Brentwood, TN, 37027, USA
1 day ago
Clinical Rehab Market Director
**Description** This position is incentive eligible. **Introduction** Want to join a team of daring managers who care without reservations or limits? Our TriStar Health team is looking for a Clinical Rehab Market Director. HCA Healthcare is an advanced healthcare network that has committed up to $300 million to our incredible team members over the course of three years. **Benefits** TriStar Health offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** HCA Healthcare is committed to research and clinical protocols. Do you want to impact standards of care and save lives across the country? Apply today to our Clinical Rehab Market Director and be a part of the innovation of ideas. **Job Summary and Qualifications** The Clinical Rehab Market Director is responsible for maintaining oversight of the market needs on a daily basis and allocating resources in a manner to meet needs and sustain volumes. This position acts as a Senior Rehabilitation Liaison, who analyzes the market and develops strategies to maximize the program's penetration in the market. The manager supports all of the Clinical Rehabilitation Specialists (CRS) program functions and patient intake, performing any and all functions as needed. **What qualifications you will need:** + Master’s or Doctoral in either Physical Therapy or Occupational Therapy; **or** Master of Science in Speech Pathology (MPT, DPT, MOT, OTD, MSSP); **or** Registered Nurse (RN) required + 5+ years of experience managing rehab and/or hospital admissions + Demonstrated clinical knowledge of rehab admission criteria, leading to appropriate identification of qualified rehab patients required **What you will do in this role:** + Coordinate the assignment of Clinical Rehab Specialists (CRS) to assure coverage of the market. Effectively move CRS’s to assure prompt response times daily to hospitals based on number of referrals. + Coordinate physician and case management marketing opportunities for the market. + Complete and coordinate face-to-face, in-service educational contacts with physicians, case managers, other interdisciplinary members and other professionals. Serve as an educational resource to patients, family members and caregivers. + Advise referral sources on inpatient rehab criteria. Ensure all referral sources receive appropriate and timely follow-up communications regarding their patients and hospital programs. + Manage compliance requirements for admissions + Establish and maintain strong relationships with admitting MDs and ensures equitable distribution of patient assignments based on patient need. Manage physician referral process (referring physician preference, established patient/physician relationship) + Strategically lead the market’s CRS team through the setting of and accountability to performance-based metrics. + Work closely with program directors and administrative officers across the market to ensure CRS’s are strategically deployed to achieve/ exceed budgeted admission targets + Effectively collaborate with Program Directors at each site. Perform on-site and off-site clinical evaluation to assist Rehab Medical Director in determining appropriateness of patient for admission. + Oversee and lead the operations of the insurance verification and authorization of rehabilitation referrals to ensure timely admission. Manage the intake process to assure all benefit verifications and insurance authorizations are completed. Assure fair and equitable assignment of patients between rehab programs with consideration given to geography, patient choice, specific needs of the patients, census considerations, and the 60% Rule status of each program. + Assist and coordinate the in-take and pre-admission screening process. Accurately document evidence of rehab admission criteria on Pre-Screen evaluation in a timely and legible manner. + Successfully manage the denial/appeal process for IRF admissions. + Monitor insurance approval/ denial trends to elevate contracting opportunities for IRF programs. + Participate in market analysis, data analysis and development and implementation of business plans for the Rehab Unit. Contribute to the development and maintenance of referral source information such as brochures, flyers, referrals and information kit and other outreach tools. + Assist in the development of a SWOT analysis and strategic plan. Identify opportunities where admissions are challenging to attain, and develop a strategy and a working plan to grow admission volume in those places, including analysis and communication about potential qualifying patients being lost to competitor IRF or SNFs in the community. HCA Healthcare has been named one of the World’s Most Ethical Companies by Ethisphere Institute 14 times and was one of only four honorees in the Healthcare Providers category in 2024. In 2023, HCA Healthcare delivered charity care, uninsured discounts and other uncompensated care at an estimated cost of approximately $3.7 billion. "Good people beget good people."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Unlock your potential with a leading healthcare provider dedicated to its patients, colleagues and communities. Help guide our team as a Clinical Rehab Market Director and help us improve more lives in more ways. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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