Reimbursement Services Director - Home Care jobs in Richmond, CA

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 Patient Care Services (DPCS)- Hospice - East Bay
  • Bridge Home Health and Hospice
  • Walnut Creek, CA FULL_TIME
  • Overview

     

     

    Are you looking for a place where you can make a genuine difference in our patients’ lives?

    With over 16 locations and growing, Our culture of love for our patients and employees is the top priority. Our commitment to our Core Values allows us to be the provider and employer of choice. We embrace a diverse workforce and understand that our employees are key to providing quality care and our most important resource.

    Join us today and grow with us!

    Responsibilities

    Reports to: Executive Director/Administrator

     

    Job Description Summary

     

    The Director of Patient Care Services is responsible for the overall direction of hospice clinical services. The Director of Patient Care Services establishes, implements and evaluates goals and objectives for hospice care services that meet and promote the standards of quality and contribute to the total organization and philosophy.

     

    Essential Job Functions/Responsibilities

  • Coordinates and oversees all direct and indirect patient services provided by clinical organization personnel.
  • Provides guidance and counseling to coordinators and Clinical Managers to assist them in continually improving all aspects of hospice care services, provided through organization personnel.
  • Assists Clinical Managers in managing clinical teams and planning.
  • Provides help in assessment, planning, implementation and evaluation of patient and family/caregiver care to all clinical personnel as indicated.
  • Assists the Executive Director/Administrator in the preparation and administration of the organization's budget.
  • Interprets operational indicators to detect census changes and increases or decreases in volume, which could impact staffing levels, revenues or expenses.
  • Evaluates performance of Clinical Managers.
  • Assists Clinical Managers to develop skills and techniques in evaluating the performance of clinicians. 
  • Hires, evaluates, and terminates organization personnel.
  • Conducts clinician performance evaluations annually, or more frequently if indicated.
  • Oversees the maintenance of patient clinical records, statistics, reports and records for purposes of evaluation and reporting of organization activities.
  • Assures proper maintenance of clinical records in compliance with local, state and federal laws.
  • Responsible for the maintenance of adequate and appropriate inventory supplies and equipment for the provision of patient services.
  • Develops, implements and evaluates the orientation program for the new organization personnel. Responsible for orientation of new organization personnel, either directly or by delegating to another staff member.
  • Plans and implements in-service and continuing education programs to meet education and training needs of organization personnel.
  • Assists with the evaluation of organization performance via performance improvement program, productivity, quarterly and annual reviews. Assures for the quality and safe delivery of hospice services provided through the Organization. 
  • Assists in the development of organization goals. Develops, recommends, and administers Organization policies and procedures.
  • Assures compliance with all local, state and federal laws regarding licensure and certification of organization personnel and, maintains compliance to the Joint Commission Hospice standards.
  • Stays informed about changes in the field of nursing and hospice care; shares information with appropriate organization personnel. 
  • Promotes hospice referrals in the health care community.
  • In the absence of the Executive Director/Administrator, the Director of Patient Care Services will become the acting Executive Director/Administrator and will be vested with authority to act in behalf of the Executive Director/Administrator.
  • Other duties as assigned by the Executive Director/Administrator.
  •  

     

    Qualifications

  • Registered nurse with current licensure to practice professional nursing in the State.
  • Bachelor's degree in Nursing from an accredited program by the National League for Nursing. Master's degree in health care preferred.
  • The Director of Patient Care Services shall qualify for the position by fulfilling the requirements under one of the following categories, unless the individual has been previously approved for such employment by a program by flexibility issued for the individual's current position at the hospice agency prior to April 1, 1995 or: (A.) Three years of management experience within the last five years in a hospice or related health care organization, at least one year of which was in a supervisory or administrative capacity. (B.) A registered nurse with four years of experience within the last five years in a hospice agency,  primary care clinic or health facility, at least one year of which was in a supervisory or administrative capacity.
  • Demonstrated ability to supervise and direct professional administrative personnel. 
  • Knowledge and expertise in clinical decision-making and Quality Management review and evaluation.
  • Ability to market and deal tactfully with customers and the community.
  • 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.
  • Has excellent observation, verbal and written communication skills.
  • Knowledge of business management, governmental regulations and Joint Commission standards.
  • Participation in Quality Assurance/Performance Improvement Program and Bridge Hospice sponsored training.
  • Additional Information

    We are invested in our employees and their well-being. Benefits Include:

     

    Competitive compensation  Range Up to $150KFleet car program with insurance, maintenance coverage, and gas card.Dynamic, fun, team-oriented work environmentCountless growth and development opportunitiesFlexible SchedulesMedical, dental and vision insuranceCompany Paid Life insuranceMileage Reimbursement PTOPaid HolidaysPaid Sick DaysEmployee Assistance Program401KFSAAnd so much more!

     

    We are committed to providing equal employment opportunities to all employees and applicants without regard to race, ethnicity, religion, color, sex (including childbirth, breast feeding and related medical conditions), gender, gender identity or expression, sexual orientation, national origin, ancestry, citizenship status, uniform service member and veteran status, marital status, pregnancy, age, protected medical condition, genetic information, disability or any other protected status in accordance with all applicable federal, state and local laws

  • 1 Month Ago

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Home Care Aide
  • Always Best Care Senior Services - East Bay
  • Walnut Creek, CA PART_TIME
  • ALWAYS BEST CARE SENIOR SERVICES -EAST BAYShifts starting soon! Provide exceptional in-home care for seniors in Alameda and Contra Costa countiesAre you a compassionate person who takes pride in makin...
  • 23 Days Ago

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Social Services Director
  • Alvarado Care Center
  • Walnut Creek, CA FULL_TIME
  • POSITION TITLE Social Worker POSITION SUMMARY To assist in meeting the psychosocial needs of residents/families, to assist them in coping with problems related to illness and disability, and to enable...
  • 7 Days Ago

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Licensed Vocational Nurse (LVN) - Home Health & Hospice
  • American Hospice and Home Health Care Services
  • Alameda, CA PART_TIME,FULL_TIME
  • Description: Job Summary: Licensed Vocational Nurse (LVN) American Hospice and Home Health Services is currently seeking a Full Time, Part Time, and/or Per Diem LVN to service Alameda County. Negotiab...
  • 30 Days Ago

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OT - Home Health
  • RCM Health Care Services
  • Walnut Creek, CA FULL_TIME
  • Full Job Description: Travel or Local Occupational Therapist needed for a Home Health contract position in Walnut Creek, California. Job Type: Home Health Occupational Therapist (OT) Shift: Day Shift ...
  • 22 Days Ago

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Physical Therapist, Home Health
  • RCM Health Care Services
  • Walnut Creek, CA FULL_TIME
  • Travel or Local Physical Therapist needed for a Home Health contract position in Walnut Creek, California Job Type: Home Health Physical Therapist (PT) Shift: Day Shift - 40 hr work week Travel Pay Pa...
  • 1 Month Ago

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0 Reimbursement Services Director - Home Care jobs found in Richmond, CA area

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Caregiver
  • Sageeldercare
  • San Francisco, CA
  • **Description** We have openings for **HOURLY** **($23/HR)** shifts in San Francisco, San Mateo, and Santa Clara countie...
  • 4/19/2024 12:00:00 AM

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Caregiver
  • Sageeldercare
  • Oakland, CA
  • **Description** We have openings for **HOURLY** **($23/HR)** shifts in San Francisco, San Mateo, and Santa Clara countie...
  • 4/19/2024 12:00:00 AM

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Caregiver
  • Sageeldercare
  • Mountain View, CA
  • **Description** We have openings for **HOURLY** **($23/HR)** shifts in San Francisco, San Mateo, and Santa Clara countie...
  • 4/18/2024 12:00:00 AM

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FSS Program Manager
  • Tiburcio Vasquez Health Center
  • Hayward, CA
  • About us: Tiburcio Vasquez Health Center is a non-profit community health center that is dedicated to promoting the heal...
  • 4/18/2024 12:00:00 AM

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Contract Registered Nurse Case Manager
  • hireneXus Research
  • San Francisco, CA
  • Contract Registered Nurse Case Manager San Francisco, CA Here are some of the benefits our client offers their clinical ...
  • 4/17/2024 12:00:00 AM

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Caregiver
  • Sageeldercare
  • Hayward, CA
  • **Description** We have openings for **HOURLY** **($23/HR)** shifts in San Francisco, San Mateo, and Santa Clara countie...
  • 4/16/2024 12:00:00 AM

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FSS Program Manager
  • Tiburcio Vasquez Health Center
  • Hayward, CA
  • About us: Tiburcio Vasquez Health Center is a non-profit community health center that is dedicated to promoting the heal...
  • 4/16/2024 12:00:00 AM

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APP Resident Director - Integrated Care Center
  • Health Right 360
  • San Francisco, CA
  • Job Description Job Description HealthRIGHT 360 gives hope, builds health, and changes lives for people in need by provi...
  • 4/15/2024 12:00:00 AM

Richmond is located at 37°56′09″N 122°20′52″W / 37.93583°N 122.34778°W / 37.93583; -122.34778. According to the United States Census Bureau, the city has a total area of 52.5 square miles (136 km2), of which 30.1 square miles (78 km2) is land and 22.4 square miles (58 km2) (42.71%) is water. The city sits on 32 miles (51 km) of waterfront, more than any other city in the Bay Area. The city borders San Francisco Bay to the southwest and San Pablo Bay to the northwest, and includes Brooks Island and the Brother Islands entirely, and half of Red Rock Island. There are several cities and uninco...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director - Home Care jobs
$84,477 to $120,561
Richmond, California area prices
were up 4.5% from a year ago

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