Bilingual Clinical Case Manager
3 weeks ago
Reports directly to the Director of Clinical Services and is responsible for the care coordination of the Spanish-speaking clinical population. Responsible for meeting potential clients and assessing whether they qualify for private duty nursing or CNA services. Responsible for admissions and recertification assessments, including supporting documentation, as assigned. The Bilingual Clinical Case Manager is responsible for care coordination of clinical staff and patient/family clientele among the Spanish-speaking population. Furthermore, the individual will participate in program development and implementation, as well as collaborate with Client Service Managers or the Community Liaison to acquire/develop new relationships with clientele.
Duties and Responsibilities
Acts as a first-line manager for designated staff and assures coordination of new referrals and patient care including overseeing the development, implementation, and updates of the individualized plan of care.
Day-to-day management of provider issues and care delivery.
Contributes to improving quality and consistency of patient care & experience.
Evaluate quality of care, patient satisfaction, and compliance, and oversee both patient and personnel assignments.
Reviews, implements and interprets clinical policies and procedures as directed by DOCS.
Serves as a clinical lead at relevant clinical and departmental meetings.
Enforces and demonstrates compliance with all State and Federal regulations.
Supports and executes the mission, ethics, and goals of the company effectively.Represents themselves in a positive and professional manner in the company and community.
Adheres to dress code with a clean and neat professional appearance.
Reports as scheduled to complete work within the designated time.
Adheres to all company policies and procedures outlined in the Employee Handbook, Employee Agreement, or communicated from Human Resources.
Aid in terminations, coaching, education, and counseling of field staff.
Other duties as assigned:
Ensures supervision of all home care personnel, as assigned.
Enforces/ demonstrates compliance with State/ Federal regulations.
Ensures effective communication to coordinate the implementation of each patient’s Plan of Care.
Instruct, train and re-educate on clinical skills/procedures when necessary.
Responsible for direct supervision of field LVNs/LPNs/RNs per State guidelines.
Provides support, guidance, and education to patients/patient families and or caregivers to maintain optimal physical and emotional well-being.
Communicate all occurrences and other pertinent information to the Clinical Supervisor/Director of Clinical Services.
Ensures any observed or suspected child/adult abuse, neglect, or exploitation is reported to proper authorities as mandated by a health professional.
Collaborates with Clinical Supervisor and Director of Clinical Services to resolve client/clinical concerns in a timely manner.
Participates in agency-sponsored continuing education in-services and conferences to maintain own clinical competency.
Develop and implement the treatment plan for each patient under the direction of the physician.
Completes all clinical documentation in a timely manner, including admissions, recertifications, and resumptions of care, accurately and ensures that documentation meets all requirements per agency policies and State regulations.
Review clinical documentation to ensure it is complete and reflects skilled services to meet payer source requirements for reimbursement.
Interviews and evaluates potential clinical field staff to ensure competency to promote appropriate/safe patient care.
Complies and participates in the continuing quality improvement by appropriately reporting of incidents, injuries, infections, and all components of the risk management program.
Runs clinical meet and greets for potential Spanish-speaking PDN and HHA families.
Clinical Manager Oversight
Coordinating patient care
Coordinating referrals
Assuring that patient needs are continually assessed
Assuring the development, implementation, and updates of the individualized plan of care
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