MDSHCCord

Visiting Nurse Health System Inc • Atlanta, GA

27d • Onsite

About The Position

Visiting Nurse Health System is a leading, non-profit provider of home healthcare, long-term care at home, hospice, and palliative care services. They have been caring for Atlanta for over 78 years and pride themselves on helping patients and their loved ones receive care at home following an illness, surgery, or hospital stay. The organization offers purpose, impact, and the chance to care deeply for people in the comfort of their homes. Their vision is to be the first choice for patients, families, payers, and other healthcare providers when they need home healthcare services. VNHS is dedicated to continuing its investment in strong community partnerships, providing coordinated care solutions, developing a top-performing workforce, and innovating technologies to improve affordability and access to patient care. They aim to be an organization where healthcare professionals not only prefer to work but also can grow as professionals. VNHS strives to display four core values: Respect & Integrity, Excellence, Stewardship, and Care.

Requirements

• Graduated from an accredited nursing program (Diploma, Associate, or BSN Required).
• Hold current licensure by the Georgia State Board of Nursing and valid CPR certification.
• Possess a valid driver’s license, reliable transportation, and current auto insurance.
• 1-2 years of recent nursing experience.
• Exhibit advanced clinical nursing skills and comfort collaborating with interdisciplinary teams.
• Have proven decision-making, time management, and interpersonal skills, functioning independently in a home environment.
• Are proficient with computers and basic technology for documentation, email, HR systems, and online training.

Nice To Haves

• Home Health, Long Term Care and/or MDS experience.

Responsibilities

• Coordinates care for a caseload of patients, ensuring care meets quality standards and utilization guidelines.
• Provides upfront review of admission documentation for submission of client assessment data and supplemental medical records into the Georgia Medical Care Foundation (GMCF) online portal.
• Keys and inputs client data into the GMCF online portal daily.
• Acts as a resource to clinical staff regarding assessment documentation.
• Provides education and training to CCSP Leadership and clinical teams regarding quality issues, denial reasons, and documentation standards based on trends resulting in technical denials from GMCF.
• Communicates with other waiver programs as necessary to update on client status regarding current waiver services.
• Tracks denials and appeals internally using an Excel spreadsheet, communicating updates to appropriate staff.
• Works in collaboration with the Level of Care Coordinator to obtain signed Levels of Care from the client’s primary care physician contact in a timely manner before they expire.
• Identifies any corrections to the client’s record that are needed/required and works with the individual clinician to ensure corrections are done completely and timely (Within 24 hours of request for correction).
• Provides education and training as required regarding clinical documentation requirements to clinicians.
• Assists clinician supervisors in validating staff performance and compliance with clinical policy and procedure related to the care and services to the client.
• Reviews admission, comprehensive assessment, and visit notes.
• Provides feedback to Supervisor and/or members of the CCSP Leadership team regarding clinicians who are non-compliant with correction procedures.
• Tracks and makes recommendations for clinician performance improvement to the clinician’s Manager based on results of clinical reviews.
• Develops staff to an independent level of functioning.
• Progressively counsels staff who do not comply with VNHS policy and practices.
• Actively participates in performance improvement processes with Management.
• Demonstrates effective time management skills.
• Maintains knowledge of GMCF requirements and promotes compliance.
• Demonstrates knowledge and understanding of Medicare and Medicaid regulations and standards of care.
• Makes suggestions for improvement in processes/systems to supervisor; implements changes in processes as directed.
• Has established a track record of producing work that is highly accurate, demonstrates attention to detail and reflects well on the organization.
• Is personally committed to high quality of work and encourages others to have similar standards.
• Makes field visits to clients to determine if they meet the level of care required for the Community Care Services Program (CCSP) when required and necessary.

Benefits

• Medical, Dental, and Vision insurance
• PTO and Paid Holidays
• 403b Retirement Plan with Company Match
• Flexible Spending Account (FSA)
• Health Savings Account (HSA)
• Life Insurance
• Employee Assistance Program
• Employee Discounts
• Flexible Schedule
• Pet Insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree