Job description
JOB SUMMARY: Responsible for managing all aspects of the patient intake process including managing the members of the intake team, establishing and maintaining positive relationships with customers and referral sources, responding to customer requests and concerns and managing the insurance verification and authorization process.
RESPONSIBILITIES:
1. Directs all daily patient referral and intake operations including providing direct oversight of the establishment and implementation of intake policies.
2. Ensures compliance with all State, Federal and CHAP referral/intake regulatory requirements.
3. Directs the implementation of improved work methods and procedures to ensure patients are admitted in accordance with policy.
4. Establishes and maintains positive working relationships with current and potential referral sources.
5. Ensures seamless transition of patients to home care by providing direct oversight of patient education and preparation of home care, plan of care initiation and coordination of care with multiple service providers.
6. Ensures maximum third-party reimbursement through direct oversight of insurance verification and authorization process.
7. Negotiates service pricing with insurance Case Managers and other payers within established financial and credit parameters.
8. Assists the Administrator in the preparation of the annual budget for the intake department and monitors allocation of resources according to budgetary limitations.
9. Recruits, selects, orients and directly manages members of the referral/intake team. 10. Builds and monitors community and customer perceptions of Personal Touch Home Aides of NY, Inc. as a high-quality provider of services.
11. Gathers, collates and reports referral statistics including key customer referral trends.
12. Provides leadership in strategic planning including identifying opportunities for additional or improved services to meet customer needs.
13. Maintains comprehensive working knowledge of contractual relationships and ensures that patients are admitted according to contract provisions. 14. Maintains comprehensive working knowledge of community resources and assists referral sources in accessing community resources should services not be provided by the Agency.
QUALIFICATIONS:
- Bachelor’s degree in Nursing, Master’s degree in health care or related field.
- Registered Nurse with current licensure to practice professional nursing in the State.
- At least three to five years’ experience in health care management, preferably in-home care operations.
- Experience in Business Development and Intake preferred
- Demonstrated ability to supervise and direct professional and administrative personnel.
- Ability to market aggressively and deal tactfully with customers and the community.
- Knowledge of business management, governmental regulations, CHAP standards and private payer practices.
- Demonstrates good communication, negotiation, and public relations skills.
- Demonstrates autonomy, organization, assertiveness, flexibility, and cooperation in performing job responsibilities.
FUNCTIONAL ABILITIES
- Must be able to read 12 point or larger type.
- Must be able lift, stoop and bend effectively to be able to perform the above listed responsibilities.
- Must be able to hear adequately with no more than an amplifier on the phone and to speak in a manner understood by most persons.
Job Type: Full-time
Pay: $90,000.00 - $120,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Employee discount
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- 8 hour shift
Ability to commute/relocate:
- Brooklyn, NY 11229: Reliably commute or planning to relocate before starting work (Required)
License/Certification:
- Driver's License (Preferred)
- RN License (Required)
Work Location: One location
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