Reimbursement Services Director - Home Care jobs in West Virginia

Summary:  Under the general supervision of the Director of Outpatient Services, you will develop, implement, and manage day to day operations of WHS’s Case Management Programs.

Essential Duties and Responsibilities:  include the following.  Other duties may be assigned to meet business needs.

• Oversee and manage a team of care coordinators. Including providing guidance, support, and mentorship for staff in decision making and complex situations with clients.
• Organize and facilitate in-services/educational opportunities for staff, routine staff meetings, and group supervision.
• Oversee administrative responsibilities including, policies & procedures, compliance standards, HIPPA, incident reports, staff performance reviews, staff performance improvement plans, assist with hiring, assist with new employee orientation, payroll, etc.
• Oversee the coordination of services and contracts with community partners and/or funding sources. This includes reviewing referrals, reviewing documentation, meeting with supervisors and coordinators, and maintaining budget goals throughout the Fiscal Year.
• Oversee fiscal management by monitoring and approving staff billing for contracted services. Ensure staff are meeting productivity standards monthly.
• Represent Westbrook Health Service in the community and assist with networking and maintaining relationships with collateral contacts.
• Collaborate with other key staff within company, including Director of Outpatient Services, Outpatient Clinic Director, Executive Team, etc.
• Responsible for onboarding all new clinical staff to an appropriate comfort level with the agency EMR/My Evolv

• Carrying a small caseload of clients
• Demonstrate a willingness to learn and develop new skills to support the Care Coordination team and the clients we service. Including staying updated on current trend, resources, and educational opportunities in the MH/SUD and care coordination arena