Workflow Clinical Manager

Well Care Health•Wilmington, NC

About The Position

The Workflow Clinical Manager oversees the daily work functions in clinical information systems to support care planning, utilization of services, and coordination of patient care. The role focuses on safeguarding patient-centered care through efficient and effective clinical systems processes and positive outcomes. The manager approves or disapproves new and revised patient care plans. The position oversees care planning, utilization services, and coordination of patient care, ensuring compliant and effective use of Home Care Home Base (HCHB), staff, and resources. It promotes quality-oriented, cost-efficient care, contributes to program effectiveness, and supports customer satisfaction. The manager also helps ensure adherence to applicable regulations, policies, procedures, guidelines, and best-practice standards. The role requires an accredited or approved nursing-school graduate and a current nursing license in the state where staff or care are supervised (North Carolina or South Carolina). A bachelor's degree is preferred. Candidates must have at least two years of clinical practice; home-health experience and clinical, teaching, and supervisory experience in a nursing service organization are preferred. The position involves extended periods of standing or sitting, computer use, and chart review, with possible exposure to noise, office equipment and machinery, temperature changes, and weather extremes. The usual schedule is Monday through Friday, with weekends and holidays as needed and occasional flexible hours to meet educational needs.

Requirements

  • Graduate from an accredited or approved school of nursing.
  • Current license to practice professional nursing in the state where supervising staff or care (North Carolina or South Carolina).
  • Minimum of two years of clinical practice.
  • Current knowledge of fundamental medical-surgical and home-health nursing principles and practice.
  • Knowledge of adult-learning principles and medical-record-keeping standards.
  • Ability to communicate clearly and effectively, orally and in writing, in English, including speaking before small and large groups.
  • Excellent interpersonal skills, including the ability to interact and communicate professionally and tactfully with coworkers, physicians, patients, families, and the general public.
  • Flexibility and innovation.
  • Ability to analyze clinical information-system data to identify staff and agency learning needs.
  • Ability to systematically assess, plan, implement, and evaluate evidence-based best practices.
  • Long- and short-term memory, strong problem-solving and reasoning skills, ability to prioritize duties, learn new skills, use supportive services appropriately, and work independently.
  • Ability to use sight to assess, plan, implement, and evaluate patient-care activities in clinical information systems, and hearing to communicate with staff.
  • Ability to stand or sit for extended periods.
  • Ability to work Monday through Friday, with weekends and holidays as needed and occasional flexible hours to meet educational needs.

Nice To Haves

  • Bachelor's degree.
  • Minimum one year of home-health experience.
  • Prior experience encompassing clinical, teaching, and supervisory practice within a nursing service organization.

Responsibilities

  • Oversee care planning, utilization services, and coordination of patient care.
  • Oversee and perform daily work functions in clinical information systems.
  • Approve or disapprove patient plans of care based on chart reviews, phone calls, and conferences.
  • Recommend clinical information system processes and resource use that support efficiency, effectiveness, and positive patient outcomes.
  • Recommend additional services when appropriate to improve the efficiency and effectiveness of treatment plans, including medical social work, therapy, palliative care, or hospice referrals.
  • Direct team members in planning interventions and goals appropriate to patients’ identified needs, and review plans of care to ensure appropriate resources and services are included.
  • Respond to requested changes in plans of care between case conferences and determine whether changes are appropriate.
  • Maintain knowledge of federal, state, and accreditation regulations and agency policies and procedures.
  • Serve as a resource to team members on patient care coordination and promote quality home-health services.
  • Participate in agency initiatives to develop new programs and improve existing ones.
  • Participate in the design, implementation, and evaluation of at least one significant agency quality-improvement project during each evaluation period.
  • Maintain workflow processes for clinical operations systems.
  • Respond to internal and external emails and voicemails within two hours.
  • Maintain utilization statistics within national best-practice benchmarks, optimize clinical outcome scores, and achieve hospitalization goals.
  • Abide by the confidentiality and ethics policies of Well Care Home Health.
  • Promote cooperative teamwork among agency members to support quality patient care and the best possible outcomes.
  • Respond constructively to changing circumstances to maximize opportunities or minimize potential problems.
  • Perform duties independently, take responsibility for work quality and completion, and use management data to monitor clinical operations efficiency.
  • Maintain a clean and neat appearance in personal attire and the work area, report to work on time, and return promptly from errands, breaks, and meals.
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