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Quality Assurance Nurse (LVN)

Company: Sunglo Home Health Service Inc.
Location: Harlingen
Posted on: May 13, 2024

Job Description:

*Job Summary*QUALITY ASSURANCE* Works with Billing Department/Office Manager on the undropped list to ensure that documentation supports claim for payment.* Gives appropriate feedback to staff on individual basis at least weekly in an effort to maintain standards on documentation.* Informs Supervisor and nursing supervisory staff on a regular basis of problem areas in terms of documentation.* Participates in weekly case conferences and shares Recert audit findings with staff* Audits charts for Medicare denials and ADRs prior to submitting chart to Supervisor.* Reviews charts for quality of care rendered; i.e. orders followed, appropriate utilization of visits, appropriate contacts with physician and other disciplines. Will be rated by supervisor based on findings.* Reviews SOCs, Recerts, ROCs as soon as received from Coders. Distributes packets to appropriate RN for signatures and corrections.* Reviews packets received from RN to confirm signatures, dates and corrections were completed and removes all stickies before sending to Medical Records.* Reviews all discharged charts for completeness before Discharge summary is sent to MD within 48 hours of discharge.* Obtains the Monthly Recert List from Data, to schedule chart audits* Schedules chart audits 2 weeks before RN will do Recert, using Recert Audit Form* Completes the Recert Audit form by auditing the entire chart and places form in the RN Recert packet.* Audits daily notes for proper documentation and timely notification to field staff* Audits Med updates for completion; telephone orders for contents and frequency verification.* For all visit increases, an *Additional Visit Request Form* will be completed and faxed to Administrator for approval before visits are done. Audits for abbreviations on the Do not Use Abbreviations list.* Audits therapy notes for specific orders for treatment NOT modalities as needed* Follows up with new employees on proper documentation and timely submittal of paperwork and informs Orientation Department of further training required.* Follows up on corrections by using the Deficiency forms after signed and submitted by staff* Submits a Daily QA report to Supervisor for DOPS/Administrator production review.OTHER DUTIES* Continually strives to improve knowledge within their field.* Functions as a staff nurse at the direction of the Director of Professional Services when the need arises.* Collects and files in specified Binders all Hospitalizations, Infections, Incidents and falls* Maintains Lab log for all lab documentation especially PT/INR, and Dilantin Level and MD follow-up.Job Type: Full-timePay: $15.00 - $22.00 per hourStandard shift:* Day shiftSupplemental schedule:* On callWeekly schedule:* Monday to Friday* Rotating weekendsAbility to Relocate:* Harlingen, TX 78550: Relocate before starting work (Required)Work Location: In personby Jobble

Keywords: Sunglo Home Health Service Inc., Harlingen , Quality Assurance Nurse (LVN), Healthcare , Harlingen, Texas

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