SS Remote Clinical Manager

Amedisys, Inc.•Portland, OR

About The Position

Responsible for providing remote or on-site Clinical Manager coverage in care centers at the direction of the AVP Clinical. The role coordinates with and takes direction from Directors of Operations of assigned care centers. It coordinates and provides quality patient care while demonstrating fiscal responsibility, maintaining high standards of care, and ensuring compliance with policies, procedures, and regulatory requirements. The Clinical Manager measures, monitors, and manages quality of patient care, achievement of key performance indicators, and organizational clinical performance.

Requirements

Associate or bachelor's degree in nursing.
Current, unencumbered Registered Nurse license for the state(s) assigned by the company; may hold single-state licenses for non-compact states and/or a compact license in the state of residence accepted by participating Nurse Licensure Compact states.
At least one year of supervisory and/or management experience as a Registered Nurse in a healthcare environment.
At least one year of Registered Nurse experience in a Home Health or Hospice environment.
Current CPR certification.

Responsibilities

Oversee scheduling activities to ensure patient needs are met; review assignments with the Patient Services Coordinator and professional and support staff as appropriate.
Oversee payor verification and pre-certification requirements, communicate with payors and their representatives, provide updates, and respond to information requests.
Review clinician documentation, including OASIS data collection, starts of care, recertifications, physician orders, daily progress notes, and related documents, ensuring appropriate care and compliance with delivery and documentation requirements; resolve missing, incomplete, or untimely documentation issues.
Provide clinicians with recognition and corrective feedback regarding documentation, skills, and behavior.
Assist clinicians in establishing immediate and long-term patient goals, setting priorities, and developing plans of care; oversee patient-care management and delivery, including utilization management, episode management, patient outcomes, clinical pathway assignments, and implementation of plans of care and physician orders.
Oversee professional staff communication of patient-condition changes to physicians and receipt of necessary order changes; ensure plan-of-care changes are communicated to appropriate staff.
Evaluate and regularly re-evaluate patient needs; initiate, develop, implement, and revise plans of care in collaboration with clinicians providing care.
May lead regular patient-care conferences and promote coordination and communication of information relevant to patient care.
May provide direct patient care infrequently and only in emergencies.
May participate in after-hours on-call activities, including administrative on-call coverage, preparing the on-call schedule, and supporting the on-call process as directed.
Participate in agency quality-assurance activities, including chart audits and other data collection, to improve quality and continuity of patient care.
Respond to Additional Documentation Requests and denials as directed by the regulatory affairs department.
Instruct and guide clinicians to promote effective performance and quality home-care services; remain available during operating hours to assist clinicians as appropriate.
Assist other disciplines in coordinating activities when necessary, taking responsibility for continuity, appropriateness, and quality of services delivered.
Participate in investigating and resolving patient, family, and physician concerns.
Conduct Clinical Manager training for new hires, provide ad hoc training, and mentor care center Clinical Managers.
Recommend staff employment decisions to the Director of Operations, including hiring, termination, advancement, promotion, or status changes.
Perform other duties as assigned or requested.