Clinical Record Reviewer (RN) - Home Health Remote

Lehigh Valley Health Network (LVHN) is home to nearly 23,000 colleagues who make up our talented, vibrant and diverse workforce. Join our team and experience firsthand what it's like to be part of a health care organization that's nationally recognized, forward-thinking and offers plenty of opportunity to do great work. Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work. LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.

Manages and supports quality and performance improvement by assisting staff to implement strategies that identify, prioritize, measure, and improve key clinical processes and outcomes. Reviews patient records to determine the complete, accurate, and timely documentation of all conditions that support home health/hospice care and treatment of the patient.

Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care Consults with providers, management, and operations to ensure consistency within the application of clinical criteria Utilizes clinical expertise for the review of medical records against appropriate criteria in conjunction with contract requirements Maintains current knowledge of clinical indicators and compliance requirements Manages tools to collect outcome data and provides regular feedback to individuals, managers, and leaders Provides concurrent medical record review to assess documentation compliance. Facilitates recommended interventions Reviews deficiencies in documentation with involved staff and facilitates corrective action Participates in the ongoing development and implementation of an established performance improvement plan Reviews orders for data entry, completeness, and appropriateness for admission to home health/hospice services Promotes, obtains, and reviews appropriate documentation for any home health/hospice specific quality data