Clinical Service Assistant

Elevance Health • Mason, OH

23d • Remote

About The Position

The Clinical Service Assistant is responsible for providing non-clinical administrative support to clinical associates, nurse managers and nurse leads in the nursing unit. How you will make an impact: Primary function is to assess members via telephone and to give referrals. Supports systems, workflow, and reporting-related requirements of the unit. Identifies trends and opportunities for additional associate training on unit workflow and processes. Monitors unit workflow and processes and identifies opportunities for improvements. Provides administrative support to associates to help in identifying and resolving workflow and process issues. Assists leads and management with the implementation of new and existing non-clinical policies and procedures. Runs ad-hoc reports. Provides user acceptance training coordination on new systems and enhancements, and provides input on new unit procedures, policies and workflow related topics. Processes HIP alerts, routes facsimiles and coordinates dialer campaigns. Works with referral services associates to ensure seamless processes. Provides administrative support including triaging help desk tickets, monitoring group email/voice mail boxes, participating in clinical Rounds, and processing internal referrals. Enters manual data (surveys, labs, pilots and other ancillary manual entry requirements) and manages HRS exception reviews. Supports workforce management, RN licensure, and other special projects.

Requirements

• Requires a H.S. diploma or equivalent and a minimum of 1 year experience in a business or health care setting; or any combination of education and experience which would provide an equivalent background.
• For associates working within Puerto Rico who are member or patient facing either in a clinical setting or in the Best Transportation unit, a current PR health certificate and a current PR Law 300 certificate are required for this position.

Nice To Haves

• AS degree in a related field and prior experience in a healthcare or managed care environment preferred.

Responsibilities

• Assess members via telephone and to give referrals.
• Supports systems, workflow, and reporting-related requirements of the unit.
• Identifies trends and opportunities for additional associate training on unit workflow and processes.
• Monitors unit workflow and processes and identifies opportunities for improvements.
• Provides administrative support to associates to help in identifying and resolving workflow and process issues.
• Assists leads and management with the implementation of new and existing non-clinical policies and procedures.
• Runs ad-hoc reports.
• Provides user acceptance training coordination on new systems and enhancements, and provides input on new unit procedures, policies and workflow related topics.
• Processes HIP alerts, routes facsimiles and coordinates dialer campaigns.
• Works with referral services associates to ensure seamless processes.
• Provides administrative support including triaging help desk tickets, monitoring group email/voice mail boxes, participating in clinical Rounds, and processing internal referrals.
• Enters manual data (surveys, labs, pilots and other ancillary manual entry requirements) and manages HRS exception reviews.
• Supports workforce management, RN licensure, and other special projects.

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees