Talent.com
Clinical Care Coordinator (RN or Paramedic)

Clinical Care Coordinator (RN or Paramedic)

Rezilient HealthSt. Louis, MO, US
6 days ago
Job type
  • Full-time
  • Quick Apply
Job description

As a Care Coordinator at Rezilient Health, you will play a critical role in supporting patients, providers, and partners throughout the care continuum. You will lead the clinical onboarding of new contracts, manage complex tasks, coordinate referrals and authorizations, and ensure seamless communication between all stakeholders. Your work will directly impact patient outcomes, operational efficiency, and the overall success of our innovative Cloud Clinic model.

At Rezilient, we’re dedicated to revolutionizing primary and specialty care by delivering convenient, timely, and seamless access to healthcare. Our innovative hybrid CloudClinic model, powered by our onsite team of Medics and virtual Providers fosters a personalized and digital healthcare experience, putting the patient at the center of their care. By leveraging cutting-edge technology, we streamline care delivery, allowing our Providers to focus on patient well-being, and we continuously expand our specialty services to provide the most comprehensive and convenient healthcare possible.

Requirements

Care Navigation & Patient Advocacy

  • Coordinate and manage patient referrals, including high-priority cases, ensuring timely follow-up and resolution of health concerns.
  • Serve as a patient advocate by facilitating communication between patients, families, providers, and payers to optimize health benefits.
  • Communicate proactively with patients to provide updates, answer questions, and accommodate preferences related to referrals, orders, and care navigation.
  • Identify and address barriers to care (e.g., transportation, financial, language, or health literacy challenges) and proactively support development of solutions to ensure patients receive timely, appropriate services.
  • Maintain organized, accurate, and detailed records of all care coordination activities in accordance with HIPAA and all applicable privacy regulations.

Care Coordination & Prior Authorizations

  • Lead and manage prior authorization processes end-to-end, including peer-to-peer reviews, insurance rebuttal letters, single case agreements, and coordination with plan representatives.
  • Facilitate the retrieval and secure transfer of medical records from previous specialists, manage release of information forms, and ensure all necessary documentation is available for patient care.
  • Conduct comprehensive insurance benefit reviews for employer plans, documenting coverage for preventative services, behavioral health, specialty care, and pharmacy needs.
  • Monitor and track the status of authorizations, referrals, and orders to ensure timely completion.
  • Navigate provider orders based on patient health plans and insurance networks on behalf of patients.
  • Stakeholder & Partner Collaboration

  • Serve as the liaison with point solutions and cost containment partners, ensuring training, logins, and functionality are established.
  • Collaborate with clinical teams, providers, and external partners to coordinate patient referrals, orders, and procedures in accordance with medical plan benefits and evidence-based guidelines.
  • Communicate with insurance administrators and healthcare facilities to verify provider participation, coverage, pre-authorization requirements, and scheduling availability.
  • Build and maintain strong working relationships with internal and external partners to facilitate seamless care transitions.
  • Process Improvement & Training

  • Provide input to care coordination workflows, training materials, and standard operating procedures.
  • Assist in building and maintaining databases of preferred specialty providers for all contracts, ensuring up-to-date and accurate information.
  • Qualifications

    Required :

  • Nursing degree or paramedic licensure (or equivalent experience)
  • Minimum 3 years of experience in care coordination, care and / or case management
  • Strong knowledge of insurance benefits, prior authorizations, and referral management
  • Excellent organizational, problem-solving, and communication skills
  • Demonstrated ability to manage multiple priorities in a fast-paced, evolving environment
  • Proficiency with EHR systems, payer portals, and standard office software
  • Preferred :

  • Certified Case Manager (CCM) certification
  • Experience in a startup or high-growth healthcare technology environment
  • Prior experience as a Medical assistant and / or Billing and Coding
  • Benefits

    This opportunity offers the chance to shape the future of healthcare in a culture where your ideas and contributions have a meaningful impact on the organization's future. You’ll be part of a supportive, collaborative, and diverse team, with competitive compensation and benefits that include generous PTO, paid family leave, comprehensive medical, dental, vision, and life insurance, as well as stock options.

    Create a job alert for this search

    Clinical Coordinator Rn • St. Louis, MO, US

    Related jobs
    • Promoted
    PACU PVT Patient Care Tech - FT

    PACU PVT Patient Care Tech - FT

    BJC HealthCareSt Louis, MO, United States
    Full-time
    Salary or hourly rate is based on job qualifications and relevant work experience).Additional Information About the Role. Preferred experience as a CNA, nurse assistant, EMT, or surgical technician....Show moreLast updated: 5 days ago
    Nursing Care Coordinator and Scheduler

    Nursing Care Coordinator and Scheduler

    Phoenix Home Care and HospiceSt. Louis, MO, US
    Full-time
    Quick Apply
    Care Coordinator & Scheduler.Location : Maryland Heights, MO.Be the Heart of a Team That Makes a Difference.At Phoenix Home Care & Hospice, we believe great care starts with great coordinati...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse - RN - ER - Emergency Room - $2140 / Week

    Travel Nurse - RN - ER - Emergency Room - $2140 / Week

    Medpro Healthcare StaffingCenterville, IL, US
    Full-time
    Medpro Healthcare Staffing is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Centerville, IL. Shift : 3x12 hr days Start Date : 10 / 20 / 2025 Duration : 13 we...Show moreLast updated: 18 days ago
    • Promoted
    Travel Nurse - Registered Nurse - ER - Emergency Room - $1942.2 / Week

    Travel Nurse - Registered Nurse - ER - Emergency Room - $1942.2 / Week

    Premier Medical Staffing Services, LLCCenterville, IL, US
    Full-time
    Premier Medical Staffing Services, LLC is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Centerville, IL. Shift : 3x12 hr days Start Date : ASAP Duration : ...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Travel Nurse - RN - ICU - Intensive Care Unit - $2120.4 / Week

    Travel Nurse - RN - ICU - Intensive Care Unit - $2120.4 / Week

    CrossMed HealthcareAlton, IL, US
    Full-time
    CrossMed Healthcare is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Alton, IL. Shift : Inquire Start Date : 10 / 27 / 2025 Duration : 13 weeks Pay : $212...Show moreLast updated: less than 1 hour ago
    • Promoted
    CRNA in Belleville, IL

    CRNA in Belleville, IL

    TeamHealth CorporateBelleville, IL, United States
    Full-time
    Step into the role that will allow you to achieve your clinical and career goals! Join our collegial team and provide safe, high-quality patient care as a full-time CRNA. TeamHealth has an excellent...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse - Registered Nurse - ER - Emergency Room - $2140 / Week

    Travel Nurse - Registered Nurse - ER - Emergency Room - $2140 / Week

    Medpro Healthcare StaffingCenterville, IL, US
    Full-time
    Medpro Healthcare Staffing is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Centerville, IL. Shift : 3x12 hr days Start Date : 10 / 20 / 2025 Duration : 13 we...Show moreLast updated: 18 days ago
    • Promoted
    Patient Care Associate-PCA (Non-Exempt)

    Patient Care Associate-PCA (Non-Exempt)

    MercySt. Louis, MO, United States
    Part-time
    Under the direction of the RN or LPN, assists in the individualized care of the patient to achieve the patient’s highest level of wellness. Opportunity for advancement through career ladder to Patie...Show moreLast updated: 30+ days ago
    • Promoted
    Patient Coordinator

    Patient Coordinator

    Elite Dental PartnersDupo, IL, US
    Full-time
    A team that is aligned and patient-focused creates a great environment for patients, and for you as a member of the team. This is what we strive to be and who we want to join us in providing the bes...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse - RN - ER - Emergency Room - $1942.2 / Week

    Travel Nurse - RN - ER - Emergency Room - $1942.2 / Week

    Premier Medical Staffing Services, LLCCenterville, IL, US
    Full-time
    Premier Medical Staffing Services, LLC is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Centerville, IL. Shift : 3x12 hr days Start Date : ASAP Duration : ...Show moreLast updated: 30+ days ago
    Operating Room Clinical Coordinator

    Operating Room Clinical Coordinator

    Gateway Regional Medical CenterGranite City, IL, USA
    Full-time
    Quick Apply
    Our mission is to provide compassionate, high-quality healthcare services to our community, promoting wellness and healing through innovative treatments, advanced technology, and a dedicated team o...Show moreLast updated: 30+ days ago
    • Promoted
    Patient Coordinator

    Patient Coordinator

    Aspen DentalGlen Carbon, IL, US
    Full-time
    Patient Experience Coordinator.At Aspen Dental, we put You first, offering the security and job stability that comes with working with a world-class dental service organization (DSO).Our best-in-cl...Show moreLast updated: 24 days ago
    • Promoted
    Clinical Housing Coordinator

    Clinical Housing Coordinator

    Chestnut Health SystemsMadison, IL, United States
    Full-time
    Overview We’re looking for a leader to join our caring and supportive team to mentor and coach staff who directly help people living in our housing programs to navigate life on their recovery jour...Show moreLast updated: 30+ days ago
    RN Clinic Nurse Coordinator

    RN Clinic Nurse Coordinator

    Affinia HealthcareSt. Louis, MO, USA
    Full-time
    Quick Apply
    Perform the duties required to coordinate and monitor provision of medical services in a professional manner for each individual patient. Bachelor's of Science in Nursing.Three (3) years as an RN in...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse - RN - ICU - Intensive Care Unit - $1818.72 / Week - Hiring Now

    Travel Nurse - RN - ICU - Intensive Care Unit - $1818.72 / Week - Hiring Now

    CrossMed HealthcareAlton, IL, US
    Full-time
    CrossMed Healthcare is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Alton, IL. Shift : Inquire Start Date : 10 / 13 / 2025 Duration : 12 weeks Pay : $181...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse - RN - ER - Emergency Room - $2140 / Week - Hiring Now

    Travel Nurse - RN - ER - Emergency Room - $2140 / Week - Hiring Now

    Medpro Healthcare StaffingCenterville, IL, US
    Full-time
    Medpro Healthcare Staffing is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Centerville, IL. Shift : 3x12 hr days Start Date : 10 / 20 / 2025 Duration : 13 we...Show moreLast updated: 18 days ago
    • Promoted
    Clinical Coordinator - Polysomnography (Non-Exempt)

    Clinical Coordinator - Polysomnography (Non-Exempt)

    MercyFestus, MO, United States
    Full-time
    We bring to life a healing ministry through our compassionate care and exceptional service.Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.Responsible fo...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse - RN - ICU - Intensive Care Unit - $1818.72 / Week

    Travel Nurse - RN - ICU - Intensive Care Unit - $1818.72 / Week

    CrossMed HealthcareAlton, IL, US
    Full-time
    CrossMed Healthcare is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Alton, IL. Shift : Inquire Start Date : 10 / 13 / 2025 Duration : 12 weeks Pay : $181...Show moreLast updated: 30+ days ago