Updated 16 days ago

RN Specialist - Quality Management - Home Health, FT - Days: Administration-Supervisor - Hollywood, FL - Home Health

Hollywood, FL 33024
Similar jobs pay
$22.09 - $37.27
Full-time, Part-time


Ensures that patient care services are delivered in a manner that balances quality of care with efficiency, cost-containment and compliance with regulatory requirements.


Detailed responsibilities:
• Reviews admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria.
• Assesses and coordinates patient's discharge planning needs with members of the healthcare team.
• Develops, implements and facilitates quality evaluation and improvement initiatives.

Competencies and skills:
• STANDARDS OF BEHAVIOR: Acts in a manner that supports the standards of communication, respect, privacy, and teamwork by demonstrating a commitment to professional and ethical conduct.
• CUSTOMER SERVICE: Demonstrates commitment to service excellence by promptly addressing internal/external customer issues/requests, resolving concerns while maintaining a professional image and behavior to build and enhance the patient/family/customer experience.
• ACCOUNTABILITY: Accepts ownership of job roles and specific assignments/goals; works independently, takes responsibility for own actions; admits mistakes and judgment errors; and accepts constructive feedback. Connects personal work results to the accomplishment of team and organizational goals.
• RESPONDING TO CHANGE: Accepts change and adapts in a positive and productive manner; handles unexpected situations and changes in direction calmly and with confidence. Views new assignments and job responsibilities as an opportunity for growth.
• CLINICAL DOCUMENTATION REVIEW: Conducts clinical documentation reviews to ensure that appropriate reimbursement is received for services rendered.
• BILLING: Processes accurate payor claims to ensure timely reimbursement.
• ORGANIZATION SKILLS: Organizes work to achieve maximum efficiency.
• MANAGING INFORMATION: Utilizes effective methods to receive, process, apply, verify and/or store information.
• PATIENT AND FAMILY CENTERED CARE: "Provides Patient and Family Centered Care to patients, families, visitors and internal customers"
• MEDICAL CODING: Transforms verbal descriptions of diseases and procedures into numeric designations.



• Accredited Program


Education specialization:
• Nursing

• Registered Nurse License

Education equivalent experience:
• Graduate from an accredited nursing program


Other information:
Complexity of Work: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.ed.

Required Work Experience: 1 year



Working conditions:
• Keyboard Entry    80.00%
• Repetitive Movement Hand/Arm    80.00%
• Sitting    80.00%
• Standing    80.00%
• Walking    80.00%
• Audible Speech    80.00%
• Hearing Acuity    80.00%
• Depth Perception    80.00%
• Distinguish Color    80.00%
• Seeing - Far    80.00%
• Seeing - Near    80.00%
• Computer Monitor    80.00%



Organizational Profile:
Memorial Home Health Services is a nonprofit, Joint Commission-accredited, Florida-licensed, Medicare and Medicaid home health agency. We are committed to delivering Memorial Healthcare System’s special brand of patient-and family-centered care to patients in their own homes. Our staff includes:
  • Registered Nurses
  • Home Health Aides
  • Physical Therapists
  • Occupational Therapists
  • Speech Therapists
  • Medical Social Workers
  • Licensed Practical Nurses
  • Home Infusion Nurses
  • LVAD Trained Cardiac Nurses

Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.

Posting ID: 638610648Posted: 2021-07-14Job Title: Registered Nurse