Reimbursement Services Director - Home Care jobs in Irvine, CA

Overview

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Are you looking for an exciting opportunity with an expanding home health care company? Are you eager to prove yourself, be valued and grow? It is in your best interest to apply and hear more about what we have to offer! 

Team Select’s mission is to take every opportunity to do right by all. We believe our people and culture genuinely make us unique and are the foundation for our leadership in the healthcare space. We focus on promoting a collaborative environment that differentiates us and has allowed us to be recognized as a Best Place to Work and Home Care Elite Top Agency. Join our growing Team Select Family and discover a dynamic company where you’re able to make a positive impact. We encourage you to inquire about becoming a part of our team!

Responsibilities

Team Select Home Care is looking for a Registered Nurse Director of Patient Care Services (DPCS) to join our Team Select Home Care family. The Director of Patient Care Services (DPCS) is a Clinical Manager (CM) who assists the Administrator and is responsible for the supervision/oversight of all patient care services and personnel in an agency. The DPCS strives to provide the highest quality of patient care and oversight while achieving excellent outcomes in a patient-centered environment. The Director of Patient Care Services (DPCS) reports directly to the Administrator. If the DPCS and Administrator are the same person they report to the Regional Director of Clinical Operations (RDCO).

• Responsible for overall day to day clinical and management of the Home Health Agency ensuring supervision, competency, evaluation and planning for the agency clinical and staff.
• Ensures oversight clinically of:
  • Making patient and personnel assignments
  • Coordinating patient care
  • Coordinating referrals
  • Assuring that patient needs are continually assessed AND
  • Assuring the development, implementation, and updates of the individualized care plan(s)
• Understands and adheres to all applicable regulations, standards, and federal, state, and local laws and established Agency policies and Following accreditation standards as applicable.
• Available at all times during operating hours and participates in all activities relevant to the professional services furnished, including the development of qualifications and the assignment of personnel.
• Able to supervise, guide and develop patient care, personnel requirements, competency skills.
• Understands the financial and business side of operations in order to cover for the Administrator
• Consults with the Administrator in determining a staffing pattern which will accomplish stated objectives and promote a maximum level of utilization of patient care personnel while promoting a viable financial environment.
• Responsible for recruiting, hiring, evaluating and terminating personnel. Assists in instituting, interpreting and documenting disciplinary
• Ensures the implementation of new/changed policies and procedures and supports policies/ procedures and uses appropriate channels for changes of such
• Understands/ ensures that all QAPI meetings and reports are collated and presented
• Ensures that all case conferencing efforts for patients are coordinated on a weekly basis addressing high volume, high risk and problem prone cases along with care risk type patients
• Meets corporate goals for metrics on 5 Star, VBP, scorecards and financial metric goals as established with the administrator and the Regional Director of Clinical Operations
• Ensures completion of standardized testing, accurate documentation and staff knowledge/completion of best practices.
• Ensures that coordination of care and documentation occurs between staff and patient/family/representative and facility and other outside agencies
• Ensures that the following information/instruction is given in writing to the patient/caregiver/representative:
  • Visit schedule with frequency of visits
  • Complete Medication Profile
  • Any treatments to be administered by agency staff (POC)
  • Any other pertinent instruction related to the patient’s care needs
  • Name and contact information of the agency’s Clinical Manager
• Responsible for the organization of patient care services to delineate and delegate functional responsibility, lines of relationship and communication to provide safe and therapeutically effective service, etc.
• Responsible for the coordination of Agency’s services with the services of other community agencies.
• Develops a cooperative relationship and communicates effectively and professionally with physicians and referral
• Investigates, resolves and reports any problem relating to patient care and/or employee well- being and reports to Regional Director of Clinical Operations.
• Immediately investigates and resolves any accident, incident, lost articles, property loss, drug diversion, abuse/neglect and/ or unusual occurrence(s) and reports to the Administrator and Compliance Department as applicable.
• Attends pertinent continuing education programs as assigned by Administrator or RDCO and shares information with
• Responsible for the Agency’s ongoing Quality Assurance Performance Improvement (QAPI) program. Assists with the overall development and implementation of the QAPI plan, and the identification of goals related to patient outcomes and coordinating, participating, and reporting of activities and outcomes
• Functions as Agency infection control and EMS
• Responsible for the development, implementation and evaluation of patient plans of
• Responsible for the review of patient medical records for compliance with federal, state and local laws, Accrediting Organization standards (if applicable), and Agency policies and guidelines.
• Assists Clinical Supervisor in conducting patient care conferences, staff meetings and maintains documentation. Participates in community education
• Assists with staffing visit assignments and on-call.
• Other duties as assigned.

Qualifications

• A registered nurse with a bachelors or higher degree in nursing or other health related field with three years of experience within the last five years in a home health agency, primary care clinic or health facility, at least one year of which was in a supervisory or administrative capacity; or
• A registered nurse with four years experience within the last five years in a home health agency, primary care clinic or health facility, at least one year of which was in a supervisory or administrative capacity.
• The Director of Patient Care Services shall have sufficient background knowledge and expertise in clinical decision-making for the patient population of the home health agency to meet the needs of his or her patients, and to contribute to Quality Management review and evaluation.
• The Director of Patient Care Services shall devote a sufficient number of hours to assure the quality and adequacy of services provided and supervision of staff.

Our Benefits:

• $100,000 - $115,000 / year
• Medical, dental, and vision insurance
• 401K
• Environment which fosters career opportunities and growth.
• DailyPay

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Team Select Home Care reserves the right to change the above job description and qualifications without notice. Team Select Home Care will not discriminate against you on the basis of race, color, religion, national origin, sex, sexual preference, disability, political belief, veteran status, age, or any other status protected by law. Team Select Home Care is an employment-at-will employer.

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