Requisition: J3M0JK6PS84C034CCPK
ResCare
Title: Admissions Manager
Job Category: Direct Care/Operations
Line of Business: HomeCare Services
About ResCare
Join us in transforming peoples' lives and their communities! ResCare is a one-of-a-kind human services company offering services for people with intellectual and developmental disabilities, home care for seniors, as well as education, vocational training, and job placement for people of all ages and skill levels. Right now, we have an exciting opportunity for you to join our team as a Admissions Manager.
About this Line of Business
Rehab Without Walls(R) NeuroSolutions started over 30 years ago as NeuroCare. We originally designed a program helping brain injury, spinal cord injury, and stroke patients using real-life activities in their own environment. Today, we are still removing walls, breaking barriers and rebuilding lives. But we are also connecting the NeuroCare continuum, providing expertise in the right place at the right time with outpatient and residential services in addition to our groundbreaking home and community rehab.
As a(n) Admissions Manager you will:
•Abides by and demonstrates the company's Mission, Vision, and Values through both behavior and job performance on a day-today basis.
•Receives/responds to incoming calls from referral sources/potential clients and exchanges information to identify the clients' needs and consults with Director of Clinical Management to determine the Company's ability to meet them.
•Completes all viable referrals by setting up and carrying out pre-screening assessments, completion of pre-screening reports, preparation of case proposals and other related pre-admission paperwork (i.e., obtains authorization for payment, coordinates
availability of an appropriate treatment team).
•Oversees, directs and supervises field staff assigned in assisting with pre-screening process.
•Accesses national/state/company account information, including the account names and terms of contracts or other past payer agreements, as appropriate.
•Consults with third party representatives regarding client benefit coverage, client financial responsibility, company service authorization and specific reimbursement procedures. Presents company's services, interprets potential reimbursement options, and negotiates reimbursement levels with third party payer.
•Contacts referral sources to advise them of case acceptance and provides information on the clinical team responsible for client's case.
•Develops/maintains a working knowledge of all services/resources provided by the Company and services available within the community. Assists in identifying alternative community service sources when company solutions are not appropriate or available.
•Maintains relationships with standard referral sources and payer case managers. Contacts identified referral sources and seeks referrals as appropriate. Records outcome of calls and keeps the SAR informed. May assist CRM in other sales/marketing activities.
•Monitors/tracks referral sources' satisfaction levels, tracks/reports on conversion ratios and provides summary reports to management at requested intervals.
•Participates in performance improvement activities. Ensures the collection of data for improvement analysis and prepares reports for management, as needed.
•Implements/maintains, with the up line management, operational processes to ensure compliance with Company policies, legal requirements and regulatory mandates.
•Maintains the highest standard of professional conduct in relation to information that is confidential in nature. Shares information only when the recipient's right to access is clearly established and the sharing of such information is clearly in the best interest of the person served.
•Adheres to and participates in Company's mandatory HIPAA privacy program / practices and Business Ethics and Compliance programs / practices.
•Participates in quarterly growth planning meetings/activities including discussions around staffing and recruitment needs.
•Performs all duties inherent in a supervisory role.
•Participates in special projects and performs other duties as assigned.
Position Requirements
•Bachelor's Degree in Nursing, health care field or the equivalent.
•Minimum of 3-years' experience working in rehabilitation or healthcare setting.
•Strong knowledge of rehabilitation operations and third party payer reimbursement.
•Working knowledge of personal computer and data entry, E-mail retrieval, Internet, contact ... For full info follow application link.
ResCare is an Equal Opportunity Employer. ResCare does not discriminate against any person on the basis of gender, race, color, national origin, religion, disability, age, veteran status, gender identity or orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities.