Clinical Care Coordinator
3 days ago
Enterprise Engineering seeks a skilled Clinical Care Coordinator to promote quality and cost-effective outcomes for a population by facilitating collaboration and coordination across settings.
This role involves reviewing patient records and providing recommendations to ensure members receive the services and resources required to meet desired health and social outcomes.
The ideal candidate will have a strong working knowledge of MCG, InterQual, and NCQA standards, as well as a minimum of 2 years of experience in medical management clinical functions.
Responsibilities include:
- Performing prospective, retrospective, or concurrent medical necessity reviews for an assigned panel of members
- Collaborating with the Medical Director to ensure the integrity of adverse determination notices
- Ensuring discharge planning is timely and appropriately communicated to the transition of care teams
- Meeting or exceeding productivity targets set forth
- Serving as a resource to non-clinical team members
Qualifications include an Associate's degree in Nursing, preferred, and a strong understanding of clinical criteria and guidelines.
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Care Coordinator
2 months ago
Remote, Oregon, United States Consumer Direct Care Network Full timeJob SummaryAs a Care Coordinator with Consumer Direct Care Network, you will play a vital role in supporting individuals with disabilities, chronic health conditions, and the elderly in achieving their long-term care goals. This is a dynamic and rewarding position that requires strong interpersonal skills, attention to detail, and the ability to work...
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Surgical Clinical Assistant
4 days ago
Remote, Oregon, United States Rothman Institute Full timeJob Title: Surgical Clinical AssistantJob Summary:We are seeking a highly skilled and experienced Surgical Clinical Assistant to join our team at Rothman Orthopaedics. As a key member of our clinical staff, you will provide exceptional patient care and support to our surgeons and patients.Responsibilities:Assist surgeons with patient care and coordination,...
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Clinical Case Manager RN
3 weeks ago
Remote, Oregon, United States CVS Health Full timeJob Title: Clinical Case Manager RNCVS Health is seeking a highly skilled and compassionate Clinical Case Manager RN to join our team. As a Clinical Case Manager RN, you will play a vital role in ensuring the health and well-being of our members by providing personalized care and support.Job Summary:The Clinical Case Manager RN will be responsible for...
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Referral Coordinator
3 weeks ago
Remote, Oregon, United States Orchid Health Full timeJob OverviewOrchid Health is seeking a highly skilled Referral Specialist to join our team. As a Referral Specialist, you will play a critical role in coordinating patient referrals and ensuring seamless communication between healthcare providers, patients, and insurance companies.Key ResponsibilitiesCoordinate patient referrals, including obtaining...
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Clinical Case Manager RN
4 weeks ago
Remote, Oregon, United States CVS Health Full timeJob SummaryCVS Health is seeking a skilled Clinical Case Manager RN to join our team. As a key member of our healthcare team, you will play a vital role in delivering high-quality patient care and improving health outcomes.Key ResponsibilitiesConduct thorough assessments of patients' medical needs and develop personalized care plans to address their unique...
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Clinical Lead
5 days ago
Remote, Oregon, United States Premier Research Full timeJob Title: Principal Clinical LeadPremier Research is seeking a highly experienced Principal Clinical Lead to join our Clinical Management team. As a key member of our team, you will be responsible for driving global study and/or program clinical teams, maximizing the efficiencies of the clinical team across studies/programs, and overseeing clinical team...
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Clinical Lead
2 weeks ago
Remote, Oregon, United States Premier Research Full timeJob Title: Principal Clinical LeadPremier Research is seeking a highly experienced Principal Clinical Lead to join our Clinical Management team. As a key member of our team, you will be responsible for driving global study and/or program clinical team and departmental engagement, maximizing the efficiencies of the clinical team across studies/programs.Key...
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Technical Services Manager
4 days ago
Remote, Oregon, United States Innovative Renal Care Full timeJob Title: Technical Services ManagerThe Technical Services Manager is a key leadership role accountable for overseeing the coordination of biomedical technical and facility services across multiple dialysis clinics. This position requires extensive expertise and a high degree of judgment to effectively address challenges within the context of established...
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Surgical Clinical Assistant
4 weeks ago
Remote, Oregon, United States Rothman Institute Full timeJob Title: Surgical Clinical AssistantWe are seeking a highly skilled and experienced Surgical Clinical Assistant to join our team at Rothman Orthopaedics. As a key member of our clinical staff, you will play a vital role in providing exceptional patient care and supporting our surgeons in the operating room.Responsibilities:Examine post-operative patients...
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Surgical Clinical Assistant
2 weeks ago
Remote, Oregon, United States Rothman Institute Full timeJob Title: Surgical Clinical AssistantWe are seeking a highly skilled and experienced Surgical Clinical Assistant to join our team at Rothman Orthopaedics. As a key member of our clinical staff, you will play a vital role in providing exceptional patient care and supporting our surgeons in the operating room.Responsibilities:Examine post-operative patients...
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Referral Coordinator
4 weeks ago
Remote, Oregon, United States Orchid Health Full timeAbout the RoleOrchid Health is seeking a highly skilled Referral Specialist to join our team. As a Referral Specialist, you will play a critical role in coordinating patient referrals and ensuring seamless communication between healthcare providers, patients, and insurance companies.Key ResponsibilitiesCoordinate patient referrals, including obtaining...
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Clinical Lead
4 weeks ago
Remote, Oregon, United States Premier Research Full timeJob Title: Principal Clinical LeadPremier Research is seeking a highly experienced Principal Clinical Lead to join our Clinical Management team. As a key member of our team, you will play a critical role in driving global study and/or program clinical team and departmental engagement, maximizing the efficiencies of the clinical team across...
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Pharmacy Solutions Coordinator
4 weeks ago
Remote, Oregon, United States Expion Health Full timeClient Coordinator Job DescriptionAt Expion Health, we're revolutionizing the future of healthcare cost containment. As a Client Coordinator, you'll play a vital role in our mission to deliver exceptional service, technology, and product innovation to our clients.Key Responsibilities:New Client Implementations: Oversee the onboarding process for new clients,...
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Clinical Lead III
2 days ago
Remote, Oregon, United States Premier Research Full timeJob SummaryPremier Research is seeking a Clinical Lead III to join our Clinical Management team. As a key member of our team, you will be responsible for providing coaching and mentoring to clinical staff, study teams, and external stakeholders. You will also lead, manage, and actively monitor the clinical monitoring team to ensure quality and timely...
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Intake Care Senior Representative
4 weeks ago
Remote, Oregon, United States ASK Consulting Full timeJob DescriptionWe are seeking a highly skilled and compassionate Intake Care Senior Representative to join our team at ASK Consulting. As a key member of our inbound call center, you will play a critical role in supporting our clients' behavioral health initiatives.Key Responsibilities:Answer inbound calls from members and providers, providing empathetic and...
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Strategic Events Coordinator
3 days ago
Remote, Oregon, United States Zendesk Full timeJob OverviewZendesk is seeking a highly skilled Strategic Events Manager to lead the planning, execution, and evaluation of high-impact internal and external events. This role involves managing relationships with agencies and vendors, coordinating program management activities, and designing exceptional event experiences.Key Responsibilities:Develop and...
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Remote, Oregon, United States Solventum Full timeJob SummaryWe are seeking a highly skilled Clinical Nurse Coding Consultant to join our team at Solventum. As a key member of our team, you will be responsible for recruiting and collaborating with coding and clinical team members, as well as external clients, to create and implement Clinical Documentation Integrity programs in multiple facilities.Key...
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Case Manager RN
4 weeks ago
Remote, Oregon, United States CVS Health Full timeJob Title: Case Manager RNAt CVS Health, we're committed to delivering exceptional healthcare services that prioritize our patients' needs. As a Case Manager RN, you'll play a vital role in our team, working closely with patients to assess, plan, and coordinate their care.Key Responsibilities:Conduct thorough assessments of patients' medical needs to...
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Case Manager RN
4 weeks ago
Remote, Oregon, United States CVS Health Full timeJob Title: Case Manager RNAt CVS Health, we're committed to delivering exceptional healthcare services that prioritize our patients' needs. As a Case Manager RN, you'll play a vital role in our team, working closely with patients to assess, plan, and coordinate their care.Key Responsibilities:Conduct thorough assessments of patients' medical needs to...
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Strategic Events Coordinator
4 weeks ago
Remote, Oregon, United States Zendesk Full timeEvent Planning Expert WantedAbout the RoleZendesk is seeking a highly skilled Event Planning Expert to join our team. As a Strategic Events Manager, you will be responsible for planning, executing, and evaluating high-impact internal and external events, including our annual flagship conference, Zendesk Relate.Key ResponsibilitiesDevelop and implement...