Member Records Administrator jobs in Rock Hill, SC

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ComForCare is currently seeking an Administrator/Manager of Care Services. The Administrator /Manager of Care services will work with the Governing Body (owners) to plan, develop and direct the programs, services, and employees of the Agency. This position will also have oversight over the services being provided and be responsible for supervising Agency caregivers. Additional responsibilities include ensuring compliance with North Carolina and South Carolina Home Care regulations. This oversight will include care management as required by regulation or contract and personnel management associated with the delivery of services. Flexible on hours and work schedule including hybrid remote work as per clients and agency needs.

POSITION SUMMARY:

Plans, develops, and directs the programs, services, activities, and employees of the Agency. Responsible for the direction of all home care services. Manages, supervises, coordinates, evaluates, and develops client care teams to ensure quality care delivery and appropriate case management within the Agency scope of services and policies; state, federal, and local laws; and Nurse Practice Act. Hours to be worked for this position may vary. Critical to this role is the assurance of skills and competency of caregivers.

REPORTS TO: Governing Body

Minimum Requirements:

• Graduate of an accredited school of professional nursing; BSN preferred
• Current license as a Registered Nurse in the state(s) of practice
• Minimum of two (2) years nursing experience in an acute hospital setting or equivalent experience with one year of supervisory experience
• Knowledge of the regulatory requirements at the state, federal, and local level
• Knowledge of business management
• Demonstrated ability to supervise and direct clinical and administrative personnel
• Complies with accepted professional standards and practice
• Excellent verbal and written communication skills and strong interpersonal skills
• Knowledge of reimbursement sources and documentation requirements within home care
• Must be a licensed driver with automobile insured in accordance with Agency and state requirements
• Has current CPR certification

Essential Duties and Responsibilities:

• Is responsible for all day-to-day operations of the Agency.
• Identifies and implements the organizational structure.
• Assist the Governing Body in the development of strategic long-range plans.
• Assists the Governing Body with the development of an annual operating budget with input from all divisions and departments and ensures an effective budgeting and accounting system.
• Assists the Governing Body with preparing accurate, complete financial reports in accordance with Agency policies and manages financial resources according to budget and revenue projections.
• Directs and coordinates the overall development and administration of the Agency consistent with the Agency mission and available resources, and with the involvement of the Agency staff.
• Maintains ongoing liaison between the Governing Body and the Agency staff.
• Develops organizational policy and procedures and assures compliance. Reviews policies and updates as necessary. Communicates changes to all staff.
• Is available at all times during regular business hours and as needed to provide support and assure quality care delivery to home care clients.
• Assigns a qualified, pre-designated person, to assume the same responsibilities and obligations as the Administrator in their absence during all operating hours.
• Coordinates 24-hour Agency coverage by Supervising Nurses. Evaluates quality of on-call services.
• Ensures that the Agency employs qualified personnel, including assuring the development of personnel qualifications and policies.
• Participates in the hiring and professional development process for staff including, screening, orientation, professional development and performance evaluations.
• Monitors employee turnover, overtime, and absenteeism. Takes appropriate actions to address problems/issues.
• Plans, directs, coordinates, and monitors the delivery of all direct and indirect services to Agency home care clients ensuring safe, effective, and appropriate home care services.
• Assures compliance with federal/state regulations governing home care services.
• Assures the accuracy of public information materials and promotional activities.
• Provides leadership in developing and maintaining data collection, recording, and reporting systems to ensure proper service, uniform accounting, data collection, and measurement of outcomes.
• Responsible for the oversight of the Agency’s Quality Assurance Performance Improvement (QAPI) program including the collection and review of data and the creation of Performance Improvement Plans.
• Identifies the legislative, community, and third-party payer issues that impact Agency development plans.
• Assist with marketing and participates in establishing and maintaining public relations and marketing programs that increase the public’s understanding of home care, foster relationships with other members of the health care community, and contributes to Agency growth.
• Reports progress and makes recommendations to the Governing Body for future growth of all home care services and products.
• Ensures development of relationships and contractual agreements with third-party payers, other vendors, and the business community. Assures compliance with contracts/agreements.
• Identifies admission criteria for new clients and evaluates eligibility for home care benefits through third-party payors. Provides clients and families with information about covered services as well as private pay services upon request.
• Receives referrals, determines services required, and Agency’s ability to meet needs. Assigns appropriate staff to cases.
• Performs comprehensive assessments / non-medical evaluations of client status, including physical, psychosocial, and environmental parameters.
• Educates staff on Agency policies and procedures and practices and ensures accuracy, completeness, and timeliness of documentation in accordance with Agency policies and procedures, regulatory requirements, and industry standards
• Provides direction to teams to assure that client needs are met and services are provided according to the plan.
• Assures client records are maintained in compliance with state and federal laws and accreditation standards where applicable.
• Demonstrates and promotes safety for clients and staff. Knowledge of safety/infection control practices by compliance with policies and procedures and regulatory requirements.
• Initiates actions to improve the quality of client care. Takes appropriate actions independently and responsively in home care situations. Initiates referrals as needed to team members when delegated by the Case Manager. Acts as the client’s advocate when circumstances require.
• Meets with staff on a regular basis to provide guidance and information related to specific issues. Assists in establishing priorities, setting goals, and evaluating progress toward goals.
• Provides on-site supervision per Agency policy and as needed to determine staff competency and respond to educational and developmental needs.
• Maintains adequate and appropriate inventory supplies and equipment for providing services to Agency clients.
• Performs other duties as assigned.

Each office is independently owned and operated and is an equal opportunity employer.

Your safety is our top priority. We provide COVID-19 training and personal protective equipment (PPE) to all employees.

By selecting the positions below, you acknowledge that you are applying for employment with an independently owned and operated ComForCare franchisee, a separate company and employer from ComForCare and any of its affiliates or subsidiaries. You understand that each independent franchisee is solely responsible for all decisions relating to employment including (and without limitation to) hiring and termination, and ComForCare does not accept, review or store my application. Any questions about your application or the hiring process must be directed to the locally owned and operated ComForCare franchisee.

Equal Opportunity Employer: Disability/Veteran.