Job purposeProvides expert level review of clinical recordsIdentifies gaps in clinical documentation that need clarification for compliance purposesProvides 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 recommendationActively communicates with providers at all levelsProvides face-to-face educational opportunities with physicians and staffIs experienced, and enjoys, working with seniorsExpert level documentation and ability to communicate effectively the need for through documentation to othersKnowledge of community resources for seniorsKnowledge of Medicare, Medicaid and insurance requirementsFamiliarity with medical terminology and conditions impacting seniorsFamiliarity with medical team roles and with functioning of other hospital departmentsKnowledge of effective individual and group communication techniques70-80% of job role will include travel
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:
Education: Master’s Degree in Social Work or Counseling or Nursing preferredLicensure: 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 RecordsExperience communicating & working closely with PhysiciansUnderstanding and experience in behavioral healthcareDemonstrated skill in utilization management and review systemsAbility to work independently and collaboratively with multiple disciplinesDemonstrated skill in problem solving, consensus building, conflict resolution, advocacy, and team buildingAbility to accomplish work objectives where few precedents or guidelines currently existExcellent oral and written communication skills
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.
This position has no direct reports.