RN Clinical Supervisor

Compassionate Care Home Health Agency•Merced, CA

About The Position

Compassionate Care is seeking an RN Clinical Supervisor for Merced County and surrounding territories. The supervisor serves as case manager of record for patients seen by the nursing staff they supervise, overseeing each case from admission through discharge. The role holds approval authority over visit schedule and plan-of-care changes, ensures appropriate coordination across disciplines, and is accountable for patients progressing toward discharge goals and being discharged when goals are met or skilled need ends. The supervisor conducts ongoing audits of supervised caseloads, including chart review, care-coordination documentation, and interdisciplinary communication. Responsibilities include LVN supervisory visits and competency validation, oversight of timely start-of-care and resumption-of-care assessments, direct observation through pop-up and joint visits, participation in QAPI, and maintaining assigned tracking tools and reports. The supervisor may carry a limited patient caseload when staffing requires. This leadership role enforces agency policies and procedures, monitors staffing needs, supports new-staff orientation and competency validation, and holds staff accountable for patient care, documentation, assignments, and policy adherence. The supervisor is available during regular business hours and participates in the on-call rotation as directed by the DPCS. The role requires travel between patient homes, facilities, or other care locations as needed and the ability to perform the listed physical functions safely, with or without reasonable accommodation.

Requirements

Active, unrestricted California RN license.
At least 3 years of home health experience, including OASIS-based SOC/ROC assessments and case management.
At least 1 year in a supervisory, charge, or clinical-lead role.
Current BLS certification.
Valid California driver's license and auto insurance.
Ability to lift, push, pull, and/or carry up to 50 pounds on a regular basis.
Ability to stand, walk, bend, kneel, sit, and reach for extended periods, and to talk and hear.
Ability to safely assist with patient mobility, transfers, and personal care needs.
Ability to drive and travel between patient homes, facilities, or other care locations as needed.
Close vision, distance vision, peripheral vision, and ability to adjust focus.
Ability to perform essential functions safely and effectively, with or without reasonable accommodation.
Competence in case management 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.
Ability to conduct direct, respectful corrective conversations.
Ability to model required compliance and work ethic and apply consistent, documented accountability standards across staff and employment types.

Responsibilities

Serve as case manager of record and hold overall responsibility for the plan of care for every patient on supervised caseloads, coordinating care across disciplines.
Review missed visits for clinical impact, approve or direct make-up visits within ordered frequency, and ensure practitioner notification and documentation.
Approve visit rescheduling outside the ordered frequency window while preventing reduced ordered frequency or gaps in time-sensitive treatment.
Review and approve frequency increases or decreases based on clinical rationale, ensuring practitioner orders are obtained before changes take effect.
Review clinician requests submitted through the HHSM Prior Approval Form, make and document approval or denial decisions, and record the rationale.
Approve care-plan changes, including interventions, goals, and disciplines; ensure required orders are obtained and changes are communicated to all disciplines involved.
Review patient progress toward measurable discharge goals at the established interval and intervene when progress stalls through joint visits, care-plan revisions, or case conferences.
Approve discharge when goals are met, skilled need ends, or another discharge criterion applies; prevent premature discharge and continuation without skilled need.
Maintain the HHSM Discharge-Stabilization tracker for assigned patients and support timely, appropriate discharge.
Receive escalations concerning persistent LVN documentation deficiencies and provide coaching and corrective action.
Review assigned clinicians’ HHSM 5 Elements report at least weekly and act on trends in noncompliance.
Conduct ongoing audits of supervised caseloads, including chart review, care-coordination documentation, and interdisciplinary communication.
Perform LVN supervisory visits and competency validation according to agency schedule and California scope requirements.
Oversee SOC/ROC timeliness, including completion within 48 hours of referral or return home.
Conduct pop-up and joint visits to observe clinical practice directly.
Participate in QAPI and bring case-management trend data, root causes, and performance-improvement actions for the area.
Carry a limited caseload when staffing requires, with the target set by the DPCS.
Follow and enforce agency policies and procedures; remain available during regular business hours and serve on the on-call rotation as directed by the DPCS.
Attend required leadership, clinical, and case-conference meetings and actively participate in the ongoing QAPI program.
Submit at least 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 continuously and flag gaps to the DPCS and Scheduling before they lead to missed visits or delayed SOCs.
Assist with orientation, field preceptorship, and competency validation for new staff, including training to the SURCH standard.
Maintain quality standards across all disciplines and employment types, including full-time, part-time, per diem, and contracted staff.
Work HHSM SURCH tracking tools daily and keep Prior Approval Form decisions, Discharge-Stabilization Tracking, the SOC Tracker, and the 5 Elements report current by the end of each business day.
Monitor the past-due report and QA box daily, help clear items that could bottleneck billing, and escalate stalled items.
Hold staff accountable for patient care, documentation, assignments, and policy adherence; address failures through documented coaching and progressive corrective action in partnership with HR.
Model compliance, documentation quality, timeliness, and work ethic, and maintain the supervisor’s own documentation and tracking.
Initiate documented coaching and progressive corrective action; coordinate formal discipline with HR and handle contracted clinicians under their agreements.
Decide coaching and re-education for clinicians escalated by the LVN team and schedule joint visits.
Escalate disputed denied changes, patients not progressing despite intervention, repeat noncompliance after a written improvement plan, suspected falsified or copied documentation, and immediately escalate patient-safety, abuse, or neglect concerns.
Travel between patient homes, facilities, or other care locations as needed.