Clinical Manager

Title: Clinical Manager
Location: 2004 American Way, Kingsport Tennessee 37660
Shift: Day 8 hours

Duration: 13 weeks

Duties:

Clinical
 Ensure that the client’s plan of care is individualized and appropriate, executed as
written and reassessed by the appropriate health care processional when there is
a significant health status change in the client’s condition, at the physician’s
request and after hospital discharge. Ensure appropriate documentation is
completed for all patients transferred to an inpatient facility.
 Complete review of evaluation packets, OASIS and 485s. Review both the data
submitted via the Mobile Device and via paper to ensure accuracy and follow up on
any documentation requires correction. Process the OASIS and 485; verify the
correct start of care date and episode date range in HCHB. Process any unlisted
supplies, medications, activity, functional limitations, allergies, etc. that appear on
the action screen.
 Follow up on OASIS Assessments that cannot be processed due to Licensed
Professional documentation deficiencies.
 Responsible for Referral Intake and Management to ensure that clients
receive assessment visits and that these visits are scheduled and performed
timely.
 Lead weekly Case Conference and address recert / discharge decisions based on
Case Conference findings. Review and approve Case Conference coordination
notes and attach to Episode Detail Report. Enter Case Conference coordination
notes within 48 hours of the Case Conference meeting. Contact physicians to
obtain orders for continued service provision or add-on services.
Our Care Matters
 Review orders as they appear on the action screen. Approve or decline as
appropriate. Follow up with Licensed Professional as necessary when editing an
order.
 Enter and approve all orders for tracking purposes and route to Medical Records to
be sent for physician signature. Ensure any corrections are made by the Licensed
Professional who wrote the order prior to approving the order. Update the client’s
medication profile and schedule as applicable via the order. Ensure all orders that
address frequency have appropriate calendar modification completed.
 Ensure that there are existing orders for requested medical supplies.
 Follow up on orders from the Order Tracking Report when the MRS is unable to
retrieve the unsigned order.
 Enter detailed Non-Admit information into HCHB in coordination notes if no visit
was made. Ensure the Branch Director approved the non-admission.
 Review and process vital sign alert reports. Document action, any follow-up
and physician notification.
 Review and process all wound score deviations documenting any action and/or
follow – up.
 If clinical, may be required to perform patient visits and / or participate in an oncall
rotation.
Administrative
 Review and follow up on entitlement verification issues. Document action
in coordination notes.
 Verify benefits and obtain authorization for services on all non-Medicare patients.
Review On-Call coordination notes reports regularly. Follow up on identified
deficiencies related to billing claims audit within 24 hours follow receipt of the
Billing Claims Held Reports.
 Run the Notification of Missed Visits reports and submit weekly to physicians.
 Act as a backup for the Patient Services Coordinator in rescheduling missed and
declined visits and processing reassigned and reschedule requests to ensure timely
completion of these tasks.
 If the PSC is not an LVN/LPN, receives lab reports and assesses for normality.
Forward lab reports to the PSC for faxing to the physician.
 Function as staff nurse PRN.
Skills:
Knowledge/Skills/Abilities:
 Must have a good understanding of the Federal, State, and Local laws / regulatory
guidelines governing the operation of a home health agency.
 Must be organized and able to effectively communicate both orally and in writing.
 Must be capable of multi-tasking while maintaining a professional and friendly
demeanor.
 Must be adept at communicating with a broad range of individuals and possess
excellent customer service skills.
 Must be competent with computers.
Education:
Qualifications:
Education:
 Must be a graduate of an approved school of professional nursing and hold an active
RN license.
Experience:
Essential:
 Must have a minimum of two years nursing experience and one year
experience in home health.
Desired:
 Supervisory experience is preferred.
Requirements:
 Must possess a valid state driver’s license and automobile liability insurance
 Must be able to drive an automobile in all types of weather conditions
 Must have an RN license in the State of employment

Job Types: Full-time, Contract

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Supplemental Pay:

• Bonus pay
• Commission pay
• Signing bonus
• Tips

Education:

• Master's (Preferred)

Experience:

• Supervisory: 2 years (Preferred)
• home health.: 2 years (Preferred)
• nursing: 2 years (Preferred)

License/Certification:

• RN license (Preferred)
• driver license (Preferred)

Work Location: One location