Patient Care Coordinator
1 week ago
Position: Care Manager
Work Arrangement: Remote
Working Hours: Day Shift (8:00am - 5:00pm) Central Time
Contract Length: 3 Months (with potential for extension)
Weekly Commitment: 40 hours
Key Responsibilities
- Oversees inpatient and outpatient care services associated with mental health and substance use treatment to ensure medical necessity and effectiveness.
- Conducts telephone triage, crisis intervention, and emergency authorizations as needed.
- Executes concurrent reviews for inpatient and outpatient care and other service levels within the scope of practice and expertise.
- Collaborates with healthcare providers and facilities to formulate and implement discharge plans.
- Conducts quality clinical assessments while educating and making necessary interventions to enhance patient care.
- Informs members and providers about mental health and substance use benefits, community treatment options, managed care programs, and organizational policies and procedures.
- Engages with Physician Advisors to address clinical and authorization inquiries regarding specific cases.
- Participates in quality improvement initiatives, including data collection, monitoring, and analysis.
- Maintains an active caseload in alignment with National Care Manager performance benchmarks.
- Collaborates with community organizations as appropriate.
- Suggests alternative treatment plans when service requests do not fulfill medical necessity criteria.
- Contributes to network development by identifying and recruiting quality providers as necessary.
- Advocates for patients to ensure their treatment needs are adequately addressed.
- Interacts with providers in a professional and respectful manner that supports the treatment process.
Qualifications
- Minimum of 2 years of clinical experience.
- CERTIFICATIONS: Must possess one of the following: CEAP - Certified Employee Assistance Professional, LCSW - Licensed Clinical Social Worker, LMFT - Licensed Marriage and Family Therapist, LMSW - Licensed Master Social Worker, LPC - Licensed Professional Counselor, LPN - Licensed Practical Nurse, RN - Registered Nurse, State and/or Compact State Licensure.
Educational Requirements:
- Dependent on Certification: Associate's in Nursing, Bachelor's in Social Work, Master's in Social Work (Required).
-
Patient Care Coordinator
2 weeks ago
Pittsfield, Massachusetts, United States Berkshire Health Systems Full timeROLE OVERVIEWThis role is integral to the operations of Berkshire Health Systems, reporting directly to the Office Coordinator and Administrative Director. Key responsibilities include welcoming patients, guiding them through the facility's processes, arranging appointments, confirming insurance details, and ensuring that all necessary referrals and...
-
Patient Scheduling Coordinator
2 weeks ago
Pittsfield, Massachusetts, United States Berkshire Health Systems Full timePOSITION OVERVIEW The Patient Scheduling Coordinator is responsible for managing requests to schedule and process orders for various clinical services. This role is pivotal in ensuring that all customer interactions adhere to the established service standards and quality metrics. The Coordinator evaluates customer inquiries and facilitates effective...
-
Patient Scheduling Coordinator
2 weeks ago
Pittsfield, Massachusetts, United States Berkshire Health Systems Full timePOSITION OVERVIEW The Patient Scheduling Coordinator is responsible for managing requests to schedule and process orders for various clinical services. This role involves adhering to customer service standards while ensuring accurate information exchange and effective communication with clinical departments. The Coordinator analyzes patient requests and...
-
Patient Services Coordinator
4 days ago
Pittsfield, Massachusetts, United States Amedisys Full timeAbout AmedisysAmedisys is a leading provider of home health, hospice, and high-acuity care, dedicated to helping patients and families navigate the complex healthcare system.Job SummaryWe are seeking a highly skilled and compassionate Patient Services Coordinator to join our team. As a Patient Services Coordinator, you will play a critical role in ensuring...
-
Clinical Care Coordinator
3 days ago
Pittsfield, Massachusetts, United States Berkshire Health Systems, Inc. Full timeJob Title: Clinical Care CoordinatorBerkshire Health Systems, Inc. is seeking a skilled Clinical Care Coordinator to join our team.Job Summary:The Clinical Care Coordinator will play a vital role in facilitating care management and providing navigation services to patients. This individual will prioritize patient services, communicate with referral sources,...
-
Patient Intake and Referral Coordinator
2 weeks ago
Pittsfield, Massachusetts, United States HOSPICECARE IN THE BERKSHIRES Full timePosition OverviewThe Admissions / Referral Manager plays a crucial role in overseeing daily patient referral and intake operations. This position involves the establishment and enforcement of intake policies to ensure a smooth process for incoming patients.Key ResponsibilitiesOperational Oversight: Directs all aspects of patient referral and intake, ensuring...
-
Patient Intake and Referral Coordinator
1 week ago
Pittsfield, Massachusetts, United States HOSPICECARE IN THE BERKSHIRES Full timePosition OverviewThe Referral and Intake Operations Manager plays a critical role in overseeing the daily operations related to patient referrals and admissions. This position is essential for ensuring that all intake processes are executed efficiently and in compliance with regulatory standards.Key ResponsibilitiesLeadership in Operations: Directs daily...
-
Care Coordinator
2 days ago
Pittsfield, Massachusetts, United States Brien Center for Mental Health Full timeAbout the RoleWe are seeking a highly skilled and compassionate Care Navigator to join our team at the Brien Center for Mental Health. As a Care Navigator, you will play a critical role in providing outreach, engagement, support, care coordination, assessment, and person-centered treatment planning for our adult clients.Key ResponsibilitiesProvide Support...
-
Care Coordinator
4 days ago
Pittsfield, Massachusetts, United States Brien Center for Mental Health Full timeAbout the RoleWe are seeking a highly skilled and compassionate Care Navigator to join our team at the Brien Center for Mental Health. As a Care Navigator, you will play a critical role in providing outreach, engagement, support, care coordination, assessment, and person-centered treatment planning for our adult clients.Key ResponsibilitiesProvide Support...
-
Care Coordinator Specialist
1 week ago
Pittsfield, Massachusetts, United States Brien Center for Mental Health Full timeJob Title: Care Coordinator SpecialistWe are seeking a highly skilled Care Coordinator Specialist to join our team at the Brien Center for Mental Health. As a Care Coordinator Specialist, you will play a critical role in providing exceptional care and support to individuals with Serious Mental Illness, Co-occurring disorders, and Substance Use Disorders.Key...
-
Registered Nurse
2 weeks ago
Pittsfield, Massachusetts, United States HOSPICECARE IN THE BERKSHIRES Full timePosition OverviewWe are seeking a dedicated and skilled Registered Nurse to provide exceptional care for patients in the hospice setting. At HOSPICECARE IN THE BERKSHIRES, we prioritize compassionate support for our patients and their families, ensuring a dignified and peaceful experience.Key Responsibilities:Exhibit a thorough understanding of hospice care...
-
Clinical Care Coordinator
1 week ago
Pittsfield, Massachusetts, United States LanceSoft, Inc. Full timePosition: Clinical Care CoordinatorWork Arrangement: RemoteSchedule: Daytime (8:00am - 5:00pm) Central timeContract Length: 3 Months (with potential for extension)Weekly Hours: 40 hoursKey ResponsibilitiesOversees inpatient and outpatient care services related to mental health and substance use treatment to ensure medical necessity and efficacy.Conducts...
-
Hospice Care Hospital Nursing Coordinator
2 weeks ago
Pittsfield, Massachusetts, United States HOSPICECARE IN THE BERKSHIRES, INC. Full timePosition Overview:The HospiceCare Registered Nurse Hospital Case Manager is responsible for the organization and management of hospice services within a hospital environment. This role requires a strong background in nursing, particularly with a focus on community health education and experience. Key Responsibilities:The professional nurse leverages...
-
Nurse Care Coordinator
1 week ago
Pittsfield, Massachusetts, United States Berkshire County Arc Inc Full timeJob Summary:Berkshire County Arc Inc is seeking a skilled Nurse Care Coordinator to join our team. As a Nurse Care Coordinator, you will play a vital role in supporting families caring for a loved one in their home.Key Responsibilities:Conduct routine home visits to assess the needs of individuals and familiesComplete all required documentation, including...
-
Nurse Care Coordinator
1 week ago
Pittsfield, Massachusetts, United States Berkshire County Arc Inc Full timeJob Summary:Berkshire County Arc Inc is seeking a skilled Nurse Care Coordinator to join our team. As a Nurse Care Coordinator, you will play a vital role in supporting families caring for a loved one in their home.Key Responsibilities:Conduct routine home visits to assess the needs of individuals and familiesComplete all required documentation, including...
-
Patient Care Administrative Associate
2 weeks ago
Pittsfield, Massachusetts, United States Berkshire Health Systems Full timeLocation: Great BarringtonPOSITION SUMMARYRole Overview:The Clinical Support Representative plays a vital role within the Berkshire Faculty Services team, which encompasses a diverse range of medical specialties. This position is essential for ensuring the seamless operation of front office activities, thereby facilitating high-quality patient care and...
-
Care Coordinator for Shared Living
6 days ago
Pittsfield, Massachusetts, United States Pathlight Group Full timeJob DescriptionJob SummaryPathlight Group is seeking an experienced Program Manager for Shared Living to oversee and coordinate the care provided to individuals in our Shared Living homes. The successful candidate will be responsible for ensuring that each client receives the highest quality of life possible.Key ResponsibilitiesOversee and coordinate the...
-
Client Care Coordinator
2 weeks ago
Pittsfield, Massachusetts, United States Brien Center for Mental Health Full timeAvailable Positions: Full-Time and Part-Time, Various ShiftsOverviewAs a Care Navigator, you will play a vital role in providing outreach, engagement, and comprehensive support for adult clients at the Brien Center for Mental Health. This position involves coordinating care, facilitating treatment transitions, and ensuring the delivery of personalized...
-
Managed Care Coordinator
7 days ago
Pittsfield, Massachusetts, United States Accede Solutions Inc. Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Managed Care Coordinator to join our team at Accede Solutions Inc. As a key member of our staff, you will be responsible for providing exceptional support to our clients and ensuring the smooth operation of our medical office.Key ResponsibilitiesClient Support: Provide top-notch support to...
-
Travel Clinical Coordinator Registered Nurse
2 days ago
Pittsfield, Massachusetts, United States The Fortus Group, Inc. Full timeJob Title: Travel Clinical Coordinator Registered NurseWe are seeking a highly skilled Travel Clinical Coordinator Registered Nurse to join our team at The Fortus Group, Inc.About the Role:As a Travel Clinical Coordinator Registered Nurse, you will be responsible for coordinating patient access and clinical services in a fast-paced healthcare environment.You...