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Utilization Review Specialist - FT -Exempt - West Region (CA,AZ,NV,UT)

Utilization Review Specialist - FT -Exempt - West Region (CA,AZ,NV,UT)

Job Description

Bringing Compassionate Care Home

At Kindred at Home, we offer a variety of services to patients and clients in their homes or places of residence. Our services range from non-medical care and home health, for patients needing skilled nursing and rehabilitation, to hospice and palliative care, for patients seeking pain management and psychosocial support through chronic and terminal illnesses.

Kindred at Home is a growing provider of hospice, palliative care, durable medical equipment, non-medical home care and home health services with more than 100 locations in 10 states.

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IT'S SIMPLE. You want to work in a healthcare setting where you are valued and appreciated - where you receive respect from your superiors and co-workers as well as the patients you treat.

You want to be challenged by your job without being overwhelmed by it.  You want to play an instrumental role in helping a patient recover, sometimes against strong odds, and go home. What you want is Kindred Healthcare.

Our mission is to promote healing, provide hope, preserve dignity and produce value for each patient, resident, family member, customer, employee and shareholder we serve. Join us!

Summary:  The Utilization Review Specialist conducts utilization review (UR) and coding activities for area of responsibility, in accordance with company policies and procedures.  The Utilization Review Specialist establishes and implements utilization review and coding practices and is accountable to ensure accurate coding on the OASIS document and ICD-9 (10).  The Utilization Review Specialist assists branches in ensuring excellent clinical outcomes, and accurate HHRG coding.   

Job Requirements

Education:  Registered Nurse, Bachelor's Degree preferred

Licenses/Certification:  Current OASIS C Certification and ICD-9 (10) coding certification preferred; required within 6 months of hire.  Current state license as a Registered Nurse. Current CPR certification preferred.  Current driver’s license.  Must have reliable transportation and insurance.

Experience:  Five years of professional experience in Home Care or Hospice, excellent understanding of OASIS and Medical Coding practice.  Strong knowledge of home health and  hospice regulations.
  • Thorough knowledge of Home Care and/or Hospice practice required. 
  • Strong knowledge of clinical guidelines/protocols. 
  • Excellent written and verbal communications skills and the ability to present to groups of all sizes are required.
  • Must be able to multi-task and work well under pressure.
  • Must be proactive, responsive and resourceful.
  • Highly flexible and motivated with an ability to work independently as well as in a team setting.
  • Must consistently demonstrate the highest level of professionalism and discretion.
  • Ability to work a flexible schedule and extended hours on occasion.
  • Requires working under some stress conditions to meet deadlines and agency needs.
  • Must read, write and speak fluent English. 
If you are a current Kindred/RehabCare employee Click Here.

Job Snapshot

Employment Type Full-Time
Job Type Health Care
Education Not Specified
Experience Not Specified
Manages Others Not Specified
Industry Healthcare - Health Services
Required Travel None
Job ID 168752
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Utilization Review Specialist - FT -Exempt - West Region (CA,AZ,NV,UT)

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