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Hospice Home Care
The primary role of the Clinical Care Utilization Specialist is to ensure timely and accurate creation and completion of the Plan of Care/485 document for claim submission and reimbursement. The Clinical Care Utilization Specialist (CCUS) is responsible for incorporating all components of the Plan of Care required per CMS Conditions of Participation, Patient Driven Grouping Model, and for branches within North Carolina, Review Choice Determination. The member will ensure that documentation meets CMS requirements for medical necessity, homebound, and appropriate visit utilization based on disease processes. The CCUS is additionally responsible for ensuring that the Face to Face Encounter meets CMS requirements for compliance and is incorporated into the Plan of Care. This role is available as a resource on episodic patient care management to branch leadership and field staff.
Our comprehensive benefits include:
Competency, Skills and Abilities:
Education and Experience Requirements:
Physical Demands and Work Environment:
Full Time
$68k-87k (estimate)
03/28/2024
04/06/2024
brightspringhealth.com
Louisville, KY
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