Clinical Manager Registered Nurse

1 month ago

New Haven, United States New Haven BH Rescare Full time

Total Care is hiring a dynamic, detail-oriented full time salaried Registered Nurse- Patient Care Manager/Clinical Manager Our office is located directly off Route 15 in Hamden with free covered parking. GREAT opportunity to grow your RN career

  • 1:1 Patient Care
  • Flexible Schedule
  • Great Benefits
  • Weekly Pay

At Total Care Home Care, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve-it truly is all about helping people. You can find a home for your career here.

The Clinical Manager is responsible for the coordination of high quality, cost-effective patient care. This position is responsible for the operations and operational flow of the agency including performance of and/or oversight of crucial activities including scheduling, staffing, intake, physician communications, billing and reimbursement process, and overall compliance.

  • Understands the criteria for acceptance of patient and reimbursement mechanisms as they relate to the delivery of services to patients. Collaborates with the Agency Director regarding referral acceptance, assists in determining qualification and appropriateness for home care services and establishment of frequencies and utilization for new admissions.
  • Works closely with the Agency Director regarding coverage, plan of care, and other reimbursement concerns on both an individual and an agency perspective.
  • Schedules initial assessments. Ensures that documentation of initial assessments is complete and meets established processing time frames.
  • Works closely with Case Coordinators to provide appropriate and adequate staffing.
  • Monitors patient utilization to ensure compliance with physician orders, agency, and funded program guidelines. Investigates all unfilled shifts and takes appropriate actions.
  • Implements and approves changes to the patient's plan of care when needed, in consultation with Case Managers and/or direct care staff. Approves all verbal order and initials form to signify approval. Makes changes to the POC calendar and adds medications and treatments to the POC as appropriate and ordered.
  • Performs routine and supervisory visits in the field as needed and as dictated per the state requirements.

License Requirements

  • Must be a Registered Nurse licensed in the state of practice.
  • Minimum of 1 year of Home Care related experience preferred. Supervisory or management experience preferred.

State Specific Requirements

  • CT: Must be a registered nurse with an active license to practice nursing in this state and shall have one of the following: (1) A baccalaureate degree in nursing and at least two (2) years of full-time clinical experience within the past five (5) years in a home health care agency or related health care facility program which included care of the sick; or (2) An associate degree in nursing and at least three (3) years of full-time clinical experience in nursing within the past five (5) years, at least two (2) of which were in a home health care agency or related health care facility/program which included care of the sick; or (3) A diploma in nursing and at least three (3) years of full-time clinical experience in nursing within the past five (5) years, at least two (2) of which were in a home health care agency or related health care facility/program which included care of the sick

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