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The Southeast Permanente Medical Group

Clinical Ops Support Specialist

The Southeast Permanente Medical Group, New York, New York, United States

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Clinical Ops Support Specialist The Southeast Permanente Medical Group (TSPMG)

Location: Kaiser Permanente Regional Office (3495 Piedmont Road, NE, Atlanta, GA 30305)

Term: temporary position for up to 1-year, full benefits, on-site M-F

The Clinical Ops Support Specialist, within TSPMG’s Operations and Strategy department, is a contracted hourly position, reporting to the Director of Perioperative Services, Operations and Strategy. The role is responsible for managing patient referrals, ensuring high quality patient care via timely access to services. Work will include reviewing referrals against specialty-specific clinical pathways, within the context of service and access standards. This role requires strong organizational skills and the ability to thrive in a fast-paced environment while maintaining accuracy and compliance with organizational and regulatory standards.

Major Responsibilities / Essential Functions

Reviews and processes specialty referrals for select departments to determine the optimal place of service for each patient, ensuring quality, cost-effectiveness, and patient convenience.

Routinely meets with designated Director, Practice Management Coordinator, TSPMG and HP Administrative leaders, Physician Leadersand health plan stakeholders to ensure service and access standards are being maintained

Reviews and assesses access reports to determine capacity and escalates outliers to management, as needed

Communicates with leadership, clinicians, and external facilities, as needed

Ensures compliance with HIPAA and organizational policies

Additional operational support, as needed

Minimum Education

High school diploma or equivalent

Preferred Education

Bachelor of Arts, Bachelor of Science, or other similar bachelor’s degree

Minimum Work Experience And Qualifications

Proficient with the use of Microsoft Office suite.

Strong organizational and communication skills.

Ability to prioritize and work within firm deadlines.

Ability to establish positive, professional relationships with senior leadership and management team members.

Preferred Work Experience And Qualifications

Work experience in large multi-specialty medical group practices.

Experience in referral processing.

Proficiency in Epic EMR system.

Medical Assistant Certification preferred.

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