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Clinical Operations Specialist - Licensed Therapist

$83k - $100k

Marvin Behavioral Health

Clinical Operations Specialist – Licensed Therapist Employment Type: Full-time, Salaried Reports To: Clinical Director Location: Remote/Hybrid Compensation: $83,000–$100,000 per year (commensurate with experience) Equity: Offered Benefits: 401(k), full health, dental, and vision insurance, generous unlimited PTO package Role Type: Licensed Clinician Caseload: No Caseload Requirement Role Summary The Clinical Operations Specialist is a licensed therapist who provides critical support to clinical operations, leveraging their expertise to address issues involving patients, providers, documentation, quality, and care delivery. This role acts as a bridge between clinicians and the organization’s operational, product, quality, credentialing, and care‑coordination teams. Other duties may be assigned as needed. Qualifications Independent clinical license required: LCSW, LMFT, LPC, or PhD/PsyD (or state equivalent) Minimum of 4 years post‑licensure clinical experience Experience with Electronic Health Record (EHR) systems required No specific EHR or scheduling platform experience necessary; training will be provided Comfortable working in a hybrid clinical/operational role (not traditional caseload-based) Strong cross‑functional communication skills to collaborate with Product, Quality, Credentialing, and Operations teams Self‑motivated and able to work independently in a remote/hybrid environment Responsibilities Member and Clinical Support Serve as a clinical resource for member issues requiring clinical judgment Support pre‑intake clinical review and outreach as needed Review and follow up on member feedback requiring clinical attention Manage rematch escalations and assist with enrollment‑related clinical questions Collaborate with the User‑Success team to address member needs Handle clinical escalations beyond the scope of non‑licensed operations staff Conduct consultation hours as needed Participate in clinical interviews during periods of active hiring Clinical Quality and Documentation Address documentation issues requiring clinical interpretation or provider‑to‑provider communication Support clinical review of incomplete or missing diagnoses Participate in clinical quality initiatives and audits Support and educate providers on clinical documentation standards Participate in payer and similar clinically‑oriented audits Collaborate on quality‑improvement initiatives Review caseload and documentation integrity Therapist Data and Clinical Metrics Work with Product and Clinical Leadership on workforce and quality metrics Use internal reporting and quality‑monitoring tools Interpret metrics for full‑time/part‑time providers Identify trends in clinical quality and areas needing follow‑up Partner with technical teams as reporting and automation tools evolve Clinical Meetings and Cross‑Functional Representation Represent Clinical Operations in cross‑functional meetings (Clinical x Product, User‑Success x Clinical, team meetings, Credentialing/Quality Committees, organizational meetings) Serve as a clinical liaison to other departments requiring clinical expertise Medication Management Operations Assist with manual rescheduling of medication‑management follow‑ups when necessary Address exceptions to automated medication‑management workflows Support resolution of escalated prior‑authorization issues Handle documentation requests (e.g., FMLA, short‑term disability) needing clinical review Draft physician‑facing documentation for review and signature Coordinate member communication about documentation appointments Support related scheduling changes Clinical Process Improvement and Special Projects Identify and propose improvements to clinical workflows Collaborate with Product and Engineering for clinical input Translate clinician and patient needs into operational or product requirements Participate in clinical process redesigns and special projects needing clinical expertise Help develop scalable clinical workflows as the organization grows Other Clinical Duties as Required Marvin Behavioral Health is committed to building a diverse and inclusive team. We encourage applicants from all backgrounds and identities to apply. #J-18808-Ljbffr Marvin Behavioral Health

Vacancy posted 2 days ago
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