Clinical Admissions Liaison, LPN

This is a fully remote position, open to applicants in United States.

📋 Description

• Support the Case Management Department with both clinical and clerical intake activities.

• Validate clinical and clerical data for current and prospective Case Management cases.

• Oversee and handle Case Management referrals and service approvals in collaboration with the Executive Director of Case Management.

• Assist Case Managers in processing cases.

• Operate within the scope of licensure under the direct supervision of the Director of Case Management.

• Identify case-opening criteria for Case Management based on service agreements.

• Work together with MedWatch departments to assess case-opening suitability and direction, and gather necessary information.

• Respond to and prioritize incoming calls that require clinical or clerical details.

• Address customer inquiries and concerns or refer them to the appropriate individual, office, or claims customer service team.

• Make outbound calls to customers, providers, and patients to gather essential information.

• Collect clinical, demographic, and related information from customers, providers, employees/patients, and employer groups.

• Input clinical and demographic data into the computer information system.

• Stay informed about URAC, state precertification, and specific contract requirements of the company.

• Ensure accurate program data is maintained and entered.

• Foster effective working relationships with customers, providers, employees/patients, employer groups, and MedWatch staff.

• Engage in the Quality Management Program and pinpoint opportunities for service enhancement.

• Assist with reconsiderations and appeals assessments.

• Help in assigning cases to Case Managers.

• Support the management of the admissions process and admissions personnel.

⛳️ Requirements

• Education in Licensed Practical Nursing.

• Current, active, and unrestricted Licensed Practical Nurse license in the state of practice and residence within the United States or its territories.

• Preferred 5 years of diverse clinical experience or 3 years in a specialized field.

• Strong organizational and time management abilities.

• Exceptional verbal and written communication skills.

• Capability to manage challenging situations with tact and diplomacy.

• Proficient problem-solving and decision-making skills.

• Robust computer skills, particularly in MS Office Suite products (Word, Excel, PowerPoint).

• Leadership abilities are advantageous.

• Eligibility to work in the United States for any employer without sponsorship.

• A dedicated, quiet workspace in a home setting.

🏝️ Benefits

• Paid time off.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Short-term disability.

• Long-term disability.

• Life insurance.

• AD&D insurance.

• 401k plan with matching contributions.

• Critical illness coverage.

• Legal assistance plan.

• Identity theft protection.

• Pet insurance.

• Various discount programs.

• Remote work / home office environment.