Nurse Consultant - Part-Time

AdvanceCare Health Services, LLC is seeking a detail-oriented Part-time Contract LPN to join our team to perform file review & compliance. In this role, you will play a crucial part in ensuring the accuracy and compliance of our individual client files with the service/care plans established by the Department of Disability and Aging and the Managed Care Organization (MCO). You will be responsible for conducting thorough reviews and documenting necessary adjustments.

This is a Contract, part-time, work-from-home position for up to 10-15 hours per week. You need to have a 27-inch or larger monitor, keyboard, and mouse. Must have high-speed, reliable internet. 

Responsibilities:

• Conduct comprehensive reviews of client files to ensure accuracy and compliance with DDA/MCO service/care plans.


• Identify and document any discrepancies or needed adjustments in client files.


• Communicate findings and recommendations to leadership in a clear and concise manner.


• Collaborate with leadership and staff to resolve findings.


• Maintain accurate and up-to-date records of file reviews.


• Monitor and track compliance metrics to ensure ongoing adherence to DDA/MCO standards.


• Participate in quality improvement initiatives and contribute to the development of best practices.


• Generate detailed reports.

Qualifications:

• LPN/RN (active current license)


• Understanding of DDA, ECF and CLS program requirements and compliance standards.


• Excellent attention to detail.


• Analytical and problem-solving abilities.


• Effective communication and interpersonal skills.


• Ability to work independently and as part of a team.


• Ability to maintain confidentiality and adhere to HIPAA regulations.


• Ability to complete various types of reports and spreadsheets


• Good Computer skills: Microsoft Office and Google Suite


• Knowledge of electronic health records (EHR) systems a plus

You should be comfortable with software and technology and be an overall organized person. Good communication skills are a must.

You must be flexible and willing to work and learn on the fly.

Empowering Team Members to Excel and TOUCH Lives through Continuous Improvement and Technology

Our company is a growing, non-medical, private duty home care organization providing caregiving services to seniors and support to individuals with intellectual disabilities so that they can continue to live in their homes throughout Tennessee. We are an equal opportunity employer and a drug-free workplace.

Please respond to this ad with a resume and we will contact qualified applicants . Any submissions without a resume attached will not be considered.

Disclaimer: The preceding job description has been designed to describe the general nature and level of work being performed by the candidate assigned to this job. It is not designed to contain or be interpreted as an exhaustive summary of all responsibilities, duties and effort required. From time to time other duties may be assigned. Management's evaluation of your performance is based on your performance of the tasks listed in this job description and these other duties. Management has the right to revise this job description at any time.