Clinical Specialist

2 months ago

Toronto, Canada CloudMD Software & Services Inc - CAN Full time

**Who We Are**

Are you looking to further develop your career in the Healthcare industry with one of North America’s innovative healthcare providers? Our success is backed by enthusiastic people, ready to make a positive difference in the lives of over 10 million people through digital and enterprise health solutions. If you have a passion for providing compassionate, quality care or services to those in need, then a career with CloudMD might be what you are looking for

CloudMD is transforming the delivery of healthcare using technology and by providing a patient-centric approach, with an emphasis on continuity of care. By leveraging healthcare technology, the Company is building one, connected platform that addresses all points of a patient’s healthcare journey and provides better access to care and improved outcomes. Through CloudMD’s proprietary technology, the Company delivers quality healthcare through a holistic offering including hybrid primary care clinics, specialist care, telemedicine, mental health support, healthcare navigation, educational resources, and artificial intelligence (AI).

**Who You'll Work With**

The clinical specialist will report directly to the Manager of Clinical Services.

**What You'll Be Doing**

Clinical Specialists are responsible for performing the clinical report review in a two-stage QA process.
- Prioritize QA by report due date or as otherwise instructed/indicated
- Review file documentation and first stage QA comments/suggestions to propose inclusion of applicable information within report
- Correspond with Intake and Documentation teams as required to clarify issues such as provided questions, issue in dispute, documentation required etc.
- Provide review from a clinical perspective regarding consistency between information in report and documentation on file
- Provide review from clinical perspective with respect to anatomical terms, grammar, spelling, punctuation, etc.
- Provide clinical review with regards to consistency between assessors’ previous reports and reports within a multidisciplinary examination/determination
- Provide clinical review to ensure questions posed are adequately addressed and within the assessor’s scope of practice
- Ensure any special instructions requested by the referral source have been implemented
- Address flagged changes/discrepancies/queries/revisions from first stage QA
- Communicate with referral source as required/indicated regarding late reports, documentation required, etc.
- Perform necessary clarification/literature review to ensure that information within report and assessors’ opinions are clinically supported
- Provide assessors with information as required (example: information pertaining to disability test)
- Facilitate completion of finalized report by sending report to assessor with proposed QA, answering questions posed by assessor, communicating with assessor as required, and implementing any requested revisions
- Follow-up with assessors regarding reports sent for QA if not received within 24 hours or as otherwise indicated
- Document communications with assessors and referral sources, including feedback and directives regarding QA process and approval to release report
- Liaise with intake coordinators and documentation teams as required to confirm status of reports and to address questions/issues posed by assessor, QA team, referral source, etc.
- Evaluate and rate assessors’ performance as required for continuous quality improvement and/or compliance with CARF requirements
- Participate in team/staff meetings as required
- Answer phone calls/enquiries regarding reports as required (assessors, referral source)
- Perform other related duties as required

**What You Need to Be Successful**
- University Degree in Health Science-related field
- Regulated Health Practitioner
- Knowledge of the Statutory Accident Benefits Schedule (SABS), court, and LAT decisions
- Knowledge regarding access to other necessary information (example: Cochrane Review; regulatory bodies database)

**What You Need to Stand Out**
- Microsoft and Adobe Acrobat programs
- Software platforms - Expeflow, Secure Docs, etc.
- Effective verbal, written, and listening communication skills
- Strong organizational and interpersonal skills with ability to work independently and with others
- Decision making/judgment
- Problem solving skills
- Attention to detail and high level of accuracy
- Time management
- Ability to engage in discussion and conflict management as required
- Self-directed

CloudMD is an equal opportunity employer. We do not discriminate on the basis of race, ancestry, religion, color, national origin, gender, sexual orientation, gender orientation or expression, political belief, age, marital status, or disability status.

Protecting the safety and welfare of employees, clients, and patients that use our services is of utmost importance to us. For this reason, final applicants will be asked to undergo a background ch

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