Clinical Operations Specialist - Licensed Therapist
Marvin Behavioral Health · California, United States · 3 wk ago
HybridHealthcare$83k–$100k/yrFull-time
Clinical Operations Specialist – Licensed Therapist Employment Type: Full-time, Salaried Reports To: Clinical Director Location: Remote/Hybrid Compensation: $83,000–$100,000 per year (commensurate with experience) Equity: Offered Benefits: 401(k), full health, dental, and vision insurance, generous unlimited PTO package Role Type: Licensed Clinician Caseload: No Caseload Requirement Role Summary The Clinical Operations Specialist is a licensed therapist who provides critical support to clinical operations, leveraging their expertise to address issues involving patients, providers, documentation, quality, and care delivery. This role acts as a bridge between clinicians and the organization’s operational, product, quality, credentialing, and care-coordination teams. Other duties may be assigned as needed. Qualifications Independent clinical license required: LCSW, LMFT, LPC, or PhD/PsyD (or state equivalent)Minimum of 4 years post-licensure clinical experienceExperience with Electronic Health Record (EHR) systems requiredNo specific EHR or scheduling platform experience necessary; training will be providedComfortable working in a hybrid clinical/operational role (not traditional caseload-based)Strong cross-functional communication skills to collaborate with Product, Quality, Credentialing, and Operations teamsSelf-motivated and able to work independently in a remote/hybrid environment Responsibilities Member and Clinical SupportServe as a clinical resource for member issues requiring clinical judgmentSupport pre-intake clinical review and outreach as neededReview and follow up on member feedback requiring clinical attentionManage rematch escalations and assist with enrollment-related clinical questionsCollaborate with the User-Success team to address member needsHandle clinical escalations beyond the scope of non-licensed operations staffConduct consultation hours as neededParticipate in clinical interviews during periods of active hiring Clinical Quality and DocumentationAddress documentation issues requiring clinical interpretation or provider-to-provider communicationSupport clinical review of incomplete or missing diagnosesParticipate in clinical quality initiatives and auditsSupport and educate providers on clinical documentation standardsParticipate in payer and similar clinically-oriented auditsCollaborate on quality-improvement initiativesReview caseload and documentation integrity Therapist Data and Clinical MetricsWork with Product and Clinical Leadership on workforce and quality metricsUse internal reporting and quality-monitoring toolsInterpret metrics for full-time/part-time providersIdentify trends in clinical quality and areas needing follow-upPartner with technical teams as reporting and automation tools evolve Clinical Meetings and Cross-Functional RepresentationRepresent Clinical Operations in cross-functional meetings (Clinical x Product, User-Success x Clinical, team meetings, Credentialing/Quality Committees, organizational meetings)Serve as a clinical liaison to other departments requiring clinical expertise Medication Management OperationsAssist with manual rescheduling of medication-management follow-ups when necessaryAddress exceptions to automated medication-management workflowsSupport resolution of escalated prior-authorization issuesHandle documentation requests (e.g., FMLA, short-term disability) needing clinical reviewDraft physician-facing documentation for review and signatureCoordinate member communication about documentation appointmentsSupport related scheduling changes Clinical Process Improvement and Special ProjectsIdentify and propose improvements to clinical workflowsCollaborate with Product and Engineering for clinical inputTranslate clinician and patient needs into operational or product requirementsParticipate in clinical process redesigns and special projects needing clinical expertiseHelp develop scalable clinical workflows as the organization grows Other Clinical Duties as Required Marvin Behavioral Health is committed to building a diverse and inclusive team. We encourage applicants from all backgrounds and identities to apply.