Responsible for management of clinical operations.Provide oversight for appropriate and compliant clinical episodic reimbursement.Participate in the recruitment, interviewing, selection, and orientation of team members.
Acts as the liaison between Practice Physicians and Hospital Administration. Solicits feedback frequently from Director of Operations and VP of Physician Services in regards to carrying out the above responsibilities.
In this position, you will review all Medicare and other episodic payers clinical records at the local level to assure appropriate documentation for reimbursement. This review includes verification of appropriate documentation, quality of care provided, visits utilization, appropriate contacts with physicians, adherence to the care plan, and evidence of communication between disciplines.
The chosen candidate will be responsible for the leadership of the F/D/M Market Sector, and will serve as the chief strategist, advisor, and decision maker by providing insight for strategic planning and direction of business development activities and procedures.
In this role, you will provide oversight of communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning and ensures compliance through review of documentation and care coordination activities.