Clinical Manager

Clinical Manager

The Clinical Manager is a licensed Registered Nurse or qualified Therapist who supports the Director of Clinical Services/Administrator in the oversight of home health and hospice clinical operations in accordance with Pennsylvania Department of Health regulations, Medicare Conditions of Participation, and agency policies.

This role ensures the delivery of safe, effective, and compliant patient care; provides supervision of clinical staff; coordinates interdisciplinary services; and supports Quality Assurance and Performance Improvement (QAPI) activities. The Clinical Manager or a qualified designee is available during all operating hours, as required by regulation.

Key Responsibilities

• Clinical Leadership & Program Oversight
• Ensure patient care is delivered in accordance with physician/authorized practitioner orders and regulatory requirements
• Oversee development, implementation, and review of individualized plans of care in compliance with state and federal regulations according to scope of practice
• Monitor quality, timeliness, and appropriateness of services for team
• Review clinical records to ensure state and federal regulatory compliance. Ensure documentation supports eligibility, medical necessity, and reimbursement requirements
• Investigate and report patient care incidents per agency policy and Pennsylvania reporting requirements
• Serve as a resource for assigned staff
• Staff Supervision & Development
• Provide supervision of assigned staff
• Ensure competency validation and ongoing performance evaluation of assigned staff
• Oversee recruitment, training, and ongoing education in accordance with state and regulatory guidelines.
• Provide mentorship, coaching, and professional development opportunities
• Conduct supervisory visits and documentation review as appropriate
• Compliance & Documentation
• Ensure documentation meets regulatory, agency, and payer requirements
• Participate in clinical record review to ensure compliance with state and federal regulations, agency policies and accrediting body standards
• Support audit readiness and survey preparedness
• Quality Assurance & Performance Improvement (QAPI)
• Actively participate in and support the agency's QAPI program
• Assist with audits, performance improvement projects, and root cause analyses
• Collaborate with the leadership team to identify opportunities for improvement and lead performance improvement projects
• Ensure corrective actions are implemented and sustained
• Collaboration & Leadership
• Serve as a key member of the leadership team
• Collaborate with leadership team to align operational and clinical goals
• Collaborate with interdisciplinary teams, including intake, RNs, therapists, and support staff, to optimize patient outcomes.
• Lead or participate in staff meetings and committees (QAPI, Infection Control, Safety, etc.)
• Promote a culture of safety, compliance, and patient-centered care

Knowledge, Skills and Abilities

• Promote a culture of safety, compliance, and patient-centered care
• Demonstrate professionalism, leadership, and accountability
• Participate in ongoing education related to healthcare operations and regulatory changes
• Knowledge of Home Health and Hospice state and federal regulations and Conditions of Participation.
• Strong leadership, communication, and organizational, analytical, and problem-solving skills
• Ability to ensure regulatory compliance and clinical quality
• Ability to collaborate effectively with interdisciplinary teams.

The above requirements are representative of minimum knowledge, skills, and abilities. To perform this job successfully, the individual will possess the ability and aptitude to perform each duty proficiently

Physical Requirements and Working Conditions

• Able to work in varied home settings and conditions.
• Requires walking, standing, lifting (up to 25 lbs ), bending, and driving.

Education and Other Requirements

• Graduate of an accredited school of nursing or therapy program. Bachelors preferred.
• Current, active Pennsylvania license in applicable discipline
• Minimum of 35 years of clinical experience; home health or hospice experience required
• At least one (1) year of supervisory or leadership experience preferred
• A valid driver's license, reliable transportation, proof of auto insurance with acceptable driving history is required

Monday - Friday 8:00 - 4:30