Offer summary
Qualifications:
Active Registered Nurse (RN) or LPN license, 2+ years clinical experience in home health, Familiarity with Medicare/Medicaid guidelines, Preferred certifications in case management.Key responsabilities:
- Review and approve home health care services for medical necessity.
- Conduct concurrent reviews of ongoing services and evaluate care plans.
- Advocate for patient care and coordinate with health care teams.
- Manage service denials and compile documentation for appeals.