11 days old

Clinical Support Specialist-Remote

Conifer Health Solutions
RI

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

JOB SUMMARY

The employee will provide administrative support to senior and professional staff within Population Health, which consists of Utilization Management, Case Management and Administrative Support. This positon consists of the following roles and responsibilities, but are not limited to.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

  • Processes to support Clinical Team such as communicate directly with Conifer clients to ascertain member information, clinical data, and/or other information. Verify member eligibility, create member episodes within CCOO, monitor opened episodes and close per criteria.

    Rhode Island: Utilize appropriate platform/application to identify members for outreach to arrange appointments with RN/LICSW/ LCSW, while managing their calendars for these appointments

  • Performs various clerical duties such as sorting correspondence, filing, photocopying and scanning and indexing documents. Mail printing, tracking and distribution.

  • Other duties as assigned by Management.

    ESSENTIAL DUTIES AND RESPONSIBILITIES:

    • Utilization of CONIFER service products to aid in client delivery
    • Communicate directly with Conifer clients to ascertain member information, clinical data and/or other information
    • Create member episodes for the Nursing staff
    • Verify member eligibility
    • Monitor opened member episodes and close per criteria
    • Billing reconciliation
    • Assisting with Professional Licensing and Accreditation
    • Managing incoming and outgoing mail
    • Development and maintenance of tracking reports
    • Assisting with Quality Management projects
    • Assisting and or developing presentation materials
    • Utilize Microsoft office, word, excel, power point and other products
    • Other duties as assigned
    • Ability to learn clinical platforms/applications necessary to complete assigned tasks


      Qualifications:

      EDUCATION / EXPERIENCE

      Include minimum education, technical training, and/or experience required to perform the job.

      • Associate s Degree in business, healthcare or related field preferred; with two to three years experience in a similar setting.

      • Basic medical knowledge is a plus.

        PHYSICAL DEMANDS

        The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

        • Ability to express or exchange ideas by means of the spoken word

        • Visual and auditory acuity

        • Ability to move moderately weighted objects from one position to another

        • Ability to use fingers and the whole hand or arm, as in handling, typing, etc.

        • Ability to enter/retrieve data on computer as position requires extensive computer use

        • Sedentary work in the office

          WORK ENVIRONMENT

          The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

          • Office/Team Work Environment

          • Rhode Island: Remote work environment

            OTHER

            • The hours are normal business hours, however, additional hours may occasionally be required.

              • Rhode Island: weekend and holiday hours maybe required


                Job: Nursing
                Primary Location: Rhode Island
                Job Type: Full-time
                Shift Type: Days

                Categories

                Posted: 2019-08-06 Expires: 2019-09-07

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Clinical Support Specialist-Remote

Conifer Health Solutions
RI

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