Chart Utilization Review Jobs in Wisconsin (NOW HIRING)

Full-time (can flex FTE to part-time for qualified candidate) salaried physical therapist case manager for the great Marinette patient service market of North Eastern WI. Normal office hours are Monday through Friday 8:00am to 4:30pm. Position requires a shared weekend/holiday coverage with the Greater Green Bay service market physical therapists.

Pay Range

Major Responsibilities:

• Conducts a physical therapy evaluation of each patient and establishes a plan of care and treatment goals. Interprets physician referrals and completes musculoskeletal, neuromuscular, cardiopulmonary, and/or integument evaluations utilizing appropriate methods. Evaluates outcomes within an appropriate time frame.
• Provides on-going assessment of patient response to treatments and teaches and applies interventions as appropriate. Updates and revises plan of care as indicated and provides physician with status report on a regular basis.
• Communicates problems to physicians and management and clearly states plans, actions and goals so changes are reflected as they occur. Completes a plan of care as indicated and provides physician with status report. Maintains and updates clinical and patient records according to state and federal guidelines.
• Manages assigned caseload including scheduling and informing site leadership of coverage needs and ability to provide coverage. Manages patient's medical condition including medications. Acts as a patient advocate to insure optimal outcomes. Manages assigned caseload for optimal functional and financial outcomes; reviews caseload for Low Utilization Payment Adjustments (LUPA), optimal number of visits based on progress, Prospective Payment Plan (PPS), and Outcome Based Quality Initiatives (OBQI) outcomes.
• May manage a caseload of Physical Therapist Assistants (PTA) including evaluating their patients, insuring compliance with established Care Plan, and adhering to all State of Wisconsin regulations regarding PTA supervision.
• Performs Home Health Aide joint visits as appropriate to maximize patient's functional abilities in the home. May assist with evaluating patients, turning patient over to PTA and informing PTA of Plan of Care (POC) per State of Wisconsin regulations. Teaches appropriate treatment procedures and supportive activities to patients and caregivers and develops plan for obtaining adaptive devices as needed.
• Discusses caseload issues and changes in case census with management. Communicates problems to physicians and management, and clearly states plans, actions and goals so changes are reflected as they occur.
• Participates in chart audits and continuous quality improvement activities. Facilitates discharge planning process and utilizes interagency/system and community resources to assure continuity of care after discharge.
• Acts as a resource to employees, which includes training/orienting, mentoring, and providing guidance on more complex issues. Serves as an instructor for students, meeting all expectations of the Clinical Student Program.
• Performs various patient positioning and transporting duties, which require lifting and pushing/pulling, while utilizing proper technique.
• Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.

Licensure, Registration, and/or Certification Required:

• Physical Therapy License in the State of Illinois or State of Wisconsin, must be licensed in the State upon which you work.
• Basic Life Support (BLS) for Healthcare Providers (obtained within 90 days unless department leader has determined is not required) by American Heart Association (AHA)
• A valid drivers license issued by the Division of Motor Vehicles.

Education/Experience Required:

• Doctorate degree in Physical Therapy from an accredited school or educational requirements commensurate with the date of graduation. Maintains continuing education requirements as mandated by applicable state professional standards.
• Requires 1 year of clinical experience or demonstration of strong spectrum of clinical affiliation experience

Knowledge, Skills & Abilities Required:

• Demonstrated knowledge of indications and contraindications of modalities and exercise.
• Demonstrated skill in use of modalities, exercise equipment, and other devices that are available in work area.
• Demonstrated proficiency in clinical skills with the ability to work independently and make sound judgments.
• Good human relations, organization, problem solving, and decision-making skills.
• Basic proficiency in the use of Microsoft Office (Excel, PowerPoint and Word) or similar products.

Physical Requirements and Working Conditions:

• Must be able to obtain transportation to attend to the daily schedule of home visits and other business in a timely manner.
• Must be capable of the manual dexterity required to use and operate a variety of medical equipment and supplies, writing implements and office equipment.
• Must have the physical ability to move about in confined spaces, including bending, twisting, kneeling, squatting and occasionally reaching one or both arm overhead.
• Must be able to work safely with people of various sizes and weight with diverse and complex medical conditions and physical limitations.
• Must be able to:
• Lift up to 50 lbs from floor to waist.
• Lift up to 20 lbs from waist to overhead.
• Lift and carry up to 40 lbs. at waist height reasonable distance.
• Must be able to:
• Push/pull with 30 lbs. of force.
• Perform a sliding transfer of 150 lbs. with a second person present.
• Must be able to sit, stand, walk and climb stairs for limited to prolonged periods of time to complete required paperwork, gain entry to patients' residences, travel from assigned visits and attend a variety of work related activities.
• Must have the physical stamina to attend to patient care requirements over a period of three or more hours without complete rest.
• Operates all equipment necessary to perform the job.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our CommitmenttoYou:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

• Premium pay such as shift, on call, and more based on a teammate's job

• Incentive pay for select positions

• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs

• Health and welfare benefits such as medical, dental, vision, life, andShort- and Long-Term Disability

• Flexible Spending Accounts for eligible health care and dependent care expenses

• Family benefits such as adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and other financial wellness programs

• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.