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Director of Referral Development in Corbin, KY at ContinueCARE Hospital at Baptist Health Corbin

Date Posted: 7/10/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Corbin, KY
  • Job Type:
    Management
  • Experience:
    Not Specified
  • Date Posted:
    7/10/2018

Job Description

SUMMARY OF ESSENTIAL JOB FUNCTIONS

  • Demonstrates and understands the importance of and respect for the rights, dignity and individuality of each patient in all interactions.
  • Organizes and coordinates all Department functions to provide for a smooth, cost effective operation.
  • Serves as a role model in all aspects of job performance.
  • Demonstrates competence in the application of principles of management.
  • Assumes responsibility in the recruitment and retention of qualified personnel. Responsible for interview, selection, and supervision of the department.
  • Responsible for conducting annual evaluations of the staff. Responsible for staff performance issues are addressed.
  • Allocates resources to meet Department needs.
  • Conducts staff meetings at regular intervals to exchange information and promote dialogue.
  • Promotes staff development through education, performance evaluation, and identification of mutual goals that enhance continued professional growth.
  • Responsible for developing and using tracking systems, the intake process,
  • Managed care contracting and the department’s development plan.
  • Perform clinical assessments to determine appropriate patients for admissions to the Hospital. Responsible for developing local agreements with insurers, HMOs, PPOs, utilization review companies and employers.
  • Guest Relations (Patients, Visitors, Employees and Physicians): Observation and feedback indicate goals and objectives are being met.  Demonstrate respect, friendliness and helpfulness in dealing with the public in person and/or over the telephone.  Observes confidential nature of patient and/or organizational business.
  • Census Building: Monitor managed care activity and strategize appropriately for contacts and market share including one-on-one educational calls as necessary.
  • Budgeting: Develop and administer department budget, ensuring costs are submitted for reimbursement within given time frames.
  • Prioritization: Patient assessments are initiated immediately and completely, per policy, within the four-hour range.
  • Communication:  Select most effective strategy (face-to-face, group presentation, direct mail, tours, workshops, etc.) for each contact.  Exchange ideas, information and messages readily and effectively, both in oral and written form, as required by the job.  Provide patient updates to physicians, payors and other referral sources.
  • Planning and Organization: Understand work objectives, establish priorities, anticipate and handle problems and carry out work activities in an orderly manner to meet defined standards.
  • Independent judgment/Decision Making: Consider relevant facts, weigh alternatives and make decisions logically in order to perform the job assignment effectively.
  • Assessment:  Perform on-site clinical assessments of patients referred to the Hospital to determine patient's clinical needs and appropriateness of admission, using the pre-admission assessment form, in accordance with policy and procedure.
  • Referral Development: Attend local conferences and trade shows at which company representatives may exhibit or attend to achieve the maximum return on investment.  Assist in coordinating the periodic direct mail campaigns to targeted managed care customers, with the assistance of management.  Participate in referral services weekly team meetings.
  • Recording and Tracking: Develop marketing plan and competitive analysis on time; use established reporting mechanisms and provide data and statistics as required.  Complete physician profiles and territory/time management reports on time.
  • Productivity: Works on a timely basis and with good quality.  Effectively use own time and time of others.  Show initiative.  Contribute, develop and/or carry out new ideas or methods.

 STANDARD JOB DUITIES

  • Adheres to all components of the Hospital Compliance Plan in performing job duties and reports any violations or suspected violations of the Plan to the Compliance Officer.
  • Demonstrates professional conduct and complies with hospital and departmental policies and procedures.
  • Adheres to hospital attendance policy as outlined in the Employee Handbook.
  • Complies with measures for preventing exposure to blood borne pathogens.
  • Participates in the Hazardous Material Program; hazards include exposure to blood and body fluids, possible communicable diseases, sharp objects and instruments, assorted chemicals and gasses as listed in the Hazardous Materials Program Manual.
  • Complies with established Safety and Patient Safety Program practices.
  • Performs other incidental and related duties, as required and/or assigned.
  • Develops an understanding of responsibilities for recognizing patient abuse and follows policy for making appropriate referrals/interventions.
  • Develops an understanding of responsibilities for participation in Performance Improvement activities and participates in such activities.
  • Limits access to protected health information (PHI) to the information reasonably necessary to do the job, and shares such information only on a need-to-know basis for work purposes.

(Access to verbal, written and electronic PHI for this job has been determined based on job level and job responsibility within the organization.  Computerized access to PHI for this job has been determined as described above and is controlled via user ID and password.)