In this position, you will 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.
In this role, you will be responsible for management of clinical operations; avaluate their performance relative to job goals/requirements; coach staff and recommends in-service education programs and ensure adherence to internal policies/standards.
In this role, you will lead in performance improvement activities, maintains ongoing clinical knowledge through internal/external training programs, provide interpretation of knowledge and direction to staff.
In this role, you will oversee the maintenance of clinical records and files to comply with Conditions of Participation (COPs), using measurements, as licensure, certification, and accreditation results.
In this role, you will provide oversight of communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning and ensures compliance through review of documentation and care coordination activities.
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.
In this role, you will provide a positive, rewarding and service oriented work environment which supports high quality patient centered care, an exceedingly competent and engaged staff, and the achievement of fiscal, score card and process improvement goals and objectives.
In this role, the selected candidate will provide oversight of delegation of the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to Company, physician, and/or health facility procedures/policies.
In this role, you will be responsible for supporting and driving FMS quality standards through meeting all ESRD regulatory requirements and the practice of Quality Assessment and Improvement (QAI), including use of FMS QAI tools.