Clinical Care Manager (Iowa City, IA)

Innovive Health•Iowa City, IA

23d

About The Position

We’re Growing! Join us and help make a meaningful difference in the lives of others! As a Clinical Care Manager, you’ll lead a team of RNs and LPNs to make sure our patients receive the skilled nursing care they need at home. You’ll work from provider orders, partner closely with the Clinical Director, and help ensure our care meets all guidelines and company standards. This role is a great fit if you enjoy supporting a team and making a real impact on patient care every day.

Requirements

Graduate of an accredited school of professional nursing
Is currently licensed as an RN through the State Board of Nursing and meets one of the following criteria:
RN with a Bachelor’s degree in nursing and one year of related working experience
RN with a diploma or Associate’s degree with two years related work experience
Has passed the National Council Licensure Examination (NCLEX)
2+ years of clinical management experience
Complies with accepted professional standards and principles
Licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order, or other means of reliable transportation
Possesses and maintains good physical stamina. Has presented a pre-employment physician’s health clearance including a negative TB test and/or CXR and other tests as required by the organization’s policy
Possesses and maintains current CPR certification
Has satisfactory references from nursing school, previous (or current) employers and/or professional peers

Nice To Haves

Prior experience in a supervisory role preferred
BSN highly preferred
2+ years’ experience in a home health environment
OASIS certification preferred

Responsibilities

Builds a high functioning care team committed to the care of Innovive patients and the care of each other.
Responsible for coordination of care team members to ensure delivery of high-quality patient care in accordance with evidence-based practice.
Receives daily report from team members to ensure consistent delivery of care and patient updates.
Reviews On-Call reporting daily
Collaborates with Clinical Directors and Clinical Operations Support teams to monitor and improve KPI and ABNS reporting; including the completion and submission of accurate, timely clinical notes including all OASIS documents, visit authorization requests and all other clinical documentation regarding patient’s condition and care provided in accordance with Innovive company policies.
Actively participates in the on-boarding of new full-time and per diem clinicians, including scheduling of shadow/reverse shadows and ensuring full-time staff are integrated into the clinical model by monitoring visit counts and OASIS training.
With assistance from the Clinical Director and in collaboration with the Patient Services Coordinator, assigns patient visits and referrals to the appropriate care team members.
Ensures the clinical team is adhering to all regulations and policies while conducting patient care in the home.
As defined by the Federal Register; §484.105(c), the Clinical Care Manager will provide oversight of: patient and personnel assignments coordination of patient care activities coordinating referrals assuring that patient needs are continually assessed and assuring the development, implementation, and updates of the individualized plan of care
Provides oversight to the direct care and case management of patients in their assigned district to ensure: High quality patient care delivery A high level of patient satisfaction; works to quickly resolve patient concerns and complaints Follows up on any incidents that occur in the field
Through case load reviews and daily reports, supports the case manager to continually assess and evaluate the patient plan of care
Ensures the clinical team is regularly communicating with physicians and other agencies providing nursing or related services on a consistent basis to ensure continuity of care and implementation of a comprehensive care plan.
Responsible for conducting “Case Load Reviews” every 60 days and as needed.
Case load reviews are inclusive of reviewing the patient’s established care plan, parameters established by the patient payor, community resources, code/category status, a review of documentation required by the COPs (emergency preparedness, hotline, posted schedule etc.), supervision of additional disciplines (HHA/LPN) and a review of the patient’s chart and associated documentation.
The Clinical Care Manager provides education to the Case Manager and makes recommendations on patient care delivery based on Case Load Review findings.
Conducts field supervisions annually, and as needed
Field supervisions are conducted in the patient home. During the supervision, the Clinical Care Manager observes patient care delivery to ensure that the field nurse is following state guidelines including but not limited to: following POC, ensuring the care delivered in the home is accurately reflected on the patient plan of care, providing education, ensuring that patient rights are supported, ensuring appropriate documentation is in the home, emergency preparedness protocols are in place, infection control measures are adhered to, and safety protocols are in place.
Assumes responsibility for growth and development for self and team members:
Maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education, including mandatory in-service programs offered by the agency
Coaches and mentors care team members to support their development
In partnership with area Clinical Director, conducts care team performance evaluations
Ensures communication and collaboration with other members of the multidisciplinary team (HHA, Rehab services).
Participates in scheduled clinical and care team review meetings. Attends vendor and referral meetings as needed and assigned, or as patient conditions require.
Adheres to HIPAA laws and maintain patient confidentiality always.
Performs other activities and duties, including provision of patient care, as deemed necessary.
Performs other duties as assigned.