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 and provides ongoing audit and oversight from admission through discharge. The supervisor owns each assigned patient’s plan of care after it is established, coordinates care across disciplines, approves clinically appropriate changes, and ensures patients progress toward discharge goals and are discharged when goals are met or skilled need ends. The role provides clinical oversight of supervised caseloads, including chart reviews, care-coordination documentation, interdisciplinary communication, LVN supervisory visits, competency validation, and timely start-of-care and resumption-of-care activity. The supervisor conducts pop-up and joint visits, participates in QAPI, and may carry a limited patient caseload when staffing requires. The supervisor maintains current agency tracking tools and monitors past-due documentation and QA items. The role also supports staffing, new-staff orientation and training, and consistent accountability across disciplines and employment types. The supervisor is available during regular business hours, participates in the on-call rotation as directed, attends required meetings, and provides weekly status reports to the DPCS. The position requires driving and travel between patient homes, facilities, or other care locations as needed. Compensation is $125,000 per year.

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.
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.
Ability to model the compliance and work ethic expected of staff and apply consistent, documented accountability across staff and employment types.
Ability to lift, push, pull, and/or carry up to 50 pounds regularly.
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 care locations as needed.
Close vision, distance vision, peripheral vision, and ability to adjust focus.
Ability to meet the physical requirements safely and effectively, with or without reasonable accommodation.

Responsibilities

Serve as case manager of record and retain overall responsibility for the plan of care for patients on supervised caseloads, including coordination across disciplines.
Review missed visits, assess clinical impact, arrange or direct make-up visits as appropriate, and confirm physician or allowed-practitioner notification and documentation.
Approve visit moves outside ordered frequency windows and ensure they do not reduce ordered frequency or interrupt time-sensitive treatment.
Review and approve or deny frequency increases and decreases based on clinical rationale, assessment, and goals; ensure required orders are obtained before changes take effect.
Review clinician requests submitted through the HHSM Prior Approval Form, document decisions and rationale, and base approvals or denials on clinical need and supporting documentation.
Approve care-plan changes, including interventions, goals, and disciplines; ensure orders are obtained and changes are communicated to involved disciplines.
Review patient progress toward measurable discharge goals at intervals set by the DPCS and intervene when progress stalls through joint visits, care-plan revision, 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 and resolve escalations concerning persistent LVN documentation deficiencies through coaching and corrective action.
Review the HHSM 5 Elements report for assigned clinicians at least weekly and act on elements trending noncompliant.
Conduct ongoing audits of supervised caseloads, including chart review, care-coordination documentation, and interdisciplinary communication.
Complete LVN supervisory visits and competency validation according to agency schedule and California scope requirements.
Oversee timely SOC/ROC activity 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 QAPI activities, including performance-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 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, identify gaps, and alert the DPCS and Scheduling before gaps cause 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.
Keep HHSM tracking tools current daily, including Prior Approval Form decisions, Discharge-Stabilization Tracking, the SOC Tracker for new frequencies, and the 5 Elements report.
Monitor past-due reports and QA box items daily, help clear documentation, OASIS, and order bottlenecks, 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; maintain the supervisor’s own documentation and tracking tools.
Initiate documented coaching and progressive corrective action; coordinate formal discipline with HR and handle contracted clinicians under their agreements.
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 performance measures for approvals, documentation, tracking, reporting, meetings, on-call coverage, clinician audit compliance, and new-staff training.
Drive and travel between patient homes, facilities, or other care locations as needed.