Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 CommuniCare Health Services is currently recruiting an experienced Leader for the position of Corporate Director, People Operations. . Job Duties & Responsibilities Provide strategic guidance and counsel to senior leadership and frontline staff on HR matters, including compliance, employee relations, workforce planning, and organizational development. Oversee and standardize HR operations and processes across business lines and home office departments, to ensure alignment with organizational goals and legal requirements. Act as an internal consultant to leadership on organizational effectiveness, change management, and team dynamics. Partner with business units to deliver generalist HR support in areas such as talent management, performance development, employee engagement, and workforce planning. Lead and support home office onboarding and engagement initiatives to ensure a positive and consistent employee experience. Address and resolve complex employee relations issues, including conducting high-level investigations, reviewing terminations, and managing escalated concerns. Review and approve employee actions such as rehires and transfers, ensuring alignment with policy and operational needs. Conduct training and coaching for leaders on HR policies, best practices, documentation standards, and employee relations procedures. Identify workforce trends and recommend proactive strategies to reduce turnover, mitigate risk, and improve employee satisfaction. Drive process improvements and operational efficiencies across core HR systems and workflows. Ensure HR programs and practices comply with internal policies and external legal and regulatory requirements. Analyze HR data and metrics to support decision-making and promote continuous improvement. Collaborate with stakeholders to develop and implement HR strategies that support talent growth, retention, and business success. Qualifications Education: Bachelor's degree in Human Resources or related field required. Professional HR certification (e.g., SHRM-SCP, SPHR) strongly preferred. Experience 10 years of progressive HR experience, including at least 5 years in a senior-level HR operations or HR generalist leadership role. Demonstrated success advising and supporting senior executives and cross-functional leaders in a complex, fast-paced, and change-driven environment. Extensive experience handling complex employee relations matters, including investigations, terminations, and policy interpretation. Proven ability to develop and implement scalable HR processes and operational improvements across a multi-site or matrixed organization. Experience supporting both field-based and corporate teams, ideally in healthcare, long-term care, or another highly regulated industry. Experience leveraging Workday a plus. Knowledge/Skills/Abilities Expert-level communication skills, both verbal and written, with the ability to influence, coach, and engage individuals at all organizational levels. High emotional intelligence and diplomacy, with a proven ability to navigate complex interpersonal dynamics, personalities, egos, and sensitive situations with professionalism and discretion. Strategic thinker with strong analytical and decision-making abilities, grounded in data, compliance, and business needs. Strong relationship-building skills and the ability to collaborate across departments and business lines to drive alignment and outcomes. Agile and resilient, with the ability to thrive in ambiguity and lead through constant change. Proficient in HRIS systems, reporting tools, and data analysis for driving insight and continuous improvement. Unwavering commitment to ethical practice, confidentiality, and organizational values. Show more Show less

Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 CommuniCare Health Services is currently hiring full time Accountants for positions located at our Corporate Office in Blue Ash, OH. Benefits As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts. Job Duties & Responsibilities Responsible for ensuring timely month end close processing and financial statement review and distribution. Reviews bi-weekly labor reports, analyzes variances, and distributes to management. Performs monthly bank account reconciliations and various balance sheet account reconciliations. Prepares balance sheet account reconciliations and work papers for quarterly balance sheet reviews by accounting management. Assists department management in preparation for various audits Other accounting projects and functions as assigned. Qualifications & Experience Requirements A bachelor degree in accounting and previous accounting experience, Healthcare environment (long-term care) experience preferred. Knowledge/Skills/Abilities Must be knowlegeable in Generally Accepted Accounting Principles (GAAP) Must have the ability to make independent decisions when circumstances warrant Must be able to deal tactfully with team members and managers Excellent Excel skills are required Workday experience a plus Superior organizational skills, strong task management skills, and the ability to prioritize tasks. Also important are excellent interpersonal and communication skills with both internal and external customers and the ability to work in a team oriented environment. A positive attitude, with a high degree of ethics and personal integrity, as well as confidentiality, are needed to be successful in this role. About Us A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients and family members care for and about one another. Show more Show less

Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 WHO ARE WE? Never Alone. Where high-touch personal care and innovative technology intersect to create an integrated ecosystem of resources and support for a multitude of continued care needs and historical health inequities. A powerful, yet scalable solution, Never Alone increases connectivity and medical efficiencies, while simultaneously creating greater access to care for those who have chronic health conditions or have historically been underserved due to geography. Job Summary Reporting to Product Support Manager, the Product Support Specialist I will be trained as the product champion on our proprietary SaaS platform and tasked with the front line support services within the Never Alone ecosystem within a distinct geographic region of the US. This role will provide support for the full customer life cycle experience. This includes rollout and implementation execution, proactive monitoring of technical issues and resolution documentation, as well as providing regular feedback to Product Teams for product roadmap considerations. Duties/Responsibilities Serve as the first line of contact within a cross-functional team for customers and end users within a geographical region. Communicate clearly and effectively with end users, colleagues, and management to quickly resolve issues and ensure customer satisfaction. Working in tandem with Product Support Manager, provide daily support to users of mobile and desktop systems including empathetic listening, answering questions, analyzing problems, and ensuring customers’ systems are always running. Actively participate in new customer onboarding and implementation. Train and re-train users to increase best practices and adoption of Never Alone mobile and desktop platforms. Assist in version control and updating of training and support manuals. Partner with the 24/7 Never Alone Customer Service Team to ensure customer success. Create and implement support processes and procedures in collaboration with product and service desk. Log daily support interactions with customers, end users, installation activities, reported technical issues, and completed solutions along with any further actions required. Participates in testing new functionality and/or software upgrades. Handles protected health information (PHI) in a manner consistent with the Health Insurance Portability and Accountability Act (HIPAA). Performs other duties as assigned. Qualifications Bachelor’s Degree (preferred) in related field or equivalent experience Strong communication skills and ability to maintain professionalism in all circumstances Quickly identify problems, form solutions, and execute step-by-step troubleshooting procedures Working knowledge of PC and Mac operating systems and Microsoft Office Applications Technical Support experience preferred Demonstrated problem solving ability that drives operational excellence Some regional travel required Show more Show less

Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 CommuniCare Health Services is currently recruiting an experienced Corporate Paralegal to support our General Counsel and Compliance Department. This position will work in our Corporate Offices in the Blue Ash section of Cincinnati, OH. As a family-owned company, CommuniCare Health Services has grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals. Benefits As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer you a menu of benefit options from life and disability plans to medical, dental and vision coverage, from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts. Qualifications Previous Corporate Paralegal experience Labor/Employment Law experience preferred Paralegal certificate preferred About Us A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another. Show more Show less

Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 CommuniCare Health Services is currently hiring a full time Accountant for a position located at our Corporate Office in Blue Ash, OH. Option for remote work for accountants with Long Term Care experience. Benefits As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts. Job Duties & Responsibilities Responsible for ensuring timely month end close processing and financial statement review and distribution. Reviews bi-weekly labor reports, analyzes variances, and distributes to management. Performs monthly bank account reconciliations and various balance sheet account reconciliations. Prepares balance sheet account reconciliations and work papers for quarterly balance sheet reviews by accounting management. Assists department management in preparation for various audits Other accounting projects and functions as assigned. Qualifications & Experience Requirements A bachelor degree in accounting and previous accounting experience, CPA preferred Healthcare environment (long-term care) experience preferred. Knowledge/Skills/Abilities Must be knowlegeable in Generally Accepted Accounting Principles (GAAP) Must have the ability to make independent decisions when circumstances warrant Must be able to deal tactfully with team members and managers Excellent Excel skills are required Workday experience a plus Superior organizational skills, strong task management skills, and the ability to prioritize tasks. Also important are excellent interpersonal and communication skills with both internal and external customers and the ability to work in a team oriented environment. A positive attitude, with a high degree of ethics and personal integrity, as well as confidentiality, are needed to be successful in this role. About Us A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients and family members care for and about one another. Show more Show less

Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 Administrative Assistant – Financial Department The CommuniCare Family of Companies is a privately owned healthcare organization based in the Blue Ash suburb of Cincinnati, OH . Since 1984 we have owned and operated healthcare facilities in multiple states. The Administrative Assistant to the CFO position is a full-time position at our Corporate Office in Blue Ash. Pay Range: $55k-75k/annually PURPOSE/BELIEF STATEMENT We’re in search of a qualified and resourceful Administrative Assistant with experience supporting a CFO or Controller to support our Financial Department in ensuring smooth and efficient business operations. The Assistant will have both administrative and strategic responsibilities, helping us to plan and administer important functions of the Financial Department and assisting the CFO with daily tasks. What We Offer As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts. Job Duties/Responsibilities Assist in developing and executing reports and material for Financial Department Participate in development of Financial objectives and systems, including metrics, queries, and standard reports for ongoing company requirements Continually improve efficiency of the Financial department and organization as a whole and improve employee experience Assist Chief Financial Officer and Controller with day to day tasks such as scheduling meetings, travel, communications etc. Qualifications/Experience Requirements Bachelor’s Degree, (PHR, SPHR a plus) Previous Administrative experience a must Experience working with Financial systems and custom report writing a plus 3 to 5 years’ experience in Financial Department supporting Controller or CFO highly preferred Proficient skill using Microsoft Excel. Excellent interpersonal and communication skills with both internal and external customers. High degree of ethics and personal integrity, as well as confidentiality regarding all employee matters. About Us A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients and family members care for and about one another. Show more Show less

Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 CommuniCare Health Services , a leading Healthcare provider with over 130 facilities in 7 states, is currently recruiting Centralized Nursing Staff Schedulers to support our Cincinnati, OH facilities with staffing coordination. Qualifications & Experience Requirements High school graduate or G. E. D. equivalent Prior staff scheduling experience required Benefits As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts. Show more Show less

Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 The CommuniCare Family of Companies is a privately owned healthcare organization based in the Blue Ash suburb of Cincinnati, OH. Since 1984 we have owned and operated healthcare facilities in multiple states. The Accountant position is a full-time position located at our Corporate Office and serves as a key member to the accounting department. Salary Range: $55k-75k Benefits As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts. Job Duties & Responsibilities Responsible for ensuring timely month end close processing and financial statement review and distribution. Reviews bi-weekly labor reports, analyzes variances, and distributes to management. Performs monthly bank account reconciliations and various balance sheet account reconciliations. Prepares balance sheet account reconciliations and work papers for quarterly balance sheet reviews by accounting management. Assists department management in preparation for various audits Other accounting projects and functions as assigned. Qualifications & Experience Requirements A bachelor degree in accounting and previous accounting experience, Healthcare environment (long-term care) experience preferred. Knowledge/Skills/Abilities Must be knowlegeable in Generally Accepted Accounting Principles (GAAP) Must have the ability to make independent decisions when circumstances warrant Must be able to deal tactfully with team members and managers Excellent Excel skills are required Workday experience a plus Superior organizational skills, strong task management skills, and the ability to prioritize tasks. Also important are excellent interpersonal and communication skills with both internal and external customers and the ability to work in a team oriented environment. A positive attitude, with a high degree of ethics and personal integrity, as well as confidentiality, are needed to be successful in this role. About Us A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients and family members care for and about one another. Show more Show less

Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 Managed Care Biller Due to Company growth, CommuniCare Health Services is currently recruiting a Managed Care Biller for our Corporate Managed Care Billing Department. PURPOSE/BELIEF STATEMENT The position of Managed Care Biller/Collector is responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned. Ultimately they are responsible for hitting their cash collection goals each month and minimizing the impact of Bad Debt for the buildings/facilities assigned to them. What We Offer All CommuniCare employees enjoy competitive wages and PTO (Paid Time Off) plans. We offer full time employees a menu of benefit options that include: Life Insurance and Disability Plans Medical, dental, and vision coverage from quality benefit carriers 401K with employer match Flexible Spending Accounts Position Requirements Knowledge of medical billing/collection practices. 3-5 years experience in managed care billing preferred Experience billing various Managed Care companies and understanding the requirements for each payor Claim appeal/resolution expertise preferred Must have a high degree of attention to detail. Strong verbal and written skills required in order to interact with insurance companies to resolve unpaid claims via telephone and written correspondence. Basic computer literacy and skills. Strong organizational skills a must. About Us A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another. Show more Show less

Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 Due to continued growth, CommuniCare Health Services is currently recruiting for an Accountant / Financial Analyst. The position will be based in our corporate office located in the Blue Ash section of Cincinnati, OH with hybrid work possibilities. PURPOSE/BELIEF STATEMENT The Accountant / Financial Analyst position is primarily responsible for accounting/analytical needs for Communicare’s Financial Leadership. The Accountant / Financial Analyst is responsible for supporting the Reimbursement Department in compiling data, reporting, preparing work papers and completing analysis. This includes ad hoc reporting using a variety of source systems, creation and maintenance of scorecards and dashboards. What We Offer As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts. Qualifications & Experience Requirements 5 years of accounting experience including cost accounting Knowledge/Skills/Abilities Understanding applicability of Generally Accepted Accounting Principles (GAAP) Ability to manage highly detailed tasks with and through other staff Excellent interpersonal and communication skills Ability to work in a team oriented environment. A positive attitude, with a high degree of ethics and personal integrity, as well as confidentiality, are traits needed to be successful in this role. ERP experience highly preferred (Workday or Oracle) Job Duties & Responsibilities Assist with preparation of reports necessary for Rate Analysis. Account Reconciliations Ad hoc requests as needed Participate in and take notes at State Health Care Meetings Update/Review the analysis of local competition – referrals, admissions, etc. Assist in assembling underlying support for the Supplemental Payments from States Update models and trackers with most current information Assist with responding to information requests from State Associations Assist with monthly reviews of financial statements Prepare suggestions for improvement – Region at a time Rate Analysis Quality Measure Analysis Acuity/Census Analysis About Us A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients and family members care for and about one another. Show more Show less

Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 Medicare Biller The CommuniCare Family of Companies currently owns/manages over 100 World-Class Nursing and Rehabilitation Centers, Specialty Care Centers, and Assisted Living Communities throughout Ohio, Missouri, Pennsylvania, Indiana, West Virginia, Virginia, and Maryland. Since 1984, CommuniCare Health Services has provided superior, comprehensive management services for the development and management of adult living communities. CommuniCare Health Services is currently recruiting a Medicare Biller for our Central Billing Office in Cincinnati, OH. PURPOSE/BELIEF STATEMENT The position of Medicare Biller is responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned. Ultimately they are responsible for hitting their cash collection goals each month and minimizing the impact of Bad Debt for the buildings/facilities assigned to them. What We Offer As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer you a menu of benefit options from life and disability plans to medical, dental and vision coverage, from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts. Qualified candidates, forward your resume for a chance to join the World Class team at CommuniCare! Qualifications / Experience Requirements Knowledge of Medicare & Secondary Billing Guidelines Previous experience billing various Medicare and Co-insurance companies and understanding the requirements for each payor Claims appeal/resolution expertise preferred 2 - 4 years advanced education beyond high school, or comparable work experience Strong verbal and written skills are required in order to interact with insurance companies to resolve unpaid claims via telephone and written correspondence Professional appearance and mannerisms Ability to work as part of a team Computer skills including, but not limited to Microsoft Word, Excel, and Outlook Knowledge of Medicare DDE, Point Click Care and Quadax preferred Job Duties & Responsibilities Verify receipt of monthly triple check forms and audit for accuracy per triple check policy prior to claims submission Review of Medicare A, Medicare A No Pays/Benefit Exhaust, Medicare B, and Medicare Secondary Payer claims for accuracy and timely submission per Medicare, Commercial, and Medicaid billing guidelines Submission of Medicare Advantage Copy claims As Medicare payment occurs, identify and submit billing for secondary claims that do not automatically crossover to secondary insurance Daily cash posting of Medicare and Secondary payments per Cash Postings policy Follow-up on unpaid claims and document account within standard billing cycle time frame (Medicare: 16 days after submission , Commercial/Medicaid Coinsurance: 14-21 days after submission) Monitor for and report Medicare additional development requests (ADR’s) per process guidelines Identify and submit necessary rebilling for secondary / tertiary claims during follow-up Conduct account research and analysis Submission of write offs for uncollectable accounts Identify and create batches for necessary billing adjustments Interact with facility staff to resolve outstanding issues Participate in monthly A/R reviews Participate in the month end close process. Other various duties as assigned About Us A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another. Show more Show less

Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 CommuniCare Health Services is a fast-growing provider of long term care with over 108 facilities located in 7 states. CommuniCare is dedicated to our goal of creating Caring Communities where staff, residents and families join hands to overcome their daily challenges. We are currently recruiting an experienced leader to assume the position of Corporate Director of Case Management . PURPOSE/BELIEF STATEMENT This position is responsible for meeting/exceeding established targets for 3 primary metrics: census, revenue, and payor relationships. The Corporate Director of Case Management will work with multiple departments at the home office and in the field. This position will interact directly with the Division Teams, make sure daily operations are being run to achieve their highest yield, identify opportunities for improvement and collaborate to assure implementation, and ensure Home Office and Division alignment on vision and strategy. This position reports to the VP of Revenue Cycle. Benefits All CommuniCare employees enjoy competitive wages and PTO plans in a supportive, team atmosphere. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts Qualifications Minimum: LPN, RN, Licensed Social Worker, or 5+ years comparable experience in a multi-facility and multi-state Case Management leadership role in the long term care or senior living industry. Knowledge/Skills/Abilities Working knowledge of skilled nursing facility operations and the impact of Case Management. A broad knowledge of the healthcare industry in a multi-state environment, managing multiple payor types, managed care industry, and integrated delivery systems. Strong analytical and problem solving skills, the ability to understand complex reimbursement structures and the ability to apply contractual and governmental regulations to billing processes. Demonstrated understanding of CMS rules and regulations for Skilled and LTC nursing care. Strong written and oral communication skills to effectively work through an organization to influence change. Ability to forge effective working relationships with key executives, helping them better understand the financial implications of their operations. Ability to build, develop, educate and maintain an effective team. Ability to collaborate with multiple departments to obtain Case Management goals. High degree of interpersonal skills Ability to obtain buy in from others and/or gain the acceptance of others in difficult situations. Strong information system skills that allow operational and strategic application of technology to enhance Case Management operations. Must demonstrate personal traits of a high level of commitment, motivation, and energy; team orientation; professionalism; trust; personal honesty and integrity; and a demonstration of treating all others with dignity and respect. Job Duties/Responsibilities Provide daily leadership, support, direction, and training to Divisional and Regional teams. Provide support to Divisional Leadership. Provide leadership across the company to optimize results in all aspects of Case Management. Provide leadership within the company by diagnosing, evaluating, and developing corrective actions that result in the optimization of Case Management and Revenue Cycle operations. Make actionable recommendations that are supported by data analysis and create metrics to measure progress. Identify need for standardization and adoption of processes, reporting, and the case management model across the enterprise. Work collaboratively with the VP of Revenue Cycle to identify new Case Management initiatives and support/implement/monitor existing initiatives across the ministry. Work collaboratively with the Finance team on determining contractuals, allowances, and reserving. Ensure that all internal controls are in place for compliance with GAAP guidelines & EOFY audits. Collaborate with the Corporate Director of Managed Care, the Reimbursement Department, and the Revenue Cycle team to address payment issues related to case management. Develop strategies to optimize maximum reimbursement rates per contracts. Utilize team-building concepts to facilitate communication and direction that support the corporate mission, vision, and values. Provide leadership in regard to payor management. Assure compliance with all applicable legal and regulatory requirements for Case Management and Revenue Cycle. Uphold the mission, vision, and values of Communicare Health Services. Conduct all aspects of business with the highest level of integrity and ethics. About Us A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients and family members care for and about one another. Show more Show less

Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 Sales Manager, Never Show more Show less

Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 Since 1984, the CommuniCare Family of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute care for those that are chronically ill or have complex conditions. Our more than 150 skilled nursing, assisted living, independent living, behavioral health, and long-term care facilities deliver sophisticated and transformative care to nearly 16,000 residents and patients at any given time. CommuniCare employs more than 19,000 employees across six states (Ohio, Indiana, Maryland, Virginia, West Virginia, Pennsylvania). Due to continued growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and timely filing of all managed care claims on their assigned caseload with the appropriate insurance carrier. The position requires working with the CBO cash collections team, CBO cash posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management, and others. The CBO claims validation staff will strive to always be the expert and resource to others for all aspects of the UB04 and 1500 claim forms. What We Offer As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts. Job Duties/Responsibilities Claim validators must be proficient with all coding required on claims for SNF billing. To ensure the highest possibility of billing a clean initial claim, the claim information requires validation against the data located within the PCC tabs and documents. The PCC data to validate on the claim may be contained within areas of the Census, AR Insurance, authorization documentation, and eligibility. The claims validator will play a role in triple check with the facility to ensure all information confirmed accurate during triple check process is also accurate on the claim. This will be done according to an outlined process, that could change or evolve at times, that will allow for proper documentation and will ensure that all necessary data was verified prior to billing. Additional Responsibilities Check claim to verify correct value and occurrence codes are populated on the claim. Check the clearing house daily for any claims rejections of claims billed in the last 30 days. Any rejections need to be worked by the validator to determine and resolve the issue to get the claim on file. Report any trends or patterns with claim rejections or denials to revenue cycle for review. Identify and report if a contracted payer needs to be set up for use in PCC at a contracted facility. Ensure all managed care claims have been validated and billed out of PCC by the 10th business day after close. Any claims that are not billed out by the end of the 10th business day, require a note in PCC with an explanation for the delay in billing. Rebilli ay corrected claims that the collections team needs submitted, due to an updated authorization, retroactive eligibility changes, diagnosis code denials, etc. For new aquisition, pay particular detail to which NPI and Tax ID is required for specified claims for each carrier to ensure proper billing and reimbursement. Validators are expected to be experts on managed care and able to identify appropriate lines of business, exclusions, valid authorization numbers, appropriate insurance protocols, timely filing rules, etc. Attend, Participate, and/or Lead facility Educational In-services when appropriate. Attend all required in-service and training programs required within your department. Perform other related duties as assigned or requested. Promptly reports any suspected resident financial abuse or billing fraud to supervisor immediately. Qualifications/Experience Requirements High School graduate or GED required. Prior Work/Life experience, preferably in a long term care setting. Prior work/life experiences, preferably in a healthcare setting. Prior experience preferably with related software applications. Knowledge/Skills/Abilities Knowledge of medical billing/collection practices. Must be knowledgeable of accounts receivable practices and procedures, as well as laws, regulations and guidelines that pertain to long term care. Must have a high degree of attention to detail. Must have the ability to make independent decisions when circumstances warrant such action, sense of urgency. Strong mathematical, written and verbal communication skills. Basic computer literacy and skills Strong organizational skills a must. About Us A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another. Show more Show less

Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 Purpose/belief Statement Accounting support is an important function within the organization. The Senior Accountant manages the books and records of CommuniCare Advantage ensuring accuracy and timeliness of financial reports. They will also supervisor and mentor an Accountant. Job Duties & Responsibilities Responsible for ensuring timely month end close processing and financial statement review and distribution. Create and reviews reports, analyzes variances, and distribute to management. Performs and/or reviews monthly account reconciliations and various accounts payable reconciliations. Manages AP relationship with Corporate Services. Oversight of GAAP to STAT entries and tracking. Directs NAIC Quarterly and Annual Filings information with external partner Takes point in collecting support and tracking during various audits Other accounting projects and functions as assigned. Qualifications & Experience Requirements A bachelor degree in accounting and 5-7 yrs of accounting experience, preferably in a healthcare insurance environment. Knowledge/Skills/Abilities Must be knowledgeable in Generally Accepted Accounting Principles (GAAP), understanding of Statutory Reporting (STAT) beneficial. Must have the ability to make independent decisions when circumstances warrant Must be able to deal tactfully with team members and managers Excellent Excel skills are required Workday experience a plus. Superior organizational skills, strong task management skills and the ability to prioritize tasks. Also important are excellent interpersonal and communication skills with both internal and external customers, and the ability to work in a team oriented environment. A positive attitude, with a high degree of ethics and personal integrity, as well as confidentiality, are traits needed to be successful in this role. Show more Show less

Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 Communicare Health Services is currently recruiting an individual with strong Business Office cash reconciliation and accounting experience for the position of Accounts Receivable Project Specialist. Benefits As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts. Knowledge/Skills/Abilities Proficient in Microsoft Office / Excel 3-5 years strong business office cash reconciliation & accounting Bachelor or Associates Degree in accounting preferred Medical Billing, Long term care experience preferred Point Click Care / Quadax Software experience a plus Ability to effectively communicate with internal and external customers, both verbal and written Effectively work with team members, facility and regional associates Ability to work independently and make independent decisions when circumstances warrant such action Strong task management and organizational skills, understanding priorities Displays a high degree of confidentiality Ability to complete analytical reports Office will be located in Blue Ash Job Responsibilities Work with internal resources on ways to automate current processes Assist functional owner with Medicare Bad Debt Write off process Assist in the oversight and monitoring of coinsurance to ensure timely and accurate submission, to include intervention and completion of billing when necessary. Assist with reconciling electronic remits including, but not limited to Medicare, Managed, or Commercial cash when necessary. Performs administrative and office support activities for Home Office. Assist with processing Write Offs / Adjustments. Assist with compilation of Monthly Facility Update Reporting. Assist with various financial audits including PCC Collection Module, Resident Trust, and Triple Check compliance. Assist with reviewing Credit Balances for compliance. Maintain department informational spreadsheets for various other reports as needed. Copy or scan reports and distribute as needed. Assist with various projects and audit preparation. Other various duties as assigned. About Us A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another. Show more Show less

Job Address 230 Welcome Way Blvd West Bldg 4 Suite A15 Indianapolis, IN 46214 Home Health / Hospice Network Liaison This position has room for growth in the area and upward movement as our Home Health / Hospice division grows. What You Will Do as a Home Health / Hospice Network Liaison Have a passion for serving others through love? At Dignity Care, a Network Liaison career is more than a job or “a calling” – it’s a chance to leave a legacy of service and love on someone’s life. A legacy that will be remembered by your patients and their families forever. A legacy that will make your life better as well. As a Home Health / Hospice Network Liaison, you will facilitate admissions from assigned hospitals, clinics, and MD offices into Dignity Care agencies. You will match service locations’ capabilities to patient needs and facilitate patient flow from acute care providers into Dignity Care to meet/exceed census and goals. Some of your primary responsibilities include: Communicating with the Interdisciplinary team daily to ascertain information and knowledge about open beds, scheduled discharges, scheduled admissions, hospitalized patients, clinical capabilities, and center events Managing the electronic referral system for assigned centers and develop professional relationships with case managers and discharge planners, hospital employees and management, patients, and families Completing clinical reviews via Allscripts and/or onsite evaluation as needed or requested, and coordinating a seamless transition to assigned centers Remaining visible as assigned hospital and being available as a resource to promote Dignity Care in a positive manner Abiding to all HIPPA laws and observing confidentiality policy Presenting the benefits of long and short-term skilled nursing at Dignity Care to patients, families, hospital employees, etc. Benefits You Will Enjoy Full-time team member benefits include: Paid Time Off Insurance benefit package (medical, dental, vision, life, and other voluntary group programs) 401 (K) retirement savings plan Tuition reimbursement Advancement opportunities Training, development & continuing education opportunities Stonerise Chaplain support Employee Assistance Program (EAP) Education, Licensure & Certification Requirements 1-3 years of translatable experience in Home Health / Hospice sales. Current and valid driver’s license with available transportation and ability to drive Previous work as a Hospice Liaison preferred. Show more Show less

Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 Member Advocate, Medicare Advantage CommuniCare Corporate CommuniCare Advantage, an Institutional Special Needs Medicare Advantage Plan (ISNP), is currently seeking a Member Advocate to establish an enthusiastic customer-oriented presence throughout a designated territory. In this exciting new role, the ISNP Member Advocate will be engaged directly with our healthplan members, their families and individualized care teams in an effort to promote and support proactive, appropriate care. This is a remote position involving weekday travel during business hours, Monday-Friday, to your assigned local long-term care facilities in the Ohio, region. PURPOSE / BELIEF STATEMENT Member Advocates are dedicated to assisting our members with healthplan benefit navigation as well as facility enrichment to maximize the healthcare experience. Member Advocates will personalize their approach to each member by coordinating their services and support to get them to the right services, in the right place, at the right time. Member Advocates empower members and families in maximizing their ISNP benefits. Our ISNP advocacy platform is about helping people find their voice—our members, our peers, our facilities, our providers, our company. Beyond the robust ISNP clinical model of care, Member Advocacy makes us unique to the frail and vulnerable population that we serve. Required QUALIFICATIONS / EDUCATION REQUIREMENTS 3+ years’ experience in healthcare, nursing home, long-term care, geriatrics, special needs, social services, Medicare, insurance, advocacy, or customer service Strong comprehension of CMS regulated healthcare entities and insurances Dynamic, compassionate, approachable demeanor Zeal for connecting with people and building trustworthy relationships Proficient computer skills with Windows-based and Microsoft applications Ability to demonstrate advanced organizational and communication skills Ability to function independently and responsibly with minimal need for supervision Ability to develop and manage relationships, as well as multiple priorities Ability to travel throughout the designated local territory Monday-Friday during business hours Preferred Four-year advanced degree or 6+years equivalent work experience in healthcare, nursing home/long-term care, social services, advocacy, customer service, or other closely related industry Show more Show less

Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 Patient Assessment Coordinator - RN or LPN Skilled Nursing and Rehab Centers CommuniCare Health Services is currently recruiting a Patient Assessment Coordinator to identify patients for potential admission into our Cincinnati, OH area facilities and to maintain positive relationships with current referral sources. The Patient Assessment Coordinator will facilitate admissions by coordinating transmission of clinical and benefit information from referral sources back to the SNF admissions teams, administrations, and third party payers. The Payment Assessment Coordinator will preferably have an RN or LPN license. Estimated Salary Range: $75k-85k/annually Essential Responsibilities Include Performing clinical assessments Resource to the Liaisons The Patient Assessment Coordinator achieves these objectives by providing excellent, responsive customer service and accurate, timely, and comprehensive clinical assessments and by proactively working with all departments in the facility. Qualified candidates for this position will have an RN or LPN license in the State of Ohio. The ideal candidate will preferably have three years' treatment experience in a Long Term Care setting. Previous clinical screening experience preferred, along with recent healthcare experience in an Long Term Care facility. Candidates will also preferably have knowledge of the local medical community and an outgoing, energetic personality . Job Requirements Preferred: Current, valid and active license to practice as a Registered Nurse or Licensed Practical Nurse in the state of Ohio. Current, valid and active driver’s license required. Three (3) years treatment experience in a Long Term Care setting preferred. Previous clinical screening experience preferred. Recent healthcare experience in Long Term Care preferred. Knowledge of local medical community preferred. Ability to collect, organize, evaluate and communicate professionally and assertively, both verbally and in writing, pertinent clinical information with medical and administrative staffs, patients and families. Strong customer service skills and commitment to service excellence. Outgoing, energetic personality Ability to project a professional image. Knowledge of regulatory standards and compliance requirements. Strong organizational, prioritizing and analytical skills. Ability to make independent decisions when circumstances warrant. Working knowledge of computer and software applications used in job functions. The Patient Assessment Coordinator is a full time, salaried position. All CommuniCare employees enjoy competitive wages and PTO packages, in addition to our outstanding, comprehensive benefits package for full time employees. Above all, CommuniCare strives to maintain a pleasant and fun work atmosphere with opportunity for professional growth. Qualified RNs / LPNs, apply now for a chance to join the CommuniCare family. Show more Show less

Job Address 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 CommuniCare Health Services is currently recruiting for the key position of Part B Authorization Specialist supporting our Rehabilitation and Revenue Cycle Departments. This is a remote position. PURPOSE/BELIEF STATEMENT Under the general supervision of the Corporate Director of Revenue Cycle, the Part B Prior Authorization Specialist will assist in the prior authorization process for all Part B Therapy services for all payors. Job Duties/Responsibilities Processes requests for prior-authorization based on established therapy guidelines and contract criteria. Keeps abreast of industry trends and regulatory changes in the healthcare industry and incorporates knowledge in the performance of job duties. Identifies problems in process/procedures and makes recommendations for improvements. Maintains a balance of productivity, quality, and timeliness of job accountabilities Maintains and updates internal databases (Smartsheet, PCC, Net Health) as applicable Obtains prior authorizations per Rehabilitation Department's request and maintains the database to communicate and track new and extended authorizations Ensures database information and appended files are current and accessible to staff Provides training and tools on the prior authorization process to new hires Generated reports on a monthly and as requested basis to the Rehabilitation and Revenue Cycle teams Creates and supports an environment which fosters teamwork, cooperation, respect, and diversity Establishes and maintains positive communication and professional demeanor with employees and payors at all times Performs other related duties as assigned Attends required training Qualifications Must be able to work independently and prioritize high volume of daily requests. Must have general understanding of Healthcare Managed Care authorization process. LTC experience preferred Mandatory Excellent written and verbal Communication; verbally on the telephone Ability to multi-task on the computer Proficient in MS Office Suite Applications (MS Excel, MS Word, MS Power-point, etc.) Ability to type 35 wpm Ability to learn and use multiple proprietary software Must be able to organize work duties, prioritize and work independently Problem Solving skills Dependable, reliable, responsible and honest Healthcare experience Optional And Beneficial Experiences Experience with health insurance Point Click Care experience Clinic Healthcare Experience Smartsheet Net Health Benefits As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts. About Us A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another. Show more Show less