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Clinical Resource Manager

Location : West Palm Beach, Port Saint Lucie
Job Type : Direct
Hours : Full Time
Required Years of Experience : 5-7
Required Education : BS / BA
Travel : No
Relocation : No
Job Industry : Home Health
Job Category : Healthcare - RNs & Nurse Management

Job Description :













Clinical Resource Manager




One of South Florida’s leading Medicare certified home health agencies seeks a RN Clinical Resource Manager.  They can locate you in any of the three offices located in Broward, Boynton Beach or Port Saint Lucie.  This position's primary responsibility is Coding so the successful candidate will be very familiar with this process and have a minimum of one (1) year experience in that role.  They must be know Medicare, experienced with Utilization Reviews, participated in Annual Oasis Training, attended HCAF CRM meetings and preferably ICD 10 certified and familiar with the guidelines.  They will need to have  an acute sense of attention to detail, have a good friendly demeanor and personality and have the ability to interact closely and successfully with the Case Managers and Field personnel..  Additionally, the successful candidate will understand clinically the back office functions of the home health cycle.


 


Other duties will include:




1)       Reviewing all admissions.


2)      Occasionally conducting on-site evaluations as it relates to Oasis assessment.


3)      Reviewing Oasis for accuracy, participating in staff orientations as related to Oasis accuracy and coding.


4)      Identify staff needs and specialty areas of staff education.


5)      Accurately coder all Oasis according to ICD-10 coding guidelines.


6)      Review HHRG/case weight case mix.


7)      Evaluate disciplines ordered and frequency of visits to ensure optimal outcomes and agency profitability.


8)      Impalement and monitor compliance with rules and regulations set by Federal and state regulatory agencies.


9)      Accreditation requirements and policy and procedures set by agency.


10)    Effective team work and communication.


11)    Meet time requirements of processing SOC Oasis and progress notes to determine consistency with supporting medical documentation.




 




Additional job requirements will be discussed at time of interview.  All candidates will need to have a full background check completed and be able to pass the level 2 background screening as required by ACHA and have a current nursing license   



 
Competitive Salary and excellent benefits.  Reviewing candidates and scheduling interviews ASAP.  

Required Qualifications :
















Requirements
 

 
Education Bachelor's degree 
Years of Experience

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