Clinical Manager
7 days ago
Leadership Functions:
Leadership Function: Actively engages with other Leadership Team members and Interdepartmental groups by providing support and accountability for the delivery of quality services to residents, families and caregivers throughout the organization.
Provides effective leadership, management and direction of the Personal Care unit in a manner that supports the White Horse Village Mission, Vision, Values and Health Care Philosophy.
Provides positive feedback to team members for the provision of quality resident care and job performance.
Motivates team members by creating an atmosphere conductive to learning, achieving excellence, and achieving satisfaction in accomplishment.
Coordinates resident care activities between other departments.
Assist in survey preparation and participates in survey process for the Department of Human Services (DHS) and other inspections performed by regulatory agencies.
Identifies teaching needs of team members, residents and families.
Collaborates with the Director of Personal Care and Staff Educator/Education Manager for the planning and implementation of continuing education programs.
Coordinates care planning conferences by ensuring timely completion of assessments and support plans per policy and regulation. Educate team members on the contents of the support plans, and ensures interventions are carried out as planned.
Assist the Director of Personal Care with conducting team member meetings regularly, and as needed.
Assist the Resident Assessment Committee in determining the appropriate level of care by providing pertinent resident information.
Acts as a role model and resource for team members.
Works well with team members and provides assistance as needed.
Participates in projects as requested
Responsible for or may assist Director of Personal Care as needed with payroll, scheduling of employees, and evaluations of Nurses and Certified Nursing Assistants.
Provides direction and leadership in Quality of Life Meetings.
Resident Care Function:
Clinical oversight of resident assessments, develops and implements service plans and communicates these outcomes with resident and/or family members as required by DHS.
Ensures the psychosocial and spiritual needs of residents are met through structured and unstructured leisure programming provided by the nursing team in accordance with the residents' support plan.
Demonstrates and assures team members use appropriate infection control practices when providing resident care.
Institutes appropriate emergency interventions as needed.
Completes audits and observations to ensure compliance with infection control and other resident care regulations.
Conduct regular audits of medication records, medication storage areas and medication administration records.
Documentation Functions:
Coordinates resident assessments with social worker, the Admissions department, and the administrative team to provide follow through with admissions paperwork and to ensure that all admissions documentation is completed. Oversight of Nurses with admissions process.
Provides all annual required documentation including, but not limited to, the resident's initial assessment, support plan, med evaluation and Self-Medication Administration assessments.
Monitors documentation of resident care and services for accuracy, content, timeliness, and clinical pertinence.
Updates resident support plans as appropriate.
Assist with new resident orientation, review resident handbook, and tour of facility.
Reviews all incident/accident reports for completeness before they are given to the Director of Personal Care. Reviews interventions/findings with team members and ensures completion of documentation.
Quality Improvement Functions:
Continuously assesses and improves the performance of outcomes of care and services provided by the nursing units.
Identifies residents at risk for falls, pressure ulcers, incontinence, aspiration pneumonia and implements preventative measures.
Monitors care to assure the provision of the highest possible quality of care in order to promote, maintain, and restore the wellness of the individual. Monitors resident care to assure the care being provided assists the resident to be as independent as possible.
Acts as an advocate for the resident.
Reports all complaints voiced by residents. Provides written responses to concerns of residents and/or family members in accordance with facility policy.
Collects statistical data to aid in the determination of nursing care needs.
Develops positive relationships with resident's family members/significant others.
Offers suggestions to improve resident care and facility practices at care plan and team meetings.
Performs quality improvement audits of clinical records and areas cited in the DHS violation reports to ensure compliance with the plan of correction.
-
RN Clinical Manager, Hospice
2 days ago
Newtown Square, PA, United States BAYADA Home Health Care Full timeBAYADA is seeking a full time Clinical Nurse Manager (RN required) to join our our Newtown Square, PA Home Hospice office . In this role, you will lead care teams committed to delivering the finest hospice services in the country. You will share your vision by leading a hospice interdisciplinary team and ensuring excellent clinical and social care. You will...
-
RN Clinical Manager, Hospice
1 week ago
Newtown Square, PA, United States BAYADA Home Health Care Full timeBAYADA is seeking a full time Clinical Nurse Manager (RN required) to join our our Newtown Square, PA Home Hospice office . In this role, you will lead care teams committed to delivering the finest hospice services in the country. You will share your vision by leading a hospice interdisciplinary team and ensuring excellent clinical and social care. You will...
-
RN Clinical Manager, Hospice
1 week ago
Newtown Square, PA, United States BAYADA Home Health Care Full timeBAYADA is seeking a full time Clinical Nurse Manager (RN required) to join our our Newtown Square, PA Home Hospice office . In this role, you will lead care teams committed to delivering the finest hospice services in the country. You will share your vision by leading a hospice interdisciplinary team and ensuring excellent clinical and social care. You will...
-
RN Clinical Manager, Hospice
6 days ago
Newtown Square, PA, United States BAYADA Home Health Care Full timeBAYADA is seeking a full time Clinical Nurse Manager (RN required) to join our our Newtown Square, PA Home Hospice office . In this role, you will lead care teams committed to delivering the finest hospice services in the country. You will share your vision by leading a hospice interdisciplinary team and ensuring excellent clinical and social care. You will...
-
Utilization Management Reviewer
2 weeks ago
Newtown Square, PA, United States AmeriHealth Caritas Full timeRole Overview Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical guidelines, regulatory requirements, and patient needs. This role requires reviewing provider requests, gathering necessary medical documentation, and making...
-
Utilization Management Reviewer
1 week ago
Newtown Square, PA, United States AmeriHealth Caritas Full timeRole Overview Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical guidelines, regulatory requirements, and patient needs. This role requires reviewing provider requests, gathering necessary medical documentation, and making...
-
Utilization Management Reviewer
6 days ago
Newtown Square, PA, United States AmeriHealth Caritas Full timeRole Overview Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical guidelines, regulatory requirements, and patient needs. This role requires reviewing provider requests, gathering necessary medical documentation, and making...
-
Utilization Management Transplant Reviewer
2 weeks ago
Newtown Square, PA, United States AmeriHealth Caritas Full time; Role Overview Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical guidelines, regulatory requirements, and patient needs. This role requires reviewing provider requests, gathering necessary medical documentation,...
-
Utilization Management Transplant Reviewer
2 weeks ago
Newtown Square, PA, United States AmeriHealth Caritas Full time; Role Overview Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical guidelines, regulatory requirements, and patient needs. This role requires reviewing provider requests, gathering necessary medical documentation,...
-
Supervisor Utilization Management Review
2 weeks ago
Newtown Square, PA, United States AmeriHealth Caritas Full timeRole Overview The Utilization Management Review Supervisor manages a remote team of clinical reviewers who process prior authorization requests for Community HealthChoices (CHC) and home modifications. CHC is a Medicaid managed care program in Pennsylvania for individuals who are eligible for both Medicare and Medicaid (dual eligibles) and people with...