Job Summary : MUST RESIDE IN THE SOUTHERN INDIANA AREA

Job is REMOTE until the office is opened and established. At that point it will be an IN OFFICE position 9-5 Monday-Friday.

The Home Health Program Manager will be responsible for for the management and coordination of home health services for clients within the community. This includes overseeing, sourcing, attracting, and managing high volumes of qualified leads (Calls), overseeing the full new start process from start to finish. This role also includes tracking metrics, conducting interviews, negotiating pay rates, and providing onboarding support, while ensuring a positive candidate experience and regularly traveling within the territory to meet with clients and prospects.

Duties/Responsibilities:

• Source and Attract Candidates: Proactively identify, source, and engage high volumes of qualified candidates through job boards, social media, referrals, and other channels.
• Build and Maintain Pipelines: Develop and maintain a pipeline of leads to meet the ongoing needs of the organization, focusing on both current and future hiring demands.
• Manage High Volumes: Efficiently manage multiple authorization requests simultaneously, ensuring timely processing to avoid delays in client care.
• Foster a Positive Candidate Experience: Ensure a seamless and professional experience for all candidates, from initial contact through onboarding, enhancing the employer brand.
• Travel within Territory: Regularly travel within the assigned sales territory to meet with clients and prospects, fostering face-to-face relationships and expanding business opportunities.
• Negotiate Pay Rates: Skillfully negotiate terms and conditions with prospective caregivers to close deals that align with company goals while ensuring customer satisfaction.
• Provide Onboarding Support: Collaborate with internal teams to ensure seamless delivery of new starts and provide ongoing support to resolve caregiver issues or concerns.
• Verify Insurance Coverage: Confirm patient eligibility, insurance benefits, and coverage limits for services prior to treatment.
• Obtain Authorizations: Secure prior authorizations and pre-certifications from insurance companies for procedures, treatments, and services to ensure reimbursement.
• Track Authorization Status: Monitor the status of pending authorizations, resolve delays, and follow up with payers to expedite approvals.
• Update Patient Records: Accurately document all interactions with payers, authorization approvals, denials, and related correspondence in the patient’s medical records or billing system.
• Communicate with Client: Inform clients about their insurance coverage, authorization requirements, and any out-of-pocket costs that may arise from denied services.
• Maintain Payer Relationships: Develop and nurture positive working relationships with insurance payers to ensure smooth interactions and resolve any issues regarding coverage or payments.
• Advocate for Clients and Company: Work to resolve payment and authorization issues that affect access to care, advocating on behalf of both the company and the client.
• Support Revenue Cycle Teams: Collaborate closely with billing, coding, and revenue cycle management teams to ensure efficient claims processing and resolve any payer-related bottlenecks.
• Education:
• Bachelor’s degree in Nursing, Healthcare Administration, or a related field.
• Certification in healthcare management or related field preferred.
• Experience:
• At least 1-2 years of experience in healthcare management, with a focus on home health or similar settings.
  
  
  

Health Coach Hybrid

Job Overview We are seeking a dedicated, professional, and passionate Health Coach to join our team. As a Health Coach, you will work closely with individuals with disabilities to provide guidance and support in achieving their day-to-day activities. Utilizing your expertise in motivational health coaching, and health, you will develop personalized care plans tailored to each client's needs.

Key Responsibilities:

Conduct Initial Health Assessments:

• Assess clients’ physical health, medical history, and personal goals to develop a tailored careplan.
• Gather information about the clients lifestyle, nutrition, physical activity, stress levels, and existing health conditions.
• Collaborate with healthcare providers ( Case managers, physicians, nurses, dietitians) to review medical treatments, medications, and care plans.
  
  
  

Create Personalized Care Plans:

• Develop individualized careplans that address the client’s unique needs, focusing on lifestyle improvements, diet, exercise, mental health, and chronic condition management.
• Ensure plans align with any medical treatments or therapies prescribed by healthcare professionals.
• Monitor and Track Progress:
• Regularly check in with clients through home visits, or phone calls.
• Use tools like Alayacare app, or trackers to monitor vital signs, nutrition, and activity levels.
• Help clients identify and address obstacles to progress, adjusting the approach as needed.
• Live data entry
  
  
  

Collaborate with Healthcare Providers:

• Maintain open communication with case managers, physicians, nurses, etc, and other healthcare professionals involved in the client's care.
• Share updates on client progress, insights, and challenges to ensure coordinated care.
• Provide feedback to healthcare providers about the client’s adherence to health plans and any areas requiring attention.
  
  
  

Qualifications: MUST RESIDE IN THE SOUTHERN INDIANA AREA

• Education: A degree in health-related fields such as health coaching, nursing, nutrition, psychology, or exercise science is preferred. Certification in health coaching, wellness, or related areas is a plus.
• Experience: Prior experience in health coaching, nursing, personal training, is highly desired. Experience in home healthcare or working with individuals in a home care setting is beneficial.
  
  
  

Work Environment:

• The role primarily involves working in client' homes, with some in office sessions.
• Preferrable someone in the southern IN area willing to travel occasionally to various city locations near Seymour, Evansville, etc.
• Travel between clients homes may be necessary, depending on the geographic area.
  
  
  

Join our team as a Health Coach and make a positive impact on the lives of our clients by helping them achieve their health goals. If you are passionate about empowering others to live healthier lifestyles and possess the required qualifications, we would love to hear from you.

This role requires a combination of clinical & non clinical knowledge, managerial skills, and a deep understanding of healthcare regulations and quality care practices. The Home Health Program Manager plays a key role in ensuring that home health services are delivered efficiently, effectively, and with compassion.