Job Information

Humana Director Clinical Ops & Services Home Health in Charlotte, North Carolina

As a Clinical Operations and Services Director, Home Health ; you will:

  • Direct sales/marketing activities within an assigned geographical territory and participates in regional, divisional and national sales efforts. Generate sales correspondence, contacts referral sources, participates at mall displays, health fairs and conventions, etc

  • Accompany sales and marketing professionals on sales calls to provide clinical expertise as needed. Negotiate/establishe local contracts with referral sources, third-party payers, state/provincial/local governments and ensure profitability and the effective servicing of all assigned contracts

  • Assist the Market Manager in developing an annual market assessment, budget and business plan. Prepare cost analyses to determine the feasibility of pursuing local managed care and capitation opportunities

  • Ensure that all potential patients receive an assessment visit prior to case acceptance and oversee/ensure documentation meets requirements for reimbursement. Oversee identification of the goals/challenges/problems/requirements of individual patients and their families

  • Conduct meetings to ensure proper communication between caregivers, intake scheduling/service delivery, patients, referral sources and payers. Discuss operational issues, update staff on new/changed regulations and review documentation requirements/standards/procedures to ensure regulatory compliance

  • Conduct case conferences/surveys to ensure the quality of service and completes evaluations according to corporate policy and governmental regulations. Participate in and encourage quality assessment/improvement activities, and determine/implement staff disciplinary actions as needed

  • Direct staff recruitment/development activities and conduct ongoing skill evaluations to ensure the quality/accuracy of their work. Monitor staff and schedule, matching staff to patients based on individual needs

  • Participate in/encourage quality assessment and improvement activities. Generate reports for regional and corporate personnel

  • Participate in cash collection activities and provides information to legal professionals for processing claim denials during Administrative Law Judge hearings

  • Perform all duties inherent in a managerial role. Direct/delegate staff assignments, assigns teams, and directs documentation activities

  • Adhere to and participate in Company’s mandatory HIPAA privacy program/practices and Business Ethics and Compliance programs/practices

  • Review and adhere to all Company policies and procedures and the Employee Handbook

  • Participate in special projects and performs other duties as assigned

Required Experience/Skills:

  • Degree in therapy field (PT or OT); PT preferred.

  • Licensure in the state(s) of practice required.

  • Minimum of six years clinical experience in area of specialty including at least two years in a managerial role generally required.

  • Thorough knowledge of community, acute or home health care supervision/administration, governmental home health agency regulations/Medicare and all related services/resources required.

  • Excellent organization, problem solving, communication, presentation and decision-making skills also required.

  • This role requires full COVID-19 vaccination

Required Skills

Together, we can raise the bar on home healthcare

CenterWell™ Home Health (formerly Kindred at Home), is one of the nation’s leading providers of home care, with an incredible team of compassionate clinicians who deliver high-quality, specialty care to patients. Many of our clinicians live in the same neighborhoods they serve – providing the much-needed care to people in their community.

As a company, we strive to lead by example and show employees the same compassion and care we expect them to show patients. We provide employees the resources, stability, and job flexibility they truly deserve. We help them fulfill their personal and professional goals while enjoying industry-leading benefits, competitive salaries, opportunities for career and professional growth, and a healthy work/life balance.

Part of Humana’s Home Solution business

CenterWell Home Health cares for nearly 80,000 patients every day in over 350 locations, across 38 states. As part of Humana Inc., we create experiences that put patients at the center, working in collaboration with healthcare providers to bring multidisciplinary care directly to the comfort and safety of home. The result is easy, comprehensive and personalized care that helps patients lead healthier, happier lives.

Caring for people who care for our patients

Experience has shown us that supporting and nurturing employees helps them become the best version of themselves and more compassionate, committed home health professionals. That’s why CenterWell Home Health never stops working to improve the employee experience. Our people are our greatest resource, and we are committed to creating an environment they enjoy stepping into every day.

World-class employee benefits

  • Competitive pay and benefits package

  • 50% matching 401(k) contributions up to 6%

  • Career advancement opportunities

  • Tuition reimbursement program

  • Advanced Continuing Education (CE) accredited training

Required Experience

Join Our Team!

Check out our video to get a glimpse of a day in the life of our Home Health team - Home Health

To learn more, please contact your local recruiter at (toll-free) 855-563-2846 or apply online. Our Recruiters are ready to help you start a new and rewarding career with CenterWell Home Health.

Job Category: Home Health Ops Management - Multi Site

ID: 83569