Clinical Operations Specialist

FLSA Classification: Non-Exempt

Department: Clinical Operations Specialists

Reports To: Clinical Operations Manager

Direct Reports: N/A

POSITION SUMMARY:

The Clinical Operations Specialist I (COS I) is responsible for managing all clinical operations reporting related to timely documentation and compliance. The COS I also manages all office and medical supplies inventory, triages incoming calls, and supports the Clinical Director, Patients Services Coordinator, and Operations Director as needed.

RESPONSIBILITIES:

• Manages, investigates, and resolves all necessary clinical operations reporting, including but not limited to:
  • Missed & Eliminated Visits
  • Late Documentation
  • Visit Reasons
  • Authorizations
  • ABN’s (Advanced Beneficiary Notice)
  • On-Call Reports
  • Patients without orders
• Monitors Patient Ping and sends communication to Clinical Director/Clinical Care Manager/Nurses.
• Monitors EFAX and communicates with appropriate departments.
• Manges tracking tools as directed by CD/CCM.
• Monitors Homebound patient status documentation.
• Prints, sorts and tracks compliance of patient friendly care plans.
• Escalates all clinical and/or operations questions/issues to Clinical Director and/or Operations Director as necessary.
• Answers all incoming calls in a professional manner and triages to the appropriate person or department.
• Monitors and follows up on nurses’ expiring credentials.
• Manages inventory of office supplies and medical supplies.
• Manages FedEx pickups/deliveries to branch offices.
• Scans and verifies paper visit notes as needed.
• Greets all incoming visitors and arranges interviews and meeting as necessary.
• Maintains a clean, presentable, and functioning office space.
• Provides administrative support to Clinical Director, Operations Director, and other employees as needed.
• Reads and adheres to and participates in the Branch's mandatory HIPAA/Privacy Program and Employee Compliance Program.
• Reads and adheres to all Branch policies and procedures and follows Employee Handbook guidelines.
• Performs other duties as assigned.

COMPETENCIES:

• Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
• Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
• Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Responds to requests for service and assistance; Meets commitments.
• 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.

REQUIRED QUALIFICATIONS:

• Associate’s degree or equivalent in work experience
• 1 year experience in office or healthcare environment
• Intermediate proficiency in Windows environment, with emphasis on Outlook, Excel, and Word
• Strong telephone and interpersonal communication skills

Preferred Education and Experience:

• 1 year experience in home health environment
• Knowledge of OASIS, CMS, and MassHealth guidelines

PHYSICAL DEMANDS AND OFFICE ENVIRONMENT:

• Occasionally required to stand.
• Occasionally required to walk.
• Frequently required to sit.
• Continually required to use hands and fingers.
• Occasionally required climb, balance, bend, stoop, kneel or crawl.
• Occasionally required to lift/push light weights (less than 25 pounds).

TRAVEL REQUIREMENTS:

• Ability to travel locally by car to office(s), events, meetings, etc., as needed (approximately 5 % of the time.

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

Salary : $20 - $23