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MANAGER COMPLIANCE/MEDICAL RECORDS/UTILIZATION-HOSPICE OF CINCINNATI- FT Day Shift

City:  Cincinnati
State:  OH
Job Requisition Number:  234446

Attention current TriHealth employees:

Please apply for this position by submitting an online internal application via SuccessFactors. Please be certain to update your SuccessFactors Employee Profile prior to applying to this position.

MANAGER COMPLIANCE/MEDICAL RECORDS/UTILIZATION-HOSPICE OF CINCINNATI: This position is responsible for the oversight of the Hospice Compliance Program, which includes identifying potential compliance risks, prioritizing the risks, and working with all areas of Hospice management to develop policies and procedures in order to maintain compliance with various hospice-specific regulations. The position ensures that audit processes to monitor compliance and utilization are developed and implemented, and that training programs to educate management and staff regarding compliance and utilization are created. Oversees the Documentation Specialist and Medical Records positions, and works closely with Information Systems, Nursing Management, the Quality Department and the Business Office to identify, prioritize, and improve documentation to support billing for the appropriate level of care. The position identifies and provides leadership for organizational projects that require analysis of complex concepts, planning, validation of current processes, creating new processes and structures, identifying change leadership strategies, developing implementation plans, resolving barriers and tracking results. Works closely with TriHealth attorneys on compliance issues and contract review. Interfaces with fiscal intermediaries when additional documentation is requested in order to verify if payment for hospice services is to be made. Participates in Joint Commission readiness as it relates to ensuring that policies and practices are consistent and compliant with regulations and Hospice Conditions of Participation.

 

MINIMUM REQUIREMENTS:

EDUCATION: Bachelor's Degree in Nursing or Health Care Administration and Registered Nurse

EXPERIENCE: 5-7 years Clinical in Healthcare, Hospice and/or Home Health AND 2-3 years Progressive Leadership in Healthcare, Hospice and/or Home Health

SPECIALIZED KNOWLEDGE: Knowledge of Hospice Conditions of Participation and related Federal and State Regulations; Principles of Adult Learning; Data Collection, analysis and reporting; Computer literate and basic understanding of Hospice software (Beyond Now).

TRIHEALTH VIDEO

HOSPICE VIDEO

 

Job Title:  MANAGER COMPLIANCE/MEDICAL RECORDS/UTILIZATION-HOSPICE OF CINCINNATI- FT Day Shift

Department Name:  HOC PERFORMANCE IMPROVE

Location:  Hospice

Hourly/Salaried:  Salaried

Employment Status: Full Time Position

Bi-Weekly Hours:80

Shift: Day Shift

Weekend Commitment:  No

Holiday Commitment:  No

On-Call Commitment:  No


Nearest Major Market: Cincinnati

Job Segment: Medical, Clinic, Hospice, Palliative, Manager, Healthcare, Management