Clinical Manager

Overview

• Lead and manage clinical operations for a home healthcare agency, ensuring quality patient care and compliance with regulations.
• Coordinate patient assessments and develop individualized care plans in collaboration with healthcare professionals.
• Provide guidance and oversight to clinical field staff, ensuring optimal case management and documentation accuracy.
• Act as a resource for agency inquiries, delivering courteous and professional support to patients and families.
• Participate in quality improvement initiatives and staff orientation programs to enhance agency performance.
• Collaborate with managed care personnel to secure necessary authorizations for patient services.
• Maintain confidentiality and demonstrate cultural sensitivity in all patient interactions.
• Utilize community resources effectively to meet diverse patient care needs.

Key Responsibilities & Duties

• Coordinate and assess home healthcare needs of referred patients, ensuring timely intake and discharge planning.
• Develop comprehensive treatment plans aligned with medical orders, insurance guidelines, and patient requirements.
• Order necessary medical equipment, supplies, and ancillary services, ensuring proper documentation.
• Schedule and assign visits for field staff, ensuring efficient resource utilization.
• Conduct case conferences to ensure effective case management and coordination among clinical personnel.
• Review admission and recertification documentation to ensure care plans meet patient needs.
• Participate in on-call supervisor rotation, addressing urgent patient care needs.
• Demonstrate knowledge of reimbursement practices and state/federal regulations.

Job Requirements

• License to practice as a Registered Nurse; BSN preferred.
• Minimum three years of nursing experience, with two years in home health preferred.
• Proficiency in OASIS and clinical documentation standards.
• Effective verbal and written communication skills.
• Strong problem-solving abilities and organizational skills.
• Commitment to customer relations and quality service.
• Knowledge of state and federal healthcare regulations.
• Ability to manage multiple responsibilities and prioritize effectively.