• Job Description

  Req#: 9282

  Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.

  HOW YOU'LL MAKE A DIFFERENCE:
  At Alternate Solutions Health Network (ASHN), we care for patients where they spend the majority of their time – in their homes. Today we care for patients who need skilled home care and hospice services. You won’t find our brand in many places because we partner with health systems, jointly running home health and hospice agencies that use their brand. This is part of our strategy. By being part of the health system team, we can ensure each patient has a well-coordinated care plan that remains consistent whether the patient is seeing their primary care physician, receiving treatment in a hospital, or under our care in the home.

  HOW YOU'LL WORK:
  You’ll be responsible for the development, oversight and continuity of the patient plan of care, serving as the liaison for collaboration and communication between the field staff and the patients following physician. You will coordinate the interdisciplinary team meetings to ensure tight collaboration and support to the care team as the plan of care is developed and delivered. You’ll assess for real time patient clinical, functional and behavioral health status to ensure rapid follow up, allocation of services and episodic management to mitigate avoidable emergent care or acute care hospitalization.

  MAJOR AREAS OF RESPONSIBILITY:

  • Assess for real time patient clinical, functional and behavioral health status to ensure rapid follow up, allocation of services and episodic management to mitigate avoidable emergent care or acute care hospitalization.

  • Work closely with the scheduling, authorization & billing team to align resource utilization with authorized visits and ensure documentation integrity to justify medical necessity and avoid unbillable services.

  • Contribute to the development of new and / or revised work processes, policies and procedures relating to the ASHN Care Management Program.

  • Support field nurses with physician communication.

  • Care coordination oversight using Care management technology platform, including referrals to Social Worker, Patient Care Navigators, Health Coaches and/or Federal Qualified Health Centers.

  • Seek opportunities to contain cost.

  • Monthly on-site IDT meetings and Agency leadership collaboration.

  • Oversee the agency care management program with direct accountability & authority for resource allocation and high quality, efficient, cost-effective care delivery.

  HARD & SOFT SKILLS:

  • Demonstrates exceptional collaboration skill and high EQ with all internal and external interactions.

  • Self-starter and innovative problem solver.

  • Knowledge of Medicare, Medicaid and all State/Federal guidelines for compliance of patient clinical care.

  • Strong clinical acumen to thoroughly understand the patient’s health and functional status and foster effective communication with physician office teams.

  • Able to create positive impressions and communicate effectively with a variety of people and personalities

  • Is an active listener and demonstrates ability to engage care team in the patient plan of care.

  • Must project a professional image during virtual communication.

  • Ability to set up work systems and engage in flexible problem-solving behavior

  • Observant and detail oriented

  • Proficiency in Microsoft Excel, Access, Word, and Outlook and the ability to learn new systems.

  
  REQUIREMENTS:

  • Registered Nurse required, in state of employment

  • Two years home care field experience preferred

  • Minimum of one-year Clinical Review experience preferred

  • Two years case management and/or utilization management experience preferred

  • Minimum of one-year EMT preferred

  • Proficient in HCHB

  • Capable of all physical demands

  WHAT WE OFFER:
  We provide medical, dental, and vision insurance with flexibility for you to select what works best for you. Eligible teammates receive paid time off and may participate in the 401K, if they choose. Historically the company has matched 401K contributions which helps build your nest egg even faster. Finally, our benefit program includes company paid life, disability insurance, and a robust Employee Assistance Program.

  We’ll help you put your passion for patient care to work. Apply today!

  This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

  We are an Equal Opportunity Employer.

• About the company

  Summa St. Thomas Hospital is an orthopedic and psychiatric hospital located in Akron, Ohio.

Notice