Alternate Solutions Health Network

Regulatory Compliance Specialist | Remote

Posted on

February 25, 2025

Job Type

Full-Time

Role Type

Clinical Operations

License

RN

State License

Ohio

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Help & Resources

Company Description

At Alternate Solutions Health Network, we care for patients where they spend the majority of their time – in their homes. Today we care for patients who need skilled home care and hospice services. You won’t find our brand in many places because we partner with health systems, jointly running home health and hospice agencies that use their brand. This is part of our strategy. By being part of the health system team, we can ensure each patient has a well-coordinated care plan that remains consistent whether the patient is seeing their primary care physician, receiving treatment in a hospital, or under our care in the home.

Job Description

The Regulatory Improvement Specialist reviews patient charts and collects data to identify areas in need of improvement both clinically and administratively that directly affect patient care and quality outcomes. The Regulatory Improvement Specialist is responsible for development and implementation of process improvement. The Regulatory Improvement Specialist complies with all legal, Medicare & private insurance and company rules and regulations.

Requirements

Licensed as an RN, LPN, PTA, COTA, or Medical Assistant Minimum of 3 years in Home Care or in quality Improvement Knowledge of CMS guidelines preferred Comfortable learning new software and database systems Ability to use Microsoft Office with extensive experience with Word and Excel programs Observant and detail oriented Ability to multi-task and prioritize Ability to track and analyze data Ability to follow directions and work as a team member HARD & SOFT SKILLS: Critical thinker with the ability to problem solve. Effective organizational skills and ability to respond to requests timely. Attention to detail is critical, as is being observant and following directions. Problem solving and create solutions to drive to a course of action. Ability to maintain highest level of confidentiality. Positive attitude and ability to work in a team environment and build relationships. Proficiency with technology. REQUIREMENTS: Associate degree in related field or equivalent experience required. RN, LPN, PT, PTA preferred. 1-2 years of Homecare or Hospice experience desirable. Knowledge of Federal and state regulations related to Home Health, Hospice and Payer requirements. Capable of all physical demands.

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Responsibilities

Reviews charts and trends data to identify opportunities for improvement Traveling will be 25% of the time, which equates to 1 week a month Develops and implements performance improvement initiatives as needed or requested Understands and practices agency policies and procedures Stays current with CMS guidelines Reviews charts to monitor compliance with regulatory and governmental regulations Performs comprehensive audits of clinical and administrative functions as assigned Experience with Microsoft Office with intermediate to advanced level of Word and Excel Knowledgeable in data analysis to provide improvement recommendations. Completion of work with computer, fax, copier and phone Dexterity & vision to complete documentation on computer Completes and submits all required documentation within specified company requirements

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