10,271 Clinical Specialist jobs in the United States

Support Specialist - MIPS & ACO ReportingLocation: (Insert location or "Remote")Employment Type: Full-TimeAbout UsAt (Your Organization Name), we are committed to advancing healthcare quality and outcomes through data-driven solutions and compliance excellence. We support providers and Accountable Care Organizations (ACOs) in navigating value-based care programs such as MIPS (Merit-based Incentive Payment System). We're seeking a dedicated Support Specialist to join our team and help our clients meet regulatory requirements and improve patient care outcomes.Position OverviewThe Support Specialist - MIPS & ACO Reporting will play a key role in guiding healthcare providers and ACO participants through the annual quality reporting process. This individual will provide hands-on support to ensure accurate data collection, timely submission, and compliance with CMS requirements. The ideal candidate has strong organizational skills, attention to detail, and experience with healthcare quality programs.Key ResponsibilitiesAssist providers and ACO participants with MIPS data collection, validation, and submission.Provide guidance on CMS reporting requirements, measure selection, and compliance deadlines.Troubleshoot reporting issues and coordinate with internal teams or external vendors as needed.Maintain up-to-date knowledge of CMS regulations, MIPS scoring methodologies, and ACO reporting requirements.Support internal reporting workflows, including documentation, tracking progress, and preparing submission files.Serve as a resource for providers and staff with questions regarding MIPS, ACO quality measures, and performance improvement.Participate in training sessions, webinars, and outreach initiatives to educate stakeholders.QualificationsRequired:Bachelor's degree in healthcare administration, public health, or related field (or equivalent experience).Familiarity with CMS MIPS reporting and ACO quality programs.Strong analytical, problem-solving, and communication skills.Proficiency with Microsoft Excel, reporting platforms, and EMR/EHR data extraction.Ability to manage multiple deadlines and work collaboratively with clinical and administrative staff.Preferred:Experience in healthcare compliance, quality reporting, or population health management.Prior work in a healthcare practice, ACO, or healthcare consulting environment.Why Join UsBe part of a mission-driven organization improving healthcare outcomes.Collaborative and supportive work environment.Opportunities for professional growth and ongoing training in value-based care programs.Competitive salary and benefits package.

Chelsea, ME, USA | Administrative | 21.00-23.00 per hour | Full Time

If you consider social work your life's calling, and not simply a job, the perfect opportunity is waiting for you. Spurwink is hiring a Clinical Support Specialist for our Day Treatment Program for youth and adolescents. In this role you will provide administrative support to our clinical staff as we help guide children and their loved ones through the hurdles of everyday life - all while making a real, lasting impact in your community. This is a Monday through Friday schedule split between our programs in Portland and Chelsea. The position pays $21.00-$3.00 per hour depending on experience and includes mileage reimbursement for travel to each location.

Duties:

• Help clinicians and their clients and families identify and access community support and/or a community case manager.
• Assist in all admission paperwork and inform perspective guardians of documentation required for completion of admitting paperwork.
• Assist the clinician in documenting client and family treatment/visit plans in coordination with the client and family and with the oversight of the supervisor.
• Develop resources for clients and families and maintain positive working relationships with resources.

Qualifications:

• High School Diploma or equivalent required.
• Bachelor's degree preferred.
• Five (5) or more years' experience in a related field accepted.

Robust Benefits Package:

• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Retirement Account with Matching Contribution (after one year of service)
• Identity Theft Insurance
• Pet Insurance

Benefits may include:

• Flexibility of Schedules
• Career Advancement Opportunities
• Tuition Reimbursement (up to 2000 annually)
• Student Loan Assistance
• Generous Paid Time Off
• Verizon & Sprint Cell Phone Discounts
• Opportunity for Same Day Pay

Spurwink is an Equal Opportunity Employer.

The American College of Surgeons is a professional and educational organization of surgeons that was founded in 1913 to raise the standards of surgical care. The organization focuses on improving the quality of surgical care through education, research, and advocacy. The Clinical Support Specialist will play a key role in supporting the organization's mission and goals. The position is located in Chicago, IL.

Portland, ME, USA | Administrative | 21.00-23.00 per hour | Full Time

If you consider social work your life's calling, and not simply a job, the perfect opportunity is waiting for you. Spurwink is hiring a Clinical Support Specialist for our Day Treatment Program for youth and adolescents. In this role you will provide administrative support to our clinical staff as we help guide children and their loved ones through the hurdles of everyday life - all while making a real, lasting impact in your community. This is a Monday through Friday schedule split between our programs in Portland and Chelsea. The position pays $21.00-$3.00 per hour depending on experience and includes mileage reimbursement for travel to each location.

• Help clinicians and their clients and families identify and access community support and/or a community case manager.
• Assist in all admission paperwork and inform perspective guardians of documentation required for completion of admitting paperwork.
• Assist the clinician in documenting client and family treatment/visit plans in coordination with the client and family and with the oversight of the supervisor.
• Develop resources for clients and families and maintain positive working relationships with resources.

High School Diploma or equivalent required. Bachelor's degree preferred. Five (5) or more years' experience in a related field accepted.

Robust Benefits Package:

• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Retirement Account with Matching Contribution (after one year of service)
• Identity Theft Insurance
• Pet Insurance

Benefits may include:

• Flexibility of Schedules
• Career Advancement Opportunities
• Tuition Reimbursement (up to 2000 annually)
• Student Loan Assistance
• Generous Paid Time Off
• Verizon & Sprint Cell Phone Discounts
• Opportunity for Same Day Pay

Spurwink is an Equal Opportunity Employer.

• Respond to inbound inquiries from providers, medical office staff and payers by phone, email, and internal messaging
• Support providers with real-time order status updates, prescription processing steps, and plan-specific requirements
• Triage escalations and resolve urgent or complex order-level issues efficiently
• Clearly communicate program requirements, expected copays, and processing timelines
• Coordinate with internal partners and external pharmacy networks to remove order bottlenecks
• Guide provider teams through billing issues, prior authorizations, tier exceptions, and appeals
• Use professionalism, de-escalation and active listening skills to manage provider frustrations and keep communication productive
• Log updates across internal systems accurately and on time
• Identify common workflow issues and share insights to improve team processes
• Superb written documentation of services provided in all cross-functional systems
  
  

• Active Board of Pharmacy license in Arizona or Ohio
• Active Pharmacy Technician Certification Board (PTCB) certification
• Minimum 2 years of pharmacy technician experience and use of proprietary software to process prescriptions
• Strong understanding of pharmacy claims processes and coverage workflows
• Skilled in managing multiple digital platforms and navigating cross-system tasks
• Clear, professional verbal and written communication skills
• Ability to provide excellent customer service via inbound communication (calls & emails)
• Willingness and ability to learn operational workflows to quickly determine root cause
• Team player who works collaboratively with low ego
  
  

• Ground floor opportunity with one of the fastest-growing startups in health-tech
• Competitive compensation (commensurate with experience)
• Full benefits (medical, dental, vision)
• 401(k)
  
  

• Assisting patients by offering education related to their behavioral health visits, whether the treating clinician is conducting the visit in person or via telehealth
• Providing technical support and assistance for telehealth visits to include room and equipment preparation
• Supporting clinicians by accessing vitals and other relevant data from the facility's EMR
• Procurement of patient referral documents as needed
• Acting as a liaison between the clinicians and the facility staff
• Interacting with staff and/or family members as necessary
• Maintaining responsibility for proper handling and cleaning of MediTelecare equipment

• Completing assigned number of BHI cases within the required timeline by gathering necessary information from patient medical records and entering it into the company's BHI system/software.

• Providing assistance to assigned clinicians by accessing the facility's EMR and recording relevant data into our EHR system in preparation for the clinical visit
• Working closely with the clinician to assure that patient visits run smoothly and efficiently

• Minimum High School Diploma required
• 1+ year in a healthcare setting preferred, but not required
• Medical Assistant or CNA certification a plus

• Basic working knowledge of medical terminology
• Experience in the use of online healthcare tools
• Proficiency in Microsoft Office Suite - Outlook, Word, Excel
• Ability to maintain full confidentiality and compliance with sensitive medical information, including but not limited to HIPAA protected information and PHI.
• Commitment to providing platinum-level customer service and communication
• Ability to embrace a company culture of caring and kindness

• A dedicated home office space with a closing door that is free from distractions and meets HIPAA and PHI standards
• A reliable home internet connection
• A valid driver's license and reliable mode of transportation
• The ability to travel up to 1 hour in any direction from home office to cover clinics when needed
• Ability to stand, walk, see, speak, hear - both in person and remotely; use hands, fingers to type or use manual equipment, reach with hands and arms. Regularly required to stoop, bend, crouch. Specific vision requirements include close-up corrected vision
• Must be able to lift, push, pull up to 30 lbs. without restrictions
• Ability to remain sedentary for long periods of time while working on administrative tasks
• May be exposed to bodily fluids, viruses or other infectious diseases within a healthcare facility
• Potential exposure to cleaning chemicals used within a healthcare facility

• Immediate Outreach: Contact members promptly regarding out-of-range vital signs or device readings.

• Mobile Care Management: Assist members with the use of mobile care management devices.

• Risk Identification: Communicate with members to identify risks and educate them on recommended device ranges.

• Health Education: Educate members about concerning symptoms and options for outreach, including when to refer to the ER or alternatives.

• Resource Maximization: Maximize members' access to available resources for optimal care.

• Team Collaboration: Assist health coaches, customer service, and tech support teams as needed and collaborate with the entire care team to support members effectively.

• Current and active RN license.

• Minimum of 1-3 years of experience in a critical care setting.

• Understand chronic disease management and progression (e.g., Diabetes, Hypertension, Congestive Heart Failure, Asthma, COPD, Weight Management, Mental/Behavioral Health).

• Proficient with technology and web-based applications.

• Proven ability to work effectively in a remote setting, demonstrating strong communication and collaboration skills.

• Demonstrate effective communication skills with compassion and empathy.

• Proven ability to work effectively in a remote setting, ensuring seamless communication and collaboration with the care team.

• Previous experience in an emergency room setting.

• Experience working with diverse populations.

• Understanding of Medicaid and/or Medicare.

• Experience with telephonic patient outreach.

• Familiarity with Motivational Interviewing techniques.

• Experience in care coordination or case management roles.

• Experience with HEDIS and/or NCQA standards.
• Fluency in Spanish preferred, but not required.

• Competitive salary

• Comprehensive health Insurance including medical, dental, vision, LTD, STD and life insurance

• 401(k)

• Unlimited paid time off

• 11 paid company holidays

• Engaging team events

Make a Difference Every DayAre you a compassionate and dedicated to helping others? Join our team and play a vital role in supporting the emotional and cognitive health of residents in long-term care settings. We are seeking a Clinical Support Specialist to conduct BIMS (Brief Interview for Mental Status) and PHQ-9 (Patient Health Questionnaire) screenings, ensuring residents receive the comprehensive care they deserve.This position will require visiting facilities in the following locations: BethlehemEastonReadingWhat You'll Do:Conduct BIMS and PHQ-9 screenings with residents in compliance with federal and state guidelines.Collaborate with interdisciplinary teams to evaluate and support residents' cognitive and emotional well-being.Provide insight and documentation that informs care planning and improves residents' quality of life.Maintain accurate records and adhere to confidentiality standards.Build trusting relationships with residents and facilities, helping to foster a supportive community.What We're Looking For:Previous experience in long-term care, skilled nursing, or geriatric setting.Familiarity with BIMS, PHQ-9, and resident assessment protocols (MDS).Excellent interpersonal, communication, and documentation skills.Empathy, patience, and professionalism in every interaction.Why You'll Love Working With Us:Fully Benefited Role, including:Company-paid Medical, Dental, and Vision InsuranceGenerous Paid Time Off (PTO)Paid Holidays401(k) Retirement Plan - Plan for your future with employer supportMeaningful Work: Help improve the mental wellness and quality of life for seniors in our care.Supportive Culture: Be part of a team that values collaboration, respect, and holistic care.Career Growth: Ongoing training and development opportunities.