Description

The Clinical Manager is responsible for ensuring that patient care is coordinated and managed appropriately as well as the supervision of the clinical team.  The Clinical Manager ensures that all home health services to newly admitted and active Home Health patients are in accordance with state regulations and as required by the Medicare Conditions of Participation. The Clinical Manager is responsible for collaborating effectively with the other team members and nursing staff to ensure optimal coordination of care for all active Home Health cases.  The Clinical Manager assists in designing and implementing measurements to monitor and improve processes for effectiveness and quality. The Clinical Manager respects and promotes the mission, vision, and values of VNA Health.

Essential Job DUTIES AND Responsibilities

Oversees Provision of an Interdisciplinary Team

1.     Reviews referral and available patient information related to case, including disciplines required, to determine home health needs. Responsible for making patient and personnel assignments and collaborates with scheduling to assign appropriate clinicians to each case.

2.     Responsible for coordinating patient care. Reviews and evaluates each case by reviewing the services provided by clinicians,  instructs and guides clinicians to promote more effective performance and delivery of quality home health services, and is available at all times during operating hours to assist clinicians as appropriate.

3.     Monitors nursing and rehabilitation team schedules, patient care, patient outcomes, patient needs, producing desired outcomes, and interdisciplinary care. Responsible for compliance to frequency and duration and treatment orders on patient care plan or per MD orders.

4.     Monitors the order process to validate timely printing of all physician orders.

5.     Monitors daily, weekly and monthly reports for department efficiency, compliance and quality of care. Works with agency Director to achieve pillar goals.

6.     Meets with team members for weekly ‘one on one’ case management review and updates. Responsible to run NetSmart Assignment Report and SHP report for each review.

7.     Monitors and report lab values for team patients including notification to physician and case manager. Will document findings/actions in patient clinical record.

8.     Responsible for start of care review, 485 review and printing, resumption of care, transfer and discharge review for assigned team.

9.     Responsible for establishing the work flow and monitoring process for agency telehealth patients including interpretation of telehealth transmission and patient follow up as needed.

10.  Maintains procedures, protocols, processes and communication that facilitates team collaboration, effectiveness of nursing practice, and adherence to standards of practice.  Researches “best practices” to assure most current nursing practice is promoted for optimum patient outcomes.

11.  Responsible for resolving patient and physician complaints.

12.  Knowledgeable of state, federal, local, rules and regulations; Title XXII standards and accreditation regulations for the delivery of home health services.

13.  Able to prioritize and facilitate interventions that effectively solve or prevent problems related to system delivery and day to day care.

14.  Monitors and implements required staffing and maintains productivity guidelines.

1. Assigns patient visits for per diem and part time RN and HHA staff according to staff competency and patient needs to provide quality home care.

16.  Participates in on-call duties as defined by the on-call policy, ensuring that a clinical manager is always available during all operating hours

17.  Participates actively in quality management program.

18.  Performs other duties and activities as delegated by the Director of Home Health.

Team Conference/ Meetings

1.  Ensures that cases in assigned team have monthly coordination done. Leads Team case conference to facilitate coordination of care and assures that patient needs are continually being assessed and is responsible for assuring the development, implementation, and updates of the individualized plan of care.

2.  Coordinated referrals by ensuring that the admission documentation is complete and that all new patients are referred to appropriate disciplines.

3.  Initiates conference with management regarding any questions about individual eligibility for services.

4.  Attends case conference meetings with clinical personnel to facilitate coordination of care, assures use of SBAR.

5.  Facilitates monthly team meetings to inform, update information and discuss team and management operational issues.

6.  Oversees bi-weekly payroll. All overtime must have Director’s approval.

Personnel Management

1.  Participates in the screening and interviewing process of new organization personnel and makes recommendations for employment of individuals.

2.  Oversees the orientation of new home health clinical personnel.  Ensures initial and annual competencies are completed. Competencies for nursing staff are reviewed/updated at least annually.

3.  Develops and implements a preceptor and/or mentoring environment for home health clinical staff.  Preceptors/mentors are selected on identified criteria and evaluated during and at the completion of the mentoring process for effectiveness and suggestions for improvement.

4.  Responsible to complete employee performance evaluations on probationary and annual basis through provision of supervised Home Health visit.  Clinical evaluation for performance includes observation of competencies, clinical documentation and compliance with regulatory and accreditation standards.

5.  Counsels and/or disciplines employees in a timely, confidential manner.  Encourages employee problem solving, conflict resolution, and improved performance.  Seeks appropriate guidance and direction for difficult disciplinary situations.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job.  The incumbents may be requested to perform job related tasks other than those stated in this description, and as required in the Medicare Conditions of Participation. All clinical staff are expected to participate as needed in variable shifts, including weekend rotation per staffing needs and departmental holiday rotation.

Position Qualifications

1.     Registered Nurse with current licensure in good standing to practice professionally in the state of CA.

2.     Bachelor’s degree, preferred.

3.     Two years management or supervisory experience in health care setting, preferably home care.

4.     Current CPR certification.

5.     Licensed driver with insured automobile - in accordance with state and/or organization requirements.

6.     Complies with accepted professional standards and practice.

7.     Demonstrates excellent observation, verbal and written communication skills.

PHYSICAL REQUIREMENTS

1.     Ability to lift 50 lbs.

2.     Ability to push/pull 50 lbs.

3.     Ability to stoop, bend, and squat.

4.     Ability to walk up one flight of stairs.

5.     Ability to walk one mile.

6.     Ability to sit for one hour, minimum.

7.     Visual and audio acuity.