RN Clinical Operations & EEOICPA Claims Lead

Professional Case Management (PCM); Almont (CO); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401(k)

Health Savings Account (HSA)

Paid Time Off

Flexible Spending Account (FSA)

Company Paid Short Term Disability

Job summary

Professional Case Management is seeking a Specialized Services Clinical Administrator to support physicians by writing medical opinion letters for Home Care clients and managing the DOL authorization process. The role emphasizes thorough clinical summaries, Recordkeeping in Salesforce, and client education.

Ideal candidates are RNs with strong communication skills, experience with EEOICPA, and the ability to liaise with physicians, case managers, and home care staff while maintaining meticulous

Qualifications

• RN license is required.
• Knowledge of EEOICPA program preferred.
• Strong communication and interpersonal skills essential.
• Experience documenting claimant records in Salesforce.
• Ability to manage time and stay organized with minimal direction.

Responsibilities

• Write clinical summaries to assist the Specialized Services physician.
• Liaise with Clinical Operations, Home Care clients, and Case Managers about new conditions.
• Document steps in Salesforce and track DOL authorization progress.
• Educate Home Care clients on benefits of adding covered conditions.

Skills

RN

EEOICPA knowledge

Communication

Salesforce

Time management

Phone skills

Computer skills

Education

Registered Nurse

Tools

Salesforce

MS Office

Job description

Professional Case Management is seeking a Specialized Services Clinical Administrator to support physicians by writing medical opinion letters for Home Care clients and managing the DOL authorization process. The role emphasizes thorough clinical summaries, Recordkeeping in Salesforce, and client education.

Ideal candidates are RNs with strong communication skills, experience with EEOICPA, and the ability to liaise with physicians, case managers, and home care staff while maintaining meticulous