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RN Clinical Manager

Position Summary:

Responsible for direct supervision of Case Managers, professionals and para-professionals including RN, LPN, PT, PTA, OT, OTA, ST, HHA and MSW.  Serves as clinical and managerial resource for problem solving. Extensive knowledge of Medicare and Managed Care guidelines. Knowledgeable of all regulatory guidelines pertaining to home care. Strong knowledge of OASIS.  Must have strong clinical knowledge base and excellent communication and problem solving skills. 

Essential Duties & Responsibilities:

Participates in the hiring, supervision, discharging, evaluating, disciplining and promoting of clinical

staff of professionals and para-professionals including RN, LPN, PT, PTA, OT, OTA, ST, HHA and MSW. 

Ensures continuity and quality of client care.

Performs client assessment and identifies problems to be addressed.  Evaluates client needs, families and home environment on audits.

Responsible for monitoring and managing quality data pertinent to the department to assure compliance with the operating plan.

Acts as a clinical resource between intake and referral services and scheduler.

Screens admissions, recertifications, and reassessments for appropriate plan of care.

Monitors and evaluates client care to ensure delivery of quality care to clients by interdisciplinary case conferencing, review of documentation, and monitoring scheduling of personnel on a daily basis.

Ensures that clinical documentation meets all CHAP requirements per agency policy.

Ensures the maintenance of clinical records, the submission of statistical data, and the accuracy and timeliness of other required paperwork by agency.

Assures customer satisfaction with clinical care and delivery of services.  Identifies and resolves problems and assists staff in daily problem solving and complaint resolution.

Ensures that clinical documentation is complete, reflects skilled services to ensure payor source reimbursement.

Ensures physician orders are reviewed, complete, and submitted timely by clinical staff.

Acts as liaison to referral sources, is available for evaluation of clients to determine appropriateness of services, and informs referral sources of outcome of services.

Coordinates quality improvement, staff education, and record review activities as required by Agency.

Serves on agency wide committees and participates in agency wide projects as requested.

Instructs staff in policy and procedures and reimbursement issues.  Assures compliance by the staff regarding appropriate safety and infection control techniques, as designated by OSHA and CHAP.

Assists DCS in the maintenance of agency manuals and reference materials for staff.

Maintains rapport and cooperative working relationship with clients, families, co-workers, physicians and Home Health employees, as well as with the public.

Represents the Agency as a professional, is a positive role model to foster integration of home care into the community.  Works closely with community affairs coordinator to increase referral base.

Coordinates quality improvement, staff education, and record review activities as required by Agency.

Participates in in-services and continuing education programs to maintain and increase own clinical competency, specialty area and management skills.

Selects, orients and assigns work for direct reports. Develops job design and performance standards, initiates and completes all elements of the Integrated Performance Management process, and makes recommendations for issues related to promotions, disciplinary actions and terminations.

Maintains an understanding of the company’s scope of services.

Understands the infrastructure and how and where to transfer calls in the company.  

Maintains a professional image.

Participates in administrative call according to needs of the agency.

Uses appropriate phone etiquette. Understands the infrastructure of Peoples Home Health to appropriately transfer calls within the agency

Promotes a customer friendly atmosphere for all visitors and ensures client confidentiality at all times.

Participates in accreditation program.

Performs other duties as assigned.

Skills:

Self-Starter – Takes initiative identifies needs of co-workers and customers and solves problems.

Reading Comprehension – Understanding written sentences and paragraphs in work related documents.

Time Management – Managing one’s own time

Speaking – Talking to others to convey information effectively.

Writing – Communicating effectively in writing as appropriate for the needs of the audience.

Critical Thinking – using logic and reasoning to identify the strengths ands weaknesses of alternative solutions, conclusions, or approaches to problems.

Able to perform the essential functions of the job with or without accommodation.

Education/Experience:  

Graduation from an accredited RN program.  BSN preferred. Minimum of 5 years RN experience in a Supervisory role and at least two years Home Health Experience . 

Licenses, Certifications and/or Registrations:

Current RN State of Florida licensure.  Current driver’s license and valid auto insurance. Current CPR certification.

Working Conditions:

Office/Home Environment. May be exposed to biological hazards. 

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