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Clinical Regulatory Specialist- HH
07-24-2015






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!

 

http://www.covenantcare.com/Portals/1/QRFlipbook2014b/index.html

 

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 pays the majority of employee medical coverage.
  • You pay less for benefits as contributions for medical, dental, and vision are pre-tax deductions.
  • Company-paid time off with an increased benefit based on years of service.
  • Company-paid life and accidental death and dismemberment insurance.
  • Company-paid time off to attend the funeral of an immediate family member.
  • 401(k) Retirement Savings Account.

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.

 

POSITION SUMMARY: 

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

 

Job Requirements

  • RN licensure in California
  • BSN required , MSN or MBA preferred
  • Minimum of 5 years progressive leadership experience in Home Health and or Hospice
  • Excellent interpersonal, verbal and written communication skills and ability to recognize the needs and concerns of people and maintain constructive working relationships with them

 

Apply Here



Job Type:
Full-time

Location:
MODESTO,

Salary:
[n/a]

Date available:
07-24-2015

Company:
Covenant Care

Company Description:
Covenant Care was founded in 1994 by healthcare industry professionals who wanted to create a company that would exceed customer expectations through quality care. Through modest and focused growth, our "Family" has grown to include over 8,000 healthcare professionals in over 57 healthcare and rehabilitation centers. We care for over 4,000 residents and patients in our facilities. We take pride in the fact that we have sent over 8,000 patients home or to a more independent-living care setting over the last year. We measure success one patient at a time. Our highly trained, dedicated professionals deliver care that allows our patients to achieve their highest level of independence. Our goal is to provide compassionate and comprehensive care in a comfortable and safe environment. We provide quality 24-hour a day care ranging from short-term rehabilitation therapy to skilled nursing care. Covenant Care healthcare centers are regarded for providing excellent clinical and rehabilitation care, returning over 56% of admissions back to home or to a more independent-living level of care. Our healthcare centers are located in California, Illinois, Indiana, Iowa, Nebraska, Nevada, and Ohio. In addition, we provide rehabilitation therapy services to our patients as well as to those from other long-term care centers. Our employees approach each day with our philosophy that "We Are Family Serving Families". This simple statement embodies our culture and surrounds all that we do from daily interactions with our patients to how we treat our patients, families and co-workers.

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