Clinical Care Coordinator

3 months ago

West Chester, United States Software Methods, Incorporated Full time

Our client is looking for a full-time Care Coordinators to join their team in their offices in Media, PA and in West Chester, PA.


The Care Coordinator is responsible for customer service and case coordination. This position will help plan members access financial assistance programs. The Care Coordinator will follow up with members, pharmacies, health care providers and/or financial assistance programs to confirm shipment/receipt of drug. From time to time, the Care Coordinator will be in contact with PBMs and Payers (Funds, Plan Sponsors, Insurers) to gather information and assist plan members.


Responsibilities:

  • Ensure that plan members meet plan eligibility requirements
  • Act as primary point of contact for plan members
  • Serve as plan member advocate and enhance the collaborative relationship between the plan member, health care provider, and patient assistance program representatives
  • Document/record all interactions with members, health care providers, pharmacies, and financial assistance entities in the Customer Relationship Manager software (“CRM”) in a timely manner
  • Provide exceptional customer service to internal and external customers; resolve any customer requests in a timely and accurate manner; escalates complaints accordingly
  • Review pending activities/events and specific customer requests to ensure excellent customer service and customer experience
  • Demonstrate proficiency and full understanding of the Company plan member database including data elements, definition of case statuses and outcomes, case documentation requirements and the importance of meeting company metrics
  • Research and identify available financial assistance programs for specialty drugs that are prescribed for active members
  • Coordinate access to patient assistance programs; provide assistance to plan members and physician staff to complete all necessary financial assistance program forms and applications in a timely manner
  • Coordinate delivery and verify receipt of financial assistance forms and applications to plan members, physician offices, and financial assistance programs
  • Verify drug dispenses to members and compile audit trail of source documents and information for each dispense
  • Report any financial assistance program trends to supervisor
  • Communicate with plan member’s health plan sponsor, Fund, or PBM as needed
  • Recommend improved processes and management methods to generate workflow optimization
  • Perform such other duties as needed or assigned by management.


Requirements:

  • Minimum 3+ years customer service experience, healthcare reimbursement and/or pharmaceutical experience preferred
  • Excellent written and oral communication skills
  • Ability to multi-task and handle consistent workflow
  • Time management and prioritization skills
  • Computer, email and MS Office competence.


Preferred skills:

  • Certified Pharmacy Technician
  • Medical Assistant Certification
  • Bilingual communications

If this sounds like you, please contact us today

Unable to sponsor visas for this position.

Must be authorized to work in the U.S.

  • Clinical Care Coordinator

    4 weeks ago

    West Chester, Pennsylvania, United States Patriot Hospice Full time

    Job SummaryWe are seeking a highly skilled and compassionate Registered Nurse Case Manager to join our team at Patriot Hospice. As a Clinical Care Coordinator, you will play a vital role in providing high-quality patient care and support to individuals with life-threatening or terminal illnesses.Key Responsibilities:Coordinate Patient Care: Work closely with...

  • Clinical Care Coordinator

    1 week ago

    West Plains, Missouri, United States Ozarks Health Care Full time

    Ozarks Health Care is seeking a skilled Clinical Care Coordinator to join their team. The estimated annual salary for this role is $120,000-$150,000.Job SummaryThis position is responsible for assessing and planning direct patient care, as well as providing leadership within the clinic in association with supervising physicians. A graduate of an accredited...

  • Clinical Care Coordinator

    4 weeks ago

    Chester, Pennsylvania, United States ChesPenn Health Services Full time

    About UsChesPenn Health Services is a network of community health centers serving Chester and Delaware Counties. Our mission is to provide quality, integrated, and culturally sensitive medical, dental, and behavioral healthcare to adults and children regardless of their income, insurance status, or ability to pay.Job SummaryWe are seeking a self-motivated...

  • Administrative Coordinator

    6 days ago

    Chester, Pennsylvania, United States EVEREST MEDICAL CARE GROUP LLC Full time

    Job DescriptionThe Administrative Coordinator - Clinical Setting plays a vital role in the smooth operation of the Everest Medical Care Group LLC. This role involves coordinating administrative tasks, managing office operations, and providing exceptional customer service. The ideal candidate will possess excellent communication skills, attention to detail,...

  • Clinical Care Coordinator

    4 days ago

    West Long Branch, New Jersey, United States BAYADA Home Health Care Full time

    About This OpportunityWe are seeking a skilled and compassionate Registered Nurse to join our team as a Clinical Care Coordinator. As a key member of our home health care team, you will be responsible for coordinating care for clients with complex medical needs.Job Summary:Coordinate care for clients with multiple comorbidities and chronic conditions.Develop...

  • Clinical Care Coordinator

    4 days ago

    West Bloomfield Township, Michigan, United States Beaumont Urgent Care Full time

    Beaumont Urgent Care is seeking a skilled Clinical Care Coordinator to join our team. As a key member of our staff, you will be responsible for preparing patients for examinations, performing vital signs, and documenting patient history.**Key Responsibilities:**Prepare patients for examinations and assist with medical procedures.Perform triage, obtain vital...

  • Clinical Research Coordinator II

    2 weeks ago

    West Jordan, United States Velocity Clinical Research, Inc. Full time

    Velocity Clinical Research is an owned and integrated research site organization, providing excellence in patient care, high quality data and fully integrated research sites. At Velocity, we align our values and behaviors to give our employees the best chance of delivering on our brand promise to bring innovative medical treatments to patients. We are...

  • Clinical Research Coordinator II

    2 weeks ago

    West Jordan, United States Velocity Clinical Research, Inc. Full time

    Velocity Clinical Research is an owned and integrated research site organization, providing excellence in patient care, high quality data and fully integrated research sites. At Velocity, we align our values and behaviors to give our employees the best chance of delivering on our brand promise to bring innovative medical treatments to patients. We are...

  • Patient Care Coordinator

    4 weeks ago

    West Chester, Pennsylvania, United States Pennsylvania Medicine Full time

    Pennsylvania Medicine seeks a dedicated Patient Care Coordinator to join our team. As a valued member of our healthcare team, you will play a vital role in ensuring the highest level of care for our patients.Job DescriptionThe Patient Care Coordinator is responsible for coordinating patient care activities, ensuring seamless transitions, and providing...

  • Patient Care Coordinator

    3 days ago

    West Chester, Pennsylvania, United States BrightStar Care of Greater Chester County Full time

    Join Our TeamBrightStar Care of Greater Chester County is seeking a qualified Certified Nursing Assistant (CNA) to join our team. As a CNA, you will have the opportunity to work with a dynamic and compassionate team to deliver high-quality care to our clients.About the PositionThis is a full-time position, with flexible scheduling to accommodate our clients'...

  • Clinical Care Specialist

    4 weeks ago

    Port Chester, New York, United States BAYADA Home Health Care Full time

    BAYADA Home Health Care is a leading provider of home-based care services, dedicated to delivering high-quality patient outcomes and exceptional client experiences. Our team of skilled professionals works collaboratively to provide personalized care to individuals in the comfort of their own homes.Job OverviewWe are currently seeking a Registered Nurse (RN)...

  • Nurse Care Coordinator

    4 weeks ago

    Chester, South Carolina, United States MUSC Full time

    Job SummaryWe are seeking a skilled Nurse Care Coordinator to join our team at MUSC. As a Nurse Care Coordinator, you will play a critical role in delivering high-quality patient care and promoting positive health outcomes.About the RoleThis is a full-time position that involves coordinating patient care services, collaborating with healthcare professionals,...

  • Nurse Care Coordinator Position Available

    2 weeks ago

    West Chester, Pennsylvania, United States Aveanna Healthcare Full time

    About the RoleWe are seeking a skilled and compassionate Licensed Practical Nurse (LPN) to provide high-quality clinical care in a home healthcare setting. As an Aveanna Healthcare LPN, you will work collaboratively with our interdisciplinary team to deliver coordinated and comprehensive care to our patients and their families.Key Responsibilities:Develop...

  • Clinical Care Coordinator

    4 weeks ago

    West Hartford, Connecticut, United States Trinity Health Corporation Full time

    Employment Type: Part timeShift:Description:Trinity Health Corporation is seeking a dedicated Registered Nurse to join our dynamic Nursing Team at Saint Mary Home.What to Expect:A Clinical Care Coordinator at Trinity Health plays a vital role in delivering safe, quality patient care. As an active participant in the care team, you will ensure individual...

  • Clinical Support Associate

    4 weeks ago

    West Chester, Pennsylvania, United States Penn Medicine Full time

    Penn Medicine OverviewWe are a leading academic medical center dedicated to providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Our employees shape our future each day, making breakthroughs, healing hearts, and giving comfort and reassurance.As a Clinical Support Associate on...

  • Medical Care Coordinator

    2 weeks ago

    West Chester, Pennsylvania, United States Pennsylvania Medicine Full time

    We are seeking a motivated and detail-oriented individual to fill the role of Medical Care Coordinator at Pennsylvania Medicine. As a Medical Care Coordinator, you will play a critical role in ensuring that our patients receive seamless and efficient care throughout their hospital stay.About the JobIn this role, you will be responsible for coordinating...

  • Care Coordinator Professional

    6 days ago

    West Chester, Pennsylvania, United States Positive Leaps Full time

    Job Title: Care CoordinatorSalary: $65,000 - $75,000 per yearWe are seeking a highly skilled and compassionate Care Coordinator to join our team at Positive Leaps. The successful candidate will be responsible for providing case management services to families of all ages of children in community settings, such as schools, daycares, etc.About the...

  • Care Coordination Leader

    4 weeks ago

    West Chester, Pennsylvania, United States Haven Behavioral Healthcare Full time

    Haven Behavioral Healthcare seeks a dedicated Care Coordination Leader to oversee the provision of care and support direct care staff in our 42-bed acute-care Joint Commission Accredited psychiatric hospital. About Haven Behavioral Healthcare As a leading provider of specialty behavioral health services, we are committed to delivering high-quality patient...

  • Clinical Services Coordinator

    2 weeks ago

    Chester, Pennsylvania, United States Youth Advocate Programs Full time

    Job Summary:We are seeking a skilled Clinical Services Coordinator to join our team at Youth Advocate Programs, Inc. This is a Part Time Hourly position that requires reliable transportation and a valid driver's license.The successful candidate will be responsible for implementing, coordinating, and overseeing behavioral health services. They will provide...

  • Clinical Office Assistant

    1 week ago

    West Chester, Pennsylvania, United States Pennsylvania Medicine Full time

    Clinical Office AssistantWe are seeking a motivated and detail-oriented Clinical Office Assistant to join our team at Pennsylvania Medicine. As a Clinical Office Assistant, you will provide essential support to our clinical teams, ensuring seamless coordination of patient care and administrative activities.About the RoleThis is an exciting opportunity for...