СШАClinical Operations Specialist - Licensed Therapist
1 нед. назад
СШАSeniorHybrid
electronic health recordehr
Licensed therapist providing support to clinical operations, bridging clinicians and operational teams to improve patient care and quality.
Требования
- 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
Другое
- 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
- 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.
- 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
- 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
- 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
- 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
- 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
- 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
- Marvin Behavioral Health is committed to building a diverse and inclusive team. We encourage applicants from all backgrounds and identities to apply.