Regional Director of Clinical Operations

2 weeks ago

Glen Carbon, Illinois, United States Professional Case Management Full time
Job Title: Regional Director of Clinical Operations

Professional Case Management is seeking a highly skilled and experienced Regional Director of Clinical Operations to join our team. As a key member of our leadership team, you will be responsible for leading the region's health services and clinical leaders, ensuring the delivery of high-quality care to our clients.

Key Responsibilities:
  • Lead and manage a team of Nurse Case Managers to ensure safe, effective, and appropriate home care services.
  • Oversee the management and fiscal affairs for the assigned region.
  • Coordinate and ensure performance improvement activities for assigned regions and participate in the performance improvement committee.
  • Recommend region-specific performance improvement activities based on review of occurrences and other performance indicators.
  • Report complaints and grievances, occurrences, and infections per Company policy.
  • Review and recommend changes to Company policies and procedures as needed.
  • Receive client referrals, determine services required, and ensure the Agency's ability to meet those requirements.
  • Assign appropriate clinical personnel to clients.
  • Meet with case managers/clinical personnel regularly to provide guidance, information, and education.
  • Provide direction to teams to ensure client needs are met and services are provided according to the plan of care.
  • Assure supplies and equipment are available and maintained in working order.
  • Assist clinical personnel in establishing priorities, setting goals, and evaluating progress toward goals.
  • Attend case conferences and other clinical meetings to facilitate coordination of care as indicated.
  • Collaborate with administration to establish departmental priorities and budgetary needs.
  • Keep local contracts current.
  • Review productivity of clinical personnel monthly.
  • Ensure 24-hour coverage by registered nurses and evaluate the quality of on-call services.
  • Develop working relationships with other healthcare professionals in the community to identify resources available and ensure access to client information.
  • Provide support and direction to clinical personnel, other healthcare professionals, contractors, volunteers, clients, and families related to appropriate and available healthcare resources.
  • Ensure accuracy, completeness, and timeliness of agency and clinical documentation in accordance with policies and procedures, regulatory requirements, and industry standards.
  • Monitor clinical records of open and closed cases regularly and participate in quarterly clinical record review.
  • Provide leadership to the team and support staff in identifying client needs and opportunities for quality improvement.
  • Assist with marketing, public relations, and discharge planning by participating in departmental meetings.
  • Assist performance improvement teams with data collection and other activities performed as part of the annual performance improvement plan.
  • Review data to ensure accuracy and consistency with requirements.
  • Communicate with clinicians and provide training as indicated to achieve compliance with collection and reporting timelines.
  • Assure personnel, contractors, and volunteers are currently credentialed by the state in which they work.
  • Identify and implement changes in clinical and/or operational practice based on the findings of the performance improvement program.
  • Assure current written policies and procedures are accessible to personnel, contractors, and volunteers during hours of operation.
  • Interpret and enforce human resource policies and procedures in a fair and consistent manner.
  • Assist in the development of personnel qualifications and screening and interviewing of new personnel.
  • Assist in the orientation of new personnel.
  • Conduct timely performance evaluations in accordance with policy.
  • Provide on-site supervision per policy and as needed to determine staff competency and respond to educational and developmental needs.
  • Follow guidelines for disciplinary actions, documenting such actions in accordance with policies and legal guidelines.
  • Monitor employee turnover, overtime, and absenteeism and take appropriate actions to address problems/issues.
  • Collaborate with human resources/staffing to ensure proper staffing of qualified, competent personnel.
  • Demonstrate knowledge of infection prevention and control practices by complying with policies and regulatory requirements.
  • Assess the safety of the environment and take the initiative to help prevent accidents and promote a safe environment.
  • Recognize and respond appropriately to potentially unsafe situations.
  • Designate in writing an alternate to act in their absence.
Requirements:
  • Graduate of a state-approved school of professional nursing.
  • Current unblemished and unrestricted license as a Registered Nurse in the state(s) of practice.
  • BSN or MSN preferred.
  • Minimum of five (5) years nursing experience, including home care or closely related service.
  • Minimum of three (3) years of management experience preferred.
  • One to two (1-2) years case management experience preferred.
  • Complies with accepted professional standards and practice.
  • Excellent communication (verbal and written), interpersonal, and leadership skills, and strong business acumen.
  • Demonstrates organizational, facilitative, and assertiveness skills, flexibility, and the ability to work effectively in teams.
  • Strong analytical skills and ability to summarize and present data and statistics.
  • Knowledge of home care federal and state regulations.
  • Knowledge of reimbursement sources and documentation requirements within home health care.
  • Current CPR certification.
  • Ability to travel.
  • Licensed driver with a clean driving record and insured in accordance with state and/or Agency requirements.

Professional Case Management offers a competitive salary range of $85,500 - $127,900 per year, depending on various factors, including primary work location, complexity and responsibility of role, job duties/requirements, and relevant experience, skills, and other market-based factors.

Available benefits include medical, dental, vision, 401(k), company-paid short-term disability, flexible spending account (FSA), health savings account (HSA), paid time off, and voluntary benefits.

Contact Sofia Weiner at x514 or at to learn more about our opportunities where you can make a difference in your own career.

Professional Case Management is an Equal Opportunity Employer.

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