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Director Medical Staff Services
4 months ago
Serves as Chief Clinical lead of the Home Care Agency, required to have expert knowledge in Hospice or Home Health delivery systems. Assists an Area Administrator of Home Health/Hospice in planning, developing, managing, delivering, evaluating/improving nursing and other direct patient care treatment/clinical services provided in the home setting by a multi-disciplinary professional staff. Accountable to the Region and assigned service area for delivery of Home Health, Hospice and Home Palliative Care program(s) and service(s) to patient population.Coordinates and supervises the delivery of home care services, activities and patient care provided by an interdisciplinary staff/team in the home setting.
Ensures practices, services and operating procedures comply with administrative, legal and regulatory requirements of the Health Plan and governmental and accrediting agencies
Ensures that quality, utilization, access, clinical care and financial standards/goals are achieved or exceeded. Integrates patient care services with departmental, service line and organizational/strategic goals and objectives.
Participates and assures the development of quality and performance criteria, policies procedures and service standards. Monitors implementation and utilization for performance, tracking and trending.
Staff may include RNs, PHNs, LVNs Social Workers, Physical/Occupational Therapists, Physical Therapy Assistants, Certified Occupational Therapy Assistants, Speech Language Pathologists, Home Health and Hospice Aides, Chaplains and Volunteers.
Monitors and facilitates workflow, maximizing utilization of resources to provide the highest quality of care.
Manages staff, provides clinical supervision/leadership and implements, delivers and evaluates/improves assigned programs and services.
Ensures compliance in meeting all regulations and standards related to home health, Medicare, TJC, Title 22, and other federal, state, and local requirements.
Ensures agency follows the change management process for implementation and development of new forms, policies and procedures.
Ensures accuracy and completeness of patient records, including ensuring staff meet documentation standards through orientation, training and review
Identifies service delivery/quality issues and assures that corrective actions/service recovery plans for improvement are adjusted, implemented, sustained, and revised as needed.
Determines the appropriate staffing requirements and develops processes to interview, hire, train and maintain the competency of all department staff.
Assesses professional development needs of staff and plans for training/continuing education of professional staff.
Displays competency in navigating contracts and working in a Labor/Management Partnership environment.
Determines the appropriate staffing requirements and develops processes to interview, hire, train and maintain the competency of all department staff.
Must be able to Interpret and explain the program benefits to all customers, including physicians, staff, members and caregivers
Establishes, implements, and maintains patient care and service standards to meet member service needs and expectations.
Acts as a liaison and provide resources to ensure monitoring, consultative expertise, orientation and continuing education to contract agencies.
Establishes, implements, and maintains patient care and service standards to meet member service needs and expectations.
Acts as patient advocate resolving patient care issues.
Participates and/or leads special projects and committees.
Attends and/or conducts meetings, committees in the department and medical center(s).
In collaboration with the Area Home Care Administrator, Continuing Care Leaders and other appropriate medical and non-medical staff, evaluates clinical outcomes and performance of programs/services and makes appropriate recommendations for new modalities/programs or modification/improvement of existing programs.
Conducts a quality management/improvement/assurance program to ensure compliance with standards for home health services/programs and external regulatory agency requirements.
In collaboration with the Area Home Health/ Home health Administrator, Continuing Care Leaders and other appropriate medical and non-medical staff, evaluates clinical outcomes and performance of programs/services and makes appropriate recommendations for new modalities/programs or modification/improvement of existing programs.
Minimum three (3) years of supervisory/management experience required in a licensed Medicare certified home health or Hospice agency within the last seven (7) years or minimum five (5) years of home care consulting, accreditation supervisory/management experience in an inpatient, outpatient or chief nurse role.
Bachelors degree in nursing or other health care related field.
License, Certification, Registration
~ Must have the aptitude and ability to learn and demonstrate ability to lead any Home Care service line (e.g. Home Health, Hospice, Home Palliative, Shift Care) and obtain additional experience within one year of employment.
OASIS certification of home health or hospice or administrative certification, same subject.
Ability to demonstrate knowledge of and to apply state and federal regulations including The Joint Commission standards and requirements regarding Home Care operations and services to include Home Health, Hospice and Palliative Care.
