Remote Qa Manager Jobs in Nevada (NOW HIRING)

Description

Join Life Care Home Health Family!

Serving Texas, Florida, Nevada, Georgia, and Arizona, we provide skilled nursing, therapy, homecare, hospice, palliative care, and private duty services.

Why Work With Us?

• Nestmed AI Scribe: Less charting, more caring!
• Competitive pay, 401k, health & life insurance
• Flexible schedules & career growth opportunities
• Continuing education & recognition programs
• Supportive, family-like team culture

Make a difference in patients' lives while enjoying work-life balance.

Apply today and grow with us!

Position Summary:

The Remote Clinical Manager, reporting to the Agency Administrator or designee, assists in maintaining, fostering high quality of patient care in accordance with the Agency's objectives and policies, through planning, coordination, and implementation and evaluation of the home health services provided. This position is also responsible for education, coordination and collaboration with agency leaders regarding home health regulations and quality patient care.

Key Responsibilities:

1. Promote /exemplify Company mission, vision and values at all times.
2. Coordination and collaboration with agency leaders on Oasis, POC, QA and liaison with Coding/Oasis outsourcing company.
3. Educates and collaborates with field clinicians, clinical managers, DOC's, Administrators on best practices.
4. Participate in the development of field clinicians that routinely perform OASIS assessments and of newly hired clinicians that will be responsible for OASIS assessments.
5. OASIS and contents of POCs will be reviewed in detail for OASIS accuracy; identified OASIS corrections are to be documented and returned to the clinician for review and concurrence.
6. Focus on best practice OASIS items and ensure documentation is present to support OASIS responses.
7. Review to ensure appropriate utilization of resources to meet patient needs.
8. Ensure that the frequency listed for each discipline is scheduled as ordered and that procedures are scheduled as referenced on the POC
9. Reviews, monitors all Wellsky reports related to QA daily workflow to ensure timely processing of MD orders, face-to-faces, clinical documentation
10.  Reviews and provides necessary education on all clinical documentation reviewed in QA Manager
11.  Reviews daily reports and processes to ensure timely billing/unbilled.
12.  Assist with end of episode billing to ensure unbilled meets company goals.
13.  Assist with care coordination within branch locations to ensure appropriate visit utilization, episode scheduling and overall quality care
14. Reconciles monthly QAPI reports to tally key metrics and share with inter-disciplinary team
15. Collaborates with key leadership to ensure STAR ratings, HHCAPS and VBP exceeds state/national levels and meets company goals
16. Assist with predictive key metrics in identifying high-risk patients and/or opportunities to provide high quality care
17. Supports branch location when needed and functions as in-office Clinical Manager
18. Assist with ongoing QAPI efforts, clinical chart audits as needed, utilization of SHP to pull necessary metrics to support branch locations.
19. Identifies training needs in branch locations, provides education as needed.
20. Review and investigate the clinical content, diagnoses, medical history, medications, fee status and other procedures from the records of clients.
21. Direct staff toward the appropriate use of community resources.
22. Assist leaders with appraising staff performance during their probationary period and annually with the Director of Clinical Services, provides the teaching and counseling necessary to enhance the delivery of services and the professional development of nursing and health aide staff.
23. Assist with identifying and evaluating client needs and appropriateness of home care by reviewing the initial intake screening form before assignment of direct care staff.?
24. Assist with the orientation of new professional staff to familiarize them with Agency policies and procedures.?
25. Perform other duties as directed by Sr. Director of Clinical Services/VP HH Operations and/or Regional Director of Operations.??
26. Will be required to travel as needed to support local offices in CM coverage, initial and ongoing training of key staff.

Requirements

Experience:

• Minimum 3-5 years of experience as a registered nurse in a Home Health Agency.
• 2 years of management experience preferred.

Skills:

• Possess knowledge of Medicare and Medicaid guidelines essential to Home Health Coverage
• Possess good organizational and time management skills.
• Possess good problem-solving skills.
• Possess strong verbal/written communication and interpersonal skills.
• Aptitude for thoroughness and accuracy
• Initiative and the ability to work independently.
• Flexible, dependable, and self-directed
• Computer, internet access, and email capabilities from home or other off-site location

Education:

• Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing.

Licensure/Certification:

• Current driver's license in good standing. It is the responsibility of the employee to renew their driver's license before it expires to continue employment.?
• Current State professional license as an RN in any/all applicable states.?
• Current CPR?

Physical Requirements:

• Prolonged sitting required in an office environment which involves minimal and occasional lifting of medical supplies and charts.
• If visiting patients, prolonged standing and walking required, with the ability to bend, stoop, reach and move client weight up to 250 pounds as well as carry up to 30 pounds.
• The ability to access clients' homes which may not be routinely wheelchair accessible is required.
• Hearing, eyesight and physical dexterity must be sufficient to perform a physical assessment of the client's condition and to perform client care.
• Ability to always handle stressful situations in a calm and courteous manner.
• Requires working under some stressful conditions to meet deadlines and Agency needs.

Environmental/Working Conditions:

• Ability to work flexible schedule.
• Perform duties in an office environment during Agency operating hours.
• Ability to travel in states that company operates in.
• Some exposure to unpleasant weather.
• If required to make patient visits, may work in patients' home in various conditions, possible exposure to blood and bodily fluids and infectious diseases.

Additional Requirements

• Participation in required continuing education and mandatory training programs.
• Commitment to ongoing professional development to enhance job-related knowledge and skills.
• Willingness to perform additional duties as assigned.