Registered Nurse (RN) - Home Care Manager

Granite VNA, Inc.•Laconia, NH
•$93,600 - $114,400•Onsite

About The Position

The Home Care Manager reports to the Director of Home Care and is responsible for the clinical business operations and patient care services of the agency’s Home Care Services. The role manages Home Health Care Services in accordance with federal, state, and local regulations, standards, guidelines, and agency policies and procedures. The manager provides clinical guidance and mentorship to field staff, collaborates with the health care team to ensure quality patient care, and directs and supervises subordinate staff under an interdisciplinary team model. Supervised disciplines include Registered Nurses, Licensed Practical Nurses, Physical Therapists and Assistants, Occupational Therapists and Assistants, Speech Language Pathologists, and Medical Social Workers. The position oversees daily operations in the electronic medical record, referrals and patient care coordination, staff clinical supervision, documentation compliance, field supervisory visits, staff performance, staffing assignments, orientation, productivity, and service coverage. In coordination with the Home Care Director, the manager organizes case conferences and helps facilitate weekly interdisciplinary team meetings. The role also participates in quality improvement, agency and community committees, budgeting and operational planning, management-team activities, emergency preparedness, and an administrative on-call rotation. The role is based in the Greater Laconia/Wolfeboro area and requires work at agency locations in Concord, Laconia, and Wolfeboro. It is not a remote position, though work from home may be available under agency guidelines. The work environment is controlled but may involve exposure to blood and bodily fluids, infectious hazards, and extended computer or mobile-device use.

Requirements

  • Graduate of an accredited school of Nursing.
  • Current New Hampshire nursing license or compact-state license.
  • One to two years of clinical experience in community health or hospital practice.
  • Two to four years of management experience.

Nice To Haves

  • Bachelor’s degree in Nursing.

Responsibilities

  • Oversee daily operations in the electronic medical record, delegating this responsibility to a qualified clinician when absent.
  • Provide clinical supervision, oversight, support, mentorship, and guidance to professional and paraprofessional Home Care staff.
  • Coordinate patient referrals and care, ensuring patient needs are met and continuously assessed according to individual needs and physician-ordered plans of care.
  • Ensure compliance with state and federal licensure and certification requirements and maintain knowledge of Medicare Home Health and Hospice Conditions of Participation.
  • Promote unity, trust, and open communication among staff, support staff, clients, and families, and work to diminish conflict.
  • Assign care to the appropriate discipline based on patient needs and adjust assignments as needed.
  • Organize individual case conferences with assigned staff every two to four weeks and participate in coordinating staff meetings.
  • Help facilitate weekly interdisciplinary team meetings to align plans of care, goals, and discharge plans for multidisciplinary cases.
  • Monitor clinical documentation for compliance with agency policies, regulations, and accreditation requirements, including plan-of-care implementation, interventions, patient progress, education, and communication with providers.
  • Maintain working knowledge of third-party contract requirements for clinical summaries needed to authorize care.
  • Coordinate field supervisory visits and increase supervision when performance issues warrant.
  • Provide feedback to the Home Care Director on team member performance evaluations at the end of introductory periods and annually.
  • Supervise and monitor assigned staff for compliance with agency personnel policies.
  • Carry out priorities and goals that keep daily operations functioning in line with program needs and the agency mission and services.
  • Interview and recommend candidates for Home Care Program hires.
  • Coordinate and assist with staff orientation, including teaching and documentation requirements, and support improvements in service quality and quantity.
  • Identify service and coverage gaps and make recommendations to the Home Care Director.
  • Collaborate with Directors and Managers to coordinate care across clinical programs and ensure staff productivity standards are maintained.
  • Work with families, community agencies, and medical personnel to arrange convalescent and rehabilitative care for home care patients.
  • Participate in agency and community committees, advisory boards, and community groups as needed.
  • Participate in Quality Improvement (QAPI) activities and share outcomes and correction plans with staff.
  • Receive and document incident, complaint, and grievance reports according to policy and procedure.
  • Coordinate professional staff meetings and encourage staff professional growth and development; seek opportunities to educate other departments on clinical and professional issues.
  • Participate in preparing budgets and operational plans for Home Care Services and agency strategic initiatives.
  • Stay informed about agency and external resources to promote and educate staff.
  • Perform other qualified duties as assigned and demonstrate flexibility in the role.
  • Serve on the agency Management Team and participate in developing and implementing agency policies, programs, objectives, and goals.
  • Represent the agency with similar agencies, trade associations, clients, and regulatory agencies.
  • Participate in implementing the agency Emergency Preparedness Plan.
  • Participate in the administrative on-call rotation.
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