Clinical Case Manager

4 weeks ago

Sioux Falls, United States Lucas James Talent Partners Full time

Clincial Manager-Universal Pediatrics



JOB SUMMARY:

Must be self-directed with an elevated level of accountability and minimal supervision. This

position is responsible for the supervision of their direct reports (field staff); ongoing monitoring of the continuous quality improvement process; ongoing implementation of policies, procedures, and

regulations; orientation and education of employees for continuous professional growth and retention.


ESSENTIAL FUNCTIONS:

• Responsible for orienting direct reports who provide direct client care to ensure staff is

competent in following the Plan of Care and providing continuous cares. Provide any additional

training, as needed.

• Coach, develop, and evaluate direct reports.

• Responsible for the overall supervision and management of direct reports including, but not

limited to distribution of workload and duties, performance management, professional

development, monitoring responsibilities and deadlines, conducting one-on-ones, and providing

conflict resolution when needed.

• Responsible for being familiar with Agency policies and procedures, federal, state, and local

laws, and regulations, and accepted professional standards and principles.

• Interpret and transmit policies and procedures of the Agency to direct reports.

• Coordinate cares with members of the interdisciplinary team as directed by the Administrator

including the client, family members, nursing staff, attending providers, and other care

providers.

• Facilitate coordination of initial staffing as directed by the Administrator and Corporate Clinical

Team, to ensure the safety and security of the client.

• Support office goals and objectives which are consistent with those of the Agency.

• Under the direction of the Administrator develop, implement, and maintain integrated Plans of

Care upon admission and throughout the duration of the service period according to State and Federal

guidelines and company policy.

• Participate in monitoring and discussion of staffing needs to ensure optimal staff coverage in

accordance with the Plan of Care (POC).

• Assist in the interviewing process of new employees and make recommendations for

employment of individuals.

• Provide 90-day and annual performance evaluations on time and no later than

required by company policy, federal, state, or local laws.

• Monitor the quality of care, client/family/client representative(s) (if any), satisfaction, and

compliance with the Agency’s policy and procedures.

• Ensure proper maintenance of clinical records in compliance with local, state, and federal laws.

• Monitor QAPI process and implement actions to ensure delivery of quality care.

• Communicate any policy changes and/or updates to ensure that all Agency policies and

procedures are implemented as written.

• Advocate for client needs with providers, payers, DME vendors, and others as needed.


GENERAL FUNCTIONS:

• Participate in team meetings, Agency committees, goal initiatives, and other meetings or

projects as directed.

• Participate in the after-hours on-call rotation.

• Serve as a CPR instructor and conduct CPR classes or checkoffs as needed or directed.

• Network within the community to market the services the Agency provides.

• Perform other duties and projects as requested.


EXPERIENCE AND EDUCATION:

• Graduate of an accredited school of nursing, BSN or equivalent preferred.

• Minimum of two years clinical experience in home health with one year supervisory experience

as a RN.

• Minimum of two years of pediatric experience and one year of supervisory experience preferred.

• Electronic Medical Record (EMR) experience is a plus.


KNOWLEDGE, SKILLS, AND ABILITIES:

• Ability to remain neutral in situations and maintain a high degree of confidentiality.

• Strong ability to manage multiple tasks and process information from multiple sources.

• Ability to work and communicate professionally with clients, peers, coworkers, vendors, etc.

• Ability to work and communicate with team members and corporate team members.

• Ability to work well in high-pressure situations.

• Role models exemplary customer service skills and creates a welcoming environment for all

team members.

• Role models Universal Pediatrics’ values.

• Champion Universal Pediatrics to promote workplace culture, community involvement, and

other benefits of being a part of Universal Pediatrics.

• Ability to pivot tasks or duties on short notice based on business needs.

• Strong organization, time management, and influential skills.

• Advanced computer skills required, including MS Office products.

• Ability to lift, carry, push, or pull up to approximately 20 pounds on daily basis and up to 50

pounds on occasion.

• Ability to travel, including overnights, across the state of Iowa with occasional overnight travel

to South Dakota.


LISCENSURE AND CERTIFICATION:

• Licensed as an RN without restrictions in state(s) of practice.

• CPR certification is required but may be obtained within 30-days of hire.

• Valid driver’s license, with a good driving history.

• Proof of auto liability insurance coverage.


WORKING ENVIRONMENT:

• Personal office setting.

• Multiple monitors.

• Stand-up desk available.

• Frequent phone usage.

• May experience frequent interruptions.

• Adequate lighting for workspace, clean environment, and moderate noise levels.

• Travel details:

o Duration of travel may be up to six hours one-way.

o Company car provided for travel.

o Company credit card for travel and marketing use.

o Travel arrangements booked through the Corporate Office Manager.

o Per diem rate for food and beverage for overnight or extended day travel.

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