Position Summary: Responsible for regulatory compliance, utilization review, chart audits, performance improvement, and educational development of staff.
Essential Duties and Responsibilities:
Implements and evaluates performance improvement, quality, and utilization activities Conducts reviews of medical records (plans of care, clinical and progress notes, etc) for quality and compliance standards Facilitates interdisciplinary case conferences, monitoring the coordination of care and OASIS data Monitors OASIS data integrity and completes OASIS data submission Ensures the development, implementation, and update of the individualized plan of care Produces monthly reports to monitor quality of services delivered and publicly reportable data Assists with on-boarding, training, and educational needs assessments of staff Assists with the evaluation of clinical competence and compliance Supports director with operational functions of the department Participates in development of annual department goals which align with overall organizational strategic goals Supports operations within established budget, including volume and staffing Management of office and clinical staff as delegated by Director Remains informed and educated about home health rules, regulations, and standards Promotes interdepartmental cooperation and communication Ensures compliance with regulatory standards in the delivery of home health services Monitors and evaluates appropriate job performances and holds staff accountable for competence and compliance Participates in organizational-level committees and meetings requiring home health representation Coordinates with finance and patient accounts for accurate and efficient billing of home health services Promotes a clean and safe environment of care, utilizing the SAFE error prevention habits Provides the highest standard of privacy and confidentiality in matters involving patients, coworkers, and the hospital by abiding by the Standards of Conduct
Required Qualifications/Education and Training:
Registered Nurse license in the state of Illinois Minimum 2 years home health clinical experience Previous leadership and/or quality experience COS-C Certification CPR certified Illinois Driver license and Car insurance