Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)
Description:
Could you be our next Clinical Reimbursement Manager-Utilization Review at HomeCare & Hospice?
Why work as a Clinical Reimbursement Manager with Main Line Health?
Position: Clinical Reimbursement Manager-UR
Shift: Every other weekend day shift
Experience:
1. Three to five year’s clinical experience with at least two years home care experience required.
2. Basic computer skills required, knowledge of home health information system a plus
3. Knowledge of Medicare regulations pertaining to Home Health, expertise in Home
4. Health Coding preferred.
Education:
1. Graduate of an accredited School of Nursing required.
2. Associate’s degree required.
3. Bachelor’s degree preferred.
Licensures/Certifications:
1. Current licensure in the Commonwealth of Pennsylvania as a Registered Nurse required.
2. Valid driver’s license and insured automobile required.
3. Home Care Coding Specialist Certification as described above required.