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Clinical Support Specialist- Remote - Frisco, United States - Tenet Health Central Coast
Description
Clinical Support Specialist- Remote **Description**
: **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 TCS-Acuity 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.
**Qualifications**
: **Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.**
**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
**EDUCATION / EXPERIENCE**
*Include minimum education, technical training, and/or experience required to perform the job.*
Associates 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 offic
**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
**Primary Location**
: TX-Frisco **JOIN OUR TEAM**
***QUALITY CARE DELIVERED BY COMPASSIONATE PEOPLE***
We know it takes a special person to work in healthcare, and we are committed to providing our people with an enriching and rewarding environment. We deliver the resources, tools and support our employees need to serve our patients and customers in the best way possible so we can create happier, healthier communities.
***COMMITTED TO DIVERSITY AND INCLUSION***
At Tenet, we believe in a diverse and inclusive environment, one that is grounded in our dedication to the health and well-being of all people. Respecting, nurturing and encouraging diversity of thought, background and experience contribute to positive work environments that result in exceptional patient care. We embrace diversity because it's our culture, and because it's the right thing to do.
