Hartford HealthCare at Home
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DescriptionJob Schedule: Full Time
where every moment
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
Registered Nurse, Licensed Practical Nurse, Physical Therapist with a license to practice in the State of Connecticut
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
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.