Compliance Coordinator

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