TalentGro

On-the-job Training

• Outcome Based Quality Improvement
  • Obtain comprehensive assessment (OASIS, etc.).
  • Review and implement appropriate plan(s) and/or action(s).
  • Analyze improvement outcomes (i.e., OASIS reports, state reports, chart audits, federal reports).
  • Develops OBQM plan to maintain/improve outcomes.
• Regulations/Legal and Compliance
  • Applies nursing scope of practice within the interpretation of the state/federal regulations to direct Home Heath care and services.
  • Incorporates knowledge of compliance and related regulations to ensure accurate billing and prevent fraud.
  • Review, use and implement GSS contracts and/or seek legal counsel as indicated.
• Finance and Reimbursement
  • Is aware of and knows how to access revenue sources, including timeframes for receipt and required documentation or verification of services required by payer.
  • Identifies ancillary charges
  • Maintains operations within budget.
  • Anticipates and realistically budgets for needed equipment and supplies.
  • Explains coverage criteria to clients according to pay source.
  • Analyzes monthly financial reports to ensure financial viability of agency.
  • Incorporates knowledge of FISS to monitor claim status at least weekly. Edits demographics and other data entry (485, OASIS, dates, diagnoses codes) as required.
  • Monitors reimbursement systems (state, VA Insurance, HMO, etc.,) and forms to maximize accuracy.
  • Ensures appropriate use of Home Health ICD-9 codes under Medicare guidelines.
  • Prepares and operates within the department budget.
  • Utilizes Society contracts and vendors for procurement when applicable
• Marketing and Customer Service
  • Develops and implements marketing plan. Evaluates effectiveness at least monthly and adjusts as needed
  • Develops and meets regularly with community, family and professional network groups.
  • Incorporates principles of sales techniques in meeting, greeting, etc., clients and following up on leads and contacts.
  • Utilizes information gained from satisfaction surveys to improve interactions with clients.
  • Demonstrates knowledge of demographics of market area and incorporates strategies to address market needs.
  • Systematically tracks and monitors competition.
  • Ensures current marketing plan is being followed.
  • Establishes public relations through networking with doctors, families, professionals, community agencies, facilities, advertisements and community events.
  • Utilizes grievance and concern policies when indicated.
  • Integrates results of satisfaction surveys to improve performance and marketing.
  • Utilizes conflict management skills to maintain staff and client satisfaction.
  • Collaborates with resource development to secure resources to meet client needs.
• Program Operations
  • Incorporates infection control practices (i.e., standard precautions, BBP, etc.,) in provision of services.
  • Ensures safety measures are communicated, addressed and precautions implemented.
  • Manages medical records per policy/procedures in accordance with HIPAA and state regulations.
  • Collaborates with physician and community resources to evaluate and deliver client interventions and services (60 day reviews, 485’s, interim orders, D/C summaries, Adv. Committees and required summaries, Meals on Wheels, Adult Day Care, referrals, inf
  • Implements admission and discharge processes according to policy and procedures.
  • Designs and implements a SOP for Home Health program initiatives.
  • Manages human resources (scheduling, hiring, recruiting, screening and retaining staff in collaboration with campus HR staff) to cost effectively meet client and community needs
  • Utilizes and interprets computer reports to manage employee productivity, visits per episode, average per visit, HHRG rates, case mix indicators, administrative time, visits per day and number of cases managed.
  • Obtains and coordinates ancillary services to meet client/community needs.
  • Develops, facilitates and implements the multidisciplinary plan of care of clients (case management).
  • Trains, supervises and evaluates agency staff (i.e., initial and ongoing performance evaluations).
  • Delegates, directs and administrates (or implements) business and operational functions (billing, payroll, medical records, OASIS transmissions, HR, FISS).
• Spiritual and Ethical Issues
  • Incorporates Society mission and hallmark values to meet community/client/staff spiritual needs in the provision of services through devotions and prayers with respect of individual dignity).
  • Utilizes Society and professional codes of ethics in provision of services.