Home Care UR Coordinator

2 weeks ago


Lansing, Michigan, United States Sparrow Health System Full time
Job Title:

Home Care UR Coordinator

Job Summary:

As a Home Care UR Coordinator at Sparrow Health System, you will play a critical role in ensuring the accuracy and quality of clinical documentation in home care settings. You will work closely with clinical staff to review and provide guidance on clinical documentation, ensuring compliance with regulatory guidelines and standards.

Key Responsibilities:

• Participate in JCAHO standards, OASIS, and monitoring utilization of services for improving patient outcomes and agency profitability.
• Review plan of care and re-certification for medical necessity, clinical appropriateness, and completeness.
• Conduct ICD-10 coding to ensure all regulatory guidelines are met.
• Communicate with physicians, nurses, and other disciplines to establish a coordinated home care plan.
• Support the performance improvement process through data collections as requested, by conducting chart audits and assisting in various reports, using critical thinking skills.
• Conduct audits to include OASIS for accuracy, Plan of treatment review, and appropriate physician order review.
• Communicate OASIS and Plan of Care edits to the appropriate caregiver in a timely manner to ensure timely completion of the OASIS to maintain regulatory compliance.
• Provide education and act as a resource to caregivers in the areas of coding, care plan development, and OASIS accuracy.
• Other duties as assigned.

Requirements:

• Valid State of Michigan Nursing License
• Valid State of Michigan Driver's License
• Proof of valid Automobile Insurance
• Active American Heart Association (AHA) BLS Certification upon hire
• Minimum of two (2) years previous hospital/home care experience
• Must have experience in OASIS quality review in Home Care environment
• Experience in ICD-10 coding in Home Care environment. preferred.
• Minimum of an Associate Degree in Nursing
• Ability to implement and follow policies and procedures in Agency and Health System.
• Ability to assure confidentiality regarding sensitive materials.
• Demonstrated excellent interpersonal/communication skills, verbal and written.
• Demonstrates ability to use a keyboard as may be required to perform the essential duties of the job

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