Clinical Operations Specialist

The Clinical Operations Specialist 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.

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.
• Manges 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 triagesto 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.

REQUIRED QUALIFICATIONS:
• 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

PREFERRED EDUCATION AND EXPERIENCE:
• 1+ year experience in home health environment
• Knowledge of OASIS, CMS, and MassHealth guidelines

TRAVEL REQUIREMENTS:
• Ability to travel locally by car to office(s), events, meetings, etc., as needed (approximately 10% of the time).


Innovive Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.