Utilization Nurse
2 weeks ago
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.
- 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.
- 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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