Clinical Care Leader – Home and Community Based Services, PRN
Sanford Health
part-time
Posted on:
Location Type: Remote
Location: Minnesota • South Dakota • United States
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Salary
💰 $37 - $55 per hour
Job Level
About the role
- Collaborates with interprofessional colleagues within the centralized intake model to clinically review, validate, and coordinate home health and hospice referrals.
- Applies strong clinical judgment and the nursing process to assess referral documentation, confirm eligibility, and ensure regulatory and payer requirements are met prior to referral handoff for admission.
- Documents clinical review, findings, and determinations accurately and timely in designated electronic systems in compliance with applicable standards and regulations.
- Utilizes technology and electronic medical record systems to support safe, timely, and high-quality transitions from referral to admission.
- Serves as a clinical resource to intake staff and agency partners, supporting clarification of clinical information, physician orders, diagnoses, medications, and care needs to ensure referrals are admission-ready.
- Coordinates with physicians, referral sources, and agency teams to resolve gaps, discrepancies, or barriers impacting timely initiation of care.
- Maintains accountability for nursing oversight related to referral validation, clinical triage, and prioritization.
- Demonstrates strong clinical reasoning, critical thinking, and problem-solving skills to analyze referral data and respond appropriately to changing or complex clinical situations.
- Supports care coordination and patient education needs as appropriate through communication with referral sources, agencies, patients, and caregivers.
- Functions within the scopes and standards of nursing practice as outlined in the Nurse Practice Act and Administrative Rules in state of practice and licensure.
Requirements
- Bachelor's degree in Nursing strongly preferred.
- Graduate from an accredited nursing program, including, but not limited to, those accredited by the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).
- Minimum of two years’ clinical experience preferred.
- Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
- Obtains and subsequently maintains required department specific competencies and certifications.
- Depending on location, a valid driver's license may be required.
- Basic Life Support (BLS) required.
- Certificate for Outcome and Assessment Information Set (OASIS).
- Certificate for OASIS Specialist - Clinical (COS-C) preferred.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical judgmentnursing processreferral documentation assessmentregulatory complianceclinical triageproblem-solvingcritical thinkingcare coordinationpatient educationelectronic medical record systems
Soft skills
collaborationcommunicationaccountabilityclinical reasoning
Certifications
RN licenseBasic Life Support (BLS)Outcome and Assessment Information Set (OASIS) certificateOASIS Specialist - Clinical (COS-C)