Clinical Review Coordinator / Specialty / RemoteBrightSpring Health Services • Englewood, CO, US

Clinical Review Coordinator / Specialty / Remote

BrightSpring Health Services • Englewood, CO, US

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Job Description

Overview

The Specialty Clinical Review Coordinator will ensure referrals and new orders meet clinical admission payer criteria. This role ensure that all assigned specialty patients are provided with timely and exceptional clinical service and an exception customer experience.

Schedule : Monday - Friday

8 : 30am - 5 : 30pm

Competitive Pay
Health, Dental, Vision & Life Insurance
Company-Paid Short & Long-Term Disability
Flexible Schedules & Paid Time Off
Tuition Reimbursement
Employee Discount Program & DailyPay
401k
Pet Insurance

Responsibilities

On-board all new specialty infusion referrals

Manage relationships with internal customers to ensure effective workflow

Reviews referral documents and updates information in the patient’s demographics

Reference clinical admission criteria for specialty therapies and navigate patient charts to locate documentation for admission criteria

Works closely with sales partners to ensure completeness of submitted referral information

Participates in the development of best practices for documentation supporting clinical care and reimbursement qualification for Specialty Patients

Support patient retention efforts by ensuring all reasonable interventions are executed to retain a patient on service

Supervisory Responsibility : No

Qualifications

EDUCATION / EXPERIENCE

Pharmacy Technician background

Recent three to five (3-5) years of experience in specialty pharmacy, home infusion and / or home health

Experience in Microsoft BI. Experience in Outlook, Word, and PowerPoint desired

LICENSE / CERTIFICATION / OTHER SPECIAL REQUIREMENTS

State pharmacy technician licensure

PTCB certified technician credentials preferred

KNOWLEDGE / SKILLS / ABILITIES

Ability to work effectively within a multidisciplinary team

TRAVEL REQUIREMENTS

Percentage of Travel : 0-25%

To perform this role will require sitting, and typing on a keyboard with fingers for an extensive amount of time, and occasionally standing, walking, bending, and reaching. The physical requirements will be the ability to push / pull and lift / carry 1-10 lbs

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Clinical Coordinator • Englewood, CO, US

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