Clinical Manager

General Duties

  • The Clinical Manager (CM), in accordance with policies and standards established by the Governing Body, and under the direct supervision of the Administrator, assists with the planning, coordination, leading, controlling and evaluation of home health services.
  • The CM is responsible for coordination and liaison with appropriate parent and affiliate Departments and committees, development of policies and guidelines for and obtaining input from service personnel and providing professional input to related administrative systems.
  • The CM directs and supervises professional and auxiliary personnel rendering client care services, performs marketing duties and fosters public relations for the company, consults and plans with healthcare facilities regarding staffing needs, and communicates the concept of quality client care to the general community.
  • The CM or appropriately qualified designee remains available during all times that services are offered. 
  • The CM interprets service needs to the Administrator and acts as a client service administrative liaison.
  • Assists with the planning, coordination, leading, controlling and evaluation of home health services.
  • The CM is responsible for coordination and liaison with appropriate parent and affiliate Departments and committees; development of policies and guidelines for and obtaining input from service personnel and providing professional input to related administrative systems.
  • He/she directs and supervises professional and paraprofessional personnel rendering client care services, fosters public relations for the company by consulting and planning with health care facilities regarding staffing needs, and communicates the concept of quality client care to the general community.
  • The CM interprets service needs to the Administrator and acts as an administrative liaison to the Administrator and Governing Body. 

Responsibilities

Primary Job Responsibilities

  • Oversees/directs/coordinates nursing staff to provide proper resident care consistent with standard nursing practices;
  • Accountable for nursing compliance, excellence, and delivery of resident care services in line with the company, state, and federal guidelines;
  • Develops and establishes nursing service objectives and standards of practice;
  • Assures provision of appropriate medication, treatments and nursing services according to care plans and physician’s instructions;
  • Monitors/controls inventories of supplies;
  • Audits and reviews resident charts and documentation where applicable to ensure uniformity, accuracy, and completeness.
  • Develop and implement care plans 
  • Knowledgeable of OASIS documentation and guidelines.
  • Operates clinical department within budgetary guidelines as appropriate.
  • Coordinates staff schedules according to need
  • Responsibility for operations in the absence of the Administrator
  • Conducts the nursing process' assessment, planning, implementation, and evaluation
  • Develops, implements, and evaluates programs to measure, assess, and improve the quality of nursing care
  • Ensures optimal quality of care is provided in a safe environment
  • Participates in surveys
  • Participates and directs mandatory in-service education
  • Ensures that adequate clinical staff is available
  • Plans and facilitates meetings and committees
  • Sets goals and establishes priorities then coordinates and manages the policies and resources needed to meet those goals
  • Administers clinical services budget and expense control
  • Oversees clinical employee conduct
  • Assesses the health needs of each client
  • Communicating the needs of the clients to the referral source
  • Is responsible for recruiting, hiring and evaluating clinical staff.
  • Participates in planning for the orientation of new employees. Conducts selected orientation classes.
  • Serves as a role model for all colleagues by setting an example of high standards in dress, conduct, cooperation, and job performance.
  • Immediately reports any accident, incident, lost articles or unusual occurrence to the Administrator.
  • Oversees Agency’s ongoing Quality Assessment and Performance Improvement (QAPI) program.
  • Provides 24 hours/day, seven (7) days/week on-call coverage.
  • Is normally available at all times during and after operating hours; may designate a qualified temporary replacement if he/she will not be available.

Core

  • Participates with the Administrator and Executive Director in the formulation of a business plan, to include the establishment of strategic goals, a  resource allocation plan, and a yearly budget.
  • Consults plans and works with the Administrator in policy formulation, program development, and implementation, to include the assessment of adequate and appropriate staffing.
  • Coordinating with the Administrator to help develop administrative policies and practices for the Agency.
  • Consults with supervisors and staff, individually or in groups, regarding patients or families, special programs or services.
  • Directs the implementation of service goals and objectives.
  • Develops standards that ensure safe and effective services to clients and families.
  • Establishes and maintains effective channels of communication.
  • Maintains policy and procedure manuals and updates them as well as and job descriptions as policies and procedures change.
  • Oversees the implementation and evaluation of client care services inclusive of regulatory licensure and certification criteria and accreditation standards.
  • Coordinates with other program areas and senior management as appropriate according to the organizational structure.
  • Collaborates in the development of an effective and efficient client care documentation system including statistical compilation and analysis relative to cost and staff service delivery.
  • Participates in selected orientation programs.
  • Assists in the evaluation of community needs and plans programs and services to satisfy the needs identified.
  • Submits formal written proposals to the Administrator for all new programs or services (with complete cost/benefit analysis).
  • Oversees all CQI and utilization review activities.
  • Coordinates with Continuous Quality Improvement Committee the timely implementation of corrective action plans and controls.
  • Assists in Agency evaluation activities.
  • Establishes personal goals and objectives for advancement.
  • Serves on committees as required and as a member periodically reviews policies relevant to patient care with the Committee.
  • Consults with physicians in matters relating to patient care services.
  • Evaluates own job performance and utilization of resources in planning for professional growth.
  • Performs other duties as assigned by the Administrator.

Staff

  • Directs staff in the performance of their duties.
  •  Utilizes capabilities of nursing and paraprofessional personnel in the development of orientation and staff education programs.
  • Recognizes leadership potential and offers opportunities for leadership training and development.
  • Encourages and assists personnel to continue self-improvement through formal education, educational meetings and active participation in professional and related organizations.
  • Establishes job functions, qualifications and job descriptions for each service staff (direct and supervisory).
  • Acts as liaison for staff development for program areas.
  • Assesses appropriate staff supervision during all service hours.
  • Keeps staff informed of Agency developments, needs, etc., and encourages their participation in problem-solving at the organization and community levels.
  • Assists with interviews and hires select home health care personnel.
  • Keeps program personnel up to date with state of the art clinical information and practices staff development including orientation, in-service education, and continuing education.
  • Consults and plans with healthcare facilities regarding staffing needs.

Central Administration Operations

  • Assists in marketing the Agency and fostering community relations.
  • Participates in state and national organizations, meetings, seminars, workshops and activities relating to the health professions and health care services, when appropriate.
  • Actively develops and pursues referral sources, as well as facilitates on-going relationships with various medical and health communities.
  • Keeps current on local area issues and, at the direction of the Administrator and Executive Director, works with organizations that endeavor to improve the health and welfare of the community.
  • Participates with other health, civic, education and professional groups as directed by the Administrator and Executive Director.
  • Participates in selective conferences and workshops to promote knowledge in community health trends, efficiency in job performance and overall professional growth.

Measure and Monitor (using SHP and KanTime)

  • Weekly, review real-time widgets to identify issues. Drill-down on widgets with red borders (indicates threshold exceeded) using SHP Dashboard
  • Weekly review alert utilization & corrections by the agency, clinician, case manager, or team. Using SHP Alert Manager.
  • Biweekly review for use in case conferencing using Episode Einstein.
  • Monthly, to monitor RAC Risk, LUPA’s, Outliers, Revenue & Case Weight, Visit Utilization, and Therapy Utilization with drill-down to patient detail. Using Financial Executive Advantage.
  • Monthly, Review publicly reported scores with drill-downs to patient detail. Note: Use Clinical Executive Advantage for comparison between locations. Using Home Health Compare Report & Clinical Executive Advantage.
  • Monthly, Monitor 30-day rehospitalization rates, including breakouts for DX penalty groups. Using Rehospitalization Report.
  • Monthly, Monitor traditional hospitalization and emergent care rates (SOC/ROC to DC/Transfer) as well as breakouts by diagnosis and reason. Using Hospital & Emergent Care Utilization Report.
  • Quarterly, Identify specific outcomes targeted for improvement, drill-down to patient detail, set goals and monitor. Using Trended Outcomes.
  • Monthly, Identify specific measures targeted for improvement, set goals and monitor improvement, utilize drill-downs. Using Process Measure Overview Report and Process Measure Patient Detail Report.
  • Monthly, Review the 5 core HHCAHPS patient satisfaction measures, drill-down to the clinician and patient detail. Using HHCAHPS Scores & Benchmarks with Drill Down
  • Quarterly, Monitor individual staff performance, identify areas for commendation and improvement to enhance accountability. Using Scorecards.

Experience

  • Five years of experience as Director of Nursing preferred.
  • Ideally, the experience is within the home care industry
  • Must have excellent computer skills. 

Requirements

  • A current and valid RN nursing license in the state of Employment.
  • DON / Prior leadership and supervisory experience required
  • Examples and proof of survey history and outcomes along with POCs and OASIS knowledge.
  • Polished and professional along with amazing customer services and leadership skills
  • Ability to work well both independently and in a team environment 
  • Strong organizational skills 
  • Detail oriented 
  • Willingness to work evenings and/or weekends as needed. 
  • Excellent time management skills and the ability to prioritize work
  • Attention to detail and problem-solving skills
  • Excellent written and verbal communication skills
  • Strong organizational skills with the ability to multitask
  • Ability to works well under pressure with minimal supervision

Skills and Abilities

  • Strong written and verbal communication skills.
  • Excellent clinical ophthalmic skills.
  • Leadership ability with strong motivational skills. 
  • Must be able to delegate and supervise. 
  • Must use discretion in all personnel matters. 
  • Must have a “team minded” approach.
  • Ability to multitask.

            

Job Conditions

  • The position is stressful in terms of meeting deadlines.
  • It requires minimal lifting of office records and printouts.
  • It is primarily a desk job which essentially involves sitting, standing stooping and walking, as well as an inordinate amount of telephone communication.
  • Travel is required, by car or airplane to local, out-of-town or state seminars, conferences or meetings.
  • Must be able to read 12 points and larger type.
  • The ability to communicate well, both verbally and in writing in English is required.

Work Environment

Able to travel as needed, sitting, standing and walking for periods of time. Works indoors in the home health office.

Equipment Operation

The job requires the ability to utilize a PC, calculator, multi-line telephone, and other related 
office equipment.

Lifting Requirements

  • Ability to perform the following tasks if necessary
  • Ability to participate in physical activity.
  • Ability to work for extended period of time while standing and being involved in physical activity.
  • Moderate lifting.
  • Ability to do extensive bending, lifting and standing on a regular basis.

Company Information

Has access to all client medical records and client financial accounts, personnel records and company financial records, which may be discussed with all management staff.

Qualifications

  • RN (Registered Nurse) in good standing in the state of Nursing License Practice.
  • Is a licensed Physician, RN, PT, OT, ST, Audiologist or a Social Worker who is currently licensed in the state(s) in which practicing.
  • Three to five (3-5) years of experience in nursing, preferred.
  • One (1) year experience in home health nursing, preferred.
  • Significant technical experience and demonstrated leadership/management skills;
  • Geriatric nursing background;
  • Prior experience working a nursing management role;
  • Restorative care philosophy, excellent professional skill (both assessment and hands-on);
  • Demonstrated knowledge using nursing systems and tracking/assessment tools;
  • Strong knowledge of state and federal home health regulations;
  • Strong communication and interpersonal skills.
  • Acceptance of philosophy and goals of Agency. 
  • Ability to exercise initiative and independent judgment.
  • Ability to work with individuals to enlist the cooperation of many people to perform/achieve a common goal.
  • Equivalent experience to the Job description will be advantageous.
  • Must have a criminal check.

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