Clinical Manager

Alternate Solutions Health Network•Cincinnati, OH

About The Position

The Clinical Manager oversees personnel and patient care services, ensuring compliance and the quality and safe delivery of home health services in accordance with clinical processes and applicable state scope-of-practice requirements. The role provides backup to the Administrator/DON and may act as backup Administrator. It manages field and internal staffing, liaison workflows, on-call coverage, productivity, budgets, and employee performance. The Clinical Manager also supports quality improvement, clinical documentation review, complaint handling, training, and relationships with referral sources. The position requires an active RN or PT license in the state of employment and may involve responsibilities in both the office and field, with on-call duties as needed.

Requirements

Current applicable RN or PT license in the state of employment.
Minimum of three years of experience as an RN or PT in an acute care setting.
Knowledge of nursing or therapy best practices and state-defined scope of practice for licensed nursing or therapy personnel.
Strong critical-thinking and clinical problem-solving skills.
Ability to communicate effectively and positively with a variety of people, with exemplary communication skills and customer focus.
Ability to remain calm, patient, and accommodating; demonstrate compassion and care when working with patients.
Conflict-management skills and the ability to make appropriate clinical judgments and resolve difficult decisions.
Detail-oriented and observant, with the ability to prioritize and complete work on time.
Ability to clinically triage department needs and support timely team goals.
Ability to use available people, processes, departments, and tools effectively and efficiently.
Ability to apply technical skills and business understanding using fact-based knowledge.
Ability to follow directions and work as a team member.
Valid driver’s license and auto insurance.
Ability and dexterity to use a computer and phone and vision to complete computer documentation.
Knowledge of ASHN billing, authorization, intake, clinical review, and workflow processes.

Nice To Haves

RN license is strongly preferred.

Responsibilities

Ensure the quality and safe delivery of home health services.
Collaborate with intake, provide daily direction, and manage referral volume based on staffing availability.
Oversee liaison workflow, timeliness, education needs, workflow requirements, and alignment of staffing skill sets.
Ensure Start of Care compliance and monitor assigned Outcome Monitors.
Implement quality improvement programs in the field.
Participate in liaison and administrative on-call rotations and patient staffing as needed to manage after-hours teams, staffing needs, and patient-related issues.
Manage the on-call calendar for internal and field staff.
Manage PTO, call-offs, and daily and weekly productivity reviews to ensure appropriate staffing coverage.
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.
Perform new and ongoing liaison training as defined by the Administrator.
Manage the staffing budget at the Administrator’s direction, including overtime and bonus oversight, reporting budget exceptions, entering field staff bonuses into 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 living facilities, and families.
Assist with monthly Case Manager, Nurse, and Therapy meetings.
Review clinical documentation in accordance with 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.
Participate in in-service program development.
Understand, implement, and follow agency policies and procedures.
Arrive at the assigned location on scheduled workdays and work designated hours, with on-call office and field nursing responsibilities as needed.
Use a computer and phone to maintain contact with field staff, physicians, referral sources, internal staff, and other departments, and complete and submit required documentation on time.
Perform day-to-day management of field staff, including interviewing, hiring, training, and termination of department personnel.
Coach and develop direct reports, set clear expectations, complete yearly evaluations, and provide coaching, counseling, or discipline as needed.
Work with direct reports to support employee satisfaction and resolve concerns.
Manage timecards.
Perform other duties as assigned.