Quality resource nurse- home health- hybrid remote
Job Description Location: Westlinks Department: Quality Improve - Education Workdays/Nights: Days 12801 Westlinks Drive Shift: Shift 1 8:00:00 AM to 4:30:00 PM Fort Myers, FL 33913 Work Type: Full Time Exempt: Yes Job Summary Summary: Hybrid remote schedule available.
Be LEEve the difference. Learn what it means to be a valued and respected
team member at Lee Health Home Health. At Lee Health Home Health, we live our promise to show respect and compassion to each member of our team. 'Lee Health offers a wide variety of benefits and also treats their employees/staff very well and lets us know that we are all appreciated.
' - Jennifer, RN Offering RNs: Family-like culture Unmatched benefits Career growth Relocation bonus Office Based position that is responsible for the following: Participates in improving the overall integrity of clinical documentation. Reviews clinical data upon admission, recertification, transfer, resumption of care and discharge for documentation consistency with Plan of Care, acuity level, service appropriation and completeness. Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee.
Reviews visit documentation for adequate skill and progression towards established goals. Notifies organization leadership of problematic trends as a result of OASIS review. Makes corrections, where appropriate, in collaboration with the clinical case manager. Collects and summarizes data related to inconsistencies and designs, develops and implements interventions and supporting reference materials/modules to address. Concludes medical necessity and appropriateness of services using clinical review criteria. Applies clinical knowledge to work with facilities and providers for care-coordination.
Prospectively reviews all OASIS backssments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy. Participates in Quality Improvement and Corporate Compliance activities as assigned. Performs utilization management functions that assure regulatory compliance, medical necessity and appropriate level of care. Provide teamwork, flexibility and professionalism in this role which will include covering team members PTO, and other requested tasks as needed. Job Requirements Responsibilities: Educational Requirements Degree/Diploma Obtained Program of Study Required/ Preferred and/or Bachelor' s Nursing Requiredor Master 's Physical Therapy Required Experience Requirements Minimum Years Required Area of Experience Required/ Preferred and/or 2 Years Case Management Required Additional Requirements Qualified individuals will successfully complete the competency backssment; two year Home Health case manager experience State of Florida Licensure Requirements Licenses Required/ Preferred and/or Registered Nurse License Requiredor Physical Therapist License Required Certifications/Registration Requirements Certificates/Registrations Required/ Preferred and/or Additional Requirements US: FL: Fort Myers For more details: jobs-search.
Location: Fort Myers, FL