Audit charts for clinical oversight and compliance and adherence to the Medicare guidelines.

Manage clinical activities, including patient assessments, care plan development, service level determination, on-site field visits, and implementation/coordination/maintenance/evaluation of care plans.

Identify clinical problem areas and documents deficiency trends in a proactive approach.

Educate administrative and clinical associate staff in the correction of these deficiencies.

Assist with quality improvement and Medicare compliance training program. Utilize approved reference materials to resolve inadequacies.

Have oversight of clinical integrity of appropriate documentation, quality of care provided, visits utilization, appropriate contacts with physicians, adherence to the care plan, and evidence of communication between disciplines.

Review OASIS documents for accuracy and completeness prior to locking and submitting data electronically. Explain and mentor clinicians and staff on COP’s and on billable skilled visits.

Educate and mentor clinicians one on one (in person or over the phone) regarding concerns, questions, accuracy of OASIS data, and other related documents, that are being reviewed.

Required Skills

Qualification:

Current Registered Nurse

Minimum of three years clinical home care experience

Minimum of one year in a clinical management role

Knowledge of state and federal home health agency regulations/Conditions of Participation and Compliance standards and regulations

Proven track record of clinical management, education and management of healthcare staff

Outstanding leadership and managerial skills

Knowledge of clinical policies and procedures and ability to implement

Good organization, communication, human relations skills and reliable transportation