Clinical Review Specialist

Our Company

Gentiva is an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for caregivers and clinicians means better care for everyone, so we offer ongoing professional training, lower nurse-to-patient ratios, and comprehensive benefits for eligible employees. Here, you'll join gifted colleagues who make a lasting difference in people's lives every day.

Overview

We're looking for a Clinical Review Specialist to join our team. You will directly report to the Clinical Review Specialist Team Lead and AVP of Regulatory Affairs. You will be responsible for monitoring, assisting with, improving, and enforcing compliance and quality standards through chart audit and report development.

• Conducts pre-bill, QA , survey related and/or other audits in a proactive, recurrent manner

• Audit electronic documentation d make recommendations to management accordingly

• Collate local documentation data outcomes and utilize company-wide for QA improvements

• Implement quality assurance, compliance and/or department plan

• Complete research, analysis, and report preparation

About You

• Registered nurse currently licensed in the state of residence with preferably a BSN or equivalent degree or LPN/LVN currently licensed in the state of residence

• One year Supervisory or Management experience

• Three years of Hospice and Home Care experience with one year of clinical record review and QAPI

We Offer

• Comprehensive Benefits Package: Health Insurance, 401k Plan, Tuition Reimbursement, PTO

• Competitive Salaries

• Mileage Reimbursement

• Professional Growth and Development Opportunities

Legalese

• This is a safety-sensitive position

• Employee must meet minimum requirements to be eligible for benefits

• Where applicable, employee must meet state specific requirements

• We are proud to be an EEO employer

• We maintain a drug-free workplace

ReqID: 2024-116126
Category: Administrative/Clerical
Position Type: Full-Time
Company: Gentiva
Type of Service: Hospice Only