Registered Nurse (RN) - Home Care Manager

Granite VNA•Laconia, NH

1d•Onsite

About The Position

The Home Care Manager is responsible for the clinical business operations and patient care services of the agency’s Home Care Services. Reporting to the Director of Home Care, the manager oversees services in accordance with applicable federal, state, and local regulations, standards, guidelines, and agency policies and procedures. The role provides clinical guidance and mentorship to field staff, collaborates with the health care team to support quality patient care, directs and supervises subordinates, and works within an interdisciplinary team model. The Home Care Manager supervises Registered Nurses, Licensed Practical Nurses, Physical Therapists and Assistants, Occupational Therapists and Assistants, Speech Language Pathologists, and Medical Social Workers. The position oversees day-to-day operations in the Electronic Medical Record and provides clinical supervision for the Home Care Program. It coordinates referrals and patient care, monitors care plans and clinical documentation, supports team coordination and staff performance, and helps maintain regulatory and accreditation compliance. The manager also contributes to staffing, quality improvement, budgeting, operational planning, agency committees, emergency preparedness, and management-team activities. This is not a remote position. Work may take place at the agency’s Concord, Laconia, and Wolfeboro locations, with possible work-from-home eligibility under agency guidelines. The scheduled hours are Monday through Friday, 8:00 a.m. to 4:30 p.m.; occasional evening, weekend, or holiday hours may be needed. The employee works in a controlled environment and may be exposed to blood and bodily fluids, infectious hazards, and environmental hazards. Extended periods of work using a desktop, laptop, or other mobile device may be required.

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.
Ability to work at agency locations in Concord, Laconia, and Wolfeboro.
Ability to work scheduled weekday hours and occasional evening, weekend, or holiday hours as agency needs require.
Ability to participate in the administrative on-call rotation.

Nice To Haves

Bachelor’s degree in Nursing preferred.

Responsibilities

Oversee daily operations in the Electronic Medical Record, delegating this responsibility to a qualified clinician when absent.
Provide clinical supervision and oversight to Home Care Program professionals and paraprofessionals, offering support as needed.
Coordinate patient referrals and care, ensuring patient needs are met and continuously assessed in accordance with individual needs and physician-ordered plans of care.
Ensure compliance with state and federal licensure and agency certification requirements; maintain knowledge of Medicare Home Health Conditions of Participation and understanding of Hospice Conditions of Participation.
Promote unity, trust, and open communication among professional staff, paraprofessional staff, support staff, clients, and families.
Assign care to the appropriate discipline based on patient needs and adjust assignments as needed.
Coordinate individual case conferences with team staff every two to four weeks in coordination with the Home Care Director.
Coordinate staff meetings and 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 policy, regulatory requirements, and accreditation requirements, and communicate concerns to the Home Care Director.
Maintain working knowledge of third-party contract requirements related to clinical summaries of care needed for authorization.
Coordinate field supervisory visits and use discretion to increase supervision when performance issues arise.
Provide feedback to the Home Care Director for staff performance evaluations at the end of introductory periods and annually; supervise staff compliance with agency personnel policies.
Execute priorities and attainable goals that support daily operations, program needs, and the agency’s mission and services.
Interview and recommend candidates for Home Care Program positions.
Coordinate and assist with staff orientation, including teaching and documentation requirements, and support improvement in service quality and quantity.
Identify service and coverage gaps and make recommendations to the Home Care Director; collaborate with other directors and managers to coordinate care across clinical programs.
Ensure staff productivity standards are maintained.
Work with and support 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 corrective plans with staff.
Receive and document incident, complaint, and grievance reports in accordance with policy and procedure.
Encourage staff professional growth and development, and seek opportunities to educate other departments on clinical or professional issues.
Participate in preparing budgets and operational plans for home care services and agency strategic initiatives.
Stay informed about internal and external resources to educate and support staff.
Accept 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 in contacts with similar agencies, trade associations, clients, and regulatory agencies.
Participate in implementing the agency Emergency Preparedness Plan.
Participate in the administrative on-call rotation.