Clinical Territory Manager

Qualifications

Required:

• 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.

Preferred:

• 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.

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.

Captures and coordinates demographic, medical and social information documentation on all pending admissions, and ensures admitting unit has information prior to patient admission.

Collaborates with the Admitting Manager to coordinate 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.