Clinical Operations Specialist - Job Description
Who We Are:
Herself Health is an Advanced Primary Care practice for women 65+ enrolled in Medicare and Medicare Advantage plans. The concept was born out of a need to significantly improve the delivery and quality of primary care provided to this population and solve common challenges with the delivery of healthcare today, such as long wait times, rushed appointments, and care that is generalized, rather than personalized. We have a focus on women's issues later in life (Bone loss, weight fluctuation, changes in mental, social and emotional health). The concept and development of this company has been led by a successful venture-backed team and board with a well-established record of building "best-in-class" companies. The Twin Cities Metro area of Minneapolis and St Paul, MN is the location for the company's clinical launch.
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What We Do:
At Herself Health, we believe in taking a bold approach to the care of women in their most self-defining years. From their mid-60's, as they age, women may finally have the luxury of time for self-care, self-reflection, and self-discovery. They often find a renewed purpose in life and can truly tap into the wellspring of wisdom and resilience they have built, allowing them to live their lives as fully as they aspire. We believe that trusted relationships are nurtured through effective communication and a sense of enduring connection. We use a team approach to care. As a highly trained and experienced group of professionals, we delight in working closely with each other, our patients, their loved ones, families, and caregivers. We work hard to maximize overall wellness, preserve function, optimize health, and help each woman age with dignity and grace. Our team of experts aims to elevate our patients' experience of healthcare by providing evidence-based, whole-person, coordinated, timely, cost effective, and values-centric care. We espouse a joyful, respectful, non-discriminatory, and non-judgmental approach to every interaction, whether with our patients or among ourselves.
Clinical Operations Specialist Role
Reporting to our VP of Clinical Operations, the Clinical Operations Specialist will play a vital role in helping manage expectations surrounding pre and post patient care. This role will directly support our Herself Health Clinical team while operating under our Clinical Operations team.
Core Responsibilities
- Review patient demographic information and clinical records for completeness including, but not limited to, authorization, signatures, missing data, and other patient information
- Work cross-functionally across different clinical teams to solve problems and enhance the efficiently of our practice
- Act as a liaison for communication across clinical teams for patient prep in partnership with the Clinical Operations team
- Assist in providing onboarding and training for all new Primary Care Providers and Nurse Practitioners across internal and affiliate medical offices
- Establish and coordinate meetings between Clinical Operations and Providers to provide feedback on best practices and process changes or updates
- Task manage and keep track of processes needing updates, changes, or helping create new processes
- Administrative tasks and documentation management as required
- Manage all Clinical Operations vendors and hold appropriate recurring meetings with them to ensure they are meeting SLA's and answering our questions
- Maintain all dashboards
- Develop and document all Clinical Operations Workflows and create a playbook for processes
- Help build our clinical operations functions including hiring new team members that are needed
- Develop and track KPI's to prove better health outcomes
- Analyze key coding performance indicators to determine providers in need of initial or additional training, continually
- Evaluate Providers on consistent identification of chronic conditions
- Develop and implement Quality Improvement Plans (QIP) as needed based on the chart reviews conducted to identify specific areas of training needs
- Update and maintain individual Provider profiles to identify strengths, areas of improvement and conditional identification, documentation and coding patterns
- Assist in creation and development of new playbooks, policies and procedures (p&p) or the revision of existing P&Ps around Provider education
- Other designated administrative, clinical support and tasks as assigned to leverage goals
- Work with current team to develop performance improvement processes and procedures.
