Clinical Coordinator - Case Management
- Answer and handle phone calls within required time frames
- Mail/email correspondence, resources, and information to members
- Collect clinical and demographic data upon notification from patient/patient representative, or physician; verify member eligibility
- Create cases within Case Management system in accordance with departmental workflows, policies, and procedures.
- Interact telephonically with members and providers and accurately acquire and relay clinical information about medical status, diagnoses, and future care needs.
- Conduct initial intake clinical assessment to determine what acuity/outreach is needed and reassign to RN, if needed, per process.
- Adhere to established quality assurance standards and all BHPS policies and procedures.
- Discuss and document any concerns, complaints and/or issues with direct supervisor.
- Demonstrate the Brighton Values, and a kind, caring, sympathetic and positive attitude with all customers including fellow employees.
- Bachelor’s degree preferred but not required.
- LPN/LVN license required.
- HS diploma or GED is required.
- Strong skills in medical record review.
- Familiarity with medical terminology a plus
- Excellent customer service and communication skills.
- Ability to think critically, define problems, obtain data, and establish facts.
- Ability to work proficiently on a computer (PC) with working knowledge of Microsoft Word and Excel.
- Excellent data entry skills
- Ability to work in a database environment a plus
- Experience in learning various software programs a plus
- Self-starter with strong organizational skills, the ability to work independently, and complete tasks as identified and/or assigned
- We are an Equal Opportunity Employer
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