Job Description

Job Summary

The Clinical Operations Assistant supports the coordination of discharge planning and care transitions under the supervision of a Case Manager. This role serves as an interdisciplinary team member and contributes to efficient care delivery by coordinating post-discharge services, managing documentation, and facilitating communication between patients, families, and healthcare providers. The Clinical Operations Assistant performs responsibilities in a manner that reflects sensitivity to patient needs and supports quality outcomes aligned with hospital goals.

Essential Functions

• Assists with discharge planning by coordinating post-discharge services, such as home health, transportation, or durable medical equipment.
• Facilitates insurance authorizations for post-acute care at skilled nursing facilities or inpatient rehab.
• Communicates with patients, families, providers, and external organizations to ensure timely and appropriate care transitions.
• Maintains accurate and organized records, performs data entry, and processes necessary paperwork related to patient care coordination.
• Schedules follow-up appointments, transportation, or other services as directed by the Case Manager.
• Facilitates and tracks clinical reviews and authorization requests with payors by ensuring accurate and timely delivery of clinical documentation.
• Supports quality improvement initiatives aimed at enhancing care coordination and patient satisfaction.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• 1-3 years of experience in a healthcare or patient services role preferred

Knowledge, Skills and Abilities

• Demonstrated knowledge of medical terminology and basic understanding of ICD-10 and CPT coding.
• Proficient in electronic medical record (EMR) systems and basic computer applications.
• Strong communication skills, both oral and written, with the ability to interact professionally with diverse stakeholders.
• Effective organizational and time management skills; ability to manage multiple tasks simultaneously.
• Demonstrates empathy and support when working with patients and families.
• Strong problem-solving skills and ability to work in a fast-paced environment.