Regional Clinical Manager

Overview : Day Shift

Day Shift

Requires travel to Long Island, Washington DC and Maryland (in DC Area)

$128,000- $132,000 Annaul Salary

Responsible for working directly with Care Center as assigned, temporarily filling open care center Clinical Manager positions, and taking responsibility and accountability for the position assigned.

Provides oversight of care center clinical operations and quality care delivery according to approved policies, procedures, and standards.

Responsibilities :

Works under the direction of the leadership of assigned care center.

Conducts in-services as appropriate based on care centers' assessments or stated needs.

Communicates any identified compliance concerns with the Medicare Conditions of Participation and ACHC accreditation to care center / region leadership.

Follows standard systems and procedures in each care center. If standard processes are not followed, consults with area / region leadership to increase efficiency of clinical operations in assigned care center.

Participates in orientation and ongoing development of new Clinical Managers as assigned.

Participates in audit and / or Performance Improvement activities within the region as needed.

While filling in as Clinical Manager in assigned Care Centers, functions include all Clinical Manager responsibilities including, but not limited to, the following : Assists with the interview process and orientation of new clinicians as needed.

Responsible for timely processing of Clinical Manager workflow in HCHB for assigned care center.

Develops, plans, implements, analyzes and organizes clinical operations for care center.

Reviews requests for services and determines patient eligibility and suitability for home care services. Works with intake in coordinating patient referrals and admissions.

Oversees scheduling activities to ensure patient needs are met. Reviews assignments as appropriate with the Patient Services Coordinator and professional and support staff.

Oversees payor verification and pre-certification requirements. Communicates with payors and their representatives with updates and responds to requests for information.

Responsible for review of documentation of other staff members including the Oasis data collection, starts of care, re-certification, physician orders, daily progress notes and other related documents ensuring appropriateness of care, delivery and documentation

requirements are met. Ensures missing, incomplete and / or untimely documentation issues are resolved.

Oversees and assists clinicians in establishing immediate and long-term patient goals, setting priorities and developing Plan of Care (POC).

Responsible to oversee the management and delivery of patient care, including utilization management, episode management and patient outcomes.

Oversees the assignment of the appropriate clinical pathways and implementation of the plan of care and physicians' orders for patients.

Oversees clinicians in the provision of care and services requiring substantial and specialized professional skills set (per applicable discipline practice act and standards of practice) and in accordance with the plan of care signed by the physician.

Oversees the professional staff to ensure timely communication of changes in the patient condition to the physician and receipt of necessary changes in orders.

Ensures communication of changes in plan of care to the appropriate staff.

Evaluates and regularly re-evaluates the needs of the patient; initiates, develops, implements and makes necessary revisions to the patient's plan of care in collaboration with the clinicians providing care.

Leads regular patient care conferences and promotes coordination and communication of

Regional Clinical Manager October 2020

information relevant to the care of the patient to ensure quality of care.

May provide direct patient care on an infrequent basis and only in times of emergency.

Participates in on call process, including admin on call, preparing on call schedule, supporting the on-call process.

Participates in care center quality assurance activities designed to improve quality and continuity of patient care. Performs chart audits and other activities of data collection.

Responds to Additional Documentation Requests / Denials as directed by the regulatory affairs department.

Works cooperatively with the Director of Operations on addressing staffing, referral sources, physician and client concerns / needs.

Documents incidents or errors involving schedule problems and / or any other concern as appropriate.

Participates in the investigation and resolution of patient / family / physician concerns.

Partners with operations and business development staff in meeting budgeted admission goals.

Participates in sales and marketing activities.

Performs other related duties as assigned or requested.

Qualifications :

RequiredAssociate or bachelor's degree in Nursing.

Current, unencumbered license to practice as a Registered Nurse specific to that state (s) the employee is assigned to work by the company.

Three (3+) years of supervisory and / or management experience as a Registered Nurse in a healthcare environment.

Three (3+) year of RN experience in a Home Health environment.

Current CPR certification.

PreferredCompetent user of Homecare Homebase computer program.

Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.