This role sits within the service transformation team, where the purpose is to ensure the company maximises revenue through thorough evaluation of funding streams and opportunities
This includes monitoring the individual placement agreements [IPA] in place for the people we support and ensure they are appropriate for the levels and types of support being provided and where there is a difference, work with the home manager to involve outside commissioners and people we support in the review of these.
Ensure that everyone we support has in place an agreement that sets out the service provided and the costs of this service. Each agreement will be discussed with the people we support and/or their advocates and signed to ensure they understand and agree with the level of service being offered/provided.
Essential Duties and Responsibilities:
Work within our registered homes to review current individual placement agreements [IPA] to ensure they are accurate and reflect the care and support offered.
Ensure that any additional fees, over and above the agreed base fee is set out within the IPA and that these reflect the true cost of delivery. This includes existing arrangements which may no longer be in line with the true cost of delivery.
To ensure that the people we support receive appropriate levels of funding based on their need for nursing intervention. This will require close working with the home manager and commissioners to ensure that Free Nursing Care [FNC] or Continuing Health Care [CHC] are applied for and that these payments are reflected as additional income as set out in any revised IPA. This will also mean chairing/leading on meetings to discuss these costs.
Offer assistance to appointees to maximise benefits where they need support to undertake this function.
To provide monthly updates on progress through detailed reports to the senior management team via the Service Review and Transformation Lead.
To be able to build and maintain healthy professional relationships with colleagues and to ensure close working with home managers to elicit their cooperation and support in order to maximise revenue.
Maintain up to date and accurate records of all activity relating to the maximisation of revenue for each service.
Maintain up to date knowledge of changes in fees and fee schedules linked to all contracts and ensure that every opportunity is taken to benefit from these changes.
Work closely with the finance team to maintain up to date contracts for all registered homes and ensure that contract compliance relating to the management of fees is achieved and where there may be a default, to bring this to the urgent attention of the Senior Management Team [SLT]
To work within the company policies and procedures at all times.
To undertake any other similar related task as required from time to time based on the needs of the business. Any such undertaking will be through direct instruction from the Service Review and Transformation Lead.
Must have a full valid clean driving licence and must own car as you will be required to travel to the various homes/sites owned by SHC
This job description is not intended to be exhaustive and may be reviewed at any time to meet the needs of the business.
Apply and join Sussex Healthcare!