Associate, Post-Acute Clinical Support Specialist

Mvp Health Plan IncSchenectady, NY
42dRemote

About The Position

Your key responsibilities: Provide administrative and operational support for post-acute care program. Coordinate communication between internal teams, skilled nursing facilities, inpatient rehabilitation facilities, and home health agencies. Work closely with internal and external stakeholders to support clinical documentation, ensuring accuracy and compliance with organizational and regulatory requirements. Assist with data entry, reporting, and tracking patient transitions and utilization metrics. Review documentation for completeness ensuring compliance (e.g.: CMS, Medicaid, NCQA). Support quality improvement initiatives and process enhancements. Serve as a resource for post-acute workflows and escalate issues as needed. Other duties as assigned. Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

Requirements

  • High school diploma or equivalent required
  • Minimum of 3 years' current experience in healthcare setting or a related field required
  • Strong attention to detail and ability to manage multiple tasks simultaneously.
  • Excellent communication skills, both written and verbal.
  • Exceptional customer service skills and ability to handle difficult situations with empathy and professionalism.
  • Proficient in using computer systems and software, including Microsoft Office Suite.
  • Ability to work independently and as part of a team in a fast-paced environment.
  • Strong organizational and time management skills.
  • Knowledge of medical terminology and healthcare documentation standards
  • Curiosity to foster innovation and pave the way for growth
  • Humility to play as a team
  • Commitment to being the difference for our customers in every interaction

Responsibilities

  • Provide administrative and operational support for post-acute care program.
  • Coordinate communication between internal teams, skilled nursing facilities, inpatient rehabilitation facilities, and home health agencies.
  • Work closely with internal and external stakeholders to support clinical documentation, ensuring accuracy and compliance with organizational and regulatory requirements.
  • Assist with data entry, reporting, and tracking patient transitions and utilization metrics.
  • Review documentation for completeness ensuring compliance (e.g.: CMS, Medicaid, NCQA).
  • Support quality improvement initiatives and process enhancements.
  • Serve as a resource for post-acute workflows and escalate issues as needed.
  • Other duties as assigned.
  • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Insurance Carriers and Related Activities

Education Level

High school or GED

Number of Employees

1,001-5,000 employees

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