Plan of Care Coordinator
4 weeks ago
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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