|JOB DESCRIPTION SUMMARY|
The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. The Clinical Manager is responsible for ensuring that patient care is coordinated and managed appropriately in a cost effective and financially responsible manner. The Clinical Manager is responsible for ensuring that care and services are delivered appropriately as well as the supervision of clinical personnel.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
A. Provides an environment which fosters continuous quality improvement while maintaining high standards of patient care, integrity and cost effectiveness.
B. Receives case referrals. Reviews available patient information related to case, including disciplines required, to determine home care needs. Assigns appropriate clinicians to case, as needed.
C. Instructs and guides clinicians to promote more effective performance and delivery of quality home care services, and is available at all times during operating hours to assist clinicians as appropriate.
D. Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing plan of care.
E. Leads case conference meetings with organization personnel to facilitate coordination of care.
F. Assists in the screening and interviewing process of new clinical personnel and makes recommendations for employment of individuals. Oversees the orientation of new organization personnel.
G. Communicates/reviews/clarifies performance expectations regularly to staff and assist in providing ongoing feedback, coaching, and counseling on individual and group performance.
H. Assures that care is in accordance with Federal and State guidelines.
I. Assists in the formulation of local strategic goals and objectives.
J. Assists in determining educational needs and requirements of staff.
K. Complies with accepted professional standards and principles.
L. May be required to participate in on-call rotation.
M. Manages quality of care through case supervision and on-site evaluation of services in the home as appropriate.
N. Directs staff assignments in accordance with a review of caseloads. Monitors daily and weekly schedules and matches needs, abilities and territories to client load and clinicians’ skills and insures productivity standards are met.
O. Acts as a liaison in the management communication and care coordination with all
disciplines, physicians, patients and/or caregivers.
P. Assists with complaint resolution, risk management issues and guidance procedures, as needed. Reports to Assistant Director of Operations with action plan.
Q. Insures final audits/billing are completed timely and in compliance with Medicare regulations.
R. Promotes customer service orientation to all organization personnel.
S. Follow all privacy policies of CareSouth and maintain the confidentiality of protected healthcare information (PHI).
T. Provides direct patient care on an infrequent basis and only in times of emergency.
U. In the absence of the Director of Operations/Assistant Director of Operations will become the acting Director of Operations and will be vested with the authority to act in behalf of the Director of Operations.
1. Registered Nurse with current licensure to practice in the State of Operation.
2. BSN degree is desired.
3. Two years home care experience strongly preferred along with one year of management experience.
4. Complies with accepted professional standards and practice.
5. Demonstrates excellent observation, verbal and written communication skills.
6. Demonstrated ability to motivate, educate, and supervise.
Continuing Education Requirements: Organization personnel are expected to participate in appropriate continuing education as may be requested and/or required by their immediate supervisor. In addition, organization personnel are expected to accept personal responsibility for other educational activities to enhance job related skills and abilities. All personnel must attend mandatory educational programs.
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