Clinical Response Coordinator Jobs
By Legacy of Hope At Birmingham, AL, United States

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A&G Clinical Coordinator - 100% Remote
By Healthfirst At Georgia, United States
Complete all associated data entry and authorization creation in the True care system.
Knowledge of related NY state and federal regulations highly desirable
Knowledge of the New York state ART 44 PHL and federal regulatory environment
Knowledge of claims payment process and claims data system (MHS)
Prepare cases for the clinical team by gathering documentation, loading evidence, and making calls to members and providers.
Perform administrative activities including but not limited to generating and printing determination and authorization notification letters.

Are you looking for a challenging and rewarding career in healthcare? We are looking for an experienced Clinical Coordinator to join our team! This position offers the opportunity to work with a diverse patient population, collaborate with a multidisciplinary team, and make a positive impact on patient care. If you are passionate about healthcare and have a desire to make a difference, this is the job for you!

Overview A Clinical Coordinator is a healthcare professional who is responsible for overseeing the clinical operations of a medical facility. They are responsible for ensuring that the facility meets all regulatory standards, providing quality patient care, and managing the staff and resources of the facility. Clinical Coordinators are also responsible for developing and implementing policies and procedures, as well as providing training and education to staff members. Detailed Job Description Clinical Coordinators are responsible for overseeing the clinical operations of a medical facility. This includes ensuring that the facility meets all regulatory standards, providing quality patient care, and managing the staff and resources of the facility. Clinical Coordinators are also responsible for developing and implementing policies and procedures, as well as providing training and education to staff members. They must also ensure that the facility is compliant with all applicable laws and regulations. Additionally, Clinical Coordinators are responsible for monitoring patient care and ensuring that all staff members are following the established protocols. Job Skills Required
• Excellent organizational and communication skills
• Ability to work independently and as part of a team
• Knowledge of medical terminology and procedures
• Knowledge of healthcare regulations and standards
• Ability to manage multiple tasks and prioritize effectively
• Ability to problem solve and make decisions
• Ability to work in a fast-paced environment
Job Qualifications
• Bachelor’s degree in healthcare administration, nursing, or a related field
• Previous experience in a healthcare setting
• Certification in healthcare administration or a related field
• Knowledge of medical terminology and procedures
• Knowledge of healthcare regulations and standards
Job Knowledge
• Knowledge of medical terminology and procedures
• Knowledge of healthcare regulations and standards
• Knowledge of patient care protocols
• Knowledge of healthcare management systems
• Knowledge of patient safety protocols
Job Experience
• Previous experience in a healthcare setting
• Previous experience in a clinical setting
• Previous experience in a managerial role
• Previous experience in a supervisory role
Job Responsibilities
• Oversee the clinical operations of a medical facility
• Ensure that the facility meets all regulatory standards
• Provide quality patient care
• Manage the staff and resources of the facility
• Develop and implement policies and procedures
• Provide training and education to staff members
• Monitor patient care and ensure that all staff members are following the established protocols
• Ensure that the facility is compliant with all applicable laws and regulations
• Manage patient safety protocols