Job description
Pathways Healthcare has an exciting opportunity for a marketing/business development liaison in New Bedford!
Details:
Flexible Schedule - M-F
Salaried Position with Great Benefits!
Office Location: Fall River, MA
Job Description Summary
Evaluates patients referred to the Organization; identifies insurance coverage, plans and coordinates referrals for home care services.
Essential Job Functions/Responsibilities
- Evaluates hospitalized patients referred for home care.
- Identifies and verifies insurance coverage of home health care services.
- Obtains and documents prior authorization for home care services from insurance providers.
- Meets performance standards set forth by VP of Marketing in coordination with COO. Performance standards subject to change at any time.
- Collaborates with the hospital's discharge planning personnel, utilization review department and insurance Case Managers to facilitate safe, early discharge.
- Consults with physicians, nurses, social workers, discharge planners and other disciplines to establish a coordinated home plan of care.
- Interviews the patient, family, and caregiver and discusses the home situation, current needs, and any psychosocial factors that are relevant to the plan of care.
- Completes referral information that includes intake data, essential background information, hospital course, and the plan of care.
- Maintains liaison relationship with hospital and insurance personnel, providing information and education on Organization services, coverage issues and related areas.
- Participates in patient care conferences and in-services.
- Collects and maintains statistical data on all referrals and submits them regularly as required.
- Attends meetings and participates on committees as required.
- Performs other duties as assigned.
Position Qualifications
- Experience meeting goals, deadlines and performance benchmarks preferred.
- Clinical or Healthcare Sales Background Preferred Manchester/Concord Area Hospitals plus
- Demonstrates an ability to work with other health care clinicians, development of home plan of care, knowledge of third party reimbursement, and ability to negotiate payment rates.
- Self-directed and able to work with minimal supervision.
- Strong ability to cultivate new relationships
- Demonstrate excellent observation verbal and written communication skills
Benefits & Compensation
- Competitive Salary and Bonus Structure
- Robust 401(k), HMO & PPO Plans, Dental, Vision and Life Insurance
- Flexible Schedule & Work-Life Balance
- Leadership Development & Growth Opportunities
- Consistent, day-shift hours
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