(CSS) Clinical Support Specialist

New Horizon Family Health Services•Greenville, SC

76d

About The Position

The Clinical Support Specialist works under the supervision of the Program Director/Mallard Site Manager to provide referral and patient-flow support to New Horizon Family Health Services (NHFHS) Care Teams. The role processes patient information and referral orders, coordinates in-house and external referrals, obtains required pre-authorizations, and supports tracking and communication in accordance with established processes, payer guidelines, organizational policies, and Patient Centered Medical Home guidelines. The organization operates multiple locations throughout Greenville, Greer, Travelers Rest, and Berea; placement and worksite assignment are determined by the Executive Team based on organizational needs and operational priorities. The position requires working knowledge of electronic health records, clerical and referral processes, and appropriate communication with members of the healthcare team. The employee must maintain patient confidentiality and attend required staff development programs and meetings. NHFHS describes its mission as providing quality, affordable, compassionate, patient-centered healthcare to improve community health. Its ICARE values are Integrity, Collaboration, Accountability, Respect, and Enrichment.

Requirements

High school diploma or GED equivalent.
CNA, MA, or PCT credential, or at least one year of related work experience.
Electronic health records experience.

Nice To Haves

One to two years of higher education in a related field or social work field.
One year of experience in a community healthcare setting.

Responsibilities

Demonstrate working knowledge of the EHR, clerical processes, and referral processes.
Receive and process patient-related information from multiple sources and deliver it accurately and promptly to the appropriate departments or individuals.
Help support provider productivity goals.
Establish and maintain effective working relationships with healthcare team members and communicate appropriately.
Process provider referral orders promptly and forward required EHR information for each order.
Schedule in-house referrals as needed and follow established processes and guidelines.
Schedule external referrals for procedures, including radiological procedures and specialist consultations, and direct patients accordingly.
Obtain referral pre-authorizations in accordance with payer guidelines and organizational policies.
Forward records for referral orders via EHR fax.
Immediately communicate stat reports and issues to the appropriate team members.
Immediately notify the referring provider if unable to complete a referral.
Apply working knowledge of Patient Centered Medical Home concepts.
Work with Task Management and clinical staff as needed to track referral outcomes, hospitalizations, pap smears, vouchers, and other information required to support Patient Centered Medical Home guidelines.
Communicate clerical supply needs to the immediate supervisor in a timely manner.
Contribute constructive ideas for improving referral-process efficiency.
Attend required staff development programs and monthly staff meetings.
Maintain patient confidentiality at all times.

Benefits

Annual leave.
Sick leave.
Up to 12 paid holidays plus the employee's birthday.
Eligibility for two annual bonuses after one year of employment when defined eligibility criteria are met.
Continuing education courses through SC AHEC.
Various employee discounts, including Verizon, AT&T, and YMCA discounts.
Eligibility for the Public Service Loan Forgiveness Program.
Optional medical coverage through the PEBA State Health Plan.
Optional dental and vision benefits.
Flexible Spending and Health Savings Accounts.
Voluntary life insurance.
Short-term and long-term disability coverage.
Accident and critical illness coverage.
403(b) retirement plan with up to a 4% employer match after the first year of employment.