This position receives/responds to incoming calls from referral sources/patients and communicates with providers for CareCentrix and contacts referral sources to advise them of referral status. Reviews utilization information concerning patient care for CareCentrix and matches those needs to available care options within the reauthorization guidelines provided by CareCentrix and patientsβ health care. Assists the Supervisor and Manager with coaching, training, call monitoring, reports and mentoring of new associates. Acts as a clinical resource to department specialists, providing expertise and clinical knowledge. Negotiates with providers when needed and stay within the guidelines. Performs Utilization Management and participates in performance improvement activities.
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The Patient Enrollment Coordinator position is an entry level position within the Patient Enrollment Department at Wake Research. The role involves responsibility and accountability for the timely enrollment of patients/study participants for all clinical research studies. Responsibilities include initiating phone contact with potential study participants from various lead sources, conducting phone-based pre-screening interviews, and providing detailed study information.
As a Care Navigator specializing in community resources, you will play a vital role in ensuring that patients receive comprehensive care by connecting them with relevant community services and by assisting patients in closing care gaps. The Care Navigator plays a crucial role in providing a positive, welcoming experience for patients. The ideal candidate will have a strong customer-service orientation, be passionate about patient care, and never hesitate to go the extra mile.
Need to make calls daily (40 calls/day) with 90% outbound/ 10% inbound, you will use EPIC and JIVA and QNXT. The role includes scheduling member appts for member annual wellness visits, updating member charts and putting notes for primary care, for refilling prescriptions or any necessary care that is needed immediately, and scheduling telehealth if needed.
The Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. They maintain a safe and professional environment for applicants, clients, and employees, performing all aspects of an insurance exam, including specimen collection and processing duties following established practices and procedures. May also be required to act as a coach, mentor, instructor and resource person for new employees.
The role enhances the customer education experience by providing a high level of customer service and educational opportunities. This includes post-sale remote installation and education through applications training and veterinary scanning techniques. The individual will troubleshoot ultrasound technical support issues, serve as a lab instructor at Soundβs Academy of Veterinary Imaging, and provide onsite education and installation as needed.
This is a fixed-term remote based contract, so you can enjoy the fast pace of the industry. The Vet Nurse will provide general advice, book appointments, and triage over the phone on behalf of our Greencross clinics. In addition to calling 13VETS, we assist with online bookings, Greencross website inquiries and reminders.