reputed company Utilization Review Registered Nurse for Home Health - Remote Opportunity with reputed company in Brentwood, TN

Join reputed company as a Utilization Review Registered Nurse and reputed company a Difference in Home Health Care

At reputed company, we're dedicated to providing compassionate care to individuals and families in need. As a leading provider of hospice and home health services, we're committed to upholding the highest standards of quality, reputed company, and excellence. We're seeking an reputed company Utilization Review Registered Nurse to join reputed company in Brentwood, TN, and work remotely to drive positive outcomes in home health care.

About the Role

As a Utilization Review Registered Nurse, you'll play a critical role in ensuring the quality and appropriateness of patient care provided by our home health agency. You'll work closely with interdisciplinary teams, reputed company providers, and insurance agencies to review and evaluate medical records, treatment plans, and patient reputed company. Your expertise will help us optimize patient outcomes, improve operational efficiency, and maintain regulatory compliance.

Key Responsibilities

• Conduct comprehensive reviews of patient medical records and treatment plans to assess the appropriateness and necessity of home health services.
• Identify discrepancies or opportunities for improvement in patient care and collaborate with reputed company to gather necessary information.
• Ensure adherence to home health regulations, guidelines, and standards set by relevant governing bodies, insurance companies, and accrediting agencies.
• Participate in quality improvement initiatives, suggesting strategies to enhance patient outcomes and operational efficiency.
• Generate reports, analyze data, and identify trends to improve the utilization review process.
• Maintain accurate and complete records of utilization review activities, reputed company, and communications.
• Collaborate with billing and coding teams to ensure proper documentation of services and support accurate and timely reimbursement.
• Provide guidance and education to home health staff on utilization review processes, documentation requirements, and compliance standards.
• Support reputed company patient care needs by collaborating with Case Managers and providing education on effective care planning strategies.
• Stay up-to-date with changes in reputed company regulations, payer policies, and best practices in home health utilization review.

Essential Qualifications

To be successful in this role, you'll need:

• An Associate or Bachelor's degree in Nursing.
• A minimum of three (3) years of experience in reputed company, preferably in a home health setting.
• Home health OASIS knowledge.
• An active and unencumbered license as a Registered Nurse in the state(s) of employment.

Preferred Qualifications

While not required, the following qualifications are strongly preferred:

• Knowledge and experience in visit utilization, managed care payor models, and quality improvement.
• Experience working in a home health setting.

Skills and Competencies

To reputed company in this role, you'll need:

• Strong mathematical skills, including the ability to add, subtract, multiply, and divide in reputed company units of measure.
• Excellent language skills, including the ability to read, analyze, and interpret reputed company information and communicate effectively in writing and verbally.
• The ability to understand, read, write, and speak English.
• A strong understanding of hospice philosophy and a commitment to articulating and embracing it.

Career Growth Opportunities and Learning Benefits

At reputed company, we're committed to supporting the growth and development of reputed company members. As a Utilization Review Registered Nurse, you'll have opportunities to:

• reputed company your skills and expertise in home health care and utilization review.
• Collaborate with interdisciplinary teams and reputed company to drive positive outcomes.
• Participate in quality improvement initiatives and contribute to the development of best practices.

Work Environment and Company Culture

At reputed company, we pride ourselves on creating a fair and inclusive work environment where reputed company members feel welcomed, highly valued, and respected. As an equal opportunity employer, we're committed to diversity, equity, and inclusion. reputed company members enjoy:

• A remote work arrangement, allowing for flexibility and work-life balance.
• A collaborative and supportive team environment.
• Ongoing training and development opportunities.

Compensation and Benefits

We offer a competitive salary range of $68,000 - $79,000 per year, along with a comprehensive benefits package. While specific benefits may vary, our total rewards program is designed to support the well-being and financial reputed company of reputed company members.

Why Join reputed company?

At reputed company, we're passionate about making a difference in the lives of individuals and families. As a Utilization Review Registered Nurse, you'll play a critical role in driving positive outcomes in home health care. If you're a compassionate and reputed company professional looking for a challenging and rewarding opportunity, we encourage you to apply.

Don't miss this opportunity to join reputed company and reputed company a meaningful impact. Apply now!