Reimbursement Services Director - Home Care jobs in Santa Ana, 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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RN Director of Patient Care Services- Home Health
  • Bridge Home Health and Hospice
  • Santa Ana, CA FULL_TIME
  • Overview

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

    With over20 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

    The Director of Patient Care Services is responsible for the overall direction of home healthclinical services. The Director of Patient Care Services establishes, implements and evaluatesgoals and objectives for home health services that meet and promote the standards of qualityand contribute to the total organization and philosophy.

    ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

    1. Coordinates and oversees all direct and indirect patient services provided by clinicalorganization personnel.2. Provides guidance and counseling to coordinators and Clinical Managers to assist them incontinually improving all aspects of home health care services, provided throughorganization personnel.3. Assists Clinical Managers in managing clinical teams and planning.4. Provides help in assessment, planning, implementation and evaluation of patient andfamily/caregiver care to all clinical personnel as indicated.5. Assists the Executive Director/Administrator in the preparation and administration of theorganization's budget.6. Interprets operational indicators to detect census changes and increases or decreases involume, which could impact staffing levels, revenues or expenses.7. Evaluates performance of Clinical Managers.8. Assists Clinical Managers to develop skills and techniques in evaluating the performance ofclinicians.9. Hires, evaluates, and terminates organization personnel.10. Conducts clinician performance evaluations annually, or more frequently if indicated.11. Oversees the maintenance of patient clinical records, statistics, reports and records forpurposes of evaluation and reporting of organization activities.12. Assures proper maintenance of clinical records in compliance with local, state and federallaws.13. Responsible for the maintenance of adequate and appropriate inventory supplies andequipment for the provision of patient services.14. Develops, implements and evaluates the orientation program for new organizationpersonnel. Responsible for orientation of new organization personnel, either directly or bydelegating to another staff member.15. Plans and implements in-service and continuing education programs to meet education andtraining needs of organization personnel.16. Assists with the evaluation of organization performance via performance improvementprogram, productivity, quarterly and annual reviews. Assures for the quality and safedelivery of hospice services provided through the Organization.17. Assists in the development of organization goals. Develops, recommends, and administersOrganization policies and procedures.18. Assures compliance with all local, state and federal laws regarding licensure andcertification of organization personnel and, maintains compliance to the Joint CommissionHospice standards.19. Stays informed about changes in the field of nursing and hospice care; shares informationwith appropriate organization personnel.20. Promotes hospice referrals in the health care community.21. In the absence of the Executive Director/Administrator, the Director of Patient CareServices will become the acting Executive Director/Administrator and will be vested withauthority to act in behalf of the Executive Director/Administrator.22. Other duties as assigned by the Executive Director/Administrator.

    Qualifications

    1. Registered nurse with current licensure to practice professional nursing in the State.2. Bachelor’s degree in Nursing from an accredited program by the National League forNursing. Master’s degree in health care preferred.3. The Director of Patient Care Services shall qualify for the position by fulfilling therequirements under one of the following categories, unless the individual has beenpreviously approved for such employment by a program flexibility issued for the individual’scurrent position at the hospice agency prior to April 1, 1995 or:A. Three years of management experience within the last five years in a home health orrelated health care organization, at least one year of which was a supervisory oradministrative capacity.B. A registered nurse with four years of experience within the last five years in a hospiceagency, primary care clinic or health facility, at least one year of which was in asupervisory or administrative capacity.4. Demonstrated ability to supervise and direct professional administrative personnel.5. Knowledge and expertise in clinical decision-making and Quality Management review andevaluation.6. Ability to market and deal tactfully with customers and the community.7. Must be a licensed driver with an automobile that is insured in accordance with state and/orOrganization requirements and is in good working order.8. Has excellent observation, verbal and written communication skills.9. Knowledge of business management, governmental regulations and Joint Commissionstandards.10. Participation in Quality Assurance/Performance Improvement Program and Bridge Hospicesponsored training.

    Additional Information

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

     

    Competitive compensation Range $115K-120K yrFleet 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

    #ZR

  • 11 Days Ago

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Director of Operations
  • Rainbow Home Care
  • Santa Ana, CA FULL_TIME
  • I. Duty Statement: Your position will be: reporting directly to the CEO of the company. Your duties and responsibilities will be as designated by the company and its Executives; organizing and oversee...
  • 1 Day Ago

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Home Health LVN
  • Optima Care Home Health Services, Inc.
  • Santa Ana, CA OTHER
  • Job Summary: Utilizes the nursing process to perform skilled nursing functions in accordance with the Nurse Practice Act, Federal and State guidelines. Provides direct skilled nursing care to patients...
  • 4 Days Ago

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Physical Therapist - Home Health Care Services
  • Providence Health
  • Santa Ana, CA FULL_TIME
  • Description Physical Therapist - Home Health Care Services – Sea Crest Home Health and Hospice-Costa Mesa Schedule: Variable Days, Mon-Fri with required Saturday/Sunday rotations, with options to work...
  • 1 Day Ago

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Physical Therapist - Home Health Care Services
  • Providence
  • Santa Ana, CA FULL_TIME
  • Description Physical Therapist - Home Health Care Services - Sea Crest Home Health and Hospice-Costa Mesa Schedule: Variable Days, Mon-Fri with required Saturday/Sunday rotations, with options to work...
  • 19 Days Ago

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VP of Business Development / Home Care Space
  • Orange County Home Care Agency
  • Tustin, CA FULL_TIME
  • VP of Business Development - Home Care This is one of those opportunities that comes along once in a lifetime! If you believe in yourself enough to come aboard on commission only and MAKE YOUR INCOME ...
  • 25 Days Ago

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

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LVN Nurse Care Manager
  • Debra A Beatty
  • Yorba Linda, CA
  • Job Description Job Description *This is not a remote position, the nurse care manager will be required to make visits t...
  • 4/17/2024 12:00:00 AM

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Home Care Partner / Caregiver / Companion
  • Debra A Beatty
  • Yorba Linda, CA
  • Job Description Job Description We are a private geriatric care management company and serve clients throughout the Oran...
  • 4/17/2024 12:00:00 AM

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Director of Care Management
  • Henry Mayo Newhall Hospital
  • Santa Clarita, CA
  • The Organization Henry Mayo is a 357-bed, not-for-profit community hospital and trauma center serving the Santa Clarita ...
  • 4/16/2024 12:00:00 AM

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Assistant Childcare Director (40140) Full Time | Mission Viejo, Laguna Niguel and San Juan Capistrano area - , CA chevron_right
  • Intellis, LLC.
  • Mission Viejo, CA
  • Job Location Mission Viejo, Laguna Niguel and San Juan Capistrano area - , CA We're looking for an enthusiastic adaptabl...
  • 4/16/2024 12:00:00 AM

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Director of Patient Care Services - Hospice
  • Senior Doc
  • Orange, CA
  • Job Description Job Description Job Title: Director Patience Care Services - Hospice Company: Geiss MED - Hospice Locati...
  • 4/15/2024 12:00:00 AM

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Director of Care Management
  • Henry Mayo Newhall Hospital
  • Santa Clarita, CA
  • The Organization Henry Mayo is a 357-bed, not-for-profit community hospital and trauma center serving the Santa Clarita ...
  • 4/14/2024 12:00:00 AM

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Director of MDS, RN
  • Royal Palms Post Acute
  • Glendale, CA
  • Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's live...
  • 4/14/2024 12:00:00 AM

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Pharmacy Program Support Rep I - Hybrid: Orange, CA or Carrollton, TX
  • Cencora
  • Orange, CA
  • Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthi...
  • 4/9/2024 12:00:00 AM

Santa Ana /ˌsæntə ˈænə/ (Spanish for "Saint Anne") is the county seat and second most populous city in Orange County, California in the Los Angeles metropolitan area. The United States Census Bureau estimated its 2011 population at 329,427, making Santa Ana the 57th most-populous city in the United States. Santa Ana is in Southern California, adjacent to the Santa Ana River, about 10 miles (16 km) from the coast. Founded in 1869, the city is part of the Greater Los Angeles Area, the second largest metropolitan area in the United States, with almost 18 million residents in 2010. Santa Ana is a ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director - Home Care jobs
$78,060 to $111,403
Santa Ana, California area prices
were up 2.5% from a year ago

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When you partner with Mediware, a dedicated team works closely with your business to streamline reimbursement processes and minimize the delays that restrict cash flow.
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Reimbursement Services Director - Home Care in Charleston, SC
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