Utilization Review Manager - Home Care jobs in Kansas

Description

The Director of Case Management & Utilization Review will be responsible for compliance with CMS Conditions of Participation regarding Utilization Review and Discharge Planning including implementation and annual review of the Utilization Management Plan and assisting with the coordination of the UR Committee. The Case Manager is also responsible for coordinating discharge planning and patient needs for care, treatment, and services during hospitalization and after discharge. The case manager is responsible for ensuring proper utilization of services, including appropriate status, placement, and efficient delivery of services as ordered by the attending provider. The Director of Case Management & Utilization Review will work closely with other healthcare professionals to ensure that patients receive the appropriate care during and after hospitalization.

Requirements

  · Bachelor’s degree in Nursing preferred,

· Valid Kansas Registered Nurse or Social Work license, 

· At least 3 years of nursing or case management/UR experience preferred,

· Excellent communication and interpersonal skills,

· Able to work independently and collaboratively as part of a team, and

· Proficient in the use of computer software programs.