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Job summary
A national healthcare recruiting firm seeks a professional to manage clinical resources and coordinate member care. The role involves evaluating healthcare requests, serving as a liaison among members, providers, and pharmacies, and ensuring effective service plans for complex medical cases. This position requires strong organizational skills and clinical knowledge. Interested candidates should contact Aljon Loria at 321-234-2124 to apply.
Responsibilities
Identify special needs members through health screens and other resources.
Review and evaluate requests for specialized and private care.
Act as a clinical resource to complex medical cases.
Act as a liaison between members, providers, and pharmacies.
Coordinate with Discharge Planning teams for member placements.
Ensure follow-up on care and service coordination.
Assess service needs and determine support available.
Oversee the development and modification of service plans.
Serve as clinical consultant for the Service Coordination team.
Job description
A national healthcare recruiting firm seeks a professional to manage clinical resources and coordinate member care. The role involves evaluating healthcare requests, serving as a liaison among members, providers, and pharmacies, and ensuring effective service plans for complex medical cases. This position requires strong organizational skills and clinical knowledge. Interested candidates should contact Aljon Loria at 321-234-2124 to apply.