RN Clinical Supervisor

Compassionate Care Home Health Agency•Merced, CA

About The Position

The RN Clinical Supervisor serves as case manager of record for patients on the nursing staff’s supervised caseloads and holds overall responsibility for their plans of care, including coordination across disciplines. The supervisor oversees each patient from admission through discharge, audits care and documentation, approves changes to visit schedules and plans of care, and ensures patients progress toward discharge goals and are discharged when goals are met or skilled need ends. The role also carries a limited patient caseload when staffing requires, with the target set by the DPCS. The supervisor exercises clinical decision authority over missed visits, visit moves, frequency changes, care-plan changes, and discharges, while ensuring required physician or allowed-practitioner orders are obtained. Responsibilities include reviewing prior-approval requests, maintaining discharge-stabilization and other agency tracking tools, conducting LVN supervisory visits and competency validation, and intervening when patient progress stalls. The position participates in QAPI, supports staffing and new-staff training, monitors documentation and billing-related work queues, and holds staff accountable for care, documentation, assignments, and policy adherence. The position serves Merced County and surrounding territories. It requires availability during regular business hours and participation in the on-call rotation as directed by the DPCS. The role involves travel between patient homes, facilities, or other care locations and may require assisting with patient mobility, transfers, and personal care.

Requirements

Active, unrestricted California RN license.
Minimum of 3 years of home health experience, including OASIS-based SOC/ROC assessments and case management.
Minimum of 1 year in a supervisory, charge, or clinical-lead role.
Current BLS certification.
Valid California driver's license and auto insurance.
Ability to meet the stated physical requirements, with or without reasonable accommodation, including lifting, pushing, pulling, or carrying up to 50 pounds; standing, walking, bending, kneeling, sitting, reaching, talking, and hearing; assisting with patient mobility, transfers, and personal care; and driving and traveling between care locations.
Case-management knowledge across disciplines and payers.
Knowledge of Medicare home health coverage and discharge criteria, including homebound status, skilled need, and MBPM Chapter 7.
Ability to make decisive, documented approvals and denials and conduct direct, respectful corrective conversations.
Ability to model required compliance and work ethic and apply consistent, documented accountability across staff and employment types.

Responsibilities

Serve as case manager of record for every patient on supervised caseloads and coordinate each patient’s plan of care across disciplines.
Audit and oversee patients from admission through discharge, including routine chart review, care-coordination documentation, and interdisciplinary communication.
Review missed visits for clinical impact, approve or direct make-up visits, and confirm physician or allowed-practitioner notification and documentation.
Approve visit moves outside the ordered frequency window while safeguarding required visit frequency and time-sensitive treatment.
Validate and approve frequency increases or decreases, ensuring the required order is obtained before the new frequency takes effect.
Review clinician requests submitted through the HHSM Prior Approval Form and record approval or denial decisions and rationale.
Approve care-plan changes, including interventions, goals, and disciplines, and ensure orders are obtained and changes communicated to all relevant disciplines.
Review patient progress toward measurable discharge goals at intervals set by the DPCS and intervene when progress stalls through joint visits, care-plan revisions, or case conferences.
Approve appropriate discharges and prevent premature discharge or continuation of services without skilled need.
Maintain the HHSM Discharge-Stabilization tracker for assigned patients and use it to support timely, appropriate discharge.
Receive LVN Five-Element Review escalations when deficiencies persist, and lead coaching and corrective action.
Review the HHSM 5 Elements report for assigned clinicians at least weekly and act on noncompliant trends.
Conduct LVN supervisory visits and competency validation according to agency schedules and California scope requirements.
Oversee timely start-of-care and resumption-of-care visits within 48 hours of referral or return home.
Conduct pop-up and joint visits to directly observe clinical practice.
Bring case-management trend data to the QAPI committee and actively participate in the ongoing QAPI program.
Follow and enforce agency policies and procedures, and remain available during regular business hours and assigned on-call shifts.
Attend required leadership, clinical, and case-conference meetings.
Submit weekly status reports to the DPCS covering caseload and census, staffing gaps, pending approvals, patients not progressing, past-due items, QA box status, and staff accountability actions.
Monitor staffing needs, alert the DPCS and Scheduling to gaps, and help prevent missed visits or delayed starts of care.
Assist with orientation, field preceptorship, and competency validation for new staff, including training to the SURCH standard.
Maintain quality standards across disciplines and employment types, including full-time, part-time, per-diem, and contracted staff.
Update HHSM SURCH tracking tools daily, including Prior Approval Form decisions, Discharge-Stabilization Tracking, the SOC Tracker for new frequencies, and the 5 Elements report.
Monitor the past-due report and QA box daily, help clear stalled documentation, OASIS, and order items, and escalate bottlenecks.
Hold staff accountable for patient care, documentation, assignments, and policy adherence through documented coaching and progressive corrective action, in partnership with HR.
Model the compliance, documentation quality, timeliness, and work ethic expected of staff.
Escalate disputed denied changes, patients not progressing despite intervention, repeat non-compliance after a written improvement plan, and suspected falsified or copied documentation to the ADON/DPCS.
Immediately escalate patient-safety, abuse, or neglect concerns.