Elevate Home Health, a division of Covenant Care, is a Home Health Service Provider enhancing the continuity of care for the patients we serve. Our services integrate professional and personal care to elevate wellness and recovery and to promote independence, all in the comfort of the patient’s home.
With a unique focus on rehabilitative medicine, the integration of preventative and curative programs, we bring together the latest clinical excellence and empower our clients to achieve their optimal level of living and independence.
To learn more about Covenant Care and our recent successes, please click on the following link to view our Quality Report. By selecting the ‘green dots’ you can view the embedded videos of our happy residents and patients and hear their stories!
We reward our employees’ contributions to our success by offering competitive compensation and benefits. A highlight of the many employee benefits available at Elevate Home Health includes:
Elevate Home Health is an equal opportunity employer.
Elevate Home Health is seeking an experienced Clinical Regulatory Specialist to join our team. Primarily work from home with travel to locations as needed.
The Clinical Regulatory Specialist is highly knowledgeable in Medicare regulations, Federal and State licensure regulations for home health and hospice. The Clinical Regulatory Specialist is highly knowledgeable in the Home Health and Hospice operations and clinical processes necessary to support quality initiatives and patient care services. Role serves as a resource for enterprise in regulatory compliance.
KEY JOB FUNCTION
Assists with ensuring the enterprise is compliant with all applicable state, federal, local, Medicare and Medicaid regulations. Provides leadership and oversight to achieve a continuous state of readiness surrounding licensure, accreditation, and certification process
Conducts routine and direct agency survey readiness audits. Supports agencies during survey process, development and implementation of Plan of Corrections, and compliance to plan
Provides oversight and development of quality initiatives, staff education and standardized metrics. Includes OBQI and Performance Improvement program. . Investigates adverse events to identify opportunities to improve care and follows-up as requested
Provides oversight, review and direction for regulatory audit functions: ADRs, TMR etc., including plan of corrections as needed for documentation variances, appeals and ALJ hearings
Relates effectively with interdepartmental and intradepartmental personnel, medical staff, patients, patients' families and outside agencies, including Medicare, Medicaid and other third-party agencies
Supports the development of educational programs for clinical staff regarding the clinical and financial quality of care delivery
Assist with risk management activities including identifying potential risk. Performs claims audits to support billing compliance
Demonstrates leadership in promoting and maintaining standards for quality care and supervises health care practices to assure that the standards of care are maintained
Reviews medical records, and routinely participates in clinical record reviews to supervise the quality and timeliness of care and documentation
Other duties as assigned by the supervisor