The posting
CLINICAL proCESS monitor JOB SUMMARY
As part of a dynamic clinical team embedded in a Health Home Care Coordination Organization, the Clinical Process Monitor is responsible for monitoring clinical/strategic workflows and analyzing the effectiveness of clinical and care coordination interventions, strategies, and processes. The Clinical Process Monitor will examine tasks and processes by gathering and analyzing data, reviewing documentation, and fostering anecdotal feedback to ensure that workflows/processes are designed appropriately, operate effectively and are being completed by the applicable team members. This position commits to a respectful, just, and supportive environment for individuals and coworkers aligning with the company’s commitment to diversity, equity, inclusion and belonging.
ESSENTIAL FUNCTIONS
Design and perform audits to ensure clinical/strategic tasks and processes are:
designed appropriately, effective, and efficient completed accurately and punctually by associated team members compliant with Health Home Care Coordination regulations, policies, and procedures
Act as the owner of corrective actions issued regarding clinical/strategic tasks and processes
monitor and ensure completion of corrective actions determine the effectiveness of corrective actions assist in their redesign, as needed
Create reports of review findings to present to various audiences, including clinical team members, senior management, and care coordination Assist leadership in the redesign of tasks and processes, as needed Provide timely and appropriate feedback to management regarding review findings Maintain strict confidentiality; adhere to all HIPAA guidelines and regulations Maintain quality and proficient services by advancing personal knowledge, skills, and other competencies through continuing professional development
OTHER DUTIES
Other duties and/or special projects as necessary
KNOWLEDGE, SKILLS & ABILITIES
Ability to effectively communicate Ability to prioritize and complete work in timely manner Ability to work independently Ability to provide guidance in a clear, concise manner Ability to clearly communicate orally and in writing Proactively approaches professional responsibilities Demonstrates cultural competence Demonstrates ethical and professional responsibilities and boundaries Demonstrates capacity to use Health Information Technology to facilitate communication Strong computer literacy (Excel, Power BI, Electronic Health Record platforms) Knowledge of confidentiality regulations/HIPPA Knowledge of person-centered planning regulations
EDUCATION & EXPERIENCE
At least 3 years of experience, professional and/or personal, with the following required:
Collecting, processing, and interpreting information Using logical reasoning to evaluate problems and find solutions Conveying information clearly and accurately to others Acting independently, taking responsibility for one's own work
Knowledge of OPWDD, Health Home care coordination preferred Familiarity with person-first, person-centered planning concepts preferred
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