Case Manager
Urban Pathways
Quality Care Manager – Home Health / Hospice
Mission Healthcare
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $85,000 - $105,000 per year
Job Level
Junior
About the role
- Communicates effectively with all members of the health care team and maintains an effective collaborative relationship with the leadership team as well as other departments.
- Performs review of documentation and plan of care to ensure congruency with primary focus of care, physician face to face encounter, homebound status (if required) including utilization of appropriate disciplines.
- Confirms all documentation submitted to workflow is accurate and complete and sufficient to support skilled need and medical necessity.
- Reinforces agency processes when offering feedback to clinicians regarding documentation deficiencies or OASIS corrections.
- Make sure visit utilization is supported by individual patient assessment.
- Reviews additional orders for appropriateness.
- Confirms clinical documentation supports Recertification/Discharge decision.
- Approves the final Plan of Care (485) timely, confirming it is complete, accurate, and individualized to the patient’s needs.
- Reviews all OASIS assessments for inconsistencies and locks timely.
Requirements
- Must be a graduate of an accredited School of Nursing
- Current unencumbered license to practice as a Registered Nurse
- Minimum of 1 year of home health experience with a working knowledge of Title XX11, Medicare Home Health Conditions of Participation, and OASIS
- Excellent written and oral communication skills required.
- Ability to handle stressful situations/deadlines.
- Strong computer and software skills with knowledge of Home Care Home Base highly preferred.
- Self-starter, goal directed with ability to work independently and stay focused without on-site supervision.
- Ability to communicate effectively with agency staff, upper management, and other members of the health care team.
