Medicaid Program Integrity Jobs in Portland, OR (NOW HIRING)

As a 100% employee owned company, we recognize that our people are our most valuable asset. We honor their importance by our recognition that all employees be treated with respect and integrity at all times. We're interested in you and want you to succeed. Our business is growing rapidly and we want you to grow with us. We have infinite room for advancement, both personally and professionally. We work hard to match you with a position that best fits your skills and your availability. In addition, Eden Health is a Certified Great Place to Work company, 7 years in a row!

We bring Connected Care Home through our Core Values of Empathy, Dedication and Integrity to our clients, patients and Employees. Besides a strong family oriented culture unique to Eden, we offer:

• Benefits starting as early as 30 days after start date
• Employee Discounts on travel, resorts, car rentals, Columbia and so much more!
• Employee Hardship Fund
• Bonuses Program
• Employee Stock Program (ESOP)
• Employee Wellness. Family first culture
• Paid Time Off for a Personal Day of your choosing
• Financial Planning through Unum
• Free Counseling Sessions through Unum

Training and educational Assistance

• Career Advancement Opportunities

401k Retirement Savings Plan

• Employee Stock Ownership Plan
• Flexible Spending Accounts
• Life, Accident, & Disability Insurance
• Paid Holidays
• Continuing Education Credits are paid for – we offer online and in-person education
• Discounts with AT&T Wireless, National and Enterprise car rentals
• Discounted tickets to a variety of events (Disney Land, Disney World, Universal Studios, SeaWorld, Local Concert/Sporting Events, Hotels/Resorts, etc.)

Paid sick leave and vacation time – eligible employees start accruing time on their first day of employment

• Identity Theft Protection
• Employee Assistance Program
• Employee Hardship Fund
• Floating Personal Holiday – use it on your birthday or any other day of the year!
• Dental, Medical, Vision available for full-time status

Oversees appropriate patient and personnel assignments

• Coordinate patient care
• Coordinate referrals
• Assure that patient needs are continually assessed
• Assure the development, implementation, and updates of the individualized plan of care
• Provides the Executive Director with data involving patients and health services to be rendered
• Develops, evaluates, reviews, revises, and implements policies and procedures; goals and objectives; and standards of care relevant to patient services and staff functions
• Increases or decreases staffing levels as applicable
• Conducts meetings and review patient care reports with appropriate personnel
• Supports and maintains a culture of safety and quality practices as long as these practices do not harm the patient/family or interfere with the planned course of medical treatment
• Coordinates patients' services by reviewing plans of treatment, assuring case conferences are conducted, reviewing clinical and progress notes, periodic patient evaluations, and determining frequency and/or staffing patterns
• Aids in the Agency's goal of retaining quality staff by appropriately hiring, orienting, training, evaluating, and disciplining staff within established policy
• Schedules staff for proper coverage within authorized staffing levels
• Coordinates orientation and ongoing training
• Conducts performance evaluations in a timely, measurable, and objective manner
• Communicates this information to the Administrator
• Maintains a working knowledge of current Medicare, Medicaid, and third party payer requirements for home care reimbursement
• Communicates and coordinates with physician's offices, payers, patients/families, outpatient services, and inpatient coordinator, regarding the care and status of the patient
• Keeps up-to-date on new methods, products, trends, etc., and communicates this information to staff
• Participates in the Agency's information management and Quality Assurance Performance Improvement (QAPI) programs
• Possesses understanding of applicable state and federal regulations as applicable to home health and communicates updates to staff
• Possesses understanding of the OASIS data collection and reporting process
• Provides direct patient care as needed

Knowledge of the duties and functions of the Home Health and/or Hospice Agency and its relationship to the healthcare community

• Licensed physician, physical therapist, speech language pathologist, occupational therapist or registered nurse
• Three years' experience in home health services in the past five years (preferred)
• At least one year supervisory and administrative experience (preferred)
• Current license from state Board of Nursing or Therapy
• Proof of current CPR certification
• Able to pass criminal background check and national sex offender clearance