Director, Access Home Care

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor's degree in nursing, healthcare administration, business management, or related field.

EXPERIENCE:

1. Minimum of 10 years of experience in healthcare access, home health, or hospice services, with progressive leadership experience.

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Master's degree in nursing, healthcare administration, business management, or related field.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

Referral Management:

• Oversee the intake process for all referrals received by home health and hospice agencies.

• Ensure timely and accurate processing of referrals to facilitate seamless patient transitions.

• Collaborate with clinical teams to assess patient needs and determine appropriate services.

Authorization and Compliance:

• Manage the authorization process for services, ensuring adherence to regulatory and payer requirements.

• Develop and implement policies and procedures to enhance compliance and minimize denials.

• Monitor authorization trends and work with teams to address any issues or challenges.

Business Development:

• Identify and develop new business opportunities to expand service offerings and increase market share.

• Build and maintain relationships with referral sources, including physicians, hospitals, and community organizations.

• Collaborate with marketing teams to promote home health and hospice services effectively.

Fiscal Management:

• Develop and oversee budgets for the access department, ensuring fiscal responsibility and sustainability.

• Analyze financial performance and implement strategies to improve revenue cycle management for denials.

• Monitor key performance indicators (KPIs) to assess departmental efficiency and effectiveness.

Leadership and Team Management:

• Lead, mentor, and develop a high-performing team of access coordinators and administrative staff.

• Foster a culture of collaboration, accountability, and continuous improvement within the department.

• Conduct regular performance evaluations and provide ongoing professional development opportunities.

SKILLS AND ABILITIES:

• Strong understanding of regulatory requirements, payer processes, and the home health and hospice landscape.

• Proven track record in business development and fiscal management.

• Excellent communication, interpersonal, and negotiation skills.

• Ability to work collaboratively with diverse teams and manage multiple priorities effectively.

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

Company:

Cost Center:

Address:

WVU Medicine is proud to be an Equal Opportunity employer. We value diversity among our workforce and invite applications from all qualified applicants regardless of race, ethnicity, culture, gender, sexual orientation, sexual identity, gender identity and expression, socioeconomic status, language, national origin, religious affiliation, spiritual practice, age, mental and physical ability/disability or Veteran status.