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4d

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reimbursement manager jobs near moneta, va

Clinical Manager- RN- Home Health

Carilion Clinic -
Roanoke, VA

Apply Now

Job Details

Full-time
$98,155.20 - $157,040.00 a year

Benefits

Health insurance
Dental insurance
Paid time off
Pension plan
Vision insurance
403(b)
Gym membership

Qualifications

TJC
Customer communication
Nursing
RN License
Driver's License
Conflict management
Home healthcare regulations
Productivity software
Hospital regulatory compliance
Nursing

Full Job Description

Employment Status:

Full time

Shift:

Day (United States of America)

Facility:

1615 Franklin Rd - Roanoke

Requisition Number:

R158528 Clinical Manager- RN- Home Health (Open)



How You’ll Help Transform Healthcare:

The Home Health Manager manages the home health departments including patient care, human resources, operational performance, capital equipment and budgets. Collaborates with the leadership team to ensure system wide standards of care, service excellence, and goals and objectives are met.



Manager of Home Health for the Roanoke region. Company equipment.

Collaborates with Clinical Leaders to implement daily services and supervises clinical care of both business units.
Manages medical review and reimbursement appeals process.
May make home visits for patients for staff supervision including for evaluations.
Manages complex operational issues that could be legal and ethical nature.
Ensures compliance with standards from all regulatory agencies and guidelines for reimbursement from all payers.
Develops and maintains new employee strategies including orientation, in-service training, and continuing education. Mentors and works with the employees to grow clinical skills.
Collaborates with the System to coordinate educational activities, based on ages of patients served and needs assessment to maintain staff competencies.
Develops, implements, and monitors the fiscal budget and capital equipment needs to ensure delivery of care.
Plans, prioritizes, implements, and evaluates the performance improvement activities to ensure compliance with standards and regulations but most importantly, to promote a culture focused on patient safety and quality.
Arranges and negotiates services provided through contractual agreement. Ensures that annual contract credentials are documented and maintained.
Responds to customers' and referral source concerns.
Responds to all requests for information by third party payors and documents necessity of care provided.
Ensures the accuracy of public informational materials and activities.
Serves as communication link among physicians, staff, and community programs.

What We Require:

Education: Bachelor's degree in nursing, business or related field required or must possess equivalent education.

Experience: Three to five years’ experience in health care management required. Home health and/or hospice experience preferred. Thorough working knowledge of current regulations and accrediting standards for the State of Virginia and the Joint Commission on Accreditation of Health Care Organizations required. Experience in managing in a competitive environment.

Licensure, certification, and/or registration: Registered Nurse in the state of Virginia. Must possess VA Driver's license.

Other Minimum Qualifications: Thorough working knowledge of current regulations and accrediting standards for the State of Virginia and the Joint Commission on Accreditation of Health Care Organizations required. Proficiency in Microsoft Office required. Demonstrates positive interpersonal, written and oral communication skills, analytical business skills, integrity, innovation, team player, problem solving/conflict resolution skills and customer focused philosophy. Experience in managing in a competitive environment.

Compensation Range:

$98,155.20 - $157,040.00

Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.

Recruiter:

Chris Fitzgerald

Recruiter Email:

[email protected]

For more information, contact the HR Service Center at 1-800-599-2537.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.

For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies

Benefits, Pay and Well-being at Carilion Clinic

Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That’s why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life – at work and when you’re away.

When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:

Comprehensive Medical, Dental, & Vision Benefits
Employer Funded Pension Plan, vested after five years (Voluntary 403B)
Paid Time Off (accrued from day one)
Onsite fitness studios and discounts to our Carilion Wellness centers
Access to our health and wellness app, Personify Health
Discounts on childcare
Continued education and training

Apply Now

Refine Your Search

reimbursement manager jobs in moneta, va

Clinical Manager- RN- Home Health

Registered Nurse - RN Case Manager

Field Service Technician

Lead Veterinary Technician

Pharmacist

Registered Nurse Clinical Manager - Home Health

Branch Sales Associate

RN - Medical / Behavioral Health Specialty Unit

ESC Electrician - Virginia

Power Generation Sales Representative

RN Case Manager

Regional Manager Team Member - Roanoke

Senior Oncology Sales Specialist, Hematology (Roanoke, VA) - Johnson & Johnson Innovative Medicine

Automation Controls Product Manager / Variable Freqency Drive

Permit Supervisor (Drafting)-Telecommunications

Practice & HR Assistant

Senior Inspector

Emergency Department Nurse Manager

Sales Consultant

Restaurant Assistant Manager - Bedford, VA #5286

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