RN Clinical Supervisor

Compassionate Care Home Health Agency•Bakersfield, CA

5d•Onsite

About The Position

The RN Clinical Supervisor serves as case manager for every patient seen by the nursing staff they supervise and maintains ongoing audit and oversight from admission through discharge. The supervisor owns the plan of care established through the QA/UR point-of-care process, coordinates care across disciplines, approves or directs changes to visits and care plans, and ensures patients progress toward discharge goals and are discharged when goals are met or skilled need ends. The role provides clinical oversight through chart audits, LVN supervisory visits and competency validation, direct observation and joint visits, timeliness monitoring, and participation in QAPI. It may also carry a limited patient caseload when staffing requires. The supervisor maintains daily agency tracking tools and monitors past-due documentation and QA items, staffing needs, and staff performance. The position is based in Kern County and surrounding territories, with travel between patient homes, facilities, or other care locations as needed. The supervisor is available during regular business hours and participates in the on-call rotation as directed by the DPCS. The position requires modeling and enforcing agency policies, coaching staff, supporting new-staff orientation and competency validation, and escalating clinical, documentation, and patient-safety concerns to the appropriate leadership. 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; driving between care locations; and specified vision abilities. These functions must be performed safely and effectively, 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 meet the stated physical requirements, with or without reasonable accommodation.
Knowledge of 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 apply consistent, documented accountability across staff and employment types.
Ability to model the compliance and work ethic expected of staff.

Responsibilities

Serve as case manager of record for patients on supervised caseloads and maintain responsibility for each patient's plan of care, including coordination across disciplines.
Review missed visits for clinical impact; approve or direct make-up visits, ensure practitioner notification and documentation, and maintain ordered visit frequency.
Approve visit rescheduling outside the ordered frequency window while preventing reductions below ordered frequency or gaps in time-sensitive treatment.
Review and approve frequency increases and decreases based on clinical rationale, and confirm the required practitioner order is obtained before changes take effect.
Review clinician requests submitted through the HHSM Prior Approval Form, approve or deny them based on clinical need and documentation, and record the decision and rationale.
Approve care-plan changes, including interventions, goals, and disciplines; ensure 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 appropriate discharges 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 of stabilized patients.
Handle escalated documentation deficiencies after LVN review, including coaching and corrective action.
Review assigned clinicians' HHSM 5 Elements audit report at least weekly and address noncompliant trends.
Conduct ongoing audits of supervised caseloads, including chart review, care-coordination documentation, and interdisciplinary communication.
Conduct LVN supervisory visits and competency validation according to agency schedules and California scope requirements.
Monitor SOC/ROC timeliness, with completion 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 with data, root causes, and improvement actions.
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 participate in the on-call rotation as directed by the DPCS.
Attend required leadership, clinical, and case-conference meetings.
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.
Continuously monitor staffing needs and alert the DPCS and Scheduling to gaps before they cause 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.
Use and 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; keep entries current by the end of each business day.
Monitor the past-due report and QA box daily, help clear documentation, OASIS, and order bottlenecks affecting billing, and escalate stalled items.
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, policy adherence, and work ethic expected of staff.
Escalate disputed denied changes, patients not progressing despite intervention, repeat noncompliance after a written improvement plan, and suspected falsified or copied documentation to the ADON/DPCS; immediately escalate patient-safety, abuse, or neglect concerns.
Meet defined performance measures for approvals, documentation, progress reviews, discharges, escalations, reporting, tracking-tool currency, audits, past-due items, attendance, on-call coverage, and staff training.