Reimbursement Services Director - Home Care jobs in Orlando, FL

THIS IS NOT A REMOTE ROLE
Unlimited Paid Time Off Flexibility Work/Life balance = Pinnacle Home Care Careers!

WHO WE ARE?
Our Mission at Pinnacle Home Care is "Changing lives through the art of the experience"!! Pinnacle Home Care is a full-service Medicare Certified and Florida Licensed Home Health Company locally owned and operated by home health professionals who are passionate about delivering exceptional, quality care to the communities that we serve. We take pride in our home health care professionals who are devoted to fulfilling the levels of service that we uphold. Human service can never be successful without dedication, just as dedication cannot be realized without passion.

POSITION SUMMARY
The Director of Clinical Services is responsible for ensuring that patient care is coordinated and managed appropriately. The Director of Clinical Services is responsible for ensuring that care and services are delivered appropriately as well as the supervision of clinical personnel.

WHY JOIN US?
-Award-winning – “Top places to work 2020, 2021 & 2022” “Healthcare workplace Innovator” “Top 100 Agency Home Care Elite”
-Leading provider of home care services recognized for Creating Raving Fans and delivering Exceptional Outcomes.
-We have a Live QA team that assists with Oasis documentation.
-Unlimited PTO for salaried employees which means more family time, fun, and relaxation.
-Competitive rates and benefits, 6 paid holidays, paid mileage, matching 401K.
-Comprehensive and ongoing training plus growth opportunities.

RESPONSIBILITIES
-Receives case referrals. Reviews available patient information related to the case, including disciplines required, to determine home care needs.
-Reviews and evaluates each case by reviewing the services provided by clinicians, conferences, record review, discusses and verifies impressions, instructs and guides clinicians to promote more effective performance and delivery of quality home care services, and is always available during operating hours to assist clinicians as appropriate.
-Reviews patient’s clinical diagnosis, medications, procedures, and clinical course.
-Assists clinicians in establishing immediate and long-term therapeutic goals, setting priorities, and developing plans of care.
-Attends case conference meetings with organization personnel to facilitate coordination of care.
-Conducts quarterly record reviews and communicates findings and recommendations to the Administrator and appropriate organization personnel.
-Assists in the screening and interviewing process of new organization personnel and makes recommendations for the employment of individuals.
-Participates in the planning, implementation, and evaluation of Inservice and continuing education programs.
-Leads team by Agency Mission, Vision, and Values while educating and mentoring staff on Agency Sacred Seven.
-Supervises, Coaches, and Mentors Clinical Managers, and Clinical Assistants in compliance with Standard Operating Procedures.
-Promotes Case Management with Field Clinicians.
-Monitors SHP reports for Agency current performance measures, outcome measures, and HHCAHPS scores.
-Promotes Telehealth visits to support appropriate visit utilization.
-Performs other duties and activities as delegated by the Administrator.

QUALIFICATIONS
-Registered nurse with current licensure to practice professional nursing in the state.
-Graduate of National League for Nursing accredited school of nursing. BSN degree is preferred.
-Two years of management or supervisory experience in home health care preferred.
-Complies with accepted professional standards and practice.
-Complies and maintains current CPR certification.
-Ability to deal effectively with high levels of stress.
-Demonstrates excellent observation, organization, and verbal and written communication skills.
-Proficient in Computers, Microsoft, EMR, and Technology.
-Knowledge of governmental regulations and ACHC standards.

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.