Hospice Clinical Manager

The Care Team Home Health & Hospice•Carmel, IN

42d•Hybrid

About The Position

The Care Team Hospice is looking for a full-time Clinical Manager (Registered Nurse/RN) in Carmel, IN. We specialize in providing hospice care in the home and facilities. The Clinical Manager provides clinical oversight and leadership for hospice services, ensuring high-quality patient care and regulatory compliance. This role requires a combination of in-office presence and time spent in the field supporting staff and patient care, with some flexibility to work remotely depending on the situation. Our regular operating hours are Monday through Friday, 8:30 AM to 4:30 PM.

Requirements

Active RN License Required
Two years as a Registered Nurse with at least one-year management experience in a home care, hospice or equivalent environment required.
Must be licensed as a registered nurse (RN) in the state where they currently practice, or in accordance with the board of nursing rules for nurse licensure compact for the state where they currently practice.
Must pass a criminal background check & MVR check.
Completed health statement acknowledging ability to perform the duties of the position.
Valid state drivers license.
Must maintain automobile liability insurance as required by law.
Current CPR card.
TB testing per agency policy; (1 or 2 step TB skin test within 12 months of hire & annual TB symptom screening thereafter).
Must be organized, detail oriented, and able to manage multiple projects simultaneously.
Must be able to work independently with minimal supervision and possess the ability to communicate effectively, both in orally and in writing.
Must be a self-starter with the ability to work effectively independently and as a team.
Must possess a high standard of professional ethics.
Must possess a passion for helping patients.
Must have strong ability to maintain a professional and friendly demeanor in a high stress environment with a broad range of individuals and demonstrate a service-oriented attitude.
Must understand the issues related to the delivery of home health care and be able to problem-solve effectively.
Must comply with accepted professional standards and practices.
Maintains the agency's mission, philosophy, and core values.
Ensures compliance with agency policies and procedures regarding operations/processes, including but not limited to those regarding patient care, patient complaints, incidents, safety and emergency management.
Ensures compliance with policies and procedures regarding infection prevention, control, standard precautions, and infection identification reporting.
Always maintains patient confidentiality, including all HIPAA regulations.
Attends QAPI and management meetings, as appropriate.

Nice To Haves

Previous experience in Home Care Home Base (HCHB) is preferred.
Advance computer skills are preferred.
Bachelors Degree in Nursing preferred.

Responsibilities

Ensures that overall coordination of hospice services for the patient is delivered in accordance with acceptable standards of practice and all company procedures.
Reviews and approves patient information submitted by the licensed professional (LP).
Assists with patient care review meetings (Case Conference and Interdisciplinary Team (IDT)), reviews and approves orders, and oversees patient care.
Assists the Administrator with day-to-day office and staff management related to patient care.
Assists the branch leadership with ongoing education and training of all branch clinicians to ensure understanding of documentation requirements to meet regulatory standards.
Facilitates relationships among physicians, referral sources, patients, caregivers, and employees.
Reviews call coordination notes and reports daily.
Communicates with patients and their families to introduce TCT, discuss the services to be rendered, and inform them of the potential start date for care; follows up with the sales team member as needed.
Provides educational materials for family and staff on medical diagnoses, care provision, psychosocial aspects of chronic illness and disability, and end-of-life care.
Assists with maintaining provider requirements; works with providers, sales, and clinical staff to resolve issues, as appropriate.
Processes workflows, coordinates notes, and completes administrative tasks in a timely manner.
Backs up the intake coordinator to receive and enter referrals from payors, physicians, facilities, and staff; clearly identifies who obtained the referral.
Attaches referral paperwork to the medical record in a timely manner, as needed.
Communicates acceptance of referrals clearly with referral sources, as needed.
Backs up the Patient Service Coordinator (PSC) in rescheduling missed and declined visits and processing reassigned and rescheduled requests to ensure timely completion.
Reviews patient schedules and approves schedule changes to ensure the clinical skills of assigned staff meet patient requirements.
Follows up on orders as needed when medical records cannot be retrieved due to an unsigned order.
Remains up to date on internal information and announcements, and ensures that TCT policies and procedures, critical pathways, standards of care, and practice guidelines are met.
Provides orientation and in-service training to field and office staff to meet patient needs, particularly regarding documentation standards and tracking, and documents education appropriately.
Assists the Administrator during any survey, as directed.
Attends and participates in staff meetings and in-services.
Attends and participates in community education functions.
Addresses action items and rocks to ensure TCT can accomplish its important goals.
Participates in administrative on-call; supports the on-call nurse and provides software management for intake processing and critical workflows during off-hours.
Conducts continuous quality assessment and performance improvement activities, as assigned.
Completes onsite supervisory visits, as assigned.
Assists with the day-to-day supervision of the branch clinical operations.
May assume a position of leadership when the Administrator is out of the office; performs supervisory tasks, such as evaluations and counseling, or makes hiring and termination recommendations for branch and field staff, as requested.
Responsible for the referral intake and management process to ensure patients receive assessment visits, scheduled and performed in a timely manner, in accordance with TCT policy.
Assists the Administrator with patient review meetings (case conferences and IDT) and addresses care decisions based on the reviews.
Reviews and approves patient care assessment coordination notes submitted by case managers and attaches to the episode detail report.
Contacts physicians to obtain orders for continued service provision or add-on services, as needed.
Reviews and approves all patient information submitted by the licensed professional (LP).
Reviews orders as written by clinicians; approves or declines as appropriate.
Follows up with a licensed professional (LP), as necessary, when editing and ordering.
Ensures all orders are complete, including frequency, and that any corrections are made by the licensed professional who wrote the order, prior to approving the order; completes any follow-up tasks as deemed necessary, by order.
Enters and approves all orders; routes them to medical records for the physician's signature.
Ensures that there are orders in place for the requested medical supplies.
Enters detailed non-admission information into the patient record in coordination notes if no visit was made; ensures the Administrator is informed and approves the non-admission.
Reviews and processes all wound score deviations, documenting any action and follow-up.
Reviews and processes vital sign alert reports; documents follow-up action and physician notification.
Receives lab reports and assesses for normality; faxes the lab report to the physician with a signature indicating review.
Scans both the reviewed labs and the fax confirmation page (showing it was sent to the physician) and uploads them to the medical records for the patient's chart.
Initiates employee and patient infection reports, as necessary.
Completes review of evaluation documentation and plans of care (POC).
Reviews the data submitted to ensure accuracy with the POC; follows up on any documentation that requires correction.
Processes the POC and verifies the correct start-of-care date.
Reviews comprehensive assessments that cannot be processed due to licensed professional documentation deficiencies; follows up appropriately.
Performs and maintains ongoing chart audits according to standard operating procedure.
Assists with hospice item set data, as requested; reviews every error message and seeks guidance from the Administrator prior to locking.
May perform all duties and meet the expectations of a licensed professional, as needed.
May participate in on-call rotation, as needed.
Any additional duties assigned by the supervisor.

Benefits

Competitive salary and bonus structure
Medical, dental, and vision coverage
401(k) with employer match at 100 percent on the first 3% and 50 percent on the next 2%
Health Savings Account eligibility with employer contribution up to $500 for individual coverage and $1,000 for two-person or family coverage
Company-paid Life and AD&D
Voluntary disability, accident, critical illness, and hospital indemnity options
Discounts on gym memberships and wellness packages, Employee Assistance Program, WillPrep, and travel assistance resources
Tuition reimbursement
Paid time off and paid holidays
Mileage reimbursement per company policy