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Clinical Supervisor (copy 3) (San Angelo) Ad id: 210131497833161 |  Views: 80

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Date listed: 6 years ago
Intrepid USAClinical Supervisor (copy 3)Job Description:Purpose: Responsible for the planning, coordinating and delivery of quality skilled services. Responsible for the orientation and continuous supervision of direct care staff. Assist with supervision and coordinating all support services.  Clinical ManagementDirect responsibility for delivery of quality care that meets client specific needs and in compliance with program/payer rules and physician orders.1. Responsible for efficient and effective utilization management in accordance with client needs, physician orders and payer requirements.2. Facilitates communication and coordination of care between clients, families, caregivers, physicians and other service providers as necessary. Including participating in on-call rotation.3. Assures efficient coordination of caregivers through case conferences and scheduling process.4. Assures current and accurate clinical records in compliance with documentation requirements and program specific rules for coverage and qualifying criteria. Assures clinical records are maintained in their original state and not improperly altered or fabricated.5. Plans and assures adherence to budgetary guidelines, exercises appropriate expense control management.Regulatory / ComplianceEnsure compliance with all Federal, State and local regulations and standards of practice.1. Knowledge of current regulatory standards, Conditions of Participation and others as appropriate2. Complies with Medicare, Medicaid and State license requirements3. Complies with Intrepid’s Quality Assurance monitors and Performance Improvement Plan.4. Directs and supervises clinical team to review documentation for necessity of services, quality care, and compliance with physician orders and the plan of care to ensure quality care and reimbursement.5. Works with DOPS or administrator to coordinate internal compliance review and monitoring activities, including monthly, quarterly and annual audits as required.6. Facilitates the audit process for clinical and billing purposes to improve the efficient delivery of client care and to assure appropriate reimbursement for services rendered.7. Responsible for the correction of problems leading to denials for coverage or qualifying criteria8. Assures accuracy of claims by providing necessary services, with appropriate physician orders that substantiate a reasonable and necessary service need. Responsible to follow billing audit processes to assure accurate billing of claims.  JOB REQUIREMENTSEducation: Current state RN license, or therapy license. Business coursework (business, finance, accounting, human resources) preferred.Experience: Three (3) years of clinical experience required to consist of a minimum of: one (1) year of home care experience and two (2) years of supervisory experience in a clinical setting.Skills Required: Proficiency in home care Conditions of Participation, coverage and qualifying criteria for Medicare, Medicaid and insurance plans. Excellent verbal and written communication skills. Ability to work effectively with others. Good organizational/time management skills.Licensure: Current RN or therapy license, auto liability insurance per policy; current and unrestricted drivers license.About Intrepid USA:Intrepid USA Home Health Services, a national company with a local perspective, continues to grow at an exciting pace! We seek a medical sales professional to add to our outstanding sales team to develop and implement a sales and marketing plan for our Birmingham, AL home health agency. Intrepid USA is one of the country's leading Home Care companies with over 81 agencies located in 21 states through the U.S.Apply Now: http://dc7cc121.lyjob9.com/ec060cfd Location: San Angelo Compensation: Apply for more infoPrincipals only. Recruiters, please don't contact this job poster.Please do not contact job poster about other services, products or commercial interests.
 


 
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