Utilization Workflow Manager

Summary:

• Responsible for analyzing patient data, OASIS documentation, and visit assessments for compliance.
• Focuses on coding accuracy, regulatory requirements, and high-quality clinical care outcomes.

Essential Duties:

• Assures compliance with timeliness and accuracy of clinical documentation in accordance with regulations.
• Reviews and approves plan of care, provides recommendations for inconsistencies, and monitors OASIS locks.
• Evaluates visit frequency, recommends appropriate service utilization, and uses analyzer tools for improvements.

Qualifications:

• Minimum two years of home health experience in quality, supervisor, or staff development roles.
• Licensed RN or PT in good standing; HCHB experience and ICD Coding/OASIS certification preferred.
• Self-directed, detail-oriented, with strong communication and leadership abilities.

Benefits:

• Competitive pay with opportunity for advancement.
• Health and welfare benefits including medical, dental, and vision insurance.
• Retirement options with 401k and pension, plus generous PTO and tuition discounts.