Patient Care Manager

Our Company

Heartland Hospice is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for caregivers and clinicians means better care for everyone, so we offer ongoing professional training, lower nurse-to-patient ratios, and comprehensive benefits for eligible employees. Here, you'll join gifted colleagues who make a lasting difference in people's lives every day.

Overview

We're looking for a Full-Time Referral/Admissions Manager, RN to join our team in Lucasville, OH.

You will report directly to the Administrator, and you will be responsible for maintaining a high performing hospice program including managing, overseeing, and directing patient care activities to ensure the delivery of quality patient care.

This role is responsible for teaching, evaluating, and developing associates and ensuring adherence to company policies and procedures and compliance with local, state, and federal regulations and regulatory agencies.

Overview:

• Responsible for contacting the patient and family within 1 hour of referral, and coordinating all admissions within the 3-hour admission Commitment
• Processes referrals by obtaining sufficient admission and insurance information in order to ensure appropriate and timely admission of patients
• Participates as a member of the marketing team by: actively seeking new referral sources; developing and maintaining positive relationships with referral sources; assist in developing strategies and plans for site and company growth
• Ensures maximum reimbursement through initial payer source, benefits, and eligibility verification, authorization processes, and accurate data entry into Company computer system. Completes required payer source verification forms
• Provides accurate insurance and admission information to admission staff in order to ensure appropriate disclosure of rights and responsibilities, financial liabilities and benefit plan details to patients and their families
• Provides Billing Coordinator, or designee, with insurance and billing documentation as needed for final confirmation prior to admission and/or submission of bill

• Overseeing and managing rescheduled, declined, missed, and reassigned visit requests, including making decisions as to priority and staffing based on clinical judgment.
• Responding to phone referrals/inquiries in a timely, professional, and compassionate manner, including triage of medical concerns within scope of practice.

About You

• At least three years' experience of direct patient care and two years' experience in hospice or home-based care setting
• Graduate of accredited school of nursing; bachelor's degree in nursing preferred
• Current Registered Nurse licensure in state of residence and requested employment
• Demonstrates knowledge and compliance with accepted hospice principles and practice, including industry standards, regulations, and best practices (i.e., Medicare, Medicaid, JCAHO, ACHC), company policies/procedures, and understanding of terminally ill patients and their families
• Ability to apply knowledge of the unique needs of hospice patient and families from various socioeconomic backgrounds to provide appropriate advocacy and oversight

We Offer

• Comprehensive Benefits Package: Health Insurance, 401k Plan, Tuition Reimbursement, PTO
• Opportunity to Participate In a Fleet Program
• Competitive Salaries
• Mileage Reimbursement
• Professional Growth and Development Opportunities

Legalese

• This is a safety-sensitive position
• Employee must meet minimum requirements to be eligible for benefits
• Where applicable, employee must meet state specific requirements
• We are proud to be an EEO employer
• We maintain a drug-free workplace

Compensation may vary within the salary range provided based on several factors including but not limited to a candidate's location, experience, education, skills, licensure, certifications and department equity. Gentiva provides associates with a comprehensive benefits and total rewards package, of which base pay is just one piece.

Salary Range: $71,615 - $89,520

Location

Heartland Hospice