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Job Description

*They are moving Locations to Tyler/Longview, Texas*

The Administrator oversees all operational, clinical, and administrative functions for a large client in Texas, ensuring compliance with CMS, Texas HHSC, TriWest, and VA standards. This role manages a team delivering services to over 200 Provider Assistance clients and up to 120 skilled census clients, focusing on Veteran-specific needs like ADLs, supervisory visits, and benefits coordination. The Administrator leads quality improvement, staff development, and financial sustainability while fostering a Veteran-focused culture.

Key Responsibilities

Operational Leadership:

Direct day-to-day agency operations, including client intake, scheduling, and service delivery for Provider Assistance Services (e.g., Homemaker Home Health Aide) and skilled care (nursing, therapy).

Ensure timely Start of Care (SOC) visits within 48 hours of VA authorizations and supervisory visits every 2 months (3 per 6-month authorization), with documentation in Axis Care or similar EHR.

Oversee compliance with VA contracts, TriWest requirements, and CMS Conditions of Participation, including OASIS assessments, HIPAA, and quality reporting.

Client and Care Management:

Maintain a client base of over 200 in Provider Assistance Services, monitoring fluctuations in skilled census (up to 120) and adjusting staffing/resources accordingly.

Coordinate Veteran-centric care, including ADLs (bathing, dressing, meal preparation, mobility), Veteran culture training (e.g., military-style bed-making), and integration with VA benefits like Aid & Attendance.

Handle escalations for complaints, ensuring supervisory revisits within 1 week and continuity of care.

Administrative and Financial Oversight:

Manage budgeting, billing, and reimbursement from VA, TriWest, CMS, and Medicaid, ensuring accurate claims and timely payments.

Supervise payroll, payables, and financial reporting, maintaining agency solvency amid fluctuations (e.g., VA rate changes).

Lead regulatory audits, surveys, and accreditation processes to uphold licenses and certifications.

Team Management and Development:

Recruit, train, and supervise staff, including RNs for supervisory visits, aides, and administrative personnel.

Foster a collaborative environment, providing mentorship and performance evaluations to ensure high standards in Veteran care.

Implement policies for staff safety, training (e.g., PTSD recognition, emergency protocols), and professional growth.

Community and Stakeholder Engagement:

Build relationships with VA clinics, TriWest, and community partners to secure referrals and authorizations.

Represent the agency in local events, Chamber of Commerce, and Veteran organizations to promote services.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Skills and Requirements

Qualifications

Education and Licensure: Bachelor's degree in Healthcare Administration, Nursing, or related field; Master's preferred.

Required Skills & Experience:

Minimum 5-7 years in home health administration, with proven expertise in CMS-certified agencies, VA contracts, and Provider Assistance Services.

Experience managing 200+ client census and skilled fluctuations required.

Strong leadership and organizational skills for managing operations across rural Texas.

In-depth knowledge of CMS Conditions of Participation, Texas HHSC regulations, VA authorizations, and TriWest contracting.

Proficiency in EHR systems (e.g., Axis Care), billing software, and Microsoft Office.

Excellent communication and interpersonal abilities, with sensitivity to Veteran needs and culture.

Ability to handle financial oversight, compliance audits, and team mentorship.

Valid driver's license for occasional travel; commitment to ethical, Veteran-focused care.