Clinical Manager

Amedisys Home Health Services Maryville , TN 37802

Posted 2 months ago

What You Will Do

Responsible for the supervision, management, coordination and provision of quality patient care while demonstrating fiscal responsibility and maintaining the highest standards of care and ensuring compliance with all policies, procedures, and regulatory requirements. Accountable for measuring, monitoring, and managing quality of patient care, achievement of key performance indicators and organizational clinical performance. Participates in interviewing and hiring of clinical staff and responsible for management/development of the clinical staff. Assist other disciplines in coordinating activities when necessary, assuming responsibility for continuity, appropriateness and quality of services delivered.

  • Develops, plans, implements, analyzes and organizes clinical operations for the care center.

  • Reviews requests for services and determines patient eligibility and suitability for home care services. Works with intake in coordinating patient referrals and admissions.

  • Oversees scheduling activities to ensure patient needs are met. Reviews assignments as appropriate with the patient services coordinator and professional and support staff.

  • Oversees payor verification and pre-certification requirements. Communicates with payors and their representatives with updates and responds to requests for information.

  • Responsible for review of documentation of other staff members including the Oasis data collection, starts of care, re-certification, physician orders, daily progress notes and other related documents ensuring appropriateness of care, delivery and documentation requirements are met. Ensures missing, incomplete and/or untimely documentation issues are resolved.

  • Oversees and assists clinicians in establishing immediate and long-term patient goals, setting priorities and developing Plan of Care (POC). Responsible to oversee the management and delivery of patient care, including utilization management, episode management and patient outcomes. Oversees the assignment of the appropriate clinical pathways and implementation of the plan of care and physicians' orders for patients.

  • Oversees clinicians in the provision of care and services requiring substantial and specialized professional skills set (per applicable discipline practice act and standards of practice) and in accordance with the plan of care signed by the physician.

  • Oversees the professional staff to ensure timely communication of changes in the patient condition to the physician and receipt of necessary changes in orders. Ensures communication of changes in the plan of care to the appropriate staff.

  • Evaluates, and regularly re-evaluates the needs of the patient; initiates, develops, implements and makes necessary revisions to the patient's plan of care in collaboration with the clinicians providing care.

  • Leads regular patient care conferences and promotes coordination and communication of information relevant to the care of the patient to ensure quality of care.

  • May provide direct patient care on an infrequent basis and only in times of emergency.

  • Participates in on call process, including admin on call, preparing on call schedule, supports the on-call process.

  • Participates in agency quality assurance activities designed to improve quality and continuity of patient care. Performs chart audits and other activities of data collection.

  • Responds to Additional Documentation Requests/Denials as directed by the regulatory affairs department.

  • Participates in the interviewing, hiring, training and development of clinical employees and patient services coordinator.

  • Assists with and coordinates training of appropriate staff to ensure quality care, compliance, and fiscal responsibility.

  • Instructs and guides clinicians to promote effective performance and delivery of quality home care services and is always available during operating hours to assist clinicians as appropriate.

  • Monitors and evaluates employee performance, including through on-site evaluations. Holds employees accountable for the attainment of defined goals and objectives. Executes effective performance redirection and corrective action when needed. Develops employees through coaching, mentoring, and formal/on the job training and development opportunities.

  • Works cooperatively with the Director of Operations on addressing staffing, referral sources, physician and client concerns/needs. Documents incidents or errors involving schedule problems and/or any other concern as appropriate.

  • Participates in the investigation and resolution of patient/family/physician concerns.

  • Partners with operations and business development staff in meeting budgeted admission goals. Participates in sales and marketing initiatives.

  • May function as Agency Administrator.

  • Performs other related duties as assigned or requested.

Required:

  • Associate or Bachelor's degree in Nursing.

  • Current, unencumbered license to practice as a Registered Nurse specific to that state the employee is assigned to work by the company.

  • One (1 ) year of RN experience in a Home Health or Hospice environment.

  • One (1 ) year of supervisory and/or management experience as a Registered Nurse in a healthcare environment.

  • Current CPR certification.

Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
RN Clinical Director Home Health

LHC Group

Posted 2 months ago

VIEW JOBS 5/8/2021 12:00:00 AM 2021-08-06T00:00 Company Overview The Clinical Director (RN) is responsible for overseeing and directing the patient care operations of the home care facility. This includes: coordinating and completing assigned projects to effectively support the immediate and long range objectives of the company; oversight of the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care; implementing and maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency; and providing motivation and retention of a qualified staff and assure the quality of services delivered. This position also acts as a liaison with management staff and other departments throughout the company. UT Home Health, Maryville, a part of LHC Group, is the preferred post-acute care partner for hospitals, physicians and families nationwide. From home health and hospice care to long-term acute care and community-based services, we deliver high-quality, cost-effective care that empowers patients to manage their health at home. Hospitals and health systems around the country have partnered with LHC Group to deliver patient-centered care in the home. More hospitals, physicians and families choose LHC Group, because we are united by a single, shared purpose: It's all about helping people. Essential Functions * Oversees all patient care services and personnel at the agency to include coordinating referrals and patient care, assuring that patient needs are continually assessed, and assuring the development, implementation, and updates of the patient's individualized plan of care. * Supervises the maintenance and accuracy of patient care and employee records. * Performs staff conferences as needed and mandatory in-services, including but not limited to monthly staff/safety meeting. * Partners with other team members to ensure agency meets budgeted goals including but not limited to growth, quality, and finances. * Implements and supervises all patient care activities to ensure the delivery of safe, economical, and efficient patient care, which adheres to relevant standards of accepted nursing and medical practice, to include federal and state regulations, and Joint Commission standards, as well as to ensure compliance with payer source criteria. * Provides and / or ensures patient care according to the plan of care as ordered by the physician. * Assists in policy review and revisions as requested to establish and support the highest possible quality of patient care, cost controls, quality assurance, and staff performance. Ensures that established policies are enforced. * Provides and oversees orientation for personnel. * Provides timely performance evaluation of personnel. * Assures regularly scheduled continuing education for personnel and supervises compliance of staff with online learning management courses. * Provides supervision to direct reports on an on-going basis to ensure compliance. * Assists with staff recruitment to ensure that adequate staffing is maintained. Operates within the staffing model. * Serves as a member of the Management Team and QAPI Team according to required timeframes and participates in annual strategic agency planning. * Acts as a liaison between staff, patients, the medical community, and upper management to ensure information is shared appropriately among the LHC team. * Conducts at least monthly meetings with the medical director. Approves medical director invoices and submits on a monthly basis to the Home Office with appropriate supporting documentation for timely payment. * Ensures that only qualified personnel are hired. Verifies licensure, certification, and credentialing as required by law and policy prior to employment and annually thereafter. On an on-going basis, ensures maintenance of records to support competency of all personnel. * Participates in the QAPI plans and processes. Ensures follow up on any required action plans. * Adheres to and supports the Episode Management Model within the provider via Episode Management supervision. * Reviews weekly Operations Spreadsheet, weekly Metrics Report, weekly Productivity Report, and agency financial statements to ensure the organization is on target with budgeted goals. Follows up, addresses issues, and implements action plans as appropriate to meet goals. * Assures compliance with and ensures timely follow up on daily external vendor clinical edits, outcome support, and coding edits. * Oversees weekly reports, including claims alert, late EMS, unverified services, and orders audit, to ensure timely and accurate billing and payroll. * All other duties as assigned. Education & Experience License Requirements * Current RN licensure in state of practice. Equal Opportunity Employer - vets, disability. LHC Group Maryville TN

Clinical Manager

Amedisys Home Health Services