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AdventHealth Careers for VeteransRegistered Nurse QA/PI Utilization Coord Home Care Orlando
Orlando, FL

All the benefits and perks you need for you and your family:

  • Commitment to whole-person care, giving you the opportunity to help heal people in mind body and spirit.

  • Fulfilling work with people who treat you like family.

  • Excellent benefits, market-driven wages and career development opportunities.

  • Recognized for the seventh year in a row as a recipient of the Gallup Great Workplace Award as part of the AdventHealth network.

  • Opportunities for advancement as we expand our network across the nation.

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time

Shift: Mon-Fri Days with some Weekends.

Location: 602 Courtland St. Orlando, FL

The role you’ll contribute:

The QA/PI Coordinator is responsible for implementing the performance improvement program and related functions for home health. Related functions include but are not limited to performance of medical record review, utilization management, patient safety, compliance program, orientation program, ongoing education, competency and staff development as well as addressing bill hold items related to the medical record review and quality process as assigned.

The value you’ll bring to the team:

· Implements performance improvement and quality activities to ensure compliance with federal/state home care regulations. Includes collection and use of comparative data, performance of specified audits and utilization management activities.

· Serves as a resource to staff regarding agency operation and regulatory agency/intermediary requirements

· Optimizes the smooth transition of care from referral source to home.

o Fields initial admission calls from clinician in patient home to ensure admission criteria/payer eligibility is met and patient is involved in establishing the care plan.

o Works with admitting clinician to establish initial care plan for all disciplines following utilization guidelines based on findings from the initial patient assessment.

o Performs review of documentation and plan of care to ensure congruency with primary focus of care, care plan, physician face to face encounter and reason for homecare and utilization of appropriate disciplines.

o Communicates effectively with all team members to ensure care is appropriately set up and managed for the patient.

· Assists in the development and implementation of Performance Improvement Projects (PIPS) and collaborates with team to make improvements in metrics related to safety and regulatory compliance.

Qualifications

The expertise and experiences you’ll need to succeed:

  • Associate's Degree and 3 plus years of experience required,

  • Bachelor's degree preferred.

  • Strongly prefer previous performance improvement experience

  • Registered Nurse license required

  • Home Care Experience required

  • OASIS certification preferred.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Quality/Clinical Effectiveness

Organization: AdventHealth Home Care Central Florida

Schedule: Full-time

Shift: 1 - Day

Req ID: 24001336

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.

Job Snapshot

  • Facility: AdventHealth Home Care Central Florida

  • Job Schedule: Full-time

    Pay Range: $37.31 - $55.973

  • Location: Orlando, FL

  • Job ID: 24001336

  • Job Family: Quality/Clinical Effectiveness

  • Shift: 1 - Day

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