Plan of Care Coordinator

4 days ago


Orlando, Florida, United States GenCare Solutions Full time
Job Description:

As a key member of the GenCare Solutions team, the Plan of Care Coordinator-Nurse will play a vital role in ensuring adherence to quality standards and regulatory requirements. This position requires a strong understanding of healthcare regulations and compliance standards, as well as proficiency in using healthcare software systems, particularly Axxess.

Key Responsibilities:

  • Review and approve daily Quality Assurance (QA) reports to ensure compliance with established standards and protocols.
  • Identify discrepancies or issues and collaborate with relevant stakeholders for resolution.

Plan of Care (POC) Management:

  • Ensure PDN patients are recertified every 60 days in accordance with company policies and regulatory guidelines.
  • Conduct recertification and update Plan of Care (POC) for PCA patients every 60 days, adhering strictly to company protocols.
  • Ensure PPEC patients are recertified every 180 days in line with company and regulatory requirements.

Start of Care (SOC) and Document Administration:

  • Perform Start of Care (SOC) assessments when the patient has obtained insurance authorization, in line with regulatory requirements.
  • Complete Plan of Care (POC) documentation accurately and promptly within the Axxess system or Acentra/EQ for authorization.
  • Obtain signatures from family members on the company's contract document during patient visits.

Qualifications:

  • Must possess a current, unencumbered, active license to practice in the state of Florida.
  • Must have pediatric experience.
  • Strong understanding of healthcare regulations and compliance standards.
  • Proficiency in using healthcare software systems, particularly Axxess.
  • Proficiency in Microsoft suite.
  • Excellent communication and interpersonal skills.
  • Detail-oriented with a commitment to accuracy and thoroughness.
  • Ability to work effectively both independently and collaboratively within a team environment.


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