Team Manager Home Care

VITAS Healthcare•Mount Dora, 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 maintains patient records throughout the care episode. The Team Manager directs patient care services, including volunteer and bereavement services, and ensures these services are integrated into the interdisciplinary plan of care. The role reviews admissions, discharges, recertification documentation, and care plans; collaborates with physicians on palliative pain and symptom management; manages team schedules and around-the-clock service coordination; and participates in the on-call rotation. The position manages and develops team staff, monitors quality and regulatory compliance, responds to patient and family service concerns, supports customer and community relationships, and oversees resource utilization, productivity, labor, and patient-care costs. The Team Manager also participates in quality-improvement activities, professional development, and mentoring newly hired Team Managers.

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 within an interdisciplinary health-care team and knowledge 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

  • Direct all 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 patient admissions, assessments, histories, and alive discharges to ensure eligibility and appropriateness criteria are met.
  • Collaborate with the team physician and attending physician on palliative 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 the type and level of services provided, including staffing, medications, HME, supplies, and changes to inpatient or continuous care, to ensure services meet patient and family needs.
  • Manage the team schedule and coordinate services for patients 24 hours a day, 7 days a week.
  • Facilitate team meetings and interdisciplinary updates and revisions to plans of care as patient and family needs change.
  • Participate in the on-call rotation.
  • Interview, select, train, supervise, evaluate, and dismiss team staff in conjunction with the Patient Care Administrator.
  • Ensure staff competence and performance through field visits, documentation review, and team-based in-services.
  • Provide staff with clinical and operational guidance, including support with documentation, problem solving, and customer service.
  • Oversee staff and volunteer schedules, scheduling, and territory assignments to distribute workload equitably and support productivity expectations.
  • Review and approve payroll, confirming accurate documentation of time, mileage, and additional expenses.
  • Monitor clinical records and team activities for accuracy, completeness, and compliance with VITAS policies and regulatory standards.
  • Develop and implement performance-improvement activities and participate in quality and service-improvement programs.
  • Ensure the team completes patient and family satisfaction surveys and implements quality-improvement measures and standards.
  • Assist with surveys and requests from regulatory bodies and intermediaries as directed by the local program.
  • Conduct substantive chart reviews to confirm evidence of quality care.
  • Participate in Outcomes Management and the annual program review.
  • Perform utilization review of continuous-care and inpatient levels of care for all team patients.
  • Resolve patient, family, physician, and MCO problems, grievances, and service failures promptly and satisfactorily, working with team members, vendors, and other departments.
  • Analyze team customer-service issues, identify causes, 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 providing in-services to customers with team members and other program staff.
  • Participate in professional, voluntary, or community service organizations.
  • Verify and approve admitting IPOC diagnoses, treatments, staffing, and supplies.
  • Monitor patient resource utilization to support cost-effective service delivery.
  • Manage and be accountable for productivity, labor, and related patient-care costs within budget.
  • Approve bills and invoices related to patient-care services.
  • Attend in-services, educational seminars, and workshops; establish and achieve professional growth goals and objectives.
  • Mentor newly hired Team Managers.
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