RN Clinical Supervisor

Compassionate Care Home Health Agency•Bakersfield, CA

About The Position

The RN Clinical Supervisor serves as case manager of record for every patient on the nursing staff’s supervised caseload, with responsibility for the plan of care from admission through discharge. The supervisor audits and oversees patient care, coordinates across disciplines, 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 reviews and decides clinician requests through the HHSM Prior Approval Form and maintains HHSM tracking tools, including discharge-stabilization, SOC, and 5 Elements tracking. The supervisor conducts ongoing chart and care-coordination reviews, LVN supervisory visits and competency validation, and pop-up or joint visits to observe practice. The position monitors timely starts and resumptions of care, participates in QAPI, supports staff training and orientation, and may carry a limited caseload when staffing requires. It monitors staffing, documentation, and past-due items; holds staff accountable; and reports weekly to the DPCS. The role is available during regular business hours and participates in the on-call rotation as directed by the DPCS. The position is based in Kern County and surrounding territories. It requires travel between patient homes, facilities, and other care locations. Physical requirements include 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 the specified close, distance, and peripheral vision and focus abilities. Reasonable accommodation may apply as provided under the ADA and California law. Compensation is $125,000 per year. Benefits listed for full-time positions include a team-oriented work environment, supportive company culture, growth and development opportunities, flexible schedules, medical, dental, and vision insurance, mileage reimbursement at the current federal rate, a company vehicle when eligible, PTO, paid holidays, sick days, and a 401(k).

Requirements

Active, unrestricted California RN license.
Minimum 3 years of home health experience, including OASIS-based SOC/ROC assessments and case management.
Minimum 1 year in a supervisory, charge, or clinical-lead role.
Current BLS certification.
Valid California driver’s license and auto insurance.
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 and provide consistent, documented accountability across staff and employment types.
Ability to meet the physical requirements of the position, with or without reasonable accommodation, including lifting, pushing, pulling, or carrying up to 50 pounds; mobility and patient-assistance tasks; driving and travel; and specified vision, hearing, and communication abilities.

Responsibilities

Serve as case manager of record and hold overall responsibility for the plan of care for patients on supervised caseloads, including coordination across disciplines.
Review missed visits for clinical impact; approve or direct make-up visits, confirm physician or allowed-practitioner notification, and ensure the reason is documented.
Approve visit moves outside the ordered frequency window while ensuring ordered frequency and time-sensitive treatment needs are maintained.
Review and approve frequency increases and decreases, verifying clinical rationale and that required orders are obtained before changes take effect.
Review clinician requests submitted through the HHSM Prior Approval Form and document approval or denial and rationale in the Compassionate Comments field.
Approve care-plan changes, including interventions, goals, and disciplines; ensure required orders are obtained and changes are communicated to all disciplines on the case.
Review patient progress toward measurable discharge goals at the established interval and intervene with joint visits, care-plan revisions, or case conferences when progress stalls.
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 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 address elements trending noncompliant.
Conduct ongoing audits of supervised caseloads, including chart review, care-coordination documentation, and interdisciplinary communication.
Perform LVN supervisory visits and competency validation in accordance with agency schedules and California scope requirements.
Oversee SOC/ROC timeliness within 48 hours of referral or return home.
Conduct pop-up and joint visits to directly observe clinical practice.
Participate in QAPI and bring case-management trend data, root causes, and performance-improvement actions for the supervisor’s 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 result in missed visits or delayed SOCs.
Assist with new-staff orientation, field preceptorship, and competency validation, including training to the SURCH standard.
Maintain quality standards across disciplines and employment types, including full-time, part-time, per diem, and contracted staff.
Work HHSM 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; provide documented coaching and progressive corrective action in partnership with HR.
Model compliance, documentation quality, timeliness, and work ethic; maintain the supervisor’s own documentation and tracking currency.
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.
Meet stated performance measures for approvals, reviews, tracking, reporting, meeting attendance, on-call coverage, training, and resolution of escalated documentation issues.