Utilization Nurse

2 weeks ago


Alexandria, United States Knute Nelson Full time
Schedule: Full-time | 80 hours per pay period | Monday-Friday | 8 am – 4:30 pm

Scope:

  • Will have an impact on accurate plan of care, HIS, and OASIS completion for Home Health and Hospice.
  • Responsible for ensuring up to date and accurate ICD-10 diagnostic coding for all patients.
  • Knowledgeable in Home Health and Hospice Quality reporting programs and reimbursement structure.
  • Knowledgeable in Home Health & Hospice state and federal regulations.
Key Responsibilities:
  • Responsible for completing and updating ICD-10 diagnosis list for all patients.
  • Responsible for reviewing OASIS & HIS records and providing recommended changes to clinicians.
  • Responsible for reviewing plan of care for accuracy and completeness and providing recommended changes to clinicians.
  • Will work with Quality & Education Manager on increasing or maintaining agency quality scores, as well as providing and developing staff education.
  • The duties and responsibilities listed above are representative of the nature and level of work assigned and are not necessarily all inclusive.
Education and Experience Required:
  • Must be licensed as a Registered Nurse in the states of Minnesota and North Dakota.
  • Bachelor’s degree is preferred.
  • Minimum 1 year of clinical experience in Home Health or Hospice.
  • Must obtain certification in OASIS and ICD-10 Diagnostic coding within 1 year of hire.
  • Must complete and pass a state required background study.
  • Able to physically perform the duties required by the position.
  • Required to have the ability to read, write and speak English well enough to communicate with staff, clients and visitors.


Reports To: Utilization Manager

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