Humanaposted about 1 month ago
$70,500 - $96,900/Yr
Full-time • Mid Level
The Villages, FL
Insurance Carriers and Related Activities

About the position

The Clinical Assessment Advisor directly completes and oversees development of the plan of treatment as approved by physician, performs ongoing evaluation of patient needs and coordinates team of professionals and other licensed clinicians and home health aides to ensure optimal clinical outcomes. Works with physician and/or referral source to obtain all pertinent clinical information for optimal assessment generation. Ensures consistent team care scheduling and dissemination of updated clinical information. Coordinates assigned care team members and resources. Maintains focus on all healthcare quality and affordability initiatives (HCQAI's). Established productivity standards and performance will be monitored and measured under general supervision of the Clinical Field Staff Supervisor (CFSS) or above.

Responsibilities

  • Performs or delegates the initial and ongoing evaluation of patient needs within their scope of practice
  • Routinely complete Start of Care/Resumption of Care/Recertification/Discharge of OASIS visits and may occasionally need to provide routine visits based on individual patient needs and branch expectations
  • Ensures plan of care incorporates and guides appropriate teaching related to health maintenance, prevention and safety
  • Coordinates available resources to manage care plan and ensures stated outcomes are achieved
  • Periodically reassesses or delegates the reassessment of patient needs and revises care plan as necessary
  • Assures appropriate care of patient is met through the start of care assessment completion
  • Promotes/coordinates communication between team members, attending physicians, appropriate administrative staff, referral sources and external case managers to ensure appropriateness of care coordination and communicates any necessary changes to the plan of care
  • Ensures patient needs are identified and qualified caregivers are assigned to all cases within their scope of practice
  • Participates in special projects and performs other duties as assigned

Requirements

  • Bachelor of Science degree in Nursing (BSN) preferred
  • At least 2 years clinical home care experience with minimum one year experience in a clinical management role is preferred
  • Current CPR certification
  • Excellent verbal and written communication skills
  • Excellent interpersonal skills
  • Knowledge of state and federal home health agency regulations and compliance standards and regulations
  • Knowledge of clinical policies and procedures and ability to implement
  • Knowledge of clinical structure of PDGM
  • Must read, write and speak fluent English
  • Must have good and regular attendance
  • A valid driver's license, auto insurance, and reliable transportation are required

Benefits

  • Paid time off
  • 401(k) retirement savings plan
  • Employee assistance programs
  • Medical, dental, and vision benefits
  • Volunteer paid time off
  • Up to $400 in wellness rewards
  • Clinician recognition programs
  • Short-term and long-term disability
  • Life insurance
  • Paid parental and caregiver leave
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