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Job Summary:

Oversee potential clients for Home Health and Hospice.  Facilitate the management of the intake process through coaching and mentoring the intake team.  Establish and maintain ongoing relationships with referral sources. Acts as a resource for intake team to support development, standardization, education and implementation of workflow.  Troubleshoots barriers and questions for intake team and escalate as needed.  Works with Home Health leadership team to support growth and sustainability of all Home Health and Hospice programs.

Position Responsibilities:

Measure and maintain productivity standards with expense control measures in place. Ensure patient appropriateness for consistency with Home Health and Hospice admission criteria including Medicare and other payer specifications. Establish and maintain relationships with key individuals in internal and external facilities.  Complete a thorough review of reimbursement issues for all referrals. Perform ongoing audits and address inaccuracies.

Oversee the quality and accuracy of all entries into appropriate systems.  Participates in evaluation and continued education and competencies for team.  Develop and open communication system with referral sources, surfacing issues and developing business initiatives.

Contact with case manager of insurance company regarding evaluation, requests for additional authorization and additional information required is received and processed timely by payors. Authorization is documented and appropriate staff notifications occur timely.

Verifies and confirms all third-party payors have benefits verification completed prior to admission. Collaboration occurs with Intake and Managed Care to ensure appropriate client billing. Keep abreast of current insurance requirements and changes.

Schedules team to meet demand of department and customer needs.   Responsible for maintaining competency in all regulatory and payer compliance. 

Position Qualifications Required:

Required Experience:

3-5 years of home care and supervisory experience preferred.

Required Education:

BSN required. Registered Nurse - NJ licensure and CPR certification.

Training / Certification / Licensure:

Excellent organizational and computer skills, demonstrate leadership skills, excellent customer focus skills

#RD_HH

Annual Salary: $98,700 - $158,398 The actual salary/rate will vary based on applicant’s experience as well as internal equity and alignment with market data.

This position is eligible to participate in one of Virtua’s annual incentive compensation plan (AICP). The amount is subject to the terms and conditions of the plan document. Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.

For more benefits information click here.