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Job Description A program senior leadership role responsible for the Admissions Department’s leadership, strategy, customers, analysis and knowledge management, workforce, operations and results. Serves as an Admissions standard, policies, procedures, and industry subject-matter expert and resource. Position structure • Develop nurse, liaison, program scheduler, and other admissions staff leadership skills through utilization of Admissions Training, coaching, mentoring, and modeling in remote and face-to-face interactions on weekly, daily, monthly, quarterly, and annual basis, and as-needed, • Collaborate with National, Division, Region, and Program leadership to successfully improve program performance, quality, and growth, • Responsible for program’s successful rollout and sustainability of national, divisional, and regional initiatives within their program, • Lead by example through field coaching, account development, and community activities, • Ensure Admissions Department has active and an actionable strategic plan documented in the system, • Develop a customer-service oriented Admissions Department by identifying and responding to the customer’s needs and wants by recognizing the customer is the center of VITAS business, • Review and provide guidance on program-related customer complaints., • Admissions-focused process improvement project management for the program, • Admissions Performance KPI (Can change based on national direction):, • Length of Intake/Same Day Admit, • Speed to Referral/Appointment, • Training Completion/Competency, • Program Scheduler Performance/Quality, • Program oversight and ensured adherence to standards and performance in the areas of:, • Training: Field Coaching, manage completion of required and ad hoc trainings, analyze need based on utilization of data tools, complete ongoing professional development, and is capable of group presentations (internal and external), • Staffing: Demand-based scheduling, productivity management, account development during working hours, and schedule creation, • Recruitment: Monitor and manage initiatives, regular evaluation of FTE efficiently and with efficacy, ensure timely posting and hiring, • Compliance with AM required duties as here and within training materials, • Audits: Daily, weekly, monthly, quarterly and annual, • Monthly program, region, division and national meetings, • 5+ years nursing preferred, • 3+ years in a leadership/management role preferred, • Hospice admissions experience preferred, • Ability to work on various assignments simultaneously, • Knowledge of industry policies and practices, • Ability to motivate and develop others, • Ability to communicate tactfully, both verbally and in writing, with program leadership, patients, families, managers, coworkers, and vendors to resolve problems and negotiate resolutions, • Proficient with technology with ability to adapt to new products and comfortable learning new technologies (i.e. Excel, MS Teams, OneNote, SharePoint, PowerBI, SharePoint, etc.), • Demonstrates experiences of developing strategies and solutions to improve Admissions performance, • Ability to assimilate and analyze large amount of data/information to uncover business, quality and training needs within a data set EDUCATION • Requires completion of accredited Nurse Practitioner program., • Competitive compensation, • Health, dental, vision, life and disability insurance, • Pre-tax healthcare and dependent care flexible spending accounts, • Life insurance, • 401(k) plan with numerous investment options and generous company match, • Cancer and/or critical illness benefit, • Tuition Reimbursement, • Paid Time Off, • Employee Assistance Program, • Legal Insurance, • Roadside Assistance

Role Overview We’re seeking experienced Utility Management Nurses to support a client’s healthcare product development by leveraging expertise in insurance coding and hospital revenue management workflows. This role involves collaborating with hospital systems to align medical documentation with insurance policies, ensuring accurate coding and optimal reimbursement outcomes. ### Key Responsibilities - Insurance Coding & Revenue Cycle Alignment: Review, audit, and optimize insurance coding practices across hospital systems to ensure compliance and maximize reimbursement accuracy. - Workflow Analysis: Evaluate existing revenue management workflows and recommend improvements tailored to client’s AI-driven documentation tools. - Clinical Data Interpretation: Translate complex clinical notes into standardized coding formats (ICD-10, CPT, HCPCS) aligned with payer policies. - Policy Matching: Assess coding accuracy against insurance guidelines and payer documentation requirements. - Product Development Collaboration: Work closely with client’s engineering and product teams to refine AI models that automate or assist with medical coding and documentation. - Compliance & Quality Assurance: Ensure alignment with HIPAA, CMS, and payer-specific coding regulations. ### Required Qualifications - Licensure: Registered Nurse (RN) or equivalent clinical background. - Experience: Minimum 3–5 years in medical coding, clinical documentation improvement (CDI), or revenue cycle management. - Certifications: CPC, CCS, or CRC certification preferred. - Domain Expertise: Familiarity with hospital billing systems, payer policy interpretation, and coding audit procedures. - Analytical Skills: Strong understanding of clinical documentation standards and payer logic. - Tech Savvy: Comfortable working with EHR systems (Epic, Cerner, Meditech) and documentation review software. ### Preferred Qualifications - Experience working within hospital revenue integrity teams or insurance utilization management. - Exposure to AI-powered healthcare documentation tools or automated coding systems. - Ability to identify and flag edge cases or policy exceptions in automated workflows. - Strong collaboration skills with cross-functional (engineering, compliance, and data) teams. ### Engagement Model - Contract / Part-time (Remote/In person) — Flexible hours with collaboration during U.S. business hours. In person in San Francisco is a plus