Hartford HealthCare at Home is looking for a Quality Safety Clinician to manage the review of clinical documentation and assists in the training of clinical staff to ensure accurate reimbursement, regulatory compliance and the delivery of outcome-based, cost effective care. Job Duties: * Facilitates record audits and process of care investigations, trends outcome data (satisfaction, utilization and clinical), develops and implements plans of action to ensure quality improvement, reimbursement and regulatory compliance. * Reviews, calculates, and analyzes identified data processed by other team members as it relates to clinical documentation and quality of care. * When indicated, reviews and processes certification/recertification and resumption of care orders ensuring accurate documentation and the development of an accurate plan of care with appropriate visit patterns and disciplines. * Identifies areas for process improvement based on quality assurance and outcome studies * results, and internal and external record review * Collaborates with clinical supervisors and other case managers to identify agency trends based on the review of documentation and to develop and implement plans to address trends. * Provides staff guidance in making clinical and case management decisions that are cost effective and focused on clinical outcomes and operational performance indicators. * Conducts education and training sessions related to utilization, reimbursement and regulatory * compliance. * Participates in post payment reviews, compliance and claim audits, and assists with record reviews, audits and appeals as needed. * Participates in quality assurance audits, committees & projects as needed. * Demonstrates the ability to research regulations and legal requirements on reimbursement issues and to train staff appropriately. * Demonstrates the ability to work well with others and to educate clearly and concisely. * Maintains a flexible schedule to meet the needs of the agency. Qualifications - External Registered Nurse with a license to practice in the State of Connecticut Graduate of an Associates degree or diploma program in Nursing; graduate of NLN-approved BSN program, preferred Three years clinical homecare experience. Managed care or case management experience required. Familiar with OASIS, home care regulations. Computer literate Job: Nursing Support* *Organization: Hartford HealthCare at Home *Title: *Quality Safety Clinician - Homecare Location: Connecticut-Mansfield Center-34 Ledgebrook Dr Mansfield (10179) Requisition ID: 24157017