Clinical Services Manager, RN - Home Health Full Time | Excell Home Care & Hospice | OKC, OK - Pennant Services

JOB SUMMARY

The Clinical Services Manager is responsible for ensuring patient care is coordinated and managed appropriately. The Clinical Services Manager is responsible for ensuring care and services are delivered appropriately and for the supervision of clinical personnel.

DUTIES & RESPONSIBILITIES

• Receives case referrals. Reviews available patient information related to case, including home visits, to determine hospice/home care needs.
• Assigns appropriate hospice/home health personnel to case as needed. Conferences with MEDICAL DIRECTOR regarding any questions about an individual's eligibility for services.
• Responsible for understanding and assuring the development, implementation, and updates of the individualized plan of care, which would entail communication with all physicians involved in the plan of care and integration of orders, including medication orders, from all physicians involved in the plan of care when needed.
• Assists field staff in establishing immediate and long-term goals in settings priorities and in developing plan of care.
• Triage calls from facilities, patients, families, and doctor offices.
• Address complaints and concerns from facilities, patients, families, and doctor offices.
• Provides workflow approval for home health and hospice.
• Reviews and evaluates each case through a variety of means such as home visits, conferences, record review, and the services provided by clinicians; discusses and verifies impressions, instructs, and guides clinicians to promote more effective performance and delivery of quality home care services; and is available at all times during operating hours to assist clinicians as appropriate.
• Reviews patient's medical diagnosis, prognosis, medications, procedures, and clinical course.
• Attends case conference meetings with hospice/home health personnel to facilitate coordination of care and discussion of interdisciplinary group involvement as required.
• Conducts quarterly record reviews and communicates findings and recommendations to Directors and Clinical Service Managers, and other appropriate hospice/home health personnel.
• Assists in the screening and interviewing process of new employees and makes recommendations for employment of individuals. Assists in the orientation of new employees.
• Assists personnel in the planning, implementation, and evaluation of in-service and continuing education programs.
• Assists in the formulating, revising, implementing, and evaluating organization policies, procedures, goals, and objectives, both short and long range.
• Complies with accepted professional standards and principles.
• Assesses health needs of community and assists in the development of plans and programs to meet needs.
• Participates in public relation and community activities that promote the organization's role as an effective member of the hospice and home health care delivery system.
• Promotes customer service orientation to all hospice/home health personnel.
• Participates actively in quality assessment performance improvement program.
• Completes patient visits as needed to support field staff.
• Completes and tracks on site supervisory visits as required.
• Performs record reviews and communicates findings and recommendations to appropriate organization personnel.
• Review DME ordering and DME invoices for accuracy and appropriateness.
• Review of pharmacy ordering for formulary options and appropriateness.
• Management of SHP outcomes and education of staff for improvement needs.
• Management of F2F process with NP.
• Participates in administration on call rotation.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job related tasks other than those stated in this description.

JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)

• Graduate of National League of Nursing accredited school of nursing with a BSN degree is preferred.
• Experience in hospice/home health care setting with two years management or supervisory experience is preferred. Proven ability to work within an interdisciplinary setting.
• Registered nurse with current licensure to practice professional nursing in the state.
• Complies with accepted professional standards and practice.
• Has excellent observation, good nursing judgment, and verbal and written communication skills.
• Understands hospice/home health philosophy and issues of death/dying.
• Understands principles of pain and symptom management.
• Must be