What are the responsibilities and job description for the Administrator position at LHC Group?
Summary
The Home Health Administrator is responsible for the administration of the day-to-day operations of the home care facility. This includes: coordinating and completing assigned projects to effectively support the immediate and long range objectives of the company; oversight of the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care; implementing and maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency; and providing motivation and retention of a qualified staff and assure the quality of services delivered. This position also acts as a liaison with
management staff and other departments throughout the company.
Responsibilities
- Responsible for continual compliance with all federal and state regulations, laws, and policies and procedures applicable to Home Health. Maintains personal knowledge of up-to-date federal, state, and Joint Commission regulations.
- Employs qualified individuals and accepts responsibility for daily agency operations of the whole provider.
- Ensures that the Clinical Director is available during all operating hours or directly provides coverage for those duties. Must be immediately available to be on-site during business hours, or immediately available by telephone when off site
conducting agency business, including but not limited to community presentations, conferences, and meeting with physicians. Available after hours as needed. - Responsible for directing day to day operations of the provider/or providers assigned.
- Supervises all patient care activities to ensure the delivery of safe, economical, and efficient patient care, which adheres to relevant standards of accepted nursing and medical practice, to include federal and state regulations, and Joint Commission standards, as well as to ensure compliance with payer source criteria.
- Assists in policy review and revisions as requested to establish and support the highest possible quality of patient care, cost controls, quality assurance, and staff performance. Ensures that established policies are enforced.
- Provides and / or ensures patient care according to the plan of care as ordered by the physician.
- Provides timely performance evaluation of personnel.
- Assures regularly scheduled continuing education for personnel and supervises compliance of staff with online learning management courses.
- Provides supervision to direct reports on an on-going basis to ensure compliance.
- Assists with staff recruitment to ensure that adequate staffing is maintained. Operates within the staffing model.
- Conducts at least monthly meetings with the medical director. Approves medical director invoices and submits on a monthly basis to the Home Office with appropriate supporting documentation for timely payment.
- Ensures that only qualified personnel are hired. Oversees licensure verification, certification, and credentialing as required by law and policy prior to employment and annually thereafter. On an on-going basis, ensures maintenance of records to support competency of all personnel.
- Adheres to and supports the Episode Management Model within the provider via Episode Management supervision.
- Assures compliance with and ensures timely follow up on daily external vendor clinical edits, outcome support, and coding edits.
- Acts as a liaison between staff, patients, and upper management to ensure information is shared appropriately among the LHC team.
- Ensures that all services are billed as per federal, state, and LHC guidelines as provided to the proper payer source.
- Ensures adequate staffing of agencies, as well as adequate staff education on an initial and on-going basis and staff evaluations on a new hire and annual basis.
- Implements and maintains an effective budgeting and accounting system on an annual basis. Provides input to the budgeting process as appropriate.
- Oversees an effective QAPI program ensuring improvement plan execution and follow-up.
- Serves as a member of the Management Team, QAPI Team, and other committees as assigned within designated timeframes. Participates in annual strategic agency planning.
- Reviews weekly Operations Spreadsheet, weekly Metrics Report, and weekly Productivity Report to ensure the organization is on target with budget goals. Follows up as needed.
- Oversees weekly reports, including claims alert, late EMS, unverified services, and orders audit, to ensure timely and accurate billing and payroll.
- Supervises the maintenance and accuracy of patient care and employee records.
- Performs staff conferences as needed and mandatory in-services, including but not limited to monthly staff/safety meeting.
- Acts as Emergency Coordinator during emergencies ensuring appropriate plan execution.
- Any other duties as assigned.
Education and Experience
- Employed with agency prior to January 13, 2018: must be a licensed physician; registered nurse; or has training and experience in health service administration and at least 1 year of supervisory administrative experience in home health care or a related health care program.
- Employed with agency on or after January 13, 2018: must be a licensed physician, a registered nurse, or hold an undergraduate degree (Bachelor’s or Associate’s degree); AND has experience in health service administration, with at least 1 year of supervisory or administrative experience in home health care or a related health care program.
- Current CPR certification required
- Current Driver's License and vehicle insurance, and access to a dependable vehicle, or public transportation
- AZ: The Administrator may not oversee more than 5 agencies.
- CO: Must be a licensed physician, registered nurse or other licensed healthcare professional, or have experience and education in health service administration all with at least two (2) years healthcare or health service administration experience with at least one (1) year of supervisory experience in home care or related health program
- FL: Must be a licensed physician, physician assistant, or registered nurse OR must be an individual having at least one (1) year of supervisory or administrative experience in home health care or in a licensed facility. An Administrator may manage a max of five (5) licensed home health agencies located within one agency service district or within immediately contiguous county.
- IL: Must be a physician OR registered nurse OR have at least 1 year of supervising or administrative experience in home health care or in a related health provider program or an individual that meets the requirements for Public Health Administrator as contained in section 600.300 of Certified Local Health Department Code.
- LA: Must have three (3) years of management experience in the delivery of health care service and meet one of the following criteria: (1) Must be a licensed physician or registered nurse. (2) or a college graduate with a bachelor's degree (3) or has an associate degree (4) or has had three additional years of documented experience in health care delivery services (5) or is an individual with six additional years of documented administrative and managerial experience in a governmental (6) or corporate setting, other than in health care delivery services. Supervised at least twenty (20) employees and handled administration of the daily operations of the organization, including the budget process. The person shall have held no more than three positions during the six year time period. If not a licensed physician or a registered nurse, but meets one of the other requirements, must also have one year of home health management expeirence.
- MD: Must have a formal education in health services or administration, as evidenced by being a physician or registered nurse or a college graduate with a bachelor's degree or higher degree in a health related field. And has at least one year of supervisory experience in hospital management or home health management or public health program management.
- MS: Must be one of the following: An individual with a baccalaureate degree and at least one (1) year of administrative
- NV: If physician or registered nurse, must be licensed in the state of Nevada. experience in home health care or in a related health provider program occurring within the last three (3) years. Or an incumbent administrator as of July 1, 1981. Or an individual with a minimum of three (3) years of administrative experience in a health related field, one (1) year of which shall be full-time in a home health setting, occurring within the last three (3) years.
- NC: Must be a healthcare practitioner. Or an individual who has at least two (2) years of supervisory or management experience in home care or any other licensed provider. Or an individual who holds a bachelor
degree in health, business, or public administration science and has at least one (1) year of supervisory or management experience in home care or other licensed health care setting - OK: Must have a Home Care Administrator Certification from the Oklahoma State Department of Health. Proof of the certification must be posted at the the facility
- TN: Must be a licensed physician with at least one (1) year supervisory or administrative experience in a home health care, hospice care, or related health program. Or Must be a registered nurse with at least one (1) year supervisory experience in home health care, hospice, or related health program. Or has training and experience in health service administration and at least one (1) year of supervisory or administrative experience in home health care, hospice or related programs. Administrator shall serve no more than one (1) l icensed home care
- TX: Must be a licensed physician, registered nurse, licensed social worker, licensed therapist, or a licensed nursing home administrator with at least one (1) year of management or supervisory experience in a health related setting. Or must have a high school diploma or GED, with at least two (2) years of management or supervisory experience in a health-related setting. Must not have been convicted of a felony or misdemeanor listed in Tag 97.601(b)(2). May also be the supervising nurse of the agency providing he|she meets the specific qualifications for supervising nurse. Must have evidence of 8 clock hours of educational training in the administration of an agency within the 12 months preceeding designation of position per Texas Administrative
- VA: Must have one (1) year within the last five (5) years of supervisory or administrative management experience in home health or a related field.
- AL, AR, AZ, CA,GA, ID,KY, MA, MI, MO, OH, OR, PA, RI, SC, WA, WV, WI – No additional requirements needed.
Company Overview LHC Group is committed to a culture of diversity, equity and inclusion and is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any legally other protected characteristic.