Compliance Nurse Specialist
- Assists in the preparation for DMH, Joint Commission, Alabama Department of Public Health, Medicaid, HRSA, etc. site surveys
- Assists in the AltaPointe policy and procedure review process in assigned programs.
- Assists in developing action plans and plans for improvement for standard deficiencies cited during surveys.
- Coordinates and performs risk management review process for organization’s programs and external providers.
- Effectively assist with monitoring and compiling reports to present to the Performance Improvement Sub-Committee meetings as related to assigned programs.
- Provides technical assistance to Performance Improvement work groups and monitors compliance with documentation standards in assigned programs.
- Collects Performance Improvement Indicators from designated staff, prepares report, and submits data to the Chief Nursing Officer on a quarterly basis or as indicated
- Effectively monitors and demonstrates the analysis of RL Solutions data and reports on identified trends and patterns such as medication errors and employee, consumer infection rates in assigned programs.
- Assists with Root Cause Analysis (RCA) as indicated and makes reports to Performance Improvement Committee as it relates to clinical documentation.
- Conducts one-on-one training for clinical staff and providers as directed by Chief Nursing Officer.
- Research and identify best practices for clinical record documentation and makes recommendations to the Chief Nursing Officer.
- Complies with federal, state, and local legal requirements by studying existing and new legislation; enforcing adherence to requirements; advising management on needed actions.
- Monitor and report HIPAA privacy or security incidents, ensuring timely documentation and regulatory compliance.
- Updates job knowledge by participating in educational opportunities; reading professional publications.
- Seeks supervision and consultation as needed.
- Accepts and employs suggestions for improvement.
- Actively works to enhance skills.
- Treats patients with care, dignity and compassion.
- Respects consumer’s privacy and confidentiality.
- Is pleasant and cooperative with others.
- Assist patients and visitors as needed.
- Personal values don’t inhibit ability to relate and care for others.
- Is sensitive to the consumer’s needs, expectations and individual differences.
- Is gentle and calm with patients, families and others as appropriate.
- Actively participates in Performance Improvement activities
- Actively participates in AH committees as requested
- Completes assigned tasks in a timely manner
- Follows AH policies and procedures
- Maintains current license and requirements for renewals (i.e. CEU’s), if applicable, and attends regular workshops and in-services
- Knowledge of clinical documentation requirements for inpatient, residential, and outpatient programs
- General knowledge of billing standards and practices
- Knowledge of monitoring agencies standards (JC, DMH, CMS, Medicaid, Medicare, HRSA, etc.)
- Knowledge and utilization of tools to monitor clinical compliance
- Knowledge of organization policy and procedures
Recommended Jobs
Tri-Axle Dump Truck Driver- Dothan, AL
APAC-AL, Inc., part of CRH’s South Division, is a leading supplier of quality asphalt and Construction Services in the Southeastern U.S., with operations in Alabama. Working with government agencies,…
Test Job
Do no apply Do no apply Do no apply Do no apply Do no apply Do no apply Do no apply Do no apply Do no apply Do no apply Do no apply Do no apply …
Outside Sales Representative
Join Our Team! Sunbelt Rentals strives to be the customer's first choice in the equipment rental industry. From pumps to scaffolding to general construction tools, we aim to be the only call needed…
Cruise Booking Agent (Remote)
We are seeking enthusiastic and customer-focused individuals to join our travel team as a Cruise Booking Agent . In this role, you will assist clients with researching, planning, and booking cruise…
Kowaliga Marina - Receptionist /Cashier -
Provides general office tasks which include answering the telephone, waiting on customers. Maintains general correspondence Must have good computer skills Requires weekend work Maintains and…
Travel Nurse
TNAA TotalMed RN is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Birmingham, Alabama. Job Description & Requirements ~ Specialty: PCU - Progressive Care Uni…
Software Engineer - C# ASP.Net MVC Bootstrap JavaScript React
NaphCare has an excellent opportunity for a Software Engineer to join our team on-site at our Corporate Headquarters in Birmingham, AL . Expertise in C#, .Net, MVC, Bootstrap, JQuery, JavaSc…
Kitchen and Bath Sales Coordinator
The Kitchen & Bath Design Team is looking for a Sales Coordinator! In this role, we need a proactive and reliable success-driven person! Since you will act as an assistant, you must be organized with…
Staff Systems Engineer - (GWS Product Owner)
RELOCATION ASSISTANCE: No relocation assistance available CLEARANCE TYPE: Secret TRAVEL: Yes, 10% of the Time Description At Northrop Grumman, our employees have incredible opportunities …
Non-CDL Driver/mover
**ONSITE JOB OFFERS!!!** Hiring Drivers We are the largest independently owned local residential moving and storage company. We pride ourselves on taking care of our customers and ou…