RN Clinical Manager – Nashville Home Health (Full-Time)

CareAll Home Health Care - Nashville, TN (30+ days ago)3.4

AbilisHealth, formerly CareAll Home Health Care is seeking a RN Clinical Manager for our Nashville Home Health location.

Here are some of the benefits of working for AbilisHealth:
Health, dental & vision benefits available
Bi-weekly pay and direct deposit
24 hour support staff available
Ongoing educational opportunities
Competitive salaries
Flexible schedules
Mileage reimbursement when applicable
  • Benefit offerings for positions other than full-time may vary.*
Position Summary:
The Clinical Manager is responsible for organizing and directing the daily operations of the specific branch/office.

Responsible for accurate and reliable documentation of services rendered that meet all Federal and State health care program requirements, as well as commercial and private insurance standards.
Responsible for interviewing, hiring and providing new hire orientation, utilizing the mandated orientation process, to include the mandated compliance program/code of conduct.
Performs employee evaluations with the assistance of the Administrator and/or Office Support Administrator as indicated per company policy. Ensure skills are performed by personnel providing patient care with appropriate documentation per company policy.
Provides oversight of preparation and submission of RAP’s and Final claims for billing according to regulatory requirements. Ensures appropriate documentation of physician signed/dated initial referral, Plan of Care/485, supplemental orders and complete F2F documentation is completed prior to final claim submission.
Ensures patients will be appropriately admitted and/or recertified based on medical necessity, skilled need and homebound status.
Responsible for oversight of implementation of the IRO correction plan.
Reviews all patient services, daily and communicates with the Agency Scheduler daily as order are received that make changes in the current frequency.
Answers calls from referral sources, physicians, discharge planners, caregivers, patients and staff, documenting and coordinating care as indicated.
Holds weekly patient care / team conferences; holds in-service training and staff meetings as indicated. May assign Relias in-services and evaluate that all are completed by agency staff per job requirement.
Responsible for all employees to receive compliance program/code of conduct training annually.
Quality assurance of final review of OASIS and Plan of Cares to ensure completeness and accuracy.
Reviews QA of designated forms / orders for completeness and accuracy.
Reviews QA of designated nursing, therapy and aide notes. Co-sign forms accordingly. Ensure all disciplines are following the plan of care, updating medication profiles and that all documentation is reasonable, necessary and skilled according to regulations.
Provides coordination between the Coding, QA and Management departments with office and field staff as indicated.
Reviews physician order tracking report daily to ensure all orders are signed and dated within regulatory requirements.
Reviews all face to face documentation to ensure compliance with Medicare regulations for completion by physicians.
Recruits and perform meetings with Medical Directors at least monthly following meeting guidelines.
Provides marketing to ensure growth and development of the agency. Coordination with Marketer for best use of resources to ensure growth.
When applicable, provide weekly branch and scheduling reports to Administrator and Vice President of Clinical Operations.
Reviews and perform weekly OASIS Submission reports and ensure timely report to management.
Reviews held bills list daily and documents updates to Agency Biller as required; assists with Agency Billing as needed.
Communicates with Authorization Nurse to ensure all authorizations are obtained prior to providing service and assists with authorizations as needed.
Communicates with Agency Biller to ensure that private insurance billing is being processed within timely filing guidelines.
Participated in the PI process. Review and sign all Infection, Occurrence, and Complaint Reports. Submits reports timely and assist the Administrator in tracking and investigation.
Performs discipline specific clinical visits as needed; performs all non-chargeable supervisory visits and non-chargeable OASIS visits as indicated.
Instructs and supervises LPN’s and or PTAs (per discipline specific) in special procedures and compliance with the plan of care.

Licensed Physician, Physical Therapist, Speech-Language Pathologist, Occupational Therapist, Audiologist, Social Worker, Registered Nurse (includes a NP or other advance practice nurse) in good standing the state of TN
Current CPR certification
Valid driver’s license, current auto insurance, or access to reliable transportation
Must be able to pass a criminal background investigation
Must be able to pass a drug screen
OASIS experience is required
Knowledge of Skilled Home Health and Medicare Home Health Regulations
1 year home health care experience is required
AbilisHealth is an Equal Opportunity Employer

Keywords: CNA, C.N.A., Certified Nursing Assistant, R.N., RN, registered nurse, nursing, LPN, L.P.N. licensed practical nurse, medical, home care, homecare, home health, home health care, companion, caregiver, PRN, as needed, Full-Time, FT, Abilis, AbilisHealth, Cheatham County, Clay County, Cumberland County, Davidson County, Jackson County, Macon County, Overton County, Putnam County, Robertson County, Rutherford County, Sumner County, Smith County, Trousdale County, Williamson County, Wilson County