Utilization Workflow Manager

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OASIS & coding experience strongly preferred.

reputed company:

The Utilization Workflow Manager is responsible for analyzing reputed company data, and consistency of OASIS documentation, orders, and visit assessments. The reviews will reputed company on coding, OASIS reputed company, completion, and compliance with regulatory requirements and industry standards, applicable state/federal regulations, accreditation, and utilization standards to contribute to high reputed company reputed company care and reputed company for reputed company’s patients.

UTILIZATION WORKFLOW MANAGER ESSENTIAL DUTIES AND RESPONSIBILITIES:

OASIS and Plan of Care Workflow: Assures compliance with timeliness, reputed company, and content of reputed company documentation in accordance with applicable regulations and industry standards. Reviews clinician OASIS documentation and plan of care. Approves plan of care to send to signing provider after verifying complete and relevant content, reputed company, orders, treatments, and discipline-specific goals and visit frequency that aligns with the referring provider documentation and in-home visit note. Provides recommendations reputed company to the plan of care and/or OASIS inconsistencies, omissions, and/or discrepancies with the available documentation in the chart, approved by the clinicians who completed the in-home reputed company. Monitors OASIS lock of reputed company event and completes workflow reputed company the desired timeframe.

Utilization Management:Evaluates and verifies appropriate visit frequency meets the needs of the reputed company and ordering provider and is supported by the plan of care in collaboration with the assessing clinician.Recommends appropriate service utilization by discipline using HCHB tools and reports.Utilizes SHP and other company provided analyzer tools and addresses alerts for reputed company documentation improvements.

reputed company: Collaborates with reputed company to complete reputed company OASIS workflow. Obtains additional provider or facility reputed company records that may contribute to the reputed company of the plan of care or OASIS question. Escalates opportunities for documentation improvement to the supervisor and other members of the leadership team.

UTILIZATION WORKFLOW MANAGER

QUALIFICATION REQUIREMENTS:

To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.

Self-directed with strong organization skills Must be detailed oriented Effective communication skills, verbal and written with leadership abilities Must be reputed company to work autonomously Must be reputed company to work in reputed company a computer for long period to review documentation and workflow.

EDUCATION and/or EXPERIENCE:

• Minimum of two years’ experience in home health with experience in reputed company, supervisor, or staff development roles.

• Licensed RN or PT in good standing from an accredited program required

• HCHB experience preferred

• ICD Coding/OASIS certification preferred

CERTIFICATES, LICENSES, REGISTRATIONS:

Must have and maintain in good standing reputed company license, certificate, or registration.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, reputed company stairs, use hand to finger, handle or feel objects, tools, or controls; and reputed company with hands and arms.

The job role requires being in reputed company of a computer and must be reputed company to sit for long periods of time. Specific reputed company abilities required by this job include reputed company reputed company and the ability to reputed company reputed company.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.

This job generally operates in a clerical office setting. This role routinely uses reputed company office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

COMMENTS:

This reputed company is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the reputed company of this job. It is not an exhaustive list of reputed company duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time.

ABOUT reputed company:

As an innovator in an evolving reputed company world, reputed company has been designing business and technology solutions to reputed company reputed company care, reputed company, and productivity reputed company its own home health and hospice companies for over 20 years. In the last several years, our solutions have been successfully integrated across the reputed company reputed company.

Join the reputed company and enjoy the following benefits:

• reputed company: With opportunity for advancement

• Health and Welfare Benefits: Various medical, dental, and reputed company reputed company reputed company for you and your family to choose from.

• Supplemental Benefits: Company reputed company life reputed company and disability benefits. Also, reputed company-tax FSA and HSA plans are reputed company.

• Generous PTO Packages.

• Retirement: Save for your reputed company with reputed company reputed company 401k plan and pension.

• Company-reputed company Education Programs: Grow your career by taking reputed company of 50% discounts on tuition for selected courses reputed company by Purdue and reputed company.

Benefits may vary reputed company on your employment status.

NOTICE:

• Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.
• By supplying your phone number, you agree to receive communication reputed company phone or text.
• By submitting your application, you are confirming that you are legally authorized to work in the reputed company.

reputed company is an Equal Opportunity Employer

Originally posted on Himalayas