Clinical Support Manager

Team Select Home Care•Denver, CO

10d•Hybrid

About The Position

The Clinical Support Manager is a qualified registered nurse with the ability to oversee and coordinate the provision of clinical activities for a designated group of patients and staff. This role involves developing, supervising, and evaluating clinicians and caregivers to ensure clinical excellence in a patient-centered manner. The manager will analyze adherence to clinical standards, achieve goals related to staffing, productivity, outcomes, QAPI, and care coordination, and manage case conferences for high-risk patients. They will also ensure staff maintain professional standards, assist in policy development, coordinate patient care services, and potentially perform initial clinical reviews of referrals. The position requires a strong understanding of home health statutes, administrative rules, and compliance plans, including CDC and OSHA guidelines. The Clinical Support Manager acts as an expert clinical resource, providing direct instruction and oversight for patient care, assignments, referrals, and individualized care plans. They are responsible for ensuring patients and caregivers receive necessary written information per payer requirements and reporting significant changes in clinical operations to the Director of Nursing (DON). The role may involve performing clinical visits, assisting with new staff orientation and competency, ensuring staff participation in continuing education, and providing final clinical proofing of documentation. Additionally, the manager will assist with staff performance appraisals, billing audits from a clinical perspective, and achieving annual goals set by the DON/Administrator, while ensuring documentation is submitted within required timeframes.

Requirements

Graduate of an approved school of nursing licensed in the state of practice.
At least one to three (1-3) years of experience as a registered nurse in a state licensed home health agency, or other health care facility.
One year of home health experience required.
Ability to learn, absorb, and apply professional training.
Ability to organize work procedures, assume responsibility for and effectively supervise others.
Demonstrates excellent problem-solving techniques and abilities.
Demonstrates effective knowledge of the federal and state regulations governing home health agencies and the ability to ensure compliance.
Able to see and hear adequately to respond to auditory and visual requests which relate to the coordination of clinical activities.
Able to speak in a clear, concise voice in order to communicate adequately with staff, physicians, and patients.
Able to effectively deal with change.
Excellent computer skills required.
Requires the ability to write, dictate or use a keyboard to communicate directives.
Utilizes proper body mechanics in various environments.
Requires the ability to function in multiple environments due to travel requirements.

Nice To Haves

Undergraduate degree preferred.

Responsibilities

Develops, supervises, and evaluates a group of qualified clinicians and caregivers to deliver clinical excellence in a patient-centered manner.
Assists with the analysis and evaluation of adherence to clinical standards and Best Practices.
Achieves goals as assigned regarding staffing, productivity, outcomes, QAPI and care coordination.
Responsible for care coordination in a case conference setting for high volume, high risk and problem prone patients.
Participates in activities relative to provision of professional services to an assigned group of patients.
Understands/adheres/educates on the QAPI and Compliance Plans.
Assists DON/Administrator to ensure that all staff providing care maintains professional standards of community nursing practice.
Maintains and adheres to agency procedures and patient care policy standards.
Assists DON/Administrator with establishing policies and procedures in compliance with state health statutes and administrative rules to include CDC guidelines, OSHA guidelines for employee safety, standard precautions, and infection control procedures.
Coordinates patient care services for an assigned group of patients to include workflow processes.
May perform an initial clinical review of referral/intake which will result in a timely acceptance or denial of referrals as assigned.
Provides case management as described in state regulations as assigned.
Assists DON with development/implementation and keeps records of criteria for admission to service, case assignments and case management.
Utilizes data dashboards as applicable to role.
Informs appropriate staff about home health statutes and administrative rules.
Assists DON with installation of improved work methods and procedures to ensure achievement of objectives of the Agency.
Ensures that all competency factors are assessed and corrected if applicable on a group of clinical staff members as assigned.
Responsible for conducting initial clinical field staff interviews as directed by the DON.
Serves as an expert clinical resource to a group of clinicians; this expertise may require CS to perform one on one instruction if applicable.
Ensures oversight clinically, as assigned, of: Making patient and personnel assignments, Coordinating patient care, Coordinating referrals, Assuring that patient needs are continually assessed, and Assuring the development, implementation, and updates of the individualized care plan(s).
Ensures that the following information/instruction is given in writing to the patient/caregiver/representative per payer requirements as assigned: Visit schedule with frequency of visits, Complete Medication Profile, Any treatments to be administered by agency staff (POC), Any other pertinent instruction related to the patient’s care needs, Name and contact information of the agency’s Administrator and DON (Clinical Manager).
Reports to the DON regarding changes that might affect the clinical operations of the agency.
Performs coordination as assigned during emergency situations and understands the Emergency Plan.
Maintains confidentiality of agency, employee, and patient matters.
Performs other duties as assigned by the DON.
Performs clinical visits if necessary and applicable; maybe necessary to cover for case manager of case as applicable.
Assists with orientation/competency/supervision of new staff prior to patient contact.
Ensures participation in continuing education for staff to include orientation and in-services.
Provides final clinical proofing of all documentation for a group of clinicians, if applicable.
Assists/performs staff performance appraisals as assigned by the DON.
Assists with billing audits as applicable from clinical perspective.
Attains annual goals established by the DON/Administrator in the annual performance evaluation.
Submits documentation within required timeframes.