Executive Clinical Assistant
New
E
Energy Employee Services, LLCClinical operations
United StatesFull-Time
Salary not disclosed
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Job Details
- Required Skills
- Microsoft Excel
Requirements
- Hold a current nursing license in good standing.
- Have experience working with Department of Labor programs; DEEOIC experience is preferred.
- Have working knowledge of authorization, recertification, utilization, and clinical documentation processes.
- Be proficient with Microsoft Office applications, including Excel, Outlook, Word, and Teams.
- Demonstrate strong technology skills and the ability to learn new systems quickly.
- Manage multiple priorities, deadlines, and follow-up activities independently.
- Demonstrate strong organizational skills and exceptional attention to detail.
- Communicate effectively in writing and verbally with clinical and nonclinical teams, patients, providers, and external partners.
- Be able and willing to travel approximately 10%.
- Registered Nurse credential is preferred.
- Home health, case management, occupational health, or complex care experience is preferred.
- Experience with Acentra submissions, DEEOIC authorization processes, letters of medical necessity, or requests for additional information is preferred.
Responsibilities
- Maintain authorization and recertification tracking, submit requests and clinical documentation to Acentra, and follow submissions through completion.
- Draft routine letters of medical necessity and prepare responses to requests for additional information.
- Monitor patient utilization against approved service hours, identify gaps, and prepare weekly utilization reports.
- Request, organize, and review medical records; coordinate follow-up on missing or incomplete documentation.
- Track intake and admission from referral through start of care, identify barriers, and coordinate outstanding requirements.
- Prepare case-conference agendas, patient lists, utilization data, and reports; document decisions and track action items.
- Maintain clinical operations dashboards and recurring reports, and identify operational trends and workflow gaps.
- Support clinical leadership by organizing priorities, tracking assignments, communicating updates, and assisting with special projects.
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