Clinical Territory Manager

Hospital for Special Care•New Britain, CT

13d•Hybrid

About The Position

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. At HFSC, we are a family. Each person who is a part of our team of 1,300 employees and volunteers offers unique talents and perspectives. We all believe in keeping the same shared value of making our patients the center of what we do. By combining all of our unique skills and shared values we are able to make a positive difference in the lives of our patients. We are dedicated to creating an environment of care and engagement that makes us one of the most desirable places to work. We are an Equal Opportunity Employer and offer a competitive benefits package.

Requirements

Current licensure with the State of Connecticut in a related field, RN, RRT, PT, OT.
5+ years of clinical experience required.
Excellent communication and interpersonal skills required.
Ability to prioritize and manage multiple tasks.
Excellent negotiation, communication, influencing and decision making skills.

Nice To Haves

Experience in marketing health related products and services.
Knowledge of Medicare, Medicaid and insurance reimbursement Guidelines.

Responsibilities

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.