Utilization Review Manager - Home Care jobs in Indiana
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)
Recently Added Utilization Review Manager - Home Care jobs
- Adams Health Network
-
Decatur, IN
PART_TIME
-
The Case Manager/Utilization Review Nurse (UR) is responsible for monitoring and justifying the acute level of care according to criteria established by State and Federal regulatory agencies, insurance companies, and other third-party payers. Through ongoing open chart review, the Case Manager/Utilization Review Nurse helps facilitate the documentation process with physicians and hospital staff in substantiating the patient’s assigned level of care and coordinating discharge planning based on the individual needs of the patient. The Case Manager/Utilization Review Nurse acts as a liaison and facilitator for the patient, his/her family, physicians, hospital administration, and staff personnel regarding problem-solving in discharge planning and management of complex medical and psychosocial issues. The Case Manager/Utilization Review Nurse supports the philosophy, purpose, and objectives of the hospital and nursing department as well as promotes stewardship of resources by fostering awareness of reimbursement concerns to the patient, his/her family, physicians, and hospital personnel as mentioned above.
Requirements:
20 hours per week - First Shift
Monday - Friday
Valid RN License in the State of Indiana
BLS/CPR certification
Assoc. degree or bachelor's degree in social, nursing or health related field.
3-5 years hospital experience preferred.
Basic knowledge of computers and keyboarding.
Workable knowledge of medical terminology, including Medicare guidelines for admissions and discharges.
- 3 Days Ago
- Neuropsychiatric Hospitals
-
Mishawaka, IN
OTHER
- About Us HEALING THE BODY AND MIND Founded fifteen (15) years ago, NeuroPsychiatric Hospital is the largest hospital system in the nation providing care to patients with both neurological and medical ...
- 9 Days Ago
- Hickory Recovery
-
Indianapolis, IN
FULL_TIME
- Utilization Review Coordinator - Hickory Recovery Network Direct Report To: Utilization Management Director. Supervisor To: The Utilization Review Coordinator is supervisor to assigned Utilization Rev...
- Just Posted
- Neuropsychiatric Hospitals
-
Bremen, IN
OTHER
- About Us HEALING THE BODY AND MIND Founded fifteen (15) years ago, NeuroPsychiatric Hospital is the largest hospital system in the nation providing care to patients with both neurological and medical ...
- Just Posted
- Professional Management Enterprises
-
Indianapolis, IN
FULL_TIME
- Seeking a Registered Nurse with current in-state license, with Utilization review or quality management experience. This position is fully remote. Work schedule is Mon-Fri, 8:00am-5:00pm. Must have at...
- 24 Days Ago
- Touch of Love Home Care
-
Anderson, IN
PART_TIME,FULL_TIME
- Running a Home Care agency from top to bottom.Must be able to do start of care, assessment, client admission and supervisor visit. Knowledge of NOA's and the everyday Running of a agency.Job Types: Fu...
- 18 Days Ago
Utilization Review Manager - Home Care jobs at Popular Companies
- Land O'Lakes, Inc.
-
Spencer, WI
- PSM & Utility Manager The PSM & Utilities Manager is responsible for managing plant utilities and ammonia refrigeration ...
- 6/11/2024 12:00:00 AM
- Accenture
-
Austin, TX
- We Are: Our Utility Industry, Transmission & Distribution Practice is powering the progress to a safe, connected, and su...
- 6/10/2024 12:00:00 AM
- Heritage Valley Health System, Inc.
-
Beaver, PA
- Department: Utilization Review. Work Hours: Primarily Monday through Friday, extended hours as needed to support organiz...
- 6/9/2024 12:00:00 AM
- Centene Corporation
-
Tallahassee, FL
- You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Managem...
- 6/9/2024 12:00:00 AM
- Blue Cross and Blue Shield Association
-
Meridian, ID
- Our Utilization Management Rep will coordinate and manage incoming and outgoing correspondence to include referrals, pri...
- 6/9/2024 12:00:00 AM
- Oceans Healthcare
-
Jackson, MS
- Description The Director Utilization Management is responsible for oversight and management of all utilization review/ca...
- 6/8/2024 12:00:00 AM
- Hiring Now!
-
New York, NY
- Creates and upholds policies and procedures for coverage determinations. Serves as subject matter expert for Medicare co...
- 6/8/2024 12:00:00 AM
- Heritage Valley Health System
-
Beaver, PA
- Department: Utilization Review Work Hours: Primarily Monday through Friday, extended hours as needed to support organiza...
- 6/7/2024 12:00:00 AM