Clinical Support Liaison

Insight Hospital and Medical Center; Flint (MI); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Comprehensive health, dental, and vision insurance

Paid time off including vacation and sick leave

401K with matching contributions

Disability and life insurance benefits

Job summary

A leading healthcare provider in Flint, Michigan, is seeking a Clinical Support Liaison to manage specialty coordination across multiple locations. This pivotal role involves case management, telehealth scheduling, and ensuring efficient communication among providers, patients, and pharmacies. The ideal candidate holds a Bachelor's degree and has proven skills in insurance verification and case management. This position offers comprehensive benefits, making it essential for those passionate about improving patient care. Commitment to diversity and equal opportunity employment is fundamental to the workplace culture.

Qualifications

• Proven experience in case management or healthcare roles.
• Ability to demonstrate authorization to work in the U.S.
• Strong organizational and time-management skills.
• Strong organizational and communication skills for fast-paced environments.
• Ability to maintain real-time updates across trackers and schedules.

Responsibilities

• Oversee management of specialties across multiple locations.
• Coordinate telehealth appointments for patients.
• Handle prior authorization submissions and verifications.
• Patient Access to Medications: coordinate delivery and support copays and manufacturer programs.
• Specialty Pharmacy Coordination: prepare materials for discussions with pharmacy teams.
• Patient Communication: provide updates and escalate issues to clinical staff.
• Communication Management: maintain ongoing threads across providers and teams.
• Tracker Management: keep trackers updated for all specialties and locations.
• Clinical and Tracker Audits: ensure compliance with renewals, refills, and follow-ups.
• Miscellaneous Duties: manage shipment tracking and provider to-do lists.

Skills

Insurance verification

Case management

Communication skills

Organizational skills

Data management

Data management

Communication skills

Independent work

Education

Bachelor's degree in Business Administration or related field

Tools

Tracking tools

EMR systems

Job description

Insight Institute of Neuroscience & Neurosurgery (IINN) aims to advance, challenge, and revolutionize neurosciences and medicine through scientific research and advanced technology, driven by a passion to help others regardless of any obstacles and challenges that may lie ahead. Our integrated team of medical professionals does so through creative, innovative techniques and care principles developed because of our continuous pursuit to improve the field of medicine. Our integrated team works together to find solutions to both common and complex medical concerns to ensure more powerful, reliable results. Having multiple specialties “under one roof” Insight achieves its purpose in providing a comprehensive, collaborative approach to neuromusculoskeletal care and rehabilitation to ensure optimal results. Our singular focus is Patient Care Second to None!

Position Summary

The Clinical Support Liaison will oversee the management of specialties across multiple providers' practices and locations. This position ensures seamless coordination among providers, patients, clinical staff, insurance companies, and specialty pharmacies. The role involves comprehensive case management, real‑time data tracking, and operational efficiency to support treatments for cases.

Benefits for our Full Time Team Members

• Comprehensive health, dental, and vision insurance coverage
• Paid time off, including vacation, holidays, and sick leave
• 401K with Matching; offerings vested fully @ 3 months of employment paired with eligibility to contribute
• Short & Long Disability, and Life Term insurance, complementary of Full Time Employment
• Additional Supplementary coverages offered @ employee's elections: Accident, Critical Illness, Hospital Indemnity, AD&D, etc.

Key Responsibilities

• CDTM Management
• Reach out to providers or their offices via phone, secure email, or fax to request signed documentation.
• Schedule reminders to follow up if documentation has not been received in a timely manner. Use tracking systems (CRM or spreadsheets) to monitor requests.
• Obtain access to EMR, if access is not possible obtain pertinent information associated with patient needed for pharmacist visit such as recent progress notes, lab work, prescriptions, and any other necessary documentation.
• Organize digitally in specified folders and tracker systems categorized by specialty and provider.
• Telehealth Management
• Schedule and coordinate telehealth appointments for new and existing patients.
• Provide technical assistance and communicate with patients regarding telehealth requirements and processes.
• Prior Authorizations (PA)
• Handle PA submissions through respective platforms CoverMyMeds, PromptPA, Availity, Champs, and/or paper fax.
• Verify insurance details, review formulary guidelines, and prepare chart audits with supporting documentation.
• Manage renewal processes, appeals, and formulary adjustments as required.
• Patient Access to Medications
• Notify patients and clinical staff upon PA approval.
• Coordinate medication delivery through IM2 or external specialty pharmacies. Routing to the appropriate medical staff member as needed.
• Assist patients with copay payments and support enrollment in manufacturer assistance programs or free drug initiatives.
• Specialty Pharmacy Coordination
• Prepare and manage meeting materials for specialty pharmacy discussions with Pharmacy tech in Chicago hospital.
• Ensure efficient case resolution and inclusion of additional patient cases as needed.
• Patient Communication
• Provide status updates, PA progress, and formulary changes through phone calls, texts, and messaging platforms like Klara.
• Escalate unresolved communication issues to clinical staff for follow‑up.
• Communication Management
• Maintain critical communication threads with daily interactions, including providers and teams at various providers’ practices.
• Facilitate seamless communication across locations and teams to address patient needs.
• Tracker Management
• Maintain real‑time updates on all trackers for specialties across providers’ practices.
• Manage patients through the trackers.
• Ensure trackers are accurate and actively used for daily operations.
• Clinical and Tracker Audits
• Conduct regular audits of clinical schedules and trackers to ensure compliance with PA renewals, refills, and patient follow‑ups.
• Address discrepancies and ensure accurate tracking of patient cases and shipments.
• Miscellaneous Duties
• Manage FedEx shipment tracking for patient medications.
• Oversee a to‑do list for providers, prioritizing activities across providers’ practices.

Qualifications

• Ability to demonstrate authorization to work in the U.S. for any employer.
• Bachelor's degree in Business Administration, Healthcare Administration, Management, or related field is required.
• Proven experience in case management or a related healthcare role.
• Expertise in insurance verification, prior authorizations, and patient assistance programs.
• Proficiency in tracking tools, data management, and real‑time updates.
• Strong organizational and communication skills to manage multiple stakeholders.
• Ability to work independently in a fast‑paced, dynamic environment.

Preferred Skills

• Familiarity with specialty pharmacy operations and manufacturer assistance programs.
• Knowledge of telehealth platforms and virtual care processes.
• Experience working with clinical staff and providers across multiple locations.

This comprehensive role requires a proactive, detail‑oriented individual passionate about enhancing patient access to biologics while ensuring seamless coordination among healthcare stakeholders.

Insight is an equal opportunity employer and values workplace diversity!