Coordinates and performs utilization review and patient medical record audits according to State & Federal licensing regulations and Joint Commission standards for home health. Observes for trends in data and assists in implementation of action plans to improve clinical documentation. 

Responsibilities:

1. Coordinates and performs utilization review and patient medical record audits according to State & Federal licensing regulations and Joint Commission standards for home health. 

2. Observes for trends in data and assists in implementation of action plans to improve clinical documentation. 

3. Performs evaluation and improvement activities for quality review of OASIS assessments and related documentation; OASIS error reports; outcome reports, SHP database alerts, and Home Health Compare. 

4. Assists in the preparation and presentation of educational training sessions for home care staff to improve level of staff documentation performance. 

5. Coordinates the transmission of medical records/patient documentation to the agency coding vendor and manages the coding responses to include feedback to the clinical staff. 

6. Conducts ICD-10 coding of patient clinical records as needed. 

7. Fills in for other office nurse positions as needed to cover PTO time. 

8. Fulfills all compliance responsibilities related to the position. 

9. Maintains and Models Nuvance Health Values.

10. Demonstrates regular, reliable and predictable attendance.

11. Performs other duties as required.

Other Information:

Required:

Current State of CT RN license and BLS Certification

Working Conditions:

Manual: significant manual skills/motor coord & finger dexterity

Occupational: Some occupational risk

Physical Effort: Medium to Heavy effort. May exert up to 35 lbs. force

Physical Environment: Some exposure to dirt, odors, noise, human waste, etc.

Company: Western CT Home Care Inc

Org Unit: 614

Department: Home Care Admin

Exempt: No

Salary Range: $32.64 - $65.01 Hourly