Compliance and Transition Coordinator

Overview

Graceworks Lutheran Services is a not for profit organization serving over 2000 older adults and adults with disabilities. We are a leader in offering services and settings that inspire and support a sense of home when people experience challenging and changing circumstance related to aging and living with disabilities.

Offering skilled nursing and therapy services, Bethany Village Home Health Care makes it easier for seniors to recover at home and live independently. Caregivers can feel peace of mind knowing their loved one is being carefully and faithfully served

This will be a Full-Time day shift position

Pay Range: $23.25 - 27.25 / hour based on experience

Responsible for the follow-up, completeness, deadline-driven compliance, time sensitive documentation flow, and selected operational monitoring across the Home Care program. This role ensures documentation, transitions, and critical operational support are completed accurately and on time to protect compliance, billing, census integrity and care delivery.

Minimum Qualifications: License Practical Nurse from accredited school of nursing with a current Ohio license preferred or medical office experience required. Valid driver’s license with a safe driving record. Proof of auto insurance.

Minimum Experience: One year of home health care experience or healthcare operations. Strong attention to detail, follow-up and deadline management skills.

• Is responsible for Compliance and documentation oversight to include, but not limited to collect and track all face to face (F2F) documentation, while monitoring deadlines and escalate risks.
• Monitor and resolve Electronic Visit Verification (EVV) exceptions timely.
• Complete and coordinate McBee documentation corrections timely.
• Maintain organized, audit ready compliance trackers.
• Communicate with the clinician and document within the EMR new faxed orders and lab results, faxing lab results on to appropriate physician.
• Complete time-sensitive data entry from portal to portal to include, therapy documentation and other clinical documents impacting compliance, billing or care delivery. Ensure documents are entered promptly, indexed to the correct patient & episode and filed accurately and timely. Monitor flow to prevent delays in compliance or billing and flag/escalate unclear, incomplete, or missing documentation.
• Will provide transitions and census management to include, tracking hospital and SNF patients daily; monitor admissions, discharges, transfers and communicate and document accordingly; monitor discharge status line daily as well verify discharge completion and accuracy; reconcile daily census and identify gaps and prepare transition and census summaries as required.
• Monitor intake flow oversight while identifying stalled, incomplete or high risk referrals. Prompt staff to resolve gaps and ensure effective handoff’s within the process are completed timely, while escalating unresolved issues to leadership.
• Serve as first line support for Netsmart workflow issues, while providing data cleanup and corrections as identified. Escalate reoccurring system and workflow issues to leadership.
• Maintain supplies & inventory weekly, identifying trends and monitoring orders.
• As needed, serve as the primary liaison between field clinicians and contracted Durable Medical Equipment (DME) vendors, track requests, coordinate communication, monitor fulfillment and documentation.
• Adhere to all policies and procedures of the organization and all federal and state laws
• Performs other duties as directed.

Frequent bending is required, walking, sitting, and standing is involved 33% or more of the time. Heavy lifting is required up to 50 lbs. of force occasionally and/or 20 lbs. frequently, and/or up to 10 lbs. constantly to move objects. Potential for exposure to heavy weight bearing > 150 lbs. alone in sudden emergency situations.

As a team member at Graceworks Lutheran Services, you’ll enjoy:

• Competitive wages and paid training
• Paid Holidays
• Available medical and dental coverage, long-term disability and life insurance, 403(b) retirement account, and vision discount program for qualified full-time employees
• Tuition Reimbursement and scholarship opportunities
• Employee referral bonuses

We are an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.