Clinical Review Coordinator
21 hours ago
Overview The Specialty Clinical Review Coordinator will ensure referrals and new orders meet clinical admission payer criteria. This role ensure that all assigned specialty patients are provided with timely and exceptional clinical service and an exception customer experience.Schedule:Monday - Friday 8:30am - 5:30pm• Competitive Pay • Health, Dental, Vision & Life Insurance • Company-Paid Short & Long-Term Disability • Flexible Schedules & Paid Time Off• Tuition Reimbursement • Employee Discount Program & DailyPay• 401k• Pet Insurance Responsibilities On-board all new specialty infusion referralsManage relationships with internal customers to ensure effective workflowReviews referral documents and updates information in the patient’s demographicsReference clinical admission criteria for specialty therapies and navigate patient charts to locate documentation for admission criteriaWorks closely with sales partners to ensure completeness of submitted referral informationParticipates in the development of best practices for documentation supporting clinical care and reimbursement qualification for Specialty PatientsSupport patient retention efforts by ensuring all reasonable interventions are executed to retain a patient on serviceSupervisory Responsibility: No Qualifications EDUCATION/EXPERIENCE• Pharmacy Technician background • Recent three to five (3-5) years of experience in specialty pharmacy, home infusion and/or home health• Experience in Microsoft BI. Experience in Outlook, Word, and PowerPoint desiredLICENSE/CERTIFICATION/OTHER SPECIAL REQUIREMENTS• State pharmacy technician licensure• PTCB certified technician credentials preferredKNOWLEDGE/SKILLS/ABILITIES• Ability to work effectively within a multidisciplinary teamTRAVEL REQUIREMENTSPercentage of Travel: 0-25%**To perform this role will require sitting, and typing on a keyboard with fingers for an extensive amount of time, and occasionally standing, walking, bending, and reaching. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs** About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit . Follow us on , , and . Salary Range USD $24.00 - $28.00 / Hour
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Manager, Clinical Site
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Englewood, United States Velocity Clinical Research, Inc. Full timeJoin to apply for the Manager, Clinical Site role at Velocity Clinical Research, Inc. Velocity Clinical Research is an owned and integrated research site organization, providing excellence in patient care, high quality data and fully integrated research sites. At Velocity, we align our values and behaviors to give our employees the best chance of delivering...
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Manager, Clinical Site
2 weeks ago
Englewood, Colorado, United States Velocity Clinical Research, Inc. Full timeVelocity Clinical Research is an owned and integrated research site organization, providing excellence in patient care, high quality data and fully integrated research sites. At Velocity, we align our values and behaviors to give our employees the best chance of delivering on our brand promise to bring innovative medical treatments to patients. We are...
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Clinical Outreach Coordinator
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Englewood, United States HCA Full timeSalary Estimate: $61817.60 - $92705.60 / year Learn more about the benefits offered for this job. The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this...
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Utilization Review Specialist
1 week ago
Englewood, United States BriteLife Recovery Full timeBriteLife Recovery - What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD) treatment at Britelife Recovery....
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Utilization Review Specialist
2 weeks ago
Englewood, United States BriteLife Recovery Full timeWhat you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD) treatment at Britelife Recovery. This role ensures...
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Clinical Outreach Coordinator
5 days ago
Englewood, Colorado, United States HCA HealthONE Full timeDescriptionSalary Estimate: $ $ / yearLearn More About The Benefits Offered For This Job.The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The...
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Regulatory Review Program RN
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Englewood, Colorado, United States CommonSpirit Health Full timeJob Summary and ResponsibilitiesThis is a remote positionThe CommonSpirit RRP RN ensures regulatory compliance for Care Coordination activities, collaborating with Revenue Cycle, Compliance, and other stakeholders. This role audits patient records to identify risks, ensuring adherence to System policies, regulatory requirements, accurate medical necessity...
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Pharmacy Clinical Coordinator
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Englewood, United States HCA Full timeDescription Introduction Do you have the career opportunities as a(an) Pharmacy Clinical Coordinator - Pharmacist you want with your current employer? We have an exciting opportunity for you to join HCA Florida Englewood Hospital which is part of the nations leading provider of healthcare services, HCA Healthcare. Benefits HCA Florida Englewood Hospital...
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Englewood, United States HCA HealthONE Swedish Full timeDescription Hourly Wage Estimate: $40.15 - $58.58 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in...
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Oncology Clinical Nurse Coordinator
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Englewood, United States HCA HealthONE Swedish Full timeDescription Hourly Wage Estimate: $40.15 - $58.58 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in...
