Company Overview The Clinical Support Specialist is responsible for the overall supervision and coordination of clinical services in our Home Health and Hospice service lines. Coordinates and supervises and interdisciplinary team of staff to assure the continuity of hight quality care to home health patients assigned to the team's area in accordance with MD prescribed plan of care, and all applicable state and federal laws and regulations.
Travel for this position is expected to be 50% of the time or greater, and during times of non-travel candidates would be working from home. LHC Group is the preferred post-acute care partner for hospitals, physicians and families nationwide. From home health and hospice care to long-term acute care and community-based services, we deliver high-quality, cost-effective care that empowers patients to manage their health at home.
Hospitals and health systems around the country have partnered with LHC Group to deliver patient-centered care in the home. More hospitals, physicians and families choose LHC Group, because we are united by a single, shared purpose: It's all about helping people.
Essential Functions Essential Functions Receives referrals and ensures appropriate clinician and|or therapist(s) assignments for timely patient evaluation by signing off after authorization and plotting start of care (SOC) visits in assigned locations Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals Ensures patient care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance to physician orders as assigned Manages and documents phone calls from physicians, clinicians, patients, referral sources, and communicates patient updates|new orders to clinicians. Uses coordination notes to document, as needed and appropriate of assigned locations Reviews assessments and plans of care daily, per assigned workflow, and consults clinicians with recommendations, as appropriate Coordinates all aspects of care with all disciplines, physicians, durable medical equipment providers, caregivers|family members, transferring facilities, and any other applicable healthcare providers Follows-up on lab and other clinical diagnostic test, physician contact, and significant changes in the patient condition to ensure adequate physician notification, follow-up, and needed plan of care modifications and communicates such to clinicians Schedules, prepares for, facilitates, and documents case conference|SOC reports and facilitates effective exchange of information across disciplines especially with adverse findings, changes in patient condition, daily and urgent updates, as necessary Assists clinicians in coordinating the transfer and discharge of patients from agency services as indicated by the physician Receives report from field clinicians prior to scheduled days off on patient status and ongoing needs Processes new orders and updates the visit frequency, as appropriate, when the oncall RN takes supplemental verbal orders which alter frequency going forward Writes and processes orders when taking verbal orders directly from the physician and communicates such to field clinicians Assures payer change documentation is completed properly and timely, as required Reviews at least three clinical notes per clinician per week using the TL audit tool and tip sheet to ensure timely, complete, appropriate, and accurate submission of all documentation by field staff. Takes necessary action to correct adverse findings and communicates trending to branch manageras assigned Reviews, evaluates, and supervises service delivery to ensure appropriateness of care and utilization of services, equipment, and supplies through activities such as random patient visits, medical record reviews and case conferences Enters infections and incidents|occurrences into the online Risk Management Incident Reporting System, as specified by policy as appropriate Assists in the orientation of new agency personnel Provides direction and leadership to clinical team members in collaboration with the branch manager and|or director Provides direct patient care, as necessary, in accordance to scope of practice and physician orders Participates in Quality Assurance, Utilization Review, and the overall Performance Improvement plan, program, and process Assures compliance with and ensures timely follow up on daily clinical edits, outcome support, and coding edits Directs clinicians in utilizing best practice interventions when finalizing Plan of Care for all patients Receives report from weekend and after-hours clinicians admitting new patients Completes LHC required learning courses, additional assignments per DON request, as well as any state specific required training per state regulation|practice act requirements Directs team in adherence to and participates in the Episode Management process All other duties as assigned Education & Experience License Requirements Current RN licensure in state of practice Current CPR certification required Current Driver's License and vehicle insurance, and access to a dependable vehicle, or public transportation Equal Opportunity Employer - vets, disability.