Hospice Clinical Manager RN

Key Job Responsibilities

• Ensures that the overall coordination of home health and/or hospice services provided to the patient is delivered according to acceptable standards of practice and all company procedures.
• Reviews and approves patient information submitted by the licensed professional (LP).
• Aids in patient care review meetings (Case Conference and Interdisciplinary Team (IDT)), the review and approval of orders, and provides oversight of patient care.
• Aids the branch director with day-to-day office and staff management related to patient care.
• Aids the branch leadership with ongoing education and training of all branch clinicians to ensure understanding of documentation requirements to meet regulatory standards.
• Facilitates the relationship between physicians, referral sources, patients, caregivers, and employees.
• Reviews on call coordination notes reports daily.
• Communicates with patients and their families to introduce TCT, discuss services to be rendered, and inform them of the potential start of care visit date: follow back up with the sales team member, as needed.
• Provides educational material for family and staff on medical diagnoses, provision of care, and psychosocial aspects of chronic illness and disability, and end of life care.
• Aids with maintaining provider requirements; works with providers, sales, and clinical staff to resolve issues, as appropriate.
• Processes workflow, coordination notes, and administrative tasks timely.
• Backs up the intake coordinator to receive and enter referrals from payors, physicians, facilities, and staff; clearly identifies who obtained the referral.
• Attaches referral paperwork to medical record timely, as needed.
• Communicates acceptance of referrals clearly with referral sources, as needed.
• Backs up the Patient Service Coordinator (PSC) to reschedule missed and declined visits, and processes reassigned and rescheduled requests to ensure timely completion.
• Reviews patient schedules and approves schedule changes to ensure clinical skills of assigned staff meet patient requirements.
• Follows up on orders, as needed, when medical records is unable to retrieve the unsigned order.
• Remains up to date on internal information announcements and ensures The Care Team of Indiana (TCI) policies and procedures, critical pathways, standards of care, and practice guidelines are met.
• Provides orientation and in-service training to field and office staff to meet patient needs, particularly with documentation standards, tracks and documents education appropriately.
• Aids the Branch Director and administrator during any survey, as directed.
• Attends and participates in staff meetings and in-services.
• Attends and participates in community education functions.
• Addresses action items and rocks to ensure that The Care Team of Indiana is able to accomplish its important goals.
• Participates in administrative on-call; supports the on-call nurse and provides software management related to processing intake and crucial workflow during off hours.
• Conducts continuous quality assessment and performance improvement activities, as assigned.
• Completes onsite supervisory visits, as assigned.
• Aids the day-to-day supervisor of branch clinical operations.
• May assume a position of leadership when the branch director is out of the office; performs supervisory tasks, such as evaluations and counseling, or makes hiring and termination recommendations for branch and field staff, as requested.
• Responsible for the referral intake and management process to ensure patients receive assessment visits, scheduled and performed timely by TCI policy.
• Aids the Branch Director and administrator with patient review meetings (case conference and IDT); addresses care decisions based on review.
• Reviews and approves patient care assessment coordination notes submitted by case managers and attaches to episode detail report.
• Contact physicians to obtain orders for continued service provision or add-on services, as needed.
• Reviews and approves all patient information submitted by the licensed professional (LP).
• Reviews orders as written by clinicians; approves or declines as appropriate. Follows up with licensed professional (LP), as necessary, when editing and order.
• Sure all orders are complete, including frequency, and that any corrections are made by the licensed professional who wrote the order, prior to approving the order; completes any follow-up tasks as deemed necessary, by order.
• Enters and approves all orders; routes to medical records to be sent for physician signature.
• Sure that there are existing orders for requested medical supplies.
• Enters detailed non-admit information into patient record in coordination notes if no visit was made; sure the branch director is informed approve the non-admission.
• Reviews and processes all wound score deviations, documenting any action and follow-up.
• Reviews and processes vital sign alert reports; document follow-up action and physician notification.
• Initiates employee and patient infection reports, as necessary.
• Completes review of evaluation documentation and plans of care (POC); review the data submitted to ensure accuracy with the POC; follow up on any documentation that requires correction.
• Processes POC and verifies the correct start of care date.
• Reviews comprehensive assessments that cannot be processed due to licensed professional documentation deficiencies; follow up appropriately.
• Aids with ongoing chart audits according to standard operating procedure.
• Aids with hospice item set data, as requested; reviews every error message and seeks guidance from the branch director prior to locking.
• May perform all duties and visit expectations of a licensed professional, as needed.
• May participate in on-call rotation, as needed.

Professional Experience Qualifications

• Previous experience in Home Care Home Base (HCHB) is preferred.
• Advanced computer skills are preferred.
• Must be organized, detail-oriented, and able to manage multiple projects simultaneously.
• Must be able to work independently with minimal supervision and possess the ability to communicate effectively, both in orally and in writing.
• Must be a self-starter with the ability to work effectively independently and as a team.
• Must possess a high standard of professional ethics.
• Must possess a passion for helping patients.
• Must have strong ability to maintain a professional and friendly demeanor in a high-stress environment with a broad range of individuals and demonstrate a service-oriented attitude.
• Must understand the issues related to the delivery of home health care and be able to problem-solve effectively.
• Must comply with accepted professional standards and practices.
• Maintains the agency's mission, philosophy, and core values.
• Ensures compliance with agency policies and procedures regarding operations/processes, including but not limited to those regarding patient care, patient complaints, incidents, safety and emergency management.
• Ensures compliance with policies and procedures regarding infection prevention, control, standard precautions, and infection identification reporting.
• Always maintains patient confidentiality, including all HIPAA regulations.
• Attends QAPI and management meetings, as appropriate.

Education

• Graduate of an accredited School of Nursing.
• Bachelor’s Degree in Nursing preferred.
• Two years as a Registered Nurse with at least one year management experience in a home care, hospice, or equivalent environment required.

Regulatory Requirements

• Must be licensed as a registered nurse (RN) in the state where they currently practice, or in accordance with the board of nursing rules for nurse licensure compact for the state where they currently practice.
• Must pass a criminal background check & MVR check.
• Completed health statement acknowledging ability to perform the duties of the position.
• Valid state drivers license.
• Maintains automobile liability insurance as required by law.
• Current CPR card.
• TB testing per agency policy; (1 or 2 step TB skin test within 12 months of hire & annual TB symptom screening thereafter).