Overview
Responsible for overseeing the functions and activities associated with Community Outreach Services, Admitting, and Intake. Reports directly to the Vice President for Admitting, Intake and Outreach Services and maintains an open dialogue with the senior leadership of the hospital and referring partners.
Role/Function
Continuously monitors and assesses the delivery of services provided by the Community Outreach, Admitting and Intake implementing changes when appropriate.
Acts as liaison between Calvary Hospital and referring institutions and providers.
Actively engages in the ongoing marketing of programs and services provided by Calvary Hospital.
Works cooperatively with other departments, provider referrers and managed care organizations to facilitate the admission of patients to the various programs provided by Calvary Hospital.
Interfaces with managed care organizations to facilitate reimbursement for services provided by the Hospital. Oversees the appeals process for those cases for which reimbursement has been denied.
Conducts interdepartmental meetings related to the quality and utilization of clinical services.
Serves on various Hospital committees as assigned.
Attends meetings and seminars as appropriate.
Ensures all related manuals are kept current.
Works within legal, ethical practice standards to his/her position as well as Calvary’s Code of Conduct. Complies with appropriate policies and procedures and brings potential compliance matters to supervisor or compliance officer.
Exhibits an ability and attitude relative to the spirit of caring and tradition at Calvary Hospitals
Staff/Performance
Oversees and participates in the budget process for his/her assigned departments.
Completes Introductory and Annual Performance Appraisals for all direct reports. Reviews Introductory and Annual Performance Appraisals for other assigned staff.
Oversees the interface with the Finance Office regarding pertinent insurance information, e.g. Medicare, Medicaid, Blue Cross, and Commercial Insurance.
Performs other related duties as assigned.
Safety
Elicits recommendations regarding continuous improvement of patient safety from staff.
Encourages reporting of occurrences without fear of reprisal.
Participates in the development of recommendations for improvement in patient safety based on staff recommendations.
Participates in the implementation and monitoring of patient safety program.
Maintains current knowledge of regulatory requirements which may impact on the delivery of patient services.
Planning
Integrates the services of the departments supervised into the day-to-day activities of the Hospital in support of its philosophy and mission.
Develops appropriate goals and objectives for departments supervised.
Job Type: Full-time
Pay: $190,000.00 - $210,000.00 per year
Requirements
QUALIFICATIONS:
1. Master of Nursing Degree highly preferred.
2. NYS unencumbered Registered Nurse License required.
3. Ten (10) to fifteen (15) years of management experience, five (5) of which must be at the department head level. Three (3) years’ experience as an Administrator or Vice President preferred.
4. Excellent interpersonal skills.
5. Ability to interface with all levels of personnel.
6. Excellent written and verbal communication skills.
7. Ability to analyze detailed statistical and other pertinent data.
8. Knowledge of and experience in Quality Assessment and Improvement, Utilization Review.
9. Ability to develop management systems to track data over time.
Benefits
Benefits:
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