Personal Touch Home Care · 10 hours ago
Quality Review Manager RN
Newport News, VA
Full-time
Onsite
Mid, Senior Level
$80K/yr - $85K/yr
2+ years expPersonal Touch Home Care is dedicated to providing quality home care services. The Quality Review Manager (RN) is responsible for ensuring that patient care is coordinated effectively, reviewing cases, and guiding clinicians to promote quality home care services.
Health Care
Responsibilities
Receives case referrals. Reviews available patient information related to case, including disciplines required, to determine home care needs
Reviews each case by evaluating the services provided by clinicians, runs case, performs record review, instructs and guides clinicians to promote more effective performance and delivery of quality home care services and is always available during operating hours to assist clinicians as appropriate
Establishes patient’s clinical diagnosis according to referral documentation and coding guidelines, ensuring appropriate ICD-10 Coding and sequencing as it relates to the patient’s medical condition including any co-morbidities
Assists clinicians in establishing the POC including but not limited to medications review, ordered procedures/treatments, short and long-term therapeutic goals
Prospective review of OASIS assessments to include Start of Care, Resumption of Care, Recertification, Transfers, and Discharge to ensure appropriateness, completeness, and compliance with state and federal regulations
Consults with the appropriate clinician to clarify any issues and/or corrections to documentation; documents same in the medical record
Track any trends issues while reviewing OASIS documentation and alerts the DOE for additional training as needed
Attends case conference meetings with Organization personnel to facilitate coordination of care
Conducts quarterly record reviews and communicates findings and recommendations to appropriate Organization personnel
Assists in the orientation of new Organization personnel as requested
Assists Director of Education in the planning, implementation and evaluations of in-service and continuing education programs
Performs direct patient care duties as appropriate
Complies with accepted professional standards and principles
Promotes customer service to all Organization personnel
Stays informed about changes in the field of home health care
Performs other duties and activities as delegated by the Administrator/Branch Director/Branch Manager
Performs all other duties as assigned
Qualification
Required
Registered Nurse (RN) with current licensure to practice professional nursing in the State
Graduate of an accredited nursing school; BSN degree preferred
Two (2) years of prior home health care experience
One (1) year of management or supervisory experience in a health care setting, preferably home care
Complies with accepted professional standards and practice
Must be a licensed driver with an automobile that is insured in accordance with state requirements and is in good working order
Complies and maintains current CPR certification
Demonstrates excellent observation, verbal and written communication skills
Verbal and written communication skills in English
Preferred
BSN degree preferred
Company
Personal Touch Home Care
Personal Touch Home Care is an home health agencies offering Medicare services.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Yitzy Hollander
CFO
Patti Malm
COO, Certified Operations
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