Job Description

If you are an experienced administrative leader or provider in a Skilled Nurse Facility (SNF), Nursing Home or Rehabilitation Hospital who i s ready to grow and work remotely managing provider and client relations and operations in Mercer to Buck Counties of PA territory, this role is for you!  Medrina has been voted one of the fastest growing companies and 92% of our employees feel we are a Great Place to Work!

This is a full-time hybrid role operating remotely during standard business hours Monday - Friday from your home office and traveling/driving 2-3 days/week locally to our client facilities in Mercer County, NY to Bucks County, PA. The candidate must reside Bucks County, PA or Mercer County, NJ.  

This role offers annual salary starting $95,000  and commensurate with experience (see requirements below) as well as eligible for an annual performance bonus of up to 10%.  We offer robust benefits package including 15 days of vacation, 7 paid holidays, and 5 sick days annually. We offer multiple medical and vision insurance plans, which begin day one (no waiting period), employer-paid life insurance, 401(k) with a company match, $1,700 annual continued education/professional development reimbursement, and more.  $100 teleworker stipend and mileage reimbursement provided.

Job Description:

Programs Implementation:

1. In collaboration with Business Development, clinical leadership and other teams, implements existing operations processes, workflows, best practices and protocols for the new client buildings.
2. Oversees the operational integration of various and/or new Medrina programs into Skilled Nursing Facilities (SNFs) and other healthcare settings.
3. Coordinates administrative functions and assists in planning and supporting the program development as well as monitors programs and assists in developing strategies for adaptation to market changes.
4. Assists in data collection for preparation of reporting related to and forecasting.
5. Ensures efficient and compliant operational performance of the department and programs. Strives to streamline operations and effectively apply new concepts and techniques for positive outcomes. Identifies and implements technology to improve operations.
6. Collaborates and has consistent communication with multiple departments within the organization.
7. Participates in monitoring and evaluating a program’s inception and performance and routinely monitors performance for volumes, referrals, and trends.
8. Establishes and maintains a working relationship with physician staff with respect to their compliance and performance related to billing, coding, and regulatory agency standards.
9. Assists in initiatives that will develop relationships with ACO/MCOs in needed markets under the direction of the Vice President of Clinical Operations and Chief Medical Officer.
10. Assists in implementing new programs, protocols, and methods to track quality metrics and will make adjustments as needed.

Facility Relations and Performance:

1. Establishes and maintains a strong working relationship with key personnel in partnering Skilled Nursing Facilities to ensure program growth and ensure the program is making positive impact on the Skilled Nursing Facility.
2. Serves as the point of contact between SNFs, healthcare facilities, and medical providers to ensure smooth implementation of Medrina programs.
3. Serves as a point of contact between Skilled Nursing Facilities’ clinical staff and the physicians to ensure quality and satisfaction.
4. Maintains strong relationships with key administrative and clinical personnel in partnering facilities to ensure continuous program growth and success.
5. Works directly with facility administrative and clinical leadership, and providers to monitor the success of Medrina programs and improve patient outcomes.
6. Monitors facilities performance ensuring that Medrina protocols are followed, and quality standards are met.
7. Collaborates with Medrina Business Development and Recruitment teams in ensuring smooth operations related transitions.

Provider Relations and Performance:

1. In collaboration with Human Resources, monitors and ensures providers complete mandatory state and federal new hire and annual training.
2. Monitors providers’ performance ensuring that Medrina protocols are followed, and quality standards are met.
3. Alerts and collaborates with clinical leadership and clinical training teams to improve providers’ (Physicians’ and APPs’) performance, if necessary.
4. Addresses insufficient provider performance in collaboration with clinical and operational leadership and Human Resources teams in accordance with company performance management policies.
5. Approves providers schedule changes and time off requests utilizing company systems.
6. Reviews and approves appropriate employee expense reports and ensures staff follow the correct procedures for continuing education and other expenses.
7. Prepares and conducts providers annual performance reviews utilizing company system incorporating facility feedback, clinical and operations leadership and feedback.
8. Reviews and ensure Physicians’ and APPs’ supervision and practice state requirements compliance and facilitates revisions with Credentialing and Legal teams.

Operational Performance and Compliance Leadership:

1. Maintains compliance with all regulatory and accrediting institutions and monitor program components relative to criteria determined by regulatory agencies and also internally by the organization (i.e, billing, credentialing, training, facility visits requirement & etc). Ensures compliance with Medicare and other regulatory requirements, including reporting and documentation standards.
2. Coordinates activities related to growth objectives, data planning, developing goals and objectives, and desired outcomes of programs and serves as a liaison with Administration in planning, developing, implementing, and evaluating operational and clinical performance.
3. Keep abreast of all billing, coding, and compliance related issues as they apply to the practice and assist in staff education in regard to these changes.
4. Reviews and approves requests for release of information to agencies and members of the public as required by law.
5. Coordinates and acts as project manager with planning and supporting program development as well as monitors programs, provides progress updates, and assists in developing strategies for adaptation to market changes.
6. Participates in initiatives that will develop relationships with ACO/MCOs in needed markets under the direction of the Senior Vice President of Clinical Operations and Chief Clinical and Medical Officers.
7. Leads efforts to streamline the operations and implement technological improvements where appropriate to improve operational efficiency.
8. Fosters a culture of continuous improvement, collaboration, and innovation within the team.

Quality and Metrics Tracking:

1. Assists in data collection for preparation of reporting related to and forecasting.
2. Assists in developing and maintaining objectives and policies and procedures to ensure the efficient operation of the department.
3. Regularly reviews program data and trends to identify areas for improvement in clinical performance and operational processes.
4. Collaborates with clinical teams to make data-driven adjustments to care protocols and program strategies

Education and Skill Requirements:

1. Bachelor’s degree in related healthcare fields.

2. Cannot be excluded from participation in any state or federal programs such as Medicare or Medicaid.

3. Must have 2 years of leadership and administration experience such as Director of Nursing in the Skilled Nursing Facility or Hospital Rehabilitation healthcare setting with proven record of leading team(s) to operational success .

4. Minimum of 5 years of experience with Medicaid billing and reimbursement policies and understanding of care coordination and Medicare.

5. Unrestricted state Driver’s License, traveling locally to client sites 2-3 days/week.   Occasional travel outside of PA and NJ may be required for company training and meetings with advance notice. 

6. Proficiency with HIPAA and PHI compliant practices.

7. Proficient in healthcare management software (EMR, HMR) and Microsoft Office Suite (Excel, Word, Outlook)

Physical Requirements:

1. This is a remote, work from home position which handles sensitive, confidential, and financial information. Work must be performed in a secure and private setting.
2. Communicating via virtual online meetings daily with reliable internet connectivity with camera on as well as being responsive in a timely manner during work hours via email, MS Teams and phone are required.
3. Occasional Travel outside of PA and NJ may be required for company training and meetings with advance notice. 
4. Ability to sit, stand, and walk for extended periods and lift and move up to 25 pounds.

EOE/M/F/Vet/Disability:

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

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