Home Health Clinical Manager

General Statement of Responsibilities Assures the development, implementation, and evaluation of agency programs and methods for the improvement of quality and service productivity. Acts in supervisory/consultative capacity for (all) clinical service programs as delegated by and in the absence of the Director of Nursing. Distinguishing Features Under the general supervision of the Director of Nursing, and with consistent focus on Comfort standards pertaining to organizational compliance and improvement, the Clinical Supervisor has the responsibility for the overall day-to-day oversight of clinical services to assure the delivery of safe, effective, efficient, reimbursed, coordinated, and comprehensive care in homes and/or other community facilities. Is knowledgeable of Medicare Conditions of Participation. Is knowledgeable of the CMS OASIS scoring guidelines, and. Maintains knowledge / current information with CMS regulations and accrediting bodies in regards to clinical operating standards for home health care. Potential exists for exposure to blood-borne disease. Key Position Activities With 100% customer focus, serves as a resource for clinical and support staff Oversight quality of documentation and adherence to OASIS timelines Oversight utilization of services - establishing type, frequency and duration Typical Position Activities Collaborating with the Director of Nursing assists in planning, implementing, coordinating and evaluating the clinical services program. Is responsible for timely (within 48-72 hours from SOC) review ("QI") 485/ Plan of Care Certifications, Certification OASIS and initial progress note to determine consistency with supporting medical documentation, the referral document, and the Admission Case Conference. Collaborates with admitting clinician to discuss findings and make recommendations, as appropriate. In collaboration with the Director of Nursing, ensures compliance with professional standards and regulation. Assists in general orientation and ongoing education of new staff/contractors to their activities and responsibilities, to include in-home orientation and supervisory visits for purposes of demonstrating and evaluating the delivery of patient care. Ensures that referred cases are visited within 24 hours from referral, unless otherwise physician authorized. Keeps abreast of assignments with consideration to clinician expertise, service utilization, cost of providing services, with consideration to caseload reasonableness per clinician, and; makes decisions regarding transfers of cases, as necessary. Accepts and directs the coordination of referrals and care planning for nursing, physical therapy and other therapeutic services. Assists clinicians in identifying alternative levels of care or referral to alternate community resources, as appropriate. OASIS responsibility(ies): Maintains OASIS binder following review of transmission reports to CMS, no less frequently than monthly - identifies patterns of error, staff performance issues/ recommended corrective action measures, and educational needs. Note errors, and coordinate with RN or PT to make necessary corrections. A resource to new and existing clinical staff who have responsibility for collection of OASIS survey data. Assist Data Entry coordinator to ensure OASIS survey timeline compliance - monitor tracking report with Data Entry and assist staff to understand and comply with timeline standards. Coordinates and serves as a preceptor in field for purposes of OASIS education and competency validation. Assist with coordinating in-house OASIS training programs. Monitors, actively participates in record review, and trends ADVERSE OUTCOME REPORT and ADJUSTED CASE MIX reports downloaded from CMS, minimally on quarterly basis. Assists business office in interpretation of OASIS data, as necessary. Position Requirements Thorough knowledge of current home health care practice. Demonstrated skill and judgment in the application of home health clinical procedures and techniques of patient care, including provision of home infusion therapies. Understanding of home health care regulatory and compliance requirements. Working knowledge of the organizational function of community agencies. Ability to effectively plan and supervise the work of others. Ability to establish and maintain cooperative working relationships. Ability to provide, accept and utilize guidance. Ability to perform duties in accordance with generally accepted standards of clinical practice, the Medicare Conditions of Participation, Federal and Health Department regulations. Minimum Qualifications Either: Bachelor's degree in Nursing and two years' experience in home health care, or. Education and experience that is equivalent to the following: 4 years experience in home health care, and; Six credit hours, or the equivalent, of education/ training in public health and/or principles of management. Special Requirements Licensure and registration to practice as a Registered Professional Nurse in Florida. Official documentation of personal health requirements as specified by regulatory bodies and/or Comfort HHA. Valid operator's license issued by the Florida Department of Motor Vehicles; possession of current license at the time of appointment. #J-18808-Ljbffr Centerwell