Clinical Specialist (Sonographer) - Miami, FL
Clinical coordinator job in Dover, DE
The Clinical Specialist (RDCS Certification Preferred) - Miami, FL position is responsible for understanding and addressing the clinical needs of customers within an assigned territory. The Clinical Specialists partner with Territory Managers to demo FUJIFILM Sonosite products, close deals, and ensure ongoing positive customer experience. After the sale, this role owns client relationships and works to encourage customer adoption and use of FUJIFILM Sonosite products.
_Note: This position is open to candidates who currently reside in the Miami, FL area as this would be a central location relative to the territory's business._
**Company Overview**
At FUJIFILM Sonosite, we reinvent how healthcare is delivered with point-of-care ultrasound technology. As the leader in bedside ultrasound systems, our innovations save lives-from premature babies in NICUs to trauma patients in emergency rooms.
We're looking for purpose-driven team members ready to build technology that impacts real-world scenarios, including natural disasters and even war zones. By joining FUJIFILM Sonosite, you'll be part of a team that thrives on collaboration, out-of-the-box thinking, and a passion for life-saving innovations. Let's make a difference together.
Our headquarters in Bothell, Washington, blends riverside charm with urban amenities, quality schools, and an ever-evolving downtown-all part of the vibrant Seattle metro area.
Fujifilm is globally headquartered in Tokyo with over 70,000 employees across four key business segments of healthcare, electronics, business innovation, and imaging. We are guided and united by our Group Purpose of "giving our world more smiles." Visit: ***************************************************
**Job Description**
**Essential Job Functions:**
+ Partner with Territory Manager in assigned territory to understand prospect's clinical needs, demonstrate FUJIFILM Sonosite's products, and close new deals
+ Responsible for implementing FUJIFILM Sonosite product at customer site and training customer on how to use new products
+ Own post-sales activities in the field, such as encouraging customer product adoption and addressing any customer issues, to ensure ongoing positive customer experience
+ Support Territory Manager counterpart by maintaining FUJIFILM Sonosite presence and relationships at installed base client sites
+ Work to convey overall value of FUJIFILM Sonosite products for users and other stakeholders within customer site
+ Work with Inside Sales Representatives to demonstrate Fujifilm Sonosite's products in the field, when needed
+ Identify potential for upsell/cross-sell opportunities within existing customers and bring opportunity to the attention of Territory Manager to pursue and close deal
+ Provide Clinical / Technical / Educational support to new and existing customers as needed.
+ Provide support to other areas of the company as needed
+ Act as primary commercial resource in absence of Territory Manger counterpart
+ Responsible and accountable for carrying out the requirements of the company's quality system
**Knowledge and Experience:**
+ 2 year degree from an accredited ultrasound teaching institution
+ RDMS in Abdomen/OB GYN
+ RDCS or RDCS eligible, RVT or RVT eligible preferred
+ Must have at least (3) three years' experience in diagnostic ultrasound (Abdominal/OBGyn/ Vascular)
+ Experience in dealing with numerous requirements and performing detailed prioritization is required
+ Ability to understand both the clinical and business needs of the customer and Fujifilm Sonosite respectively
+ Ability to translate customer needs into clear product requests is a must
**Skills and Abilities:**
+ Excellent verbal and written communication skills
+ Ability to develop and maintain positive customer relationships with all accounts.
+ Effectively and appropriately displays professional skills necessary to manage interpersonal relationships with team members, colleagues.
+ Ability to adapt to changing priorities and workloads.
+ Works in a well-organized manner and consistently meets customer and FUJIFILM Sonosite time requirements.
+ Ability to travel 90% of the time.
+ Ability to lift up to 50 pounds with or without accommodations.
+ Self-motivated with the ability to work under minimal supervision in an environment that requires strong teamwork and cross-functional interaction.
+ Represents FUJIFILM Sonosite in a highly professional manner.
**Salary and Benefits:**
+ $90,000.00 - $125,000.00/yr depending on experience + variable bonus opportunity _(Compensation will vary based on skills, experience and location; it is not typical to be hired at or above the top of the salary range)._
+ Insurance:
+ Medical, Dental & Vision
+ Life & Company paid Disability
+ Retirement Plan (401k):
+ 4% automatic Company contribution
+ Fujifilm matches 50 cents for every dollar you contribute, up to 6% of your salary
+ Paid Time Off:
+ You can accrue up to three (3) weeks of PTO in your first year of employment
+ PTO increases based on years of service
+ Employee Choice Holidays:
+ Four (4) additional paid days off, based on date of hire in the calendar year
+ Paid Holidays:
+ Eight (8) paid holidays per year
Applicants to positions where vendor credentialing or other similar requirements exist to enter facilities will be required to comply with the credentialing requirements of the facilities, including complying with vaccine requirements.
FUJIFILM Sonosite offers a fantastic compensation package, including benefits, and a 401k program. Visit us today to learn more about our exciting technologies and how you can make a difference. To apply and obtain further details regarding key responsibilities and experience requirements, check out our careers page at ****************************** .
To all agencies: Please, no phone calls or emails to any employee of FUJIFILM about this requisition. All resumes submitted by search firms/employment agencies to any employee at FUJIFILM via-email, the internet or in any form and/or method will be deemed the sole property of FUJIFILM, unless such search firms/employment agencies were engaged by FUJIFILM for this requisition and a valid agreement with FUJIFILM is in place. In the event a candidate who was submitted outside of the FUJIFILM agency engagement process is hired, no fee or payment of any kind will be paid.
*\#LI-Remote
\#CB
\#LI-MW
**EEO Information**
Fujifilm is committed to providing equal opportunities in hiring, promotion and advancement, compensation, benefits, and training regardless of nationality, age, gender, sexual orientation or gender identity, race, ethnicity, religion, political creed, ideology, national, or social origin, disability, veteran status, etc.
**ADA Information**
If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to our HR Department (******************** or ***************.
**Job Locations** _US-Remote_
**Posted Date** _2 days ago_ _(12/1/2025 12:30 PM)_
**_Requisition ID_** _2025-36157_
**_Category_** _Sales_
**_Company (Portal Searching)_** _FUJIFILM Sonosite_
Clinical Project Manager 4
Clinical coordinator job in Newark, DE
United States Newark, DE, United States Marlborough, MA, United States Join the Breast and Skeletal Health Clinical Affairs team as a **Clinical Project Manager,** leading major US and global clinical trials across multiple phases of medical device development. You'll ensure studies are executed on-time, on-budget, and with the highest quality. Collaborate with top talent across Clinical Development, R&D, Regulatory Affairs, Program Management, Legal, Marketing, and Operations to deliver world-class evidence supporting breast and skeletal health technologies. We would prefer to have someone in Newark, DE or Marlborough, MA but open to Remote.
**Key Responsibilities:**
+ Lead planning and execution of complex clinical studies from protocol design to study closure, ensuring adherence to budget, scope, and schedule.
+ Coordinate cross-functional clinical teams (monitoring, data management, statistics, medical writing, medical monitoring, safety) for timely and proper project completion.
+ Develop and manage advanced clinical programs supporting product development and evidence generation.
+ Ensure all studies comply with domestic and international regulations and standards (GCP, ICH).
+ Build and manage high-performing clinical operations frameworks and teams.
+ Partner with Clinical Development on study design and reporting.
+ Create, review, and maintain study documents (protocols, informed consent, manuals, eCRFs, IRB submissions, IDE applications).
+ Select and oversee CROs and vendors, including contract negotiations and activity management from award to close-out.
+ Manage clinical budgets and pricing strategies using cost models.
+ Contribute expertise to strategic study design discussions and cross-functional planning.
+ Support regulatory filings and interactions; prepare documentation for product files (e.g., MDR Clinical Evaluation Reports).
+ Maintain division research records on domestic and international databases (e.g., ClinicalTrials.gov).
+ Lead annual Sunshine Act reporting and ensure documentation is catalogued in quality management systems.
**Physical Demands:**
+ Ability to sit and use hands for computer and office equipment.
+ Ability to travel up to 25%.
**Qualifications:**
+ Bachelor's or Master's Degree required; advanced degree (Master's, PhD) preferred.
+ 8+ years clinical research/operations experience (6+ years with Master's, 3+ years with PhD).
+ Experience in academic-industrial partnerships and with sponsors or CROs in the medical device industry.
+ Proven track record managing complex clinical studies and trials.
+ Experience in breast cancer screening, diagnostics, and treatment preferred.
+ Deep understanding of medical device regulations, GCP, clinical terminology, workflows, and trial design.
+ Excellent oral, written, and presentation skills; able to communicate across diverse stakeholder groups.
+ Strong interpersonal skills, attention to detail, and deadline-driven.
+ Strategic thinker with outstanding organizational and project management abilities.
+ Collaborative, adaptable, and able to manage multiple priorities in a matrixed environment.
**So why join Hologic?**
We are committed to making Hologic the company where top talent comes to grow. For you to succeed, we want to enable you with the tools and knowledge required and so we provide comprehensive training when you join as well as continued development and training throughout your career. We offer a competitive salary and annual bonus scheme, one of our talent partners can discuss this in more detail with you.
If you have the right skills and experience and want to join our team, apply today. We can't wait to hear from you!
The annualized base salary range for this role is $116,500 - $182,200 and is bonus eligible. Final compensation packages will ultimately depend on factors including relevant experience, skillset, knowledge, geography, education, business needs and market demand.
Agency and Third-Party Recruiter Notice: Agencies that submit a resume to Hologic must have a current executed Hologic Agency Agreement executed by a member of the Human Resource Department. In addition Agencies may only submit candidates to positions for which they have been invited to do so by a Hologic Recruiter. All resumes must be sent to the Hologic Recruiter under these terms or they will not be considered.
As part of our commitment to a fair and accurate evaluation of each candidate's qualifications, we require all applicants to refrain from using AI tools, such as generative AI or automated writing assistance, during any stage of the interview process. Responses influenced by AI may result in disqualification. We appreciate your understanding and cooperation in ensuring a transparent and equitable selection process.
Hologic, Inc. is proud to be an Equal Opportunity Employer inclusive of disability and veterans.
LI-#DS1
Trial Master File (TMF) Specialist Oncology
Clinical coordinator job in Dover, DE
Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website ********************************** or follow us on LinkedIn.
The Trial Master File (TMF) Specialist will be responsible for ensuring that SMPA studies have comprehensive and quality Trial Master Files (TMFs) ready for audits and inspections. Partnering with the Associate Director, Clinical Business Operations, the specialist ensures accountable functions follow the requirements of the TMF SOP and system work instructions. Provide support and guidance to study team members during the full lifecycle of the study, including planning, set-up, maintenance, QC and closure of the study TMF.
**Key Responsibilities**
+ Responsible for overall quality, maintenance, and completeness of Trial Master Files.
+ Working closely with the TMF Process Owner, identify trends or quality concerns and oversee resolution of issues.
+ Develop project specific TMF plan and structure and update the plan as needed.
+ Participate in system UAT as needed and collaborate with Information Technology to ensure system validation is maintained.
+ Work closely with Clinical Operations and Regulatory Affairs to ensure compliance with regulatory requirements.
+ Act as a liaison between the Site IRBs and study team to resolve queries and concerns.
+ Provide study team reports or updates regarding status of TMF on a regular basis.
+ Participate in audits and provide documents as requested.
+ Perform investigation of deviations and monitoring of Corrective actions & preventive actions (CAPA) relating to non-compliance issues and findings.
+ Oversee TMF maintenance done by CROs and ensure final transfer of TMF is sufficient to support any potential regulatory filings.
+ Champion best practices for building and maintaining TMF health.
**Professional Experience / Qualifications**
+ BA/BS with minimum of 3 year of clinical research experience in academic and/or industry settings
+ Knowledge of and direct experience with Trial Master Files.
+ Prior eTMF (e.g. Veeva) administration required.
+ Strong Microsoft Office skills required.
+ Demonstrate a comprehensive knowledge of Good Clinical Practice, Good Documentation Practice, and International Council for Harmonization E6(R2).
+ Fundamental knowledge of the conduct of clinical trials is preferred.
+ Strong focus on teamwork, attention to detail, excellent organizational skills. Must have ability to prioritize, and the ability to work in a multi-task environment.
The base salary range for this role is $72,500 to $90,600. Base salary is part of our total rewards package which also includes the opportunity for merit-based salary increases, short incentive plan participation, eligibility for our 401(k) plan, medical, dental, vision, life and disability insurances and leaves provided in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays plus additional time off for a shut-down period during the last week of December, 80 hours of paid sick time upon hire and each year thereafter. Total compensation, including base salary to be offered, will depend on elements unique to each candidate, including candidate experience, skills, education and other factors permitted by law.
Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
**Confidential Data** : All information (written, verbal, electronic, etc.) that an employee encounters is considered confidential.
**Compliance** : Achieve and maintain Compliance with all applicable regulatory, legal and operational rules and procedures, by ensuring that all plans and activities for and on behalf of Sumitomo Pharma America (SMPA) and affiliates are carried out with the "best" industry practices and the highest ethical standards.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
**Mental/Physical Requirements** : Fast paced environment handling multiple demands. Must be able to exercise appropriate judgment as necessary. Requires a high level of initiative and independence. Excellent written and oral communication skills required. Requires ability to use a personal computer for extended periods of time.
**Sumitomo Pharma America (SMPA)** **is an Equal Employment Opportunity (EEO) employer**
Qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.
Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website ********************************** or follow us on LinkedIn.
Sumitomo Pharma America (SMPA) endeavors to make its application process accessible to all. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact SMPA at **********************************************
This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.
At Sumitomo Pharma America, our work is guided by the Sumitomo Pharma mission, vision and values, which tie closely to our company's cultural pillars.
**Our** **Mission**
_To broadly contribute to society through value creation based on innovative research and development activities for the betterment of healthcare and fuller lives of people_ _worldwide_
**Our** **Vision**
_For Longer and Healthier Lives, we unlock the future with cutting edge technology and_ _ideas_
Senior Clinical Research Associate - West Coast - Oncology - FSP
Clinical coordinator job in Dover, DE
The Senior Clinical Research Associate (SrCRA) has local responsibility for the delivery of the studies at allocated sites and is an active participant in the local study team(s). The SrCRA works in close collaboration with other CRAs and the Local Study Team/ Local Study Associate Director (LSAD) to ensure that study commitments are achieved in a timely and efficient manner. The SrCRA acts as the main contact with the study site and has the responsibility for monitoring the study conduct to ensure proper delivery of the study.
The SrCRA is responsible for the preparation, initiation, monitoring, and closure of assigned sites in clinical studies, in compliance with Client Procedural Documents, international guidelines such as ICHGCP, and relevant local regulations and that the sites deliver according to their respective commitment in the individual studies.
The SrCSA performs all the duties of the CRA with higher proficiency, independency, accountability, and ability to take on additional tasks or tutor more junior personnel.
A SrCRA with longer tenure and experience may take on additional responsibilities that include additional tasks associated with LSAD.
**Key Accountabilities:**
**Site Management Responsibilities**
+ Contributes to the selection of potential investigators.
+ In some countries, as required, SrCRAs are accountable for study start-up and regulatory maintenance. Tasks may include Site Qualification Visits, collection, preparation, review and tracking of documents for the application process; submission of proper application/documents to EC/IRB and to Regulatory Authorities for start-up and for the duration of the study.
+ Trains, supports, and advises Investigators and site staff in study related matters, including Risk Based Quality Management (RbQM) principles.
+ Confirms that site staff have completed and documented the required training appropriately, including ICH-GCP training, prior to and for the duration of the study. Ensures the sites are always inspection ready.
+ Actively participates in Local Study Team (LST) meetings.
+ Contributes to National Investigators meetings, as applicable.
+ Initiates, monitors, and closes study sites in compliance with Client Procedural Documents. Shares information on patient recruitment and study site progress (site quality/performance) within the LST.
+ Drives performance at the sites. Proactively identifies and ensures timely resolution to study-related issues and escalates them as appropriate.
+ Updates CTMS and other systems with data from study sites as per required timelines.
+ Manages study supplies (Investigator Site File (ISF), etc.), drug supplies and drug accountability at study site. Prepares study drug for destruction, if applicable.
+ Performs monitoring visits (remote and onsite), as well as remote data checks, in accordance with the timelines specified in the study specific Monitoring Plan. If required, determines and discusses with LSAD the correct timing and type of visits.
+ Performs Source Data Review (SDR), Case Report Form (CRF) review and Source Data Verification (SDV), in accordance with the Monitoring Plan.
+ Performs regular Site Quality Risk Assessments and adapts monitoring intensity accordingly during the study.
+ Ensures data query resolution in a timely manner.
+ Works with data management to ensure robust quality of the collected study data.
+ Ensures accurate and timely reporting of Serious Adverse Events and their follow ups.
+ Prepares and finalizes monitoring visit reports in CTMS and provides timely feedback to the Principal Investigator, including follow-up letter, within required timelines and in line with Client SOP.
+ Follows up on outstanding actions with study sites to ensure resolution in a timely manner.
+ Follows quality issue processes by escalating systematic or serious quality issues, data privacy breaches, Clinical Study Protocol (CSP) or ICH-GCP compliance issues to Local Management and/or Clinical Quality Management (CQM) as required.
+ Assists site in maintaining inspection ready ISF.
+ Prepares for and collaborates with the activities associated with audits and regulatory inspections in liaison with LSAD and Clinical Quality Associate Director (CQAD).
+ Ensures timely collection/uploading of essential documents into the eTMF in accordance with ICHGCP, Client SOPs and local requirements. Supports/participates in regular QC checks performed by LSAD or delegate.
+ Ensures that all study documents under their responsibility (i.e., site documents, relevant communications, etc.) are available and ready for final archiving and completion of local part of the eTMF.
+ Provides feedback on any research related information including sites/investigators/competing studies that might be useful for the local market.
+ Collaborates with local Medical Scientific Liaisons (MSLs) as directed by LSAD or line manager
**Skills (Essential):**
+ Excellent attention to detail.
+ Good written and verbal communication skills.
+ Good collaboration and interpersonal skills.
+ Good negotiation skills.
+ Proficient in written and spoken English language required.
+ Fluency in local language(s) required.
**Skills (Desirable):**
+ Ability to work in an environment of remote collaborators. Manages change with a positive approach for self, team and the business. Sees change as an opportunity to improve performance and add value to the business.
+ Ability to look for and champion more efficient and effective methods/processes of delivering quality clinical trials with reduced budget and in less time.
+ Good analytical and problem-solving skills.
+ Demonstrates ability to prioritize and manage multiple tasks with conflicting deadlines.
+ Ability to understand the impact of technology on projects and to use and develop computer skills while making appropriate use of systems/software in an e-enabled environment.
+ Team oriented and flexible; ability to respond quickly to shifting demands and opportunities Knowledge and Experience (Essential):
+ Excellent knowledge of international guidelines ICH-GCP, basic knowledge of GMP/GDP. - Good knowledge of relevant local regulations.
+ Good medical knowledge and ability to learn relevant Client Therapeutic Areas.
+ Basic understanding of the drug development process.
+ Good understanding of Clinical Study Management including monitoring, study drug handling and data management.
**Knowledge and Experience (Desirable):**
+ Familiar with risk-based monitoring approach including remote monitoring.
+ Good cultural awareness.
**Education:**
+ Bachelor's degree in related discipline, preferably in life science, (or equivalent adapted to local country market needs), that supports skills and capabilities of the position and ensures successful conduct of responsibilities and appropriate interactions with internal and or external customers.
**Other:**
+ Ability to travel nationally/internationally as required.
+ Valid driving license per country requirements, as applicable
\#LI-REMOTE
EEO Disclaimer
Parexel is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to legally protected status, which in the US includes race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Disability Clinical Specialist
Clinical coordinator job in Dover, DE
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work
Fortune Best Workplaces in Financial Services & Insurance
Disability Clinical Specialist
**PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client requirement, and/or complexity. Consults with providers and employees by providing case direction and ensures medical information substantiates the need for employee absence from work.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and sufficient information is received by employees and providers to support the claim request and documents decision rationale.
+ Completes medical review of all claims by reviewing medical documentation received and applying practical clinical knowledge to ensure information substantiates disability and to interpret the impact the condition has on the ability to perform job functions.
+ Communicates clearly and professionally, on the phone and/or in writing with employee and/or providers to discuss employee's clinical status, progress, and work status.
+ Provides clear and appropriate follow-up recommendations for ongoing medical management of claims; ensures appropriate recommendations are made on claims.
+ Consistently achieves appropriate quality audit scores.
+ Acts as clinical resource to claims examiners to provide guidance on the medical management of claims including comprehension of medical terminology and substantiating claim decisions.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Acts as a backup for key disability claims on an ad hoc basis.
+ Performs other duties as assigned.
+ Travels as required.
**QUALIFICATIONS**
**Education & Licensing**
Bachelor's degree or equivalent preferred. Current RN, CRC, LPC and/or LCSW Licenses required. Current license, registration and/or professional designations as required within the jurisdiction. Clinical expertise must be kept current by acquisition of the necessary CEUs to maintain licenses and designations.
**Experience**
Four (4) years of related experience or equivalent combination of experience and education required to include experience in a direct medical/psychological setting or physical industrial medicine and previous insurance or related experience.
**Skills & Knowledge**
+ Knowledge of current medical practices in health care management in a variety of areas (including, but not limited to, orthopedics, general medicine for acute and chronic conditions, general surgery, mental health, obstetrics, oncology, and physical and occupational rehabilitation)
+ Excellent oral and written communication, including presentation skills
+ Proficient computer skills including working knowledge of Microsoft Office
+ Analytical and interpretive skills
+ Strong organizational and multitasking skills
+ Excellent interpersonal skills
+ Ability to exercise judgement and critical thinking skills
+ Ability to work in a team environment
+ Ability to meet or exceed Performance Competencies
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
**Physical:** Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required.
**Auditory/Visual:** Hearing, vision and talking
Always accepting applications
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is_ _$62,000-$63,000 USD Annual_ _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
Medical Practice Coordinator-Pulmonology Part-Time
Clinical coordinator job in Wilmington, DE
Nemours is seeking a part-time Medical Practice Coordinator-Pulmonology. Primary Functions: * Facilitate access to care. This includes scheduling of patients at all Nemours sites of service. Maximize template utilization. Manage the wait list and referral work queue to ensure it is at or below established metrics.
* Manage divisional templates to ensure ease of patient access, provider effectiveness and efficient clinic flow
* Provide daily administrative support to assigned members of the clinical team; including the Division Chief. Assist in the coordination and support of enterprise/departmental/divisional projects and initiative which further the clinical, educational and research missions of the Department of Pediatrics and its Divisions.
Essential Functions:
* Provide daily oversight of divisional clinical schedules and EPIC templates.
* In collaboration with departmental/divisional leadership and divisional providers, develop, build, modify and maintain EPIC templates for assigned providers and specialty programs at all service sites.
* View and manage provider schedules. Complete steps within EPIC to set single day edits, unavailable times, hold times and clinic cancellations as required.
* Utilizing EPIC and Qlik reporting tools, assess template effectiveness through the lens of patient access for all appointment types, provider productivity and care center efficiency. Process template revisions as appropriate.
* Promptly and courteously handle telephone calls to/from internal and external customers including patients, referring physicians, insurance companies, etc. Triage urgent/non-urgent calls appropriately. Ensure service excellence in all encounters.
* Provide administrative support to divisional leaders and clinical providers, to include, but not limited to:
* Daily, detailed management of administrative and clinical schedule of activities.
* Coordination of meetings with internal and external participants
* Ensure alignment between Outlook and Epic schedules.
* Timely completion of hospital reappointment applications
* Maintain an accurate accounting of continuing medical education (CME) activity
* Update and maintain the curriculum vitae (CV) for providers on an ongoing basis.
* Participate in the development and distribution of monthly divisional on-call schedules. Ensure internal and external partners have accurate on-call information. Enter into Web Exchange.
* Manage the biweekly and monthly Kronos (timekeeping) and Paid Time off (PTO) process for assigned Department/Division personnel. Maintain time and leave records.
* On a daily basis, open, categorize and distribute incoming correspondence, including mail, faxes, scanned documents, etc.
* Complete associate reimbursement forms, payment requests forms, license renewals, etc. Maintain an accounting of identified expenses. Prepare CME travel request forms; coordinate travel request forms as directed.
* Physical onsite presence as required by Division.
* Proactively identify problems and opportunities related to divisional operations. Address or refer problems and ideas appropriately.
Job Qualifications:
High School Diploma required. Associates or Bachelors degree preferred, but will consider equivalent years' experience and enrollment in degreed program.
1-3 years of job related experience.
Auto-ApplyMedical Practice Coordinator-Psychology
Clinical coordinator job in Wilmington, DE
Primary Functions:
1.This position primarily facilitates access to care for Developmental Medicine, Psychology and The Swank Autism Center. This includes scheduling of patients at all Nemours sites of service. Maximize template utilization. Manage wait lists and referral work queues to ensure it meets established metrics.
2. Provide daily administrative support to assigned members of the clinical team; including the Division Chief. Assist in the coordination and support of enterprise/departmental/divisional projects and initiative which further the clinical, educational and research missions of the Department of Pediatrics and its Divisions.
Essential Functions:
1.Provide daily oversight of divisional clinical schedules
2.Partner with clinical teams to ensure timely follow-up care for patients to optimize schedules, access, and fill rates.
3.Collect, communicate, and document demographic, insurance and/or clinical information required for patient care and revenue cycle.
4.Promptly and courteously manage communications to/from internal and external customers including patients, referring physicians, insurance companies, etc. Triage urgent/non-urgent calls appropriately. Ensure service excellence in all encounters.
5.Connect crisis calls to proper next steps including crisis resources and mobile crisis.
6.Utilizing EPIC and Qlik reporting tools to assess schedule responsibilities.
7.Serve as a liaison between patient, healthcare providers, other members of healthcare team, financial services, billing, and HIM.
8.Daily, open, categorize and distribute incoming correspondence, including mail, faxes, scanned documents, etc.
9.Physical onsite presence as required by Division.
10.Proactively identify problems and opportunities related to divisional operations. Address or refer problems and ideas appropriately.
Qualifications
High School Diploma required. Associates or Bachelors degree preferred, but will consider equivalent years' experience.
Basic knowledge of HIPAA regulations and ability to maintain confidentiality. Intermediate knowledge of word processing and excel.
Excellent verbal and written communication skills
Strong organizational and time management skills
Solid conflict resolution skills Ability to work independently with minimal supervision.
Auto-ApplyMedical Practice Coordinator-Pulmonology Part-Time
Clinical coordinator job in Wilmington, DE
Nemours is seeking a part-time Medical Practice Coordinator-Pulmonology.
Primary Functions:
Facilitate access to care. This includes scheduling of patients at all Nemours sites of service. Maximize template utilization. Manage the wait list and referral work queue to ensure it is at or below established metrics.
Manage divisional templates to ensure ease of patient access, provider effectiveness and efficient clinic flow
Provide daily administrative support to assigned members of the clinical team; including the Division Chief. Assist in the coordination and support of enterprise/departmental/divisional projects and initiative which further the clinical, educational and research missions of the Department of Pediatrics and its Divisions.
Essential Functions:
Provide daily oversight of divisional clinical schedules and EPIC templates.
In collaboration with departmental/divisional leadership and divisional providers, develop, build, modify and maintain EPIC templates for assigned providers and specialty programs at all service sites.
View and manage provider schedules. Complete steps within EPIC to set single day edits, unavailable times, hold times and clinic cancellations as required.
Utilizing EPIC and Qlik reporting tools, assess template effectiveness through the lens of patient access for all appointment types, provider productivity and care center efficiency. Process template revisions as appropriate.
Promptly and courteously handle telephone calls to/from internal and external customers including patients, referring physicians, insurance companies, etc. Triage urgent/non-urgent calls appropriately. Ensure service excellence in all encounters.
Provide administrative support to divisional leaders and clinical providers, to include, but not limited to:
Daily, detailed management of administrative and clinical schedule of activities.
Coordination of meetings with internal and external participants
Ensure alignment between Outlook and Epic schedules.
Timely completion of hospital reappointment applications
Maintain an accurate accounting of continuing medical education (CME) activity
Update and maintain the curriculum vitae (CV) for providers on an ongoing basis.
Participate in the development and distribution of monthly divisional on-call schedules. Ensure internal and external partners have accurate on-call information. Enter into Web Exchange.
Manage the biweekly and monthly Kronos (timekeeping) and Paid Time off (PTO) process for assigned Department/Division personnel. Maintain time and leave records.
On a daily basis, open, categorize and distribute incoming correspondence, including mail, faxes, scanned documents, etc.
Complete associate reimbursement forms, payment requests forms, license renewals, etc. Maintain an accounting of identified expenses. Prepare CME travel request forms; coordinate travel request forms as directed.
Physical onsite presence as required by Division.
Proactively identify problems and opportunities related to divisional operations. Address or refer problems and ideas appropriately.
Job Qualifications:
High School Diploma required. Associates or Bachelors degree preferred, but will consider equivalent years' experience and enrollment in degreed program.
1-3 years of job related experience.
Auto-ApplyPractice Coordinator, Neurology
Clinical coordinator job in Dover, DE
Site: Wentworth-Douglass Hospital Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
The Mass General Brigham Medical Group is a system-led operating entity formed by Mass General Brigham to deliver high quality, low cost, innovative community-based ambulatory care. This work stems from Mass General Brigham's unified system strategy to bring health care closer to patients while lowering total health care costs. The Medical Group provides a wide range of offerings, including primary care, specialty care, behavioral and mental health, and urgent care, both digitally as well as at physical locations in Massachusetts, New Hampshire, and Maine. The group also offers outpatient surgery and endoscopy, imaging, cardiac testing, and infusion. We share the commitment to delivering a coordinated and comprehensive experience across all locations, ensuring the appropriate level of care is available to every patient across our care delivery sites.
Wentworth Health Partners Coastal Neurology Services has been providing adults and children with comprehensive and trusted care since 1983. Our board-certified physicians specialize in the prevention, diagnosis and management of an array of neurological disorders, including headaches, epilepsy, autism, ADHD, neuromuscular disease, neuropathy, sleep disorders, small-fiber polyneuropathy, stroke and more.
Our Neurology practices are located at 10 Members Way in Dover, NH, and 73 Corporate Drive, Portsmouth, NH. This position will support our expert providers treating adult patients, as well as pediatric patients. Our services include diagnosis and treatment options for headaches, migraines, epilepsy, stroke, neuromuscular disease, sleep disorders and more.
Job Summary
We are seeking a full-time, 40-hour Practice Coordinator to support our Neurology department. The practice is open from 8:00 a.m. to 5:00 p.m., and the schedule is staggered accordingly within that timeframe based on practice needs. The Practice Coordinator will split their time between our Dover and Portsmouth locations.
This role will coordinate and oversee day to day operation outpatient practices. The Practice Coordinator will supervise clinical support staff, including all applicable human resource processes and practice operational duties.
Does this position require Patient Care? No
Essential Functions:
* Responsible for recruiting, hiring, evaluating, training and developing support staff.
* Provides day to day supervision and direction to support staff.
* Assigns work and monitors performance.
* Monitors/coordinates managed care/billing function including referral process, insurance verification, registration, cash collection, encounter forms and billing
* Participates in the assessment and management of operational functions including patient scheduling, wait times, staff coverage, ancillary tests and follow up appointments, phone systems, transcription services and volume issues.
* Oversees purchase orders, petty cash and check requests.
* Maintains and orders office supplies and equipment.
Qualifications
Education Associate's Degree Related Field of Study preferred High School Diploma or Equivalent required Can this role accept experience in lieu of a degree? No Licenses and Credentials Experience supervisory experience 0-1 year required experience working in an academic healthcare environment 2-3 years required Knowledge, Skills and Abilities - Strong understanding of all Office Suite. - Strong communication and organizational skills. - Strong and proven leadership skills. - Ability to work with staff of all levels. - Excellent time management skills. - Generally Accepted Accounting Principles. - Ability to adapt to multiple and rapidly changing priorities and deadlines.
Additional Job Details (if applicable)
Strongly Preferred:
* Ambulatory/Outpatient Experience
* EPIC/UKG Experience
* Leadership/Supervisory Experience
Remote Type
Onsite
Work Location
10 Members Way
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$52,998.40 - $77,147.20/Annual
Grade
6
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
Wentworth-Douglass Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Auto-ApplySenior Coordinator, Revenue Cycle Management
Clinical coordinator job in Dover, DE
**_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a medical practice. Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient's account balance is zero. Directly supporting cCare, the largest private oncology practice in California, our experienced revenue cycle management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections.
Job Purpose:
The Patient AR Specialist is responsible for managing and resolving outstanding patient balances, ensuring the accuracy of accounts and supporting overall revenue cycle process. This includes, billing follow up, collections, payment posting, denial resolution, and responding to patient inquiries in a professional and timely manner.
**_Responsibilities:_**
+ Review aging reports and work patient accounts to ensure timely resolution and reimbursement.
+ Contact patients regarding past due balance and/or billing questions and set up payment arrangements if needed.
+ Analyze claims, process payments and complete adjustments
+ Analyze explanation of benefits (EOBs) and remittance advice to determine the reason for patient responsibility.
+ Document all activities in the billing system according to departmental procedures.
+ Liaise with third party vendors supporting any patient billing and collections processes
+ Collaborate with billing, coding, posting and front office teams to resolve account issues
+ Ensure compliance with HIPAA and all relevant federal/state payor regulations.
+ Flag trends or recurring issues for team Supervisor or Manager.
+ Meet daily/weekly productivity goals (e.g., number of claims worked, follow-ups completed).
+ Assist with special projects, audits, or other duties as assigned.
**_Qualifications_**
+ 2-3 years' experience working in health insurance accounts receivable preferred.
+ Strong knowledge of insurance claim processing and denial management preferred.
+ Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred.
+ Proficiency in billing software (e.g. Athena, G4 Centricity, etc.) and Microsoft Office Suite.
+ Excellent verbal and written communication skills.
+ Ability to work independently and manage time effectively.
+ Detail-oriented with strong analytical and problem-solving skills
+ Knowledge of basic medical terminology
+ Experience with 3rd party vendor management
**_What is expected of you and others at this level_**
+ Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
+ In-depth knowledge in technical or specialty area
+ Applies advanced skills to resolve complex problems independently
+ May modify process to resolve situations
+ Works independently within established procedures; may receive general guidance on new assignments
+ May provide general guidance or technical assistance to less experienced team members
**Anticipated hourly range:** $17.90 - $26.80 Hourly USD
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close: 1/10/25** if interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Lead Clinic Classroom Coordinator
Clinical coordinator job in Newark, DE
Are you ready to be the driving force behind a thriving, creative environment where future beauty leaders blossom? Paul Mitchell The School - Delaware is searching for a dynamic, passionate, and motivated Lead Clinic Classroom Coordinator to join our team full-time. If you're excited about leading with purpose, inspiring others, and creating memorable guest experiences, we want to hear from you! Take the next step in your career and apply today.
Pay: We offer our Lead Clinic Classroom Coordinator a competitive pay starting at $19 per hour, depending on experience.
Benefits:
Health
Dental
Vision
Sick time
Vacation time
Discounts on professional products and services
Holiday bonuses
WHAT SETS US APART
Nestled in the heart of the state on Route 40 in Newark, our vibrant cosmetology school draws aspiring beauty professionals from Delaware, Maryland, New Jersey, and Pennsylvania. At Paul Mitchell The School Delaware, we're all about empowering dreams and unlocking potential through our hands-on cosmetology, esthetics, and instructor programs. We believe in cultivating a supportive and inspiring environment, not only for our students but also for the broader community. Whether you're starting your beauty career or looking to enhance your skills, Paul Mitchell The School Delaware is where your journey begins. Join us and be part of a place where education goes hand-in-hand with passion, creativity, and community!
REQUIREMENTS FOR SUCCESS AS OUR LEAD CLINIC CLASSROOM COORDINATOR
We are looking for someone who can meet the following qualifications:
Sales and service experience
Excellent leadership skills
Strong communication and organization skills
Tech-savvy with basic computer and phone skills
Passion for beauty, education, and making people feel their best
Do you have what it takes? Keep reading to see if you'd love this role as our Lead Clinic Classroom Coordinator!
YOUR NEW ROLE AS OUR LEAD CLINIC CLASSROOM COORDINATOR
This is a full-time position working 40 hours per week, with some evenings and weekends required to accommodate our students and guests.
As our Lead Clinic Classroom Coordinator, you'll be the heartbeat of our clinic classroom. You'll welcome guests with warmth and professionalism, lead the Experience Desk team, and ensure smooth service flow. You'll coach Future Professionals, celebrate their wins, and drive service and retail goals. Every day, you'll help create a polished, high-energy environment that reflects the Paul Mitchell brand - and you'll love every minute of it.
Are you ready to take the next step in your career? Join a team that's shaping the future of the beauty industry. Our initial application process is quick, easy, and mobile-friendly! Apply now!
Part-Time Intake Coordinator
Clinical coordinator job in Milford, DE
Job Description
Banyan Treatment Centers, a nationally recognized leader in behavioral and mental health care, is seeking a detail-oriented Intake Coordinator to join our team in Milford, DE.
As the first point of contact for individuals entering our facility, you will play a vital role in shaping the patient experience. Drawing on your strong customer service skills, you'll guide patients seamlessly through the admission process with professionalism and respect. Your ability to provide a calm, supportive presence during this critical time will help ensure a smooth and welcoming transition into Banyan's care.
Position Details:
Reporting to: Director of Operations
Schedule: Part-Time, two days per week.
Location: Milford, DE (On-site)
Key Responsibilities:
Monitor Salesforce for pending admissions and take necessary action.
Create and manage potential admission files in Kipu, ensuring accurate entry of required information.
Upload and maintain essential documentation, including VOB, Pre-Admission Screening, and insurance verification.
Collect and verify patient information, secure necessary signatures, and process out-of-pocket payments.
Assist in gathering consents, identification, and financial documents required for admission.
Provide behavioral health support by assisting in patient supervision, transport, and adherence to facility protocols.
Maintain the whiteboard with travel plans, bed assignments, patient descriptions, and contact details.
Collaborate with clinical staff and supervisors to ensure high-quality patient care and a seamless intake process.
Approach clients, family members, and visitors with warmth and professionalism, fostering a welcoming environment.
Required Qualifications:
Associate degree and/or 1+ years of experience in behavioral or mental health treatment.
Preferred Qualifications:
1+ years of experience in behavioral or mental health treatment.
Experience working with patients at a detox level of care.
Familiarity with KIPU and Salesforce systems.
Why Join Banyan Treatment Centers?
This is an opportunity to make a meaningful impact within an organization that stands as a nationally recognized leader in addiction and mental health care. As an Intake Coordinator, you will:
Directly Impact Lives: Play a vital role in ensuring a smooth admission process and supporting individuals during a crucial phase of their recovery journey.
Skill Development: Gain valuable experience in behavioral health, enhancing skills in patient intake, support, crisis management, and effective communication.
Career Growth Opportunities: Take advantage of our commitment to employee growth, with access to continued education, training, and advancement opportunities within the organization.
Collaborate with a Diverse Team: Join a workforce that reflects the diverse communities we serve, with many team members bringing firsthand recovery experiences.
Enjoy comprehensive benefits including medical, vision, and dental insurance; whole and term life insurance; short- and long-term disability coverage; a 401(k) with employer match; paid time off and holidays; wellness incentives; and employee assistance and referral programs.
Apply Now
If you're passionate about helping others and thrive in a fast-paced, team-centered environment, apply today!
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, or basis of disability or any other federal, state, or local protected class. We welcome all applicants and encourage veterans, active-duty military, and first responders to apply, in support of our First Responders Program offering.
Embedded Clinical Care Coordinator - Utilization//Pediatrics/InterQual
Clinical coordinator job in Wilmington, DE
at a children's hospital in Wilmington, Delaware. Responsible for the implementation of effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate resource utilization, identification of opportunities for referral to a Care Coordinator (case management) and identification and resolution of quality issues.
Monitors and analyzes the delivery of health care services; educates providers and members on a proactive basis and analyzes qualitative and quantitative data in developing strategies to improve provider performance/satisfaction and member satisfaction. Responds to customer inquiries and offers interventions and/or alternatives.
Essential Job Functions:
1. Implements utilization management review processes that are consistent with established industry and corporate standards and are within the Clinical Care Coordinator's professional discipline. Effectively functions in accordance with applicable state, federal laws and regulatory compliance.
2. Implements all reviews according to accepted and established criteria, as well as other approved guidelines and medical policies. Promotes quality and efficiency in the delivery of services.
3. Respects the member's right to privacy, sharing only information relevant to the member's care and within the framework of applicable laws. Practices within the scope of ethical principles.
4. Identifies and refers members whose healthcare outcomes might be enhanced by Care Coordination interventions. Employs collaborative interventions, which focus, facilitate and maximize the member's health care outcomes. Is familiar with the various care options and provider resources available to the member.
5. Educates professional and facility providers and vendors for the purpose of streamlining and improving processes, while developing network rapport and relationships. Develops and sustains positive working relationships with internal and external customers.
6. Utilizes outcomes data to improve ongoing care management services.
7. Serves as a subject matter expert to both internal and external sources (e.g. providers, regulatory agencies, UM and policy) to provide education, consultation and training when indicated. Serves as a resource to guide, mentor and counsel others in regards to understanding the drivers of health care costs to improve member outcomes related to Plan benefits and resources.
8. Collaborates, coordinates and communicates with the member's treating provider(s) in more complex clinical situations requiring clinical and psychosocial intervention.
9. Ensures all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards that support all lines of business.
10. Other duties as assigned or requested.
Minimum Qualifications:
Current DE/Compact RN license and/or additional states as required
2-5 years' experience in clinical setting
Utilization Management experience
Proficient InterQual experience
Two (2) years of any combination of clinical, case management and/or disease/condition management, provider operations and/or health insurance experience
Preferred Qualifications:
Certification in Utilization Management or related field
Certification in Case Management (CCM)
Five or more years of any combination of clinical, case management and/or disease/condition management, provider operations and/or health insurance experience
Bachelor's Degree in Nursing (BSN)
2+ to 5 years experience
Management Experience Required - No
Minimum Education - Certification
Willingness to Travel - Occasionally
SKILLS AND CERTIFICATIONS
InterQual
IDEAL CANDIDATE Nurse with a DE License, to possess 2 - 5 years of Pediatrics experience, Utilization Management experience and must have InterQual expeerience. This is an embedded position in a children's hospital
Additional Information
All your information will be kept confidential according to EEO guidelines.
Intake Coordinator I [PRN]
Clinical coordinator job in Georgetown, DE
Job Details SUN Behavioral Delaware - Georgetown, DE PRN Certificate None Days Health CareDescription
Receives inquiry calls and assists the caller with scheduling a face-to-face assessment or provide triage to the appropriate community referral based on patient need. Assesses or ensures necessary assessment by a licensed, qualified mental health professional for patients who present for assessment. Upon assessment of the patient, coordinates with the physician to ensure appropriate treatment is provided either at the hospital or another appropriate provider in the community. Ensures appropriate screening of medical and behavioral emergency conditions. Completes all administrative processes of the admission for treatment including, as appropriate, the initial authorization of care with the insurance company/third-party payor.
Position Responsibilities:
Clinical / Technical Skills
(40% of performance review)
Demonstrates excellent phone skills including inquiry calls, explanation of assessment processes, scheduling appointments and successful closure of a call while avoiding phone therapy.
States the procedure for managing a crisis call and identifies when to activate EMS services. Identifies safety and risk of each call.
Documents all inquiry calls, completely and legibly, to include all applicable information on Call Worksheet.
Makes appropriate referrals to community resources if not scheduling an assessment
States the process and reasoning for all follow up calls either to confirm an assessment, inquire about no-show status, or rescheduling an assessment to include documentation reflecting same.
Enters all inquiry calls into HCS with all data needed to further action or follow up
Shows competency and understanding of the review of the medical screen; as appropriate, notifies the RN for additional review and action.
States the working definition and procedure for managing medically and psychiatric emergencies according to EMTALA guidelines as well as hospital policies.
Identifies and triages emergent patients and prioritizes care based on same.
Completes the clinical screening and assessment tool (PASP) with concise, clear, and legible documentation.
As applicable, identifies the need for additional screening for substance use, nutrition needs, functional needs, and abuse for children/adolescents, school and development screening.
Demonstrates understanding of admission criteria for inpatient, partial hospitalization, intensive outpatient hospitalization and outpatient levels of care.
Documents any special needs related to spiritual or cultural needs.
Demonstrates a working knowledge of community mental health and substance use programs/referral to be offered for all patients not at imminent risk nor requiring services at a higher level of care as provided at the hospital.
By demonstrating competency and thorough clinical understanding, ensures that each patient is seen by a physician or has had a consult by a physician to obtain treatment recommendations and disposition.
Upon admission to a treatment program within the hospital, notifies the unit staff of the patients level of acuity, chief compliant and history of illness leading to admission, medical concerns and attending physician.
Demonstrates understanding of all hospital required paperwork for admission and completion of admission packets for each department as applicable.
Knowledge of state local laws, ordinances and practices governing involuntary hospitalization and ensure compliance with same.
Ensure correct information on EMTALA log to include all timelines and no blanks in documentation.
Understands the ability to accurately maintain the bed board reconciliation for patient placement upon admission.
Demonstrates understanding of utilization review process to include treatment criteria and precertification payor to obtain initial authorization of care and document same with pass to the Utilization Management team for concurrent reviews.
As applicable, contracts the managed care organization or third-party
Demonstrates an ability to be flexible, organized and function well in stressful situations.
Treats patients and their families with respect and dignity, ensures confidentiality of patients records.
Interacts professionally with patient/family and provides explanations and verbal reassurance as necessary.
Ensures that documentation meets current standards and policies.
Answers the telephone in a polite manner and communicates information to the appropriate staff/family member.
Perform other duties as required
Safety
(15% of performance review)
Strives to create a safe, healing environment for patients and family members
Follows all safety rules while on the job.
Reports near misses, as well as errors and accidents promptly.
Corrects minor safety hazards.
Communicates with peers and management regarding any hazards identified in the workplace.
Attends all required safety programs and understands responsibilities related to general, department, and job specific safety.
Participates in quality projects, as assigned, and supports quality initiatives.
Supports and maintains a culture of safety and quality.
Teamwork
(15% of performance review)
Works well with others in a spirit of teamwork and cooperation.
Responds willingly to colleagues and serves as an active part of the hospital team.
Builds collaborative relationships with patients, families, staff, and physicians.
The ability to retrieve, communicate, and present data and information both verbally and in writing as required
Demonstrates listening skills and the ability to express or exchange ideas by means of the spoken and written word.
Demonstrates adequate skills in all forms of communication.
Adheres to the Standards of Behavior
Integrity
(15% of performance review)
Strives to always do the right thing for the patient, coworkers, and the hospital
Adheres to established standards, policies, procedures, protocols, and laws.
Applies the Mission and Values of SUN Behavioral Health to personal practice and commits to service excellence.
Supports and demonstrates fiscal responsibility through supply usage, ordering of supplies, and conservation of facility resources.
Completes required trainings within defined time periods, as established by job description, policies, or hospital leadership
Exemplifies professionalism through good attendance and positive attitude, at all times.
Maintains confidentiality of patient and staff information, following HIPAA and other privacy laws.
Ensures proper documentation in all position activities, following federal and state guidelines.
Compassion
(15% of performance review)
Demonstrates accountability for ensuring the highest quality patient care for patients.
Willingness to be accepting of those in need, and to extend a helping hand
Desire to go above and beyond for others
Understanding and accepting of cultural diversity and differences
Qualifications
Education
Required: Meeting state requirements, a LVN, Bachelors or Masters degree in a mental health related field, with a minimum of two (2) years of supervised clinical experience. CPR and hospital-selected de-escalation technique certification.
Maintains education and development appropriate for position.
Experience
Required: One to three years of experience in a behavioral health setting.
Preferred: Previous assessment and evaluation experience in a behavioral health setting.
Clinical Supervisor (night shift)
Clinical coordinator job in Seaford, DE
Why work at TidalHealth? Looking for a rewarding place to work? Choose TidalHealth. Our hospitals have been named among the Top 5 percent of all U.S. hospitals by Healthgrades and a five-star hospital by the Centers for Medicare & Medicaid Services. Located just 30 minutes from the beach, TidalHealth offers the widest array of specialty and subspecialty services such as neurosurgery, cardiothoracic surgery, joint replacement, emergency/trauma care, comprehensive cancer care, wound care and clinical trials and research. Take advantage of our tuition assistance and scholarship programs to grow both personally and professionally.
Clinical Supervisor Position Summary
The Clinical Supervisor is responsible and accountable for organizing and directing all aspects of their clinical area. The Clinical Supervisor works collaboratively with their immediate Supervisor and/or appropriate Chain of Command and hospital departments in supporting operations and patient throughput. The Clinical Supervisor serves as a positive role model and sets the professional tone for their area. The Clinical Supervisor provides leadership and management in the areas of customer satisfaction, provision of safe and effective care, human resources, communication, patient advocacy, performance improvement and leadership/professional development.
Clinical Supervisor Position Requirements
Education
* Current Maryland License as a Registered Professional Nurse.
* Bachelor's Degree is required or in pursuit within 6 months of accepting position
* ACLS (Within 6 months of hire/transfer date) as required by department director.
* Tele-Certified (within 6 months of hire/transfer date) as required by department director.
Experience
* Three years of clinical nursing experience, with 1-2 years of leadership experience preferred.
Mental Demands
* Demonstrates organizational ability by using time and equipment effectively.
* Works under pressure of time and accuracy, often in stressful situations.
* Works with patients and families in crisis situations and emotional/mental alterations.
* Demonstrates skill and accuracy in written and oral communication.
* Frequently works with grieving, despondent, angry and mentally disturbed patients.
* Takes necessary immediate action when handling personnel problems.
* Receptive to new ideas and able to lead and/or participate in change
* Readily assumes additional responsibility
* Ability to critically evaluate problems and plan appropriate actions
* Acts as mediator in conflict situations
Responsibilities for Assets
* Works with numerous expensive and complex instruments which may include IV controllers, hypothermia units, vacuum regulators, computers, portable and bedside cardiac/pressure monitors and other specialized equipment.
* Has thorough understanding of proper working order of equipment and reports maintenance needs promptly.
* Is conscious of and participates in cost containment efforts.
Contact with Others
* Has constant contact with public, staff, and families requiring effective communication skills.
* Works effectively with the Medical Staff.
* Maintains a cooperative working relationship interdepartmentally as well with other members of the nursing team, other departments and organizational leadership.
* Maintains a professional separation of personal biases that may have negative impact on unit function
Clinical Supervisor Work Schedule
* Exempt position.
* Variable shifts depending on the needs of the department.
* Work shifts include clinical and administrataive time.
Clinical Supervisor Benefits
* At TidalHealth, full-time employees working at least 72 hours per pay period, part-time employees working at least 36 hours per pay period and part-time employees working at least 30 hours or more on weekends only are eligible for benefits.
* Benefits include medical, prescription, vision, dental, flexible spending accounts, disability insurance plans, life insurance, paid time off plans, retirement plans, tuition assistance, employee assistance, and access to on-site childcare and a credit union.
Salary range: $83,428.80 - $133,494.40 Commensurate with experience
CCM Nurse Coordinator
Clinical coordinator job in Wilmington, DE
Job Description
CCM Coordinator / Manager
Description Summary:Stoney Batter Family Medicine Associate P.A. CCM program provides quality outreach for patients with multiple chronic condition. On a daily basis, CCM Case Manager will coordinate care, outreach to patients providing care management services and accurate and timely documentation.
Essential Duties:
The duties listed below are the essential functions of this position, and they may change as the needs of the company demand. All CCM Coordinator / Care Managers are expected to do what is necessary to get the work done and to cooperate fully with their supervisors requests for additional or altered duties.
Identifies and implements the appropriate level of intervention based upon the members needs and clinical progress
Maintain proper documentation including
Patient notes
Messaging
Care Plans
Medication Reconciliation
Scheduling notes
Coordinate with Provider on
Goals
Patient Needs
requirements
Shares goals with the member and family as appropriate
Schedules follow up calls as necessary
Keeps a calendar and f/u on issues
If meds were changed
BP calls back in a week
Depression meds call back in a week
Documents progress towards meeting goals and resolving problems
Coordinates care and services with other offices as needed
Schedule visits
Assist provider on AWVs by completing the assessment portion
Orders DME
Provide virtual visit to patient when necessary
Check voicemails multiple times a day
Support other case managers at times of absences including
Patient Contact
Call coverage
Messaging
Participate in regularly scheduled meetings as needed
Access Aledade APP daily for
Admission data on covered patients to avoid readmissions
Care Gap
Graduates and defers pts when needed
Other duties as assigned
Job Requirements
Education/Training/Experience:
1-3 years of experience
Strong competency in professional Health Care services industry
Must have strong written and verbal skills in English.
Experience using Associated software Hospital based systems
Must have knowledge of a variety of computer software applications
Skills & Abilities Required:
Organized
Attention to detail
Ability to multitask
Strong communication skills
Deadline oriented
Ability to work with minimal supervision
Basic use of Microsoft Produces
Ability to work in a team environment
Customer service mentality
Strong written & verbal communication skills in English
Uses critical thinking to assess potential issues and does not focus on just the POC when speaking
Be a team player
Physical Requirements:
Ability to sit and/or stand for extended periods
Ability to perform work on a computer for extended periods
Ability to attend work and meetings with excellent attendance and punctuality
Ability to bend and lift up to 25 lbs
No travel required
Job Type:Full-Time / Part Time
Pay:Based on Credentialing and experience
Benefits:
Health insurance
Paid time off
Schedule:
8-hour shift
Monday to Friday
Flex time available
Ability to commute/relocate or work from home:
Education:
Certified Medical Assistant
Licensed Practical Nurse
Certified Registered Nurse
Medical Practice Coordinator-Psychology
Clinical coordinator job in Wilmington, DE
Primary Functions:
1.This position primarily facilitates access to care for Developmental Medicine, Psychology and The Swank Autism Center. This includes scheduling of patients at all Nemours sites of service. Maximize template utilization. Manage wait lists and referral work queues to ensure it meets established metrics.
2. Provide daily administrative support to assigned members of the clinical team; including the Division Chief. Assist in the coordination and support of enterprise/departmental/divisional projects and initiative which further the clinical, educational and research missions of the Department of Pediatrics and its Divisions.
Essential Functions:
1.Provide daily oversight of divisional clinical schedules
2.Partner with clinical teams to ensure timely follow-up care for patients to optimize schedules, access, and fill rates.
3.Collect, communicate, and document demographic, insurance and/or clinical information required for patient care and revenue cycle.
4.Promptly and courteously manage communications to/from internal and external customers including patients, referring physicians, insurance companies, etc. Triage urgent/non-urgent calls appropriately. Ensure service excellence in all encounters.
5.Connect crisis calls to proper next steps including crisis resources and mobile crisis.
6.Utilizing EPIC and Qlik reporting tools to assess schedule responsibilities.
7.Serve as a liaison between patient, healthcare providers, other members of healthcare team, financial services, billing, and HIM.
8.Daily, open, categorize and distribute incoming correspondence, including mail, faxes, scanned documents, etc.
9.Physical onsite presence as required by Division.
10.Proactively identify problems and opportunities related to divisional operations. Address or refer problems and ideas appropriately.
Qualifications
High School Diploma required. Associates or Bachelors degree preferred, but will consider equivalent years' experience.
Basic knowledge of HIPAA regulations and ability to maintain confidentiality. Intermediate knowledge of word processing and excel.
Excellent verbal and written communication skills
Strong organizational and time management skills
Solid conflict resolution skills Ability to work independently with minimal supervision.
Auto-ApplyMedical Practice Coordinator-Pulmonology Part-Time
Clinical coordinator job in Wilmington, DE
Nemours is seeking a part-time Medical Practice Coordinator-Pulmonology.
Primary Functions:
Facilitate access to care. This includes scheduling of patients at all Nemours sites of service. Maximize template utilization. Manage the wait list and referral work queue to ensure it is at or below established metrics.
Manage divisional templates to ensure ease of patient access, provider effectiveness and efficient clinic flow
Provide daily administrative support to assigned members of the clinical team; including the Division Chief. Assist in the coordination and support of enterprise/departmental/divisional projects and initiative which further the clinical, educational and research missions of the Department of Pediatrics and its Divisions.
Essential Functions:
Provide daily oversight of divisional clinical schedules and EPIC templates.
In collaboration with departmental/divisional leadership and divisional providers, develop, build, modify and maintain EPIC templates for assigned providers and specialty programs at all service sites.
View and manage provider schedules. Complete steps within EPIC to set single day edits, unavailable times, hold times and clinic cancellations as required.
Utilizing EPIC and Qlik reporting tools, assess template effectiveness through the lens of patient access for all appointment types, provider productivity and care center efficiency. Process template revisions as appropriate.
Promptly and courteously handle telephone calls to/from internal and external customers including patients, referring physicians, insurance companies, etc. Triage urgent/non-urgent calls appropriately. Ensure service excellence in all encounters.
Provide administrative support to divisional leaders and clinical providers, to include, but not limited to:
Daily, detailed management of administrative and clinical schedule of activities.
Coordination of meetings with internal and external participants
Ensure alignment between Outlook and Epic schedules.
Timely completion of hospital reappointment applications
Maintain an accurate accounting of continuing medical education (CME) activity
Update and maintain the curriculum vitae (CV) for providers on an ongoing basis.
Participate in the development and distribution of monthly divisional on-call schedules. Ensure internal and external partners have accurate on-call information. Enter into Web Exchange.
Manage the biweekly and monthly Kronos (timekeeping) and Paid Time off (PTO) process for assigned Department/Division personnel. Maintain time and leave records.
On a daily basis, open, categorize and distribute incoming correspondence, including mail, faxes, scanned documents, etc.
Complete associate reimbursement forms, payment requests forms, license renewals, etc. Maintain an accounting of identified expenses. Prepare CME travel request forms; coordinate travel request forms as directed.
Physical onsite presence as required by Division.
Proactively identify problems and opportunities related to divisional operations. Address or refer problems and ideas appropriately.
Job Qualifications:
High School Diploma required. Associates or Bachelors degree preferred, but will consider equivalent years' experience and enrollment in degreed program.
1-3 years of job related experience.
Auto-ApplyCoordinator, Revenue Cycle Management
Clinical coordinator job in Dover, DE
**_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a medical practice. Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient's account balance is zero.
This position is responsible for reviewing the physician's daily schedule and obtaining verification of patients' insurance benefits for their scheduled visits. They will also obtain authorization for all requested procedures, tests, drugs, etc.
**_Responsibilities:_**
+ Receives chemotherapy orders and reviews for compendia compliance, submits for authorization.
+ Ensures compendia compliance and obtains all required authorization and referral information for patients' treatments.
+ Receives authorization for in-house and outpatient procedures and documenting it in the patient medical record.
+ Communicates effectively with the Billing and Office Managers as well as billing and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received.
+ Maintains detailed notes in patients' electronic records.
+ Reviews schedules daily and ensures appropriate insurance and authorization has been obtained and documented.
+ Maintain a high level of confidentiality for patients in accordance to HIPAA standards.
+ Ensures patients are contacted prior to appointments to inform them of treatment schedule changes if necessary and when appropriate.
+ Become familiar with up-to-date NCCN guidelines.
+ Effectively completes other duties and projects as assigned.
**_Qualifications:_**
+ High School Diploma or equivalent, preferred
+ 2-3 years' experience preferred
+ Clinical business training preferred
+ Knowledge of computer/telephony support, preferably in a health care environment
+ Strong customer service background, preferably in health care environment
+ Excellent verbal communication skills
+ Competence with computer processing functions and other standard office equipment
+ Ability to manage and prioritize multiple tasks
+ Ability to calmly and professionally resolve customer issues with diplomacy and tact
+ Ability to work independently with minimal supervision
+ Strong organizational skills
**Anticipated hourly range:** $ 15.70 - 24.75 USD Hourly
Bonus eligible: No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 12/5/25/2025 *if interested in opportunity, please submit application as soon as possible.
_The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity._
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Embedded Clinical Care Coordinator - Utilization//Pediatrics/InterQual
Clinical coordinator job in Wilmington, DE
at a children's hospital in Wilmington, Delaware. Responsible for the implementation of effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate resource utilization, identification of opportunities for referral to a Care Coordinator (case management) and identification and resolution of quality issues.
Monitors and analyzes the delivery of health care services; educates providers and members on a proactive basis and analyzes qualitative and quantitative data in developing strategies to improve provider performance/satisfaction and member satisfaction. Responds to customer inquiries and offers interventions and/or alternatives.
Essential Job Functions:
1. Implements utilization management review processes that are consistent with established industry and corporate standards and are within the Clinical Care Coordinator's professional discipline. Effectively functions in accordance with applicable state, federal laws and regulatory compliance.
2. Implements all reviews according to accepted and established criteria, as well as other approved guidelines and medical policies. Promotes quality and efficiency in the delivery of services.
3. Respects the member's right to privacy, sharing only information relevant to the member's care and within the framework of applicable laws. Practices within the scope of ethical principles.
4. Identifies and refers members whose healthcare outcomes might be enhanced by Care Coordination interventions. Employs collaborative interventions, which focus, facilitate and maximize the member's health care outcomes. Is familiar with the various care options and provider resources available to the member.
5. Educates professional and facility providers and vendors for the purpose of streamlining and improving processes, while developing network rapport and relationships. Develops and sustains positive working relationships with internal and external customers.
6. Utilizes outcomes data to improve ongoing care management services.
7. Serves as a subject matter expert to both internal and external sources (e.g. providers, regulatory agencies, UM and policy) to provide education, consultation and training when indicated. Serves as a resource to guide, mentor and counsel others in regards to understanding the drivers of health care costs to improve member outcomes related to Plan benefits and resources.
8. Collaborates, coordinates and communicates with the member's treating provider(s) in more complex clinical situations requiring clinical and psychosocial intervention.
9. Ensures all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards that support all lines of business.
10. Other duties as assigned or requested.
Minimum Qualifications:
Current DE/Compact RN license and/or additional states as required
2-5 years' experience in clinical setting
Utilization Management experience
Proficient InterQual experience
Two (2) years of any combination of clinical, case management and/or disease/condition management, provider operations and/or health insurance experience
Preferred Qualifications:
Certification in Utilization Management or related field
Certification in Case Management (CCM)
Five or more years of any combination of clinical, case management and/or disease/condition management, provider operations and/or health insurance experience
Bachelor's Degree in Nursing (BSN)
2+ to 5 years experience
Management Experience Required -
No
Minimum Education -
Certification
Willingness to Travel -
Occasionally
SKILLS AND CERTIFICATIONS
InterQual
IDEAL CANDIDATE
Nurse with a DE License, to possess 2 - 5 years of Pediatrics experience, Utilization Management experience and must have InterQual expeerience. This is an embedded position in a children's hospital
Additional Information
All your information will be kept confidential according to EEO guidelines.