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RN Clinical Manager

2 months ago


Hendersonville, Tennessee, United States SunCrest Home Health Full time
About the Role

We are seeking a highly skilled and experienced RN Clinical Manager to join our team at SunCrest Home Health. As a Clinical Manager, you will play a critical role in the supervision and coordination of clinical services, ensuring the delivery of high-quality care to our patients.

Key Responsibilities
  • Supervise and Coordinate Clinical Services: Oversee the overall supervision and coordination of clinical services, ensuring the continuity of high-quality care to home health patients.
  • Lead Interdisciplinary Teams: Coordinate and supervise an interdisciplinary team of staff to ensure the delivery of comprehensive care to patients.
  • Ensure Patient Needs are Met: Ensure patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance with physician orders.
  • Develop and Implement Patient Plans of Care: Oversee and assure development, implementation, and updates to the individualized patient plan of care, as appropriate.
  • Communicate with Healthcare Providers: Manage and document phone calls from physicians, clinicians, patients, referral sources, and communicate patient updates/new orders to clinicians.
  • Review and Evaluate Care: Review assessments and plans of care daily, per assigned workflow, and consult with clinicians with recommendations, as appropriate.
  • Coordinate Care with Other Disciplines: Coordinate all aspects of care with all disciplines, physicians, durable medical equipment providers, caregivers/family members, transferring facilities, and any other applicable healthcare providers.
  • Ensure Compliance with Regulations: Follows-up on lab and other clinical diagnostic test, physician contact, and significant changes in the patient condition to ensure adequate physician notification, follow-up, and needed plan of care modifications and communicates such to clinicians.
  • Facilitate Effective Communication: Schedules, prepares for, facilitates, and documents case conference/SOC reports and facilitates effective exchange of information across disciplines especially with adverse findings, changes in patient condition, daily and urgent updates, as necessary.
  • Assist with Patient Transfers: Assist clinicians in coordinating the transfer and discharge of patients from agency services as indicated by the physician.
  • Process and Document Orders: Receives report from field clinicians prior to scheduled days off on patient status and ongoing needs. Processes new orders and updates the visit frequency, as appropriate, when the oncall RN takes supplemental verbal orders which alter frequency going forward.
  • Review and Evaluate Clinician Visit Notes: Reviews clinician visit notes weekly to ensure timely, complete, appropriate, and accurate submission of all documentation by field staff. Takes necessary action to correct adverse findings and communicates trending to clinical director.
  • Ensure Quality and Utilization of Services: Reviews, evaluates, and supervises service delivery to ensure appropriateness of care and utilization of services, equipment, and supplies through activities such as random patient visits, medical record reviews and case conferences.
  • Enter Incidents and Infections: Enters infections and incidents/occurrences into the online Risk Management Incident Reporting System, as specified by policy.
  • Provide Leadership and Direction: Provides direction and leadership to clinical team members in collaboration with the clinical director.
  • Participate in Quality Assurance and Performance Improvement: Participates in QAPI program.
  • Ensure Compliance with Clinical and Coding Edits: Assures compliance with and ensures timely follow-up on daily clinical and coding edits.
  • Direct Clinicians in Best Practice Interventions: Directs clinicians in utilizing best practice interventions when finalizing Plan of Care for all patients.
  • Participate in On-Call Rotation: Participates in on-call rotation.
  • Follow-up on On-Call Events: Follows-up with On-Call events daily.
  • Receive Report from Weekend and After-Hours Clinicians: Receives report from weekend and after-hours clinicians admitting new patients.
  • Complete Required Learning Courses: Completes LHC required learning courses, additional assignments per Executive Director request, as well as any state specific required training per state regulation/practice act requirements.
  • Direct Team in Adherence to Episode Management Process: Directs team in adherence to and participates in the Episode Management process.
Requirements
  • Current RN Licensure: Current RN licensure in state of practice
  • CPR Certification: Current CPR certification required
  • Driver's License and Vehicle Insurance: Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation
State Specific Requirements
  • AR, LA, MD, MO, NC, NY, OH, PA, TN, VA: No additional requirements.
Skill Requirements
  • Knowledge of Home Care Regulations: Knowledge of home care regulations and regulatory requirements is preferred.