RN Clinical Team Manager Home Health San Antonio Texas

UnitedHealth Group•New Braunfels, TX

1d•Onsite

About The Position

WellMed, part of the Optum family of businesses, is seeking a RN Clinical Team Manager to join their team in San Antonio, Texas. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you’ll be an integral part of their vision to make healthcare better for everyone. At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. They believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, they have the power to make health care better for everyone. Join them and discover how rewarding medicine can be while Caring. Connecting. Growing together. The Clinical Team Manager is an RN position who performs management functions in coordination of all clinical disciplines including: skilled nursing, home health aide, physical therapy, occupational therapy, speech therapy, and medical social services. The Clinical Team Manager coordinates patient care on all activities and assumes responsibility for continuity, appropriateness and quality of services delivered within the home health department. The Clinical Team Manager assists with the day-to-day scheduling of staff, monitors performance of staff, assists in the orientation of staff and serves on committees to improve operations. The Clinical Team Manager performs all functions in a professional and ethical manner and collaborates with other members of the health care team to ensure the provision of quality care. The Clinical Team Manager is responsible for verification of appropriate incoming orders obtaining physician orders and completion of orders. Receive and respond to all incoming calls from referral sources or potential patients, exchange information to identify patients' needs, and determine the Company's ability to meet them. The Clinical Team Manager is responsible for communication with the scheduling coordinator in reference to new physician orders and assuring the patient is staffed appropriately along with the reviewing of unassigned patient visits and assisting with the staffing of the patient visits with the appropriate field staff member. Responsible for performing on call for home health department approximately one week per month. Clinical Team Manager will work under the supervision of the Clinical Team Manager Lead per branch and/or Director of Nursing for home health for that branch.

Requirements

Graduate of an accredited school of nursing
Current licensure as a Registered Licensed Nurse in good standing with the Board of Nurse Examiners for the State of Texas
Maintains certification in Basic Cardiac Life Support Course C.
Familiarity with medical terminology and equipment.
Additional education and/or experience may be required by individual state regulations
3+ years of experience as a RN in an acute care setting or general medical/surgical setting
Evidence of independent nursing practice in delivering nursing care
Basic knowledge of governmental regulations, Medicare (Medicaid, as required), regulations, and company policies and procedures
Proven good organization, communication, human relations skills, and reliable transportation
Proven self-motivation, assertiveness and independent decision-making skills
Proven ability to read and follow written and verbal instructions in English effectively
Proven to possess ability to operate computer terminal, printer, fax and copier machines
This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease

Nice To Haves

Supervisory experience
Knowledge of general office procedures
Proven excellent computer skills and knowledge of word processing and excel

Responsibilities

Provides direction and leadership to designated Agency personnel in an effort to ensure quality and continuity of services through competent personnel management skills
Ensures that all supervised health care staff maintains compliance of federal and state rules and regulations and to agency clinical policies, procedures, and appropriate standards of care
Ensures that a client’s plan of care is executed as written and per physician orders
Ensures that a reassessment of a client’s needs is performed by the appropriate health care professional When there is a significant health status change in the client’s condition; at the physician’s request; or after hospital discharge
Participates and assists in orientation and training of clinical and paraprofessional staff
Ensures that on-site supervisory requirements of designated staff are met on a timely basis
Demonstrates an effective leadership style and solves problems in an efficient and logical manner after accurately analyzing facts
Ensures scheduling and assignments are appropriately based on patient needs, staff expertise, and geographical locations
Assists in the coordination of patient services, to include lab reports, updated patient reports, and interdisciplinary communication
Receives and coordinates patient referrals from case managers, physicians, and other referral sources
Participates in interdisciplinary care conferences, Agency programs and management functions, as assigned
Monitors documentation and paper flow to ensure records are accurate and timely and adhere to Medicare and other payer guidelines
Ensures that clinical notes, supply log/visit logs are accurate and turned into the office according to Agency policy
Provides assistance to CTM with investigation of patient/family complaints promptly and takes corrective action as needed
Makes home visits to provide patient care as needed
Recognizes and reports life threatening situations and responds appropriately
Demonstrates knowledge of emergency procedures and responds appropriately
Participates in the Agency's endeavors for accreditation, licensing and professional recognition according to state, federal or CHAPs requirements
Assists CTM in the development of Performance Improvement Plan reports to include achieved goals, opportunities for improvement, statistical data and projections
Participates in home care Performance Improvement Program activities to continuously improve the quality of patient care
Serves as a resource person for clinical staff and management in matters pertaining to Performance Improvement
Participates in periodic review of clinical records to promote quality patient care
Educates clinical staff on documentation standards and patient care as needed
Monitors assigned cases to ensure compliance with requirements of third party payers
Attends all required in-service programs to maintain comprehensive home care knowledge base within the review year, as assigned by supervisor
Demonstrates effective time management skills by completing assignments within projected time frames
Expresses verbal and written communication in a clear, positive and cooperative manner
Demonstrates personal responsibility with regard to attendance and punctuality
Promotes Agency philosophy, mission statement and administrative policies to ensure quality of care
Maintains privacy and confidentiality with regard to all patient, staff and Agency information
Provides positive, supportive communication to patients, families, visitors, physicians and other personnel
Promotes the Agency image by adhering to the Dress Code
Meets productivity requirements based on Agency standard
Demonstrates knowledge and observance of the Patient's Bill of Rights
Follows all infection control, standard precautions, and safety guidelines/standards per Agency policy
Follows the appropriate chain of command in all forms of communication
Demonstrates flexibility, enthusiasm and willingness to cooperate while working with others or in place of others as necessary
Must be flexible with work schedule, able to work weekdays-on call and weekends per assigned schedule
Performs other duties as assigned