Clinical Service Assistant

Anticipated End Date:

2025-11-12

Position Title:

Clinical Service Assistant

Job Description:

Shift: Split shift Wednesday – Friday 6:30am – 11:30am and 5:00pm – 10:00pm ET

Saturday 11:00am – 9:30pm ET

Location: Virtual - Alternate locations may be considered if candidates reside within a commuting distance from an office

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law 

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.

Minimum 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.

Preferred skills, capabilities, and experiences:

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

Job Level:

Non-Management Non-Exempt

Workshift:

3rd Shift (United States of America)

Job Family:

MED > Medical Ops & Support (Non-Licensed)

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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 reso