Clinical Reviewer (RN, PT, OT), Variable Part-Time, Home Health

Adventist HealthCare•Silver Spring, MD

11d•$35 - $107,890

About The Position

Adventist Healthcare Home Health seeks to hire an experienced Clinical Reviewer (RN/PT/OT) who will embrace our mission to extend God’s care through the ministry of physical, mental and spiritual healing. As a Clinical Reviewer (RN/OT/PT) you will: • Directs clinical staff through oversight and management of coding, care plan effectiveness and care provision to patients. • Obtains verbal orders for additional services or delays in services when needed • Examines documentation to ensure clinical information is complete and accurate • Complete initial medical record reviews within 24 hours of SOC Assessment for accurate OASIS submission by using Strategic Healthcare Programs (SHP) to assess and monitor OASIS accuracy. • Develop and implement education initiatives to improve documentation for quality reporting based on trends identified during record reviews • Remains current with ICD-10 Coding changes OASIS guidelines, CMS changes and other agency directives • Provide support to ensure that clinical information and quality data utilized in profiling and reporting is complete and accurate • Identifies issues requiring clarification or additional information in the clinical documentation and initiates communication with the appropriate care provider using the established processes • Orients new clinical staff by providing education and feedback to team members related to documentation content, timeliness of completion, and critical thinking skills as identified. Shares information with clinical leadership as appropriate. • Participates in weekly interdisciplinary case conferences and problem case conferences with team members, as requested.

Requirements

Bachelor’s degree in Nursing, Physical Therapy, or Occupational Therapy or related area required
Two years of clinical experience
Current license (RN/PT/OT)

Nice To Haves

Experience in the Home Health environment setting preferred
Experience in conducting research trials preferred
OASIS certification, recommended
Coding certification, recommended

Responsibilities

Directs clinical staff through oversight and management of coding, care plan effectiveness and care provision to patients.
Obtains verbal orders for additional services or delays in services when needed
Examines documentation to ensure clinical information is complete and accurate
Complete initial medical record reviews within 24 hours of SOC Assessment for accurate OASIS submission by using Strategic Healthcare Programs (SHP) to assess and monitor OASIS accuracy.
Develop and implement education initiatives to improve documentation for quality reporting based on trends identified during record reviews
Remains current with ICD-10 Coding changes OASIS guidelines, CMS changes and other agency directives
Provide support to ensure that clinical information and quality data utilized in profiling and reporting is complete and accurate
Identifies issues requiring clarification or additional information in the clinical documentation and initiates communication with the appropriate care provider using the established processes
Orients new clinical staff by providing education and feedback to team members related to documentation content, timeliness of completion, and critical thinking skills as identified. Shares information with clinical leadership as appropriate.
Participates in weekly interdisciplinary case conferences and problem case conferences with team members, as requested.