RN Home Health QA San Antonio Texas

RemoteWorker US; Boerne (TX); Remote; USD 60,000 - 100,000; Full time

Job summary

An innovative healthcare organization is seeking a dedicated RN Home Health QA professional to enhance the quality of care through meticulous clinical record reviews and compliance audits. This role involves collaborating with a dynamic team to ensure the highest standards of patient care are met. As a Clinical Team Manager, you will oversee staff performance, coordinate patient care, and maintain regulatory compliance, all while fostering a culture of continuous improvement. Join this forward-thinking company to make a meaningful impact in the healthcare sector, where your expertise will contribute to the well-being of patients and the efficiency of healthcare delivery.

Qualifications

• Experience in quality assurance and clinical record reviews.
• Strong understanding of federal and state healthcare regulations.

Responsibilities

• Perform clinical record reviews for compliance and quality assurance.
• Coordinate patient care and manage staff performance.

Skills

Clinical Record Review

Quality Assurance

Patient Care Coordination

Regulatory Compliance

Staff Management

Education

Registered Nurse License

Bachelor's Degree in Nursing

Job description

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For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

The CTM Quality Assurance Nurse, with the assistance of other QA Nurse(s), performs concurrent clinical record reviews for compliance to federal and state rules and regulations and agency policies; monitors factors which directly and indirectly influence the care rendered to our members. Performs audits of all Oasis, daily clinician visits, therapy evaluations, therapy visits, home health aide visits in preparation for billing. The Clinical Team Manager coordinates patient care on all activities and assumes responsibility for continuity, appropriateness and quality of services delivered within the home health department through oversight of the quality review of clinical documentation submitted by staff. The Clinical Team Manager assists with the day-to-day scheduling of staff, monitors performance of staff, assists in the orientation of staff and serves on committees to improve operations. The Clinical Team Manager performs all functions in a professional and ethical manner and collaborates with other members of the health care team to ensure the provision of quality care. The Clinical Team Manager is responsible for verification of appropriate incoming orders, obtaining physician orders, and completion of orders. Receive and respond to all incoming calls from referral sources or potential patients, exchange information to identify patients' needs, and determine the company's ability to meet them. The Clinical Team Manager is responsible for communication with the scheduling coordinator regarding new physician orders and ensuring the patient is staffed appropriately, along with reviewing unassigned patient visits and assisting with staffing. Responsible for performing on-call duties for the home health department approximately one week per month or as needed. The Clinical Team Manager works under the supervision of the Clinical Team Manager Lead per branch and/or Director of Nursing for home health or VP of home health.