Clinical Process Monitor - Clinical Operations

Why Work For Person Centered Services? When you join the Person Centered Services team, you can make a difference in the lives of people with intellectual and developmental disabilities, while also reaching your own career goals.

Benefits

• 20 days of paid time off (PTO) in your first year, increasing to 25 days in your second year
• 13 paid holidays
• Comprehensive health insurance plans (medical, dental, and vision) to choose what best fits your needs
• 401(k) – company matches 50% of the first 6% of contributions, up to a maximum of 3%
• Company‑paid benefits: basic life insurance, long‑term disability, and a Lifestyle Spending Account with up to $500 for wellness‑eligible expenses
• Employee discount and wellness programs, including 3 paid hours per week for exercise, volunteering, or personal wellness
• Professional development opportunities, such as mentorship programs and ongoing coaching
• New Employee Orientation (NEO) – onsite and online training at the West Seneca, NY office

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 role involves gathering and analyzing data, reviewing documentation, and fostering anecdotal feedback to ensure workflows are designed appropriately, operate effectively, and are 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, efficient, completed accurately and punctually, and 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 and 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 a 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/HIPAA
• 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