Utilization Review Technician jobs in Salisbury, NC

Our Company

Gentiva is an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for caregivers and clinicians means better care for everyone, so we offer ongoing professional training, lower nurse-to-patient ratios, and comprehensive benefits for eligible employees. Here, you’ll join gifted colleagues who make a lasting difference in people’s lives every day.

Overview

The Utilization Manager plans, coordinates, implements, and finalizes projects according to the specifications, deadlines, and budget.  The role manages the daily, weekly, and monthly metrics, processes, and reporting for medical supplies, durable medical equipment, and pharmacy utilization.  This role also works closely with branch personnel to identify and deploy best practice utilization processes.  This role will work with PPO vendors to ensure service levels are at or above expectations and when less deploy corrective action plans for improvement in conjunction with the vendor. The individual must be able to travel 50% of the time.

About You

• Experienced in hospice branch leadership and management
• Knowledge of hospice rules, regulations, and Conditions of Participation
• Proven analytic skills, including mining, evaluation, analysis, and visualization
• Demonstrated experience in leading and managing complex projects that are strategic in nature and national in scope
• Bachelors Degree
• 3 years experience mining data as a data analyst or related experience
• PMP preferred
• RN Preferred

• At least 2 years of experience planning, leading, and directing complex initiatives

• Healthcare/Clinical Experience preferred

• At least 5 years of experience planning, leading, and directing complex initiatives

• Healthcare/Clinical Experience preferred

We Offer

• Comprehensive Benefits Package: Health Insurance, 401k Plan, Tuition Reimbursement, PTO
• Opportunity to Participate In a Fleet Program
• Competitive Salaries
• Mileage Reimbursement
• Professional Growth and Development Opportunities

Legalese

• This is a safety-sensitive position
• Employee must meet minimum requirements to be eligible for benefits
• Where applicable, employee must meet state specific requirements
• We are proud to be an EEO employer
• We maintain a drug-free workplace