Clinical Support Specialist

Clinical Support Specialist

We are looking for passionate clinicians committed to delivering exceptional care in the home. Come join the team and make a difference every day.

The Clinical Support Specialist (CSS) is responsible for a high level of daily tasks/duties to be completed in support of Clinical Manager/Patient Care Manager’s daily cadence.

As a Clinical Support Specialist, you will:

• Be responsible for daily completion of the following tasks: referral processing, ongoing orders, workflow, escalation/complaint calls, updating clinical information, reporting, verbal orders, field visits as required.
• Perform clinical preparation of key office functions: stand up/stand down & case conference that ensure compliance KPIs: 1. LUPAS – report and manage patient episodes that are at risk for LUPA status – including: recognition of risk, understanding missed visit reasons, coordinating with clinicians/patients/families/schedulers as needed, ensuring timely resumption of care as needed, etc. 2. Paraprofessional Utilization – report and manage case management model – including: correct visit types selected; continuity of clinical care team, capacity management, etc. 3. % of clinicians between 26-32 points – report and manage clinician productivity – including: tenured productivity to target (identifying trends and working with PCM to mitigate issues), recent hire productivity (understanding current onboarding status to manage as needed), capacity planning 4. Workflow completion – task-based duties that bog down many current patient care managers.
• Perform other clinical coordination duties as assigned.
• Ensure services are in compliance with professional standards, state and federal regulatory requirements.
• Comply with applicable legal requirements, standards, policies and procedures including, but not limited to the Compliance Program: Code of Conduct, HIPAA and Documentation Standards.
• Maintain a commitment to the values and mission of the company.
• Complete additional responsibilities as assigned by one’s supervisor or other manager related to the position/department.