Job Type: Contract Long Term'
Shift hours: Monday through Friday from 8 am to 4 pm
Major Position Duties And Responsibilities:
- In conjunction with the other regional monitoring team members, perform remote and on-site monitoring sessions for OLTL enrolled providers.
- Review providers' written documentation to ensure that all fiscal requirements are being met.
- Interview provider staff, stakeholders, and consumers as part of the monitoring process.
- Assist in gathering necessary background data to determine what the providers' strengths and weaknesses have been in the past including fraud and financial abuse, fiscal soundness, percent of billings.
- Assist in the preparation of and any changes to data collection tools.
- Organize monitoring data into a cohesive quality management report for each provider entity.
- Perform research through direct contact or by electronic means.
- Analyze a variety of material and data and develop conclusions.
- Successfully communicate findings.
- Research necessary information, applicable laws, regulations, and policies governing the provider entity.
- Assist in the preparation of monitoring objectives.
- Remain alert to indications of fraud, abuse, or deficiencies.
- Perform monitoring fieldwork.
- Participate in conferences and meetings with provider entities.
- Assess whether the provider entity has complied with applicable regulations and guidelines.
- Compile data obtained during monitoring visits with other members of the regional monitoring team, for compilation of reports.
- Assess whether the provider entity has maintained sound fiscal practices, billed Client properly, and used Client funds in accordance with program guidelines.
- Determine the appropriateness of costs claimed for Client subsidy.
- Determine whether an entity is managing and utilizing its resources economically and effectively.
- Identify the causes of inefficient or uneconomical practices
- Travel across the State (includes overnight stays) as needed.
About our Company: -
22nd Century Technologies Inc., (TSCTI) is one the fastest growing healthcare staffing companies in the United States. With presence in all 50 States and 6000+ employees nationwide, we have been providing unparallel healthcare and technology staffing services to Public and Private sectors for over 26 years.
Started as a technology staffing company in 1997, we have significantly expanded our healthcare practice to both Clinical and Non-Clinical staffing, serving various facilities, healthcare organizations and government agencies. Our ISO certified staffing practices and technology driven staffing procedures – from recruitment to onboarding, along with an internal pre-vetted resume database of healthcare professionals, enable us to serve our customers with their immediate staffing needs.
TSCTI has extensive experience providing Physicians, Nurses, Pharmacists and other Allied Health professionals to various states – California, Connecticut, District of Columbia, Florida, Michigan, Minnesota, New Jersey, New York, Texas, Vermont, Virginia to name a few, and Our valued relationships with employees as well as commitment to meet and exceed clients’ expectations through our exemplary employees proves our competency in today’s healthcare staffing industry.
Recognized among “Best Company to Work For” by Forbes, 22nd Century Technologies, Inc., consistently exceeds our clients’ expectations by focusing on their absolute satisfaction with jobs while keeping our employees motivated.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
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Pay: $24.00 per hour
Education:
Experience:
- Compliance or monitoring: 2 years (Required)
- Medicaid and long-term care programs: 2 years (Required)
Ability to Commute:
- Philadelphia, PA 19107 (Required)
Work Location: In person
