Clinical Operations Specialist

Innovive Health•Middleton, MA

2d•Hybrid

About The Position

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. (Required to be in the office one day a week)

Requirements

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

Nice To Haves

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

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.
Manages 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.