ECM Operations Support Specialist jobs in United States
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Community Health Center Network ยท 13 hours ago

ECM Operations Support Specialist

The Community Health Center Network (CHCN) is a nonprofit organization that partners with health service organizations to provide comprehensive healthcare. The ECM Operations Support Specialist is responsible for managing operations related to Enhanced Care Management, including data reporting, clinical documentation, and quality assurance while the supervisor is on leave.

CommunitiesHealth CareHospitalService Industry

Responsibilities

Partner with CHCN Data and Analytics team to ensure accurate and timely reporting
Provide operational support during team meetings
Troubleshoot CHW issues related to EPIC/Compass Rose and Tableau workflows
Collaborate with internal and external teams (IT, OCHIN, Data Analytics) to design, implement, and evaluate care management programs
Develop and implement effective practices, protocols, and workflows for ECM
Lead implementation of care management tools to improve quality, patient outcomes, and resource utilization
Manage performance improvement projects and transformation initiatives for ECM populations
Ensure standardization and optimization of workflows across models of care
Oversee design and evaluation of IT solutions supporting documentation and monitoring
Support CHWs in maintaining robust documentation that reflects services provided
Work with Senior Director to meet clinical and productivity metrics
Manage ECM billing and reimbursement processes with CHCN clinics
Serve as liaison between Data Analytics, Accounts Payable, Quality Improvement, and IT Systems to ensure operational effectiveness
Apply Motivational Interviewing, person-centered, and trauma-informed care principles
Exercise sound judgment in prioritizing tasks and seeking guidance when needed
Maintain compliance with departmental documentation standards and CHCN policies
Foster a positive work environment and teamwork across departments

Qualification

Case ManagementData AnalyticsEPICTableauHealthcare Benefits KnowledgeQuality ImprovementDocumentation StandardsLeadership SkillsCommunication SkillsProblem SolvingTeamworkAdaptability

Required

BA degree or higher, with at least 3 years of experience in case management
Competent leadership and administrative skills
Good communication and customer relations' skills; ability to work well with a team and independently
Case Management experience, understanding and knowledge of healthcare benefits associated with various business lines (Medi-Cal, Medicare, and Commercial)
Ability to work independently in most instances, requiring limited supervision
Proficiency in computer operations, navigational skills and comfortable with Internet-based applications
Sound decision-making skills including problem solving, critical thinking, and good clinical judgment for clinical and non-clinical issues
Professional demeanor
Excellent communication, organizational and time management skills with the ability to meet tight timeframes
Strong understanding of the managed care environment
Ability to work effectively and collaboratively with a variety of customers including CHCN health center staff, internal CHCN colleagues, health plans, patients and providers
Be creative and mature with a 'can do', proactive attitude and an ability to continuously 'scan' the environment, identifying and taking advantage of opportunities for improvement
Commitment to working directly with low-income communities with diverse backgrounds, in a helpful, supportive manner
Strong computer literacy and familiarity with electronic medical record and supporting applications, such as EPIC and Tableau
In-depth knowledge of and proficiency in case management, health issues, and the health care system
Manages complex and sometimes contradictory information to effectively solve problems
Flexible and adaptable to a rapidly changing program that continues to shift gears at the State and local level
Understands data and analytics relevant to case management and monitoring and reporting of productivity to meet required outcomes
Ability to learn quickly and retain complex information
Travel to work assignments - must have a reliable mode of transportation that meets the needs of an urgent response environment

Company

Community Health Center Network

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Community Health Center Network provides healthcare services.

Funding

Current Stage
Growth Stage
Total Funding
unknown
Key Investors
Exact Sciences
2023-12-07Grant

Leadership Team

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Rayne Johnson
Chief Information Officer
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Company data provided by crunchbase