Directs all daily patient referral and intake operations including providing direct oversight of the establishment and implementation of intake policies.
Ensures compliance with all state, federal, and CHAP referral/intake regulatory requirements.
Directs the implementation of improved work methods and procedures to ensure patients are admitted in accordance with policy.
Establishes and maintains positive working relationships with current and potential referral sources.
Ensures seamless transition of patients to home care by providing direct oversight of patient education and preparation for home care, plan of care initiation, and coordination of care with multiple service providers.
Ensures maximum third-party reimbursement through direct oversight of insurance verification and authorization processes.
Negotiates service pricing with insurance Case Managers and other payers within established financial and credit parameters.
Assists the Executive Director/Administrator in the preparation of an annual budget for the intake department and monitors allocation of resources according to budgetary limitations.
Recruits, selects, orients, and directly manages members of the referral/intake team.
Builds and monitors community and customer perceptions of HospiceCare in The Berkshires, Inc. as a high quality provider of services.
Gathers, collates, and reports referral statistics including key customer referral trends.
Provides leadership in strategic planning including identifying opportunities for additional or improved services to meet unmet customer needs.
Maintains comprehensive working knowledge of HospiceCare in The Berkshires, Inc. contractual relationships and ensures that patients are admitted according to contract provisions.
Participates in quality assessment performance improvement teams and activities.
Maintains comprehensive working knowledge of community resources and assists referral sources in accessing community resources should services not be provided by HospiceCare in The Berkshires, Inc.
