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Market CRS Director
4 months ago
Description
This position is incentive eligible.Introduction
Want to join a team of daring managers who care without reservations or limits? Our HCA Healthcare team is looking for a(an) Director Rehab Services. HCA Healthcare is an advanced healthcare network that has committed up to 300 million to our incredible team members over the course of three years.
BenefitsHCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
- Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
- Free counseling services and resources for emotional, physical and financial wellbeing
- 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
- Employee Stock Purchase Plan with 10% off HCA Healthcare stock
- Family support through fertility and family building benefits with Progyny and adoption assistance.
- Referral services for child, elder and pet care, home and auto repair, event planning and more
- Consumer discounts through Abenity and Consumer Discounts
- Retirement readiness, rollover assistance services and preferred banking partnerships
- Education assistance (tuition, student loan, certification support, dependent scholarships)
- Colleague recognition program
- Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
- Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
HCA Healthcare is committed to research and clinical protocols. Do you want to impact standards of care and save lives across the country? Apply today to our Director Rehab Services and be a part of the innovation of ideas.
Job Summary and QualificationsJOB SUMMARY
Responsible for maintaining oversight of the market needs on a daily basis and allocating resources in a manner to meet needs and sustain volumes. This position acts as a Senior Rehabilitation Liaison, who analyzes the market and develops strategies to maximize the programs penetration in the market. The manager supports all of the Clinical Rehabilitation Specialists (CRS) program functions and patient intake, performing any and all functions as needed.
GENERAL RESPONSIBILITIES
· Coordinates the assignment of CRS' to assure coverage of the market.
· Effectively moves CRS' to assure prompt response times daily to hospitals based on number of referrals.
· Coordinates physician and case management marketing opportunities for the market.
· Completes and coordinates face-to-face, in-service educational contacts with physicians, case managers, other interdisciplinary members and other professionals.
· Serves as an educational resource to patients, family members and caregivers.
· Advises referral sources on inpatient rehab criteria. Ensures all referral sources receive appropriate and timely follow-up communications regarding their patients and hospital programs.
· Manages compliance requirements for admissions.
· Establishes and maintains strong relationships with admitting MDs and ensures equitable distribution of patient assignments based on patient need.
· Manages physician referral process (referring physician preference, established patient/physician relationship).
· Strategically leads the market's CRS team through the setting of and accountability to performance-based metrics.
· Works closely with program directors and administrative officers across the market to ensure CRS's are strategically deployed to achieve/ exceed budgeted admission targets.
· Effectively collaborates with Program Directors at each site. Performs on-site and off-site clinical evaluation to assist Rehab Medical Director in determining appropriateness of patient for admission.
· Oversees and leads the operations of the insurance verification and authorization of rehabilitation referrals to ensure timely admission.
· Manages the intake process to assure all benefit verifications and insurance authorizations are completed.
· Assures fair and equitable assignment of patients between rehab programs with consideration given to geography, patient choice, specific needs of the patients, census considerations, and the 60% Rule status of each program.
· Assist and coordinates the in-take and pre-admission screening process.
· Accurately documents evidence of rehab admission criteria on Pre-Screen evaluation in a timely and legible manner.
· Successfully manages the denial/appeal process for IRF admissions.
· Monitors insurance approval/ denial trends to elevate contracting opportunities for IRF programs.
· Participates in market analysis, data analysis and development and implementation of business plans for the Rehab Unit. Contributes to the development and maintenance of referral source information such as brochures, flyers, referrals and information kit and other outreach tools.
· Assists in the development of a SWOT analysis and strategic plan.
· Identifies opportunities where admissions are challenging to attain, and develops a strategy and a working plan to grow admission volume in those places, including analysis and communication about potential qualifying patients being lost to competitor IRF or SNFs in the community.
· Follows HCA Ethics and Compliance policies.
SPECIAL QUALIFICATIONS
· Demonstrates clinical knowledge of rehab admission criteria, leading to appropriate identification of qualified rehab patients.
· Utilizes knowledge in managed care plans in the area and assists case management, CRS and patients by providing financial insight on coverage, copays, etc.
· Collaborates with the CRS team, Program Directors and Medical Director(s) to maximize relationships with external facilities in their communities (utilizing a hospital or division transfer center if available) that has created a new additional admission volume stream.
· Participates with Program Director, Regional Vice President, and AVP of Business Development of the HCA Rehab Services Division in screening and interviews of potential new CRS hires, making hiring recommendations.
· Communicates to patients the expectations and requirements for participation upon admission to the rehab program, including inpatient rehab and program features to patient and family members.
· Offers each patient and family a tour of the rehab unit; coordinating tour if unable to provide personally.
· Supports the mission and vision of the all HCA Medical City facilities. Understands and is committed to helping HCA Medical City facilities achieve its goals.
· Must learn and comply with System and facility safety policies and rules; must use appropriate safety equipment and procedures at all times; must immediately report all unsafe conditions to supervisors; must be familiar with all safety features of equipment, tools or materials encompassed by job duties; and must check with supervisors (prior to job performance) if there is a question as to the safe procedure to be used for any job function.
· Adheres to the HCA Code of Conduct and demonstrates ethical behavior as expected by our patients, colleagues and the community. Understands the personal obligation to report any activity that appears to violate applicable laws, rules regulations or the Code of Conduct itself.
EXPERIENCE
5 years managing rehab and/or hospital admissions, nursing or an equivalent combination of education and experience
EDUCATION
Master's or Doctoral in either Physical Therapy, Occupational Therapy; or Master of Science in Speech Pathology (MPT, DPT, MOT, OTD, MSSP); or Registered Nurse (RN) Required: Must be a licensed clinician in state where tasks will be performed; must have current and active license
Nashville-based HCA Healthcare is one of the nations leading providers of healthcare services. Founded in 1968, HCA Healthcare created a new model for hospital care in the United States. In this model, we use combined resources to improve hospitals, deliver patient-focused care, and improve the practice of medicine. We have conducted several clinical studies. One of those studies includes a demonstration that full-term delivery is healthier than early elective delivery of babies. Another study identified a clinical protocol that can reduce bloodstream infections in ICU patients by 44 percent. We are a learning health system that uses its more than 31 million annual patient encounters to advance science, improve patient care and save lives. HCA affiliated facilities in the North Florida Division are a part of a quality healthcare network in North Florida. This network includes 15 affiliated hospitals, 5 surgery centers, and two consolidated service centers. Together, our network has over 3,100 beds, employs more than 14,000 team members, and has over 4,200 physicians on staff.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.HCA Healthcare Co-Founder
Unlock your potential with a leading healthcare provider dedicated to its patients, colleagues and communities. Help guide our team as a(an) Director Rehab Services and help us improve more lives in more ways.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
