Reimbursement Services Director - Home Care jobs in Carlsbad, CA

JOB DETAILS

Title: Director of Patient Care Services (RN DEGREE REQUIRED)

Job Type: Full-time

Salary: $150k

JOB DESCRIPTION SUMMARY

The Clinical Director/Director of Patient Care Services (DPCS) is responsible for the overall direction of home health clinical services. The Clinical Director establishes, implements and evaluates goals and objectives for home health services that meet and promote the standards of quality and contribute to the total organization and philosophy. The DPCS also serves as the Clinical Manager for the purposes of meeting the Medicare Conditions of Participation

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

1. Coordinates and oversees all direct and indirect patient services provided by clinical organization personnel.

2. Provides guidance and counseling to coordinators and Clinical Supervisors/Nursing Supervisors to assist them in continually improving all aspects of home health care services, provided through organization personnel.

3. Assists Clinical Supervisors/Nursing Supervisors in managing clinical teams and planning.

4. Provides help in assessment, planning, implementation and evaluation of patient and family/caregiver care to all clinical personnel as indicated.

5. Assists the Executive Director/Administrator in the preparation and administration of the organization's budget.

6. Interprets operational indicators to detect census changes and increases or decreases in volume, which could impact staffing levels, revenues or expenses.

7. Evaluates performance of Clinical Supervisors/Nursing Supervisors.

8. Assists Clinical Supervisors/Nursing Supervisors to develop skills and techniques in evaluating the performance of clinicians.

9. Hires, evaluates, and terminates organization personnel.

10. Conducts clinician performance evaluations triennially, or more frequently if indicated.

11. Oversees the maintenance of patient clinical records, statistics, reports and records for purposes of evaluation and reporting of organization activities.

12. Assures proper maintenance of clinical records in compliance with local, state and federal laws. Meridian Home Health CA Joint Commission Home Health Human Resource/Revised January 2018

13. Responsible for the maintenance of adequate and appropriate inventory supplies and equipment for the provision of patient services.

14. Develops, implements and evaluates the orientation program for new organization personnel. Responsible for orientation of new organization personnel, either directly or by delegating to another staff member.

15. Plans and implements in-service and continuing education programs to meet education and training needs of organization personnel.

16. Assists with the evaluation of organization performance via performance improvement program, productivity, quarterly and annual reviews. Assures for the quality and safe delivery of home health services provided through the Organization.

17. Assists in the development of organization goals. Develops, recommends, and administers Organization policies and procedures.

18. Assures compliance with all local, state and federal laws regarding licensure and certification of organization personnel and, maintains compliance to the Joint Commission Home Care standards.

19. Stays informed about changes in the field of nursing and home health care; shares information with appropriate organization personnel.

20. Promotes home health referrals in the health care community.

21. In the absence of the Executive Director/Administrator, the DPCS will become the acting Executive Director/Administrator and will be vested with authority to act in behalf of the Executive Director/Administrator.

22. If functioning as Clinical Manager, would provide oversight of all patient care services and personnel including making patient and personnel assignments; coordinating patient care; coordinating referrals; assuring patient needs are continually assessed: and assuring the development, implementation, and updates of the individualized plan of care.

23. Other duties as assigned by the Executive Director/Administrator.

POSITION QUALIFICATIONS

1. Registered nurse with current licensure to practice professional nursing in the State of California.

2. Three years of management experience within the last five years in a home health or related health care organization, at least one year of which was a supervisory or administrative capacity.

3. Demonstrated ability to supervise and direct professional administrative personnel.

4. Knowledge and expertise in clinical decision-making and Quality Management review and evaluation.

5. Ability to market and deal tactfully with customers and the community.

6. Must be a licensed driver with an automobile that is insured in accordance with state and/or Organization requirements and is in good working order.

7. Has excellent observation, verbal and written communication skills.

8. Knowledge of business management, governmental regulations and Joint Commission standards. Employee Signature

Work Remotely

• No

Job Type: Full-time

Pay: $180,000.00 - $200,000.00 per year

Benefits:

• Health insurance
• Paid time off

Supplemental pay types:

• Bonus opportunities

Experience:

• Home health: 2 years (Required)

License/Certification:

• RN (Required)

Work Location: In person