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Clinical Operations Specialist - Licensed Therapist

🕒 yesterday
Clinical OperationsLicensed TherapyClinical JudgmentElectronic Health Records (ehr)
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📜 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 - preference for LA based applicants, may consider others with extraordinary experience.
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.

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