Clinical Coordinator: Utilization Management
Devoted Health
This job is no longer accepting applications
See open jobs at Devoted Health.See open jobs similar to "Clinical Coordinator: Utilization Management" Venrock.At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Job Description
A bit about this role:
The Clinical Coordinator has an important role supporting Clinical Operations as we ensure our members have appropriate post discharge planning and follow up in place. The Clinical Coordinator will support the team with member outreach and coordination while the member is inpatient and post discharge.
Responsibilities will include:
Reaching out to hospitals and provider offices to obtain clinical documentation
Reaching out to Home Care and DME vendors to confirm start of care
Reviewing member charts in the clinical documentation system for claim adjudication and updating associated episodes as needed
Monitoring return fax que and researching provider profile for updated contact and fax information
Monitor intake que and assign new referrals to nurse census
Provide additional operational support for assigned team and manager as designated
Pull medical record from hospital EHR access
Help with discharge planning
Help RN with Cases
Provide additional operational support for assigned team and manager as needed
Outreach Member when admitted to Post Acute facility and complete a Welcome call.
Outreach to Post Acute facilities to confirm Member admission date.
Work with Looker to download your daily assignments and reports.
Work with inpatient tool for RFIs
Assist with the observation workflow
Attributes to success:
Things move swiftly at a startup - enjoying a fast paced environment is key
Understanding urgency and having the ability to juggle multiple priorities
You follow up relentlessly
You can see the process and ways to make it better
Ability & agility to multitask - you may be asked to do several things and need to change plans mid day
You’re a great team player with a can do attitude
Great communication skills - you’ll be talking and emailing with a lot of different stakeholders
Candidate will need to be available to work varying hours between 8am EST to 8pm EST
Desired skills and experience:
A high school diploma - Required
Managed Care / Health Plan experience preferred
1-3 years of administrative or Medical Office experience preferable
Proficient in technology - Google Sheets and suite of google products- Strongly Preferred
Proficient navigating EHR and Clinical Documentation Systems
Remote work
Bilingual a plus
Salary Range: $22.50 - $26 per hour
Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce. If you lack a specific credential for this position but believe that your strengths and life experiences will propel our mission, we would love to hear from you.
Our Total Rewards package includes:
Employer sponsored health, dental and vision plan with low or no premium
Generous paid time off
$100 monthly mobile or internet stipend
Stock options for all employees
Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
Parental leave program
401K program
And more....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
The salary and/or hourly range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, years of relevant experience, education, credentials, budget and internal equity).
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
This job is no longer accepting applications
See open jobs at Devoted Health.See open jobs similar to "Clinical Coordinator: Utilization Management" Venrock.