RN / Manager Job in Winston Salem, North Carolina
Company: Kindred at Home
Location: Winston Salem
Posted on: January 27, 2023
I believe that better care begins at home. Compassionate care,
uncompromising service and clinical excellence thats what our
patients have come to expect from our clinicians. Kindred at Home,
a division of Kindred Healthcare Inc., is the nations leading
provider of comprehensive home health, hospice, and non-medical
home care services.
Kindred at Home, and its affiliates, including Gentiva, delivers
compassionate, high-quality care to patients and clients in their
homes or places of residence, including non-medical personal
assistance, skilled nursing and rehabilitation and hospice and
palliative care. Our caregivers focus on each unique patient to
deliver the appropriate care and emotional support to our patients
and their families.
As a RN Manager of Clinical Practice and Quality Assurance, you
Review all Medicare and other episodic payers clinical records at
the local level to assure appropriate documentation for
reimbursement. This review includes verification of appropriate
documentation, quality of care provided, visits utilization,
appropriate contacts with physicians, adherence to the care plan,
and evidence of communication between disciplines.
Oversee the maintenance of clinical records and files to comply
with Conditions of Participation (COPs), using measurements, as
licensure, certification, and accreditation results.
Audit charts for clinical oversight and compliance and adherence to
the Medicare guidelines.
Manage clinical activities, including patient assessments, care
plan development, service level determination, on-site field
visits, and the implementation/coordination/maintenance/evaluation
of care plans.
Be responsible for direct supervision of clinical staff.
Participate in the recruitment, interviewing, selection, and
orientation of team members; evaluate their performance relative to
job goals/requirements; coach staff and recommends in-service
education programs and ensure adherence to internal
policies/standards. Manage the assignment of clinical
Ensure service quality and participates in care coordination to
ensure proper communication between caregivers, patients, referral
sources and payers. Discuss operational issues, update staff on
new/changed regulations and review records/documentation to ensure
regulatory and in-house compliance.
Have oversight of clinical integrity of appropriate documentation,
quality of care provided, visits utilization, appropriate contacts
with physicians, adherence to the care plan, and evidence of
communication between disciplines.
Be accountable for financial responsibility related to budget goals
through utilization, documentation, providing appropriate and
accurate patient care, case mix weight, and appropriate utilization
of delivery of patient care.
Conduct and/or delegate the assessment and reassessment of
patients, including updating of care plans and interpreting patient
needs, while adhering to Company, physician, and/or health facility
Coordinate communication between team members/attending
physicians/caregivers to ensure the appropriateness of care and
outcome planning and ensures compliance through review of
documentation and care coordination activities.
Participate in performance improvement activities, maintain ongoing
clinical knowledge through internal/external training programs,
provide interpretation of knowledge and direction to staff.
Identify clinical problem areas and documents deficiency trends in
a proactive approach.
Educate administrative and clinical associate staff in the
correction of these deficiencies.
Assist with quality improvement and Medicare compliance training
program. Utilize Gentiva Health Services approved reference
materials to resolve inadequacies.
Review OASIS documents for accuracy and completeness prior to
locking and submitting data electronically. Explain and mentor
clinicians and staff on COPs and on billable skilled visits.
Educate and mentor clinicians one on one (in person or over the
phone) regarding concerns, questions, accuracy of OASIS data, and
other related documents, that are being reviewed.
Facilitate the ICD-9/10 coding of the Plan of Treatment based on
OASIS data and patient assessment documentation that is assessed at
Collaborate with Branch leadership to ensure effective and
efficient episodic management, utilizing Gentiva Health Services
reports such as Projected vs. Actual, PPS Unbilled and Post Billing
Adjustment, to identify trends.
Current Registered Nurse
Minimum of three years clinical home care experience
Minimum of one year in a clinical management role
Knowledge of state and federal home health agency
regulations/Conditions of Participation and Compliance standards
Proven track record of clinical management, education and
management of healthcare staff
Outstanding leadership and managerial skills
Knowledge of clinical policies and procedures and ability to
OASIS certified or will be required to obtain OASIS certification
within 1 year of hire as a MCP
Good organization, communication, human relations skills and
Must possess the ability to lead and manage clinicians and office
staff for successful patient outcomes and clinical and branch
Keywords: Kindred at Home, Winston-Salem , RN / Manager Job in Winston Salem, North Carolina, Executive , Winston Salem, North Carolina
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