Clinical Support Manager

Reports To: Director of Nursing

Duties/Responsibilities:

• Develops, supervises, and evaluates a group of qualified clinicians and caregivers to deliver clinical excellence in a patient-centered manner.

• Assists with the analysis and evaluation of adherence to clinical standards and Best Practices.

• Achieves goals as assigned regarding staffing, productivity, outcomes, QAPI and care coordination.

• Responsible for care coordination in a case conference setting for high volume, high risk and problem prone patients.

• Participates in activities relative to provision of professional services to an assigned group of patients.

• Understands/adheres/educates on the QAPI and Compliance Plans

• Assists DON/Administrator to ensure that all staff providing care maintains professional standards of community nursing practice.

• Maintains and adheres to agency procedures and patient care policy standards.

• Assists DON/Administrator with establishing policies and procedures in compliance with state health statutes and administrative rules to include CDC guidelines, OSHA guidelines for employee safety, standard precautions, and infection control procedures.

• Coordinates patient care services for an assigned group of patients to include workflow processes.

• May perform an initial clinical review of referral/intake which will result in a timely acceptance or denial of referrals as assigned.

• Provides case management as described in state regulations as assigned.

• Assists DON with development/ implementation and keeps records of criteria for admission to service, case assignments and case management.

• Utilizes data dashboards as applicable to role

• Informs appropriate staff about home health statutes and administrative rules. 

• Assists DON with installation of improved work methods and procedures to ensure achievement of objectives of the Agency.

• Ensures that all competency factors are assessed and corrected if applicable on a group of clinical staff members as assigned

• Responsible for conducting initial clinical field staff interviews as directed by the DON.

• Viewed as an expert clinical resource to a group of clinicians; this expertise may require CS to perform one on one instruction if applicable

• Ensures oversight clinically, as assigned, of:

Making patient and personnel assignments

Coordinating patient care

Coordinating referrals

Assuring that patient needs are continually assessed AND

Assuring the development, implementation, and updates of the individualized care plan(s)

• Ensures that the following information/instruction is given in writing to the patient/caregiver/representative per payer requirements as assigned:

Visit schedule with frequency of visits

Complete Medication Profile

Any treatments to be administered by agency staff (POC)

Any other pertinent instruction related to the patient’s care needs

Name and contact information of the agency’s Administrator and DON (Clinical Manager)

• Reports to the DON regarding changes that might affect the clinical operations of the agency.

• Performs coordination as assigned during emergency situations and understands the Emergency Plan

• Maintains confidentiality of agency, employee, and patient matters. 

• Performs other duties as assigned by the DON.

• Performs clinical visits if necessary and applicable; maybe necessary to cover for case manager of case as applicable

• Assists with orientation/competency/supervision of new staff prior to patient contact.

• Ensures participation in continuing education for staff to include orientation and in-services.

• Provides final clinical proofing of all documentation for a group of clinicians, if applicable.

• Assists/performs staff performance appraisals as assigned by the DON.

• Assists with billing audits as applicable from clinical perspective

• Attains annual goals established by the DON/Administrator in the annual performance evaluation.

• Submits documentation within required timeframes.

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Required Skills/Abilities/Knowledge:

• Evidence of adequate health status to perform duties.

• Ability to learn, absorb, and apply professional training.

• Ability to organize work procedures, assume responsibility for and effectively supervise others.

• Demonstrates excellent problem- solving techniques and abilities.

• Demonstrates effective knowledge of the federal and state regulations governing home health agencies and the ability to ensure compliance.    

• Able to see and hear adequately to respond to auditory and visual requests which relate to the coordination of clinical activities.

• Able to speak in a clear, concise voice in order to communicate adequately with staff, physicians, and patients.

• Able to effectively deal with change.

• Excellent computer skills required

Education/Experience/Licenses/Certifications:

• Graduate of an approved school of nursing licensed in the state of practice that has at least one to three (1-3) years of experience as a registered nurse in a state licensed home health agency, or other health care facility in a state licensed home health agency or other health care facility.

• One year of home health experience required

• Undergraduate degree preferred

Physical Requirements:

You are not required to disclose information about physical or mental limitations that you believe will not interfere with your ability to do the job.  However, you should disclose any physical or mental impairment for which special arrangements or accommodations are needed to enable you to perform the essential functions of the job.  Your description of any impairment and suggestions for reasonable accommodations will be considered in providing reasonable accommodations.  The duties and responsibilities herein describe the general nature and level of work required.  They are not intended to be construed as a complete list of all duties, responsibilities and skills required to meet requirements for this position.

• Requires the ability to write, dictate or use a keyboard to communicate directives.

• Utilizes proper body mechanics in various environments.

• Requires the ability to function in multiple environments due to travel requirements.

FLSA Status:  Exempt

EEO Status:  First/Mid-Level Officials and Managers