Small but growing Home Health Agency in Newton, MA is looking for motivated, responsible and reliable hands on Clinical Manager with excellent clinical and administrative skills. Previous Home Care and OASIS experience is a must.

Responsibilities

The Clinical Manager (RN, Registered Nurse) in Home Health is responsible for overseeing and directing the patient care operations of the home care facility

This includes: coordinating and completing assigned projects to effectively support the immediate and long range objectives of the company; oversight of the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care; implementing and maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency; and providing motivation and retention of a qualified staff and assure the quality of services delivered

This position also acts as a liaison with management staff and other departments throughout the company

Oversees all patient care services and personnel at the agency to include coordinating referrals and patient care, assuring that patient needs are continually assessed, and assuring the development, implementation, and updates of the patient's individualized plan of care

Supervises the maintenance and accuracy of patient care and employee records

Performs staff conferences as needed and mandatory in-services, including but not limited to monthly staff/safety meeting

Partners with other team members to ensure agency meets budgeted goals including but not limited to growth, quality, and finances

Implements and supervises all patient care activities to ensure the delivery of safe, economical, and efficient patient care, which adheres to relevant standards of accepted nursing and medical practice, to include federal and state regulations, and Joint Commission standards, as well as to ensure compliance with payer source criteria

Provides and / or ensures patient care according to the plan of care as ordered by the physician

Assists in policy review and revisions as requested to establish and support the highest possible quality of patient care, cost controls, quality assurance, and staff performance

Ensures that established policies are enforced

Provides and oversees orientation for personnel

Provides timely performance evaluation of personnel

Assures regularly scheduled continuing education for personnel and supervises compliance of staff with online learning management courses

Provides supervision to direct reports on an on-going basis to ensure compliance

Assists with staff recruitment to ensure that adequate staffing is maintained

Operates within the staffing model

Serves as a member of the Management Team and QAPI Team according to required timeframes and participates in annual strategic agency planning

Acts as a liaison between staff, patients, the medical community, and upper management to ensure information is shared appropriately among the LHC team

Ensures that only qualified personnel are hired

On an on-going basis, ensures maintenance of records to support competency of all personnel

Participates in the QAPI plans and processes

Ensures follow up on any required action plans

Adheres to and supports the Episode Management Model within the provider via Episode Management supervision

Reviews weekly Operations/Referral Spreadsheet, weekly Metrics Report, weekly Productivity Report to ensure the organization is on target with budgeted goals

Follows up, addresses issues, and implements action plans as appropriate to meet goals

Assures compliance with and ensures timely follow up on daily external vendor clinical edits, outcome support, and coding edits

Oversees weekly reports, including claims alert, late EMS, unverified services, and orders audit, to ensure timely and accurate billing and payroll

Qualifications

Verifies licensure, certification, and credentialing as required by law and policy prior to employment and annually thereafter

Current RN licensure in state of practice

Job Type: Full-time

Pay: $80,000.00 - $100,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off

Medical specialties:

• Geriatrics
• Home Health

Schedule:

• Monday to Friday

Education:

• Bachelor's (Required)

Experience:

• Home Health Care: 5 years (Required)

License/Certification:

• Massachusetts RN License (Required)

Shift availability:

• Day Shift (Required)

Work Location: In person