Bilingual Licensed Practical Nurse Clinical Interviewer (Remote) - Clarest Health

CSS Health (a division of Clarest Health) is a software company that supports health insurance companies by providing software solutions and outsourced services. We license software to help manage medical programs, particularly the Medication Therapy Management (MTM) Program required by CMS for Medicare Part D. We also offer outsourced MTM services, utilizing our team of pharmacists, clinicians, and support staff to conduct Comprehensive Medication Reviews (CMRs) for our clients' members. These reviews are crucial for maintaining high star ratings in Medicare Part D programs.

Our BilingualLPN Clinical Interviewer will play a key role in performing telephonic patient outreach, interviewing patients about their medications, and ensuring adherence and patient safety. This position does not involve hands-on care.

Dept: Medication Management and Care Coordination

Reports To: Director of Patient Services

Location: Remote

Salary: $23 - $26/hr

Schedule: Monday through Thursday: 11 a.m. to 7:00 p.m. and Friday: 9:00 a.m. to 5:00 p.m

What We Offer:

·           Comprehensive Medical, Dental and Vision Insurance (as low as $13.33/pay)

·           Paid Time Off

·           Free Virtual Care – Telemedicine

·           401k with company match

·           Referral Bonuses

·           Life Insurance

·           Remote – work from home!

·           No Hands-On Care

·           Work with colleagues who share your customer focus and commitment to excellence

·           We are growing and that means more opportunities

Key Responsibilities:

·           The ability to adhere to Clarest’s Code of Conduct, follow Clarest Compliance policies and procedures, and report any suspected violations of any federal or state laws to either their direct supervisor, Human Resources or the Compliance Officer

·           Conduct telephonic patient interviews in both Spanish and English about their medications, including prescriptions and over-the-counter items.

·           Discuss adherence, adverse effects, current health status, and provide therapeutic recommendations.

·           Accurately document clinical data in patient charts.

·           Identify potential issues based on patient interviews and information gathered.

·           Maintain current knowledge of medications and adhere to CSS Health policies and procedures, including HIPAA, privacy, and security.

·           Operate office equipment such as voicemail messaging systems, email, and various software applications to support operational processes.

·           Multitask effectively to manage multiple patient interactions and documentation tasks simultaneously.

·           Maintain a student mentality, continuously seeking opportunities to learn and stay updated on the latest in medication management and care coordination.

·           Perform other duties or tasks as assigned or required.

·           Must have high-speed internet.

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of this employee for this role.

Qualifications:

• Graduation from an accredited nursing program (LPN) or (LVN) with an active license. (Must be in good standing)
• At least 1 year of experience in the healthcare industry and/ or call center experience preferred.
• Fluency in both Spanish and English.
• Intermediate understanding of Microsoft Office Suite (Excel, Word, etc.) and database navigation.
• Understanding of HIPAA, Privacy, Safety, and Compliance guidelines.
• Understanding of Medicare and Medicaid programs preferred.
• Knowledge of MTM and Transition of Care procedures and processes preferred.

Skills + Abilities:

• Strong multitasking abilities to manage patient interactions and documentation efficiently.
• In-depth knowledge of medications, including common uses, side effects, and interactions.
• Ability to work as a team member, demonstrate professionalism, and possess strong telephonic communication skills.
• Attention to detail and exercise professional work ethics.
• Maintain a student mentality to continuously learn and improve in the role.
• Ability to navigate database systems efficiently.
• Excellent record-keeping techniques.
• Specific vision abilities include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.
• Proficient with computers and comfortable learning new programs. Must have high-speed internet.

This job is performed remotely. Candidates must reside in one of the following states: New York, Florida, Texas, Missouri, North Carolina, Pennsylvania, Oklahoma, Oregon, Illinois, Wyoming, California, Arkansas, West Virginia, Maine, Michigan, Ohio, and Georgia

Clarest is an Equal Opportunity Employer. Reasonable accommodations will be made to enable individuals with disabilities to apply for a job or to perform the essential functions of their job. Please advise us if you require a reasonable accommodation.