Clinical Services Coordinator
4 days ago
Brighton Health Plan Solutions, LLC is seeking a skilled UM Coordinator to manage the prior authorization process and ensure seamless communication between members, providers, and facility staff.
The ideal candidate will possess excellent communication and problem-solving skills, with a solid understanding of medical terminology and third-party reimbursement regulations. You will work closely with the clinical team to address provider or member questions, issues, or concerns, and play an active role in continuous improvement activities and quality initiatives.
Responsibilities:
- Verify member eligibility, plan participation, and provider participation status.
- Collaborate with the clinical team to address provider or member questions, issues, or concerns.
- Develop and maintain accurate documentation within the clinical record according to workflows, policies, and procedures.
- Communicate effectively with internal and external stakeholders, including members, providers, and facility staff.
-
Nursing Clinical Coordinator
4 weeks ago
Chapel Hill, North Carolina, United States University of North Carolina Health Care System - 101 Manning Drive , UNC Main Hospital Full timeJob OverviewWe are seeking a skilled Nursing Clinical Coordinator to join our team at the University of North Carolina Health Care System.
-
Clinical Care Coordinator
2 weeks ago
Chapel Hill, North Carolina, United States TotalMed Full timeTotalMed is a leading healthcare staffing agency dedicated to providing exceptional nursing services.Salary InformationThe estimated annual salary for this role is $85,000-$110,000, depending on experience and location.About the RoleWe are seeking an experienced Registered Nurse to fill a Clinical Care Coordinator position in our medical-surgical unit. As a...
-
Clinical Services Coordinator
4 days ago
Chapel Hill, North Carolina, United States Freedom House Recovery Center Full timeJoin Our TeamFreedom House Recovery Center offers a supportive environment where Licensed Clinicians can grow and develop their skills. As a member of our team, you will deliver high-quality care to clients and their families, collaborating with colleagues to ensure comprehensive services.ResponsibilitiesConduct initial assessments and develop treatment...
-
Nursing Professional
4 weeks ago
Chapel Hill, North Carolina, United States University of North Carolina Health Care System - 101 Manning Drive , UNC Main Hospital Full timeThe University of North Carolina Health Care System invites skilled Nursing Professionals to apply for the Clinical Care Coordinator role at UNC Main Hospital, located at 101 Manning Drive.As a key member of our team, you will be responsible for delivering high-quality patient care while working closely with other healthcare professionals. We are seeking...
-
Clinical Coordinator
1 week ago
Chapel Hill, North Carolina, United States Pride Health Full timeJob DescriptionPride Health is seeking a qualified Certified Medical Assistant (CMA) to work in our healthcare team in Chapel Hill, North Carolina.This contract position offers a competitive salary of $20-$23 per hour and guarantees 40 hours of work per week for 13 weeks.As a CMA, you will be responsible for assisting in providing comprehensive patient care...
-
Clinical Documentation Coordinator
3 days ago
Chapel Hill, North Carolina, United States MedScribes Full timeAre you looking for a career that combines healthcare and technology? Do you have a passion for delivering exceptional patient care? We invite you to apply for the Healthcare Documentation Professional position at MedScribes.In this role, you will work closely with physicians, patients, and the clinical care team to provide accurate and timely clinical...
-
Support Services Coordinator
4 days ago
Chapel Hill, North Carolina, United States Residential Services, Inc.RSI Full timeJob Summary:\We are seeking a compassionate and organized Direct Support Shift Leader to join our team. The ideal candidate will have excellent communication skills, be able to work independently, and possess a strong understanding of healthcare procedures.\About You:\You must have a high school diploma or equivalent and have experience working in a...
-
Healthcare Coordination Specialist
5 days ago
Chapel Hill, North Carolina, United States Brighton Health Plan Solutions, LLC Full timeAbout the RoleBrighton Health Plan Solutions, LLC seeks a highly skilled UM Coordinator to join our team. As a UM Coordinator, you will be responsible for coordinating all aspects of the prior authorization process, including member eligibility and benefit verification, gathering necessary clinical information from electronic medical records, and timely...
-
Clinical Infusion Coordinator
2 weeks ago
Chapel Hill, North Carolina, United States Palmetto Infusion Full timeResponsibilitiesProvide comprehensive nursing care to patients in a professional, ethical, and knowledgeable manner.Collaborate with the healthcare team to develop and implement individualized treatment plans.Administer medications and perform procedures as ordered by prescribing physicians.Maintain accurate records and documentation of patient...
-
Clinical Utilization Specialist
3 days ago
Chapel Hill, North Carolina, United States Brighton Health Plan Solutions, LLC Full timeJob Title: Clinical Utilization Specialist">About the Role:">Brighton Health Plan Solutions, LLC provides utilization management services to its clients. The Clinical Utilization Specialist - Prior Authorization performs medical necessity reviews on prior authorization requests in accordance with national standards, contractual requirements, and a member's...
-
Client Services Coordinator Specialist
3 days ago
Chapel Hill, North Carolina, United States STANDARDS BASED SOLUTIONS CONSULTIN Full timeJob SummaryWe are seeking a skilled Client Services Coordinator to join our team at Standards Based Solutions Consulting. This full-time role involves guiding the continuity of our Community Based Services (CBS) program, fostering positive relationships with clients, families, and community mental health agents.Key ResponsibilitiesMaintain accurate and...
-
Administrative Coordinator
4 weeks ago
Chapel Hill, North Carolina, United States UNC Health Care Full timeAbout the Opportunity:We are seeking a skilled and experienced Administrative Coordinator to join our team at UNC Health Care. As a key member of our administrative staff, you will be responsible for providing administrative support to our clinical staff. Your duties will include expediting non-routine purchases, training others, and performing complex...
-
Health and Wellness Coordinator
4 days ago
Chapel Hill, North Carolina, United States The Joint Chiropractic Full timeAre you passionate about helping others achieve optimal health?The Joint Chiropractic is seeking a motivated and customer-focused Health and Wellness Coordinator to join our team!As a Health and Wellness Coordinator, you will be responsible for providing exceptional service to patients and members, ensuring their needs are met, and exceeding expectations.Key...
-
Residential Care Coordinator
1 week ago
Chapel Hill, North Carolina, United States Residential Services Inc. Full timeKey Responsibilities:Provide overnight supervision, assistance, and support to residents with daily living activities, including personal hygiene, grooming, and medication administration.Monitor and respond to any medical or behavioral needs that may arise following established protocols and procedures.Promote a positive and empowering atmosphere within the...
-
Chapel Hill, North Carolina, United States Residential Services Inc. Full timeJob Summary:We are seeking motivated leaders to work as Direct Support Coordinators in our group home settings. As a Direct Support Coordinator, you will lead, plan, and organize activities for employees and individuals with intellectual and developmental disabilities.This is an excellent opportunity for hands-on experience while providing leadership and...
-
UM Coordinator Team Lead
4 days ago
Chapel Hill, North Carolina, United States Brighton Health Plan Solutions, LLC Full timeJob DescriptionBrighton Health Plan Solutions, LLC is seeking an experienced Healthcare Administration Supervisor to join our team. As a key member of our UM Coordinator team, you will be responsible for managing the daily operations of the team, providing guidance and support with authorization creation, caller escalation, and investigation of complex...
-
Clinical Nursing Specialist
4 weeks ago
Chapel Hill, North Carolina, United States University of North Carolina Health Care System - 101 Manning Drive , UNC Main Hospital Full timeWe are seeking a skilled Clinical Nurse to join our team at the University of North Carolina Health Care System.Job SummaryThe Clinical Nurse will provide high-quality patient care, utilizing the nursing process in a hospital setting. This role requires one year of nursing experience and demonstrates competence in caring for patients with complex...
-
Chapel Hill, North Carolina, United States UNC Health Care Full timeJob DescriptionWe are seeking a highly skilled Clinical Social Worker II to join our team at the Pediatric Neurology Clinic in Chapel Hill, NC. As an integral member of our healthcare team, you will provide comprehensive support and services to patients and their families, promoting mental, emotional, and social well-being.
-
Clinical Nurse Specialist
4 weeks ago
Chapel Hill, North Carolina, United States University of North Carolina Health Care System - 101 Manning Drive , UNC Main Hospital Full timeWe are seeking a skilled Clinical Nurse Specialist to join our team at the University of North Carolina Health Care System. As a key member of our healthcare team, you will provide high-quality patient care and contribute to the development of evidence-based practices.About the RoleThis is a dynamic opportunity for a dedicated nurse with a passion for...
-
Clinical Support Specialist
4 weeks ago
Chapel Hill, North Carolina, United States UNC Health Care Full timeJob Title:Clinical Support Specialist**About the Role:**The Clinical Support Specialist plays a vital role in assisting healthcare professionals with delivering exceptional patient care. This position requires strong clinical and procedural knowledge, as well as excellent communication skills.About UNC Health Care:We are an inclusive organization dedicated...