The RN Specialist oversees compliance and risk management across Bethesda Health Group facilities, including long-term care, hospice, and assisted living. They conduct audits, prepare reports, support annual and complaint surveys, investigate serious events, and assist with corrective actions to maintain regulatory standards. This role requires strong knowledge of Medicare/Medicaid, nursing experience, travel between facilities, and providing compliance training and policy development support.
Bethesda Brings out the Best in Talented, Caring People! At Bethesda, more than 1,200 employees dedicate their careers to improving the lives of others. As a team member at Bethesda, you'll enjoy great benefits such as: 403b, daily pay, bonuses, career advancement opportunities, and holiday pay. Medical, dental, vision, prescription, and life insurance available for regular status full and part time employees. This position requires travel to Bethesda communities, including Missouri and Illinois. Summary Responsible for compliance and risk assessment and coordination in the assigned facility. Responsible for compliance and risk matters in all Bethesda Health Group facilities, including, but not limited to, long term care, independent living, hospice, home care and assisted living. Serves as a resource for all levels of staff for any compliance or risk related matter. Conducts various internal audits in accordance with an annual schedule of compliance matters including but not limited to medical documentation to support claims billed, audits of medical records, employee records and other documents to maintain compliance with regulatory requirements. Prepares written reports for facility leadership and presents findings to the appropriate leader and at the facility's quality improvement meetings. Performs focused audits as requested and as determined by facility administration, operations and/or the compliance department. Audits third party vendors and agencies for compliance with regulations and laws. Performs mock surveys for the facilities in assisting in preparing for annual surveys. Performs audits as noted above in areas identified as high risk for tags on annual and complaint surveys. Supports the facility during the annual survey and as needed on complaint surveys. Assists with corrective action plans as needed. Tracks and trends adverse outcomes and high-risk areas for injuries. Investigates all serious events and documents findings in an appropriate manner. Responds to facility as needed to assist with investigations of serious events. Drafts confidential reports in anticipation of litigation. Encourages reporting of events and a culture of safety without fear of retaliation. Documents all potential claims and assists with gathering information in response to litigation matters maintaining confidentiality of all discussions and documentation. Works with leadership in identification of risk issues and risk reduction. Takes call from facility administrator and director of nursing after hours and on weekends. Supports and provides direction to medical records in compliance related matters including proper release and storage of medical records in compliance with the privacy laws. Supports and provides direction to social services role in discharge and documentation. Provides compliance and risk education and training to various departments upon request and as needed. Assists in developing and implementing compliance and risk policies and procedures. May be assigned other duties as appropriate. Job Qualificationsregistered nurse, risk management, compliance audits, long-term care, Medicare, Medicaid, patient safety, healthcare compliance, medical records, clinical documentation
...With over 224 clinic locations and 46 medical centers, Sanford Health is one of the largest... ...to join the team! In this role, you will work side by side the pediatric endocrinology providers... ...time off package to maintain a healthy home-work balance. For more information about...
...Company Branding and Messaging. ~ Website Architecture Knowledge. ~ PPC Experience: Some experience managing and optimizing pay-per-click (PPC) campaigns. ~ Fundamental Knowledge of HTML & CSS. ~ Google Analytics & Reporting: Proficiency in using Google Analytics...
...SaaS company who are hiring a Controller. This role is ideal for someone looking to step into the Controller role in a remote first work environment. Candidate must have international accounting and SaaS knowledge, preferably with a public accounting background and CPA...
...empowered to do the best work of their lives.Every detail of the Sonos experience matters - and words are no exception. As a Content Designer, you will use language to bring clarity, consistency, and delight to the way our customers interact with our products. This role...
...on their childrens activities Qualifications Previous experience as a teacher Strong understanding of child development, Head Start, Creative Curriculum and Teaching Strategies Gold Patient, kind, and nurturing Excellent organizational, communication, and...