RN Clinical Supervisor

Compassionate Care Home Health Agency•Visalia, CA

About The Position

The RN Clinical Supervisor serves as case manager for every patient seen by the nursing staff they supervise, with ongoing audit and oversight from admission through discharge. The supervisor owns each assigned patient’s plan of care after it is established through the QA/UR point-of-care call, coordinates care across disciplines, approves applicable changes, and ensures patients progress toward discharge goals and are discharged when goals are met or skilled need ends. The role oversees clinical quality, documentation, timeliness, staffing, and staff performance. It includes reviewing and approving missed visits, visit moves, frequency changes, care-plan changes, and discharges; supervising LVNs; conducting pop-up and joint visits; participating in QAPI; maintaining agency tracking tools; and reporting weekly to the DPCS. The supervisor may carry a limited caseload when staffing requires and participates in the on-call rotation as directed by the DPCS. The position requires an active, unrestricted California RN license, home health experience including OASIS-based assessments and case management, and supervisory, charge, or clinical-lead experience. It also requires current BLS, a valid California driver’s license, and auto insurance. 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 and personal care; and driving between care locations.

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.
Valid California driver’s license and auto insurance.
Ability to perform essential functions safely and effectively, with or without reasonable accommodation, including lifting, pushing, pulling, or carrying up to 50 pounds on a regular basis.
Ability to stand, walk, bend, kneel, sit, and reach for extended periods, as well as 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.
Vision abilities including close, distance, and peripheral vision and the ability to adjust focus.
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 apply consistent, documented accountability across staff and employment types.

Responsibilities

Serve as case manager of record and own 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, and confirm physician or allowed-practitioner notification and documentation.
Approve visit moves outside the ordered frequency window and ensure they do not reduce ordered frequency or interrupt time-sensitive treatment.
Validate and approve frequency increases or decreases, ensuring the required practitioner order is obtained before changes take effect.
Review clinician requests submitted through the HHSM Prior Approval Form, make and document clinical decisions, and record the rationale in the Compassionate Comments field.
Approve care-plan changes, including interventions, goals, and disciplines; confirm orders and communication to all disciplines on the case.
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 discharge when goals are met, skilled need ends, or another discharge criterion applies; prevent premature discharge or continuation without skilled need.
Maintain the HHSM Discharge-Stabilization tracker for assigned patients and support timely, appropriate discharge.
Receive and resolve LVN Five-Element Review escalations through coaching and corrective action.
Review the HHSM 5 Elements report for assigned clinicians at least weekly and address trends toward noncompliance.
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.
Oversee SOC/ROC timeliness 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.
Carry a limited caseload when staffing requires, with the target set by the DPCS.
Follow and enforce agency policies and procedures, and model compliance, documentation quality, timeliness, and expected work ethic.
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 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 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 disciplines and employment types, including full-time, part-time, per-diem, and contracted staff.
Use 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 bottlenecks affecting documentation, OASIS, orders, or 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.
Initiate documented coaching and progressive corrective action; coordinate formal discipline with HR and handle contracted clinicians according to 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 non-compliance after a written improvement plan, suspected falsified or copied documentation, and patient-safety, abuse, or neglect concerns to the appropriate leadership.