Clinical Coordinator Specialist

3 weeks ago


Los Angeles, California, United States MedPOINT Management Full time
MedPOINT Management Inpatient Coordinator Level 2

Job Overview:

The Inpatient Coordinator Level 2 is a crucial role at MedPOINT Management, working collaboratively with the Clinical Care Coordination team to ensure seamless patient care. This position handles authorization requests, provider inquiries, and member concerns, utilizing established guidelines and timeframes.

Responsibilities:

  • Place outbound calls to verify patient hospital admission status, transportation, and skilled nursing placement details.
  • Analyze daily bed day logs, following notification processes or revisions as required.
  • Connect with hospital case management and utilization review departments for patient reviews, discharge orders, and disposition.
  • Create and process inpatient/transportation authorizations via fax, email, or phone with CM directives.
  • Process clinical reviews and assist case managers with non-clinical tasks for PQI cases, NOA, LOA, verbiage archiving, CCS cases, processing carve-outs, verifying eligibility, and assisting with LTSS.

Requirements:

  • Requires 1+ years of experience as an Inpatient Coordinator.
  • Experience with EZ Cap, Right Fax, 3cx phone system, and EHR applications.
  • Intermediate Microsoft Outlook proficiency in Microsoft Office (Outlook, Word, Excel).
  • Proficient in interpersonal/verbal communication skills.
  • Intermediate ability to present information effectively and respond to questions from peers and management.
  • Intermediate ability to work effectively within a group to achieve desired outcomes.
  • 2+ years of experience in a managed care setting, medical office, or facility with demonstration of medical administration duties.

Estimated Salary:

$60,000 - $80,000 per year, depending on location and experience.



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