Clinical Care Manager

Innovive Health • Brockton, MA

4d • Onsite

About The Position

The Clinical Care Manager is responsible for leading a team of multidisciplinary staff, including Registered Nurses and License Practical Nurses, to develop, administer and coordinate skilled nursing care to patients requiring home care services. Services are provided in accordance with physician’s orders, under the direction and supervision of the Clinical Director, and in compliance with applicable laws and regulations and the policies of the organization.

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 OR RN with a diploma or Associate’s degree with two years of related work experience
• Has passed the National Council Licensure Examination (NCLEX)
• 2+ years of clinical management experience
• Comply 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
• 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 caseload reviews and daily reports, supports the case manager to continually assess and evaluate the patient's 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's 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 maintains patient confidentiality always.
• Performs other activities and duties, including provision of patient care, as deemed necessary.
• Performs other duties as assigned.

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level