Clinical Operations Manager

2 days ago

Kennesaw, Georgia, United States CenterWell Home Health Full time
Job Summary

We are seeking a highly skilled Clinical Manager to join our team at CenterWell Home Health. As a Clinical Manager, you will be responsible for coordinating and overseeing all direct care patient services provided by clinical personnel. This is a challenging and rewarding role that requires strong leadership and clinical skills.

Key Responsibilities
  • Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed.
  • Conducts/delegates the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to Company, physician, and/or health facility procedures/policies.
  • Manages the assignment of caregivers and oversees the delivery of care to all patients served by the location.
  • Reviews available patient information related to the case, including disciplines required, to determine home health or hospice needs.
  • Instructs and guides clinicians to promote more effective performance and delivery of quality home care services.
  • Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing patient Plan of Care (POC).
  • Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers.
  • Ensures final audits/billing are completed timely and in compliance with Medicare regulations.
  • Coordinates communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning.
  • Carries out supervisory responsibilities in accordance with Company policies and procedures.
  • Handles necessary employee corrective action and discipline issues fairly and objectively, in consultation with the Human Resources Department and the Executive Director/Director of Operations.
  • Participates in the interviewing, hiring, training, and development of direct care clinicians.
  • Evaluates their performance relative to job goals and requirements.
  • Coaches staff and recommends in-service education programs, when needed.
  • Ensures adherence to internal policies and standards.
  • Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff.
  • Creates and conducts regular staff education as needed.
  • Analyzes situations, identifies problems, identifies and evaluates alternative courses of action through the utilization of Performance Improvement principles.
  • Responsible for review of the appropriate number of Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications, for appropriateness of care, delivery, and documentation requirements.
  • Works with Utilization Review staff relative to data tracking for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process.
Requirements
  • Graduate of an accredited School of Nursing.
  • Two years as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent environment.
What We Offer

At CenterWell Home Health, we offer a competitive benefits package that includes medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

We are an equal opportunity employer and welcome applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity, equity, and inclusion.

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