Field Clinical Supervisor - Registered Nurse

Field Clinical SupervisorAt HealthFlex Home Health & Hospice, we believe the best clinical leaders never lose touch with the patients they serve. That's why we're looking for an experienced RN to step into our Field Clinical Supervisor role, a position designed for nurses who are ready to grow as leaders without giving up the bedside moments that brought them into home health in the first place.In this role, you'll guide and develop a team of RN, LVN & HHAs, sharing your expertise through hands-on training, shadow visits, and field supervision that shapes how care is delivered across our communities. You'll have a real voice in quality, from leading case conferences and reviewing utilization to digging into the root causes of rehospitalizations and building education that keeps patients safely at home. And you'll still be in the field, completing Start of Care evaluations and seeing patients directly, so your leadership is grounded in real, current clinical practice.This is a salaried position, which means predictable, guaranteed income every pay period. No more worrying about cancelled visits, slow weeks, or chasing productivity to make your paycheck work. You can focus on doing the job well, knowing your compensation is stable.If you're a skilled home health nurse who's ready to mentor others, strengthen clinical quality, and make a bigger impact while staying connected to patient care, we'd love to meet you.Position Summary: The Field Clinical Supervisor combines direct field clinical practice with office-based case management and quality functions to support HealthFlex Home Health Services' patient outcomes, regulatory compliance, and staff development. This role blends hands-on Start of Care (SOC) nursing evaluations, field supervisory oversight, and new staff training with office responsibilities including utilization review, documentation compliance, scheduling coordination, and rehospitalization prevention analysis. The Field Clinical Supervisor serves as a clinical resource bridging field operations and administrative/quality functions.Essential Duties and Responsibilities: This section describes the essential functions of this role; however, this is not intended to be all-inclusive. Other duties may be assigned, as necessary. Reasonable accommodations may be provided to enable individuals with disabilities to perform the essential functions of this job.Field ResponsibilitiesComplete Start of Care (SOC) skilled nursing evaluations, including the comprehensive assessment and OASIS, in accordance with Medicare Conditions of Participation and agency policyConduct field supervisory visits for LVNs, home health aides, and other clinical staff per California nursing practice requirements, Medicare Conditions of Participation supervision requirements (42 CFR §484.80), and agency competency standardsConduct field supervisory visits for RNs, LVNs, and home health aides associated with annual performance reviewCollaborate with the Clinical Supervisor on Annual Performance Evaluations (APE) for RNs, LVNs, and home health aides, providing field-based observations, performance feedback, and clinical input as appropriateProvide hands-on training and clinical onboarding for newly hired RNs and LVNs, including shadow visits and competency validationDeliver direct patient care visits as needed to support caseload coverageDocument all field encounters accurately and timely in WellSky, consistent with clinical record integrity standardsOversee 5–7 Full Time EquivalentsOffice ResponsibilitiesManage assigned case load administratively, including care plan oversight, coordination with interdisciplinary team members, concierges and schedulers as neededMonitor clinician scheduling activity and address instances where evaluations are moved without appropriate notification.Meet with clinicians to discuss scheduling concerns, clarify expectations, and communicate required next steps.In collaboration with the Clinical Supervisor, determine when clinician scheduling access in Kinnser should be suspended based on ongoing scheduling compliance issues.Document scheduling concerns, follow-up discussions, and actions taken to ensure accountability and adherence to scheduling procedures.Participate in and/or lead interdisciplinary case conferences as assigned to review patient progress, clinical needs, plan of care, barriers to care, and coordination of services with the interdisciplinary teamPerform utilization review to ensure visit frequency, duration, and skilled nursing services align with plan of care, payer authorization, and medical necessity standardsReview and respond to patient complaints related to clinical care, coordinating investigation and resolution with clinical leadershipConduct root cause analysis for rehospitalizations, identify trends, and develop/deliver staff education aimed at rehospitalization preventionSupport other quality and compliance initiatives as assignedRespond and evaluate Livanta appeals as neededWorking ConditionsAbility to travel within assigned service territory for field visits, supervisory visits, and patient care as neededAbility to perform skilled nursing assessments and procedures in the home, including patient assessment, medication management and education, wound care, and other treatments within agency scopeAbility to lift/assist patients consistent with safe patient handling standards (including gait belt protocol)Prolonged periods of computer work for office-based documentation and utilization review dutiesHybrid role requiring regular travel to patient homes across assigned territory and time in the HealthFlex office for administrative, training, and quality functionsExposure to varied home environments; adherence to infection control and safety protocols requiredRequirementsCurrent, unrestricted California Registered Nurse (RN) license in good standingCurrent CPR certificationMinimum [1–2] years of home health experience preferred; prior supervisory, mentoring, or training experience preferredWorking knowledge of Medicare Conditions of Participation, OASIS, and California home health regulatory requirementsProficiency with WellSky (or willingness to train) and Paylocity or similar HRISValid California driver's license, reliable transportation, and proof of auto insurance meeting agency minimumsStrong written and verbal communication skills; ability to train and mentor clinical staff effectivelyAbility to independently manage competing field and office priorities