Clinical Support Coordinator 2
Iconmapismo beach, CA
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Job Description
Our Client, a Health Insurance company, is looking for a Clinical Support Coordinator 2 for their Hybrid location.Responsibilities:
- Review Community Supports Screening documents to determine member eligibility for Community Supports.
- Follow up with internal staff and providers to support the successful referral and enrollment of members into 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 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 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.
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
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FAQs About Clinical Support Coordinator 2 Jobs at Iconma
What is the work location for this position at Iconma?
This job at Iconma is located in pismo beach, CA, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Iconma?
Employer has not shared pay details for this role.
What employment applies to this position at Iconma?
The employer has not provided this information. This may be discussed during the hiring process.
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