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Our Care Matters.

When you join the Kindred at Home team, you become part of something bigger. We are the nation’s leading provider of comprehensive home health, hospice, and non-medical home care services. Our team delivers compassionate, high-quality care to patients in their homes or places of residence, including non-medical personal assistance, skilled nursing, rehabilitation, hospice and palliative care. Now more than ever, people in your community need in-home healthcare. Our team helps to keep them safely at home, during moments that matter most to them. Our caregivers focus on each unique patient to deliver the appropriate care and emotional support to our patients and their families.

Our Employees Matter.

We believe a world-class patient experience is enabled by an exceptional employee experience. And, committed to fostering an amazing employee experience at Kindred at Home. Our people are our greatest resource and asset, and we are committed to helping our employees thrive and fulfill their personal and professional goals.

We offer:

Competitive pay and 401k

Healthy Steps Wellness

Healthcare Plans

Employee Assistance Program

Centers of Excellence Program

Educational Assistance

Clinical ladder for professional credentialing and advancement

Leadership development

Talent focused Framework

Targeted personal and career development planning

The Director, Area Nursing/Rehab Specialty Focus will direct management of multiple Specialty locations across a geographic area(s). Oversee/guide the activities of assigned specialty leaders/SMEs. RN required.

Abides by and demonstrates the company Mission – Vision – Values through both behavior and job performance on a day-to-day basis.

Drives Specialty program oversight and growth through location Team Lead (TL)/Subject Matter Expert (SME) and close collaboration with area, local and regional leaders. Mentors and monitors specialty-focused, clinical lead behaviors of the location TL/SME.

Collaborates closely with local area leaders to recruit, interview and hire qualified TL/SME and clinical staff. Supports performance reviews and counseling sessions to enhance evidence-aligned, clinical behaviors.

Reviews specialty-focused data, provides formalized, timely feedback specific to TL/SME, clinical teams & prioritize follow-up/mentor strategies to optimize team performance

Interfaces seamlessly among National Specialties, Region, Area and Local Clinical Operations team to ensure timely information flow, enhance knowledge sharing, learning and specialty specific quality improvement.

Mentors and monitors TL/SME specific to weekly oversight, lead measures and proactive planning (e.g.: skills practice/validation labs/ride-alongs, MCP collaboration toward clinical/case conference discussions, on-going professional growth via clinician ride-alongs, on-going labs/clinical updates, specialty-specific record reviews, etc.)

Collaborates closely with TL/SME to monitor branch and patient specific specialty intervention delivery/clinical outcomes via electronic record reviews.

Expands/deepens ongoing clinical knowledge through internal/external learning, translates knowledge, outlines evidence-based direction to TL/SME, clinical staff, reinforces Specialties’ practices and fosters clinical/professional growth.

Ensures compliance with standards/company policies/procedures and external regulatory requirements. Ensures that clinical associate documentation meets these requirements. Reviews and adheres to all Company policies and procedures and the Employee Handbook.

Oversees area / branch clinical operational metrics.

Performs all duties inherent in a leader/managerial role.

Adheres to and participates in Company’s mandatory HIPAA privacy program/practices and Business Ethics and Compliance programs/practices.

Travel expectations up to 75%.

Collaborates closely with local/area to participate in specialty-focused PI activities as indicated

Participates in special projects and performs other duties as assigned.

Required Skills

Minimum of Bachelor’s Degree in Nursing from an accredited program. Advanced degree strongly preferred.

Successful completion of Company required pre-employment competency testing and health clearance prior to assignment and periodically as required by Company policy and state regulations.

Current unrestricted licensure to practice as an RN required in at least one state they are supporting.

Current CPR certification also required.

Minimum of eight years clinical experience in specialty area.

Excellent verbal and written communication skills.

Knowledge of home health agency regulations/administration strongly preferred.

Excellent organization, problem solving, decision making, leadership, presentation and communication skills are necessary for optimal role-fulfillment and therefore strongly preferred.

This role requires full COVID-19 vaccination.

Required Experience

Join Our Team!

Check out our video to get a glimpse of a day in the life of our Home Health team - Home Health

To learn more, please contact your local recruiter at (toll free) 855-KND-AT-HOME or apply online. Our Recruiters are ready to help you start a new and rewarding career with Kindred at Home.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or national origin.

Job Category: Home Health Ops Management - Multi Site

ID: 76248

Responsible for carrying out precertification and medical necessity reviews on all designated referrals as well as targeted outpatient procedures, services and inpatient admissions. The activities will include telephonic review for medical necessity of the RN designated targeted outpatient procedures, services and inpatient admissions, as well as referrals, utilizing established criteria and guidelines, retrospective ED reviews. In addition, they will perform eligibility and benefit reviews as necessary, identification of patients for case management, quality improvement reviews, and communicate with inpatient care coordinators, case managers, the SNF/Rehab care coordinator, members, providers, Customer Service, Claims, Contracts and Benefits - Appeals, Risk Management.

Essential Responsibilities:

Responsible for the day to day precertification and review activities as outlined above. Utilizes established criteria to perform precertification and referral review for all members requiring a procedure or service or with an admission diagnosis on the targeted review list for the RN. All referrals and precertification reviews will be performed within the required timeframe and the provider and member notified of the results. Refers all cases that do not meet established criteria to the appropriate review physician. Performs questionable benefit and eligibility reviews. Provides investigation and preparation of cases requiring review of the Chief of QRM: Non Contracted ProvidersQuestion of internal referral versus external referral or non-contract consultant performing services that can be provided internally. Any referral questionable for benefit Breast Reduction/Augmentation Varicose VeinsPossible experimental/investigational procedures or treatments TMJ diagnoses. Referrals that are not approved due to not meeting medical appropriateness criteria. Understands the Complex Case Management Program and admission criteria and refers patients to theComplex Case Managers as appropriate. Provide correspondence, written and verbal, in accordance to policy and procedure for members with respect to referrals. Provides review of pended bills for specific types of referral cases.Interacts with physicians to ensure that resources are being utilized appropriately while maintainingquality outcomes. Establishes and maintains contact with patients and their families as appropriate, including the provisionof education when needed. Refers the patient to the home care review team and/or social workers as appropriate. Ensures that the appropriate level of care is being delivered in the most appropriate setting based on established criteria and guidelines. Performs quality of care and service reviews using identified quality indicators. Coordinates and assists the Specialty Care Review Service$ Supervisor with ongoing physician education.

Reviews the monthly analysis of statistics (cost/benefit) with the Specialty Care Review ServicesSupervisor and makes adjustments based on findings. Remains knowledgeable of contract benefits and current, relevant state and Federal regulations, criteria, documentation requirements and laws that affect managed care and case/utilization management. Maintains effective interaction/communication with members of the medical staff, nursing staff, complex case managers, the SNF rounder, home care review team, social workers, inpatient care coordinators, referral coordinators, Member Services, Claims, Contracts and Benefits-Appeals, Risk Management and Kaiser Permanents medical offices to facilitate the precertification and referral process. Builds effective working relationships with physicians and other departments within the health plan. Assists in the development and revision of guidelines, pathways and protocols. Attends QRM Hospital UM meetings as requested. Investigates, identifies and reports problems and inefficiencies in existing systems, and recommends changes when appropriate to the Review Services Supervisor. Under the guidance of the Review Services Supervisor and in consultation with other QRM staff, participates in the coordination, planning, development, implementation, and maintenance of all QRM policies and procedures related to the Specialty Care Review Program. Monitors utilization trends in the market area, keeping appropriate management informed. Initiatesrecommendations to facilitate reductions in utilization where appropriate. Refers cases identified as risk management, peer review or quality issues to QAIR and RiskManagement.

Document Review Activities to include: Medical necessity for admission/procedure. Diagnoses. Procedures performed. Demographic Data. Physicians involved in care. Other. Issue letters of non - coverage to members not meeting established medical necessity criteria. Works cross-functionally with other departments in striving to meet organizational goals and objectives. Achieves and maintains an understanding of relevant state and federal regulations, criteria, and documentation requirements and laws that affect managed care, home health and case/utilization management. Knowledgeable and compliant with regional personnel policies and procedures. Knowledgeable and compliant with QRM departmental and unit specific policies and procedures. Participates in annual regional and departmental compliance training. Knowledgeable and compliant with Principles of Responsibility. Develops and maintains an awareness of how to report compliance issues and concerns. Other duties as assigned.

Basic Qualifications:

Experience

Minimum three (3) years of clinical nursing.

Education

High school diploma or GED required.

License, Certification, Registration

Unrestricted current RN licensure in the state of Georgia or documentation to show intent to seek license.

Valid Georgia Drivers license.

Additional Requirements:

Working knowledge of all relevant federal, state, local and regulatory requirements including Medicare.

Functional knowledge of computers.

Experience with Managed Health Care Delivery Systems.

Experience in ICD9/CPT4 coding.

Preferred Qualifications:

Minimum three (3) years of clinical nursing; experience in ICU or medical/ surgical nursing care preferred.

Minimum two (2) years of experience in utilization or case management, discharge planning and quality improvement in a health care or managed care setting preferred.

Bachelor's degree (B.S.) in nursing.

Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

COMPANY: KAISER

TITLE: RN, Targeted Review - Atlanta

LOCATION: Atlanta, Georgia

REQNUMBER: 919958

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

3322 PHARMACY TECHNICIAN

Work Schedule/Days: Variable / Variable

Employment Type: PRN

Location: Egleston

Requisition #: 89421

JOB SUMMARY

Assists pharmacist and prepares medications to be dispensed under the direct supervision of a registered pharmacist according to State and Federal law.

EDUCATION

High school diploma

CERTIFICATION SUMMARY

Georgia pharmacy technician registration

EXPERIENCE*

6months IV experience in a healthcare-related field or 4 year college degree

PREFERRED QUALIFICATIONS*

1 year of experience as a IV pharmacy technician in a pediatric hospital pharmacy environmen or 2 years of experience as a IV pharmacy technician in a hospital pharmacy environment

KNOWLEDGE SKILLS & ABILITIES*

• Proficient in reading, writing, and mathematics
• Knowledge of medical/pharmaceutical terminology
• Good organizational skills and ability to learn and use computer systems

JOB RESPONSIBILITIES*

• Performs all job functions as described in the Pharmacy Technician I job description.
• Assists pharmacists by anticipating and prioritizing workload accurately and efficiently.
  • Organizes and prioritizes phone calls, window traffic, and workload effectively and keeps pharmacist informed.
  • Maintains a smooth workflow in area by utilizing problem-solving skills.
• Precepts new and existing staff members.
  • Participates in orientation and training of new and existing employees.
  • Uses effective educational techniques in all training and educational activities.
  • Identifies performance deficiencies of new employees and provides feedback/training in an effort to correct deficiencies.
  • Provides feedback of employee progress routinely to Education Pharmacist or Team Leaders.
• Maintains individual competence and develops professional practice skills.
  • Participates in required departmental training, education, and certification.
  • Completes all required orientation/training checklist(s) and modules.
  • Completes projects to develop professional skills and achieve department goals.
  • Uses extra time advantageously to help others or work on department projects.
  • Contributes to achievement of department goals and objectives through effective participation.
  • Exhibits proficient performance in at least two work areas.
• Demonstrates leadership skills.
  • Demonstrates ability to assess situations and bring issues or concerns to attention of pharmacist or team leader.
  • Demonstrates effective time management, project management, and inventory control skills.
• Prepares and compounds IV medications by using aseptic technique to ensure safe products for patients under direct pharmacist supervision.
  • Accurately prepares and compounds medications, including intravenous fluids, parenteral nutrition, chemotherapy solutions, and drips.
  • Demonstrates aseptic technique when preparing sterile intravenous preparations and obtains yearly re-certification of aseptic technique.
  • Prepares and maintains adequate supply of stock solutions.
  • Documents on all intravenous compounding logs as appropriate.
  • Uses available technology (e.g. i.v.SOFT, Baxa compounder).
• Demonstrates knowledge of Pyxis operations.

SYSTEM RESPONSIBILITIES*

Safety:Practices proper safety techniques in accordance with hospital and departmental policies and procedures. Responsible for the reporting of employee/patient/visitor injuries or accidents, or other safety issues to the supervisor and in the occurrence notification system.

Compliance:Monitors and ensures compliance with all regulatory requirements, organizational standards, and policies and procedures related to area of responsibility. Identifies potential risk areas within area of responsibility and supports problem resolution process. Maintains records of compliance activities and reports compliance activities to the Compliance Office.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be an exhaustive list of all job duties performed by the personnel so classified.

PHYSICAL DEMANDS*

WORKING CONDITIONS*

About Us:

Have questions about the recruitment process? Check out What to Expect .

Address: 1405 Clifton Road NE, Atlanta, GA 30322

Function: Allied Health - Pharmacy

Nearest Major Market:AtlantaJob Segment:Pharmacy, Technician, Medical, Pharmacy Tech, Nutrition, Healthcare, Technology