Job Summary:MaineGeneral HomeCare and Hospice delivers compassionate, high-quality care to patients and clients in their homes or places of residence, including skilled nursing, rehabilitation, hospice and palliative care. Our caregivers focus on each unique patient to deliver the appropriate care and emotional support to our patients and their families.

MaineGeneral Hospice is currently seeking an experienced Registered Nurse (RN) for a 32-40 hour per week position. The Hospice Quality Specialist ensures that patient care services are delivered in a manner that balances quality of care with efficiency, cost-containment and compliance with regulatory requirements.

Job Description:

What You'll Do:

Reviews admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria.Performs chart review to identify actual or potential issues with service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement. Serves as a consultant/mentor for staff in areas of documentation, clinical practice and professional development.Develops, implements and facilitates quality evaluation and improvement initiatives. Assists departmental staff with issues related to coding, medical records/documentation, pre-certifications, reimbursement and claim denials/appeals.Plans, implements, and evaluates patient care plans based on patient assessment to optimize and maximize available resources. Monitors, records, and communicates patient condition as appropriate. Serves as consultant/mentor for staff in areas of documentation, clinical practice and professional development.

The ideal candidate will have:

A current license as a Registered Nurse in Maine or licensed from a compact state requiredBachelor’s degree in nursing preferred At least 1 year of Hospice RN experience preferred, as well as knowledge of quality & performance improvement standardsRequires critical thinking skills, decisive judgment, and the ability to work with minimal supervision Must be able to work in a stressful environment and take appropriate action

Scheduled Weekly Hours:32

Scheduled Work Shift:

Job Exempt: No

Benefits:

Supporting all aspects of our employees’ wellness – physical, emotional and financial – is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future.

Physical Wellness:We offer quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs.Employees have access to industry-leading leave for new parents.A generous earned time plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves.

Emotional Wellness:

When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household.

Financial Wellness:An employee discount program is available to all employees for services provided by MaineGeneral Medical Center.Tuition Reimbursement is available to all employees to further develop skills and career.We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan.Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident.We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time.

Career Mobility:

Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource – they’re how we grow our business and care for our community.

Equal Opportunity Employer M/F/Vet/Disability  Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at (207) 861-3440 .