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Audit

About the job

Overview Oversees of the day-to-day operations of branch services, personnel performance, and office management. Ensures the branches continually meet federal, state, and local laws and regulations regarding the certification and licensure process. Supports the company strategic initiatives and success for service execution.

Region is for the South - Central TX and 1 branch in New Mexico

Responsibilities

Ensure the review of statistical data and performance markers to evaluate productivity, cost analysis, and quality care delivery within the territory; ensure alignment with company policy and prodecures.

Utilize company tools to monitor branch and provider financial, operational, and clinical outcomes as they relate to each branch budget; ensure earnings before interest, taxes, depreciation, and amortization (EBITDA) is met.

Identify negative trends and collaborate with branch leadership and audit teams to develop and implement improvement plans.

Provide oversight of expenses within the territory.

Ensure billing, corrections, and denials are completed, reviewed, and responded to timely, and outstanding claims are kept to a minimum; assist in the identification of billing delays, as needed.

Assist branch leadership with initiation and management of contractual relationships.

Oversee quality improvement issues and resolutions.

Ensure the assignment of branch administrators at all times to meet regulatory requirements.

Ensure the completion of all clinical, human resource, operations, and compliance audits timely; corrective action plans should be implemented and completed accordingly.

Complete all other duties as assigned

Qualifications

Must have a bachelor’s degree from an accredited nursing school, or a bachelor’s degree in business or health care.

Must have demonstrated experience in health service administration with at least five years in a supervisory or administrative capacity.

Must have at least five years demonstrated experience in direct management for a large, multiple-site Medicare certified home health or hospice.

Must have demonstrated knowledge and understanding of the federal, state, and local laws and regulatory guidelines governing the operation of a home health or hospice.

Must not have been employmed in the last year as an administrator with another operation at the time any enforcement action was taken against the business; further described in the company compliance policies.

Must have intermediate demonstrated technology skill

Education and experience, state specific

Must be able to assume the role of administrator, including all applicable state requirements.

CONNECTICUT

A master degree in nursing with an active license to practice nursing in the state and at least one year of supervisory or administrative experience in a health care facility program which included care of the sick; or a master degree in public health or administration with a concentration of study in health services administration, and at least one year of supervisory or administrative experience in a health care facility or program which included care of the sick; or a baccalaureate degree in nursing with an active license to practice nursing in the state and at least two years supervisory or administrative experience in a health care facility or program whichincluded care of the sick; or a baccalaureate degree in administration with a concentration of study in health services administration and at least two years supervisory or administrative experience in a health care facility or program which included care of the sick; or a physician licensed to practice medicine and surgery in the state of Connecticut who has had at least one year supervisory or administrative experience in a health care facility or program which included care of the sick; or employment as the administrator of a home health care agency in this state as of January 1, 1981, who has been so employed continuously for the five years immediately preceding January 1, 1981; or continuous employment as an administrator of a home health care agency as of January 1, 1979 ; except that on and after January 1, 1986, no person shall be employed as an administrator of a home health care agency pursuant to this subdivision unless such person additionally meets one of the requirements above. Must be administrator for only one agency.

FLORIDA

Must be administrator for only one agency; or manage up to five agencies located within one agency geographic service area or within immediate contiguous counties and have identical controlling interest.

LOUISIANA

Must be a licensed physician, licensed registered nurse, a social worker with a master's degree, or a college graduate with a bachelor's degree, and have three years management experience in health care service delivery. Any person who was employed by a licensed Louisiana hospice as the administrator as of December 20, 1998 is exempt from these requirements as long as he/she remains employed by that hospice as the administrator. If the hospice is acquired, sold to or merged into another legal entity, this exemption still stands.

MARYLAND

Must possess education in health services or administration, evidenced by being a physician; registered nurse; or college graduate with a bachelor degree in a health-related field. Must also have at least one year of supervisory experienc e in hospital, home health, or public health program management.

MASSACHUSETTS

Must have two years of relevant experience in the health care, human services, or related fields, which shall include at least one year of supervisory or administrative experience.

OKLAHOMA

Must possess an Oklahoma administrator license. Must complete eight continuing education units per year.

TEXAS

Must comply with Texas state regulation 97.259 a-g requiring 24 hours of training in the first 12 months if a first time administrator. Must have documented completion of a minimum of 12 clock hours per year at a health administration seminar or through an approved provider.

Requirements

Must possess a valid state driver license

Must maintain automobile liability insurance as required by law

Must be able to obtain licensure in each state within the assigned territory.

Additional Information

At Enhabit, we firmly believe our people are our greatest asset! Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Some benefits, tools and resources include:

Comprehensive insurance plans - medical, dental, and vision

Generous paid time off – Up to 30 paid days off per year

401k retirement savings plan with match

Basic life insurance at no cost to eligible employees

Employee scholarship program

Promote-from-within philosophy

Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary