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Clinical Manager

2 months ago

Saginaw MI United States The Care Team Home Health & Hospice Full time
The Care Team The care you deserve and the support you need.

Come join our growing team The Care Team Home Health is looking for a Full-Time Clinical Manager in Saginaw, MI. We specialize in providing Home Care in the home and facilities. If you are looking for a new and exciting opportunity, we encourage you to apply today. A member of the recruiting team will be in contact with you to discuss this opportunity in more detail. At the Care Team we offer:

Engaging Company Culture
Competitive Compensation and Excellent Benefits
Growth from within through training, supportive leadership, and collaboration with the best of the best in your field
Independence, Autonomy, and Flexibility
Innovation and industry-leading systems and technology

As a member of The Care Team, you will enjoy a wealth of great benefit choices including:

A full benefits package including Health, dental, and vision
401k with company match
Generous Paid Time Off
Paid Holidays
Flexible spending
Company Paid and optional Life and Long-Term Disability, Short Term Disability
Accident Coverage

KEY JOB RESPONSIBILITIES: The Clinical Manager ensures that the overall coordination of home health and/or hospice services provided to the patient is delivered according to acceptable standards of practice and all company procedures. This position reviews and approves patient information submitted by the licensed professional (LP). This position assists with patient care review meetings (Case Conference and Interdisciplinary Team (IDT , the review and approval of orders, and provides oversight of patient care. The Clinical manager is responsible for assisting the branch director with day-to-day office and staff management related to patient care. This position assists the branch leadership with ongoing education and training of all branch clinicians to ensure understanding of documentation requirements to meet regulatory standards. The Clinical Manager facilitates the relationship between physicians, referral sources, patients, caregivers, and employees.

Additionally, the Clinical Manager will:

Review on-call coordination notes reports daily.
Communicate with patients and their families to introduce TCT, discuss services to be rendered, and inform them of the potential start of care visit date: follow back up with the sales team member, as needed.
Provide educational material for family and staff on medical diagnoses, provision of care, and psychosocial aspects of chronic illness and disability, and end of life care.
Assist with maintaining provider requirements; work with providers, sales, and clinical staff to resolved issues, as appropriate.
Process workflow, coordination notes, and administrative tasks timely.
Back up the intake coordinator to receive and enter referrals from payors, physicians, facilities, and staff; clearly identify who obtained the referral.
Attach referral paperwork to medical record timely, as needed.
Communicate acceptance of referrals clearly with referral sources, as needed.
Back up the Patient Service Coordinator (PSC) to reschedule missed and declined visits, and process reassigned and rescheduled requests to ensure timely completion.
Review patient schedules and approve schedule changes to ensure clinical skills of assigned staff meet patient requirements.
Follow up on orders, as needed, when medical records is unable to retrieve the unsigned order.
Remain up to date on internal information announcements and ensure TCT policies and procedures, critical pathways, standards of care, and practice guidelines are met.
Provide orientation and in-service training to field and office staff to meet patient needs, particularly with documentation standards, track and document education appropriately.
Assist the Branch Director and administrator during any survey, as directed.
Attend and participate in staff meetings and in-services.
Attend and participate in community education functions.
Address action items and rocks to ensure that TCT is able to accomplish their important goals.
Participate in administrative on-call; support the on-call nurse and provide software management related to processing intake and crucial workflow during off hours.
Conduct continuous quality assessment and performance improvement activities, as assigned.
Complete onsite supervisory visits, as assigned.
Assist with the day-to-day supervisor of branch clinical operations.
May assume a position of leadership when the branch director is out of the office; perform supervisory tasks, such as evaluations and counseling, or make hiring and termination recommendations for branch and field staff, as requested.
Responsible for the referral intake and management process to ensure patients receive assessment visits, scheduled and performed timely by TCT policy.
Assist branch director with patient review meetings (case conference and IDT); address care decisions based on review.
Review and approve patient care assessment coordination notes submitted by case managers and attach to episode detail report. Contact physicians to obtain orders for continued service provision or add on services, as needed.
Review and approve all patient information submitted by the licensed professional (LP).
Review orders as written by clinicians; approve or decline as appropriate. Follow up with licensed professional (LP), as necessary, when editing and order.
Ensure all orders are complete, including frequency, and that any corrections are made by the licensed professional who wrote the order, prior to approving the order; complete any follow up tasks as deemed necessary, by order.
Enter and approve all orders; route to medical records to be sent for physician signature.
Ensure that there are existing orders for requested medical supplies.
Enter detailed non-admit information into patient record in coordination notes if no visit was made; ensure the branch director is informed approve the non-admission.
Review and process all wound score deviations, documenting any action and follow up.
Review and process vital sign alert reports; document follow-up action and physician notification.
Receive lab reports and assess for normality; fax lab report to the physician with signature indicating review. Scan both the reviewed labs and the fax confirmation page (showing it was sent to physician) to medical records for uploading into the patient chart.
Initiate employee and patient infection reports, as necessary.
Complete review of evaluation documentation and plans of care (POC). Review the data submitted to ensure accuracy with the POC; follow up on any documentation that requires correction.
Process POC and verify the correct start of care date.
Review comprehensive assessments that cannot be processed due to licensed professional documentation deficiencies; follow up appropriately.
Perform and maintain ongoing chart audits according to standard operating procedure.
Assist with hospice item set data, as requested; review every error message and to seek guidance from the branch director prior to locking.
May perform all duties and visit expectations of a licensed professional, as needed.
May participate in on-call rotation, as needed.
Any additional duties assigned by supervisor.

Previous experience performing or reviewing OASIS, or similar role, is highly preferred.
Previous experience in Home Care Home Base (HCHB) is preferred. Advance computer skills are preferred.
Must be organized, detail oriented, and able to manage multiple projects simultaneously.
Must be able to work independently with minimal supervision and possess the ability to communicate effectively, both in orally and in writing.
Must be a self-starter with the ability to work effectively independently and as a team.
Must possess a high standard of professional ethics.
Must possess a passion for helping patients.
Must have strong ability to maintain a professional and friendly demeanor in a high stress environment with a broad range of individuals and demonstrate a service-oriented attitude.
Must understand the issues related to the delivery of home health care and be able to problem-solve effectively.
Must comply with accepted professional standards and practices.
Maintains the agencys mission, philosophy, and core values.
Ensures compliance with agency policies and procedures regarding operations/processes, including but not limited to those regarding patient care, patient complaints, incidents, safety and emergency management.
Ensures compliance with policies and procedures regarding infection prevention, control, standard precautions, and infection identification reporting.
Always maintains patient confidentiality, including all HIPAA regulations.
Attends QAPI and management meetings, as appropriate.

Education:

Graduate of an accredited School of Nursing.
Bachelors Degree in Nursing preferred.
Two years as a Registered Nurse with at least one-year management experience in a home care, hospice or equivalent environment required.

Regulatory requirements:

Must be licensed as a registered nurse (RN) in the state where they currently practice, or in accordance with the board of nursing rules for nurse licensure compact for the state where they currently practice.
Must pass a criminal background check & MVR check.
Completed health statement acknowledging ability to perform the duties of the position.
Valid state drivers license.
Must maintain automobile liability insurance as required by law.
TB testing per agency policy; (1 or 2 step TB skin test within 12 months of hire & annual TB symptom screening thereafter).