Clinical Coordinator

Summary: Ensures that all documentation specific to participants (team members) is up to date. This position supports and is accountable for data integrity specific to Zoom Group’s electronic record keeping system (THERAP). Ensures proper and current ICD billing is correct and maintains records for Michelle P Waiver (MPW) participants and Supports for Community Living (SCL) as necessary.

Essential Duties/Responsibilities: Other related duties may be assigned.

• Per DDID Regulations, The Quality Assurance Support Staff will maintain MPW files:
  • Tracks, monitors, and processes participant (team member) data including but not limited to: plan of care, all annual documentation, releases, monthly summaries, HRST/SIS, etc.; including gathering documentation from case managers and other resources.
  • Tracks, monitors, revises, and processes specific to documentation required for waiver billing and audit.
• Performs data entry; tracks and maintains all participant (team member) documentation and compliance information in the database (THERAP).
• Maintain expert knowledge of the MPW requirements; provide guidance to clients and clients’ families regarding other available services through MPW.
• Assist Commercial Operations staff (Manager, Plant Manager, and Site Coordinators) with understanding and meeting compliance requirements of SLC|MPW clients. Assist with training and oversight of SCL|MPW clients assigned to site. Seek and implement more efficient methods of maintaining recordkeeping requirements for SCL|MPW.
• Draft monthly summary tracking sheets, noting outcomes and objectives.
• Upload/set up prescriptions and MAR’s for MPW and SCL. Track and submit monthly medication error report.
• Responsible for the required annual emergency and disaster plan training and competency verification.
• Other duties related to compliance as assigned and discovered.

Competencies: To perform the job successfully, an individual should demonstrate the following:

Analytical - Collects and researches data related to compliance and state law.

Dependability - Follows instructions, responds to management direction; completes tasks on time; is consistently on time for work, and works assigned schedule.

Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; and responds to requests for service and assistance.

Communication - Speaks clearly in positive or negative situations; listens and gets clarification; responds well to questions; able to read and interpret written information.

Planning/Organizing - Prioritizes and plans work activities; uses time efficiently; maintains accurate and complete records. Collaborates with others to be sure outcomes meet expectations. The ability to read and interpret written information as well as, update and revise written procedures.

Quality/Quantity - Demonstrates accuracy and thoroughness; monitors own work to ensure quality; strives to increase productivity.

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience - Preferred, 2 year associates degree from accredited college or technical school, and a minimum one-year related experience. . Equivalent combination of education, training, skills, and experience may be considered.

Language Skills - Ability to read and comprehend simple instructions, short correspondence, and memos; ability to write simple correspondence; ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

Mathematical Skills - Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. The ability to add and subtract two digit numbers and to multiply and divide with 10’s and 100’s; ability to perform these operations using units of American money.

Reasoning Skills - Ability to apply common sense understanding to carry out instructions furnished, written or oral instructions; ability to deal with problems involving a few concrete variables in standardized situations.

Licenses/Certifications - Maintain valid driver’s license; current car insurance.

Computer Skills - Requires basic knowledge of Microsoft Excel and Word; Internet Explorer; ability to navigate to Medicaid website for billing; and operate email.

Other Skills - The ability to file and maintain records, operate common office equipment: computers, telephones, faxes, copiers.

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle or feel. The employee is frequently required to walk, reach with hands and arms; talk or hear. The employee is occasionally required to stand; climb or balance; stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee works in an office environment. The noise level in the work environment is usually moderate.