Position Title: QI
Nurse
Clinical Job Code # 1479
Position Department: Clinical
All Care Division: VNA
Location: Lynn, MA
HOURS/SCHEDULE: 37.5
hours a week
Shift: Days 9a-5p
Position Summary: RN who is responsible for Clinical reviews, quality and performance improvement activities and assistance with Clinical staff education / development.
AGENCY EXPECTATION OF EMPLOYEE
All Care expects each employee to maintain a positive, respectful attitude, to demonstrate flexible and efficient time management, to meet departmental productivity standards, while keeping current the clinical abilities to work in the home care environment. Each employee is expected to maintain open, honest and appropriately confidential communications with all customer groups in order to foster an effective service environment.
ESSENTIAL DUTIES/RESPONSIBILITIES
Maintains current knowledge of condition of participation, Medicare and Medicaid.
Maintains current knowledge of OASIS including process measures and outcomes.
Timely review of Medicare final claims.
Completes all Medicare RAPS prior to month's billing close date.
Reviews SOC, recerts and discharge documentation for appropriate ICD-9 coding, HHRG's and outcomes.
Weekly meeting with assigned Team Manager to discuss outstanding documentation issues and problematic clinicians.
Attends weekly care co-ordination meeting and facilitates meeting in Manager's absence.
Performs monthly OASIS audit visits.
Acts as a resource for clinical staff.
Notifies QI Director of problematic/risk areas along with a solution to prevent reoccurrence.
Completes incident reports for non-compliance of Agency policies and procedures.
Administers Manitou's
On-call responsibilities to meet the agency's need.
All other responsibilities as assigned by Supervisor.
QUALIFICATIONS
Experience, Education and Licensure
Graduate of an NLN accredited school of nursing, preferable
a B.S.N. or B.S. program. Knowledge of rules and regulations
of participation in a Medicare certified home health agency
is preferred. Possesses a sound clinical knowledge and
practice and has the ability to problem solve. Current
Registered Nursing Licensure in state where client services
are being rendered, current driver's license.
Language Skills
Ability to read, analyzes and interpret general business
periodicals, professional journals, technical procedures, or
governmental regulations. Ability to write reports, business
correspondence, and procedure manuals. Ability to
effectively present information and respond to questions
from groups of managers, clients, customers, and the general
public
AMERICANS WITH DISABILITY SPECIFICATIONS
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
Work Environment
Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time. The noise level in the work environment is usually moderate.
The employee is expected to act as a role model and to adhere to all Agency policies.
Contact Information:
Please contact Laurie Proulx, All Care Recruiter
All Care, 2 State Street, Lynn, MA 01901
Email: lproulx@allcarecareers.org
Phone: 781-244-1150
Fax: 781-586-1636
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