Clinical Research Coordinator II Job at Solomon Page (Los Angeles)

Clinical Project Manager

Permanent position available immediately located in Paris. The role involves lea...

Location

France , Paris

Salary:

Not provided

AB SCIENCE

Expiration Date

Until further notice

Requirements

Holder of additional training in methodology (CESAM, IUD, …)
Successful experience of Clinical Project Manager in a pharmaceutical company or CRO
6-8 year’s experience in clinical development (Phase II and III)
Experience in oncology or autoimmune inflammatory diseases would be a plus
Experience in international development required
Experience of the regulatory environment for clinical trials
Experience of writing research reports and FDA regulatory dossiers (IND, NDA) and EMA
Fluent in English

Job Responsibility

Design, implementation and coordination of clinical studies with the support of Clinical Operations, Pharmacovigilance, Biometrics and Medical Writing
Plan the clinical development program
Prepare studies protocols, amendments and reports
Prepare regulatory dossiers
Manage relationships with investigators and opinion leaders

What we offer

Salary and package to define according to skills and experience

Fulltime

New

Medical Appeals/Grievance Specialist II - Registered Nurse

Responsible for utilizing clinical acumen and managed care expertise related to ...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

1 year experience in clinical and health insurance or other healthcare related field
3 years experience in clinical and health insurance or other healthcare related field AND 1 year Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
5 years experience in clinical and health insurance or other healthcare related field AND 2 years Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
8 years experience in clinical and health insurance or other healthcare related field AND 3 years above satisfactory job performance in the managed care environment with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Associate’s Degree in a healthcare field of study or Nursing Diploma
Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) or a compact state as a Registered Nurse (RN), a Physical Therapist (PT) or a Licensed Master Social Worker LMSW.
Intermediate PC proficiency
Intermediate skill using office equipment, including copiers, fax machines, scanner and telephones
Maintain confidentiality and privacy
Advanced clinical knowledge

Job Responsibility

Perform in-depth analysis, clinical review and resolution of provider appeals/inquiries, corrected claims and subscriber reconsiderations, member appeals, corrected claims and provider grievances for all lines of business
Identify, research, process, resolve and respond to customer inquiries primarily through written / verbal communication.
Respond to a diverse and high volume of health insurance appeal related correspondence on a daily basis.
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of appeal, grievance and reconsideration requests.
Maintain complete and accurate records per department policy.
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines and required by State, Federal and other accrediting organizations.
Demonstrate ability to apply plan policies and procedures effectively.
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
Attend staff and interdepartmental meetings.
Participate in continuing education and current developments in the fields of medicine and managed care.

Fulltime

New

Care Management Specialist II

The Care Management Specialist II utilizes clinical skills and training to perfo...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing for Registered Nurses OR Master's Degree in Social Work for Licensed Clinical Social Workers
Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments
Experience providing care management with complex/catastrophic conditions
Current knowledge of clinical standards of care and disease processes
Critical thinking skill
Excellent customer service skills
Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions
Ability to triage immediate member health and safety risks
Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping
Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders

Job Responsibility

Utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines
Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases
Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner
Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit
Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team
Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines
Uses claims processing and care management software to look up member information, document contacts, and track member progress
Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary
Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives
reviewing member claims histories and identifies intervention opportunities through the professional standards of practice

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

New

Care Management Specialist II, D-SNP Team

The Care Management Specialist II utilizes clinical skills and training to perfo...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing for Registered Nurses OR Master's Degree in Social Work for Licensed Clinical Social Workers
Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments
Experience providing care management with complex/catastrophic conditions
Current knowledge of clinical standards of care and disease processes
Critical thinking skill
Excellent customer service skills
Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions
Ability to triage immediate member health and safety risks
Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping
Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders

Job Responsibility

Utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines
Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases
Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner
Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit
Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team
Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines
Uses claims processing and care management software to look up member information, document contacts, and track member progress
Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs
Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives
reviewing member claims histories and identifies intervention opportunities through the professional standards of practice

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Veterinary Physiology Faculty

The Department of Biomedical Sciences at Ross University School of Veterinary Me...

Location

Saint Kitts and Nevis , Basseterre

Salary:

Not provided

Adtalem Global Education

Expiration Date

Until further notice

Requirements

Doctor of Veterinary Medicine (DVM) or equivalent degree required
MSc or preferably PhD in Physiology with relevant experience and knowledge in various areas of Biomedical Sciences (neurology, endocrinology, metabolism, cardiology) are highly preferred
Good writing and communication skills with ability to promote a culture of collegiality, diversity, equity, and inclusiveness across campus
Willingness to live and work in St Kitts

Job Responsibility

Primary role in teaching in our DVM program involving a team approach to Veterinary Physiology
Full responsibility as instructor and course coordinator for Physiology I (Semester 1) and have continuity with Physiology II (Semester 2)
Additional opportunities may include teaching in other areas such as Clinical Reasoning, Veterinary Professionals Program, or other relevant disciplines
Course administration, in-classroom lectures, and evaluation of student success associated with periodic examinations and guidance as needed
Develop and/or contribute to a collaborative Research Program and participate in the Graduate Program
Major outputs will include publications, grant funding, and supervision of veterinary student research assistants and/or graduate students
Administrative and services duties are aligned with our annual performance goals and objectives
Participating as a member of various campus academic and/or operational committees, serving as advisor or mentor to one of many student clubs or organizations, or playing a role in community outreach

Fulltime

New

Utilization Management Nurse Specialist RN II

The Utilization Management Nurse Specialist RN II facilitates, coordinates, and ...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing
At least 5 years of varied RN clinical experience in an acute hospital setting
At least 2 years of Utilization Management/Case Management experience in a hospital or HMO setting
Registered Nurse (RN) - Active, current and unrestricted California License
Must be computer literate, with expertise in Outlook, Word, Excel, PowerPoint
Provision of excellent customer service required
Excellent time management and priority-setting skills
Maintains strict member confidentiality and complies with all HIPAA requirements
Strong verbal and written communication skills

Job Responsibility

Facilitates, coordinates, and approves medically necessary referrals that meet established criteria
Assures timely and accurate determination and notification of referrals and reconsiderations
Generates approval, modification and denial communications
Actively monitors for admissions in any inpatient setting
Performs telephonic and/or onsite admission and concurrent review
Collaborates with onsite staff, physicians, providers, member/family to develop and implement a successful discharge plan
Works with the UM Manager and Physician Advisor on case reviews
Monitors and oversees the collection and transfer of data (medical records) and referral requests by Providers
Acts as a department resource for medical service requests /referral management and processes
Receives incoming calls from providers, professionally handles complex calls

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

New

HR Generalist

In this contract to permanent position, you will play a pivotal role in assistin...

Location

United States , Fridley, Minnesota

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 2 years of comprehensive HR Generalist experience across various functional areas
Experience in benefits administration, including open enrollment processes
Demonstrated ability to work effectively with a diverse workforce and provide hands-on support
Strong attention to detail combined with excellent communication and multitasking skills
Problem-solving skills and the ability to work independently without extensive guidance
Familiarity with Microsoft Office Suite and other HR systems
Customer-service orientation with a proactive approach to assisting staff
Knowledge and experience in handling employee relations, onboarding, and HR documentation

Job Responsibility

Coordinate onboarding processes for new hires, including equipment allocation and orientation, as well as manage offboarding procedures
Provide support in handling employee relations matters and disciplinary actions in alignment with company policies
Administer employee benefits programs, including enrollment, compliance, renewals, and communication of options
Lead benefit open enrollment processes and collaborate with brokers to ensure smooth implementation
Ensure adherence to local employment laws and regulations while maintaining company compliance
Maintain accurate employee records and required documentation to support HR operations
Respond to unemployment claims and represent the company during hearings as needed
Manage employee leaves of absence, ensuring compliance with applicable policies and regulations
Act as the primary liaison for office vendors and services, ensuring smooth operations
Assist with organizing employee events, special projects, and other HR initiatives as assigned

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Fulltime

New

Medical Front Desk Specialist

We are looking for a dedicated Medical Front Desk Specialist to join our healthc...

Location

United States , Minneapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proficiency in patient scheduling and appointment management systems
Strong knowledge of medical front office operations and receptionist responsibilities
Familiarity with patient check-in and check-out procedures
Understanding of basic medical terminology and its application
Experience working with dental and medical software, such as Dentrix
Ability to verify insurance eligibility and process authorizations accurately
Skilled in coordinating physician and procedure scheduling
Competence in handling administrative tasks with attention to detail

Job Responsibility

Welcome patients and visitors with professionalism and ensure a positive first impression
Oversee patient check-in and check-out procedures, ensuring accuracy and efficiency
Schedule, confirm, and adjust appointments using specialized practice management software
Verify insurance details and secure pre-authorizations when required
Handle payment transactions, including collecting co-pays and processing cash or credit payments
Update and maintain accurate records for patients while adhering to organizational compliance standards
Collaborate with clinical staff to streamline patient flow and enhance service delivery
Perform administrative duties such as filing, scanning, and data entry to support office operations

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Clinical Research Coordinator II

Solomon Page

Location:
United States , Los Angeles

Category:
-

Contract Type:
Employment contract

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 02, 2026

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Location:United States , Los Angeles

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