Clinical Operational Case Manager (Registered Nurse)
Job description
Pay is based off of experience
LOVE WHAT YOU DO!
Do you have a passion for health care and a passion for life? If so, join
the team that is committed to providing excellence in nursing and life-changing
care! Horizon Home Health & Hospice is looking for a operational case manager in the Meridian, Idaho area who enjoy being a part of an amazing team. To learn more about Horizon Home Health & Hospice, please visit www.horizonhh.com
Job Description Summary
The Operational Case Manager is a licensed professional nurse. The OCM is responsible for
analyzing data integrity and consistency of OASIS documentation/assessment processes and Plan of Care Review and accuracy. This position will ensure appropriate documentation of OASIS, POC and visit frequencies based off of information provided through the OASIS, POC and H&P.
Essential Job Functions/Responsibilities
1. Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
2. Utilizes OASIS variation or alert reports when reviewing OASIS data.
3. Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per organization policy.
4. Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee.
5. Notifies organization leadership of problematic trends as a result of OASIS review.
6. Works with managers to address trends that affect the agency’s outcome and process measures noted during OASIS review.
7. Participates in Quality Improvement and Corporate Compliance activities as assigned.
8. Assists with other chart audit activities as assigned.
9. Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications.
10. 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.
Position Qualifications
1. Licensed nurse with current license to practice professional nursing in the state.
2. One (1) to two (2) years of clinical home health experience required.
3. 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.
4. Knowledge of federal regulations and state licensure requirements.
5. Working knowledge of computer systems.
6. Possess and maintains current CPR certification.
7. Licensed driver with automobile that is in good working order and insured in accordance with organization requirements.
8. Excellent coordination and communication skills.
9. Detail oriented and able to work with minimal supervision.
About Horizon Home Health and Hospice
Horizon is one of Idaho's oldest and largest Home Health agencies. We have been in business for over 20 years and currently have 7 branches from Fruitland to Twin. 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, Love one another, 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.
Pay: $35 - $40 / hour
Benefits:
- Paid time off
- Health insurance
- Dental insurance
- Vision insurance
- Life insurance
- Disability insurance
- 401(k)
- 401(k) matching
- Referral program
- Mileage reimbursement
- Paid training
- Flexible schedule
Job types: Full-time
Education: Associate's degree
Work location: Flexible work from home options available
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