RN Manager of Clinical Practice and QA-PRN(146690) Job - (Jennings, LA)

As a RN Manager of Clinical Practice and Quality Assurance , you will: Review all Medicare and other episodic payers' clinical records at the local level to assure appropriate documentation for reimbursement. This review includes verification of appropriate documentation, quality of care provided, visits utilization, appropriate contacts with physicians, adherence to the care plan, and evidence of communication between disciplines. Oversee the maintenance of clinical records and files to comply with Conditions of Participation (COPs), using measurements, as licensure, certification, and accreditation results. Manage clinical activities, including patient assessments, care plan development, service level determination, on-site field visits, and the implementation/coordination/maintenance/evaluation of care plans. Ensure service quality and participates in care coordination to ensure proper communication between caregivers, patients, referral sources and payers.