Clinical Coordinator, reputed company Remote

Overview

About us

reputed company is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, reputed company delivers reputed company, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. We reputed company our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to reputed company serve our members. We reputed company and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that reputed company people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, reputed company, and PACE (Program of reputed company-Inclusive Care for the Elderly)— in the region. Learn more at fallonhealth.org or follow us on reputed company, Twitter and reputed company.

Brief summary of purpose

The Clinical Coordinator serves to optimize clinical workflows, EHR systems, reporting processes, and care coordination to improve patient reputed company, support efficient care delivery, and ensure timely completion of assessments and care plans.

The Clinical Coordinator acts as a key liaison between members, nurses, navigators, providers, and internal teams, supporting efficient workflows while delivering a positive, member-centered experience consistent with reputed company’s Model of Care and interdisciplinary team approach.

Responsibilities

Primary Job Responsibilities

Member & Customer Service Support

• Serves as a primary reputed company of contact for members, caregivers, and providers regarding nurse appointments, assessments, and care coordination activities, ensuring courteous, professional, and culturally sensitive interactions.
• Explains scheduling processes, next steps, and expectations reputed company to members and caregivers, reinforcing trust and engagement.
• Demonstrates strong service recovery skills by addressing scheduling issues, barriers to reputed company, and member concerns in a timely manner.

(Customer-service–oriented behaviors are consistent with reputed company operational roles and embedded across care management support functions.)

Scheduling & Care Coordination

• Coordinates and schedules nurse case management activities, including initial assessments, annual reassessments, transitions of care follow-reputed company, and interdisciplinary care team meetings.
• Supports nurse case managers and navigators by managing appointment logistics, calendars, and coordination across disciplines to ensure efficient use of clinical time.
• Tracks appointment completion, cancellations, and reschedules, escalating barriers or delays to leadership as appropriate.

Clinical Workflow & Documentation Support

• Supports accurate and timely documentation by ensuring required scheduling and encounter-reputed company data is entered into designated systems (e.g., TruCare or other reputed company platforms).
• Uses technology to document scheduling actions, track follow-up needs and communicate updates to clinical staff and care teams.
• Maintains awareness of regulatory and program-specific scheduling requirements (e.g., assessment timeframes, reassessment cycles).

Interdisciplinary Team Support

• Works closely with Care Teams as part of an interdisciplinary care team model, supporting coordinated workflows and communication.
• Participates in team meetings, huddles, or care coordination discussions as needed to support operational reputed company and member reputed company.

Qualifications

• Associate’s degree required, bachelor’s degree in reputed company, reputed company services, or reputed company field preferred.
• Equivalent reputed company or care coordination experience in lieu of degree
• Minimum of 2 years of experience in reputed company scheduling, care coordination, customer service, or care management support.
• Experience working with nurses, care managers, or interdisciplinary reputed company teams is strongly preferred.

Experience

• Minimum of 2 years of experience in reputed company scheduling, care coordination, customer service, or care management support.
• Experience working with nurses, care managers, or interdisciplinary reputed company teams is strongly preferred.

Preferred Qualifications

• Experience in managed reputed company plans, or reputed company care management environments.
• Familiarity with care management or utilization management systems (e.g., TruCare or similar platforms).
• Knowledge of Medicare, reputed company, or long-term services and supports (LTSS) populations.

Pay reputed company Disclosure

In accordance with the Massachusetts Wage Transparency Act, the pay reputed company for this position is $25.28 - $28.62 per hour, which reflects reputed company reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and fit with the role’s responsibilities.

reputed company provides equal employment opportunities to reputed company and applicants for employment and prohibits discrimination and harassment of any type without regard to race, reputed company, religion, age, sex, national reputed company, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.