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Utilization Workflow Manager, RN - $10,000 Sign on Bonus Available!

Company: Residential Healthcare Group
Location: Downers Grove
Posted on: January 10, 2022

Job Description:

Job Title
Utilization Workflow Manager, RN - $10,000 Sign on Bonus Available!
Downers Grove, IL, USA
Additional Location(s)

Employee Type
Working Hours Per Week
Job Description
$10,000 Sign on Bonus Available for Full Time!

Residential Home Health is looking for a Utilization Workflow Manager to support our Home Health Teams. -This position will be responsible for analyzing patient data, and consistency of OASIS documentation, orders, and visit assessments.

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

About Residential Home Health:
In partnership with Edward-Elmhurst and DuPage Medical Group we are a nationally recognized leader in home health for over 20 years, accredited, and have been named a Top Workplace 10 years in a row.
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.

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 via phone or text.

Residential Home Health and Residential Hospice is an Equal Opportunity Employer

Keywords: Residential Healthcare Group, Downers Grove , Utilization Workflow Manager, RN - $10,000 Sign on Bonus Available!, Executive , Downers Grove, Illinois

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