(CSS) Clinical Support Specialist
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 NHFHS Care Teams. This role demonstrates a working knowledge of the EHR, clerical and referral processes, and helps support the achievement of provider productivity goals. The specialist establishes and maintains effective working relationships with all members of the health care team and demonstrates appropriate communication skills. They work to process provider referral orders in a timely fashion, forwarding necessary EHR information as needed and required for each individual order. The role involves scheduling In-House and External referrals for various procedures, including radiological procedures and consultations with specialists, and obtaining necessary referral pre-authorizations. The Clinical Support Specialist also tracks outcomes for referrals, hospitalizations, and other required information supporting Patient Centered Medical Home guidelines, and communicates clerical supply needs to their supervisor.
Requirements
- High school diploma or GED equivalent.
- CNA. MA, PCT or minimum of 1 year of related work experience.
- Electronic Health Records Experience
Nice To Haves
- 1-2 years higher education in related field or social work fields.
- One year experience within a community healthcare setting
Responsibilities
- Demonstrates a working knowledge of the EHR, clerical and referral processes.
- Receives and processes patient-related information from multiple sources, ensuring timely and accurate delivery to the appropriate departments or individuals.
- Helps support the achievement of provider productivity goals.
- Establishes and maintains effective working relationships with all members of the health care team and demonstrates appropriate communication skills.
- Works to process provider referral orders in a timely fashion and forwards necessary EHR information as needed and required for each individual order.
- Schedules In-House referrals as needed and follows established processes and guidelines.
- Schedules External referrals for various procedures including, but not limited to, radiological procedures and consultations with specialists as ordered by medical providers and directs patients accordingly.
- Obtains necessary referral pre-authorizations.
- Records for referral orders are forwarded via EHR Fax.
- Communicates all “stat” reports/issues immediately to appropriate team members (MD, FNP, RN / LPN, MA, PM, or CN).
- If unable to complete a referral, reports immediately to the referring Provider.
- Understands the purpose of and has a working knowledge of Patient Centered Medical Home concepts.
- Tracking: works with Task Management and clinical staff, as needed, to track outcomes for referrals, hospitalizations, pap smears, vouchers and other required information supporting Patient Centered Medical Home guidelines.
- Communicates clerical supply needs to the immediate supervisor in a timely manner.
- Secures necessary referral pre-authorizations in accordance with payer guidelines and organizational policies.
- Contributes constructive ideas for a more efficient referral process.
- Attends staff development programs as required.
- Attends monthly staff meetings / developmental programs and contributes constructive ideas for more efficient referral processes.
- Maintains confidentiality of patient information at all times.
Benefits
- Annual Leave
- Sick leave
- Up to 12 Paid Holidays plus your birthday
- Eligibility for 2 annual bonuses after 1 year of employment when defined eligibility criteria are met
- Continuing education courses through SC AHEC
- Various employee discounts. I.e., Verizon, AT&T, YMCA, etc.
- Eligibility for the Public Service Loan Forgiveness (PSLF) Program
- Medical (PEBA State Health Plan), Dental and Vision benefits
- Flexible Spending and Health Savings Accounts
- Voluntary Life Insurance
- Short Term Disability and Long Term Disability
- Accident and Critical Illness Coverage
- 403 (b) Retirement Plan, with up to 4% employer match after the first year of employment
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
101-250 employees
