HarmonyCares

Affiliate Manager

• Assist Harmony Cares Primary Care Physician, Nurse Practitioners and Clinical Teams in the delivery of primary health care and patient care management in a residential setting
• Supports mission, vision and core values which include but not limited to delivering compassionate support, attention and assistance to patients, families and members of the team
• Support Patient Care through Clinical Partnership with Nurse Practitioners, Physicians, and Care Management Teams
• Coordinates daily travel itinerary and transports clinicians to scheduled appointments
• Prepares patients for examination and treatment; May at times include preparing patients for minor procedures
• Secures patient consent forms, records patient care documentation accurately and in a timely manner
• Coordinates patient care as directed by Clinicians, company standards and policies
• Respects patient confidentiality at all times and treats patients with courtesy and respect
• Performs phlebotomy (venipuncture only), EKG or any other procedure as requested by Clinician
• Labels, stores and properly packages specimens for lab delivery
• Assists In identifying and closure of quality gaps
• Documentation and updating of patient care plans, as well as SDoH (Social Determinants of Health) and other assessments within the patient chart or electronic medical record
• Required to maintain compliance with CLIA (Clinical Laboratory Improvement Amendments), OSHA, and HIPPAA guidelines
• Prepares and maintains supplies and equipment for treatment (supply inventory, medical bag and car) (where applicable)
• Ensure company vehicle is clean and proper periodic maintenance schedule is followed (where applicable)
• Attends required meetings and in-services
• In this role you may work with. . . Primary Care Physicians, Nurse Practitioners, Clinical Teams, Patients, Patients Families

Clinical Partner

Auditor

• Conduct comprehensive audits of clinical documentation to ensure accurate Hierarchical Condition Category (HCC) capture, risk adjustment compliance, and closure of quality gaps.
• Validate HCC coding accuracy and completeness in alignment with CMS risk adjustment guidelines.
• Review documentation for chronic conditions, preventive care, and quality measures to identify gaps and opportunities for improvement.
• Analyze data to detect patterns in coding, documentation, and quality performance and recommend corrective actions.
• Collaborate with providers, clinical education teams, and coding staff to educate on best practices for documentation and accurate risk adjustment coding.
• Monitor and report on quality gap closure initiatives, including HEDIS and other performance measures.
• Prepare detailed audit reports summarizing findings, compliance risks, and actionable recommendations.
• Assist in developing and refining audit tools, workflows, and training materials for risk adjustment and quality programs.
• Stay current with CMS guidelines, ICD-10 coding updates, and payer-specific requirements for risk adjustment and quality reporting.

Clinical Partner

Clinical Auditor, Specialty Programs