PPS Specialist - Home Care
PPS Specialist - Home Care
Posted on :
15-03-2025
Employer Active
1 Vacancy
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Posted on :
15-03-2025
Job Description
Summary
Job Summary
Responsible for the timely review preparation filing and tracking required for the Center for Medicare and Medicaid Services (CMS) OASIS documents for all Home Care patients receiving Home Care Services.
Job Responsibilities
- Reviews using scrubber software and manual methods the OASIS clinical assessments performed by licensed home care staff at mandated time points.
- Ensures compliance with state and federal regulatory guidelines timely submission of data and appropriate assessment findings for individual patients.
- Provides ongoing feedback to all staff regarding CMS guidelines and OASIS assessments.
- Provides periodic and ongoing OASIS training and updates staff when regulations change.
- Maintains current knowledge and understanding of OASIS assessment and Plan of Care guidelines.
- Monitors program compliance and publicly reported data per CMS.
- Responsible for monitoring and moving case weights toward state and national benchmarks.
- Coordinates and ensures timely completion of required documentation in the OASIS assessment prior to submission for reimbursement.
- Ensures that care and services provided are captured accurately and that appropriate reimbursement is occurring per Medicare or Medicaid or other episodic payers relying on OASIS data.
- Ensures that changes of condition are noted and discussed during client conferences.
Qualifications
- Associates degree or higher or Diploma in Nursing required upon hire
- A minimum of 3 years relevant experience required
- RN Licensed as a Registered Nurse. Eligible to practice nursing in the State of Kentucky required upon hire AND
- COQS Certified OASISD Quality Specialist (COQS) certification preferred
Skills and Attributes
- Requires critical thinking skills and decisive judgment.
- Works under minimal supervision.
- Must be able to work in a stressful environment and take appropriate action.
Physical Demands
- Standing: Occasionally
- Walking: Occasionally
- Sitting: Frequently
- Lifting 025 lbs: Rarely
- Lifting 2575 lbs: Never
- Lifting over 75 lbs: Never
- Carrying 025 lbs: Rarely
- Carrying 2575 lbs: Never
- Carrying over 75 lbs: Never
- Pushing/Pulling 025 lbs: Rarely
- Pushing/Pulling 2575 lbs: Never
- Pushing/Pulling over 75 lbs: Never
- Climbing: Rarely
- Bending/Stooping: Rarely
- Kneeling: Rarely
- Crouching/Crawling: Rarely
- Reaching: Occasionally
- Talking: Frequently
- Hearing: Occasionally
- Repetitive Foot/Leg Movements: Never
- Repetitive Hand/Arm Movements: Frequently
- Keyboard Data Entry: Frequently
- Running: Never
- Vision: Depth Perception: Frequently
- Vision: Distinguish Color: Frequently
- Vision: Seeing Far: Frequently
- Vision: Seeing Near: Frequently
Owensboro Health Core Commitments
INTEGRITY We conduct ourselves with a high level of responsibility reliability and honesty because we take seriously the trust of our patients and coworkers.
RESPECT We value and accept the unique talents and contributions of every patient customer and team member in the Owensboro Health community.
TEAMWORK We build a spirit of connectivity and fellowship by striving together to overcome obstacles surpass goals celebrate accomplishments and plan the future.
INNOVATION We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.
SERVICE We focus on service to patients customers and team members by anticipating their needs thoughtfully meeting those needs and continually improving the quality of everything we do.
EXCELLENCE We reach beyond basic expectations to expand our knowledge and awareness produce exceptional work and provide outstanding service.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
Key Skills
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