Clinical Referral Manager
3 days ago
Paradigm is looking for a full-time, remote Clinical Referral Manager. This position is accountable for driving revenue growth by implementing processes to analyze and direct enterprise referrals for consideration for service via a risk bearing product. Duties and responsibilities include, but are not limited to: * Evaluate incoming and existing referrals to determine appropriate product placement based on specified criteria. * Assess clinical conditions, treatment plans, and required resources. * Escalate referrals that need additional or advanced services. * Identify key stakeholders; build and maintain strong relationships with stakeholders to ensure effective handling of catastrophic referrals. * Provide education and support to customers regarding Paradigm products and services. * Analyze referrals, develop strategies to increase the scope of referrals, and track and maintain data on referral conversions. EDUCATION & EXPERIENCE REQUIRED: * Registered Nurse (with active, unencumbered license) * Minimum of 3-5 years' experience in catastrophic case management, referral intake or sales * Experience in insurance preferred. * Intermediate to advanced level computer experience and Windows software, proficient in Microsoft product suite with advanced skills in Excel. KNOWLEDGE SKILLS & ABILITIES: * Exceptional critical-thinking and creative problem-solving skills with proven ability to collaborate with others to identify alternatives and drive to resolution. * Strong communication and facilitation skills including the ability to resolve issues and build consensus among groups of diverse internal/external stakeholders. * Ability to deliver effective presentations to internal and external customers. * Ability to work effectively autonomously and/or in a matrixed environment. * Ability to review and assess complex medical records and convey pertinent information to non-medical stakeholders.
-
Clinic Manager
3 months ago
Seeley, CA, United States Clinical Management Consultants Full timeA healthcare organization is seeking a Clinic Manager to lead operations and enhance patient care delivery for their clinics. This pivotal role offers the opportunity to oversee administrative functions, foster a collaborative team environment, and drive excellence in healthcare services. Job Responsibilities for the Clinic Manager Manage day-to-day...
-
Senior Clinical Trial Manager
3 weeks ago
Boston, MA, United States Clinical Dynamix Full timeSenior Clinical Trial ManagerDescriptionReporting to the Director, Clinical Operations, the Senior Clinical Trial Manager is responsible for leading the execution of clinical studies on schedule and on budget. The Senior Clinical Trial Manager ensures studies are conducted efficiently and with quality, adhering to timelines and budget, and in alignment with...
-
Clinical Trial Manager, Start Up
3 weeks ago
Boston, MA, United States Clinical Dynamix Full timeClinical Trial Manager, Start Up Job Description; (Hybrid in office 3 days peer week)At Company, we are focused on developing best-in-class medicines for people living with autoimmune and rare diseases. Leveraging our team’s expertise in antibody discovery and engineering, we have created a robust pipeline of differentiated investigational therapeutic...
-
PACU Clinical Nursing Manager
3 months ago
Webster, TX, United States Clinical Management Consultants Full timeElevate your nursing career in the Greater Houston Area as a PACU Clinical Nursing Manager with this exciting opportunity. Join a dynamic team and make a meaningful impact in patient care today! The facility is a community medical center committed to providing exceptional healthcare services. Renowned for cutting-edge medical technology, comprehensive...
-
PACU Clinical Nursing Manager
2 weeks ago
Houston, TX, United States Clinical Management Consultants Full timeElevate your nursing career in the Greater Houston Area as a PACU Clinical Nursing Manager with this exciting opportunity. Join a dynamic team and make a meaningful impact in patient care today! The facility is a community medical center committed to providing exceptional healthcare services. Renowned for cutting-edge medical technology, comprehensive...
-
PACU Clinical Nursing Manager
2 weeks ago
Houston, TX, United States Clinical Management Consultants Full timeElevate your nursing career in the Greater Houston Area as a PACU Clinical Nursing Manager with this exciting opportunity. Join a dynamic team and make a meaningful impact in patient care today! The facility is a community medical center committed to providing exceptional healthcare services. Renowned for cutting-edge medical technology, comprehensive...
-
RN - Clinical Team Lead - Clinic
3 days ago
Tampa, FL, United States Chapters Health System Full timeRN - Clinical Team LeadIt's inspiring to work with a company where people truly BELIEVE in what they're doing! When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all...
-
RN - Clinical Team Lead - Clinic
2 weeks ago
Tampa, FL, United States Chapters Health System Full timeRN AdmissionsIt's inspiring to work with a company where people truly BELIEVE in what they're doing! When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the...
-
Heart Failure RN Referral Crd
2 weeks ago
Tampa, FL, United States The Tampa General Hospital Full timeHeart Failure RN Referral Crd - HMI HVI Heart Failure & MCSJob Summary: Collaborates with Physician and Interdisciplinary Team to implement plan of care and treatment for Advanced Heart Failure patients. Reviews medical record to anticipate clinical stability and to have a thorough understanding of the patient prior to follow up with the patient and...
-
Heart Failure RN Referral Crd
1 week ago
Tampa, FL, United States The Tampa General Hospital Full timeHeart Failure RN Referral Crd - HMI HVI Heart Failure & MCSJob Summary: Collaborates with Physician and Interdisciplinary Team to implement plan of care and treatment for Advanced Heart Failure patients. Reviews medical record to anticipate clinical stability and to have a thorough understanding of the patient prior to follow up with the patient and...
-
Clinical Obstetrics Nurse Manager
2 weeks ago
Santa Cruz, CA, United States Clinical Management Consultants Full timeAn exceptional opportunity has appeared in a coastal town in Northern California for a Clinic Manager specializing in Obstetrics to become part of their community hospital. The OB Nurse Manager will have the privilege of joining the esteemed team at this trusted 25-bed community hospital. This hospital relies on the creativity and positive mindset as well as...
-
Clinical Nurse Manager Med Surg
3 months ago
Manchester, NH, United States Clinical Management Consultants Full timeThis reputable health system, known for its commitment to providing comprehensive and quality healthcare to its community, is actively looking for a Clinical Nurse Manager Med Surg to join its esteemed leadership team. If you’re interested in aligning yourself with a premier acute care institution in a highly desirable location, then this opportunity is...
-
Obstetrics Clinical Nurse Manager
3 months ago
San Martin, CA, United States Clinical Management Consultants Full timeAn award winning teaching hospital is searching for a strong, experienced Obstetrics Clinical Nurse Manager to lead this tenured department in the beautiful rural Northern California. The Obstetrics Clinical Nurse Manager will join an amazing non-profit teaching hospital that has been recognized as one of America's best hospitals for patient satisfaction....
-
Transplant Referral Crd
3 days ago
Tampa, United States The Tampa General Hospital Foundation Inc Full timeJob Summary: The transplant referral coordinator is responsible for processing all incoming referrals and work to expedite alongside the referring providers. Education Degree Required Associates degree - Required Work Experience and Additional Information Required * Associate degree Yes * Computer literate & proficient in computer software (Word, Excel)...
-
Referral Coordinator
4 days ago
Peabody, MA, United States Sports Medicine North Full timeTitle: Coordinator Pre-Authorization Location onsite: Hours: Monday Friday, 8-4 Who we are: Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides...
-
Referral Coordinator
3 weeks ago
Abilene, TX, United States Ballinger Memorial Hospital Full timeBallinger Memorial Hospital District Ballinger, TX 76821 Job Title: Referral Coordinator Employment Type: Full-Time; Part-Time, or PRN positions available Benefits:Ballinger Memorial Hospital District offers extremely competitive salaries and excellent benefits! All employees are enrolled in the TCDRS retirement plan, with a generous employer contribution....
-
Referral Coordinator
3 weeks ago
Abilene, TX, United States Ballinger Memorial Hospital Full timeBallinger Memorial Hospital District Ballinger, TX 76821 Job Title: Referral Coordinator Employment Type: Full-Time; Part-Time, or PRN positions available Benefits:Ballinger Memorial Hospital District offers extremely competitive salaries and excellent benefits! All employees are enrolled in the TCDRS retirement plan, with a generous employer contribution....
-
Referral Coordinator
4 weeks ago
Abilene, TX, United States Ballinger Memorial Hospital Full timeBallinger Memorial Hospital District Ballinger, TX 76821 Job Title: Referral Coordinator Employment Type: Full-Time; Part-Time, or PRN positions available Benefits:Ballinger Memorial Hospital District offers extremely competitive salaries and excellent benefits! All employees are enrolled in the TCDRS retirement plan, with a generous employer contribution....
-
Referral Coordinator
4 weeks ago
Hollywood, FL, United States Integrated Home Care Services Full time*Who we are:*IHCS provides an Integrated Delivery System in the home setting, which includes, DME, Respiratory, Home Health and Home Infusion services. IHCS has a select network of Medicare and/or Medicaid Certified and Accredited providers to respond to the needs of our patients – 24/7. We operate with the sole intent of providing the highest quality...
-
Managed Care Referral Specialist I
4 weeks ago
San Diego, CA, United States Family Health Centers of San Diego Full timeImpact Lives, Impact CommunityFamily Health Centers of San Diego (FHCSD) is passionate about providing exceptional health care to all, especially underserved communities with limited health care options. Founded by a Latina grandmother/community advocate over 50 years ago in Barrio Logan, FHCSD has grown into one of the largest community health systems in...