Reimbursement Services Director - Home Care jobs in Honolulu, HI

Reimbursement Services Director - Home Care directs and supervises the activities of the benefits claims and provider reimbursement personnel in a home care environment. Sets procedures for filing reimbursement claims and ensures timely and accurate claims payments. Being a Reimbursement Services Director - Home Care monitors, evaluates and reviews all cost reporting in support of reimbursement claims. Produces the documentation necessary for reimbursement, Medicare Compliance, and control of receivables. Additionally, Reimbursement Services Director - Home Care may require an advanced degree. Typically reports to top management. The Reimbursement Services Director - Home Care typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Reimbursement Services Director - Home Care typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Director of Adult Home and Community Based Service Programs
  • (CCS) Catalight Care Services
  • Honolulu, HI FULL_TIME
  • Summary:

    For over 75 years, Easterseals Hawaii (ESH) has endeavored to change the way the world defines and views disability by making profound, positive differences in people’s lives every day. At Easterseals, we are dedicated to building communities of Aloha so that people with intellectual and developmental disabilities (IDD) can choose their own path. We provide care to diverse communities with justice, equity, and inclusion as guiding principles, managing 18 programs statewide that deliver remote and in-person services to infants, children, youth, and adults with IDD and their families. The Director of Adult Home and Community Based Service Programs provides operational, financial and quality oversight for ESH’s center-, community- and home-based adult programs, and employment services programs. This role manages a team of program managers and is responsible for establishing and maintaining self-sustaining, scalable, person first programming that improves the well-being of its primary stakeholders – clients, families, funders and staff.

    Core Responsibilities & Essential Functions

    In collaboration with their direct Supervisor, the Director of HCBS Programs will:

    • Ensure that the HCBS Programs align with the purpose, vision, best practices and operational needs of ESH.
    • Oversee the programs to ensure they meet or exceed the requirements of regulatory, certification and accreditation agencies.
    • Develop and lead a high-performing team of managers and individual contributors and ensure program staffing supports budget targets and program and staff needs.
    • Develop and execute the annual HCBS and Employment Services V2MOM, budget, and operating plan.
    • Meet or exceed HCBS and Employment Services budgeted operating margin and billed hours targets.
    • Advocate for equitable, inclusive, accessible, and justice-driven care
    • Collaborate with and serve as a leadership partner and point of contact for funders, regulatory entities, and Family of Companies (FoC) shared services departments to ensure successful delivery and application of services.
    • Adhere to the FoC network structure organizational protocols.
    • Ensure compliance, regulatory, and funder requirements are met, and take action if they are not.
    • Travel to ESH regional offices to conduct training and provide operational oversight.
    • Manage and oversee program contracts.
    • Additional duties assigned by supervisor.

    Qualifications

    Minimum Education, Experience & Training Equivalent to:

    • Bachelor’s degree from an accredited program or equivalent. Master’s degree preferred.
    • A minimum of five years’ experience and/or training working with adults who have intellectual or developmental disabilities.
    • Minimum of five years’ experience with supervisory responsibilities. Prefer seven years of progressive experience with at least one year in a leadership position.
    • HCBS managerial experience preferred.

    Knowledge & Skills:

    • Understanding of key operations management principles and the ability to execute them.
    • Adaptable to a fast paced and quickly changing environment, agile, able to prioritize and multi-task, work independently, and meet critical deadlines without supervision.
    • Deep knowledge of adult programming serving the IDD populations
    • Demonstrated developmental and inspiring leadership with a focus on team building, collaboration, and high level of employee engagement.
    • Willingness and capacity to develop and maintain effective and collaborative working relationships with funding sources and individuals at all levels within the Family of Companies Ability to synthesize and collate data and use it to tell the story of operational performance.
    • Commitment to building, developing, and supporting diverse teams.
    • Sensitivity to working with an ethnically, linguistically, culturally, and economically diverse population.
    • Excellent verbal and written communication skills. Must be highly detail oriented and have excellent follow-up/follow-through
    • Confidentiality and discretion pertaining to the work environment and maintenance of all HIPAA requirements.
    • Capacity to ensure policies and procedures are accurately interpreted, consistently administered, aligned with organizational goals, and in compliance with professional standards, state and federal regulations and other requirements.
    • Proficient in current computer software and technology used in day to day program operations.
    • Committed to the values of the organization while demonstrating good judgment, flexibility, patience and discretion when dealing with confidential and sensitive matters.

    Community Centered:

    • Sensitivity to working with an ethnically, socioeconomically, linguistically, and culturally diverse population.
    • Seeks to understand the underlying needs, desires, and values of colleagues. 
    • Appreciates and demonstrates collaboration across teams. 
    • Serves as a role model, bringing our core values to life in your work. 
    • Works well with employees at any level of employment. 

    Equity informed:

    • Knowledge of multiple historically excluded groups. 
    • Interest in working with and elevating employee needs. 
    • Approaches work with a growth mindset, welcome feedback, and understand that humans all have biases and are imperfect as a baseline. 

    Bold:

    • Challenges the status quo in service of creating advocacy informed systems and external partnerships. 
    • Experience coaching, facilitating, or working in advocacy spaces. 
    • Navigates ambiguity with an excitement for problem solving. 
    • Effectively manages programs from visioning to implementation. 
    • Commitment to meet agreed upon deadlines on time or ahead of schedule. 
    • Transparent on action, pursuits, and outcomes.

    Wellbeing driven: 

    • Willingness and commitment to self-reflection and re-thinking.  
    • Ability to understand your physical, mental, social, and financial wellbeing needs with a willingness to co-create boundaries that allow you to sustainably show up and honor your humanity. 

    Physical Requirements:

    • Frequent bending, reaching, squatting, kneeling, and twisting to observe, assess, and interact with participants and program workforce.
    • Ability to stand or sit for extended periods of time, stand for up to 6-8 hours a day.
    • Occasional lifting, carrying, and loading/unloading materials up to and including 50 lbs.
    • Visual and auditory ability to work with participants, staff, and others in the workplace continuously.
    • Frequent travel includes both air travel to neighbor islands and driving to and from office, community locations and participant homes.
    • Capacity to utilize computers, cell or landline phones, fax and copy machines to communicate
    • Accurate proofreading documents for accuracy.
    • Frequent exposure to disability disorders in clients; occasional emergency situations; occasional exposure to trauma; in person client contact and decision making; and constant concentration required when working with clients.

    CONDITIONS OF EMPLOYMENT

    • Ability to obtain and maintain criminal record clearance through the Department of Justice (DOJ). The People & Performance Department must analyze DOJ/FBI live scan reports in accordance with applicable Federal, State, and Local laws, as well as fitness for the position.
    • Able to travel to multiple work sites, islands, and participant homes. Reliable transportation required.
    • Must have valid Hawaii Driver’s License/insurance and maintain a clean driving record.
    • Must pass health screenings, obtain vaccinations, and provide TB clearance based on company policies.
    • Ability to obtain and maintain clearance through the Office of Inspector General.
    • Must attend all required training.

    #LI-GH1

    #ESHawaii

    Company:EasterSealsHawaii

    Job Type: Full-time

    Pay: $110,000.00 - $122,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Flexible spending account
    • Health insurance
    • Life insurance
    • Paid time off
    • Retirement plan
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Ability to Relocate:

    • Honolulu, HI: Relocate before starting work (Required)

    Work Location: In person

  • 19 Days Ago

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Behavior Services Manager, BCBA
  • BAYADA Home Health Care
  • Kapolei, HI FULL_TIME
  • At BAYADA, we believe that our clients come first, and our employees are our greatest asset! Our core values are compassion, excellence, and reliability. Join us and work with the largest team of BCBA...
  • 30 Days Ago

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Social Services Director
  • Avalon Health Care Management Inc.
  • Honolulu, HI FULL_TIME
  • Avalon Care Center Honolulu is looking to hire a Full Time Social Services Director! The Social Services Director/Coordinator in identifying and providing for each resident’s social, emotional and psy...
  • 14 Days Ago

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Director of Nursing Services DNS / DON (Willing to Relocate?)
  • Caldera Care
  • Honolulu, HI FULL_TIME
  • Caldera Care in the Pacific Northwest (WA, OR and ID) is now hiring experienced Directors of Nursing/Directors of Clinical Services (DON/DCS/RN)! Relocating can seem daunting and intimidating, but for...
  • 8 Days Ago

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Home Care Aide
  • Kama'aina Healthcare Services Hilo Branch
  • Hilo, HI FULL_TIME
  • We are a home health agency, currently seeking positive reliable caregivers that would like a rewarding job helping out the elderly and disabled in our community. Job requires Home Care Aide's to prov...
  • 1 Month Ago

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Home Care Provider
  • BAYADA Home Health Care
  • Honolulu, HI OTHER
  • Job title - Caregiver Urgently hiring Caregivers! If you have a passion for caring for others, then we want you on our team! With flexible scheduling and one-on-one care, you'll find a rewarding job a...
  • 25 Days Ago

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0 Reimbursement Services Director - Home Care jobs found in Honolulu, HI area

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Director of Housekeeping
  • Alohilani Resort Waikiki Beach
  • Honolulu, HI
  • Compensation Type: Yearly Highgate Hotels: Highgate is a premier real estate investment and hospitality management compa...
  • 4/19/2024 12:00:00 AM

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Housekeeping Manager
  • Alohilani Resort Waikiki Beach
  • Honolulu, HI
  • Compensation Type: Yearly Highgate Hotels: Highgate is a premier real estate investment and hospitality management compa...
  • 4/19/2024 12:00:00 AM

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Program Manager
  • Friends of the Children's Justice Center of Oahu
  • Honolulu, HI
  • Job Description Job Description FRIENDS OF THE CHILDREN'S JUSTICE CENTER OF OAHU PROGRAM MANAGER JOB OPENING Reports to:...
  • 4/19/2024 12:00:00 AM

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Housekeeping Manager
  • Hawaii Growth - Honolulu
  • Honolulu, HI
  • Compensation Type: Yearly Highgate Hotels: Highgate is a premier real estate investment and hospitality management compa...
  • 4/18/2024 12:00:00 AM

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Medical Technologist, Sr (Full-time) - Kapiolani Medical Center, HI
  • Clinical Laboratories of Hawaii, LLP
  • Honolulu, HI
  • Job Functions, Duties, Responsibilities and Position Qualifications: Quality is in our DNA -- is it in yours? You put th...
  • 4/18/2024 12:00:00 AM

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HVAC Service Sales Development Rep
  • Johnson Controls International
  • Honolulu, HI
  • Build your best future with the Johnson Controls team As a global leader in smart, healthy and sustainable buildings, ou...
  • 4/18/2024 12:00:00 AM

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Program Coordinator
  • Friends of the Children's Justice Center of Oahu
  • Honolulu, HI
  • Job Description Job Description The Program Coordinator helps carry out Friends of the Children's Justice Center of Oahu...
  • 4/16/2024 12:00:00 AM

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Cosmetologist Hair and Nails Mandara Spa
  • One Spa World
  • Honolulu, HI
  • COMPANY OVERVIEW MANDARA SPA In Bali, the healing arts are passed down from generation to generation, from mother to dau...
  • 4/15/2024 12:00:00 AM

Honolulu (/ˌhɒnəˈluːluː/; Hawaiian: [honoˈlulu]) is the capital and largest city of the U.S. state of Hawaiʻi. It is an unincorporated part of and the county seat of the City and County of Honolulu along the southeast coast of the island of Oʻahu.[a] The city is the main gateway to Hawaiʻi and a major portal into the United States. The city is also a major hub for international business, military defense, as well as famously being host to a diverse variety of east-west and Pacific culture, cuisine, and traditions. Honolulu is the most remote city of its size in the world and is the westernmost...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director - Home Care jobs
$73,335 to $104,661
Honolulu, Hawaii area prices
were up 1.9% from a year ago

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