Regulatory Relations Liaison jobs in Pensacola, FL

Looking for qualified Care Liaison to join our family!

We are searching for an Care Liaison to join our community that is resident and family focused, a team builder, and excited about the opportunity to assist in building a culture.

Benefits

• Pay rate: Competitive pay, along with holiday pay and paid time off (PTO) program.
• Access to online learning 24/7:  Use it for free to help satisfy your state specific licensure requirements. 
• Phone and auto discounts: Up to 20% on employee personal wireless accounts and auto rentals through designated vendors.
• Health insurance for the entire family!

Major Responsibilities

• Provide direct care to residents receiving restorative nursing to promote the resident's ability to attain and maintain their maximum function potential and minimize functional decline.

• Provide direct restorative care; restorative dining, splints, ADL's, bowel and bladder management, passive and active range of motion, ambulation and transfers.
• Encourage residents to participate in their assigned programs by providing verbal cueing, one on one, and safety precautions.
• Maintains documentation on each resident participating in Restorative Program and notifies management of any resident changes.

• Provide innovative, responsible healthcare with the creation and implementation of new ideas and concepts that continually improve systems and processes to achieve superior results. 

Responsibilites - Internal

•  Manage the facility census by coordinating physician outreach, conducting sales calls, networking with community organizations and hospitals to generate patient referrals and admissions
• Evaluate and coordinate admissions with appropriate center staff
• Achieve facility census goals and annual budget projections through on site sales visits at hospitals and physician practices for referral conversions to admissions
• Develop relationships, provide excellent customer service and educate referral sources on services provided by our centers.
• Develop sales strategies to maximize admissions to grow market share in core business lines in assigned geographic area
• Maintain knowledge of current regulations governing Medicare, Medicaid and private insurance company reimbursement
• Participate in industry trade shows and business development activities, as assigned.
• Conduct admission screening of potential patients, determine level of care, services required, equipment needs and insurance coverage, as indicated. Ensure appropriate clinical acceptance in a timely manner
• Provide innovative, responsible healthcare with the creation and implementation of new ideas and concepts that continually improve systems and processes to achieve superior results. 

 Responsibilities - External

• Support the admissions department's activities in the pre-admission, admission, discharge, and follow-up of our residents.
• Conducts tours of facility for prospective residents whether walk-ins or scheduled admissions
• Reviews and coordinates with Liaison on patient acceptance
• Tracks pre-admission referral activity daily and notify departments of anticipated admission
• Assist with arrangements and confirmation of all admissions.
• Obtain prior approval number from payor on a per case basis when authorized.
• Ensure level of care approval obtained and or OBRA screen (PASSAR, MIMR) when indicated.
• Complete face sheet, attach to clinical screen, copy and distribute to appropriate departments
• Contact the County Department of Social Service/Medicaid office to verify eligibility and determine estimate of copay/family participation amount when appropriate
• Tracks acute hospital admissions to ensure readmission of patients.
• Coordinates weekend/ holiday admissions in conjunctions with Liaisons
• Initiates and completes specified components of the facility admission packet with patient and/or responsible party.
• Maintains Resident Roster, waiting list and inquiry list as specified per state regulations including receipts
• Coordinates clinical assessment/screening and ensures appropriate clinical acceptance in a timely manner in the absence of Liaison.
• Provide innovative, responsible healthcare with the creation and implementation of new ideas and concepts that continually improve systems and processes to achieve superior results

Minimum Qualifications

• Secondary Education Degree required. (Associates or Bachelor's degree)
• Nursing degree preferred
• Three (3) years' experience in healthcare business development required.
•  Managed care/insurance experience preferred.
• Experience with public and commercial payers sources preferred
• You must be qualified, compassionate, and dedicated to a job well done

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.