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Manager Intake, Home Health & Hospice
ANAHEIM CA 92805
Category: Other
  • Your pay will be discussed at your interview

Job code: lhw-e0-90668911

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St. Joseph Health

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  Job posted:   Thu Jun 7, 2018
  Distance to work:   ? miles
       
  3 Views, 0 Applications  
 
Manager Intake, Home Health & Hospice
**St. Joseph is calling a Manager, Intake Department to support our Home Health and Hospice agency in Anaheim, CA.**


**Job Summary:**


This position has direct responsibility for the management of the intake, insurance verification and authorization teams that support home health. Additional responsibilities include ensuring compliance to CMS guidelines and department policy and procedures. This position also serves as a liaison with the internal and external referral sources for the home health ministry as well as the clinical departments associated with patient care and utilization in order to provide timely, safe care with excellent responsiveness and exceptional customer service.


**Essential Functions:**


Manages the day-to-day operational functions of the intake, insurance verification and authorization teams to include work flow management, inventory management, system updates, reporting and training to ensure each function is preformed consistent with performance standards, HIPPA, PHI, CMS, while promoting compliance, quality, and efficiency.


Recruits, hires and completes performance evaluations, coaches and develops direct reports as necessary and allocates appropriate staffing ratios to ensure effective and timely handling of all referrals and assigned projects.


Manages resources to meet the annual operating budget for the department, support cost containment strategies while maintaining productivity and quality standards.


Responsible for assigning work, running and reviewing reporting and making any needed changes to staff assignments as well as creating the monthly schedules for the respective teams.


Supports the coordination of inter-disciplinary care.


Understands third party reimbursement guidelines and methodologies as it relates to revenue generating opportunities.


Demonstrates effective problem solving skills by root cause analysis and takes necessary steps to implement effective resolution.


Assures the referral source, facilities and physician data base is maintained with current information.


Interprets policies and procedures, guidelines, regulatory requirements, health plan requirement, contractual agreements and other related documentation in order to assist staff with claims questions.


Maintains excellent customer service and resolves conflicts and complaints in a timely and professional manner.


Develops and monitors training for new employees as well as assigned staff.


Serves as the liaison for the home health network with internal and external referral sources as well as payers.


Responsible for creating, maintaining and communicating standard work to staff in a timely and consistent manner.


Conducts staff meetings and provides support, guidance and motivation to develop staff and promote maximum performance and employee engagement.


**Knowledge / Skills / Abilities:**


Knowledge of HIPAA, CMS guidelines


Familiarity with medical coding (CPT, ICD-10and standard payer requirements around eligibility and authorization.


Be able to work effectively under pressure by prioritizing work activities and re-negotiating deadlines.


Requires excellent written and verbal communications skills to communicate effectively with individuals at all levels of the organization.


**Computer Skills:**


Knowledge and experience with Microsoft Word applications, Excel, Outlook, PowerPoint, ECIN, IDX


Experience with multiple EMR platforms


10-key by touch


**Minimum Position Qualifications:**


**Education:** Bachelor's degree or equivalent experience in a health care related field.


**Experience:** 5 years of related experience in home health or Intake; 3 years of leadership experience.


**Licensure:** Registered Nurse with a CA License


**Preferred Position Qualifications:**


**Computer Skills:** Excel, IDX, ECIN, Meditech, Kinnser


Since 1988, St. Joseph Health, Home Care Services has been a trusted leader in home health, hospice and infusion pharmacy, helping clients throughout Orange County, Los Angeles County and the Inland Empire receive the quality care they need in the comfort of their home. A member of the St. Joseph Hoag Health alliance, St. Joseph Health, Home Care Services is guided by our core values of excellence, service, dignity and justice in everything we do. With over 700 caring employees, we are dedicated to restoring the health and well-being of clients and families at all stages of life's journey.St. Joseph Health, Home Care Services provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, St. Joseph Health, Home Care Services complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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