UPMC Utilization Management Supervisor (Hybrid)

Responsible for the development and ongoing daily activities of the UM staff within the organization. Provides oversight of OASIS documentation accuracy to ensure positive clinical and reimbursement outcomes

Monday-Friday 8:00 am-4:30 pm. This position is mostly remote. Candidate will need to live near UPMC facility for training and meeting new hires on site.

Responsibilities:

+ Directs and provides education to all UM Professionals regarding the assessment of patients and the establishment of a plan of treatment at the start of care and reimbursement issues including complex reimbursement system and individual payor home care eligibility requirements. Serves as the OASIS resource/educator and oversees OASIS compliance and competencies. Educates, reviews and supervises ICD-10 code assignments, completion of 485?s/POC, OASIS assessment completion and corrections, and complies with end of month deadlines....