DE033740-Health Clinical Services Sr Analyst

---ONLY THOSE APPLICANTS WHO ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE---

POSITION TITLE: Health Clinical Services Sr Analyst
WORK SETUP: Hybrid

RESPONSIBILITIES:
• Conduct thorough review of patient’s Plan of Care for completeness, accuracy, and alignment with clinical protocols and patient-specific needs.
• Performs Admissions Plan of Care & OASIS Assessment Review to include appropriate coding of Home Health services
• Provide Recertification of plan of care review-based client’s process guideline on recertification of home health services
• Perform resumption of care and one-time visit based on plan of care review considering the client guidelines and procedures.
• Serve as a clinical liaison between nurses, clinicians, case managers, and physicians to verify alignment on the patient’s care goals and treatment plan
• Promote patient safety and continuity of care by actively participating in process improvements and audits related to Plan of Care quality and turnaround time.
• Adhere to applicable regulations (e.g., CMS guidelines), internal policies, and quality standards related to home health documentation and care coordination
• Facilitate corrected Plan of Care routing for physician approval within required timeframes.

OTHERS:
Project Shift Schedule: Night Shift
Project Rest Day: Weekends Off
Project/Team Location: Quezon Cyberpark Tower 3

SKILL AND QUALIFICATIONS:
• Bachelor of Science Nursing (BSN) degree
• Holds current and unrestricted US Registered Nurse license
• 3 months clinical experience (480 hours of working experience as a RN) in a hospital setting
• Work experience as an active RN license and providing direct patient care
• Clinical setting includes inpatient hospital, outpatient hospital clinic
• No state license required (doability will be revisited if there's a specific state of RN license needed)

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