Clinical Resource Coordinator

6 giorni fa


Florence, Toscana, Italia US Tech Solutions A tempo pieno
About the Role

We are seeking a skilled Clinical Resource Coordinator to join our team at US Tech Solutions.

The successful candidate will be responsible for reviewing and evaluating medical eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests or provides health management program interventions.

This role requires a working knowledge of word processing software, quality improvement processes, and demonstrated ability with these activities. The ideal candidate will have good judgment skills, demonstrated customer service, organizational, and presentation skills, as well as proficiency in spelling, punctuation, and grammar skills.

Key Responsibilities:

  • Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria
  • Provides health management program interventions
  • Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to assess, plan, implement, coordinate, monitor, and evaluate medical necessity, options, and services required to support members in managing their health, chronic illness, or acute illness
  • Maintains accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits

Requirements:

  • 4 years recent clinical experience in a defined specialty area, such as oncology, cardiology, neonatology, maternity, rehabilitation services, mental health/chemical dependency, orthopedic, general medicine/surgery
  • OR 4 years utilization review/case management/clinical/or combination experience; 2 of 4 years must be clinical
  • Active, unrestricted RN licensure from the United States and in the state of hire, OR active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)


  • Florence, Toscana, Italia Musckids A tempo pieno

    We are seeking a highly skilled and compassionate Clinical Care Coordinator to join our team at Medical University of South Carolina.In this role, you will be responsible for coordinating and directing all aspects of patient care, ensuring seamless transitions between departments and providers. Your expertise will include applying the nursing process to...


  • Florence, Toscana, Italia IQVIA Argentina Tempo parziale

    Are you looking for an opportunity to work with an industry-leading company? IQVIA is currently recruiting for a Clinical Research Coordinator to support a site in Pisa. This role is for 20 hours per week and is expected to last approximately one year. The successful candidate will be responsible for supporting a clinical research study and maintaining a...


  • Florence, Toscana, Italia US Tech Solutions A tempo pieno

    As a Clinical Services Coordinator at US Tech Solutions, you will play a vital role in ensuring that our clients receive high-quality healthcare services. You will work closely with healthcare providers and members to assess their needs, develop personalized care plans, and provide ongoing support and education.Your primary responsibility will be to conduct...


  • Florence, Toscana, Italia Amedisys A tempo pieno

    OverviewResponsible for scheduling the home visits for the field staff and assisting with the coordination of patient care.Works under the direction of the Clinical Manager to ensure the proper utilization of clinical resources to maximize care center capacity and utilization guidelines.Responsible for scheduling and communicating with field staff, patients,...


  • Florence, Toscana, Italia Amedisys A tempo pieno

    OverviewResponsible for scheduling the home visits for the field staff and assisting with the coordination of patient care. Works under the direction of the Clinical Manager to ensure the proper utilization of clinical resources to maximize care center capacity and utilization guidelines. Responsible for scheduling and communicating with field staff,...


  • Florence, Toscana, Italia Amedisys A tempo pieno

    OverviewResponsible for scheduling the home visits for the field staff and assisting with the coordination of patient care. Works under the direction of the Clinical Manager to ensure the proper utilization of clinical resources to maximize care center capacity and utilization guidelines. Responsible for scheduling and communicating with field staff,...


  • Florence, Toscana, Italia ThermoFisher Scientific A tempo pieno

    About the RoleWe are seeking a highly skilled Patient Recruitment and Engagement Lead to join our Patient First group at Thermo Fisher Scientific.This key position is responsible for developing, executing, and delivering patient recruitment and retention strategies for global studies, leveraging human-centered, digitally enabled solutions to optimize patient...


  • Florence, Toscana, Italia Amedisys A tempo pieno

    About the RoleThis position requires a highly organized and detail-oriented individual who can effectively schedule patient visits and coordinate care with field staff. As a Clinical Patient Services Coordinator, you will work closely with our Clinical Manager to ensure the efficient use of clinical resources and maximize care center capacity.Key...


  • Florence, Toscana, Italia Biomérieux A tempo pieno

    **Clinical Education Manager South Italy**:Location: Firenze, ItalyPosition Type: Unfixed TermJob Function: Sales & Key Account ManagementA world leader in the field of in vitro diagnostics for over 55 years, bioMérieux provides diagnostic solutions which determine the source of disease and contamination to improve patient health and ensure consumer...


  • Florence, Toscana, Italia University of California San Diego A tempo pieno

    About the Role:We are seeking a highly organized and detail-oriented individual to join our team as a Clinical Trials Office Coordinator. This role will provide administrative support to the Regulatory Affairs Department and other CTO staff members, ensuring seamless operations and effective communication across the office.Responsibilities:The successful...


  • Florence, Toscana, Italia Parexel International A tempo pieno

    Role DescriptionThe Study Site Coordinator will work closely with investigator sites and study teams to manage site activation and operational activities for clinical trials. This includes ensuring timely completion of site initiation packages and regulatory documents, maintaining accurate records and documentation, and communicating effectively with study...


  • Florence, Toscana, Italia Amedisys A tempo pieno

    Job SummaryWe are seeking a skilled and organized Licensed Practical Nurse to serve as our Clinical Patient Services Coordinator. In this role, you will be responsible for scheduling patient visits, coordinating care with field staff, and working closely with our Clinical Manager to ensure the efficient use of clinical resources.Main...

  • Patient Coordinator

    2 settimane fa


    Florence, Toscana, Italia Aspen Dental A tempo pieno

    At Aspen Dental, we put You first, offering the security and job stability that comes with working with a world-class dental service organization (DSO).Our best-in-class training program, competitive compensation, and flexible scheduling will help you thrive in your career.When you join our team as a Patient Coordinator, which at Aspen we call Patient...

  • Patient Coordinator

    2 settimane fa


    Florence, Toscana, Italia Aspen Dental A tempo pieno

    At Aspen Dental, we put You first, offering the security and job stability that comes with working with a world-class dental service organization (DSO).Our best-in-class training program, competitive compensation, and flexible scheduling will help you thrive in your career.When you join our team as aPatient Coordinator,which at Aspen we call Patient...

  • Patient Coordinator

    2 settimane fa


    Florence, Toscana, Italia Aspen Dental A tempo pieno

    At Aspen Dental, we put You first, offering the security and job stability that comes with working with a world-class dental service organization (DSO). Our best-in-class training program, competitive compensation, and flexible scheduling will help you thrive in your career. When you join our team as a Patient Coordinator, which at Aspen we call Patient...

  • Patient Coordinator

    5 giorni fa


    Florence, Toscana, Italia Aspen Dental A tempo pieno

    At Aspen Dental, we put You first, offering the security and job stability that comes with working with a world-class dental service organization (DSO). Our best-in-class training program, competitive compensation, and flexible scheduling will help you thrive in your career. When you join our team as a Patient Coordinator, which at Aspen we call Patient...

  • Training Coordinator

    2 giorni fa


    Florence, Toscana, Italia Marriott Hotels & Resorts A tempo pieno

    Human Resources CoordinatorAs a Training Coordinator, you will support the Talent & Training Manager in carrying out tasks relating especially to the Recruiting and Training of our Talents.The role requires a combination of relational, organizational, and communication skills focused on achieving goals and spreading the company's vision. It also involves the...


  • Florence, Toscana, Italia TN Italy A tempo pieno

    Job Requirements: Medical Regulatory CoordinatorJob Overview:We are seeking a highly skilled Medical Regulatory Coordinator to join our team at TN Italy. The ideal candidate will have experience in managing product registrations and lifecycle activities within the EU regulatory environment.The successful candidate will be responsible for coordinating medical...


  • Florence, Toscana, Italia Prescommunities A tempo pieno

    Join Our Team as a Staff Development Coordinator - RNLocation: FlorenceFlorence Presbyterian Community is seeking a professional and compassionate Staff Development Coordinator - RN to join our team to help create warm, homelike experience for all residents.Why Choose Us?Part of PCSC, Florence Presbyterian Community enriches the quality of life for seniors...


  • Florence, Toscana, Italia Prescommunities A tempo pieno

    Join Our Team as a Staff Development Coordinator - RN Location:Florence Florence Presbyterian Community is seeking a professional and compassionate Staff Development Coordinator - RN to join our team to help create warm, homelike experience for all residents. Why Choose Us? Part of PCSC, Florence Presbyterian Community enriches the quality of life for...