close-knit team to be the liaison between provider and client and can facilitate the shift from leaving the exam room to implementing the optimum plan of care and putting it into action. Providing brief interventions focused on a long-term achievable goal, the client and the MCM work together each step of the way towards viral suppression, better health outcomes and quality of life.

Licenses and Certifications:

  • BS/BA in Social Work, or other social service field with two (2) years of direct service delivery.
  • Familiarity with housing case management.
  • Familiarity with housing entitlement systems and procedures. HOPWA Training Modules.
AHF Commitment

We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability. The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment. AHF will consider qualified applicants with criminal histories in a manner consistent with the requirements of the ordinance.

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