Remote Jobs RockRemote Jobs Rock

Clinical Operations Specialist - Licensed Therapist

🕒 21 days ago
Clinical OperationsLicensed TherapyClinical JudgmentElectronic Health Records (ehr)
Apply Now

📜 Description

  • Provide clinical support for member issues, intake reviews, feedback, rematch escalations, and enrollment questions.
  • Address documentation concerns, support clinical audits and quality initiatives, and educate providers on documentation standards.
  • Interpret provider workforce and quality metrics, identify trends, and coordinate follow-up with clinical and product teams.
  • Represent Clinical Operations in cross-functional meetings and serve as a clinical liaison to other departments.
  • Support medication-management scheduling exceptions, prior-authorization escalations, and clinically reviewed documentation requests.
  • Improve clinical workflows and translate clinician and patient needs into operational or product requirements.

🛠️ Requirements

  • Independent clinical license required: LCSW, LMFT, LPC, or PhD/PsyD (or state equivalent)
  • Minimum of 4 years post-licensure clinical experience
  • Experience with Electronic Health Record (EHR) systems required
  • No specific EHR or scheduling platform experience necessary; training will be provided
  • Comfortable working in a hybrid clinical/operational role (not traditional caseload-based)
  • Strong cross-functional communication skills to collaborate with Product, Quality, Credentialing, and Operations teams
  • Self-motivated and able to work independently in a remote/hybrid environment

✨ Benefits

  • 401(k)
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Unlimited paid time off
Full job description

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 experience

  • Experience with Electronic Health Record (EHR) systems required

  • No specific EHR or scheduling platform experience necessary; training will be provided

  • Comfortable working in a hybrid clinical/operational role (not traditional caseload-based)

  • Strong cross-functional communication skills to collaborate with Product, Quality, Credentialing, and Operations teams

  • Self-motivated and able to work independently in a remote/hybrid environment

 

Responsibilities

1. Member and Clinical Support

  • Serve as a clinical resource for member issues requiring clinical judgment

  • Support pre-intake clinical review and outreach as needed

  • Review and follow up on member feedback requiring clinical attention

  • Manage rematch escalations and assist with enrollment-related clinical questions

  • Collaborate with the User-Success team to address member needs

  • Handle clinical escalations beyond the scope of non-licensed operations staff

  • Conduct consultation hours as needed

  • Participate in clinical interviews during periods of active hiring

 

2. Clinical Quality and Documentation

  • Address documentation issues requiring clinical interpretation or provider-to-provider communication

  • Support clinical review of incomplete or missing diagnoses

  • Participate in clinical quality initiatives and audits

  • Support and educate providers on clinical documentation standards

  • Participate in payer and similar clinically-oriented audits

  • Collaborate on quality-improvement initiatives

  • Review caseload and documentation integrity

 

3. Therapist Data and Clinical Metrics

  • Work with Product and Clinical Leadership on workforce and quality metrics

  • Use internal reporting and quality-monitoring tools

  • Interpret metrics for full-time/part-time providers

  • Identify trends in clinical quality and areas needing follow-up

  • Partner with technical teams as reporting and automation tools evolve

 

4. Clinical Meetings and Cross-Functional Representation

  • Represent 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

 

5. Medication Management Operations

  • Assist with manual rescheduling of medication-management follow-ups when necessary

  • Address exceptions to automated medication-management workflows

  • Support resolution of escalated prior-authorization issues

  • Handle documentation requests (e.g., FMLA, short-term disability) needing clinical review

  • Draft physician-facing documentation for review and signature

  • Coordinate member communication about documentation appointments

  • Support related scheduling changes

 

6. Clinical Process Improvement and Special Projects

  • Identify and propose improvements to clinical workflows

  • Collaborate with Product and Engineering for clinical input

  • Translate clinician and patient needs into operational or product requirements

  • Participate in clinical process redesigns and special projects needing clinical expertise

  • Help develop scalable clinical workflows as the organization grows

 

7. 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.

Own provider credentialing, onboarding, SOPs, compliance checks, and operational tooling for US clinical practice, building automated, auditable workflows that keep providers ready to practice as operations scale.

Provider CredentialingPrimary Source VerificationState Medical Board LicensureClinical Operations
Mindoula Health

Behavioral Health Case Manager & Hospital Coordinator

🕒 yesterday
Mindoula Health👥 201 - 500 employees🏢 Hospital & Health Care

Coordinates hospital operations for a readmissions reduction program and provides behavioral health case management, including client intake, care coordination, crisis response, and discharge support.

Behavioral Health Case ManagementHospital CoordinationCare CoordinationCrisis Intervention
Healthcare Australia

Care Manager/Partner

🕒 2 days ago
Healthcare Australia👥 1001 - 5000 employees🏢 Staffing And Recruiting

Coordinate personalised home care for older Australians by assessing client needs, developing care plans, monitoring service delivery, and working with families, care professionals, and internal teams.

Home Care CoordinationAged CareCare CoordinationCase Management
VITRA Health

Licensed Practical Nurse- Metro West (2)

🕒 2 days ago
VITRA Health👥 51 - 200 employees🏢 Hospital & Health Care

Provide nonclinical case management for older adults and adults with disabilities, conducting home visits, educating clients and caregivers, coordinating care plans, and connecting clients with healthcare and community resources.

LPN Case ManagementClient AssessmentCaregiver EducationCare Planning
Northwestern Medicine

Quality Utilization Specialist Full-time, Days, Hybrid ($4,000 sign-on bonus)

🕒 3 days ago
Northwestern Medicine👥 10,000+ employees🏢 Hospital & Health Care

The Quality Utilization Specialist, an experienced registered nurse, reviews medical necessity and level of care, partners with clinical teams and payors, and advances utilization practices through audits and improvement initiatives.

Registered NursingUtilization ReviewMedical Necessity ScreeningLevel-of-care Guidelines

Trusted by Remote Workers