The Wound Care Nurse Lead is responsible for ongoing management and growth of the program. The Wound Care Nurse Lead oversees day-to-day program operations and is responsible for: revenue, cost management, reimbursement, quality management, performance improvement and marketing and community engagement in conjunction with the hospital Growth and Outreach Director.

Essential Duties and Responsibilities:

Operations Management:

• Providing day to day management oversight for outpatient clinic, HBO and other wound continuum sites of care, which may include inpatient and outreach.
• Continuously analyzing systems and processes; developing and implementing best practices and appropriate changes to improve outcomes in a timely manner.
• Monitoring clinics flow to improve efficiencies and productivity.

Clinical and Hands on Patient Care:

Provides care to a group of patients providing specific assessments according to protocols and procedures, clinical competence in procedural skills, treatments, and patient/caregiver education related to wound care management.

• Provides HBO patient assessment and chamber operation as required.
• Organizes and prioritizes clinical responsivities, provides direct supervision to clinical staff.
• Collaborates with other heal care providers and Medical Director regarding clinical, quality, and patient needs.
• Consistently looks at current processes and procedures and identifies and implements areas of improvement while adhering to HIPAA, The Joint Commission, DOH as well as hospital and DCS requirements.

Financial Management / Reimbursement

Managing all aspects of the revenue cycle including inquiry, scheduling, registration, treatment authorization, documentation, coding, charge entry, billing, collections, and denial processes.

• Implementing audit and reconciliation processes to ensure accuracy. Regularly reviews the Charge Master and Superbill to ensure appropriate reimbursement. Conducts chart audits to monitor and ensure documentation meds regulatory and billing requirements. Stays current with reimbursement changes, providing physician and staff updates and education as needed.

Community Education/Marketing:

Working in conjunction with the hospital Growth and Outreach director to develop and implement a marketing and community education plan.

• Work alongside hospital Growth and Outreach director initiating contacts and developing key relationships with all appropriate healthcare referral sources as accomplished through routine correspondence campaign, consistent contact with referrals sources through presentation of patient progress reports and case studies.
• Monitoring patient, referring physician and customer satisfaction.

Registered Nurse with a current license in the state of Kentucky. Wound Care Certification preferred. Medical Surgical, home health, or wound care, also preferred. Maintains and demonstrates competency in BLS (Basic Life Support), infections control, safety and all unit required skill review. Marketing experience preferred. Must be able to use Microsoft Outlook, Word, PowerPoint, and Excel, as well as web-based database programs and the Internet.