Clinical Manager, Homecare

Alternate Solutions Health Network•Fairfax, VA

13d•Hybrid

About The Position

The Clinical Manager provides oversight of all personnel and patient care services. The Clinical Manager is responsible for monitoring compliance, quality and safe delivery of services by following clinical processes. The Clinical Manager is responsible for any and all practices and duties within the scope of practice as outlined by the state. Provides backup to the Administrator/DON as needed.

Requirements

Current applicable license as an RN or PT.
Knowledgeable with nursing/therapy best practices and the scope of practice for a nurse/therapist as outlined by the state for its licensed nursing/therapy personnel.
Utilizes computer and phone continually to maintain constant contact with field staff, physicians, referral sources, internal staff and other departments.
Knowledge of ASHN billing, authorization, intake, clinical review & workflow processes.
Performs assigned duties with use of computer and phone.
Completes and submits all required documentation within specified company requirements.
Dexterity & vision to complete documentation on computer.
Minimum of Three (3) years of experience as an RN or PT in an acute care setting
Strong critical thinking skills with the ability to problem solve clinical needs
Ability to create positive impressions and communicate with a variety of people
Exemplary communication skills and customer focus
Ability to remain calm, have patience and be accommodating
Compassionate and caring while working with patients
Ability to resolve conflict using conflict management skills
Knowledgeable on nursing best practices
Ability to make appropriate nursing judgments
Ability to identify a situation and handle it with the best possible solution
Detail-oriented and observant.
Ability to resolve tough decision-making situations, providing direction to internal & field staff
Ability to prioritize and be timely
Ability to clinically triage the needs of the department to ensure team goals are met timely
Takes advantage of available resources (individuals, processes, departments, and tools) to complete work effectively and efficiently
Applies fact-based knowledge of technical skills and business understanding
Ability to follow directions and work as a team member
Valid driver’s license and auto insurance.
Current RN or PT license in the state of employment; RN is strongly preferred

Nice To Haves

Other duties as assigned.

Responsibilities

Ensure quality and safe delivery of home health services
Collaborates with intake, providing daily direction, managing referral volume based on staffing availability
Provides oversight for liaison workflow to ensure timeliness of completion as well as identify education needs for field & liaisons, ensuring workflow needs and staffing skill sets are congruent.
Ensure Start of Care compliance
Focus on Outcome Monitors as assigned
Implement quality improvement programs in the field
Participates in all liaison/administrative on-call rotation, and patient staffing as needed to manage after hour’s team, staffing needs and patient related issues
Manages on call calendar for internal & field staff
Manages PTO, call offs & daily/weekly productivity review to ensure proper staffing coverage to meet the needs of the business in the field and internally
Completes field visits as needed
Participates in managing cost of good working with monitoring supply costs, overtime, staffing, bonuses and visits per episode
Collaborates with billing department to address authorization pro bono requests & ensures patient contact regarding authorization exceptions
Performs new and ongoing liaison training as defined by the Administrator
Manages staffing budget, at the direction of the Administrator to include: overtime & bonus oversight; reporting budget exceptions to Administrator; payroll entry of field staff bonuses; review and approve liaison timecards
Provides Administrator/DON with objective data related to internal and field employee performance evaluations
Maintains positive working relationships with referral sources including physicians, hospitals, skilled facilities, assisted livings and families
Assist with monthly Case Manager, Nurse and Therapy meetings
Reviews clinical documentation in accordance with agency protocol and Medicare/Federal guidelines
Process complaint workflow reporting staffing trends, neglect, abuse or theft to Administrator for resolution & follow up
Completes field clinician check-in reviews timely
Maintains active RN or PT license in state of employment
Participates in in-service program development
Consistently demonstrates core values and maintains a professional appearance as a representative of the company
Understands, implements and practices policies and procedures for agency operation
May act as back-up Administrator, as needed
Arrives at assigned location on scheduled work day. Works according to designated hours and on-call as needed in office and field nursing responsibilities.
Responsible for the day-to-day management of field staff
Interviewing, hiring, training and termination of department personnel
Provides consistent coaching and provides challenge and opportunity to direct reports
Supervises direct reports with consistency and clarity of expectations
Completes yearly evaluations in an accurate and timely manner
Performs coaching, counseling and discipline as needed
Works with direct reports to ensure employee satisfaction and resolution of issues and concerns
Timecard management