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Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
The Admission Operations Manager of Enteral Nutrition has ultimate oversight and accountability for key intake and patient experience outcomes:
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New patient onboarding and coordination of start of care
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Understanding benefit verification and authorization management of new patients
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Driving excellence in every patient and/or referral interaction
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Clinical acumen
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Revenue cycle acumen
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Project management
The individual in this role supports high levels of productivity, quality, and service, while meeting or exceeding regulatory requirements and company standards. This leader will set the direction and lead efforts to continuously improve the customer/patient experience, reduce both costs to serve & adjustments, while improving our collection rate by ensuring patients are qualified.
This leader sets the culture and direction for the teams by clearly defining goals and setting and refining process to ensure that the admissions team contributes to the short- and long-term goals of Coram. The manager handles managing and motivating teams while delivering elevated levels of service to our patients, clients, and business partners.
Primary Duties and Responsibilities:
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Supports collection rate by ensuring documentation required to meet reimbursement guidelines are obtained during the admissions process.
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Promote formulary program.
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Drives the development and implementation of policies and procedures through specific strategies and goals.
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Implements strategic initiatives and ensures competency between branch/pharmacy/clinical/sales personnel and colleagues to ensure the best patient experience.
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Oversees, provides, and supports the training of current and new colleagues (hourly and salaried) in conjunction with the trainers to achieve growth and competency in qualifying patients.
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Ensures nutrition services are provided to patients in compliance with company policies and procedures and follow Joint Commission standards as well as in a professional and proper manner.
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Collaborates with cross-functional peers in the development and implementation of new SOP’s, and action plans for any performance and process improvement activities.
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Responsible for overall metrics and key performance indicators owned and reviewed by leadership and find ways to collaborate to bring action new regulatory requirements, system enhancements, and policy updates.
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Optimizes resource allocation to achieve maximum productivity of workforce while meeting the evolving needs of the business.
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Monitors team performance through routine metrics and daily engagement with all disciplines and corresponding processes.
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Uses metrics to measure and drive success. Redirects team as necessary to achieve metric-based goals.
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Defines and communicates expectations for all leaders and corresponding teams.
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Communicates updates as necessary both internally and cross-functionally. Assures excellent communication, customer satisfaction, and quality of change management for all customers.
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Holds colleagues and self-accountable to expectations.
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Performs other related duties and responsibilities as assigned by your leader(s).
Required Qualifications
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Minimum three years of related experience, including minimum two years with managed care/payer experience.
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Proved leadership and critical thinking skills.
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Excellent customer service orientation, attention to details, and time management skills.
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Effective verbal and written communication skills.
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Proficient with Microsoft business software.
Preferred Qualifications
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Navigating complex healthcare payer contract intricacies or related experience.
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Proved change management.
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Two years managing multiple projects.
Education
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High School Diploma or General Equivalent Development (GED)
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Associate's or Bachelor's degree a plus
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Six Sigma Certification a plus
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$54,300.00 - $119,340.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS Health
We anticipate the application window for this opening will close on: 02/22/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners.
Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
