Eldercare Nurse Clinic Manager

Mount Sinai Medical Center•Hialeah, FL

30d•Onsite

About The Position

The Eldercare Nurse Clinic Manager oversees the daily coordination and implementation of the Eldercare PACE Model of Care. In collaboration with department leadership, the manager maintains and updates policies and procedures, oversees collection and reporting of clinical, financial, and operational performance data, monitors staffing, and helps ensure compliance with applicable contracts, laws, regulations, accreditation, licensing, and certification requirements. The manager directs and evaluates staff, including the Center C.N.A.'s, and oversees education, training, and competency evaluations. The role coordinates participant care and clinic operations, including assessments, nursing care, medications and treatments, appointments, triage, orders, admissions, and services delivered by outside providers. The manager participates in interdisciplinary and leadership meetings, supports quality improvement and strategic planning, monitors outcomes and service standards, and collaborates with department leadership to improve operations and staff performance. The position also participates in the on-call rotation and communicates with weekend and after-hours staff.

Requirements

Current Registered Nurse licensure in the State of Florida.
BLS or CPR and ACLS are required.
Graduation from an accredited school of registered nursing.
At least three years of healthcare experience; experience in a geriatric physician office is preferred within this experience requirement.
At least one year of experience working with the frail or elderly population.
Training or related experience directing a healthcare program.
Experience in nurse management in managed care, a hospital, nursing home, or urgent care is acceptable.

Nice To Haves

BSN preferred.
Healthcare experience in a geriatric physician office preferred.

Responsibilities

Review and revise department policies and procedures with department leadership, and ensure their distribution and staff education.
Manage collection, aggregation, and dissemination of clinical, financial, and operational performance data, including chart audits as needed.
Monitor daily reports and staffing levels based on unit-of-service standards.
Oversee daily coordination and implementation of the Eldercare PACE Model of Care.
Direct, supervise, hire, fire, and evaluate direct reports, including providing clinical oversight and managing education, training, reporting requirements, and competency evaluations for Center C.N.A.'s.
Help ensure compliance with local, state, and federal contracts, regulations, laws, accreditation, protocols, licensing, and certification requirements.
Assist with program development and implementation of Eldercare's strategic plan, including short- and long-term goals and budgets.
Participate in interdisciplinary team meetings or assign a designee; communicate participant changes, collaborate on care planning, coordinate 24-hour care delivery, and serve as alternate facilitator.
Coordinate home health, rehabilitative, long-term care, and medical or specialty services according to participant care plans.
Manage clinic flow, appointment bookings, triage, and gatekeeping with primary care and staff, ensuring timely and appropriate participant care.
Assist the Director in evaluating performance against national results and established service standards, clinical outcomes, utilization, and financial criteria.
Maintain positive working relationships with Eldercare team members, the hospital, and Network Providers.
Oversee signing off orders, ordering medications from the pharmacy, distributing orders and instructions, and ensuring implementation of physician orders.
Communicate with weekend and after-hours staff, follow up appropriately, and participate in the on-call rotation.
Promote communication and collaboration between the clinic and enrollment, activity, and business office teams.
Participate at least monthly in leadership meetings reviewing risk scoring, Part D pharmacy benefit manager reviews, utilization, quality improvement directives, key performance indicators, and other metrics; raise staff concerns and help improve review processes.
Conduct or oversee comprehensive initial, regularly scheduled, and other nursing assessments of Eldercare enrollees according to program protocols.
Perform or supervise skilled nursing care and administration of prescribed medications and treatments; assist with participant treatment, examinations, testing, and hospital, SNF, or ALF admissions.
Coordinate participant care with outside contracted providers, including nursing homes, assisted living, laboratories, and oxygen providers.
Identify and develop action plans to improve Eldercare operations related to PACE financial operations, in collaboration with the Director, interdisciplinary team, enrollment, and MSMC departments.
Identify strategies to improve department processes and meet participants' and community needs; monitor and report quality, service, and cost outcomes.
Support the Director in implementing objectives and recommending improvements aligned with the organization's vision and mission.
Plan and conduct meetings with the Director, encourage open communication, and help identify and resolve department problems.
Participate in hiring, reviews, competency evaluations, discipline, and grievance handling to support individual and team performance.
Participate in staff development and continuously improve department competency and effectiveness.
Identify and address individual or department-level skills and behaviors requiring improvement; provide coaching to optimize performance and customer service.
Pursue professional and managerial self-development and successfully complete the leadership development curriculum.
Adhere to Eldercare, hospital, and departmental standards, policies, and procedures, and promote service-oriented interactions with participants, staff, and visitors.