Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)
JOB DESCRIPTION
Under the direction of the Director of Care Coordination and Patient Trasnitions, the Lead Care Coordinator- Utilization Review is responsible for completing all performance indicators listed under the Utilization Review Nurse job description. In addition, the Lead Care Coordinator has additional leadership, administrative duties. The Lead Care Coordinator steps in to lead the department with the leads in Medsurge and ED/IPP when the Director is out.
EDUCATION
Must meet one of the following requirements: Current RN license to practice professional nursing in the State of Vermont.
EXPERIENCE
Minimum of two or more years of progressive clinical experience. Some management/supervisory experience preferred.