RN Regional Clinical Specialist (88136)

Posted 6 Days Ago
Be an Early Applicant
2 Locations
In-Office
Entry level
Healthtech
The Role
Provides regional clinical oversight for skilled nursing facilities across the Houston and Beaumont areas. Advises administrators and nursing leaders, audits clinical records and operational systems, reviews Medicare and Medicaid claims, evaluates regulatory compliance, develops plans of correction, prepares reports, supports quality assurance committees, and trains facility staff. Requires frequent travel between facilities, a current Texas RN license, and preferably a bachelor’s degree and skilled nursing experience.
Summary Generated by Built In

This position is mostly on the road, supporting locations in the Greater Houston area and the Beaumont area.   Candidates must reside in Houston or the Beaumont area. 

Primary Responsibilities

The Regional Clinical Specialist will serve as an adviser, trainer, educator and auditor and will assist and support the facility Administrator, Director of Nursing, Medicare Coordinator and Assessment Nurses. The Regional Clinical Specialist is responsible for reviewing the operational systems of the facility, the maintenance of records and personnel to promote adequate level of care to facility residents.

The Regional Clinical Specialist will review Medicare and Medicaid claims for appropriate reimbursement. The Regional Clinical Specialist is there to assist with the hiring of managers in an advisory capacity only.

Essential Functions

  • Must meet with the Administrator upon entrance to the facility to communicate the purpose of each visit.
  • Communicate with the Administrator and Director of Nursing, Medicare
  • Coordinator and/or Assessment Nurse any pertinent findings of their visit throughout the day.
  • Must meet with the Administrator, Director of Nursing or designee upon exiting of the facility to communicate any relevant findings and development of any Plan of Corrections.
  • Must start and assist the facility with the Plan of Correction to address any insufficient practices that were noted during their visit to the facility. The Plan of Correction must include observation(s), record review(s) and interview(s).
  • Communicate with the Administrator and the Director of Nursing after each visit to follow-up on any agreed Plan of Corrections.
  • Must submit a written report to the QA Consultants, Director of Nursing, Administrator and any relevant facility staff.
  • Review other consultant reports to promote consistency in the application of rules and regulations.
  • Promote communication within the facility in an interdisciplinary manner.
  • Review any and all regulatory reports (i.e. 2567, Quality Monitoring reports, Quality Indicators, etc.) and evaluate compliance with TDADS regulations
  • Actively participate in corporate quality assurance.
  • Attend quarterly Policy/Forms/QA Committee meeting and actively participate in the development of facility policies and procedures.
  • Recommend policy and procedure changes and/or updates.
  • Review policies and procedures adopted by the facility to promote regulatory compliance.
  • Review facility reports (i.e. facility QA reports and Simple CFS reports, etc.)
  • Review resident clinical records.
  • Review Reimbursement Binders and associated documentation to promote regulatory compliance.
  • Provide training to the Medicare Coordinator, Assessment Nurse and pertinent facility staff.
  • Research other training methods, materials and resources
  • May be necessary to assist in the evacuation of residents during emergency situations.
  • Actively assist and participate in the enhancement of the lives of our residents through; our dedicated approach to patient care and our census-building program.
  • Actively assist and participate in the development and retention of staff through; recruitment, training and nurturing the employees of the nursing home.
Qualifications

Location Requirements: 

  • Must reside in the greater Houston area or Beaumont area. 

Educational/Training Requirements

  • Bachelor’s degree preferred

Licensing Requirements

  • Must possess a current Texas RN Licensure 

Experience Requirements

  • Experience in a skilled nursing facility preferred

Physical Demands

The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Action Rarely Occasionally Frequently Lifting - 1-25 lbs     X Lifting - 25-50 lbs   X   Lifting - 50+ lbs X     Carrying - 1-25 lbs     X Carrying - 25-50 lbs   X   Carrying - 50+ lbs X     Pushing/Pulling - 1-25 lbs     X Pushing/Pulling - 25-50 lbs   X   Pushing/Pulling - 50+ lbs X     Sliding/Transferring - 1-25 lbs     X Sliding/Transferring - 25-50 lbs X     Sliding/Transferring - 50+ lbs X     Standing     X Sitting   X   Walking     X Speaking     X Driving     X Balancing/Climbing X     Stooping/Kneeling X     Crouching/Crawling X     Reaching   X   Hearing/Listening     X Seeing     X Turning/Twisting/Leaning   X  

Skills Required

  • Must reside in the greater Houston area or Beaumont area
  • Bachelor’s degree
  • Current Texas RN licensure
  • Experience in a skilled nursing facility
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The Company
5,000 Employees

What We Do

Regency Integrated Health Services is a Texas-based healthcare provider dedicated to supporting families through a continuum of care. They manage skilled nursing facilities and provide specialized services including therapy and rehabilitation, Alzheimer's and dementia memory support, hospice, palliative care, and home health services. Their mission focuses on providing high-quality, compassionate post-acute medical and personal care to residents across Texas.

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