Position Description

Title: Clinical Nurse Manager Reports to: Clinical Operations Director
Primary Location: Home Program FSLA Class: Exempt
Supervises: Home RNs, Hospice Aides, Effective Date: 06/01/2023
Team Assistants, Chaplains,
Social Workers

Position Summary:

The Clinical Nurse Manager is responsible for the management and coordination of the Home Hospice

program ensuring continuity of care, cost effectiveness, and quality of operations. Reporting to the

Clinical Operations Director, this position promotes agency priorities and communications, collaborates

with other agency clinical managers and colleagues across all departments, and provides mission-driven

leadership to the agency’s home-based nurses, social workers, chaplains, hospice aides, and team

assistants.

Qualifications:

1. Education: Graduate of an NLN accredited nursing program. Associate degree in nursing required,

Bachelor’s degree preferred; CHPN, OCN or Board certification in Geriatric Nursing preferred.

2. Experience: Minimum of 3 years of experience managing/supervising employees required.

Minimum of 1 to 3 years of progressively responsible experience in oncology and/or hospice; case

management experience (hospice or home care) required.

3. License/Certification: Registered Nurse licensure by the State of Maine; valid driver’s license with

an automobile that is insured in accordance with state and/or agency requirements and is in good

working order. BLS certification or the ability to obtain certification within the first 90 days of

employment required. Certification must be kept active during the course of employment.

Essential Duties & Responsibilities:

1. Manages and coordinates the operations of the Home Hospice Program.

• Provides leadership and oversight of the home hospice clinical teams and support personnel.

• Oversees the financial management of the Home Program, including but not limited to: expense

approval, management of vendor contracts and relationships, assisting with budget preparation,

and being responsive to Compliance and Finance Department needs and requests.

• Hires and retains sufficient and qualified staff to effectively care for the patient population.

• Provides recommendations and decision-making regarding contracted services, as appropriate.

• Proposes and implements plans for improved efficiency and effectiveness of care and services.

• Delegates responsibilities and tasks appropriately.

• Ensures HSM’s home hospice services are in compliance with all applicable laws and

regulations to maintain appropriate certifications for operation.

• Resolves customer or patient complaints or concerns in the moment as able; escalates

unresolved issues appropriately and per protocol.

2. Ensures continuity, cost effectiveness and quality of operations.

• Articulates needs of patients transferring between levels of care and care locations to promote

smooth transitions of care.

• Ensures continuity of care through effective scheduling of staff and smooth communications

across departments and teams.

• Is a steward of the efficient use of resources. Monitors costs of care including but not limited to

productivity, overtime, patient team assignments, territory management, and utilization

practices related to supplies, DME, and medications.

• Promotes delivery of high-quality care according to agency standards by ensuring each

profession on the interdisciplinary team is working to their full potential and within their scope

of practice.

• Facilitates patient care and quality improvement activities by ensuring staff participation in

QAPI and other clinical process improvement activities.

• Establishes and maintains a safe environment for patients, guests, visitors, volunteers, and

employees.

• Evaluates quality of care delivered by professional employees, as evidenced by clinical

assessments, quality and productivity benchmarks, and chart review.

• Provides oversight of medication management by collaborating with hospice pharmacy

provider and acts as a resource to employees regarding the hospice formulary.

3. Provides clinical expertise and leadership to Home Program employees and facilitates cross-

departmental communication.

• Effectively communicates agency priorities and critical information to Home Program

employees.

• Facilitates communications and works effectively with leadership, peers, Home Program

employees, patients, families, caregivers, physicians, vendors, volunteers, and co-workers in

other departments as appropriate.

• Serves as a liaison with other departments to resolve problems and improve efficiency and

effectiveness.

• Actively participates in agency employee meetings, in-services and other related activities.

4. Provides oversight and direct supervision to Home Program employees and other members of the

interdisciplinary team as needed.

• Conducts regular team meetings to ensure efficient operations, communicate clear performance

expectations, and receive input from employees about needs, concerns, or suggestions for

improvement.

• Provides regular work performance feedback to Home Program employees through the annual

evaluation process as well as proactively throughout the year; completes employee evaluations

timely.

• Provides disciplinary action in collaboration with Human Resources and Clinical Operations

Director, if necessary.

• Serves as a mentor and provides ongoing education to patient care employees; supports

employees to serve as preceptors to new employees or students.

• Identifies and promotes the skills and abilities of each employee.

• Provides leadership and education to employees through in-services, case conferences and

group discussions on hospice philosophy, operations, policies and procedures, and problem

solving.

• Monitors documentation and implementation of physical, psychosocial, and spiritual

interventions for the patient/family/caregiver.

• Ensures that all documentation meets requirements for accuracy and timeliness, and reflects

continuity of care and level of care, billing requirements, patient/care giver needs, and

confidentiality.

• Assists in the supervision of employees shared with other HSM departments, as needed.

5. Provides expertise in patient care to support and facilitate best possible outcomes for patients and

caregivers.

• In collaboration with Clinical Operations Director and Employee Training and Development

Department, develops and implements discipline-specific and role-based competencies to

effectively care for patients.

• Participates in ongoing education of clinical employees and serves as a resource to them.

• Participates in administrator on-call rotation as needed.

6. Complies with HSM policies and procedures.

• Adheres to all policies, procedures and regulations regarding patient care, conduct, safety,

infection control, fire, security, and risk management.

• Reports, investigates, and responds to incidents according to agency policy.

• Reviews and recommends changes in policies and procedures during annual review process and

as needed.

• Maintains confidentiality of business and health information in accordance with HIPAA,

federal and state regulations, and HSM policies.

7. Represents and promotes hospice philosophy and mission of HSM.

• Participates in quality improvement activities.

• Participates in professional and self- development activities by attending continuing education

programs/in-services.

• Acts as liaison with referral sources when indicated.

• Develops and maintains contact with community members regarding HSM’s patient care

services.

8. Performs additional duties as assigned.

Other Job Functions:

The following is a list of responsibilities of this position but is not intended to cover all duties that this

position may be required to perform from time to time.

1. Shares expertise with others through in-service and collaboration.
2. Works with diverse social and economic situations without imposing own values; maintains

appropriate professional boundaries.

3. Demonstrates understanding of hospice philosophy.
4. Demonstrates understanding of team approach and communication.
5. Contributes to positive atmosphere; demonstrates positive interactions with internal and external

customers.

6. Demonstrates ability to lead and be a productive member of a high performing team.
7. Provides timely and appropriate response to internal and external customer needs.
8. Participates in meetings and quality assurance and program improvement activities as required and

necessary.

9. Offers suggestions to improve policies, procedures, and services in appropriate manner and time.
10. Demonstrates knowledge and support of agency’s safety and OSHA policies. Demonstrates use of

safety judgment on a case-by-case basis. Utilizes proper body mechanics and safe working

techniques and reports unsafe environments/practices to supervisor in a timely manner.

11. Demonstrates understanding of HIPAA Privacy Standards and related Agency policies.
12. Acts in a manner consistent with the Code of Conduct outlined in the Agency’s Corporate

Compliance Program.

13. Demonstrates understanding and compliance with agency policies, including but not limited to,
documentation, continuing education, attendance/work schedules and required HR documentation,

State and Federal policies and procedures, laws and regulations.

Required Skills, Abilities & Knowledge:

1. Excellent written and verbal communication and public relations skills.
2. Flexible and reliable.
3. Understanding of applicable regulatory guidelines.
4. Ability to focus on the objective of the position.
5. Creative in thought and in implementation.
6. Ability to work well in settings presenting diverse physical conditions and socio-cultural

environments.

7. Leadership skills to facilitate appropriate direction and supervision of employees.
8. Comfortable dealing with conflict and employee challenges.

9. Self confident and driven with an ability to establish direction and work with minimal guidance and
support.

10. Able to manage multiple and competing priorities.
11. Excellent time management and organizational skills.
12. Presents as a business professional.
13. Ability to adapt to changing Agency priorities.
14. Demonstrated understanding of, and ability to effectively use, various computer software

applications, including an electronic medical record, and Microsoft Word, Excel and Outlook.

Physical Requirements:

The physical requirements described are representative of those that must be met to successfully perform

the essential responsibilities of this position. Reasonable accommodations may be made.

Ability to complete and pass an annual respirator fit test required.

Occasional Frequent Continuous

(25%) (50%) (75%)

Lift or transfer

Up to 10 lbs. X

11-20 lbs. X

21-35 lbs. X

Carry X

Push or pull X

Climb X

Reach X

Stoop or bend X

Crouch X

Kneel X

Handle or feel X

Talk X

Hear X

See X

Sit, walk, stand X

Distinguish smell/temperature X

Exposure to blood borne pathogens X

and infectious disease

Exposure to hazardous materials X

Driving X

Repetitive Motion X