Clinical Coordinator - Case Management

Clinical Coordinator facilitates case management by performing intake and clinical data collection & entry, clinical intake screening assessment, and effectively communicating with Nurse Case Managers.

Requirements

• 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