Clinical Manager

Overview

• Lead clinical operations for a home healthcare agency, ensuring quality care and regulatory compliance.
• Coordinate patient care needs and develop individualized treatment plans in collaboration with healthcare professionals.
• Provide guidance and oversight to clinical field staff, maintaining documentation accuracy and compliance.
• Participate in case conferences to ensure effective case management and discharge planning.
• Utilize community resources to meet patient care needs and enhance service delivery.
• Demonstrate knowledge of reimbursement practices for Medicare, Medicaid, and other payors.
• Maintain patient confidentiality and adhere to state and federal regulations.
• Participate in quality improvement activities and staff orientation processes.
• Serve as an on-call supervisor, ensuring continuity of care during off-hours.

Key Responsibilities & Duties

• Coordinate and assess home healthcare needs for referred patients, ensuring timely intake processes.
• Collaborate with physicians and nurses to establish appropriate levels of care and treatment plans.
• Order necessary medical equipment, supplies, and ancillary services for patient care.
• Schedule and assign visits for field staff, ensuring effective case management.
• Conduct case conferences to ensure coordination and timely discharge planning.
• Review admission and recertification documentation to ensure compliance and appropriateness.
• Provide clear direction to support staff, ensuring continuity of care.
• Demonstrate cultural sensitivity and maintain courteous interactions with all stakeholders.
• Participate in performance improvement activities and maintain knowledge of clinical documentation standards.

Job Requirements

• License to practice as a registered nurse; BSN preferred.
• Minimum of three years of nursing experience; two years in home health preferred.
• Knowledge of OASIS and clinical documentation standards.
• Effective verbal and written communication skills.
• Excellent problem-solving and organizational skills.
• Ability to manage multiple responsibilities and set priorities effectively.
• Commitment to customer relations and quality service.
• Demonstrated knowledge of state and federal regulations.
• Participation in on-call supervisor rotation.