Department: 78008669 Home Care Care Management
Shift: Day (United States of America)
Hours: 40
Contract:
Weekend Rotation:
Job Profile Summary: Guides compliance and regulatory responsibilities. Creates documentation and best-practice work flows. Provides education and training. Completes documentation audits and resolves billing and submission problems.
Job Description:
Principle Responsibilities- Consults and educates on home care and/or hospice regulations, standards, reimbursement and evidence-based clinical practice.
- Develops competencies.
- Creates and provides education and training.
- Participates and contributes on councils.
- Leads quality assurance and performance improvement efforts for home care and/or hospice compliance.
- Serves as resource for documentation practices and workflows in Epic.
- Manages compliance.
- Develops process workflows.
- Develops and performs documentation audit and review processes.
- Leads federal and state survey visits.
- Assists in developing corrective action plans if applicable following survey visits.
- Resolves documentation issues for billing.
- Supports the submission process for OASIS and/or HOPE by solving rejections and submission warnings.
- Participates in innovative practices.
- Creates reports.
- Other duties as assigned.
Job Requirements- Bachelor's degree in Nursing or Physical Therapy required
- 2 to 5 years experience in acute care in nursing or therapy preferred
- 2 to 5 years experience in Home Care or Hospice case management preferred
- 2 to 5 years experience in Home Care or Hospice compliance or regulatory preferred
- 2 to 5 years experience in Home Care or Hospice state and federal regulations, home standards and reimbursement preferred
- RNMNBN preferred
- Certified Case Manager (CCM) preferred
- American Nurses Credentialing Certification (ANCC) preferred
- OASIS Certification if working in home health care setting preferred
Leadership Capabilities- See the Big Picture: Know where we are going as an organization. Use sound judgement and critical thinking to make good decisions that support our mission.
- I know where Allina is going and how my role fits into this picture
- I capture important lessons and share them to foster innovation
- I am good at anticipating the implications of my decisions
- I understand and apply the disciplines of continuous improvement
Inspire Greatness: Inspire others by connecting their purpose to the broader mission. Lead others through change and celebrate success.- I help my team connect to the broader mission
- I see and fulfill my role in motivating the team around me
- I celebrate success and help my partners see what is possible with change
- I call out and address unexpected roadblocks or problems
Foster Learning and Growth: Role model growth, ongoing development and self-care. Empower, coach and encourage others to be at their best selves.- I role-model self-care and ongoing development
- I share my knowledge and coach others to foster growth and success
- I demonstrate enthusiasm for learning
- I candidly advocate for the resources I need
- I support my colleagues in their development and growth
Deliver Excellence: Set and align clear goals, measure results, and continually improve safety, quality, experience, and innovation.- I take ownership of outcomes and fulfillment of goals
- I facilitate adjustments to assure positive results
- I work with a sense of urgency, concern and determination
- I use well-grounded approaches to create sustainable solutions repeatedly
- I engage and foster improvements to impact safety, quality, and efficiency
Succeed Together:Connect with others authentically. Recognize the value of each individual and seek diverse points of view. Collaborate to succeed together.- I consider how decisions might impact my colleagues
- I am generous in my commitment to supporting the needs of my partners
- I respect others’ opinions, praise good work and encourage all team members to be involved
- I seek common ground and work to create mutually beneficial outcomes
Functional Competencies- Analytical Thinking: Diagnoses issues using a systematic and methodical approach.
- Problem Solving: Arrives at a conclusion based on previous experiences and good judgment.
- Communication Skills: Advanced communication skills involving complicated topics.
- Collaboration: Develops partnerships with internal team members.
Physical Demands
Sedentary:
Lifting weight Up to 10 lbs. occasionally, negligible weight frequently
Additional Job Description:RNs, PTs, OTs and SLPs are eligible to apply