Health Professional Clause Examples

Health Professional level 4 Schedule E – Classification Definitions – Caretakes and Cleaners E.1 Cleaner (Building Attendant) Grade 1

Health Professional. Level 4 A health professional at this level applies a high level of professional judgment and knowledge when performing a wide range of novel, complex, and critical tasks, specific to their discipline. An Employee at this level: • Has a proven record of achievement at a senior level; • Has the capacity to allocate resources, set priorities and ensure budgets are met within a large and complex organisation; • May be responsible to the executive for providing effective services and ensuring budget/strategic targets are met; • Supervises staff where required; and • Is expected to develop/implement and deliver strategic business plans which increase the level of care to customers within a budget framework.

Health Professional level 4 Schedule E – Allowances Item Allowance Clause Number 2010 2011 Item Allowance Clause Number 2010 2011 Health Professionals at Pay points “A”

Health Professional. A person who is licensed, certified or otherwise authorized by law to provide health care services to the public. For example, physicians, nurses, and physical therapists. An agency licensed, certified or otherwise authorized by applicable state and federal laws to provide home health care services, such as skilled nursing and other therapeutic services. A policy of services prescribed by a physician or other health care practitioner to be provided in the home setting. These services are usually provided after your discharge from a hospital or if you are homebound. Supportive care given to people in the final phase of a terminal illness with a focus on comfort and quality of life, rather than cure. An agency or organization licensed, certified or otherwise authorized by applicable state and federal laws to provide hospice care. These services may be available in your home or inpatient setting. A program prescribed by a physician or other health professional to provide hospice care and support to a person with a terminal illness and their families. An institution specifically licensed, certified or otherwise authorized by applicable state and federal laws to provide hospice care.

Health Professional. A Physician or other professional who is properly licensed or certified to provide medical care under the laws of the state where the individual practices, and who provides Medical Services which are within the scope of the individual’s license or certificate. • Homebound Member. A Member who is confined to the home due to an illness or injury which makes leaving the home medically contraindicated or which restricts the Member’s ability to leave the Member’s place of residence except with the aid of supportive devices, the use of special transportation, or the assistance of another person. • Home Health Services. Those items and services provided by Participating Providers as an alternative to hospitalization, and approved and coordinated in advance by HMO. • Hospice Care. A program of care that is provided by a Hospital, Skilled Nursing Facility, hospice, or a duly licensed Hospice Care agency, and is approved by HMO, and is focused on a palliative rather than curative treatment for Members who have a medical condition and a prognosis of less than 6 months to live. • Hospital. An institution rendering inpatient and outpatient services, accredited as a Hospital by the Joint Commission on Accreditation of Health Care Organizations, the Bureau of Hospitals of the American Osteopathic Association, or as otherwise determined by HMO as meeting reasonable standards. A Hospital may be a general, acute care, rehabilitation or specialty institution.

Health Professional. Medically qualified doctors, coroners, dentists, pharmacists, nurses. Reports from pharmacists and nurses should be followed up if possible to obtain information from a medically qualified doctor responsible for the patient.

Health Professional. Assistants (HPAs) to assist in obtaining and entering the data needed for the certification process in MOWINS as defined in WOM Policy 2.4.070; and

Health Professional. A Physician or other professional who is properly licensed or certified to provide medical care under the laws of the state where the individual practices, and who provides Medical Services which are within the scope of the individual’s license or certificate. • Homebound Member. A Member who is confined to the home due to an illness or injury which makes leaving the home medically contraindicated or if the act of transport would be a serious risk to their life or health. Examples where a Member would not be considered homebound are:

Health Professional. Level 4 A health professional at this level applies a high level of professional judgment and knowledge when performing a wide range of novel, complex, and critical tasks, specific to their discipline. An employee at this level: • Has a proven record of achievement at a senior level; • Has the capacity to allocate resources, set priorities and ensure budgets are met within a large and complex organisation; • May be responsible to the executive for providing effective services and ensuring