Reimbursement Services Director - Home Care directs and supervises the activities of the benefits claims and provider reimbursement personnel in a home care environment. Sets procedures for filing reimbursement claims and ensures timely and accurate claims payments. Being a Reimbursement Services Director - Home Care monitors, evaluates and reviews all cost reporting in support of reimbursement claims. Produces the documentation necessary for reimbursement, Medicare Compliance, and control of receivables. Additionally, Reimbursement Services Director - Home Care may require an advanced degree. Typically reports to top management. The Reimbursement Services Director - Home Care typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Reimbursement Services Director - Home Care typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)
Mountainside Health Care Center located in Mountainside , New Jersey, a quality skilled nursing facility, offers short and long-term nursing and rehabilitation care.
Full time
Duties/Responsibilities
Assist with planning and implementing a comprehensive social service program which provides for counseling and other support services for residents and families in the Center.
Identify medical-related social needs of residents, provide appropriate services to meet the individual, as well as collective needs of residents and maintains records relating to the residents’ social work needs and care.
Work directly with residents and families experiencing personal and environmental difficulties or concerns related to the resident’s physical or emotional condition.
Promote the preservation of the resident’s physical and mental health and to prevent the occurrence or progression of personal or social problems.
Maintain written record of the frequency and nature of the social service consultation and services provided.
Ensure and document that residents and/or families have input into the care planning process.
Act as a liaison between residents, families, outside agencies, and the Center Administrator to ensure that the resident’s rights are maintained and upheld.
Coordinate discharge planning and assist with developing an organized discharge plan for all residents.
Ensure that residents and families receive the highest quality of service in a caring and compassionate atmosphere which recognizes the individuals’ needs and rights.
Weekly shopping for the residents' needs.
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0 Reimbursement Services Director - Home Care jobs found in Perth Amboy, NJ area