Have oversight of clinical activities, including patient assessments, individualized care plan development, care coordination, service level determination, on-site field visits, and the implementation/coordination/maintenance/evaluation of care plans to promote, maintain and restore the patients health.
Review all Medicare and other episodic payers clinical records at the local level to assure appropriate documentation for reimbursement. This review includes verification of appropriate documentation, quality of care provided, visits utilization, appropriate contacts with physicians, adherence to the care plan, and evidence of communication between disciplines.
Be responsible for direct supervision of clinical staff.Participate in the recruitment, interviewing, selection, and orientation of team members; evaluate their performance relative to job goals/requirements; coach staff and recommends in-service education programs and ensure adherence to internal policies/standards. Manage the assignment of clinical associates.
As a RN Manager of Clinical Practice and Quality Assurance, you will review all Medicare and other episodic payers clinical records at the local level to assure appropriate documentation for reimbursement.