Clinical Manager

Overview

• Lead clinical operations for a home healthcare agency, ensuring high-quality patient care and compliance with regulations.
• Coordinate patient care needs, collaborating with healthcare professionals to develop individualized care plans.
• Provide oversight to clinical field staff, ensuring effective case management and documentation accuracy.
• Serve as a resource for agency inquiries, promoting excellent customer relations and service quality.
• Participate in quality improvement initiatives and staff orientation processes.
• Maintain confidentiality and demonstrate cultural sensitivity in all interactions.
• Utilize community resources to address patient care needs effectively.
• Engage in on-call supervisor rotation to support agency operations.
• Ensure compliance with state and federal regulations, enhancing organizational standards.

Key Responsibilities & Duties

• Screen and assess home healthcare needs for referred patients, coordinating intake processes.
• Collaborate with physicians and discharge planners to establish appropriate care levels.
• Develop comprehensive care plans aligned with medical orders and insurance guidelines.
• Order necessary medical supplies and services, ensuring proper documentation.
• Assign and schedule visits for field staff, ensuring timely service delivery.
• Conduct case conferences to ensure effective case management and discharge planning.
• Review admission and recertification documentation for care plan appropriateness.
• Participate in performance improvement activities to enhance service quality.
• Provide clear direction to support staff for continuity of care.

Job Requirements

• License to practice as a registered nurse; BSN preferred.
• Minimum three years of nursing experience; two years in home health preferred.
• Knowledge of OASIS and clinical documentation standards.
• Effective verbal and written communication skills.
• Strong problem-solving and organizational abilities.
• Commitment to customer relations and quality service.
• Ability to manage multiple responsibilities and set priorities effectively.
• Demonstrated knowledge of reimbursement and billing practices.
• Experience in quality and performance improvement initiatives.