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The Clinical Assessment Advisor directly completes and oversees development/ of the plan of treatment as approved by physician, performs ongoing evaluation of patient needs and coordinates team of professionals and other licensed clinicians and home health aides to ensure optimal clinical outcomes. Works with physician and/or referral source to obtain all pertinent clinical information for optimal assessment generation. Ensures consistent team care scheduling and dissemination of updated clinical information. Coordinates assigned care team members and resources. Maintains focus on all healthcare quality and affordability initiatives (HCQAI’s). Established productivity standards and performance will be monitored and measured under general supervision of the Clinical Field Staff Supervisor (CFSS) or above.
Essential Functions:
Performs or delegates the initial and ongoing evaluation of patient needs within their scope of practice
Routinely complete Start of Care/Resumption of Care/Recertification/Discharge of OASIS visits and may occasionally need to provide routine visits based on individual patient needs and branch expectations
Ensures plan of care incorporates and guides appropriate teaching related to health maintenance, prevention and safety
Coordinates available resources to manage care plan and ensures stated outcomes are achieved
Periodically reassesses or delegates the reassessment of patient needs and revises care plan as necessary
Assures appropriate care of patient is met through the start of care assessment completion.
Promotes/coordinates communication between team members, attending physicians, appropriate administrative staff, referral sources and external case managers to ensure appropriateness of care
coordination and communicates any necessary changes to the plan of care
Ensures patient needs are identified and qualified caregivers are assigned to all cases within their scope of practice
Participates in special projects and performs other duties as assigned
Required Experience/Skills:
Bachelor of Science degree in Nursing (BSN) preferred
At least 2 years clinical home care experience with minimum one year experience in a clinical management role is preferred
Current CPR certification
Excellent verbal and written communication skills
Excellent interpersonal skills
Knowledge of state and federal home health agency regulations and compliance standards and regulations
Knowledge of clinical policies and procedures and ability to implement
Knowledge of clinical structure of PDGM
Must read, write and speak fluent English.
Must have good and regular attendance.
Approximate percent of time required to travel: 60%
Performs other related duties as assigned.
A valid driver’s license, auto insurance, and reliable transportation are required.
Typically requires Bachelor’s degree in Nursing and 2 years of technical experience
Scheduled Weekly Hours
40Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Full Time
Insurance
$73k-83k (estimate)
12/23/2022
05/21/2024
humana.com
TEMPE, AZ
15,000 - 50,000
1961
ALISON RITCHHART
>$50B
Insurance
At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms when and where they need it. Our employees are at the heart of making this happen and thats why we are dedicated to building an organization of dynamic talent whose experience and passion center on puttin...g the customer first.
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