Overview
Clinical Services Coordinator Jobs in Little Rock, Arkansas, USA at Shelby American, Inc.
POSITION PURPOSE
Initiates and maintains direct communications with outside agencies related to clinical care coordination. Completes prior authorization requests for occupational, physical, and speech therapies. Responds to retrospective review audits for occupational, physical, and speech therapy services. Works closely with professional staff for client monitoring and coordination of services.
ESSENTIAL FUNCTIONS & BASIC DUTIES
Responsible for initial processing of all clinical evaluation reports. Enters dates in deTaso, files original report in medical chart, and provides front desk with copy of reports for mailing/distribution.
Enters all prescriptions for evaluation and treatment in deTaso.
Submits occupational, physical, and speech therapy prior authorization requests to EQ Health. Enters all approvals in deTaso. Works with individual clinicians and Director of Clinical Operations to appeal all denials. Files all final determinations in the student’s/client’s medical chart.
Responds to all occupational therapy, physical therapy, and speech therapy retrospective audit requests. Provides requested information within required time frames. Works with individual clinicians and Director of Clinical Operations to appeal all denials. Files all final determinations in the student’s/client’s medical chart.
Requests extensions and modifications to prior authorizations when necessary.
Works closely with educational, clinical, and administrative staff for student/client monitoring and coordination of services.
Organizes and coordinates audiology services and follows up with the Primary Care Physician (PCP) and parent/guardian, as indicated.
Completes relevant and approved annual in-service trainings.
May perform other related and non-related duties, as assigned.
COMPETENCIES
Initiative:
Volunteers readily.
Undertakes self-development activities.
Seeksincreased responsibilities.
Takes independent actions and calculated risks.
Looks for and takes advantage of opportunities.
Asks for and offers help when needed.
Innovation:
Displays original thinking and creativity.
Meets challenges with resourcefulness.
Generates suggestions for improving work.
Developsinnovativeapproaches and ideas.
Presents ideas and information in a manner that gets others’ attention.
Motivation:
Sets and achieveschallenginggoals.
Demonstrates persistence and overcomes obstacles.
Measures self against standard of excellence.
Takes calculated risks to accomplish goals.
Problem Solving:
Identifies and resolves problems in a timely manner.
Gathers and analyzes information skillfully.
Develops alternative solutions.
Works well in groupproblem-solvingsituations.
Uses reason, even when dealing with emotional topics.
Planning/Organizing:
Prioritizes and plans work activities.
Uses time efficiently.
Plans for additional resources.
Sets goals and objectives.
Organizes or schedules other people and their tasks.
Develops realistic action plans.
Teamwork:
Balances team and individual responsibilities.
Exhibits objectivity and openness to others’ views.
Gives and welcomes feedback.
Contributes to building a positive team spirit.
Puts success of team above own interests.
Able to build morale and group commitments to goals and objectives.
Supports everyone’s efforts to succeed.
PHYSICAL DEMANDS
While performing the duties of this job, the employee is frequently required to talk or hear. The employee is regularl…
Title: Clinical Services Coordinator
Company: Shelby American, Inc.
Location: Little Rock, Arkansas, USA
Category: Healthcare, Administrative/Clerical
