Central Follow Up Specialist (WA)_Clinical Services

Requirements

• Works in accordance with affiliate Medical Standards & Guidelines [MS&Gs];
• Provide education and advice to patients within affiliate protocols and scope of practice as defined below.
• Notify patients of normal test results (with the exception of Cervical Cancer Screening [CCS] tests and imaging results) and document that notification accordingly.
• Task the licensed CFU team members to review normal CCS results, normal imaging results, and all abnormal results to connect with the patient to review those results
• Send 3rd notification letters and reminder letters for recommended treatment/follow up/referrals and document their completion.
• Schedule appointments for patients for specific treatment, follow up of abnormal lab results, or in-house referrals and document their completion.
• Complete and transmit CMRs for all positive reportable communicable diseases (chlamydia, gonorrhea, syphilis, herpes, HIV) to the county and/or state Public Health Department.
• Transmit or phone in EPT to preferred pharmacies for patients’ partners in chlamydia, gonorrhea, and trichomoniasis cases, according to state rules and regulations.
• Print, pack, stamp, and mail hard copy letters via USPS in a HIPAA-compliant manner.
• Scan in all after hours consulting nurse faxes into the Electronic Health Record [EHR] under the correct patient and task the appropriate CFU Triage RN for review and care coordination, as needed.
• Respond to MyChart messages that request non-clinical needs (ie, work excuse note, medical records requests) or normal lab results (see above).
• Review, process, and notify patients of Prior Authorization claims for medications and procedures.
• Abstract incoming medical records and task them to CFU Advance Practice Clinicians [APCs] to review; respond to incoming Release of Information [ROI] requests; forward ROI requested by subpoena to the Quality department for legal review.
• Review and respond to HEDIS requests from payors.

Benefits

• Comprehensive benefits plan including medical, dental and vision plans, retirement, paid time off, short and long-term disability and life insurance