Home Health Care Coordinator
Location: Nashville, Tennessee
Description: NaviHealth is at present looking to employ Home Health Care Coordinator right now, this vacancy will be settled in Tennessee. Further informations about this vacancy opportunity kindly read the description below. Job Responsibilities:
o Reviews the census daily for home health referrals and anticipated discharges to home health
o Communicates with SSC that memberâs elig! ibility is verified in the system.
o Accepts referrals for home health authorizations from naviHealth team members and health care providers.
o Case manages all members that have home health services.
o Documents health care providersâ requests for authorization for services
o Enters information timely and accurately data into designated care management applications.
o Reviews LifeSafe scores from previous settings, if applicable.
o Reviews memberâs record for completeness. Assures that health care providers have signed physician orders for all requests for authorizations.
o Request additional records from health care providers, if needed.
o Conducts LifeSafe upon admission into home health and at discharge. Communicates OPTs report with all members of the health care team and member.
o Determines how many visits are authorized per LifeSafe and national recognized guidelines. Reviews health care providers documentation of services
o Collaborates with all providers, member and memberâs medi! cal power of attorney to establish an optimal and individualized care plan.
- Assist the member in meeting their short and long term goals.
- Completes the NOMNC and coordinates with the SSC the processing of the NOMNC.
- Keeps up to date on NCQA and URAC standards of practice.
- Licensed Practical or Registered Nurse degree
- Certification in case management (Commission for Case management Certification (CCMC); Association of Rehabilitation Nurses (ARN).
- Active Nursing license in the state in which performing services
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If you were eligible to this vacancy, please email us your resume, with salary requirements and a resume to NaviHealth.
Interested on this vacancy, just click on the Apply button, you will be redirected to the official website
This vacancy starts available on: Thu, 04 Apr 2013 07:04:10 GMT
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