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RN Clinical Quality Specialist

4 months ago

Rochester, United States Adara Home Health Full time

Our Mission: Honoring People

Our Values: Integrity, Compassion, Curiosity, and Helpfulness

The Clinical Quality Specialist is responsible for assessing and evaluating the quality of care provided to clients by reviewing clinical records to ensure clinical information is accurate and in compliance with policies and procedures. Consults and educates employees to promote safe, coordinated and effective care. The position reports to the Clinical Supervisor.

SCHEDULE

  • Full time
BENEFITS
  • Paid Time Off
  • Recognition Program
  • Employee Referral Program
  • 401k - 100 % Vested Upon Eligibility
  • Medical, Dental, Vision, Life, AD&D, Pet insurance
  • Mobile provider discounts
  • Tuition Reimbursement
MAJOR RESPONSIBILITIES
  • Reflects the company's mission and values in developing and maintaining professional working relationship with others.
  • Ensures client clinical records are compliant with established professional standards of practice, state and federal regulations, physician or non-physician practitioner (NPP) orders, payer guidelines and company policies, procedures, and processes.
  • Serves as a clinical resource to employees by assisting with orientation, education, and training related to the quality and accuracy of clinical documentation.
  • Collaborates with employees and other members of the health care team to assist with coordination of client health information and services.
  • Monitors and evaluates client care and outcome data and evaluates processes to continuously improve delivery of quality care to clients.
  • Reviews documentation for appropriate financial management of the client's home health services.
  • Manages work assignments effectively, remains flexible with unexpected changes, and may participate in aspects of the on call rotation.
PHYSICAL/ENVIRONMENTAL DEMANDS

Primarily office work that requires frequent sitting, standing, bending, and stretching.

Light. Amount of weight moved; up to 20 pounds occasionally.

QUALIFICATIONS
  • Currently licensed as a Registered Nurse (RN) in the State of Minnesota; home health experience and COS-C certification preferred. The license must not have been revoked, suspended and without limitations or restrictions.
  • Proof of negative TB testing: mantoux skin test, single TB blood test or chest x-ray.
  • Have U.S. Citizenship or evidence of valid Alien Work Permit.
  • Disclose any conviction and criminal history records pertaining to any crime related to the provision of health services. A candidate who has been convicted of such crimes will not be hired.
  • Pass initial and ongoing background studies and screenings including but not limited to those of the Minnesota Department of Health and the Federal Office of the Inspector General's List of Excluded Individuals and Entities.
SKILLS AND EXPERIENCE
  • Have at least two (2) years' experience in a health care facility or home care field.
  • Demonstrates critical thinking skills, the ability to follow standards/procedures, and make appropriate clinical judgments to support the provision of safe client care.
  • Ability to work independently with minimal supervision, adapt to change, and manage a variety of assignments while establishing priorities and ensuring the necessary duties are completed.
  • Ability to build and maintain professional relationships.
  • Excellent written and oral communication skills; interpersonal communication and teaching skills.
  • Basic computer skills and willing to learn new software programs; experience with Electronic Medical Records and Microsoft Outlook preferred.
Other details
  • Pay Type Salary


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