Clinical Care Coordinator
4 days ago
Job Summary
The New Member Clinical Coordinator will play a pivotal role in assessing new enrolled STAR+PLUS members and providing exceptional support through overflow call management. This compassionate professional is responsible for the overall management of members' cases within the scope of licensure; provides direction to clinicians participating in the member's case in accordance with applicable state law and contract; initiates and revises the member's care plan to meet the member's needs, with the goal of optimizing member healthcare across the care continuum. The New Member Clinical Coordinator will perform telephonic assessments as mandated by state and federal regulations.
Key Responsibilities
- Assess, plan, and implement care strategies that are individualized by member and directed toward the most appropriate, least restrictive level of care.
- Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services.
- Initiate care plans to ensure that care is provided at the beginning.
- Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members.
- Perform telephonic clinical assessments for the identification, evaluation, coordination, and management of members' needs, including physical health, behavioral health, social services, and long-term services and supports.
- Identify members for high-risk complications and coordinates care in conjunction with the member and the healthcare team.
- Identify members with chronic illnesses, co-morbidities, and/or disabilities.
- Assists in meeting member needs by referring members to internal and external resources.
- Address member concerns, provide information, and facilitate problem resolution.
- Provide efficient and professional support for overflow calls for assigned Service Coordination team and Service Coordination Hotline as needed, ensuring timely and accurate responses to member inquiries.
- Collaborate with other team members to ensure seamless call handling and quality service delivery.
- Generate and submit necessary reports and documentation in compliance with organizational and regulatory requirements.
- Provide input and/or data to direct supervisor/manager related to any internal or external mandatory audit or reporting.
- Serve as mentor, subject matter expert, or preceptor to new staff. Involved in process improvement initiatives.
- Assist in problem-solving with providers, claims, or service issues. People/Team Development.
- Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.
Qualifications
- Education/Specialized Training/Licensure: Requires a current unrestricted LVN or RN license in Texas.
- Work Experience (Years and Area): 2-4 years nursing experience triaging and working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or Case Management.
- Experience in long-term care, home health, hospice, public health, or assisted living.
- Software Proficiencies: Microsoft Office, Clinical documentation platforms, Internet.
-
Clinical Research Coordinator
1 day ago
Houston, Texas, United States Axsendo Clinical Full timeJob OverviewAxsendo Clinical is seeking a detail-oriented Clinical Research Coordinator to support our clinical trials on a part-time/prn basis. This role offers opportunities for professional growth and development, with potential for transition to a full-time position based on performance and project needs.Key Responsibilities:Assist in the planning,...
-
Clinical Research Coordinator Lead
4 weeks ago
Houston, Texas, United States Axsendo Clinical Full timeJob OverviewAxsendo Clinical Research is seeking a highly motivated and experienced Lead Clinical Research Coordinator to join our dynamic team. As a key member of our clinical research team, you will be responsible for coordinating and managing clinical research studies, ensuring compliance with regulatory requirements and company policies.Key...
-
Clinical Research Coordinator II
3 weeks ago
Houston, Texas, United States DM Clinical Research Full timeJob DescriptionClinical Research Coordinator IIThe Clinical Research Coordinator II will ensure that quality research is conducted at the assigned investigative sites in accordance with the sponsor protocol, FDA Regulations, and ICH/GCP guidelines. The CRC II will also ensure study enrollment meets or exceeds Sponsors' expectations. To ensure company goals...
-
Clinical Care Coordinator
1 day ago
Houston, Texas, United States Community Health Choice Full timeJob SummaryThe Clinical Care Coordinator will play a pivotal role in assessing new STAR+PLUS members and providing exceptional support through overflow call management. This compassionate professional is responsible for the overall management of members' cases within the scope of licensure; provides direction to clinicians participating in the member's case...
-
Dialysis Clinical Coordinator
4 days ago
Houston, Texas, United States US Renal Care Full timeAbout the RoleUS Renal Care is seeking a highly skilled and dedicated Dialysis Clinical Coordinator to join our team. As a key member of our clinical staff, you will play a vital role in ensuring the delivery of high-quality patient care and services.Key ResponsibilitiesAssist with the management and operation of the dialysis clinic, ensuring seamless...
-
Clinical Care Coordinator
4 weeks ago
Houston, Texas, United States UnitedHealthcare Full timeJob SummaryWe are seeking a skilled Clinical Care Coordinator to join our team at UnitedHealthcare. As a key member of our healthcare team, you will play a vital role in ensuring our members receive the highest quality care and support.Key ResponsibilitiesDischarge Planning: Collaborate with healthcare providers to ensure a smooth transition of care for our...
-
Dialysis Clinical Coordinator
4 weeks ago
Houston, Texas, United States US Renal Care Full timeAbout the RoleUS Renal Care is seeking a highly skilled Dialysis Clinical Coordinator to join our team. As a key member of our clinical staff, you will play a vital role in ensuring the delivery of high-quality patient care and services.Key ResponsibilitiesAssist with the management and operation of the dialysis clinic, ensuring seamless patient care and...
-
Clinical Care Coordinator
4 weeks ago
Houston, Texas, United States UnitedHealthcare Full timeJob SummaryWe are seeking a skilled Clinical Care Coordinator to join our team at UnitedHealthcare. As a key member of our healthcare team, you will play a vital role in ensuring our members receive the highest quality care and support.Key ResponsibilitiesDischarge Planning: Collaborate with healthcare providers to develop and implement effective discharge...
-
Dialysis Clinical Coordinator
2 weeks ago
Houston, Texas, United States US Renal Care Full timeAbout the RoleUS Renal Care is seeking a highly skilled Dialysis Clinical Coordinator to join our team. As a key member of our clinical staff, you will play a vital role in ensuring the delivery of high-quality patient care and services.Key ResponsibilitiesAssist with the management and operation of the dialysis clinic, ensuring seamless patient care and...
-
Clinical Research Associate
4 weeks ago
Houston, Texas, United States Axsendo Clinical Full timeJob OverviewAxsendo Clinical Research is seeking a highly motivated and detail-oriented Clinical Research Coordinator to join our dynamic team. As a Clinical Research Coordinator, you will play a critical role in the success of our clinical trials by ensuring the smooth execution of study protocols, managing data, and maintaining accurate records.Key...
-
Clinical Care Coordinator
4 weeks ago
Houston, Texas, United States UnitedHealth Group Inc Full timeSenior Community Care ClinicianJoin our team of dedicated healthcare professionals at UnitedHealth Group Inc. as a Senior Community Care Clinician. In this role, you will play a vital part in delivering high-quality care to our members, working closely with an interdisciplinary team to coordinate care and improve health outcomes.Key Responsibilities:Assist...
-
Clinical Care Coordinator
4 weeks ago
Houston, Texas, United States UnitedHealth Group Inc Full timeSenior Community Care ClinicianJoin our team of dedicated healthcare professionals at UnitedHealth Group Inc. as a Senior Community Care Clinician. In this role, you will play a vital part in delivering high-quality care to our members, working closely with an interdisciplinary team to coordinate care and improve health outcomes.Key Responsibilities:Assist...
-
Dialysis Clinical Coordinator
4 weeks ago
Houston, Texas, United States US Renal Care Full timeAbout the RoleWe are seeking a highly skilled Dialysis Clinical Coordinator to join our team at US Renal Care. As a key member of our clinical staff, you will play a vital role in ensuring the delivery of high-quality patient care and services.Key ResponsibilitiesAssist with the management and operation of the dialysis clinic, assuming full responsibility in...
-
Dialysis Clinical Coordinator
1 month ago
Houston, Texas, United States US Renal Care Full timeAbout the RoleWe are seeking a highly skilled Dialysis Clinical Coordinator to join our team at US Renal Care. As a key member of our clinical staff, you will play a vital role in ensuring the delivery of high-quality patient care and services.Key ResponsibilitiesAssist with the management and operation of the dialysis clinic, assuming full responsibility in...
-
Clinical Nurse Coordinator
3 weeks ago
Houston, Texas, United States Texas Children's Hospital Full timeAbout the RoleWe are seeking a highly skilled and compassionate Clinical Nurse Coordinator to join our team at Texas Children's Hospital. As a Clinical Nurse Coordinator, you will play a vital role in providing exceptional patient care and coordination of services for patients with complex medical needs.ResponsibilitiesProvide direct and telephone nursing...
-
Clinical Nurse Coordinator
3 weeks ago
Houston, Texas, United States Texas Children's Hospital Full timeJob Title: Clinical Nurse CoordinatorWe are seeking a skilled Clinical Nurse Coordinator to join our team at Texas Children's Outpatient Hematology clinic. As a Clinical Nurse Coordinator, you will provide high-quality patient care, health education, and coordination of services in a fast-paced setting.Responsibilities:Provide direct and telephone nursing...
-
Clinical Nurse Coordinator
3 weeks ago
Houston, Texas, United States Texas Children's Hospital Full timeJob Title: Clinical Nurse CoordinatorWe are seeking a skilled Clinical Nurse Coordinator to join our team at Texas Children's Hospital. As a Clinical Nurse Coordinator, you will play a vital role in providing high-quality patient care and ensuring the smooth operation of our outpatient hematology clinic.Responsibilities:Provide direct and telephone nursing...
-
Clinical Nurse Coordinator
3 weeks ago
Houston, Texas, United States HCA Houston Healthcare Mainland Full timeJoin Our Team as a Clinical Nurse CoordinatorWe are seeking a highly skilled and compassionate Clinical Nurse Coordinator to join our team at HCA Houston Healthcare Mainland. As a Clinical Nurse Coordinator, you will play a vital role in ensuring the delivery of high-quality, patient-centered care and coordination of all functions in the unit/department...
-
Clinical Nurse
4 weeks ago
Houston, Texas, United States MD Anderson Cancer Center Full timeJob SummaryWe are seeking a highly skilled and compassionate Clinical Nurse to join our team at MD Anderson Cancer Center. As a Clinical Nurse, you will play a vital role in coordinating and implementing patient care across the continuum of care.Key ResponsibilitiesProvide quality, evidence-based patient care through the appropriate use of resources in...
-
Clinical Coordinator
2 weeks ago
Houston, Texas, United States DaVita Full timeAbout DaVitaDaVita is a clinical leader in the healthcare industry, with a strong commitment to providing quality service to patients, partners, and teammates. Our mission is to be the Provider, Partner, and Employer of Choice.Job SummaryWe are seeking a Clinical Coordinator to join our team at DaVita. As a Clinical Coordinator, you will play a critical role...