Reimbursement Services Director - Home Care jobs in Waterloo, IA

This position will serve the city of Oelwein in Allamakee, Winneshiek, Clayton, Buchanan, and Delaware Counties and surrounding areas in Iowa; travel is expected.

Families First is one of the leading providers of family based, in-home and in-office services in the State of Iowa. We are accredited by the State of Iowa; employ approximately 200 employees; serve approximately 3,000 individuals through our various programs; have offices in Bettendorf, Burlington, Cedar Rapids, Clinton, Dubuque, Decorah, Keokuk, Marshalltown, Muscatine, Oelwein, Waterloo, Fort Dodge, and Mason City; and provide services to the counties surrounding each of these offices. Our employees assist entire families with the daily stressors enabling them to balance a family, work and school.

Families First Mission: Families First Counseling Services of Iowa is dedicated to the process of partnering with families today to help foster growth and success tomorrow.

Our qualified and experienced staff perform a variety of support and services, information collection and dissemination, documentation and reporting for the Family, Safety, Risk & Permanency Services; Counseling, Support & Education Services; and Behavioral Health Intervention Services for the agency.

Essential Functions and Responsibilities

· Demonstrate professionalism as an agency representative when partnering with DHS and other community partners

· Demonstrates a sensitivity to service populations’ cultural and SES characteristics.

· Establish and maintain routine collaborative meetings with system partners to promote partnership between Medicaid and the system partner toward achieving benchmark standards and improving patient care.

· Participate in Quality Improvement activities, including data collection, tracking, and analysis.

· Maintain an active workload in accordance with clinical quality standards and quality management plan protocols.

· Conduct in-depth interviews/assessments and use specialized knowledge to gather complicated information from patients to be enrolled in the IHH.

· Synthesize information from treatment records, risk stratification, and other sources to assess enrollees. Apply evidence-based clinical guidelines for behavioral and physical health issues, in addition, knowledge of care coordination techniques in assessing the needs of recipients and determining interventions to address those gaps.

· Demonstrate excellent customer service and collaborate with physicians, consumers, members, visitors, staff, and the health care community.

· Collaborate with IHH and treating providers in developing and implementing care coordination plan to address treatment barriers for each member.

· Record and maintain documentation in EMR and Portals. Maintain patient confidence and protect operations by keeping information confidential.

· Demonstrate flexibility in job duties and schedule in order to aid in better serving the organization, the consumers, and to assist reaching benchmark standards set forth by the state and MCOs. Allow for flexibility in scheduling to accommodate crisis situations for patients.

· Attend regularly scheduled meetings and training sessions to enhance team performance.

· Adhere to all policies and procedures set forth by Families First and the state. Complete all necessary paperwork for insurance and billing.

· Uses available data, such as exams/assessments scores, participant evaluations, and service observations to identify health and wellness needs to develop care coordination plans.

· Participates in various workgroup and committee activities to support departmental and organizational efforts to improve the quality of services throughout our systems of care.

· Perform other duties as assigned.

Work Remotely

• No

Job Type: Full-time

Pay: From $36,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Flexible spending account
• Health insurance
• Professional development assistance
• Vision insurance

Education:

• Bachelor's (Preferred)

Experience:

• working with children with mental illnesses: 2 years (Preferred)

Language:

• English (Required)

License/Certification:

• Driver's License (Required)

Work Location: Multiple locations