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*Description*

Summary:

Coordinates and performs utilization review and patient medical record audits according to State & Federal licensing regulations and Joint Commission standards for home health. Observes for trends in data and assists in implementation of action plans to improve clinical documentation.

Responsibilities:

1. Coordinates and performs utilization review and patient medical record audits according to State & Federal licensing regulations and Joint Commission standards for home health.

2. Observes for trends in data and assists in implementation of action plans to improve clinical documentation.

3. Performs evaluation and improvement activities for quality review of OASIS assessments and related documentation; OASIS error reports; outcome reports, SHP database alerts, and Home Health Compare.

4. Assists in the preparation and presentation of educational training sessions for home care staff to improve level of staff documentation performance.

5. Coordinates the transmission of medical records/patient documentation to the agency coding vendor and manages the coding responses to include feedback to the clinical staff.

6. Conducts ICD-10 coding of patient clinical records as needed.

7. Participates in the supervisory weekend and holiday coverage.

8. Fulfills all compliance responsibilities related to the position.

9. Performs other duties as assigned.

Other Information:

Required:

Minimum RN diploma with 1 year home health experience in a state-licensed, Medicare-certified home health agency.

Proficiency in use of computers to include documentation in EMRs, Word, Excel, & PowerPoint.

Excellent verbal and written communication skills; ability to demonstrate effective critical thinking skills and problem-solving independently.

Adult BLS certification obtained from American Heart Association or the American Red Cross

Minimum Experience: one year

Desired: BSN; knowledge of quality management and performance improvement.

Working Conditions:

Manual: significant manual skills/motor coord & finger dexterity

Occupational: Some occupational risk

Physical Effort: Very Heavy effort. May exert up to 50 lbs. force

Physical Environment: Some exposure to dirt, odors, noise, human waste, etc.

Company: Western CT Home Care Inc

Org Unit: 614

Department: Home Care Admin

Exempt: Yes

Salary Range: $33.66 - $67.05 Hourly

We are an equal opportunity employer

Qualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to ensure that you are considered for current or future opportunities.