Team Manager Home Care

VITAS Healthcare•Pensacola, FL

About The Position

The Team Manager leads the Patient Care Team, supervising, evaluating, and coordinating its interdisciplinary members. The role ensures continuity of care from admission through discharge, transfer, or bereavement; advocates for patients; coordinates with community social service and health care providers; and oversees patient records throughout the care process. The Team Manager directs the team’s patient care services, including volunteer and bereavement services, and ensures they are integrated into each patient’s interdisciplinary plan of care. The role reviews admissions, discharges, recertification documentation, service levels, and care planning; collaborates with physicians on palliative care; manages team scheduling and coordination of services around the clock; and participates in the on-call rotation. The position supervises and develops team staff, oversees schedules and assignments, and reviews payroll. It monitors clinical records and team activities for quality and regulatory compliance, conducts chart and utilization reviews, addresses patient and family service concerns, and supports customer satisfaction and community relationships. The Team Manager also monitors resource use and patient care costs, approves related bills and invoices, and pursues professional development.

Requirements

  • Reliable transportation and an appropriate license and insurance coverage for the driver and passengers.
  • Private telephone in the home.
  • Knowledge of the principles and practices of primary medical and nursing care, including working knowledge of oncologic nursing and palliative care.
  • Basic understanding of interpersonal dynamics in interdisciplinary health care teams and knowledge of the process of dying and bereavement.
  • Working knowledge of the VITAS information system (Vx) and ability to use management reports.
  • Two years of successful supervisory experience or equivalent in a health care organization.
  • Current and valid R.N. license to practice in the state where the VITAS program is located.

Nice To Haves

  • Bachelor’s degree preferred.

Responsibilities

  • Supervise, evaluate, and coordinate interdisciplinary Patient Care Team members and ensure continuity of care from admission through discharge, transfer, or bereavement.
  • Serve as patient advocate and coordinate with community social service and health care providers involved in patient care.
  • Maintain patient records from intake through discharge, transfer, or bereavement.
  • Direct patient care services for the team, including volunteer and bereavement services, and ensure they are integrated into the interdisciplinary plan of care.
  • Review pending and new admissions, assessments, histories, and alive discharges to ensure eligibility and appropriateness criteria are met.
  • Collaborate with team and attending physicians regarding palliative care measures for pain and symptom management.
  • Ensure complete and accurate documentation is available for timely recertification decisions.
  • Review imminent alive discharges and ensure effective discharge planning.
  • Monitor staffing, medications, HME, supplies, and changes in level of care to ensure services meet patient and family needs and expectations.
  • Manage team schedules and coordinate services 24 hours a day, 7 days a week; participate in the on-call rotation.
  • Facilitate team meetings and interdisciplinary updates and revisions to plans of care.
  • Interview, select, train, supervise, evaluate, and dismiss team staff in conjunction with the Patient Care Administrator.
  • Assure staff competence and performance through field visits, documentation reviews, and team-based in-services.
  • Act as a resource and mentor for staff on clinical issues, documentation, team problem solving, and customer service.
  • Oversee staff and volunteer schedules, scheduling, and territory assignments to distribute workloads equitably and meet productivity expectations.
  • Review and approve payroll and verify employees’ time, mileage, and additional expenses are documented accurately.
  • Monitor clinical records and team activities for accuracy, completeness, and compliance with VITAS policies and regulatory requirements.
  • Develop and implement performance improvement activities and participate in quality and service improvement programs.
  • Ensure completion of patient and family satisfaction surveys and implementation of quality improvement measures and standards.
  • Assist with surveys and requests from regulatory bodies and intermediaries as directed by the local program.
  • Perform substantive chart reviews and participate in Outcomes Management and the annual program review.
  • Perform utilization reviews of continuous care and inpatient levels of care for team patients.
  • Address and resolve patient, family, physician, and MCO problems, grievances, and service failures promptly and satisfactorily.
  • Analyze customer service issues and work with team members to improve performance.
  • Speak with patients, families, and attending physicians when a patient is considering revocation to seek solutions that may avoid unnecessary revocation.
  • Visit long-term care and contract bed facilities to support care plan integration and customer satisfaction and discuss appropriateness criteria.
  • Participate in customer in-services and professional, voluntary, or community service organizations.
  • Verify and approve admitting IPOC diagnoses, treatments, staffing, and supplies.
  • Monitor patient resource use and control and account for productivity, labor, and other patient care costs against budget.
  • Approve bills and invoices related to patient care services.
  • Attend in-services, educational seminars, and workshops; develop and achieve professional growth goals; and mentor newly hired Team Managers.
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