Health Underwriting Director jobs in Albright, WV

We are hiring for a Home Health Clinical Director to work Full-Time in Meyersdale, PA.

At Conemaugh Home Health, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve-it truly is all about helping people.

?We strive to offer benefits that reward the whole you!?

• employee wellness programs
• flexibility for true work-life balance
• continuing education & career growth opportunities
• company-wide support & resources to help you achieve your goals

• Supervises and ensures high quality patient care services throughout the episode of care. This includes overseeing: referral coordination, assuring that patient needs are continually assessed, and assuring the development, implementation, and updates of the patient's individualized plan of care. Ensures coordination with physician, family, and other clinicians involved in care as appropriate. Communicates effectively with staff to ensure they are informed through staff conferences as needed and mandatory in-services, including but not limited to monthly staff/safety meetings.
• Supervises patient care to ensure the delivery of safe, economical, and efficient patient care, which adheres to relevant standards of accepted nursing and medical practice, to include federal and state regulations, and Joint Commission standards, as well as to ensure compliance with payer source criteria and LHC policies. This includes ensuring patient care is provided according to the plan of care as ordered by the physician.
• Supervises agency staff workers performance and monitors and assesses employee performance regularly utilizing the clinician scorecard and yearly with the performance evaluation tool.
• Ensures that only qualified personnel are hired. Oversees licensure verification, certification, and credentialing as required by law and policy prior to employment and annually thereafter.
• Assists with staff recruitment to ensure that adequate staffing is maintained. Operates within the staffing model.
• Serves as a member of the Management Team and QAPI Team according to required timeframes and implements Performance Improvement Projects and annual strategic agency planning ensuring follow up on any required action plans. Maintains and documents an infection control program which has as its goal the prevention and control of infections and communicable diseases.
• Participates in annual strategic agency planning. Ensures follow up on any required action plans.
• Conducts at least monthly meetings with the medical director. Approves medical director invoices and submits on a monthly basis to the Home Office with appropriate supporting documentation for timely payment.
• Drives Operational metrics, including but not limited to the following: productivity, VBP, SVP, ACH, claims alert, late EMS, unverified services, orders audit, and agency financial statements to ensure the organization is on target with company goals related to operational efficiency, growth, quality, and finances. Follows up, addresses issues, and implements action plans as appropriate to meet goals.
• Acts as Emergency Coordinator in the absence of the Executive Director/Alternate Executive Director during emergencies ensuring appropriate plan execution.
• Communicates effectively and professionally with all customers to represent the agency and ensures that a timely and thorough investigation of concerns voiced by patients, caregivers and referral sources occurs including follow-up with the complainant to ensure satisfaction with the resolution of the complaint. Maintains confidential documentation within the information system. Collaborates with the sales team to grow the business.
• All other duties as assigned.

License Requirements

• If Clinical Director is an RN, must have current RN licensure in state of practice.
• Current CPR certification required.
• If Clinical Director another clinical discipline (PT/OT/SLP), must have current applicable license in the state.
• One year of supervisory and/or management experience in home health setting or related healthcare setting preferred.
• Current Driver's License and vehicle insurance, and access to a dependable vehicle, or public transportation.

Additional State License Requirements

PA: If Clinical Director is an RN, Must have one (1) year full time nursing experience.

About the Company:
Conemaugh Home Health