Trinity Health

Clinical Quality Review Specialist - RN License Required

Posted on

January 11, 2025

Job Type

Full-Time

Role Type

Clinical Operations

License

RN

State License

Michigan

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Company Description

Trinity Health At Home, a national home care, palliative care and hospice organization serving communities in twelve states. We are is a comprehensive, trusted provider of home care and end-of-life care in the sacred place that people call home. A Catholic-based, non-profit organization, we serve patients and their loved ones with home care (skilled nursing, physical/occupational and speech therapy and medical social work), hospice and bereavement services. Our legacy continues with a pioneering, future-thinking care model. We blend clinical expertise with our exclusive Home Care Connect™ virtual care program to help patients achieve their health goals. We have energizing new vision and strategy. Join us and shape the future of healthcare!

Job Description

Trinity Health at Home is seeking an experienced RN remote Clinical Quality Review Specialist with ICD10 HCS-D certification which is Required. OASIS COS-C certification required within 6 months of hire Trinity Health at Home is seeking an experienced RN Clinical Quality Review Specialist for a remote position ICD10 HCS-D certification which is Required to interview OASIS COS-C certification required within 6 months of hire HCHB experience required

Requirements

Registered Nurse with current license from the state in which practicing. May be required to obtain additional state licenses. Degree: Bachelor's preferred. Associate nursing degree considered if successfully demonstrated career progression and meets and exceeds performance expectations. ICD10 HCS-D certification Required. OASIS COS-C certification strongly preferred. Home Care Home Base software experience a plus! EPIC software experience a plus! Strong computer and technology skills required. Well-developed interpersonal and communication skills necessary for effective interaction with a wide range of customers, professional clinical staff and other related team members. Ability to consistently demonstrate alignment to the Mission, Vision and Values, Organizational Code of Ethics and adhere to the Compliance Program.

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Responsibilities

The Clinical Quality Review Specialist is a remote position, responsible for processing and completing assigned quality and clinical workflows, identifying errors and omissions in clinical assessments, OASIS, coding, plans of care and other clinical documentation. Collaborates with clinicians to achieve accurate documentation and plan of care development including visit utilization targets and identification of hospitalization risk to produce strong clinical outcomes. Provides clinician specific education regarding quality, outcomes improvement, documentation standards, and actions to improve clinical processes. Participates in department quality improvement initiatives. Collaborates with agency on focused quality improvement initiatives to achieve organization's strategic aims and top clinical outcomes.

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