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Home Health Authorization Specialist (Registered Nurse)

Comfort Care Home Health Services, LLC Pelham, AL
  • Expired: 20 days ago. Applications are no longer accepted.

Authorization Specialist - Registered Nurse

GENERAL PURPOSE:

The Authorization Specialist is a practice-based RN who directly deploys, supports, and educates care concepts for high-risk patients. In collaboration with other members of the healthcare team, the Authorization Specialist is responsible for identifying, organizing, coordinating, tracking, approving and providing care coordination to patients within the Comfort Care home health agencies who are most at risk for health deterioration, or poor outcomes. The Authorization Specialist is responsible for coordinating care across a diverse health care delivery team and / or multiple facility types.

QUALIFICATIONS:

  • RN (bachelor’s degree preferred, but not required)
  • 3 years of experience in Home Health required
  • 2 years of experience in case management, disease management, and self-management support required
  • 1 year of experience in performing health care authorizations required
  • Must be proficient in MS office, excel and word and use of electronic medical records
  • Must be able to perform in-home visits
  • Must be able to perform comprehensive nursing assessments, problem identification and care plan development, disease management, screening for developmental issues, depression, other psychological conditions, and frailty behavioral strategies including motivational interviewing and self-management support
  • Must be willing to achieve or maintain required certifications, training or continuing education (if applicable).
  • Must be capable of completing required documentation, both paperwork and computer-based records.
  • Must be willing to travel, be a licensed driver with an automobile that is insured in accordance with state/or Company requirements and is in good working order.
  • Must be capable of performing the job functions of this position with or without accommodations.

ESSENTIAL JOB FUNCTIONS:

  • Maintain a process to identify high-risk patients utilizing Comfort Care’s EMR system. Identify, prioritize and determine appropriate action items within one business day for patients identified as high risk.
  • Maintain a tracking system for patient care coordination and case management activities (same day documentation) while on active care or in transition.
  • Act as a clinical liaison for high risk patients and families.
  • Assess home or social environments (as needed) through performing in home assessments, behavioral strategies, collaborating with staff or post-acute providers. Follow up with patients as appropriate.
  • Serve as a resource to agency staff and patients facilitating care transitions when appropriate. Make education visits to agency locations as requested for education and coordination of complex situations.
  • Assist patients in navigating the health care system, coordinate specialty care, follow-up on test results and other care coordination needs.
  • Use sound, evidence based, clinical judgement within the professional scope to review, set authorization limits, and work with patients as appropriate to promote independence in the appropriate care setting.
  • In collaboration with the Transitional Care Manager, develop and maintain an adequate tracking process for authorizations limits and review periods.
  • Collaborate with multiple department contacts to ensure team communication in the authorization or transitional process.
  • Walking, fine hand coordination, ability to read and write in English, ability to communicate with medical staff, family members and support agencies.
  • Ability to remain calm under stress.
  • Adhere to all of the Company’s policies and procedures.
  • Performs other duties as assigned.

The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Comfort Care Home Health Services, LLC

Why Work Here?

We are a community of dedicated professionals that have a passion for providing services to those in need.

“A Community of Professionals Committed to Excellence in Service” We understand you have many choices about the place you work and the company you represent. We have a passion for providing services to those in need. Comfort Care is more than home health. Comfort Care provides care to families when they need it most, maintaining dignity and spirit. We want to make a difference in the lives of those we serve. Through an environment of mutual respect and collaboration, we believe we do that. As dedicated professionals, we each have a commitment and obligation to serve our patients, our customers, our co-workers and Comfort Care to the best of our ability. We have individual responsibilities to uphold our respective professional standards of practice and our Company’s Code of Ethics. The goal of Comfort Care is to provide a work environment that we can be proud of and to have a sense of contribution to something greater than ourselves. We strive to create an environment that promotes teamwork, diversity, and excellent service. As a member of the Comfort Care family, we will do our best to empower you with tools, knowledge, and freedom to be successful. We will partner with you to provide opportunities for you to grow in your profession and we encourage you to contribute innovative ideas and suggestions. Listening to you begins our partnership philosophy. Many of Comfort Care’s systems, forms, and programs were developed from employee suggestions. Ralph Waldo Emerson said in a poem, “To know that one life has breathed easier because you have lived; this is success.” We have the privilege and the opportunity to touch people’s lives on a daily basis. Let us work together to make it the very best that we can. Comfort Care Home Health Services, LLC is an equal opportunity employer.

Address

169 Cahaba Valley Road Pelham, AL 35124
Pelham, AL
USA

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