Clinical Manager, RN - Home Health - Full Time

BridgeWay Home Health

11h•Onsite

About The Position

The RN Clinical Manager assists the Administrator with the supervision of home health services to patients in accordance with physician orders and strives to provide the highest quality of care. The RN Clinical Manager is also responsible for the review of the individual patient medical record/Plan of Care for compliance with Medicare, Medicaid and Managed Care regulations and company policies, making recommendations for improvements. The position facilitates recommendations and modifications to clinical documentation through concurrent interaction with physicians, verbally and electronically, and other members of the health care team to ensure a complete medical record/Plan of Care is in place to support individual outcomes-based care plans, and timely coding and OASIS submission guidelines. The RN Clinical Manager manages the clinical team and is always available during operating hours or appoints a similarly qualified alternate and participates in all activities relevant to professional services furnished, including the development of qualifications and assignment of personnel.

Requirements

Graduate of an accredited Registered Nurse educational program
Current Registered Nurse (RN) license within the state of practice
Minimum of one (1) year experience in home health required
Home health OASIS knowledge and experience required
Knowledge of Medicare regulations related to documentation and clinical outcomes management for home health
Strong interpersonal skills and ability to interact in a positive fashion with clinical team members, physicians, and other company employees
Proficient in organization, planning and execution to ensure quality and productivity in work effort
Basic computer skills and willing to learn new software program

Nice To Haves

Familiarity with ICD-10 codes preferred
experience with Electronic Medical Records and Microsoft Outlook preferred

Responsibilities

Home health clinical services with a focus on OASIS pre-review, review and clinical documentation oversight.
Assists the Administrator with the supervision of home health services to patients in accordance with physician orders and strives to provide the highest quality of care.
Review of the individual patient medical record/Plan of Care for compliance with Medicare, Medicaid and Managed Care regulations and company policies, making recommendations for improvements.
Facilitates recommendations and modifications to clinical documentation through concurrent interaction with physicians, verbally and electronically, and other members of the health care team to ensure a complete medical record/Plan of Care is in place to support individual outcomes-based care plans, and timely coding and OASIS submission guidelines.
Manages the clinical team and is always available during operating hours or appoints a similarly qualified alternate and participates in all activities relevant to professional services furnished, including the development of qualifications and assignment of personnel.