Description

JOB DESCRIPTION SUMMARY

The Clinical Manager coordinates and oversees all direct care patient services provided by agency personnel and organizes and directs the agency’s ongoing functions. The Clinical Manager is responsible for ensuring that patient care is coordinated and managed appropriately in a cost effective and financially responsible manner. The Clinical Manager is responsible for ensuring that care and services are continually assessed and delivered appropriately as well as the supervision of clinical personnel.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

1. Provides an environment which fosters continuous quality improvement while maintaining high standards of patient care, integrity and cost effectiveness.
2. Receives case referrals. Reviews available patient information related to case, including disciplines required, to determine home care needs. Assigns appropriate clinicians to case as needed and coordinates referrals.
3. Instructs and guides clinicians to promote more effective performance and delivery of quality home care services, and is available at all times during operating hours to assist clinicians as appropriate.
4. Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing, updating and implementing plan of care.
5. Ensures that each patient admitted to the agency receives in writing the Patient’s Bill of Rights listed by State and Federal guidelines.
6. Leads case conference meetings with organization personnel to facilitate coordination of care.
7. Assists in the screening and interviewing process of new personnel and makes recommendations for employment of individuals in accordance with job descriptions.
8. Coordinates and facilitates orientation for all new agency personnel and regularly-scheduled in-service education. Maintains orientation and continued education documentation for inclusion in employee personnel files.
9. Communicates/reviews/clarifies performance expectations regularly to staff and assist in providing ongoing feedback, coaching, and counseling on individual and group performance.
10. Assists in the formulation of local strategic goals and objectives.
11. Assists in determining educational needs and requirements of staff.
12. Manages quality of care through case supervision and on-site evaluation of services in the home as appropriate. Assures that care is provided in accordance with Federal and State guidelines.

1. Directs staff and patient assignments in accordance with a review of caseloads. Monitors daily and weekly schedules and matches needs, abilities and territories to client load and clinicians’ skills and insures productivity standards are met.
2. Acts as a liaison in the management communication and care coordination with all disciplines, physicians, patients and/or caregivers. Acts as a liaison between the governing body and staff.
3. Assists with complaint resolution, risk management issues and guidance procedures, as needed. Reports to Director of Operations with action plan.
4. Ensures final audits/billing is completed timely and in compliance with Medicare regulations.
5. Provides direct patient care as needed. May be required to participate in on-call rotation.
6. Follows all privacy policies and maintains the confidentiality of protected healthcare information (PHI). Ensures the completion, maintenance and submission of reports and records required by the Secretary of Health & Environment and other State, Federal and/or accrediting regulatory organizations.
7. In the absence of the Director of Operations/Assistant Director of Operations will become the acting Director of Operations and will be vested with the authority to act in behalf of the Director of Operations.

Qualifications

POSITION QUALIFICATIONS

1. Registered Nurse with current licensure to practice in the State of Operation. BSN degree is desired.
2. One (1) year of supervisory experience as a Registered Nurse.
3. Two (2) years’ home health care experience strongly preferred.
4. Possesses and maintains current CPR certification.
5. Demonstrates excellent observation, verbal and written communication skills.
6. Demonstrated ability to motivate, educate, and supervise.

Continuing Education Requirements: Organization personnel are expected to participate in appropriate continuing education as may be requested and/or required by their immediate supervisor. In addition, organization personnel are expected to accept personal responsibility for other educational activities to enhance job related skills and abilities. All personnel must attend mandatory educational programs.

Environmental and Working Conditions

Environmental Conditions: May be exposed to extremes of heat and cold in all weather conditions.

• Category I — Position includes tasks that involve exposure to blood, body fluids, tissues.

Required Personal Protective Equipment: As required by working conditions.