It's Just Better Here. Residential Home Health is hiring for a Utilization Workflow Manager to join and support our Home Health Teams. This position will be responsible for analyzing patient data, and consistency of OASIS documentation, orders, and visit assessments.

Residential Home Health and Hospice is a nationally recognized leader in home health and hospice for over 20 years and have been named a Top Workplace 10 years in a row. We have immediate openings, call 888-444-0454

Utilization Workflow Manager Responsibilities:

• Assures compliance with timeliness, accuracy, and content of clinical documentation in accordance with applicable regulations and industry standards.
• Reviews clinician OASIS documentation and plan of care review for the assigned team(s).
• Approves plan of care to send to signing provider after verifying complete and relevant content, accuracy, orders, treatments, and discipline-specific goals and visit frequency that aligns with the referring provider documentation and in-home visit note.
• Provides recommendations related 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 visits.
• Evaluates and verifies appropriate visit frequency meets the needs of the patient 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.
• Runs SHP analyzer tools and addresses alerts for clinical documentation improvements.
• Notifies the clinician about plan of care set up when the chart results in a LUPA (low utilization payment adjustment) which may put the patient at risk for hospitalization.
• Participates in case conferences to support a team-centered approach for service utilization and outcomes.
• Collaborates with coding partners to complete timely OASIS workflow.
• Obtains additional provider or facility patient records that may contribute to the accuracy of the plan of care or OASIS question.

Utilization Workflow Manager Qualifications:

• Minimum of two years’ experience in home health with experience in quality, supervisor, or staff development roles.
• Licensed RN in good standing from an accredited program required
• HCHB experience preferred
• ICD Coding/OASIS certification preferred
• Able to work in a fast paced environment

Join Residential Home Health and enjoy the following benefits:

• Competitive Pay: With opportunity for advancement
• Health and Welfare Benefits: Various medical, dental, and vision insurance options for you and your family to choose from.
• Supplemental Benefits: Company paid life insurance and disability benefits. Also, pre-tax FSA and HSA plans are offered.
• Generous PTO Packages: 15 days PTO that grows with your tenure, 6 paid holidays, 1 personal day.
• Retirement: Save for your future with our company offered 401k plan with matching contributions.
• Company-Paid Education Programs: Grow your career by taking advantage of 50% discounts on tuition for selected courses offered by Purdue and Kaplan.
• Daily Pay: Access your pay when you need it!

NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.

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By submitting your application, you are confirming that you are legally authorized to work in the United States.

JR# JR228195