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Clinical Resource Coordinator - Inpatient

Job ID: 105437 Date posted: October 09, 2020

  • Sharp HealthCare
  • SCMG Inpt Case Management
  • Business Operations Jobs
  • Day Job
  • Full-Time

Responsibilities

Summary
The Clinical Resource Coordinator is responsible for submitting proper documentation to various DME companies, Skilled Nursing Facilities, Home Health Agencies and sending important information to payer sources. Coordinate, review and process the more complex referrals for prior authorization for medical care and services, including emergency room, inpatient admission, durable medical equipment, home care and other miscellaneous services for the efficient and effective delivery of inpatient services.
Sharp Community Medical Group (SCMG) is an association of private practice primary care physicians and specialists who practice in their own private offices located conveniently throughout San Diego County. The Sharp Community Medical Group network includes over 200 primary care physicians and over 700 specialists who currently provide care to more than 137,000 patients. You can expect to receive convenient, comprehensive and high-quality medical care offered by caring physicians who live in your community and are committed to excellence in your health care experience.
Sharp Community doctors admit to all Sharp hospitals and Rady’s Children’s Hospital. In addition, Sharp Community patients have access to urgent care centers throughout the county. 
Location
This position is located in Kearny Mesa, San Diego County. 
Must be willing to float to all Sharp Hospitals and SCMG Affiliated Hospitals. Must provide own transportation
 
Hours
8 hours variable day shift, hours will be between 7:30 am – 5:00 pm, working every other weekend. 
 
Required Skills and Qualifications
  • Three (3) years working in the managed health care field, preferably HMO or delegated risk medical group/IPA setting
  • One year experience with medical coding and data entry, preferably in a managed care environment
  • Excellent organizational and time management skills a must
  • Excellent analytical and problem solving skills
  • Must have the ability to communicate effectively verbally and in writing with interdisciplinary staff and vendors
  • Ability to type 35 WPM, demonstrated competence in Microsoft word, Microsoft Excel, Microsoft Outlook, and other software programs
  • Ability to multitask
  • Team work a necessity
  • Ability to read, speak and hear English proficiently 
 
Preferred Skills and Qualifications
  • Medical Assistant Program or equivalent  
  • Successful completion of ICD-9 and CPT coding classes, or equivalent work experience  
  • Bilingual – Spanish


Sharp HealthCare is an Equal Opportunity/Affirmative Action Employer.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability, gender, gender identity, transgender status, sexual orientation, age, protected veteran status, among other things, or status as a qualified individual with disability, status, sexual orientation, protected veteran status or any other protected class. 

 

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“After nearly 10 years of working here, it's still one of the hardest jobs I've ever loved. If you find a niche here, you'll be working with some of the smartest in the industry. This is where they'll respect you for thinking outside the box and kindness matters. They expect consistency and hard work, but pay you well to do it.”

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