CenterWell Senior Primary Care

RN Clinical Manager

CenterWell Senior Primary Care

full-time

Posted on:

Origin:  • 🇺🇸 United States • Tennessee

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Salary

💰 $77,200 - $106,200 per year

Job Level

JuniorMid-Level

About the role

  • The RN Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel.
  • This role focuses on home health clinical quality assurance and home health clinical operations initiatives.
  • Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed.
  • Conducts/delegates assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to Company, physician, and/or health facility procedures/policies.
  • Manages the assignment of caregivers and oversees the delivery of care to all patients served by the location.
  • Receives case referrals and reviews patient information to determine home health or hospice needs.
  • Ensures patients meet admission criteria and decides to admit patients to service.
  • Assigns appropriate clinicians to a case and guides clinicians to promote more effective performance and delivery of quality home care services, available at all times during operating hours.
  • Assists clinicians in establishing immediate and long-term therapeutic goals and in developing patient Plan of Care (POC).
  • Monitors cases to ensure documentation is in compliance with regulatory agencies and third-party payer requirements.
  • Ensures final audits/billing are completed timely and in compliance with Medicare regulations.
  • Coordinates communication among team members/attending physicians/caregivers to ensure appropriateness of care and outcome planning.
  • Works with Branch Director and Company Finance to establish location’s revenue and budget goals.
  • Participates in sales and marketing initiatives.
  • Supervises all clinical employees assigned to a specific location and is responsible for direction, coordination, and evaluation.
  • Handles necessary employee corrective action and discipline issues with HR consultation.
  • Participates in interviewing, hiring, training, and development of direct care clinicians; evaluates performance; coaches staff; ensures adherence to policies.
  • Assesses staff education needs and conducts regular staff education; applies Performance Improvement principles.
  • Responsible for QA/PI activities; data tracking for performance review with Utilization Review.
  • Performs patient care assignments and staff management; direct patient care infrequently in emergencies.
  • Acts as Branch Director in absence; interprets Company standards and policies; ensures compliance with external authorities.
  • Participates in performance improvement activities and maintains clinical knowledge through training.
  • Maintains relationships with referral/community sources and participates in professional organizations; conducts care-related programs.
  • Performs other related duties as assigned.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current state license as a Registered Nurse.
  • Proof of current CPR.
  • Valid driver’s license, auto insurance and reliable transportation.
  • Two years as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent environment.
  • Home health experience is preferred .
  • Management and people leadership experience, preferred .
  • OASIS experience, preferred.
  • OASIS certification (HCS-O, COQS, and/or COS-C), preferred .
  • Homecare Homebase (HCHB) experience, preferred .
  • CMS PDGM billing knowledge and/or experience, preferred .