In this role, the selected candidate will ensure that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained. Provides clinical assessments, health education, and utilization management.
In this role, you will define and communicate expectations regarding quality provision of services and productivity to interdisciplinary team to assist them in continually improving all aspects of the Companys services.
In this role, you will oversee maintenance of patient clinical records, statistics, reports and records for purposes of evaluation and reporting of agency activities ensuring all patient medical record documentation is present per the Companys Policy and Procedures and in compliance with local, state and federal law.
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$45K to $75K -Athens, AL
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. 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, the selected candidate will participate in performance improvement activities, maintain ongoing clinical knowledge through internal/external training programs, provide interpretation of knowledge and direction to staff.