Clinical Manager

Alternate Solutions Health Network•Cincinnati, OH

About The Position

The Clinical Manager provides oversight of personnel and patient care services, monitoring compliance, quality, and safe service delivery through established clinical processes. The role performs duties within the applicable state scope of practice and provides backup to the Administrator/DON as needed. It manages field staff and supports clinical, operational, staffing, budget, and quality-improvement functions across home health services. The position requires a current RN or PT license in the state of employment; an RN is strongly preferred.

Requirements

At least three years of experience as an RN or PT in an acute care setting.
Current applicable RN or PT license in the state of employment; RN is strongly preferred.
Knowledge of nursing or therapy best practices and the state-defined scope of practice for licensed nursing or therapy personnel.
Strong critical-thinking and clinical problem-solving skills.
Ability to communicate effectively with a variety of people and create positive impressions.
Exemplary communication skills and customer focus.
Ability to remain calm, patient, and accommodating.
Compassion and care when working with patients.
Conflict-management skills and ability to resolve conflict.
Knowledge of nursing best practices and ability to make appropriate nursing judgments.
Ability to identify situations and determine appropriate solutions.
Detail-oriented and observant.
Ability to make difficult decisions and provide direction to internal and field staff.
Ability to prioritize and complete work in a timely manner, including clinical triage of departmental needs to meet team goals.
Ability to use available people, processes, departments, and tools effectively and efficiently.
Ability to apply technical knowledge and business understanding based on facts.
Ability to follow directions and work as a team member.
Valid driver’s license and auto insurance.
Knowledge of ASHN billing, authorization, intake, clinical review, and workflow processes.
Computer and phone proficiency for job duties and documentation.
Dexterity and vision to complete computer documentation.
Ability to meet company documentation requirements.

Responsibilities

Ensure quality and safe delivery of home health services.
Collaborate with intake and provide daily direction, managing referral volume according to staffing availability.
Oversee liaison workflow for timely completion, identify education needs for field staff and liaisons, and align workflow requirements with staffing skill sets.
Ensure Start of Care compliance and focus on assigned Outcome Monitors.
Implement field quality-improvement programs.
Participate in liaison/administrative on-call rotation and patient staffing as needed to manage after-hours team, staffing needs, and patient-related issues.
Manage the on-call calendar for internal and field staff.
Manage PTO, call-offs, and daily/weekly productivity reviews to ensure appropriate staffing coverage internally and in the field.
Complete field visits as needed.
Help manage cost of goods by monitoring supply costs, overtime, staffing, bonuses, and visits per episode.
Collaborate with billing to address authorization and pro bono requests and ensure patient contact regarding authorization exceptions.
Provide new and ongoing liaison training as defined by the Administrator.
Manage staffing budget at the Administrator’s direction, including overtime and bonus oversight, reporting budget exceptions, entering field-staff bonuses in payroll, and reviewing and approving liaison timecards.
Provide the Administrator/DON with objective data for internal and field employee performance evaluations.
Maintain positive working relationships with referral sources, including physicians, hospitals, skilled facilities, assisted livings, and families.
Assist with monthly Case Manager, Nurse, and Therapy meetings.
Review clinical documentation according to agency protocol and Medicare/Federal guidelines.
Process complaint workflows and report staffing trends, neglect, abuse, or theft to the Administrator for resolution and follow-up.
Complete field clinician check-in reviews on time.
Maintain an active RN or PT license in the state of employment.
Participate in in-service program development.
Demonstrate company core values, maintain a professional appearance, and represent the company professionally.
Understand, implement, and follow agency operating policies and procedures.
Act as backup Administrator as needed.
Arrive at the assigned location on scheduled workdays and work designated hours, with on-call availability as needed for office and field nursing responsibilities.
Use a computer and phone to maintain contact with field staff, physicians, referral sources, internal staff, and other departments, and complete assigned duties and required documentation within company timelines.
Manage field staff day to day, including interviewing, hiring, training, and terminating department personnel.
Coach direct reports consistently, provide challenges and opportunities, and supervise with clear expectations.
Complete yearly evaluations accurately and on time; provide coaching, counseling, and discipline as needed.
Work with direct reports to support employee satisfaction and resolve issues and concerns.
Manage timecards.
Perform other duties as assigned.