RN Addendum Reviewer

Join Arizona’s largest, most prominent not-for-profit hospice, serving the valley since 1977.

Hospice of the Valley is a national leader in hospice care and has been serving the Phoenix metropolitan area since 1977. A mission-driven, not-for-profit organization, Hospice of the Valley employs compassionate, skilled professionals who are committed to excellence, enjoy teamwork, and contribute daily to our mission and culture of caring. Team members experience a friendly, supportive atmosphere, leadership support, autonomy, flexibility and the privilege of doing meaningful, rewarding work.

Benefits

• Supportive work environment with a culture of caring for patients and one another.
• Competitive wages and excellent benefit program.
• Generous Paid Time Off.
• Flexible schedules for work/life balance

Position Profile

Provides centralized clinical review of Hospice Election Statement Addendums to ensure compliance with Medicare hospice regulations and organizational policies. Reviews clinical documentation, diagnoses, medications, and related records to ensure accurate identification and documentation of non-covered items, services, and drugs.

Collaborates with Team Leaders, Registered Nurse Case Managers, Hospice Physicians, and the Quality and Compliance team regarding coverage determinations, documentation requirements, and addendum content accuracy. Coordinates closely with the Hospice Addendum Coordinator to facilitate timely distribution, tracking, and completion of required addendums.

Serves as a clinical resource for addendum review and supports organizational compliance with Hospice Conditions of Participation and Conditions of Payment.

Responsibilities

• Performs clinical review of hospice addendums.
• Collaborates with clinical teams regarding coverage determinations.
• Communicates effectively and timely.
• Finalizes addendum content for processing.
• Supports regulatory compliance and quality assurance activities.

Minimum Qualifications

• Graduate of an accredited practical nursing or registered nursing program.
• Current unrestricted LPN or RN license in Arizona.
• Minimum two years clinical healthcare experience required.
• Minimum one year hospice administrative experience preferred.
• Basic working knowledge of hospice consent requirements.
• Working knowledge of electronic document programs such as docusign preferred.
• Good communication and customer relation skills to interact with others in a helpful cooperative and effective manner.
• Ability to give and follow written as well as oral instruction.
• Skilled in organizing and prioritizing work.
• Ability to perform assigned duties with attention to detail, speed, accuracy and follow through with minimal supervision.
• Ability to gather and interpret data from different sources and problem solve.
• Possess neat and professional image.
• Ability to perform assigned duties with attention to detail, speed, accuracy and follow-through with minimal supervision.
• Ability to gather and interpret data from different sources.
• Good problem solving/critical thinking abilities.
• Ability to work in a fast-paced environment with frequent interruptions.
• Proven ability to deal with confidential information in a professional manner.
• Proficient computer skills

Preferred Qualifications

• Previous medical office/health care experience.

Hospice of the Valley is an equal employment opportunity employer. EOE/M/F/D/V