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Review Choice Demonstration (RCD) Specialist

Company: Covenant Care
Location: Pensacola
Posted on: April 4, 2021

Job Description:

Review Choice Demonstration (RCD) Specialist Pensacola, FL Why Covenant Care?
Are you a Healthcare Warrior? Want a competitive, engaging job with great perks? Want a seat at the table to discuss strategy? Want to see your ideas put into action? Then you want to look closely at a career with Covenant Care. Covenant Care is one of the largest non-profit providers of home health, hospice, memory, palliative and private duty care in the regions we serve. Our collaborative team of more than 600 physicians, nurses, aides, therapists and professional staff and volunteers serve patients and families in communities throughout Florida and Alabama. For more information, , or visit us onFacebook ,Instagram orLinkedIn .
Ready to join our family?
Our teammates enjoy a supportive environment and flexible schedule with advancement opportunities. Covenant Care's engaging culture is founded upon mutual respect and trust. A place where employees feel valued and patients and residents feel the service is extraordinary. We recognize and celebrate the value of each teammate's unique contributions and encourage a sense of ownership, sharing our mission with patients, families and our communities. Position Summary: The primary function of the Review Choice Demonstration (RCD) Specialist is to serve as the reviewer/submitter for the RCD submission process and assist with gathering additional information to include with the submission. To ensure quality, and to coordinate with the parent office interdisciplinary team and all branches. Essential Job Functions: Reviews and ensures quality and accuracy of all Task Attachments required for RCD submissions Accountable for non-affirmed patient percentages-based Face to Face (F2F) insufficiency and homebound status Submission of all RCD required submissions through eServices, eSolutions, or HCHB portal for assigned geography Accountable for an established minimal productivity for the number of submissions per day, per week, and per month Communicate all RCD submission decisions and follow-up that is required to local management for the assigned geography Follow-up with local management pertaining to the document or task improvement required for RCD resubmission versus patient discharge preparation for the non-affirmed patients Collaborate with the Vice President of Operations and Vice President Clinical for tracking the percentage of non-affirmed patients and categorize them by the specific reasons for the assigned geography Collaborate with the Vice President of Operations and Vice President Clinical in order to guide regional director teams about the specific local office educational needs based on patient non-affirmations Remain current with Brightree software updates to ensure maximization of the software utilization for the RCD demonstration Other duties, as assigned Skills, Abilities, and Experience: Minimum 2 years home health care experience preferred Knowledge of the "Conditions of Participation" for Home Health including but not limited to: Physician Face to Face encounter for home health patients Physician's order for home health services Complete understanding of the documentation required to support homebound status for patients, patients having a medical diagnoses that are supported by a home health plan of care, and the ability to identify the ongoing need for intermediate skilled nursing, physical therapy, speech therapy, or the continuation of occupational therapy Ability to communicate effectively and teach clinical/operational staff about home health regulations, Detail oriented and able to work with minimal supervision and oversight Must be computer literate Knowledge of Brightree a plus, but not required Contact the Human Resources Department at 850.365.9659 for more information. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status. Posted 2 Days Ago Full time REQ2888 About Us Covenant Care is the largest non-profit provider of home health and hospice care in Northwest Florida. We do more to meet the needs and wishes of our patients and families through all the services we provide. For 36 years, you've known us as your trusted hospice care and home health provider - and very soon we'll be providing more services as we expand to bring Home Health care to even more of Florida. We help thousands of families just like yours navigate the process of providing the best care for their loved ones, giving you the best choice when deciding who should provide care for your loved one. As a non-profit provider of care services, we do more by investing in our community and our patients through special programs like My Wish, which grants every hospice patient a wish as a way to celebrate life with their family and friends.

Keywords: Covenant Care, Pensacola , Review Choice Demonstration (RCD) Specialist, Other , Pensacola, Florida

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