Clinical Coordinator-LPN

Brighton Health Plan Solutions; United States; Remote; USD 55,000 - 60,000; Full time

Job summary

An established industry player in healthcare is seeking a Clinical Coordinator to enhance case management services. This role involves collecting clinical data, performing intake assessments, and effectively communicating with Nurse Case Managers. You'll be part of a diverse team dedicated to transforming healthcare access and delivery. With a focus on respect, inclusion, and professional growth, this position offers a unique opportunity to contribute to meaningful change in the healthcare landscape. If you're passionate about making a difference and possess strong organizational and communication skills, we invite you to apply and join us in delivering exceptional care.

Benefits

Medical Insurance

Vision Insurance

401(k)

Paid Maternity Leave

Paid Paternity Leave

Disability Insurance

Qualifications

• LPN/LVN license required for clinical coordination.
• Strong skills in medical record review and data collection.

Responsibilities

• Handle phone calls and manage correspondence with members.
• Collect clinical data and verify member eligibility.

Skills

Customer Service Skills

Clinical Data Collection

Medical Terminology

Critical Thinking

Microsoft Word

Microsoft Excel

Organizational Skills

Education

High School Diploma or GED

LPN/LVN License

Bachelor’s Degree

Tools

Case Management System

Database Software

Job description

Brighton Health Plan Solutions provided pay range

This range is provided by Brighton Health Plan Solutions. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$55,000.00/yr - $60,000.00/yr

Direct message the job poster from Brighton Health Plan Solutions

Lead Recruiter at Brighton Health Plan Solutions

About The Role

Brighton Health Plan Solutions (BHPS) provides Case Management / Medical Management services to its clients. Clinical Coordinator facilitates case management by performing intake and clinical data collection & entry, clinical intake screening assessment, and effectively communicating with Nurse Case Managers. The Clinical Coordinator reports to the Manager, Case Management.

Primary Responsibilities

• Answer and handle phone calls within required time frames.
• Mail/email correspondence, resources, and information to member.
• 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.

Essential Qualifications

• 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.
• 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.

About

At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion, and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all your unique abilities. Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes, and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions. Come be a part of the Brightest Ideas in Healthcare.

Company Mission

Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners.

Company Vision

Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.

DEI Purpose Statement

At BHPS, we encourage all team members to bring your authentic selves to work with all your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing, and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level.

*We are an Equal Opportunity Employer

Annual Salary Range

The salary range and/or hourly rate listed is a good faith determination that may be offered to a successful applicant for this position at the time of the posting of an 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 by law including but not limited to location, years of relevant experience, education, credentials, skills, budget and internal equity.

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider and Customer Service

• Industries

  Medical Practices and Hospitals and Health Care

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Paid maternity leave

Paid paternity leave

Disability insurance

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