Senior Clinical Research Associate/Clinical Research Associate II - Oncology - US - FSP
Parexel 4.5
Clinical coordinator job in Dover, DE
**Job Purpose:** The Senior Clinical Research Associate (Sr. CRA) is responsible for the site management, site monitoring and close-out of assigned clinical trials investigator sites to ensure patient safety and quality study execution in accordance with applicable prevailing laws, Good Clinical Practices (GCP), and sponsor standards. The Sr. CRA is accountable for site management and monitoring, managing investigator site relationships to ensure effective delivery of clinical trials (e.g. enrollment, database release), to safeguard the quality of investigator sites (e.g. patient safety, site quality and compliance with GCP), to maintain investigator and site staff engagement and satisfaction, and to enhance the company's image with its external stakeholders. The Sr. CRA is responsible for the resolution of all protocol-related issues for assigned investigator sites and will work closely with the Site Care Partner (SCP), and other members of the study team, as required, in activities associated with the set-up, running and close-out of sites in a clinical trial.
**Key Accountabilities:**
**Oversight of Monitoring Responsibilities and Study Conduct**
+ Ensure proper conduct of clinical trials in accordance with the Study Monitoring Plan (SMP) and applicable prevailing laws, GCP, and sponsor standards to achieve project goals, timelines and quality
+ Manage assigned operational aspects for implementation of clinical trial activities at assigned investigator sites from site activation through to database lock, ensuring relevant timelines and quality deliverables are met
+ During study conduct, serve as the primary point of contact for assigned investigator sites. Work in partnership with and/or escalate to the SCP to ensure quality of site delivery
+ Interface with the study team as needed, facilitate information flow between members of the study team, vendors and assigned investigator sites
+ Partner with SCP to perform investigator site development, coaching and training of site personnel to ensure ongoing compliance with protocol and the safeguarding of patients; provide protocol training to, and address protocol related questions from the investigator site staff when required, including discussions on known/anticipated operational and clinical trial risks
+ Attend investigator meeting when required (virtual or F2F). Provide enrollment support and ensure progress by responding to site activation and
+ recruitment issues from investigators. Partner with SCP and the study team to define and support recruitment initiatives at site level
+ Conduct onsite, remote/electronic monitoring as needed for study site initiation, routine monitoring and study site closure activities and ensure these are conducted accordance to the SMP, Standard Operating Procedures (SOPs) and commensurate with emerging issues and technologies
+ Monitor site level adverse events (AEs) and serious adverse events (SAEs) and collaborate with the Drug Safety Unit and follow-up with investigators sites, as needed, to bring SAE reports required information to resolution
+ Submit all required reports, documentation, updates and tracking within required timeframes, including but not limited to Trial Master File (TMF) documentation, site reports, site follow up letters, protocol deviations, patient recruitment, clinical supply management, study progress and metrics
+ Identify and resolve investigator site issues within required timeframes; agree and develop corrective and preventative actions with investigator and site personnel to close open issues and to prevent recurrence/persistence of issues
+ Resolve data queries within required timelines, prepare investigator site close-out plan and conduct close-out activities within required timelines
+ Ensures adequate oversight of the investigational product at the investigator site, including receipt, handling, accounting, storage conditions, and destruction activities
+ Support database release as needed
+ May undertake the responsibilities of an unblinded monitor where appropriate
**Clinical/Scientific and Site Monitoring Risk**
+ Maintain thorough understanding of the product, protocol and therapy area in sufficient details to have appropriate discussions with the investigator and site team
+ Interact with investigator site heath care professionals in a manner which enhances sponsor's credibility, scientific leadership and in order to facilitate sponsor's clinical development goals
+ Support the study clinician in ensuring patient safety, eligibility and providing clinical guidance to investigators
+ Drive Quality Event (QE) remediation, when applicable
+ Serve as a point of contact for audit conduct, and drive Audit Observation corrective action/preventive action (CAPA) development and checks, when applicable
**Collaboration**
+ Reports to Director of Clinical Site Operations (DCSO) or Director of Site Management and Monitoring (DSMM)
+ Partners with SCP and Country Study Operations Manager (SOM)
+ When required Partners with other Study Team members (e.g. Clinician, Recruitment Specialist, Clinical Data Scientist)
+ May act as a Mentor for Clinical Research Associates
**Skills:**
+ Monitoring Experience: Minimum 3 years relevant experience in clinical research site monitoring (preferably 2 years in Oncology) in a CRO or pharma organization
+ Preferred therapeutic experience in Oncology
+ Global clinical trial experience preferred
+ Extensive knowledge of clinical trial methodologies, ICH/GCP, Food and Drug Administration (FDA) and local country regulations
+ Must be fluent in English and in the native language(s) of the country they will work in
+ Travel (60-80%) within area is required
+ Valid driver's license and passport required
**Knowledge and Experience:**
+ Demonstrated knowledge of clinical research and development processes and ability to gain command of process details
+ Demonstrated knowledge of global and local regulatory requirements
+ Demonstrated understanding of key operational elements of clinical research (e.g., monitoring, data acquisition and cleaning, reporting, etc.)
+ Demonstrated knowledge in disease and technical areas pertaining to clinical studies, including knowledge of company direction, investigational product(s), and associated development plan(s)
+ Demonstrated ability to support sponsor regulatory interactions/inspections
+ Demonstrated knowledge of the processes around protocol design and feasibility assessment
+ Demonstrated understanding of region/country, culture, and medical practice and how they affect clinical trial delivery
+ Proven ability to work in a matrix team environment with the ability to influence, drive / lead and work through others for successful delivery of clinical trial
+ Ability to evaluate, interpret and present complex issues and data to support risk management and mitigation
+ Effective verbal and written communication skills in relating to colleagues and associates both inside and outside of the organization
**Education:**
+ Bachelor's degree in life sciences or professional degree in life sciences such as nursing, pharmacy, medical is required
\#LI-CF1
\#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.
$84k-112k yearly est. 45d ago
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0000 Facility - Case Management Coordinator
Acadia Healthcare 4.0
Clinical coordinator job in New Castle, DE
PURPOSE STATEMENT:
The Case Manager Coordinator is responsible for coordinating and facilitating comprehensive discharge planning and continuity of care for patients at Meadowwood Hospital. This role partners closely with the interdisciplinary treatment team to ensure patients receive appropriate, timely, and clinically appropriate services across the continuum of care. The Case Manager Coordinator advocates for patient needs, supports safe transitions, and promotes optimal outcomes while ensuring compliance with regulatory, accreditation, and hospital standards.
Responsibilities
ESSENTIAL FUNCTIONS:
Assure residents meet criteria for admission, and review initial clinical information through discharge.
Monitor and manage client/patient/resident's cases through development and implementation of individual care plans, collecting clinical data and remain informed by continuous review of documentation.
Coordinate care by tracking, monitoring, and reporting on inpatient or outpatient care.
Manage client/patient/resident's cases with knowledge and expertise with the patient population of the facility.
Convey medical criteria and clinical information between the client/patient/residents' insurance provider and treatment team as warranted and may also provide this information to the business office, as needed.
Conduct precertification with third party payers and negotiate approved days with the provider for the patient/resident admission.
Assigned tasks for admission review, concurrent review and participate in discharge planning.
OTHER FUNCTIONS:
Perform other functions and tasks as assigned.
Qualifications
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
Bachelor's degree in Health Administration, Social Science or a related field or relevant previous job experience .
Ability to create and maintain professional liaison with community agencies and organizations to ensure continuity of care.
Knowledge of mental health and substance use fields is preferred.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
CPR and de-escalation/restraint certification (training available upon hire and offered by facility).
First aid may be based on state or facility.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
$25k-48k yearly est. Auto-Apply 11d ago
Medical Practice Coordinator-2010057510-NDP-WIL-Pediatrics general-Nemours Children's Hospital, Delaware
The Nemours Foundation
Clinical coordinator job in Wilmington, DE
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 clinical 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:
1.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 appropriate.
Education
High School Diploma required. Associates or Bachelor's degree preferred but will consider equivalent years' experience and enrollment in degreed program.
1-3 years of job-related experience required.
$43k-72k yearly est. Auto-Apply 40d ago
Medical Practice Coordinator-2010057510-NDP-WIL-Pediatrics general-Nemours Children's Hospital, Delaware
Nemours Foundation
Clinical coordinator job in Wilmington, DE
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 clinical 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:
1.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 appropriate.
Education
High School Diploma required. Associates or Bachelor's degree preferred but will consider equivalent years' experience and enrollment in degreed program.
1-3 years of job-related experience required.
$43k-72k yearly est. Auto-Apply 40d ago
Medical Practice Coordinator-2010057510-NDP-WIL-Pediatrics general-Nemours Children's Hospital, Delaware
Nemours
Clinical coordinator job in Wilmington, DE
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 clinical 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:
1.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 appropriate.
Education
High School Diploma required. Associates or Bachelor's degree preferred but will consider equivalent years' experience and enrollment in degreed program.
1-3 years of job-related experience required.
$43k-72k yearly est. Auto-Apply 40d ago
Part-Time Intake Coordinator
Banyan Brand 4.7
Clinical coordinator job in Milford, DE
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, three 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.
$31k-41k yearly est. 28d ago
Clinical Supervisor (Treatment Foster Care)
Pressley Ridge 3.4
Clinical coordinator job in Dover, DE
Be the change you wish to see in the world! Come join our team to empower children and families in our communities to transform their lives and develop to their full potential. Pressley Ridge Benefits The well-being of our employees and their families is important to us. At Pressley Ridge, we strive to provide the most competitive and comprehensive employee benefit programs that are affordable and help you and your family achieve and maintain your best possible health.
* Medical coverage available with a Health Savings Account (HSA) with employer match
* Prescription coverage
* Dental and vision plans
* Patient advocate and Medicare specialists available at no cost
* Dependent Care Flexible Savings Account
* Retirement savings plan with an employer match
* Free life insurance and AD&D
* Paid Time Off
* 9 paid holidays (7 recognized holidays plus a floating and birthday holiday per year)
* Tuition reimbursement (if applicable)
* Employee Assistance Program (EAP)
Position Summary
The Clinical Supervisor coordinates and evaluates the day to day implementation of the overall program for Treatment Foster Care (TFC). The Clinical Supervisor assists the Program Director in assuring that the Treatment Coordinator staff develop, implement and monitor effective treatment programs in TFC homes which maximize high rates of successful program completion and discharge to less restrictive residential environments. The Clinical Supervisor will recruit the new TFC staff and parents and develop new and revise procedures to assure continuous program quality and compliance with licensing and regulatory agencies. The Clinical Supervisor participates in the administration of assigned management functions.
Essential Responsibilities
* Supervision and clinical oversight of treatment staff
* Oversee the development and implementation of all treatment and service plans
* Perform direct clinical services which may include therapy, counseling, individual supportive counseling or other clinical or behavioral services as assigned
* Oversee and hold staff accountable to the systems developed to ensure compliance with documentation of all clinical activities
* Ensure clinical supervision is provided to staff who are making decisions about the most appropriate service for a child and family
* Monitor staff implementation of the Treatment Foster Care Model and ensure its integrity
Qualifications
* Clearances. State Police/FBI clearance per state regulation; Child and Adult Abuse Registry clearance
* Valid drivers license and current auto insurance.
* Reliable transportation for frequent travel to various community locations for client services and home visits.
Working Conditions
* Physical Demands. Requires moderate to high level of physical activity including; sitting, standing, walking lifting and carrying as required.
* Environmental Factors. Indoors/Outdoors: school, community, residence, office.
* Working Hours. A non-traditional work schedule as defined by service needs and crisis "on call".
Clearances: State Police/FBI per state regulations; Child and Adult Protected services.
Valid state drivers license and current insurance with safe driving record
$56k-81k yearly est. 46d ago
Part-Time Intake Coordinator
Cutting Edge Staffing LLC 3.5
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, three 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.
$31k-39k yearly est. 29d ago
Embedded Clinical Care Coordinator - Utilization//Pediatrics/InterQual
Direct Staffing
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.
$51k-78k yearly est. 1d ago
Intake Coordinator I [PRN]
Sun Behavioral Health Group 3.5
Clinical coordinator job in Georgetown, DE
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.
$33k-38k yearly est. 9d ago
Sr. Clinical Research Associate - Oncology - FSP
Parexel 4.5
Clinical coordinator job in Dover, DE
The Senior Clinical Research Associate (Sr. CRA) is responsible for the site management, site monitoring and close-out of assigned clinical trials investigator sites to ensure patient safety and quality study execution in accordance with applicable prevailing laws, Good Clinical Practices (GCP), and the Sponsor's standards. The Sr. CRA is accountable for site management and monitoring, managing investigator site relationships to ensure effective delivery of clinical trials (e.g. enrollment, database release), to safeguard the quality of investigator sites (e.g. patient safety, site quality and compliance with GCP), to maintain investigator and site staff engagement and satisfaction, and to enhance the company's image with its external stakeholders. The Sr. CRA is responsible for the resolution of all protocol-related issues for assigned investigator sites and will work closely with the Site Care Partner (SCP), and other members of the study team, as required, in activities associated with the set-up, running and close-out of sites in a clinical trial.
**Monitoring Responsibilities and Study Conduct:**
+ Ensure proper conduct of clinical trials in accordance with the Study Monitoring Plan (SMP) and applicable prevailing laws, GCP, and the Sponsor's standards to achieve project goals, timelines and quality
+ Manage assigned operational aspects for implementation of clinical trial activities at assigned investigator sites from site activation through to database lock, ensuring relevant timelines and quality deliverables are met
+ During study conduct, serve as the primary point of contact for assigned investigator sites. Work in partnership with and/or escalate to the SCP to ensure quality of site delivery
+ Interface with the study team as needed, facilitate information flow between members of the study team, vendors and assigned investigator sites
+ Partner with Site Care Partner to perform investigator site development, coaching and training of site personnel to ensure ongoing compliance with protocol and the safeguarding of patients; provide protocol training to, and address protocol related questions from the investigator site staff when required, including discussions on known/anticipated operational and clinical trial risks
+ Attend investigator meeting when required (virtual or F2F). Provide enrollment support and ensure progress by responding to site activation and recruitment issues from investigators. Partner with Site Care Partner and the study team to define and support recruitment initiatives at site level
+ Conduct onsite, remote/electronic monitoring as needed for study site initiation, routine monitoring and study site closure activities and ensure these are conducted accordance to the SMP, Standard Operating Procedures (SOPs) and commensurate with emerging issues and technologies
+ Monitor site level adverse events (AEs) and serious adverse events (SAEs) and collaborate with the Drug Safety Unit and follow-up with investigators sites, as needed, to bring SAE reports required information to resolution
+ Submit all required reports, documentation, updates and tracking within required timeframes, including but not limited to Trial Master File (TMF) documentation, site reports, site follow up letters, protocol deviations, patient recruitment, clinical supply management, study progress and metrics
+ Identify and resolve investigator site issues within required timeframes; agree and develop corrective and preventative actions with investigator and site personnel to close open issues and to prevent recurrence/persistence of issues
+ Resolve data queries within required timelines, prepare investigator site close-out plan and conduct close-out activities within required timelines
+ Ensures adequate oversight of the investigational product at the investigator site, including receipt, handling, accounting, storage conditions, and destruction activities
+ Support database release as needed
+ May undertake the responsibilities of an unblinded monitor where appropriate
**Clinical/Scientific and Site Monitoring Risk:**
+ Maintain thorough understanding of the product, protocol and therapy area in sufficient details to have appropriate discussions with the investigator and site team
+ Interact with investigator site heath care professionals in a manner which enhances the Sponsor's credibility, scientific leadership and in order to facilitate their clinical development goals
+ Support the study clinician in ensuring patient safety, eligibility and providing clinical guidance to investigators
+ Drive Quality Event (QE) remediation, when applicable
+ Serve as a point of contact for audit conduct, and drive Audit Observation corrective action/preventive action (CAPA) development and checks, when applicable
**Skills:**
+ Extensive knowledge of clinical trial methodologies, ICH/GCP, Food and Drug Administration (FDA) and local country regulations
+ Monitoring Experience: Minimum 3 years relevant experience in clinical research site monitoring (preferably 2 years in Oncology)
+ Preferred therapeutic experience in Oncology, Vaccines, Internal Medicine or Infectious Diseases
+ Must be fluent in English and in the native language(s) of the country they will work in
+ Ability to travel 60-80%
+ Valid driver's license and passport required
**Education:**
+ Bachelor's degree in life sciences or professional degree in life sciences such as nursing, pharmacy, medical background or equivalent
\#LI-LO1
\#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.
$84k-112k yearly est. 41d ago
0000 Facility - Case Management Coordinator
Acadia Healthcare 4.0
Clinical coordinator job in New Castle, DE
PURPOSE STATEMENT:
The Case Manager Coordinator is responsible for coordinating and facilitating comprehensive discharge planning and continuity of care for patients at Meadowwood Hospital. This role partners closely with the interdisciplinary treatment team to ensure patients receive appropriate, timely, and clinically appropriate services across the continuum of care. The Case Manager Coordinator advocates for patient needs, supports safe transitions, and promotes optimal outcomes while ensuring compliance with regulatory, accreditation, and hospital standards.
Responsibilities
ESSENTIAL FUNCTIONS:
Assure residents meet criteria for admission, and review initial clinical information through discharge.
Monitor and manage client/patient/resident's cases through development and implementation of individual care plans, collecting clinical data and remain informed by continuous review of documentation.
Coordinate care by tracking, monitoring, and reporting on inpatient or outpatient care.
Manage client/patient/resident's cases with knowledge and expertise with the patient population of the facility.
Convey medical criteria and clinical information between the client/patient/residents' insurance provider and treatment team as warranted and may also provide this information to the business office, as needed.
Conduct precertification with third party payers and negotiate approved days with the provider for the patient/resident admission.
Assigned tasks for admission review, concurrent review and participate in discharge planning.
OTHER FUNCTIONS:
Perform other functions and tasks as assigned.
Qualifications
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
Bachelor's degree in Health Administration, Social Science or a related field or relevant previous job experience required.
Ability to create and maintain professional liaison with community agencies and organizations to ensure continuity of care.
Knowledge of mental health and substance use fields is preferred.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
First aid may be required based on state or facility.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
Not ready to apply? Connect with us for general consideration.
$25k-48k yearly est. Auto-Apply 13d ago
Clinical Supervisor (Treatment Foster Care)
Pressley Ridge Career 3.4
Clinical coordinator job in Dover, DE
Be the change you wish to see in the world! Come join our team to empower children and families in our communities to transform their lives and develop to their full potential.
Pressley Ridge Benefits
The well-being of our employees and their families is important to us. At Pressley Ridge, we strive to provide the most competitive and comprehensive employee benefit programs that are affordable and help you and your family achieve and maintain your best possible health.
Medical coverage available with a Health Savings Account (HSA) with employer match
Prescription coverage
Dental and vision plans
Patient advocate and Medicare specialists available at no cost
Dependent Care Flexible Savings Account
Retirement savings plan with an employer match
Free life insurance and AD&D
Paid Time Off
9 paid holidays (7 recognized holidays plus a floating and birthday holiday per year)
Tuition reimbursement (if applicable)
Employee Assistance Program (EAP)
Position Summary
The Clinical Supervisor coordinates and evaluates the day to day implementation of the overall program for Treatment Foster Care (TFC). The Clinical Supervisor assists the Program Director in assuring that the Treatment Coordinator staff develop, implement and monitor effective treatment programs in TFC homes which maximize high rates of successful program completion and discharge to less restrictive residential environments. The Clinical Supervisor will recruit the new TFC staff and parents and develop new and revise procedures to assure continuous program quality and compliance with licensing and regulatory agencies. The Clinical Supervisor participates in the administration of assigned management functions.
Essential Responsibilities
Supervision and clinical oversight of treatment staff
Oversee the development and implementation of all treatment and service plans
Perform direct clinical services which may include therapy, counseling, individual supportive counseling or other clinical or behavioral services as assigned
Oversee and hold staff accountable to the systems developed to ensure compliance with documentation of all clinical activities
Ensure clinical supervision is provided to staff who are making decisions about the most appropriate service for a child and family
Monitor staff implementation of the Treatment Foster Care Model and ensure its integrity
Qualifications
Clearances. State Police/FBI clearance per state regulation; Child and Adult Abuse Registry clearance
Valid drivers license and current auto insurance.
Reliable transportation for frequent travel to various community locations for client services and home visits.
Working Conditions
Physical Demands. Requires moderate to high level of physical activity including; sitting, standing, walking lifting and carrying as required.
Environmental Factors. Indoors/Outdoors: school, community, residence, office.
Working Hours. A non-traditional work schedule as defined by service needs and crisis “on call”.
Clearances: State Police/FBI per state regulations; Child and Adult Protected services.
Valid state drivers license and current insurance with safe driving record
$56k-81k yearly est. 46d ago
Adapted Care Clinical Coordinator
The Nemours Foundation
Clinical coordinator job in Wilmington, DE
Nemours is seeking an Adapted Care ClinicalCoordinator to join our Nemours Children's Health team in Wilmington, DE.
The Adapted Care ClinicalCoordinator plays a critical role in coordinating aspects of the Nemours Autism Initiatives. The role monitors, measures, and communicates the program, tools and research that supports autistic children and their families. They will coordinate the development and implementation of adaptive care plans for autistic patients with high levels of needs across the Delaware Valley; Oversee the implementation and tracking of data; Coordinate education/training initiatives; Support clinical units in building environmental modifications to promote a more autism-friendly environment; Coordinate appropriate referrals between services across settings between providers (including provider-to-provider) and with families; And serve as a clinical liaison to the Swank Family Advisory Committee.
Essential Functions
1. Coordinate and track of data to support initiatives and programs that support patients and families with Autism (Academic Preeminence)
a. Use of adapted care clinical tools in the EHR
b. Data re: number of visits for population target (autism, etc.)
c. Data that informs research opportunities and participate in research initiatives
2. Coordinate appropriate referrals between services across settings, both from clinical staff and from caregivers (Clinical Preeminence)
a. Serve as an advocate for appropriate referrals and services as patients move across clinical settings
b. Develop process to streamline referrals across DV
c. Provide direct support to patients and their families as they plan and experience care delivery
3. Create and support flexible processes that mobilize needed supports for clinicians to provide safe care (Quality & Safety)
4. Serve as a support to build independence and partnership in clinical care for patients with Autism who are learning how to advocate for their care (Voice of Child and Family)
5. Serve on the Swank FAC as a clinical liaison (Voice of Child and Family)
6. Create programs and maintain education tools and resources; Develop plan to address ongoing training that reflect changes in best practice and population culture, SIM opportunities, etc. (Clinical Preeminence)
7. Help to ensure appropriate clinical coping resources and training in clinical care teams across sites (Clinical Preeminence)
8. Participate as a key stakeholder in ongoing funding efforts to sustain the coordinator role at Nemours.
Requirements
Bachelor's degree required; master's degree preferred
Certified Child Life Specialist (CCLS) and Board Certified Behavior Analyst (BCBA) preferred.
One to three years of experience working with autistic individuals, program development and design for persons with autism, knowledge of the healthcare/hospital experience.
$51k-78k yearly est. Auto-Apply 6d ago
Adapted Care Clinical Coordinator
Nemours Foundation
Clinical coordinator job in Wilmington, DE
Nemours is seeking an Adapted Care ClinicalCoordinator to join our Nemours Children's Health team in Wilmington, DE. The Adapted Care ClinicalCoordinator plays a critical role in coordinating aspects of the Nemours Autism Initiatives. The role monitors, measures, and communicates the program, tools and research that supports autistic children and their families. They will coordinate the development and implementation of adaptive care plans for autistic patients with high levels of needs across the Delaware Valley; Oversee the implementation and tracking of data; Coordinate education/training initiatives; Support clinical units in building environmental modifications to promote a more autism-friendly environment; Coordinate appropriate referrals between services across settings between providers (including provider-to-provider) and with families; And serve as a clinical liaison to the Swank Family Advisory Committee.
Essential Functions
1. Coordinate and track of data to support initiatives and programs that support patients and families with Autism (Academic Preeminence)
a. Use of adapted care clinical tools in the EHR
b. Data re: number of visits for population target (autism, etc.)
c. Data that informs research opportunities and participate in research initiatives
2. Coordinate appropriate referrals between services across settings, both from clinical staff and from caregivers (Clinical Preeminence)
a. Serve as an advocate for appropriate referrals and services as patients move across clinical settings
b. Develop process to streamline referrals across DV
c. Provide direct support to patients and their families as they plan and experience care delivery
3. Create and support flexible processes that mobilize needed supports for clinicians to provide safe care (Quality & Safety)
4. Serve as a support to build independence and partnership in clinical care for patients with Autism who are learning how to advocate for their care (Voice of Child and Family)
5. Serve on the Swank FAC as a clinical liaison (Voice of Child and Family)
6. Create programs and maintain education tools and resources; Develop plan to address ongoing training that reflect changes in best practice and population culture, SIM opportunities, etc. (Clinical Preeminence)
7. Help to ensure appropriate clinical coping resources and training in clinical care teams across sites (Clinical Preeminence)
8. Participate as a key stakeholder in ongoing funding efforts to sustain the coordinator role at Nemours.
Requirements
* Bachelor's degree required; master's degree preferred
* Certified Child Life Specialist (CCLS) and Board Certified Behavior Analyst (BCBA) preferred.
* One to three years of experience working with autistic individuals, program development and design for persons with autism, knowledge of the healthcare/hospital experience.
$51k-78k yearly est. Auto-Apply 5d ago
Embedded Clinical Care Coordinator - Utilization//Pediatrics/InterQual
Direct Staffing
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.
$51k-78k yearly est. 60d+ ago
Adapted Care Clinical Coordinator
Nemours
Clinical coordinator job in Wilmington, DE
Nemours is seeking an Adapted Care ClinicalCoordinator to join our Nemours Children's Health team in Wilmington, DE. The Adapted Care ClinicalCoordinator plays a critical role in coordinating aspects of the Nemours Autism Initiatives. The role monitors, measures, and communicates the program, tools and research that supports autistic children and their families. They will coordinate the development and implementation of adaptive care plans for autistic patients with high levels of needs across the Delaware Valley; Oversee the implementation and tracking of data; Coordinate education/training initiatives; Support clinical units in building environmental modifications to promote a more autism-friendly environment; Coordinate appropriate referrals between services across settings between providers (including provider-to-provider) and with families; And serve as a clinical liaison to the Swank Family Advisory Committee.
Essential Functions
1. Coordinate and track of data to support initiatives and programs that support patients and families with Autism (Academic Preeminence)
a. Use of adapted care clinical tools in the EHR
b. Data re: number of visits for population target (autism, etc.)
c. Data that informs research opportunities and participate in research initiatives
2. Coordinate appropriate referrals between services across settings, both from clinical staff and from caregivers (Clinical Preeminence)
a. Serve as an advocate for appropriate referrals and services as patients move across clinical settings
b. Develop process to streamline referrals across DV
c. Provide direct support to patients and their families as they plan and experience care delivery
3. Create and support flexible processes that mobilize needed supports for clinicians to provide safe care (Quality & Safety)
4. Serve as a support to build independence and partnership in clinical care for patients with Autism who are learning how to advocate for their care (Voice of Child and Family)
5. Serve on the Swank FAC as a clinical liaison (Voice of Child and Family)
6. Create programs and maintain education tools and resources; Develop plan to address ongoing training that reflect changes in best practice and population culture, SIM opportunities, etc. (Clinical Preeminence)
7. Help to ensure appropriate clinical coping resources and training in clinical care teams across sites (Clinical Preeminence)
8. Participate as a key stakeholder in ongoing funding efforts to sustain the coordinator role at Nemours.
Requirements
Bachelor's degree required; master's degree preferred
Certified Child Life Specialist (CCLS) and Board Certified Behavior Analyst (BCBA) preferred.
One to three years of experience working with autistic individuals, program development and design for persons with autism, knowledge of the healthcare/hospital experience.
About Us
Nemours Children's Health is an internationally recognized children's health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income.
As one of the nation's premier pediatric health systems, we're on a journey to discover better ways of approaching children's health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child's world a place to thrive. It's a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever.
Inclusion and belonging guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.
To learn more about Nemours Children's and how we go well beyond medicine, visit us at *************** .
$51k-78k yearly est. 5d ago
Adapted Care Clinical Coordinator
Nemours
Clinical coordinator job in Wilmington, DE
Nemours is seeking an Adapted Care ClinicalCoordinator to join our Nemours Children's Health team in Wilmington, DE.
The Adapted Care ClinicalCoordinator plays a critical role in coordinating aspects of the Nemours Autism Initiatives. The role monitors, measures, and communicates the program, tools and research that supports autistic children and their families. They will coordinate the development and implementation of adaptive care plans for autistic patients with high levels of needs across the Delaware Valley; Oversee the implementation and tracking of data; Coordinate education/training initiatives; Support clinical units in building environmental modifications to promote a more autism-friendly environment; Coordinate appropriate referrals between services across settings between providers (including provider-to-provider) and with families; And serve as a clinical liaison to the Swank Family Advisory Committee.
Essential Functions
1. Coordinate and track of data to support initiatives and programs that support patients and families with Autism (Academic Preeminence)
a. Use of adapted care clinical tools in the EHR
b. Data re: number of visits for population target (autism, etc.)
c. Data that informs research opportunities and participate in research initiatives
2. Coordinate appropriate referrals between services across settings, both from clinical staff and from caregivers (Clinical Preeminence)
a. Serve as an advocate for appropriate referrals and services as patients move across clinical settings
b. Develop process to streamline referrals across DV
c. Provide direct support to patients and their families as they plan and experience care delivery
3. Create and support flexible processes that mobilize needed supports for clinicians to provide safe care (Quality & Safety)
4. Serve as a support to build independence and partnership in clinical care for patients with Autism who are learning how to advocate for their care (Voice of Child and Family)
5. Serve on the Swank FAC as a clinical liaison (Voice of Child and Family)
6. Create programs and maintain education tools and resources; Develop plan to address ongoing training that reflect changes in best practice and population culture, SIM opportunities, etc. (Clinical Preeminence)
7. Help to ensure appropriate clinical coping resources and training in clinical care teams across sites (Clinical Preeminence)
8. Participate as a key stakeholder in ongoing funding efforts to sustain the coordinator role at Nemours.
Requirements
Bachelor's degree required; master's degree preferred
Certified Child Life Specialist (CCLS) and Board Certified Behavior Analyst (BCBA) preferred.
One to three years of experience working with autistic individuals, program development and design for persons with autism, knowledge of the healthcare/hospital experience.
$51k-78k yearly est. Auto-Apply 6d ago
Nurse Coordinator - Fetal Care Center
Nemours Foundation
Clinical coordinator job in Wilmington, DE
Nemours is seeking a Fetal Nurse Coordinator to join our Nemours Children's Health team in Wilmington, DE. The Nemours Fetal Care Center (NFCC) and Advanced Delivery Unit are expanding the scope of service to include comprehensive prenatal, obstetrical and postpartum care for women whose unborn child has been diagnosed with a birth defect or complex medical condition that will require immediate multidisciplinary pediatric care in the neonatal period. In addition to currently available prenatal imaging to diagnose these conditions, we are also expanding invasive diagnostics and fetal intervention procedures. The Fetal Nurse Coordinator (FNC) is the frontline associate and first contact cliniciancoordinating care for all patients entering the Nemours Fetal Care Center and Advanced Delivery Unit Program. As part of a multidisciplinary team, the FNC will take the lead in the coordination of a clear and concise plan for all NFCC patients in a manner that meets the needs of the patient and family first. This position will support Nemours patients and families in experiencing continuity of care within the Nemours system.
Essential Functions
* Coordinates and facilitates all care given to an expectant patient and their family referred to and cared for through the NFCC, including follow-up care
* Coordinates and oversees all appropriate fetal imaging and prenatal consultations with sub-specialties and fetal imaging in conjunction with the MFM team
* Communicates effectively with collaborative team while escalating critical results and issues in an appropriate and timely manner
* Assess patient's medical, obstetric and psychosocial history
* Provides education to patients and families regarding the fetal diagnosis, fetal and neonatal care, perinatal care course, and potential fetal interventions
* Communicates with families to ensure an understanding of the referral process and what to expect at their visit
* Oversees maternal records acquisition for all patients and ensures completeness of available records
* Manages care of complex patients utilizing proper prioritization and triaging; and delegation to appropriate staff
* Engages with referring physician office staff to ensure timely communication and coordinated care
* Assists with postnatal follow up with neonatal specialist
* Provides referral support for our partnering providers
* Facilitates communication with referring providers, patients and Nemours providers
* Participates in NFCC outreach initiatives
* Participates in program and hospital wide Continuous Improvement projects
* Participates in and represents the Team in departmental programs and meetings
* Opportunity to participate in research and educational endeavors
* Enters patient encounters and phone follow-up in EMR and NFCC database
Qualifications
Bachelors of Science in Nursing
Three to five years of experience
$83k-109k yearly est. Auto-Apply 11d ago
Nurse Coordinator - Fetal Care Center
The Nemours Foundation
Clinical coordinator job in Wilmington, DE
Nemours is seeking a Fetal Nurse Coordinator to join our Nemours Children's Health team in Wilmington, DE.
The Nemours Fetal Care Center (NFCC) and Advanced Delivery Unit are expanding the scope of service to include comprehensive prenatal, obstetrical and postpartum care for women whose unborn child has been diagnosed with a birth defect or complex medical condition that will require immediate multidisciplinary pediatric care in the neonatal period. In addition to currently available prenatal imaging to diagnose these conditions, we are also expanding invasive diagnostics and fetal intervention procedures. The Fetal Nurse Coordinator (FNC) is the frontline associate and first contact cliniciancoordinating care for all patients entering the Nemours Fetal Care Center and Advanced Delivery Unit Program. As part of a multidisciplinary team, the FNC will take the lead in the coordination of a clear and concise plan for all NFCC patients in a manner that meets the needs of the patient and family first. This position will support Nemours patients and families in experiencing continuity of care within the Nemours system.
Essential Functions
• Coordinates and facilitates all care given to an expectant patient and their family referred to and cared for through the NFCC, including follow-up care
• Coordinates and oversees all appropriate fetal imaging and prenatal consultations with sub-specialties and fetal imaging in conjunction with the MFM team
• Communicates effectively with collaborative team while escalating critical results and issues in an appropriate and timely manner
• Assess patient's medical, obstetric and psychosocial history
• Provides education to patients and families regarding the fetal diagnosis, fetal and neonatal care, perinatal care course, and potential fetal interventions
• Communicates with families to ensure an understanding of the referral process and what to expect at their visit
• Oversees maternal records acquisition for all patients and ensures completeness of available records
• Manages care of complex patients utilizing proper prioritization and triaging; and delegation to appropriate staff
• Engages with referring physician office staff to ensure timely communication and coordinated care
• Assists with postnatal follow up with neonatal specialist
• Provides referral support for our partnering providers
• Facilitates communication with referring providers, patients and Nemours providers
• Participates in NFCC outreach initiatives
• Participates in program and hospital wide Continuous Improvement projects
• Participates in and represents the Team in departmental programs and meetings
• Opportunity to participate in research and educational endeavors
• Enters patient encounters and phone follow-up in EMR and NFCC database
Qualifications
Bachelors of Science in Nursing
Three to five years of experience