Benefits Overview

Beyond a great professional environment, Abington – Jefferson Health offers a competitive compensation and benefits package to full and part-time employees. A few highlights include medical, dental, sick time, vacation and holiday specialty certifications, discount parking, direct deposit, credit union, on-site childcare and more!

View more details.

Job #9232541
Clinical Nurse Reviewer - Home Care
Home Health Care Nursing - NWG
Full-Time - 8am-5pm - Days, Monday-Friday - 40 Hours/Week
Abington Hospital - Jefferson Health
1200 Old York Road, Abington, PA 19001
Responsibilities:
Under the direction of the Director of Quality Improvement, responsible for the evaluation and analysis of clinical data as it relates to the prospective payment system of reimbursement and outcome-based quality improvements.
  • Reviews documentation for compliance and provides feedback to management and clinicians to ensure continuous quality improvement.
  • Assesses episodic HHRG events to determine accuracy of data and consistency of practice patterns to ensure reimbursement consistent with Medicare PPS regulations.
  • Maintains an understanding of home health regulations to ensure accurate documentation of services provided with justified reimbursement.
  • Assists Home Care Administration with analysis, education and implementation of operational changes that will promote efficiency and profitability within the PPS reimbursement environment.
  • Assists the Education/QA Director in performance of quality assurance and quality assessment and improvement activities.

Qualifications:
  • 2 years of home care experience.
  • Experience in an information system position assisting in education and development preferred.
  • Graduate of an approved school of nursing.
  • Bachelor of Science in Nursing required for new hire.
  • Licensure as a Registered Nurse in the Commonwealth of Pennsylvania.
  • Knowledge of computer analyzer, excellent computer skills.
Abington Hospital – Jefferson Health is an equal opportunity employer, and our policy prohibits discrimination in employment because of race, creed, national or ethnic origin, gender, sexual orientation, age, disability, marital status, or veteran status.
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Benefits Overview

Beyond a great professional environment, Abington – Jefferson Health offers a competitive compensation and benefits package to full and part-time employees. A few highlights include medical, dental, sick time, vacation and holiday specialty certifications, discount parking, direct deposit, credit union, on-site childcare and more!

View more details.

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