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Clinical Support Specialist
SPECTRAFORCE
- California, Maryland, United States
- California, Maryland, United States
Über
$19.00/hr - $20.00/hr Direct message the job poster from SPECTRAFORCE Senior Recruiter at SPECTRAFORCE Technologies
Job Title:
Clinical Support Coordinator 2 Location:
Remote in California Duration of the assignment:
6+ Months (Potential to extend or convert to a permanent role depending on the performance and business needs) Shift timings:
8:30AM- 5:00PM Pacific Times. The pay rate starts from $20/hour Day to Day Responsibilities Review CalAIM Community Supports Screening documents to determine member eligibility for CalAIM Community Supports. Follow up with internal staff and providers to support the successful referral and enrollment of members into CalAIM Community Supports services. Process daily service authorizations and denials for requested Community Supports services. Perform data entry, tracking and case documentation for all members referred for services, including enrollment status, authorizations, encounter data, care coordination activities, clinical case records and regulatory reports. Support with reconciling provider invoicing and claims. Support with sending communications to Community Supports Providers to ensure timely submission of deliverables and reports. Support with implementation of CalAIM Community Supports trainings to internal teams, external providers, and community-based organizations by providing ongoing education about CalAIM Community Supports services and referral process. Identify and help to address gaps/barriers in the care coordination process to improve member access to services. Review Provider reports to ensure accurate data collection and reporting · Respond to inquiries regarding service authorization request status. Actively participate in Multidisciplinary Team meetings to coordinate member care and support member retention in CalAIM Community Supports services. Conduct outreach calls to members, as needed, to verify engagement in Community Supports services. Participate actively in ensuring that all state and federal rules and regulations are followed. Perform other assigned duties, as required. Required Skills (top 3 non-negotiables): Detailed-oriented Experience with data entry and/or utilization management Preferred Skills (nice to have): Health Plan and/or Medi-Cal experience/knowledge Experience working in electronic medical record systems Education Requirements:
High School Diploma or equivalent Software Skills Required:
Word, Excel, Outlook, Teams Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Administrative Industries Pharmaceutical Manufacturing, Hospitals, and Hospitals and Health Care Referrals increase your chances of interviewing at SPECTRAFORCE by 2x Get notified about new Clinical Coordinator jobs in
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- English
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