Clinical Support Specialist

Clinical Support SpecialistThe Clinical Support Specialist (CSS) is a qualified licensed professional nurse. The CSS is responsible for supporting the clinical operations and tasks in an assigned office/market/state. The CSS functions within state, federal and accreditation guidelines. In this role, you will report to the Director of Nursing (DON)/Director of Patient Care Services (DPCS)/Clinical Supervisor (CS).Duties/Responsibilities:Completes Quality Assurance Audits of medical records to include daily visit/shift notes and OASIS documents as applicable, to ensure proper and accurate documentation to maximize reimbursement and compliance through looking for appropriate documentation, medical necessity visit utilization, adherence to the care plan, care coordination and any other documentation applicableAssist with order tracking, including 485 as needed to include sending, tracking and follow upAssists with Face to Face gathering and tracking and other physician verification processes as requestedAssists with care coordination and documentationKeeps current on all clinical compliance information and can apply/teach that knowledge consistentlyReports any clinical compliance or billing issues that affect outcomes and/or reimbursement to supervisorDiscusses clinical questions and provides education directly with field staff during the review process (phone/email/through EMR)Recognizes the need for a high degree of accuracy and educates field staff to deficienciesAttends in-services and continuing education as applicableFunctions as member of committees for the position as assigned and applicableAttains goals as set forth in annual performance evaluation and the corporate compliance goalsSubmits documentation within required timeframesMaintains strict confidentiality on patient, agency, and employee mattersAssists with quarterly PI process as requestedPerforms other duties as assignedRequired Skills/Abilities/Knowledge:Knowledgeable on computer system to include back office and device versions and can educate on the systems as needed and requestedExcellent verbal, written and computer communication skillsExcellent organization, time management and problem-solving skillsAble to work and communicate well with multiple teams within the organization to promote viable, ethical, and cost-effective solutions. Able to effect buy-in from multiple levels of authorityAble to effectively deal with changeAble to complete projects within specific timetablesAbility to work in all computer systems being utilizedExcellent knowledge of processes or ability to learn and implementAbility to be well organized and preparedExcellent attendance and ability to deal with teammates in an acceptable manner to further the goals of the teamUnderstands HIPAA guidelinesRequires the ability to use logical and scientific thinking to interpret technical data and solve a broad range of problems including the ability to use complex techniques to assess situationsRequires the ability to interpret, adapt and react calmly under stressful conditionsMust be able to relate cooperatively and constructively with clients and co-workers and effectively monitor and develop the abilities of subordinatesRequires the ability to communicate verbally and in writing and to maintain confidentiality of sensitive informationMust display strong leadership skills under all circumstancesEducation/Experience/Licenses/Certifications:Minimum of one (1) year of experience in home health (preferred)Active Nursing License required. Maintains licensure requirements as applicable to the position/statePhysical Requirements:You are not required to disclose information about physical or mental limitations that you believe will not interfere with your ability to do the job. However, you should disclose any physical or mental impairment for which special arrangements or accommodations are needed to enable you to perform the essential functions of the job. Your description of any impairment and suggestions for reasonable accommodations will be considered in providing reasonable accommodations.Requires the ability to write, dictate or use a keyboard to communicate directives.Utilizes proper body mechanics in multiple environments.Requires the ability to function in multiple environments.FLSA Status: Non-ExemptEEO Status: Administrative Support WorkersBenefits + Perks of Joining the Team Select FamilyMedical, Dental, and Vision Insurance401(k)Referral ProgramFlexible schedulingPaid, hands-on trainingWeekly payTuition Assistance Programs and Continuing Education opportunitiesNursing programs for new graduates available!Pay Range: $25.00 - $35.00 / hour