Compliance Coordinator Details

Allina Health System - Minneapolis, MN

Employment Type : Full-Time

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

Posted on : 3 years ago