Medical Necessity Writer

Since 2012, Giving Home Health Care has been supporting individuals impacted by health conditions related to their work in nuclear facilities for the Department of Energy. With a focus on personalized, in-home care, we are committed to assisting those who have dedicated their careers to these vital roles. As a fast-growing, leading provider, we proudly serve patients across Arizona, Colorado, Kentucky, Missouri, Nevada, New Mexico, Tennessee, Texas, and Utah.

If you’re a compassionate individual who puts patients first and thrives in a mission-driven, collaborative environment, we want you to join our team! Apply today and help us continue delivering exceptional care to those who need it most.

We have an immediate need for a full-time Medical Necessity Writer Specialist to join our Care Team.

The Medical Necessity Writer plays a pivotal role in ensuring that our patients receive the appropriate level of care and support. This position is responsible for researching and analyzing clinical data within the patient's medical records to support patient's initial level of home health care services, as well as writing for continuation of the same level of care or increased level of care, if medically necessary or appropriate, during the renewal cycle. This is a crucial role in obtaining approval without lapse of services for the prescribed level of care for our patients.

You'll be working with medical documentation preparation to include gathering patient records and evaluating those records for program qualifications. There is patient interaction to document history and status to establish direction for case management. Data management and system population are part of the job. This is a keep the projects moving position.

• Excellent communication skills, both written and verbal
• Excellent reading, writing, and computer skills.
• Analytical
• Detail oriented and focused
• Experience with MS Office products and medical software
• Demonstrated success working independently and cohesively within a team setting
• Experience working in the medical field (Preferred)

• Company holidays, floating holiday, and birthday holiday
• Vacation (PTO) and Sick Days
• Competitive benefit plans
• Company paid STD and LTD
• Tuition reimbursement program
• Monthly cell phone reimbursement
• 401(k) with matching
• Being a part of a growing company!
• Working with incredible patients and their families!

• 1.  Research and Analysis:
•      a. Utilize your clinical expertise to thoroughly research and analyze the
•        patient’s medical records, associated treatment plans for their
•        covered conditions, and assessments.
•      b. Research outside  journal articles relating to the patient’s known
•          covered diagnoses and exposures.
• 2.  Letter Writing:
•     a.  Write clear, concise, and persuasive letters of medical necessity for all
•           assigned patients’ home health care services and DME requests.
•     b.  Ensure to capture all relevant covered conditions.
•     c.  Collaborate with healthcare providers and other team members to
•           gather relevant information/coordinate necessary testing and ensure
•           accuracy in your communications.
• 3.  Renewals and Increases:
•     a.   Monitor patients’ progress and treatment plans to assess the need for
•            renewals and/or increases in home health care services
•     b.   Think outside the box to connect why the continuation or increase in
•            care is medically necessary
•     c.  Prepare and submit timely requests for renewals or increases,
•            supported by updated letters of medical necessity and relevant 
•            documentation
• 4.  Documentation and Record-Keeping:
•     a.  Maintain meticulous records of your research findings,
•          correspondence, and documentation related to patients’ home health
•          care services.
• 
  

To provide the exceptional care our patients deserve, we rely on a team of passionate, dedicated professionals. We’re committed to creating a supportive, collaborative culture, offering competitive benefits and compensation, and giving our team members the tools and opportunities to grow and advance their careers.

If you’re ready to be part of an organization that truly makes a difference in people’s lives, we encourage you to apply today and start a fulfilling journey with Giving Home!

Giving Home is dedicated to fostering an inclusive and equitable work environment. We adhere to all applicable federal, state, and local pay transparency laws to ensure fair compensation practices.

Giving Home is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic under applicable law. Our employment practices are designed to provide equal opportunity at all stages of employment, including hiring, promotion, training, compensation, and termination.

In compliance with applicable pay transparency laws, we are committed to providing clear and accurate information regarding the compensation and benefits associated with our positions. All disclosed salary ranges and benefits are based on a variety of factors, including but not limited to, market data, internal equity, and individual qualifications. These ranges represent the minimum and maximum pay levels for the positions and actual compensation may vary based on experience, skills, and performance.

Giving Home is committed to maintaining transparent compensation practices and regularly reviews our policies to ensure compliance with evolving laws and best practices. We value the contributions of our employees and strive to provide a work environment where everyone feels respected, valued, and fairly compensated.