RN Clinical Manager - Home Health

LHC Group North Andover , MA 01845

Posted 2 months ago

Overview

RN Clinical Manager - Home Health

The RN Clinical Supervisor ensures the overall coordination of home health services to all clients is delivered according to acceptable standards of practice. The CFSS contributes to the overall company success by effectively facilitating the relationship between referral sources, patients, caregivers and employees.

Caretenders is a proud member of LHC Group, 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.

Additional Details

Clinical

  • Responsible for Referral Intake and Management to ensure that clients receive assessment visits and that these visits are scheduled and performed timely per Branch policy.

  • Leads weekly Case Conference and addresses recert/discharge decisions based on Case Conference findings. Reviews and approves Case Conference Coordination notes submitted by case managers and attaches to Episode Detail Report. Enters Case Conference coordination notes within 48 hours of the Case Conference meeting. Contacts physicians to obtain orders for continued service provision or add-on services.

  • Reviews orders as they appear on the action screen. Approves or declines as appropriate. Follows up with Licensed Professional as necessary when editing an order.

  • Enters and approves all orders for tracking purposes and routes to Medical Records to be sent for physician signature. Ensures any corrections are made by the Licensed Professional who wrote the order prior to approving the order. Updates the client's medication profile and schedule as applicable; via the order. Ensures all orders that address frequency have appropriate calendar modification completed.

  • Ensures that there are existing orders for requested medical supplies.

  • Follows up on orders from the Order Tracking Report when the MRS is unable to retrieve the unsigned order.

  • Enters detailed Non-Admit information into HCHB in Coordination Notes if no visit was made. Ensures the Branch Director approved the non-admission.

  • Reviews and processes vital sign alert reports. Documents action, any follow-up and physician notification.

  • Reviews and processes all wound score deviations documenting any action and/or follow-up.

  • May be required to perform patient visits.

  • May be required to participate in on-call rotation.

Administrative

  • Reviews and follows up on entitlement verification issues. Documents action in Coordination notes.

  • Reviews On-Call coordination notes reports every Monday.

  • Follows up on identified deficiencies related to the billing claims audit within 24 hours following receipt of the Billing Claims Held Reports.

  • Runs the notification of medication interactions report and submit weekly to physicians.

  • Acts as a backup for the Patient Services Coordinator in rescheduling missed and declined visits and processing reassigned and reschedule requests to ensure timely completion of these tasks.

  • Functions as staff nurse PRN.

  • Adheres to and participates in the Branch's mandatory HIPAA / Privacy Program and Employee Compliance Program.

  • Reads and adheres to Branch policies and procedures and follows Employee Handbook guidelines.

  • Responsible for onboarding of new employees ensuring their competencies are checked off.

  • Completes all other duties as assigned.

Qualifications

  • Must be a graduate of an accredited school of nursing.

  • Must be licensed as a Registered Nurse in the state of practice. Bachelor's Degree preferred.

  • Home care management experience required.

  • Must have a minimum of two years nursing experience within the previous 36 months.

  • Knowledge of the Medicare guidelines governing home health and hospice agencies preferred.

  • Must have at least one year of supervisory experience.

  • Must have exceptional customer service skills and be able to communicate well with referral sources, patients, family members, and branch employees.

  • Must have/maintain a valid driver's license and auto liability insurance.

  • Must be flexible with work schedule.

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RN Clinical Manager - Home Health

LHC Group