Reimbursement Services Director - Home Care jobs in Rochester, MN

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 Nursing/RN Nurse Case Manager - Home Care
  • Senior Home Health Care
  • Rochester, MN FULL_TIME
  • Senior Home Health Care is experiencing great growth! We are a family owned business that recently expanded to Rochester ( in addition to our existing locations in Bloomington & St. Cloud). We have a great opportunity for an experienced RN/Director of Nursing to run the day to day operations of the office, as well as temporarily case manage in the field, as eventually, this role will be solely office-based as the Director of Nursing.

    We offer a full benefits package.

    JOB SUMMARY for dual role:

    Responsibilities of the Director of Nursing include:

    • Planning, coordinating, delivering, and overseeing the delivery and outcomes of required healthcare-related services/training programs on a routine basis
    • Monitoring both skilled and non-skilled healthcare services
    • Conducting performance monitoring, identifying and reducing risks
    • Demonstrating fiscal accountability by monitoring operations to ensure compliance with ResCare policies and procedures, state licensure and regulations, Medicaid and Medicare standards, as well as state reimbursement regulations
    • Facilitating communication and serving as a liaison between and among nursing and direct care staff, family and/or guardians, and community medical providers and professional consultants in cooperation with operations management
    • Directly overseeing initial start of healthcare, assessment, and first home visit (or comparable) of all new contracts with clinical component
    • Directly supervising the implementation, coordination, maintenance, evaluation, and termination of care plan and services, analyses outcomes, OASIS and ICD9/10, medical records, and physician orders

    RESPONSIBILITIES for RN Case Manager:

    • Perform the initial home care patient visit and re-evaluate the patient's needs and progress on a regular basis.
    • Initiate the plan of care under doctor's orders.
    • Perform admission, transfer, re-certification, resumption of care, and discharge Oasis for the home care patients.
    • Observe, assess, and document symptoms.
    • Monitor reactions and patient progress.
    • Educate patients and caregivers on disease process, medications, plan of care, and individualized treatment plans.
    • Educate patients and caregiver on techniques for in home health care.
    • Coordinate patient services.
    • Supervise LPN's and HHA's.
    • Notify the physician and other personnel (DON, PT, Case Manager) of change in the patient's condition.
    • Perform skill outline in the agency's approved policy and procedure manual.
    • Discharge the patient from skilled nursing services when the discharge criteria have been met.
    • Case conference clinicians providing care to ensure coordination of care.
    • Update clinical records according to policy and procedures.
    • Attend in-service programs, continuing education programs, seminars, and self-study programs annually.
    • Provide onsite supervision of LPN/HHA.
    • Adhere to Medicaid and Medicare regulations.

    QUALIFICATIONS:

    Requirements:

    Additional requirements for the dual role include:

    • Bachelor’s Degree in Nursing
    • Graduate of an accredited school/college with current registration of practice as a Registered Professional Nurse
    • Excellent communicator with ability to handle concurrent tasks and responsibilities Demonstrate proficient skills using Oasis to admit, transfer, re-certs, and discharge home health patients in regards to physician orders. Coordinate and supervise LPN's and HHA's in the delivery of patient care. Maintain compliance with agency policy and procedures. Follow Medicare and Medicaid regulations.
    • Registered Nurse (RN)/current license.
    • Minimum of 3 years of Home Health nursing experience as an RN.
    • Work positively and favorably with patients, families, and staff.
    • Must have own vehicle, auto insurance and driver's license.
    • Experience with Oasis/Start of Care paperwork (initial visit)

    Equal Employment Opportunity Employer.

    Visit us at www.seniorhhc.com

    https://www.facebook.com/SeniorHomeHealthCare

    Job Type: Full-time

    Pay: $85,000.00 - $95,000.00 per year

    Benefits:

    • 401(k)
    • Dental insurance
    • Disability insurance
    • Flexible schedule
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • Monday to Friday

    Work setting:

    • Office

    Experience:

    • RN: 5 years (Preferred)
    • home care: 3 years (Preferred)
    • Oasis: 2 years (Preferred)

    License/Certification:

    • RN license (Required)

    Work Location: On the road

  • 1 Month Ago

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Home Care Aide
  • Regional Health Services of Howard County
  • Cresco, IA FULL_TIME
  • POSITION SUMMARY: We are looking for a Home Care Aide to join our Home Health and Hospice team! The Home Care Aide assists clients in their homes/facilities with personal care activities, exercises, a...
  • 1 Day Ago

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Physical Therapy Assistant - Home Care
  • Home Health Care, Inc.
  • Albert, MN FULL_TIME
  • Job descriptionJob Title: Physical Therapist Assistant / PTACompany: Home Health Care, Inc.Compensation: $42-46 Per VisitPer DiemHome Health Care Inc. is seeking a Physical Therapist Assistant with ho...
  • 22 Days Ago

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Physical Therapist/PT - Home Care
  • Home Health Care, Inc.
  • Owatonna, MN FULL_TIME
  • Physical Therapist | PT / DPT Home Health Care, Inc. Salary: $50.00 - $120.00 per visit Full-Time Home Health Care Inc. is seeking Physical Therapists looking for autonomy and variety to join our ther...
  • 12 Days Ago

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Occupational Therapist/OT - Home Care
  • Home Health Care, Inc.
  • Faribault, MN FULL_TIME
  • Occupational Therapist | OTR/L Salary: $50 - $120 per visit Full Time and Part Time Available Home Health Care Inc. is seeking a home health Occupational Therapist to join our team and help clients in...
  • 12 Days Ago

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Physical Therapist/PT - Home Care
  • Home Health Care, Inc.
  • Albert, MN FULL_TIME
  • Physical Therapist | PT / DPT Home Health Care, Inc. Salary: $50.00 - $120.00 per visit Full-Time Home Health Care Inc. is seeking Physical Therapists looking for autonomy and variety to join our ther...
  • 12 Days Ago

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0 Reimbursement Services Director - Home Care jobs found in Rochester, MN area

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Nursing Home Administrator (NHA), Rochester, MN
  • Dimensions Home Health Care
  • Rochester, MN
  • Job Summary: The role of the Executive Director (NHA) requires a combination of organizational leadership and operationa...
  • 3/28/2024 12:00:00 AM

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Sr Oncology Account Manager; Minneapolis - Rochester MN
  • ApTask
  • Rochester, MN
  • About Client: The client is a global biopharma company with a purpose to unite science, technology and talent to get ahe...
  • 3/28/2024 12:00:00 AM

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Bakery Clerk
  • Hy-Vee, Inc.
  • Rochester, MN
  • At Hy-Vee our people are our strength. We promise "a helpful smile in every aisle" and those smiles can only come from a...
  • 3/28/2024 12:00:00 AM

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Coffee Shop Barista
  • Hy-Vee, Inc.
  • Rochester, MN
  • At Hy-Vee our people are our strength. We promise "a helpful smile in every aisle" and those smiles can only come from a...
  • 3/28/2024 12:00:00 AM

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Frozen Clerk
  • Hy-Vee, Inc.
  • Rochester, MN
  • At Hy-Vee our people are our strength. We promise "a helpful smile in every aisle" and those smiles can only come from a...
  • 3/28/2024 12:00:00 AM

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Teacher's Aide
  • YMCA of the USA
  • Rochester, MN
  • Description Part-time Teacher's Aide Position Available The YMCA Early Childhood Learning Center is hiring fun, energeti...
  • 3/27/2024 12:00:00 AM

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Campus Executive Director
  • Careerbuilder
  • Rochester, MN
  • Volunteers of America - National Services Campus Executive Director Rochester , Minnesota Apply Now Come join our awesom...
  • 3/26/2024 12:00:00 AM

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Youth Development Coordinator
  • YMCA of the USA
  • Rochester, MN
  • Description 1. Job Summary: The Youth Development Coordinator is responsible for overseeing various program areas within...
  • 3/25/2024 12:00:00 AM

Rochester is a city founded in 1854 in the U.S. State of Minnesota and is the county seat of Olmsted County located on the Zumbro River's south fork in Southeast Minnesota. It is Minnesota's third-largest city and the largest city located outside the Minneapolis-St. Paul Metropolitan Statistical Area. As of 2015, the Rochester metropolitan area has a population of 215,884. According to the 2010 United States Census the city has a population of 106,769. The U.S. Census Bureau estimated that the 2017 population was 115,733. It is the home of the Mayo Clinic and an IBM facility, formerly one of t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director - Home Care jobs
$70,520 to $100,630
Rochester, Minnesota area prices
were up 1.3% from a year ago

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