Home Health and Hospice Director

BETHESDA

HOME HEALTH & HOSPICE DIRECTOR

JOB DESCRIPTION

Job Summary: To plan, organize, direct, control, and evaluate the home health and hospice services and operations so the quality of care is optimized to reflect the philosophy of Bethesda. Responsible for the patient management, scheduling, leadership responsibilities such as overseeing intake referrals, budget management, quality management and overall operations of the home health and hospice services which encompasses staff of RNs, LPNs, home health and hospice aides, social workers, and scheduling/office support staff.

Job Relationships:

1. Reports to: Vice President of Operations
2. Supervisory Responsibilities: Nursing staff, RNs, LPNs, Home Health/Hospice Aides, Scheduling Coordinator/Office Assistant, Social Worker
3. Internal Relationships: Accounts Payable, Billing, Bethesda Social Service, Adult Day Director, Housing Manager and Coordinators, Human Resources, Therapy
4. External Contacts: Medical Director, Physicians, Pharmacists, MDH personnel, discharge planners/referral sources, clients/patients and families, general community.

Hours of Work: 40 hours per week, 8:00 am to 4:30 pm.; Monday through Friday. Must be available via telephone during business hours and as needed after normal business hours.

Dress Code: Professional attire appropriate to a clinical and administrative environment; identification badge required at all times.

Essential Requirements of Work:

1. Education:
   1. Must be registered and licensed with the State of Minnesota as a RN and must maintain a current and unrestricted licensure.
2. Experience:
   1. Nursing service administration, management and supervision.
   2. Home Health and Hospice experience preferred, with a strong interest in geriatric nursing.
   3. Basic computer skills.
3. Personal:
   1. Highly developed communication skills (oral and written).
   2. Proven time management skills.
   3. Understanding of basic quality principles.
   4. Adaptable to various work settings.
   5. Self-motivated.
   6. Attention to details.
   7. Problem solving skills.
   8. Networking abilities.
4. Job Knowledge:
   1. Nursing management, gerontology and rehabilitation.
   2. Philosophical understanding of quality of life and quality process management.
   3. Team building and management.
   4. Computer knowledge.
   5. State and federal regulations.

1. State and federal reimbursement systems.
2. Financial management of budget
3. Diagnosis coding
4. coding, scheduling and submission
5. Private, commercial and long-term care insurance knowledge

Physical Demands of the Job:

1. Sitting is required for long periods of time.
2. Occasional kneeling, stooping, squatting, twisting and bending.
3. Infrequent lifting up to 60 pounds.

Principal Job Responsibilities:

Responsibility: Select and assign personnel.

Tasks:

1. Interview, selection and hiring of all staff including nurses, home health and hospice aides, homemakers, and ancillary staff.
2. Ensure all staff are appropriately licensed and/or certified in the State of Minnesota.
3. Review job description, wage, and hours of work with each new employee at the time of hire.
4. Coordinate with human resources to ensure background checks are completed.
5. Ensure that all staff remain current with necessary continuing education.
6. Orientation and training of all new staff.

Responsibility: Monitor staff work performance.

Tasks:

1. Provide opportunities for employees to attend in-services and workshops in compliance with State and Federal regulations.
2. Hold staff meetings to review policies and procedures or changes. Document content and attendance.
3. Investigate and document all employee incidents.
4. Monitor all worker compensation cases to promote a timely return to full work duties.
5. Assign or complete all performance evaluations.
6. Provide corrective action as necessary to ensure consistency and quality care.
7. Ensure that all supervision visits of staff are completed as mandated by state and federal regulations.
8. Complete random quality checks with clients to ensure client satisfaction with staff performance.

Responsibility: Assure quality client care.

Tasks:

1. Oversee the referral, admission and scheduling process.
2. Protect and promote the rights of each client, including keeping clients free from abuse and neglect. Investigate, evaluate, report and follow up on any complaints received.
3. Develop, implement, review, and revise policies and procedure that guide and support the provision of services.
4. Assure compliance with State and Federal regulatory requirements.
   1. Prepare and update survey readiness book.
5. Develop, implement, review and revise a Quality Assurance/Improvement Program
6. Oversee the RN Coordinators to assure all required assessments and documentation is complete and accurate.
   1. Periodic chart audits.
   2. Assist nurses with coding as needed.
   3. Audit assessments

1. Complete timely submissions
2. Provide any needed training and education of nursing tasks/treatments

1. Maintain schedule for on-call nursing services for after hours and holidays.
2. Track statistical and census information: visits, admissions, discharges, cost/visit, etc.

Responsibility: Financial management of Agency Tasks:

1. Complete payroll for each employee each pay period and submit to payroll office.
2. Review financial and billing reports at the end of each month. Monitor revenue and expenses.
3. Coordinate with billing office to ensure that all necessary paperwork is completed in order to complete monthly billing of services.
4. Ensure that all necessary authorizations are in cl
   
   
5. ient records for appropriate billing of services
6. Maintain all contracts with outside agencies for billing of client services.
7. Maintain all required business licenses.
8. Work with Vice President of Operations to develop annual budget.

Responsibility: Market and promote Home Health and Hospice services.

Tasks:

1. Maintain ongoing liaison with staff, clients, family members, and community.
2. Work with hospital discharge planners, nursing home social workers, county social workers, and physicians to determine appropriate referrals.
3. Assure accuracy of public information materials and activities. Promote services at health fairs and other community events as appropriate.
4. Coordinate with community director to plan and schedule community events to promote home care services and generate referrals.

Professional and Personal Growth:

1. Report for and leave the work area on a timely basis.
2. Participate in annual performance evaluation process.
3. Write yearly personal goals.
4. Participate in all required in-service programs at Bethesda.
5. Maintain a professional conduct and pleasant, friendly attitude towards staff, residents, and visitors.
6. Be willing to learn and change to meet needs that arise.