Corporate Clinical Specialist

Full-time · Des Moines Region, IA · Corporate

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Job purpose

The Regional Clinical Specialist provides on-site support for staff through compliance audits and support as needed based upon the audit results. The RCS provides education for new and current staff. They provide oversight to assess the compliance, specificity, and completeness of provider clinical documentation. They have experience and are comfortable working with staff and older adults in an intensive outpatient environment. They work within a small, interdisciplinary team with a focus on quality patient care and provision of services ordered by a physician.

Duties and Responsibilities:

  • Provides expert level review of clinical records
  • Identifies gaps in clinical documentation that need clarification for compliance purposes
  • Provides collaborative leadership, and communication, for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating recommendations for improvement, and the rational for the recommendation
  • Actively communicates with providers at all levels
  • Provides face-to-face educational opportunities with physicians and staff
  • Is experienced, and enjoys, working with seniors
  • Expert level documentation and ability to communicate effectively the need for through documentation to others
  • Knowledge of community resources for seniors
  • Knowledge of Medicare, Medicaid and insurance requirements
  • Familiarity with medical terminology and conditions impacting seniors
  • Familiarity with medical team roles and with functioning of other hospital departments
  • Knowledge of effective individual and group communication techniques
  • 70-80% of job role will include travel

  • Qualifications

  • Education: Master’s Degree in Social Work or Counseling or Nursing preferred
  • Licensure: LISW or LPC or RN
  • Experience: Two to three years of clinical experience with seniors, extensive group work, hospital or nursing home experience preferred.
  • Must have proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records
  • Experience communicating & working closely with Physicians
  • Understanding and experience in behavioral healthcare
  • Demonstrated skill in utilization management and review systems
  • Ability to work independently and collaboratively with multiple disciplines
  • Demonstrated skill in problem solving, consensus building, conflict resolution, advocacy, and team building
  • Ability to accomplish work objectives where few precedents or guidelines currently exist
  • Excellent oral and written communication skills

  • Physical requirements

    While performing the duties of this job, the employee is regularly required to talk and hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. This position required intermittent physical activity, including standing, walking, bending, kneeling, stooping and crouching as well as lifting, driving and supporting patients.

    Direct reports

    This position has no direct reports.

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