[Hiring] Clinical Review Nurse @Adventist HealthCare

Role Description

Adventist Healthcare seeks to hire an experienced Clinical Review RN/PT/OT for our Home Health Services Team who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing.

• Directs clinical staff through oversight and management of coding, care plan effectiveness and care provision to patients.
• Obtains verbal orders for additional services or delays in services when needed.
• Examines documentation to ensure clinical information is complete and accurate.
• Complete initial medical record reviews within 24 hours of SOC Assessment for accurate OASIS submission by using Strategic Healthcare Programs (SHP) to assess and monitor OASIS accuracy.
• Develop and implement education initiatives to improve documentation for quality reporting based on trends identified during record reviews.
• Remains current with ICD-10 Coding changes, OASIS guidelines, CMS changes and other agency directives.
• Provide support to ensure that clinical information and quality data utilized in profiling and reporting is complete and accurate.
• Identifies issues requiring clarification or additional information in the clinical documentation and initiates communication with the appropriate care provider using the established processes.
• Orients new clinical staff by providing education and feedback to team members related to documentation content, timeliness of completion, and critical thinking skills as identified. Shares information with clinical leadership as appropriate.
• Participates in weekly interdisciplinary case conferences and problem case conferences with team members, as requested.

Qualifications

• Bachelor’s degree in Physical Therapy, Occupational Therapy, or related area required.
• Associate Degree in Nursing required.
• Two years of clinical experience.
• Experience in the Home Health environment setting preferred.
• Experience in conducting research trials preferred.
• OASIS certification, recommended.
• Coding certification, recommended.
• Current license (RN/PT/OT).

Requirements

• Full Time employment.
• 40 hours per week.
• Typical Daily Schedule: Monday through Friday.
• Shift Type: Days.
• Weekend Requirements: No.
• Holiday Requirements: Follow company holiday calendar.
• Pay Range: $71,932.12 - $107,889.60.
• Position classified as Exempt under the Fair Labor Standards Act (FLSA).

Benefits

• Work life balance through nonrotating shifts.
• Recognition and rewards for professional expertise.
• Free Employee parking.
• Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire.
• Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D (short-term disability buy-up available).
• Paid Time Off.
• Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period.
• Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance.
• Subsidized childcare at participating childcare centers.
• Tuition Reimbursement.
• Employee Assistance Program (EAP) support.