Registered Nurse Clinical Manager

CenterWell • Syracuse, NY

13h • Onsite

About The Position

The RN Clinical Manager manages all direct care patient services provided by clinical personnel. You will be a focused on both home health clinical quality assurance and home health clinical operations projects. You will report to the Branch Director. Develop, plans, implements, analyzes, and organizes clinical operations for a specific location managed. Conduct/delegate the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while following Company, physician, and health facility procedures. Manage the assignment of caregivers. Responsible for and oversees the delivery of care to all patients served by the location. Receive case referrals. Review available patient information related to the case, including disciplines required, to determine home health or hospice needs. Accountable to ensure patients meet admission criteria and make the decision to admit patients to service. Assign appropriate clinicians to a case. Instruct and guide clinicians to promote performance and delivery of quality home care services and is available during operating hours to assist clinicians. Assist clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing patient Plan of Care (POC). Monitor cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers. Ensure final audits/billing are completed and in compliance with Medicare regulations. Coordinate communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning. Work together with the Branch Director and Company Finance Department to establish location's revenue and budget goals. Participate in sales and marketing projects. Oversee all clinical employees assigned to a specific location. Responsible for the direction, and evaluation of the location. Manage supervisory responsibilities following Company procedures. Handle necessary employee corrective action and discipline issues fairly and objectively, with the Human Resources Department and the Executive Director/Director of Operations. Participate in the interviewing, hiring and training of direct care clinicians. Evaluate their performance relative to job goals and requirements. Coach staff and recommends in-service education programs, when needed. Ensure adherence to internal policies. Assess staff education needs based on the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education. Analyze situations, identify problems, evaluate alternative courses of action through the use of Performance Improvement principles. Responsible for the QA/PI activities. Work with Utilization Review staff relative to data tracking for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system and any other systems and process. Competently perform patient care assignments and staff management activities. Provide direct patient care on an infrequent basis and only in times of emergency. Be the Branch Director in their absence. Interpret Company standards and Company procedures to ensure compliance with external regulatory authorities and ensure that caregiver clinical documentation meets internal standards. Participate in performance improvement activities, maintain ongoing clinical knowledge through internal and external training programs. Provide interpretation of knowledge and direction to staff. Maintain relationships with referral/community sources. Participate in professional organizations and conduct care-related programs. Use your skills to make an impact.

Requirements

• Graduate of an accredited School of Nursing.
• BSN required (NY state requirement).
• Current state license as a Registered Nurse.
• Proof of current CPR.
• Valid driver's license, auto insurance and reliable transportation.
• Two years as a Registered Nurse with at least one-year of management experience in a home health environment.
• Certified Home health Agency experience is required (NY state requirement) or four years' CHHA experience and six credit hours toward BSN.
• OASIS experience, required.

Nice To Haves

• Management and people leadership experience, preferred.
• OASIS certification (HCS-O, COQS, and/or COS-C), preferred.
• Homecare Homebase (HCHB) experience, preferred.
• CMS PDGM billing knowledge or experience, preferred.

Responsibilities

• Manages all direct care patient services provided by clinical personnel.
• Focuses on both home health clinical quality assurance and home health clinical operations projects.
• Develops, plans, implements, analyzes, and organizes clinical operations for a specific location.
• Conducts/delegates the assessment and reassessment of patients, including updating care plans and interpreting patient needs.
• Manages the assignment of caregivers.
• Oversees the delivery of care to all patients served by the location.
• Reviews patient information to determine home health or hospice needs.
• Ensures patients meet admission criteria and makes decisions to admit patients to service.
• Assigns appropriate clinicians to a case.
• Instructs and guides clinicians to promote performance and delivery of quality home care services.
• Assists clinicians in establishing immediate and long-term therapeutic goals, setting priorities, and developing patient Plan of Care (POC).
• Monitors cases to ensure documentation compliance with regulatory agencies and third-party payers.
• Ensures final audits/billing are completed and in compliance with Medicare regulations.
• Coordinates communication between team members, attending physicians, and caregivers.
• Works with the Branch Director and Finance Department to establish location's revenue and budget goals.
• Participates in sales and marketing projects.
• Oversees all clinical employees assigned to a specific location.
• Responsible for the direction and evaluation of the location.
• Manages supervisory responsibilities following Company procedures.
• Handles employee corrective action and discipline issues with HR and Executive Director/Director of Operations.
• Participates in interviewing, hiring, and training of direct care clinicians.
• Evaluates clinician performance relative to job goals and requirements.
• Coaches staff and recommends in-service education programs.
• Ensures adherence to internal policies.
• Assesses staff education needs and conducts regular staff education.
• Analyzes situations, identifies problems, and evaluates alternative courses of action using Performance Improvement principles.
• Responsible for QA/PI activities.
• Works with Utilization Review staff on data tracking for performance review and outcomes of care analysis.
• Competently performs patient care assignments and staff management activities.
• Provides direct patient care on an infrequent basis and only in times of emergency.
• Acts as the Branch Director in their absence.
• Interprets Company standards and procedures for compliance with regulatory authorities.
• Ensures caregiver clinical documentation meets internal standards.
• Participates in performance improvement activities and maintains clinical knowledge.
• Provides interpretation of knowledge and direction to staff.
• Maintains relationships with referral/community sources.
• Participates in professional organizations and conducts care-related programs.

Benefits

• medical
• dental
• vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Manager