Clinical Coordinator
Brighton Health Plan Solutions · Chapel Hill, North Carolina, US
The Clinical Coordinator plays a key role within Brighton Health Plan Solutions’ Case Management / Medical Management team. This position supports case manag...
Job description
About The Role The Clinical Coordinator plays a key role within Brighton Health Plan Solutions’ Case Management / Medical Management team. This position supports case management activities through member outreach, clinical intake, data collection, and accurate information entry. The Clinical Coordinator ensures seamless communication between members, providers, and Nurse Case Managers while adhering to departmental workflows and quality standards. Primary Responsibilities: - Conduct proactive outreach to engage members in case management programs. - Answer and manage incoming calls within established performance timeframes. - Send correspondence, resources, and educational materials to members via mail or email. - Collect clinical and demographic information from members, representatives, and providers; verify eligibility as needed. - Create and update cases within the Case Management system in accordance with departmental policies and workflows. - Conduct initial clinical intake assessments to determine acuity and routing needs; escalate to RN Case Managers when appropriate. - Communicate effectively with members and healthcare providers to gather and relay clinical information re...