Clinical Manager

Springfield, MA, United States

Springfield, United States | Posted on 12/07/2023

· Assesses and plans client care, as needed, using age-appropriate norms and principles of growth and development.

· Identifies client needs based on comprehensive assessment.

· Delivers care following physicians’ orders, nursing standards, and Agency policies and procedures.

· Documents care according to regulatory requirements and Agency policies and procedures.

· Participates in employee recruitment and retention activities.

· Evaluates personnel performance in accordance with organizational policies; counsels or corrects as needed; reports progress to Vice President of Clinical Services as appropriate.

· Teaches and assists clinical staff in appropriate case management and utilization of resources and regulatory compliance.

· Conducts educational presentations for clinical staff.

· Encourages clinical staff attendance at educational and work group meetings.

· Acts as role model and mentor for clinical staff.

· Reviews OASIS information to ensure proper assessment and documentation by field staff.

· Reviews clinical staff documentation to ensure timeliness, accuracy, and completeness.

· Makes client visits and accepts on-call responsibilities, as needed.

· Conducts pre- and post-billing reviews of Medicare, Medicaid, and Commercial skilled services.

· Knows and adheres to federal, state, and other regulatory agency requirements.

CLINICAL COORDINATION:

· Provides overall coordination and case management oversight of the Agency’s clients; ensures clinical staff delivers high-quality services in an efficient and effective method.

· Assists with planning and coordinating of care delivery.

· Utilizes Plans of Care (POCs), 485s, OASIS, orders, recertifications, transfers, and discharge planning to identify client needs and assures appropriate care is provided.

· Serves as liaison between client/physician and Agency.

· Assigns field personnel as appropriate and in accordance with caseload review; monitors daily and weekly schedules, matching needs, abilities, and territories to the assignment. Communicates staff assignments and coordination of service delivery to clinical staff and scheduler.

· Assists staff with ordering of medical supplies; monitors judicious use and allocation of needed supplies.

· Assures appropriate triage of clients and planning for potential disasters.

· Monitors staff productivity and coordinates results with VP of Clinical Services to adjust assignments as appropriate.

· Oversees tracking of clinical staff attendance at work, as well as mandatory in-services or meetings, addresses attendance problems.

· Supervises the implementation and outcomes of the physician’s POC.

· Collaborates with clinical staff to monitor client progress, POC revision, ancillary referral needs, and appropriate utilization of services.

· Conducts care conferences to assure interdisciplinary input to addressing client needs in order to obtain positive client outcomes, according to Agency standards.

· Directs or supervises clinical staff to assure that completion of reports and other items is supportive of Agency activities as related to Performance Improvement, Infection Control, etc.

· Performs on-site assessment visits to determine the appropriateness of documented data, including OASIS, compared to client needs and POC; documents deviations in OASIS data and addresses such deviations in Performance Improvement Performance activities.

· Ensures that new clients are contacted periodically to evaluate the quality of services being provided; monitors client satisfaction and needs; implements changes in services provided as needed.

· Participates with staff in discharge planning of clients.

· Assists with obtaining and processing referral information from multiple sources in an accurate and timely manner.

· Reviews referrals to ensure complete information; verify authorization number; clarifies and pursues additional information as needed to establish sufficient data to support the admission process.

· Oversees verification of insurance and/or authorization of care.

· Receives physician orders, processes appropriately, and communicates to clinical staff.

· Review orders and release orders daily.

· Review all OASIS and complete list to be submitted to state.

· Assists with developing and implementing appropriate process improvement plans that address issues related to Performance Improvement, Adverse Events, Case-mix, etc.

· Serves as back-up to VP of Clinical Services and Director of Professional Services, as needed.

Requirements Education and Experience:

· Has graduated from an accredited school of professional nursing; holds a valid Registered Nursing license in the Commonwealth of Virginia.

· Prefer a Bachelor’s degree in nursing or related field.

· Three years of nursing experience in home health field.

· Two years of supervisory experience preferred.

· Demonstrates clinical competency and provision of high-quality care to clients.

· Is knowledgeable of home health regulations.

· Exhibits outstanding organization, leadership, communication, and human relations skills.

· Is self-motivated, assertive, and able to make independent decisions.

· Employs critical thinking skills.

· Demonstrates ability to be flexible and to fulfill a broad range of clinical supervision responsibilities.

· Is able to handle multiple priority projects.

· Is able to use computer for word processing, spreadsheet, and data entry applications

#J-18808-Ljbffr