Job description

Schedule: 4- 10 hour shift with every other weekend

Reviews orders and services as appropriate, including add-on disciplines, according to the clinician's initial client assessment.

• Ensure the accuracy and legal compliance of orders by the clinician
• With collaboration of the field clinician, Edit/approve clinician schedule as applicable to meet plan of care
• Review client medication profile and schedule
• Function as a resource for clinicians, internal staff and physicians
• Receive and respond to calls/notifications regarding client charts
• Collaborate with clinicians as necessary should the order need to be edited
• Document information regarding calls/notifications into the Coordination Notes and update personnel as needed to ensure proper coordination of care
• Review utilization of services based on the documentation provide by the clinical team
• Maintain a professional appearance as a representative of the company
• Read and adhere to all Agency Policies and Procedures and follow Employee Handbook Guidelines
• Complete and submit all required documentation within specified company requirements
• Actively promote the values, mission and culture of the Company
• Other Duties as assigned

Qualifications: • Licensed Practical Nurse (LPN) with a current license in the state of Ohio

• Maintain licensure as practicing Clinician per the appropriate Ohio Board
• A minimum of two (2) years’ experience in the health care industry; Home health experience preferred
• Attend in-service trainings and mandatory agency meetings
• Knowledge of guidelines governing home health agencies
• Knowledgeable on clinical best practices. Ability to make appropriate judgments
• Ability to follow directions and work as a team member
• Disciplined style of work ethic
• Ability to prioritize and organize/ Works efficiently and timely
• Dedication to process excellence and best in class in readmission rate
• Ability to create positive impressions and communicate with a variety of people
• Maintain effective communication with patients, families, physicians and co-workers
• Ability to identify a situation and handle it with the best possible solution
• Detail-oriented and observant
• Ability to professionally handle confidential information
• Perform assigned duties with use of computer and phone
• Dexterity & vision to complete documentation on computer

The Clinical Review Specialist (CRS) is a LPN or RN responsible for the overall coordination of the day-to-day clinical workflow. The CRS is responsible for the provision of quality services according to acceptable standards of practice and continually monitors the services provided. A resource person with extensive knowledge of the regulatory guidelines governing home health agencies and complies with all agency policies and legal rules and regulations.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday
• Weekend availability

Experience:

• Utilization review: 1 year (Preferred)
• Home health: 1 year (Preferred)
• CMS guidelines: 1 year (Preferred)

License/Certification:

• LPN (Required)

Work Location: In person

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