Trusted, Comprehensive Services

Develop and implement authorization to hire process and staffing model
Interview, mentor, and manage site leadership including Executive Directors, Director of Clinical Services, QA Nurses, and Sales Managers
Work with ownership to align programs to best practice model and address items outside of financial benchmark model in industry standards to increase profitability
Plan and conduct leadership and regional training sessions for groups including Executive Directors, Nursing Leadership, Marketers, and Medical Directors
Serve as contracting resource for patient related services including LTCF, GIP, Respite, Physicians, and Contracted Patient Care Services
Development of Standard Operating Processes

Day-to-day resource for clinical services, including but not limited to eligibility determination and documentation, discharge compliance, self-reporting for Abuse Neglect & Exploitation, related and non-related hospitalizations, and coverage issues for related and non-related services
Assistance implementing needed policies, procedures, protocols, and documentation systems
Developing custom training programs
Developing and implementing formulary, authorization tools, and processes to decrease pharmacy costs
Negotiating DME and medical supply formulary to control costs and remain compliant
Assist with developing over-ride parameters to facilitate cost controls and utilization in pharmacy, durable medical equipment, and medical supply expense
Improving referral to admission processes and improving outcomes through increased conversion rates and speed to care access
Orient and train new Nursing Management personnel
Training clinical teams in all aspects of care including timely admission process, patient care, documentation, hospice standards of care, symptom and pain management
Resource for Medical Directors on hospice regulations and eligibility requirements including Local Coverage Determination (LCDs) and documentation

Set as a member of Governing Board (Secretary) and assume the role of completion and distribution of all minutes to ensure compliance requirements are met
Organize and supervise timely response to ADR probe audits
Mock accreditation survey or reviews
Facilitate all THHS (formally DADS)/CMS/Palmetto/CHAPs correspondence including licensure applications, renewals, and updates
Support sites through all complaint and comprehensive surveys and subsequent plans of correction and IRODs
Work with an attorney on all legal aspects of compliance including corporate compliance plan, appeals, litigation, and position responses
Quarterly, Focused, or Random audits
QAPI preparation, meetings, minutes, and documentation
Work with billing manager to resolve billing challenges including eligibility, certifications, ADRs, appeals, discharges, and transfers

Assistance with Market Analysis
Development of competitive sales plans
Development of base sales plans within benchmarks of market competition
Development of quarterly and seasonal sales plans with overlay targeted bonus programs
Assistance with compliance training for sales staff
Resource for sales staff on eligibility, contracting, or market analysis
Assistance with account management, call cycles, and analysis
Customer Service Training with all team members from office to field

Recruitment activity to including resume screening, basic background screening of perspective employee, candidate selection assistance, interview scheduling
Electronic offer letters and new hire information packet submission and tracking
Full employee background checks to meet regulatory requirements, reference checks, medical testing per policy
Onboarding activity to include basic employee file documents, pre-employment orientation activities electronically of paper
Create electronic personnel file to upload into shared document file system
Managing personnel files through monitoring for deficiencies and emailing staff for updates
Home Care Home Base back office support
Upload payroll forms and enter payroll information into payroll system
Ongoing payroll preparation and submission
Remote Interim Business Office Manager coverage
Back office Accounts Payable activities
Marketing materials support and collateral management
Wearables support and management
Electronic contract management and upload to shared document file system
Other services upon request

Due Diligence review for all potential and actual acquisitions and work with attorneys to complete all stock transfers and/or asset purchases for licensure and certification updates and change of ownership or change of information
Record review for eligibility, billing compliance, and risk assessment

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