LVN-Home Health

Vytalize Health is a leading value-based care platform. It helps independent physicians and practices stay ahead in a rapidly changing healthcare system by strengthening relationships with their patients through data-driven, holistic, and personalized care. Vytalize provides an all-in-one solution, including value-based incentives, smart technology, and a virtual clinic that enables independent practices to succeed in value-based care arrangements. Vytalize's care delivery model transforms the healthcare experience for more than 250,000+ Medicare beneficiaries across 36 states by helping them manage their chronic conditions in collaboration with their doctors.

The LVN – Home Health Recertification Review Nurse supports the Vytal Care Home Health Program by performing comprehensive chart reviews for Medicare home health recertifications. This role ensures documentation meets Medicare criteria, identifies gaps or missing elements required for compliance, and prepares recommendations for RN and provider review. The LVN works closely with the RN program lead and interdisciplinary team to ensure timely, accurate recertification decisions and maintain adherence to regulatory and organizational standards.

Conduct thorough chart reviews for home health 60-day recertification periods based on Medicare Criteria (Medicare Benefit Policy Manual (Chapter 7: “Home Health Services”), Section 30 (“Conditions for Coverage of Home Health Services”) Verify documentation supporting ongoing homebound status, skilled need, and clinical eligibility for recertification. Review patient progress toward goals, frequency of visits, plan of care elements, and documentation submitted by home health agencies (HHAs). Identify missing or incomplete documentation needed for recertification (e.g., face-to-face requirements, visit notes, updated OASIS, provider orders). Prepare structured summaries and recommendations for the RN program lead and provider, ensuring clarity and completeness for final review. Communicate with home health agencies to request missing documentation or clarify discrepancies in clinical notes. Collaborate with the RN program lead to ensure timely completion of recertification reviews and compliance with internal workflows. Participate in interdisciplinary team communication related to patient status, changes in condition, or documentation needs. Maintain accurate and compliant documentation of all review activities according to program standards. Escalate clinical concerns, significant changes in condition, or eligibility questions to the RN program lead or appropriate provider. Support quality assurance and process improvement initiatives within the Home Health Recertification Program. Utilize digital tools (EMRs, Point of Care systems, review checklists, and documentation trackers) proficiently and accurately.