Join Our Talent Network

View all jobs

Join our Talent Network
back to results
 

Quality Review Coord / Patient Care Utilization

Requisition ID:

20161298

Business Unit:

Hartford HealthCare at Home

Location:

Bloomfield, CT

Are you an HHC Employee? Click here to apply

 

Description

Job Schedule: Full Time
Standard Hours: 40
Job Shift: Shift 1
Shift Details: Monday through Friday 8-4:30. Potential for occasional off hours to assist with education of staff

Work where every moment matters.
 
Every day, almost 30,000 Hartford HealthCare Colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here.  We invite you to become part of Connecticut’s most comprehensive healthcare network as a Quality Review Coordinator. 

 

Hartford HealthCare at Home, the largest provider of homecare services in Connecticut, has been fulfilling our mission for more than 115 years.  Our Person-Centered Care Model allows our employees to learn and grow within our organization, all while providing integrated support to the patient.  As part of Hartford HealthCare, we leverage cutting edge technology to provide quality care in our client’s home.  Most importantly, our employees are appreciated for the real differences they make in both the lives of their clients and their clients’ families. 

 

As part of a person centered care model, this role will be responsible for managing the review of clinical documentation and assists in the training of clinical staff to ensure accuracy of OASIS and reimbursement, regulatory compliance and the delivery of outcome-based, cost effective care. This role will collaborate with all team members to achieve exceptional clinical, quality and financial outcomes.

 

In general, most of the time will be spent in the following activities:

 

Performs a software assisted record review and makes recommendations to clinician regarding data for OASIS time points to ensure OASIS reliability

 

Collaborates with clinicians to ensure OASIS data accuracy as well as monitoring timeliness of clinician response.

 

Provides staff guidance in making clinical and utilization management decisions that are cost effective and focused on clinical outcomes and operational performance indicators.

 

Identifies OASIS accuracy trends for clinicians and teams based on record review

 

Collaborates with team members to identify clinician/team trends based on the review of documentation and to develop and implement plans to address trends.

 

Conducts education and training sessions related to OASIS accuracy and reimbursement.

 

Demonstrates the ability to research regulations and legal requirements on OASIS and reimbursement issues and train appropriately.

 

Maintains a flexible schedule to meet the needs of the clinical staff and agency.

 

Will participate in committees and projects as needed

 

Demonstrates the ability to work well with others and to educate clearly and concisely.

 

In addition, the position involves other duties such as:

 

Will actively participate in the performance improvement process known as H3W and LDM huddles

Performs other duties as assigned


Qualifications

Licensure:

Registered Nurse, Licensed Practical Nurse, Physical Therapist with a license to practice in the State of Connecticut

 

Education:

Graduate of an Associates degree or diploma program in Nursing; graduate of NLN-approved BSN program preferred, or Bachelor’s degree or higher in Therapy

 

Experience:

Three years clinical homecare experience preferred. Familiar with OASIS, home care regulations.  Computer literate with familiarity of SHP or other software assisted record review tool. OASIS certification preferred.

 

We take great care of careers.

 

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth.  Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children.  We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance.  Every moment matters.  And this is your moment.

 
share this
mail
 
Recent Jobs Viewed
Recent Job Searches
 

Hear from our team

 

We could tell you more, but why not let our team members handle it? Hear what these Hartford HealthCare employees have to say about working here, in their own words.

 
 
 
 
                           

Search Current Openings