Empleos de home office

Home Health Customer Service (Remote) in Colombia

Job Summary:

This person is responsible for developing, implementing, monitoring, tracking and reporting on quality assurance projects and quality initiatives for Healthcare patients. This person performs chart review to ensure proper utilization of services to meet patient care needs and regulatory compliance through the use of quality indicators, which are developed in collaboration with the administrative staff.

Responsibilities:

• Maintains a knowledge base of current HIPAA/regulatory/compliance issues
• Review all Medicare episodic clinical records at the local level to assure appropriate documentation for reimbursement. This review includes verification of appropriate documentation, quality of care provided, visits utilization, appropriate contacts with physicians, adherence to the care plan, and evidence of communication between disciplines.
• Oversee the maintenance of clinical records and files to comply with Conditions of Participation (COPs), using measurements, as licensure, certification, and accreditation results.
• Knowledgeable and proficient regarding OASIS data and other needed documentation
• Knowledgeable and adheres to Healthcare policies and procedures.
• Knowledgeable and proficient in the use of computer software programs in use by Gaspy Healthcare.
• Assists and supports staff in reconsideration of denials.
• Conferences with staff as needed regarding documentation and any identified areas of concern in service utilization or regulatory compliance.
• Tracks problems/concerns/weak areas noted in reviews and reports trends and in-service needs.
• Updates supervisor and field staff to trends that are identified in chart review.
• Promotes agency services and programs by participating in public relations efforts or community activities.
• Recognizes limitations and conferences with supervisor/designee as needed.
• Attends and actively participates in staff meetings and assigned committees.
• Understands and actively participates in performance improvement program.
• Designs, reviews, updates and implements Quality Improvement Plan annually, while monitoring and reporting progress quarterly.
• Coordinates quarterly peer review.
• Prepares written summary of Quality Indicator findings of internally benchmarked standards as well as State and National performance indicators and makes recommendations for presentation to the Governing Body and staff.
• Provides orientation education and direction to new personnel, students, and home care aides.
• Provides education to staff on documentation guidelines, performance improvement for staff from identified deficiencies.
• Assures documentation quality with regard to regulatory compliance, utilization of services, timeliness and completeness of submitted OASIS assessments, visit notes, supervisory activities and supporting documentation.
• Adheres to HIPAA regulations, educates staff as needed on relative HIPAA requirements and non-adherence to standards is identified to the appropriate supervisor immediately.
• Participates in staff meetings and in-services, as appropriate; completes annual mandatory in-services and maintains current CPR certification
• Performs direct patient care as directed and as staffing patterns warrant per nursing practice act scope of practice as needed
• Assists and supports other staff in completion of job duties as needed or assigned.

Reporting Structure:

Reports to the Manager, Quality Assurance.

Working Environment:

Works in home or company office settings. May perform patient care as needed during short staffing.

Exposure Risk:

High Risk

Requirements:

Qualifications:

• Two years of experience in home health management preferred.
• Possesses good interpersonal relationship and communication skills.
• Advanced English Level

Physical Requirements:

Ability to perform the following tasks if necessary:

• Ability to participate (remotely) in physical activities.
• Ability to work for an extended period of time while standing and being involved in physical activity.
• Ability to do extensive bending, lifting and standing on a regular basis.

Job Type: Contract
Contract length: 1 month

Education:

• Bachelor's (Required)

Experience:

• Customer Service: 1 year (Required)

Language:

• english (Required)

Shift availability:

• Day Shift (Required)