Home Health Clinical Quality Assurance and Authorization Specialist (Remote) at a United States-based Home-health Agency | United States (Remote)
Company/Recruiter: a United States-based Home-health Agency
✦ AI Summary
Join a leading United States-based home-health agency dedicated to providing exceptional patient care in the comfort of their homes.
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MorrJobs editorial notes
Our reading of this this opportunity Home Health Clinical Quality Assurance And Authorization Specialist (Remote) opening: it is a responsibility-led role with a detailed skills profile role for candidates who can show evidence that matches the responsibilities and requirements published by a United States-based Home-health Agency. The notes below are MorrJobs guidance based on this listing, not claims made by the employer.
What to demonstrate
Connect your CV or portfolio to Registered Nurse (RN) or Licensed Physical Therapist (PT) in good standing.; Valid professional qualification or license as a Registered Nurse or Physical Therapist.. Use one concrete example that shows you can Conduct comprehensive clinical chart reviews to ensure compliance with agency policies, state, and federal regulations..
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Job Overview
The Home Health Clinical Quality Assurance and Authorization Specialist will be instrumental in upholding our commitment to quality care through rigorous review and authorization processes. This remote position offers the opportunity to contribute significantly to our mission while enjoying the flexibility of working from home.Key Responsibilities
- Conduct comprehensive clinical chart reviews to ensure compliance with agency policies, state, and federal regulations.
- Verify accuracy and completeness of patient documentation, treatment plans, and progress notes.
- Manage and process prior authorization requests with payers, ensuring timely and accurate submissions.
- Communicate effectively with clinical staff, physicians, and insurance providers regarding authorization status and requirements.
- Identify trends and areas for improvement in clinical documentation and authorization processes.
- Participate in quality improvement initiatives and provide feedback to clinical teams.
Requirements
- Registered Nurse (RN) or Licensed Physical Therapist (PT) in good standing.
- Valid professional qualification or license as a Registered Nurse or Physical Therapist.
- Minimum of three years of experience in home healthcare.
- Experience with Kinnser/WellSky Home Health software is highly preferred.
- Strong understanding of home health regulations and payer authorization processes.
- Excellent analytical, organizational, and communication skills.
- Ability to work independently and manage time effectively in a remote setting.
What We Offer
- Opportunity to work remotely for a reputable home-health agency.
- Be part of a dedicated team committed to high-quality patient care.
- Professional development and growth opportunities within the organization.
- A supportive and collaborative work environment.
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