Basic job responsibilities will include but are not limited to the following:
¶ Quality assurance including reviewing charts and notes
¶ Case management
¶ Staff education and in-services, formulates and delivers educational program
¶ Staff preparation for the OASIS
¶ Oasis Knowledge to include hands-on experience with review
¶ Reviewing OASIS for correct billing information
¶ Reconciles census
¶ Monitoring visits with nursing staff two to three visits a week
¶ Manages or resolves escalated and elevated concerns and issues
¶ Manages the quality and timeliness of daily functions through scheduling, monitoring attendance, and supervising assigned staff
¶ Knowledge of leading practice in clinical care and payor requirements
¶ Ensures accuracy of financial reporting and supports clinical billing leadership
¶ Coordinates audit requests from internal and external sources
¶ Self-motivated, proven communication skills, assertive
¶ Background in business planning, and targeted outcomes
¶ Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management
¶ Working knowledge of the concepts associated with Performance Improvement
¶ And performs all other duties as assigned.
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