Clinical Operational Case Manager - RN | Horizon Home Health & Hospice | Meridian, ID at Pennant
Pennant · Meridian, United States Of America · Onsite
- Professional
- Office in Meridian
Horizon is one of Idaho's oldest and largest Home Health agencies. We have been in business for over 20 years and currently have 8 branches from Weiser to Pocatello. We pride ourselves on our quality of care and ethical business practices as well as our foundational Core Values CAPLICO- - -Celebrate, Accountability, Passion for Learning, Intelligent Risk Taking, Customer Second, and Ownership. How we do it: CELEBRATING successes large or small. We hold each other ACCOUNTABLE with respect and professionalism. Our PASSION FOR LEARNING allows us to teach our team members the latest and most advanced Home Health and Hospice education. Our LOVE ONE ANOTHER atmosphere shows we work as a team with trust and compassion. The growth we have experienced reveals that we are INTELLIGENT RISK TAKERS with our processes and procedures. But what really sets us apart from all the others is our CUSTOMER SECOND philosophy. Employees are our main and most important focus. We achieve job fulfillment by promoting OWNERSHIP through the independence that Home Health and Hospice offers. Horizon is Idaho’s EMPLOYER OF CHOICE and we want you to join us as we PROVIDE LIFE CHANGING SERVICE to all those we touch.
Position Qualifications
LPN or RN current license
One (1) to two (2) years of clinical home health experience required.
Working knowledge of OASIS and ICD-9/ICD-10 coding. OASIS certification (COS-C) preferred; OASIS Home health ICD-9/ICD-10 coding certification preferred.
Knowledge of federal regulations and state licensure requirements.
Working knowledge of computer systems.
Possess and maintains current CPR certification.
Licensed driver with automobile that is in good working order and insured in accordance with organization requirements.
Excellent coordination and communication skills.
Detail oriented and able to work with minimal supervision.
Essential Job Functions/Responsibilities
Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
Utilizes OASIS variation or alert reports when reviewing OASIS data.
Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per organization policy.
Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or under utilization to the clinical manager/designee.
Notifies organization leadership of problematic trends as a result of OASIS review.
Works with managers to address trends that affect the agency’s outcome and process measures noted during OASIS review.
Participates in Quality Improvement and Corporate Compliance activities as assigned.
Assists with other chart audit activities as assigned.
Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications.
Works directly with the local clinical leader to ensure strong patient coordination for care and visit utilization between disciplines.
Horizon is one of Idaho's oldest and largest Home Health agencies. We have been in business for over 20 years and currently have 8 branches from Weiser to Pocatello. We pride ourselves on our quality of care and ethical business practices as well as our foundational Core Values CAPLICO- - -Celebrate, Accountability, Passion for Learning, Intelligent Risk Taking, Customer Second, and Ownership. How we do it: CELEBRATING successes large or small. We hold each other ACCOUNTABLE with respect and professionalism. Our PASSION FOR LEARNING allows us to teach our team members the latest and most advanced Home Health and Hospice education. Our LOVE ONE ANOTHER atmosphere shows we work as a team with trust and compassion. The growth we have experienced reveals that we are INTELLIGENT RISK TAKERS with our processes and procedures. But what really sets us apart from all the others is our CUSTOMER SECOND philosophy. Employees are our main and most important focus. We achieve job fulfillment by promoting OWNERSHIP through the independence that Home Health and Hospice offers. Horizon is Idaho’s EMPLOYER OF CHOICE and we want you to join us as we PROVIDE LIFE CHANGING SERVICE to all those we touch.
Position Qualifications
LPN or RN current license
One (1) to two (2) years of clinical home health experience required.
Working knowledge of OASIS and ICD-9/ICD-10 coding. OASIS certification (COS-C) preferred; OASIS Home health ICD-9/ICD-10 coding certification preferred.
Knowledge of federal regulations and state licensure requirements.
Working knowledge of computer systems.
Possess and maintains current CPR certification.
Licensed driver with automobile that is in good working order and insured in accordance with organization requirements.
Excellent coordination and communication skills.
Detail oriented and able to work with minimal supervision.
Essential Job Functions/Responsibilities
Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
Utilizes OASIS variation or alert reports when reviewing OASIS data.
Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per organization policy.
Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or under utilization to the clinical manager/designee.
Notifies organization leadership of problematic trends as a result of OASIS review.
Works with managers to address trends that affect the agency’s outcome and process measures noted during OASIS review.
Participates in Quality Improvement and Corporate Compliance activities as assigned.
Assists with other chart audit activities as assigned.
Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications.
Works directly with the local clinical leader to ensure strong patient coordination for care and visit utilization between disciplines.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.
Horizon Home Health and Hospice is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, national origin, disability, veteran status, and other protected characteristics.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.
Horizon Home Health and Hospice is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, national origin, disability, veteran status, and other protected characteristics.
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.
