Reimbursement Services Director jobs in Chula Vista, CA

JOB DESCRIPTION SUMMARY

The Clinical Director/Director of Patient Care Services is responsible for the overall direction of home health clinical services.

The Clinical Director/Director of Patient Care Services establishes, implements and evaluates goals and objectives for home health services that meet and promote the standards of quality and contribute to the total organization and philosophy.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

1. Coordinates and oversees all direct and indirect patient services provided by clinical organization personnel.

2. Provides guidance and counseling to coordinators and Clinical Supervisors to assist them in continually improving all aspects of home health care services, provided through organization personnel.

3. Assists Clinical Supervisors in managing clinical teams and planning.

4. Provides help in assessment, planning, implementation and evaluation of patient and family/caregiver care to all clinical personnel as indicated.

5. Assists the Executive Director/Administrator in the preparation and administration of the organization's budget.

6. Interprets operational indicators to detect census changes and increases or decreases in volume that could impact staffing levels, revenues or expenses.

7. Evaluates performance of Clinical Supervisors.

8. Assists Clinical Supervisors to develop skills and techniques in evaluating the performance of clinicians.

9. Hires, evaluates, and terminates organization personnel.

10. Conducts annual evaluations on clinicians, or more frequently if indicated.

11. Oversees the maintenance of patient clinical records, statistics, reports and records for purposes of evaluation and reporting of organization activities.

12. Assures proper maintenance of clinical records in compliance with local, state and federal laws.

13. Responsible for the maintenance of adequate and appropriate inventory supplies and equipment for the provision of patient services.

14. Develops, implements and evaluates the orientation program for new organization personnel. Responsible for orientation of new organization personnel, directly or delegated.

15. Plans and implements inservice and continuing education programs to meet education and training needs of organization personnel at least quarterly.

16. Assists with the evaluation of organization performance via performance improvement program, productivity, quarterly and annual reviews. Assures for the quality and safe delivery of home health services provided through the Organization.

17. Assists in the development of organization goals. Develops, recommends, and administers Organization policies and procedures.

18. Assures compliance with all local, state and federal laws regarding licensure and certification of organization personnel and, maintains compliance to the JCAHO standards.

19. Stays informed about changes in the field of nursing and home health care; shares information with appropriate organization personnel.

20. Promotes home health referrals in the health care community.

21. In the absence of the Executive Director/Administrator, the Clinical Director/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.

22. In the temporary absence (in excess of twenty [20] consecutive working days) of the Clinical Director/Director of Patient Care Services, a Registered Nurse shall be designated in writing as responsible for fulfilling the duties of Clinical Director/Director of Patient Care Services.

23. Any vacancy in the Clinical Director/Director of Patient Care Services position shall be filled within sixty (60) days of the vacancy and the Department notified of the replacement.

24. Other duties as assigned by the Executive Director/Administrator.

25. The Director of Patient Care Services or his/her designee shall be available on the premises or accessible by telecommunication during operating hours.

26. The Director of Patient Care Services shall devote a sufficient number of hours to assure quality and adequacy of services provided and supervision of staff.

27. Any vacancy in the DPCS portion shall be filled within 60 days of vacancy and the Department notified of the replacement.

POSITION QUALIFICATIONS

1. Registered nurse in the State with current licensure to practice professional nursing in the State.

2. Bachelor’s degree in Nursing from an accredited program by the National League for Nursing. Master’s degree preferred.

3. Three years of management experience within the last five (5) years in a home health or related health care organization, at least one (1) year of which was in a supervisory or administrative capacity, OR

4. A Registered Nurse with four (4) years’ experience within the last five (5) years in a home health agency, primary care clinical or health facility, at least one (1) year of which was in a supervisory or administrative capacity.

5. Demonstrated ability to supervise and direct professional and administrative personnel.

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/or Organization requirements and is in good working order.

8. Has excellent observation, verbal and written communication skills.

9. Knowledge of business management, governmental regulations and JCAHO standards

Job Type: Full-time

Pay: $100,000.00 - $130,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Healthcare setting:

• JCAHO accredited facility

Medical specialties:

• Geriatrics
• Home Health

Schedule:

• Day shift
• Monday to Friday
• Weekends as needed

Ability to Relocate:

• San Diego, CA: Relocate before starting work (Required)

Work Location: In person