As a clinical manager you will report directly to the Regional AAdministrator and serve as a key member of care center operations and management team by leading a full team of multidiscipline, healthcare professionals. Your work would include responsibilities as a clinical supervisor and manager as well as responsibility to coordinate, provide and maintain the highest standards of care. You may occasionally provide one on one nursing care and treatment to patients in the home, and when required, may fulfill role as Agency Supervising Nurse.
Manages and coordinates the provision of quality home care services to patients from admission to discharge.
Participates with the physician, referral sources, Clinical/Branch Director (Regional Administrator) and professional staff in decisions regarding patient eligibility and suitability for home care services.
Evaluates, and regularly re-evaluates the needs of the patient; initiates, develops, implements and makes necessary revisions to the patient’s plan of care. Assesses the patient’s continual care needs.
Works cooperatively with the Regional Administrator on staffing, referral sources, physician and client concerns/needs.
Assists with and coordinates training of appropriate staff and conducts performance evaluations of team to ensure quality care, compliance, and fiscal responsibility.
Coordinates regular case/team conferences and promotes communication of information relevant to the patient care process to ensure quality of care and coordination of services.
Participates in agency quality assurance activities designed to improve quality and continuity of patient care
Applies knowledge of Federal/State rules and regulations, Joint Commission standards, CMS and other regulatory requirements to ensure compliance and quality standards for the patients.
30 hours per week
3 hour Friday afternoon – hand off from Clinical Managers and Schedulers/prepare weekend schedules and move workflow for weekend referrals
12 hour Sat/Sun-On Call obligation for Sat/Sun – will take secondary calls from service and Supervisor on call for clinical staff
3 hour Monday am – report off of weekend to Clinical Mangers and Schedulers/completion of weekend workflow
This can be a remote position
Responsible for Referral Intake and Management to ensure that clients receive assessment visits and that these visits are scheduled and performed timely per Branch policy.
Leads weekly Case Conference and addresses recert/discharge decisions based on Case Conference findings. Reviews and approves Case Conference Coordination notes submitted by field staff and attaches to Episode Detail Report. Enters Case Conference coordination notes within 48 hours of the Case Conference meeting. Contacts physicians to obtain orders for continued service provision or add-on services.
Reviews orders as they appear on the action screen. Approves or declines as appropriate. Follows up with Licensed Professional as necessary when editing an order.
Enters and approves all orders for tracking purposes and routes to Medical Records to be sent for physician signature. Ensures any corrections are made by the Licensed Professional who wrote the order prior to approving the order. Updates the client’s medication profile and schedule as applicable; via the order. Ensures all orders that address frequency have appropriate calendar modification completed.
Ensures that there are existing orders for requested medical supplies.
Follows up on orders from the Order Tracking Report when the OA is unable to retrieve the unsigned order.
Enters detailed Non-Admit information into HCHB in Coordination Notes if no visit was made. Ensures the Branch Director/Regional Administrator approved the non-admission.
Reviews and processes vital sign alert reports. Documents action, any follow-up and physician notification.
Reviews and processes all wound score deviations documenting any action and/or follow-up.
May be required to perform patient visits.
Required to participate in on-call rotation.
Reviews and follows up on entitlement verification issues. Documents action in Coordination notes.
Reviews On-Call coordination notes reports every Monday.
Follows up on identified deficiencies related to the billing claims audit within 24 hours following receipt of the Billing Claims Held Reports.
Runs the notification of medication interactions report and submit weekly to physicians.
Acts as a backup for the scheduler in rescheduling missed and declined visits and processing reassigned and reschedule requests to ensure timely completion of these tasks.
Functions as staff nurse PRN.
Adheres to and participates in the Branch’s mandatory HIPAA / Privacy Program and Employee Compliance Program.
Reads and adheres to Branch policies and procedures and follows Employee Handbook guidelines.
Responsible for onboarding of new employees ensuring their competencies are checked off.
Completes all other duties as assigned.
Current and unencumbered New York license to practice as a Registered Nurse
Minimum of three (2) years of clinical experience as a registered nurse (RN). One of those years must consist of full-time experience in providing direct patient care in the home health setting*
Current CPR certification.
Valid Driver’s License and reliable transportation and agency required liability insurance.