Clinical Territory Manager

Clinical Territory Manager

We are dedicated to creating an environment of care and engagement that makes us one of the most desirable places to work, providing exceptional care to each patient each and every day!

Qualifications:

• Required: Current licensure with the State of Connecticut in a related field, RN, RRT, PT, OT.
• Required: 5+ years of clinical experience required.
• Required: Excellent communication and interpersonal skills required.
• Required: Ability to prioritize and manage multiple tasks.
• Required: Excellent negotiation, communication, influencing and decision making skills.
• Preferred: Experience in marketing health related products and services.
• Preferred: Knowledge of Medicare, Medicaid and insurance reimbursement Guidelines.

Job Summary:

• Manages a referral territory, marketing hospital programs and services and responding proactively to referrer needs. Performs activities related to the preadmission evaluation, admission process, marketing and recruitment.

Physical Demands:

• Frequently works at a computer entering data.
• Frequently drives a car for up to four hours a day.
• Frequently stands for extended periods on hard surfaces.
• Frequently works in crowded, noisy work areas.
• Frequently comes in contact with patients requiring the use of universal precautions.
• Continuously changes positions during the day, walking from outdoor to indoors/ all areas of different hospitals.
• Occasionally loads and unloads boxes, exhibit boards up to 40 lbs., and carries laptop computer daily.
• Frequently conducts business via telephone, fax, Blackberry and/or email.
• Frequently conducts interviews and charts reviews in other facilities.
• Frequently sits for extended periods of time.

Cognitive Demands:

• Frequently uses independent judgment and problem-solving techniques in working with internal and external contacts.
• Continuously communicates with others using effective listening, writing, presentation and verbal skills.
• Frequently uses analytical skills to evaluate patients for admission.
• Initiates work independently and respond to many deadlines, handling many responsibilities simultaneously.

Work Demands:

• Works primarily out of the hospital in various acute care settings.
• Frequently works with and around other people.
• Adjusts work hours and schedule to adapt to referrer requirements.
• Works in environments with moderate noise and frequent interruptions.
• Travels throughout the state as required.
• Travels occasionally out of state.
• Works under deadlines and budgetary restraints.

Essential Functions:

• Evaluates patients for admission, using clinical assessment, chart review, interviews with care givers, and accepts or denies patient given hospital and Medicare criteria. Gathers precise medical, social, and demographic information concerning the patient applicant from all appropriate sources.
• Educates patient/family regarding HSC programs that pertain to the prospective patient.
• Maintains knowledge and communicates third party payer preadmission/admission criteria with patient/family.
• Ensures financial authorization prior to admission by working with Admitting Coordinator/Operations Specialist, and Payor.
• Demonstrates clinical knowledge in assigned patient populations; pediatric, rehabilitation, neurobehavioral and respiratory assessment.
• Identifies referral targets in assigned territory.
• Develops strategies with Chief of Staff and Admitting Manager to develop contacts/relationships and change referral patterns. Analyzes response to strategies by reviewing referral patterns and revises as required.
• In coordination with Admitting Manager, participates in formal presentations, conference development for referrers. Ensures referral sources are aware of program or system changes, new programs or services offered at the hospital.
• Proactively initiates contacts with potential referrers, promoting the hospital's capabilities.
• Provides precise feedback regarding pending admissions to referral source.
• In collaboration with the Admitting Manager, provides outcome data to each hospital in the service area.
• Identifies referrer needs, and recommends changes to systems or programs based on referrer input.
• Maintains a presence at referral agencies in the territory, exploring all networking opportunities.
• Completes/coordinates demographic, medical and social information documentation on all pending admissions, and ensures admitting unit has information prior to patient admission.
• Coordinates patient admission with unit and Case Management staff to ensure smooth and efficient patient admission.
• Reviews all referrals who do not clearly fall in accept/deny categories with appropriate medical staff for prompt clarification of referral status.