Hospice Clinical Manager (35767)

Hospice Clinical Manager (Active RN License Required)
Clinical leadership. Team oversight. Quality focus. 

Overview 

Come join our growing team! The Care Team Hospice is looking for a full-time Clinical Manager (Registered Nurse/RN) in Carmel, IN. We specialize in providing hospice care in the home and facilities. If you are looking for a new and exciting opportunity, we encourage you to apply today. The Clinical Manager provides clinical oversight and leadership for hospice services, ensuring high-quality patient care and regulatory compliance. This role requires a combination of in-office presence and time spent in the field supporting staff and patient care, with some flexibility to work remotely depending on the situation.

Our regular operating hours are Monday through Friday, 8:30 AM to 4:30 PM.

What We Offer 

• Opportunity to lead and support hospice clinical teams 
• Strong leadership partnership and operational support 
• Mission-driven culture focused on patient-centered care 
• Competitive benefits package for benefit-eligible leadership roles 

Benefits 

• Competitive salary and bonus structure
• Medical, dental, and vision coverage 
• 401(k) with employer match at 100 percent on the first 3% and 50 percent on the next 2% 
• Health Savings Account eligibility with employer contribution up to $500 for individual coverage and $1,000 for two-person or family coverage 
• Company-paid Life and AD&D 
• Voluntary disability, accident, critical illness, and hospital indemnity options 
• Discounts on gym memberships and wellness packages, Employee Assistance Program, WillPrep, and travel assistance resources 
• Tuition reimbursement 
• Paid time off and paid holidays 
• Mileage reimbursement per company policy 

Key Responsibilities

The Clinical Manager (Registered Nurse/RN) ensures that overall coordination of hospice services for the patient is delivered in accordance with acceptable standards of practice and all company procedures. This position reviews and approves patient information submitted by the licensed professional (LP). This position assists with patient care review meetings (Case Conference and Interdisciplinary Team (IDT)), reviews and approves orders, and oversees patient care. The Clinical Manager is responsible for assisting the Administrator with day-to-day office and staff management related to patient care. This position assists the branch leadership with ongoing education and training of all branch clinicians to ensure understanding of documentation requirements to meet regulatory standards. The Clinical Manager (Registered Nurse/RN) facilitates relationships among physicians, referral sources, patients, caregivers, and employees.

Additionally, the Clinical Manager (Registered Nurse/RN) will:

• Clinical Manager (Registered Nurse/RN) reviews call coordination notes and reports daily.
• Communicate with patients and their families to introduce TCT, discuss the services to be rendered, and inform them of the potential start date for care; follow up with the sales team member as needed.
• Clinical Manager (Registered Nurse/RN) provides educational materials for family and staff on medical diagnoses, care provision, psychosocial aspects of chronic illness and disability, and end-of-life care.
• Assist with maintaining provider requirements; work with providers, sales, and clinical staff to resolve issues, as appropriate.
• Clinical Manager (Registered Nurse/RN) processes workflows, coordinates notes, and completes administrative tasks in a timely manner.
• Back up the intake coordinator to receive and enter referrals from payors, physicians, facilities, and staff; clearly identify who obtained the referral.
• Clinical Manager (Registered Nurse/RN) attaches referral paperwork to the medical record in a timely manner, as needed.
• Communicate acceptance of referrals clearly with referral sources, as needed.
• Clinical Manager (Registered Nurse/RN) backs up the Patient Service Coordinator (PSC) in rescheduling missed and declined visits and processing reassigned and rescheduled requests to ensure timely completion.
• Review patient schedules and approve schedule changes to ensure the clinical skills of assigned staff meet patient requirements.
• Clinical Manager (Registered Nurse/RN) follows up on orders as needed when medical records cannot be retrieved due to an unsigned order.
• Remain up to date on internal information and announcements, and ensure that TCT policies and procedures, critical pathways, standards of care, and practice guidelines are met.
• Clinical Manager (Registered Nurse/RN) provides orientation and in-service training to field and office staff to meet patient needs, particularly regarding documentation standards and tracking, and documents education appropriately.
• Assist the Administrator during any survey, as directed.
• Clinical Manager (Registered Nurse/RN) attends and participates in staff meetings and in-services.
• Attend and participate in community education functions.
• The Clinical Manager (Registered Nurse/RN) addresses action items and rocks to ensure TCT can accomplish its important goals.
• Participate in administrative on-call; support the on-call nurse and provide software management for intake processing and critical workflows during off-hours.
• Conduct continuous quality assessment and performance improvement activities, as assigned.
• Complete onsite supervisory visits, as assigned.
• Assist with the day-to-day supervision of the branch clinical operations.
• May assume a position of leadership when the Administrator is out of the office; perform supervisory tasks, such as evaluations and counseling, or make 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 in a timely manner, in accordance with TCT policy.
• Assist the Administrator with patient review meetings (case conferences and IDT) and address care decisions based on the reviews.
• Review and approve patient care assessment coordination notes submitted by case managers and attach to the episode detail report. Contact physicians to obtain orders for continued service provision or add-on services, as needed.
• Review and approve all patient information submitted by the licensed professional (LP).
• Review orders as written by clinicians; approve or decline as appropriate. Follow up with a licensed professional (LP), as necessary, when editing and ordering.
• Ensure 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; complete any follow-up tasks as deemed necessary, by order.
• Enter and approve all orders; route them to medical records for the physician's signature.
• Ensure that there are orders in place for the requested medical supplies.
• Enter detailed non-admission information into the patient record in coordination notes if no visit was made; ensure the Administrator is informed and approves the non-admission.
• Review and process all wound score deviations, documenting any action and follow-up.
• Review and process vital sign alert reports; document follow-up action and physician notification.
• Receive lab reports and assess for normality; fax the lab report to the physician with a signature indicating review. Scan both the reviewed labs and the fax confirmation page (showing it was sent to the physician) and upload them to the medical records for the patient's chart.
• Initiate employee and patient infection reports, as necessary.
• Complete 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.
• Process the POC and verify the correct start-of-care date.
• Review comprehensive assessments that cannot be processed due to licensed professional documentation deficiencies; follow up appropriately.
• Perform and maintain ongoing chart audits according to standard operating procedure.
• Assist with hospice item set data, as requested; review every error message and to seek guidance from the Administrator prior to locking.
• May perform all duties and meet the expectations of a licensed professional, as needed.
• May participate in on-call rotation, as needed.
• Any additional duties assigned by the supervisor.

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Professional Experience Qualifications:

• Previous experience in Home Care Home Base (HCHB) is preferred. Advance 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.
• Bachelors 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.
• Must maintain 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).