Senior Clinical Manager, Clinical Care Coordination

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🔥 2 minutes ago

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Logo of Integrated Home Care Services, Inc.

Integrated Home Care Services, Inc.

501 - 1000 employees

Founded 2015

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

Integrated Home Care Services, Inc. is an integrated home care benefits manager that coordinates and manages value-based home health services, durable medical equipment, and home infusion for patients and members on behalf of health plans and providers. It provides network development and credentialing, utilization management, claims adjudication, analytics, and a technology-enabled platform for referrals, real-time documentation, and 24/7 access to services, aiming to reduce costs, improve outcomes, and streamline administration for payers, providers, and patients.

📋 Description

• Oversee the referral management and prior authorization of DME services • Review clinical documentation and streamline workflows • Collaborate with interdisciplinary teams • Implement utilization management strategies • Plan and supervise the work of assigned staff • Ensure team meets performance benchmarks

🎯 Requirements

• Experience in Clinical Management • Knowledge of DME services and referral management • Strong organizational and leadership skills • Ability to analyze clinical documentation • Excellent communication skills • Familiarity with regulatory compliance

🏖️ Benefits

• Medical • Vision • Dental • Short- and Long-term insurance • Paid Federal Holidays • 17 days of PTO • Employer paid life insurance • 401K with employer contribution • Wellness program with reward incentives • Employee recognition and reward programs

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