MS Office Specialist / Clinical Review

Role :Utilization Specialist Term : Part Time (20 hours per week each)Location: Central Florida; must be willing to travel to Orlando or Villages from time to time (remote, but available for onsite meetings)Key Responsibilities: Review any new Medicare patients from last 3 monthsWhether new patient is seen or not, this person would: Review each new patient’s HCCsReview their ADTsReview eCW/Prisma for documents available from hospitalsIf new patient is already seen, this person will also do the following: Review charts and diagnosticsSpecialist visits and referrals we’ve sentOther issues (Smoking, alcohol, SDOH)Produces a member-level report outlining KPIsRequired Skills/Experience: RequiredModerate clinical background MS Excel, Word, PowerPointPreferrableStrong clinical backgroundeCW experience