Elara Caring

Key Responsibilities

• • Organizes and directs the day-to-day operations and maintains a liaison amongst the governing body/owner or personnel.
• • Oversees the implementation and oversight of all patient care programs and achievement of both clinical and administrative outcomes.
• • Oversees the financial performance of branches falling within the Administrator’s provider number. Implements an effective budgeting and accounting system that promotes the health and safety of the agency’s patients.
• • Ensures adequate staffing levels at branch locations to meet patient needs.
• • Ensures compliance of current Medicare, Medicaid, and third-party reimbursement regulations and changes. Identifies and reports potential payment/coverage problems.
• • Supervises and coordinates utilization review activities.
• • Participates in strategic development of Key Accounts, including participation in weekly, monthly, and quarterly review meetings, as needed.
• • Ensures accuracy of all public information, materials, and activities.
• • Maintains availability by phone as directed by company policy or regulatory requirement.
• • Participates in on-call rotations as scheduled.
• • Identifies need for changes in program and services, develops proposals for consideration by Area Vice President or other supervisors, as appropriate.
• • Investigates complaints and problems, ensures problem resolution and correction of deficiencies, and reports results to the Area Vice President.
• • Ensures all documentation is accurate, complete, timely and adheres to Medicare guidelines.
• • Assures compliance with the requirements of state licensure, Medicare certification, and any other applicable oversight agencies through policy and procedure development, staff education, and ongoing monitoring activities.
• • Oversees the development of and implementation of plan of corrections in conjunction with state, federal, internal, or other auditing or regulatory bodies.
• • Assures all QAPI recommendations are followed in branch locations for improvement of patient care or operational needs.
• • Directs all aspects of operations and care delivery in accordance with the mission and values, legal and regulatory requirements, payer and accreditation standards, customer expectations, and agency policy.
• • Approves and submits time and attendance files to payroll for processing, including final review of inputs (e.g., visits, mileage, hours worked, etc.) and corresponding rates (e.g., hourly rate, mileage reimbursement rate, pay-per-point scale, etc.).
• • Implements the organization’s strategic and growth-related plans.
• • Conducts staff performance appraisals accurately and in accordance with Elara Caring policy.
• • Develops emergency preparedness plans appropriate to their branch(es)
• • Maintains patient and staff privacy and confidentiality pursuant to HIPAA Privacy Final Rule.
• • Performs other duties/projects as assigned.