outpatient program coordinator

MEDPOINT MANAGEMENT

<div><h3 class="jobSectionHeader">Summary</h3><div>
Thursday-Monday 8am-5pm. The Outpatient UM Coordinator provides effective communication between MSO, IPA providers, and members to coordinate member care. Communication to include accessibility to care, validating contract entities, and ensuring timeliness standards are met. The Outpatient UM Coordinator reports directly to the Outpatient Lead Coordinator under the guidance of the Supervisor.</div><h3 class="jobSectionHeader">
Duties and Responsibilities:</h3><ul><li>
Process authorization requests per state and federal timeliness regulations</li><li>
Validate data entry process for errors</li><li>
Verify member benefits and eligibility upon receipt of treatment authorization request</li><li>
Utilizes authorization matrix, ancillary rosters, DOFR and/or delegation agreements to drive decision-making</li><li>
Coordinates with referral Clinician and/or Medical Director for timely processing</li><li>
Communicate with Medical Directors to facilitate Medical Reviews for non-clinical medical review referrals</li><li>
Outreach to members on adjudication decisions</li><li>
Outreach to providers offices when additional information is needed</li><li>
Maintain knowledge of CMS &amp; Medi-Cal policy guidelines i.e. Medicare LCD vs NCD</li><li>
Identify &amp; inform Case Management Clinician on complex care diagnoses</li><li>
Screen cases for possible California Children Services (CCS) eligible condition</li><li>
Read and maintain email inquiries</li><li>
Collaborate with other departments (i.e. Claims, PNO, etc.) to resolve member/provider matters as needed</li><li>
Data entry for additional requested services, as needed</li><li>
Assist with special projects, as needed</li><li>
Assists other team members with their workload, as needed</li><li>
Regular attendance at UM team meetings</li></ul><h3 class="jobSectionHeader">
Minimum Job Requirements:</h3><ul><li>
High School graduate or GED equivalent</li><li>
One-year medical office experience</li><li>
Knowledge of medical terminology</li><li>
Proficiency in Microsoft Office programs, especially Word and Excel</li><li>
Proficiency in EZCAP a plus</li></ul><h3 class="jobSectionHeader">
Skills and Abilities:</h3><ul><li>
Ability to multi-task while remaining adaptable and flexible to fast-paced environment</li><li>
Reliable, dependable, and accountable</li><li>
Strong customer service skills with good telephone rapport</li><li>
Ability to empathize with complex cases</li><li>
Self-Motivation and ability to work effectively in an independent environment</li><li>
Great critical thinking and problem-solving skills</li></ul><h3 class="jobSectionHeader">
Salary Range:</h3><ul><li>
$21 &ndash; $23 hourly</li></ul></div>

Outpatient UM Coordinator (Thursday-Monday 8am-5pm)

Mission Health

<div>Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: On Site Dispatcher PACE Program Outpatient<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5><h5 class="jobSectionHeader">
We are seeking an On-Site Dispatcher CarePartners with our Program Of All Inclusive Care with the Elderly Program for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!</h5><h5 class="jobSectionHeader">
Job Summary and Qualifications</h5><h5 class="jobSectionHeader">
Role Summary:
Using effective communication skills, serves customers by answering or referring telephone inquiries, and/or by assisting the customer in person to support participant transport needs. Serves as a point of contact for PACE Transportation, PACE Operations, PACE Electronic Medical Record and the transportation/dispatch software system. Able to function as a backup driver to the PACE Transportation Team</h5><h6 class="jobSectionHeader">
What qualifications you will need:</h6><h5 class="jobSectionHeader">
Required Experience:
High School Diploma or Equivalent None NC Driver&rsquo;s License, BLS, First Aid Class B CDL with P Endorsement Demonstrated computer literacy and experience with web based programs and MS Office Suite.
One to two years of experience working in customer relations or other public contact field.
One year experience working with and/or transporting the frail and elderly.
Preferred Experience:Previous dispatch experience<ul><li>
Basic Cardiac Life Support must be obtained within 15 days of employment start date</li><li>
First Aid Basic must be obtained within 15 days of employment start date</li><li>
Drivers License must be obtained within 7 days of employment start date</li><li>
High School Graduate / GED</li></ul>
Benefits</h5>
CarePartners, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
CarePartners Health Services, a member of Mission Health, an operating division of HCA Healthcare, is a healthcare organization serving western North Carolina and offering a full continuum of post-acute care. Located in Asheville, North Carolina, it&rsquo;s services include a Rehabilitation Hospital, Home Health, Outpatient Rehabilitation, Hospice, Palliative Care, Private Duty, PACE (Program of All-inclusive Care for the Elderly) and Orthotics &amp; Prosthetics. With more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. 
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder 
If you find this opportunity compelling, we encourage you to apply for our On Site Dispatcher PACE Program Outpatient opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

On Site Dispatcher PACE Program Outpatient

Park Place Behavioral Healthcare

<div>SUMMARY:
Responsible for client, referral, and scheduling duties, while providing exceptional customer service by phone and in person. Duties may include admitting new clients, managing appointment check-ins, collecting copays, and maintaining regular communication with other agency staff, doctors&rsquo; offices, and hospitals.
SUPERVISORY RESPONSIBILITIES:
N/A
ESSENTIAL DUTIES AND RESPONSIBILITIES:
The Duties and Responsibilities reflect the general details considered necessary to describe the principal functions of the job and shall not be construed as a detailed description of all related work assignments that may be inherent to the job.<ul><li>Respond to clients and staff in a courteous, timely, and professional manner by phone or in person.</li><li>Accurately register and/or update all necessary client demographics screens in the EHR for new clients.</li><li>Check in clients, verify insurance benefits, verify personal information, update payors, and collect co-pays for new and existing clients. This includes telehealth or in person appointments.</li><li>Scan and save identification and insurance cards to client records including any change of information.</li><li>Prepare, label, scan and forward charts to Health Information Center after Intake.</li><li>Perform appointment reminder calls for all scheduled outpatient appointments, informing client of copays owed (if applicable) and/or balance due or credit available (if applicable), verifying that insurance information is correct and complete, and verifying that home address is correct and complete, making updates as needed.</li><li>Assist clients with their questions regarding any outstanding balances. Refer to Patient Accounts Specialist if client requires further assistance.</li><li>Manage standby or open access lists.</li><li>Maintain office area clean at all times.</li><li>Monitor and manage website, email, faxes, chat rooms and online applications to schedule and initiate services.</li><li>Process referrals for new and follow up clients.</li><li>Coordinate care of new clients with outside agencies, hospitals and providers.</li><li>Track data of client referrals within the system.</li><li>Maintain programs waitlist and report monthly</li><li>Manage web based interactions and telephone to communicate regularly with customers in regards to transferring, scheduling, rescheduling and cancelation of appointments.</li><li>Operates a telephone switching system to handle incoming calls regarding scheduling and route other incoming calls to the correct individual or department.</li><li>Perform telephone operations such as, transferring and forwarding calls, use of voice mail</li><li>Performs other duties as required by supervisor</li></ul>
QUALIFICATIONS, EDUCATION AND/OR EXPERIENCE:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.<ul><li>High School Diploma or G.E.D. Certificate.</li><li>2 years of customer service with exemplary telephone etiquette experience required.</li><li>Experience in a behavioral health or medical facility preferred but not required.</li><li>Ability to work a flexible schedule when necessary</li><li>Ability to apply common sense understanding and communicate effectively in order to carry out instructions both verbally and in writing with clients, in staff meetings, and with supervisors. Bilingual preferred.</li><li>Knowledge using registration, scheduling systems, telephone switching system, and web based resources.</li><li>COMPUTER SKILLS: Must have Intermediate to advanced experience in MS .Office Suite (Outlook, Word, Excel, and PowerPoint), the use of personal computers, and standard office productivity software.</li><li>LANGUAGE SKILLS: Ability to read and interpret documents such as safety rules, operation and maintenance instructions, and procedure manuals</li></ul>
REQUIREMENTS:<ul><li>A valid Class E Drivers&rsquo; License for positions that require driving personal or Agency vehicle on Agency business.</li><li>Must maintain a minimum Bodily Injury &amp; Property Liability insurance limit of at least $50,000 for positions that require driving personal own vehicle (POV) on Agency business. (Proof Required)</li><li>PPBH is a 24/7 Agency. All employees must be available as needed when required.</li></ul>
PHYSICAL DEMANDS:
The physical demands here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to use hands to finger, handle, or feel objects, tools, or controls and reach with hands and arms. The employee is occasionally required to stand; walk; sit; climb or balance; stoop; kneel; crouch; or crawl; and talk or hear.
In case of emergencies or business needs, this position may require to work remote</div>

Outpatient Support Services Coordinator

Baptist Medical Center Jacksonville

<div>About Baptist Health 
Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as &ldquo;most preferred&rdquo; for more than 30 years. We&rsquo;re Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital.
Baptist Medical Center is looking to add a Clinical Triage and Referral Coordinator to our Outpatient Behavioral Health Department. This is a Part-Time, Day-shift, in-office opportunity.
As a Clinical Triage and Referral Coordinator, you will support three Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) services, including Maternal Mental Health. You will work closely with an interdisciplinary treatment team that includes mental health professionals, psychiatrists, therapists, and program leadership to ensure timely, appropriate access to PHP and IOP services.
This position functions at the center of the Outpatient Behavioral Health department and serves as a key point of contact for all PHP/IOP referrals. Using strong verbal, listening, and written communication skills&mdash;along with expertise in administering evidence-based screeners and brief mental status assessments&mdash;the coordinator facilitates comprehensive triage and screening for all incoming referrals.
In addition to clinical triage functions, the coordinator provides administrative support, including scheduling and phone coverage for the clinical team, and collaborates with the TAP team regarding insurance authorizations and referral coordination.
Responsibilities include:<ul><li>
Triaging and screening all PHP/IOP referrals</li><li>
Collaborating with interdisciplinary PHP/IOP treatment teams</li><li>
Assisting with scheduling and phone coverage for the clinical team</li><li>
Partnering with the TAP team for insurance authorizations and referral processes</li></ul>
Experience Requirements:<ul><li>
Over 5 years Relevant equivalent experience in lieu of education</li><li>
3-5 Years Behavioral Health Experience</li></ul>
Education &amp; Credential Requirements:<ul><li>
Bachelor&rsquo;s Degree in Psychology or a related field</li></ul>
If you&rsquo;re interested in this Part-Time, Day-shift Clinical Triage and Referral Coordinator opportunity at Baptist Jacksonville, please apply today!
Primary Location:
Downtown - Reid Building</div>

Clinical Triage and Referral Coordinator, Behavioral Health, Baptist Downtown

UPMC

<div><div>Responsibilities:
<div>About the Position:
<div>Outpatient Nurse Coordinator - Comprehensive Lung Center (UPMC Presbyterian)</div><div>
</div><div></div><div>UPMC Presbyterian is seeking a dedicated and experienced nursing professional to join our high‑volume pulmonary outpatient clinic as an Outpatient Nurse Coordinator. This is an excellent opportunity for a motivated, patient‑focused RN who is passionate about delivering exceptional outpatient care, supporting care coordination, and enhancing the overall patient experience. The ideal candidate is detail‑oriented, compassionate, and committed to fostering a safe, high‑quality, and collaborative care environment.</div><div>
</div><div>Hybrid Schedule: Monday-Friday, 8am-4:30pm, up to two remote workdays each week</div><div>
</div><div>About the Position:
</div><div></div><div>The Outpatient Nurse Coordinator is a Registered Nurse and key member of a high‑volume pulmonary outpatient clinic care team. This role provides comprehensive oversight of outpatient care using independent judgment and continuous communication with patients, families, providers, and community resources. Responsibilities include patient education, medication management support, obtaining prior authorizations, and serving as a liaison between patients and providers. The Nurse Coordinator advocates for patients at all times and demonstrates a strong commitment to the community and the nursing profession.</div>
Responsibilities:<ul><li>
Engage in ongoing professional development and participate in shared governance and quality initiatives.</li><li>
Provide leadership within the practice, supporting nursing and support staff and maintaining a safe, effective care environment.</li><li>
Deliver holistic, patient‑centered care, including triage, care coordination, education, and follow‑up.</li><li>
Serve as primary nursing resource and liaison for patient caseload, coordinating with physicians and external services.</li><li>
Build positive, collaborative relationships with patients, families, and all care team members.</li><li>
Demonstrate strong critical thinking, clinical judgment, communication, and documentation skills.</li><li>
Support department operations, safety, regulatory preparation, and practice improvements.</li><li>
Educate patients, families, students, and new staff; may precept and assist with staff development.</li><li>
Promote a compassionate, patient‑focused experience and contribute to a culture of continuous improvement.</li></ul></div></div><div><ul><li>
Minimum 3 years nursing experience. BSN preferred.</li><li>
The individual must be able to demonstrate the knowledge and skills necessary to provide care and/or interact appropriately to the ages of the patients served by his/her assigned unit as specified below.
</li><li>They must also demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patients status and interpret the appropriate information needed to identify each patients requirements relative to his/her age-specific needs and to provide the care needs as described in the department policy and procedures.</li></ul> 
Licensure, Certifications, and Clearances:<ul><li>
Current licensure as a Registered Professional Nurse in practicing state.</li><li>
UPMC approved national certification preferred.</li><li>
Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) within 30 days of hire</li><li>
Registered Nurse (RN)</li><li>Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state.</li></ul> 

UPMC is an Equal Opportunity Employer/Disability/Veteran</div></div>

Outpatient Nurse Coordinator - Comprehensive Lung Center (UPMC Presbyterian)

Psychiatric Medical Practitioners, Inc

'Company Overview' 'Psychiatric Medical Practitioners, Inc (PMPI) is a dedicated provider of telepsychiatric services , committed to enhancing mental health care through innovative and compassionate approaches. Since 2008, our team of Board Certified providers has been delivering quality outpatient psychiatric care with a focus on patient well-being and operational excellence.' 'Summary' We are seeking a Clinical Administrative Coordinator to join our team. This vital role supports the efficient operation of our outpatient clinics by managing administrative tasks and ensuring smooth communication between providers and patients. The position offers an opportunity to contribute to mental health services that make a difference.-Strong verbal and written communication skills- Strong critical thinking and analytical skills- Knowledge of statistics and research design for social science- Ability to teach and coach mental health workers- Bachelor&rsquo;s degree in Psychology or Social Work, experiencewith mental health patients expectedResponsibilitiesThe Clinical Administrative Coordinator (CAC) monitors telepsychiatry services in their assigned clinics/groups with a focus on early identification of problems reducing the effectiveness or efficiency of telepsychiatry services.Under the supervision of the Clinical Administrative Supervisor (CAS), the CAC:<ul><li>Supports daily collection of utilization data and creates monthly reports of key measures.</li><li>Coordinates provider peer review data collection and submits reports.</li><li>Coordinates survey data collection and assists in creating reports.</li></ul>The CAC is responsible for supporting and assisting the CAS by:<ul><li>Collecting data about patient, clinic, and provider questions, concerns, and complaints.</li><li>Communicating with clinic staff, providers and PMPI MAs to identify problem areas and opportunities to improve patient care as well as program effectiveness and efficiency.</li><li>Assisting the CSM in creating and executing quality improvement (QI) projects.</li></ul>Telepsychiatry ServicesFocus on the patient, displaying genuine care and empathy in all interactions, and ensuring patient satisfaction. Follow workflow procedures for day-to-day coordination of clinical support and quality improvement projects.Understand and follow applicable Federal and State laws (e.g., HIPAA), regulations (e.g., OSHA), professional standards, and ethical principles; comply with PMPI policies and procedures to ensure patient safety and protect patient privacy and security.Demonstrates compassion and care by proactively identifying and resolving potential problems to ensure patients are receiving excellent care and support. Collaborates with clinic supervisors and staff to resolve issues and deliver timely resolution of any telepsychiatry related concerns.&quot;Call-To-Action''Join our dedicated team at Psychiatric Medical Practitioners, Inc and help us deliver exceptional mental health care. If you are organized, compassionate, and eager to make a difference in patients&rsquo; lives, we want to hear from you&mdash;apply today to become an integral part of our mission!'Pay: $18.00 - $22.00 per hourWork Location: In person

Clinical Administrative Coordinator

United Theranostics

<div>
 
 
 Clinical Research Coordinator
 
 
 
 
 
 
 At United Theranostics, patients are at the heart of everything we do. We're a growing national network of outpatient theranostics clinics dedicated to bringing advanced, precision radiopharmaceutical cancer treatments directly to local communities. This is an opportunity to work alongside one of the nation's most distinguished physicians in the theranostics field.
 
 
 
 
 
 
 About the Role
 
 
 
 We're looking for a Clinical Research Coordinator to join our new outpatient theranostics clinic in Glen Burnie. This is a dual-focus role: you'll lead all aspects of research coordination while also serving as a dependable backup to our Patient Care Coordinator.
 
 
 
 
 
 You'll be part of a tight-knit team &mdash; a physician, a chief nuclear medicine technologist, and a patient care coordinator &mdash; where everyone contributes and every role is valued. You won't just join a team; you'll help shape how we work together from day one.
 
 
 
 
 
 
 What You'll Do
 
 
 
 
 Clinical Research
 
 
 <ul>
 <li>
 Coordinate all clinical trial activities from screening through closeout
 </li>
 <li>
 Obtain informed consent and ensure patients understand study protocols and expectations
 </li>
 <li>
 Work with sponsors and CROs to meet site expectations and timelines
 </li>
 <li>
 Maintain accurate research documentation, including source documents and regulatory submissions
 </li>
 <li>
 Prepare and submit IRB applications, amendments, and regulatory reports
 </li>
 <li>
 Perform or assist with vitals, ECGs, blood draws, and sample processing
 </li>
 <li>
 Ensure compliance with GCP, FDA regulations, IRB requirements, and Delegation of Authority logs
 </li>
 <li>
 Support patient recruitment, engagement, and retention
 </li>
 <li>
 Monitor patient safety and report adverse events promptly
 </li>
 <li>
 Maintain study logs, track deviations, and support audit readiness
 </li>
 </ul>
 
 
 Clinic Operations
 
 
 <ul>
 <li>
 Greet patients and visitors, answer calls, and provide a warm, professional experience
 </li>
 <li>
 Support front desk operations including intake, scheduling, copay collection, and follow-up instructions
 </li>
 <li>
 Act as a backup to our Patient Care Coordinator when needed
 </li>
 <li>
 Help manage inventory, shipping, and general clinic operations
 </li>
 <li>
 Pitch in wherever needed &mdash; flexibility and a team-first mindset are essential
 </li>
 </ul>
 
 
 
 
 
 What You'll Need
 
 
 <ul>
 <li>
 Bachelor's degree in a health-related field preferred; equivalent experience will be considered
 </li>
 <li>
 At least 5 years of clinical research coordination experience in a healthcare or outpatient setting
 </li>
 <li>
 Working knowledge of GCP, FDA regulations, and IRB processes
 </li>
 <li>
 Strong organizational and communication skills
 </li>
 <li>
 CCRC or CCRP certification preferred, or willingness to obtain
 </li>
 <li>
 Phlebotomy experience or willingness to be trained
 </li>
 <li>
 Proficiency in EMR systems, data entry platforms, and Microsoft Office
 </li>
 </ul>
 
 
 
 
 
 What Will Make You Great at This Job
 
 
 <ul>
 <li>
 You have prior clinical setting experience and can hit the ground running
 </li>
 <li>
 You're calm under pressure and adapt quickly when plans change
 </li>
 <li>
 You don't hesitate to jump in and help, whether answering phones or creating precise source documentation
 </li>
 <li>
 You care about getting the details right, especially around regulatory compliance
 </li>
 <li>
 You're dependable, flexible, and proactive
 </li>
 <li>
 You communicate clearly and respectfully, even in fast-paced situations
 </li>
 <li>
 You thrive in a small team environment and understand that success is a group effort
 </li>
 </ul>
 
 
 
 
 
 What We Offer
 
 
 
 Competitive pay based on experience, plus medical, dental, and vision insurance, paid time off, and paid holidays.
 
 
 
 
 
 
 Why This Role Stands Out
 
 
 
 This position offers hands-on experience with cutting-edge theranostics therapies at a clinic where precision cancer care meets genuine compassion. You'll have a meaningful impact on every patient's treatment journey while growing your career at the forefront of an exciting and expanding field.
 
 
 
 
 
 
 United Theranostics is an equal opportunity employer committed to bringing life-changing therapies to communities nationwide.
 
 
</div>

Clinical Research Coordinator

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