Clinical Support Specialist

Team Select Home Care•Denver, CO

1d•$25 - $35

About The Position

The Clinical Support Specialist (CSS) is a qualified licensed professional nurse responsible for supporting clinical operations and tasks in an assigned office, market, or state. The CSS works within state, federal, and accreditation guidelines and reports to the Director of Nursing (DON), Director of Patient Care Services (DPCS), or Clinical Supervisor (CS). The position supports clinical documentation quality, compliance, care coordination, order tracking, physician verification processes, and education for field staff. The CSS also participates in assigned committees and quality improvement activities, maintains confidentiality, and completes documentation and other duties within required timeframes.

Requirements

Active nursing license required; maintain licensure requirements applicable to the position and state.
Knowledge of computer systems, including back-office and device versions, and ability to educate others on those systems as needed.
Excellent verbal, written, and computer communication skills.
Excellent organization, time-management, and problem-solving skills.
Ability to work and communicate effectively with multiple organizational teams to promote viable, ethical, and cost-effective solutions and gain buy-in across multiple levels of authority.
Ability to deal effectively with change and complete projects within specific timetables.
Ability to work in all computer systems being utilized.
Excellent knowledge of processes, or ability to learn and implement them.
Ability to be well organized and prepared.
Excellent attendance and ability to work acceptably with teammates to further team goals.
Understanding of HIPAA guidelines.
Ability to use logical and scientific thinking to interpret technical data and solve a broad range of problems, including using complex techniques to assess situations.
Ability to interpret, adapt, and react calmly under stressful conditions.
Ability to relate cooperatively and constructively with clients and co-workers and effectively monitor and develop subordinates' abilities.
Ability to communicate verbally and in writing and maintain confidentiality of sensitive information.
Strong leadership skills under all circumstances.
Ability to write, dictate, or use a keyboard to communicate directives.
Ability to use proper body mechanics in multiple environments and function in multiple environments.

Nice To Haves

Minimum of one year of experience in home health (preferred).

Responsibilities

Complete quality assurance audits of medical records, including daily visit or shift notes and OASIS documents as applicable, to support accurate documentation, reimbursement, and compliance.
Review documentation for medical necessity, visit utilization, adherence to the care plan, care coordination, and other applicable requirements.
Assist with order tracking, including sending, tracking, and following up on 485 orders as needed.
Assist with gathering and tracking Face to Face documentation and other physician verification processes as requested.
Assist with care coordination and documentation.
Keep current on clinical compliance information and consistently apply and teach that knowledge.
Report clinical compliance or billing issues that affect outcomes or reimbursement to a supervisor.
Discuss clinical questions and provide education directly to field staff during the review process by phone, email, or through the EMR.
Recognize the need for accuracy and educate field staff about deficiencies.
Attend in-services and continuing education as applicable.
Serve on committees for the position as assigned and applicable.
Attain goals established in the annual performance evaluation and corporate compliance goals.
Submit documentation within required timeframes.
Maintain strict confidentiality regarding patient, agency, and employee matters.
Assist with the quarterly PI process as requested.
Perform other duties as assigned.