Utilization Review Manager - Home Care jobs in Chillicothe, OH

The RN Case Manager - Home Health is responsible for the planning, coordination and delivery of quality home health care and services, ensuring compliance in accordance with company standards and federal, state, and local standards, guidelines, and regulations. RESPONSIBILITIES Care Management and Service Delivery • Provides ongoing assessment and nursing care to patient in homes and health care facilities. Ensures an accurate evaluation of patient needs, develops and implements a comprehensive care plan that addresses current needs. For home health, identifies when patients need or qualify for additional services and notifies appropriate team member or team leader. • Follows current nursing professional standards of practice and agency approved protocols for home health. • Provides quality plan and symptom management for the comfort of patients. • Communicates with other health care providers about changes in condition and patient needs. • Assesses patient and caregiver needs and provides education when necessary. • Commitment to high quality customer service for internal and external customers. • Oversees the implementation of the patient’s plan of care. Evaluates the effectiveness of the plan on an ongoing basis. Quality and Compliance Management • Audits and maintains current and accurate patient records through use of laptop computers and paper/chart documentation in accordance with policies, federal, state, and local guidelines. • Participates in quality improvement projects as needed. • Maintains knowledge of requirements of regulatory agencies, accrediting bodies, and third party payers. All other duties as assigned.

QUALIFICATIONS Education • Current unencumbered license for the state of Ohio to practice as a Registered Nurse (RN) required. Experience • One year experience preferred.

• Experience in a Medicare-certified home health agency preferred. •

• Proficiency with electronic medical records (EMR) preferred.

Job Types: Full-time, Part-time

Benefits:

• Mileage reimbursement

Schedule:

• Day shift

Ability to Relocate:

• Waverly, OH: Relocate before starting work (Required)

Work Location: Multiple locations