Hospice RN Clinical Team Manager

Summary: Responsible for the supervision, management, coordination of a hospice field team while maintaining the highest standards of care.

Duties/Responsibilities:

• Reviews requests for services and determines patient eligibility and suitability for home care services. Works with intake department 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 for oversight, 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 the 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 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.
• Performs chart audits and other activities of data collection.
• Responds to Additional Documentation Requests/Denials as directed by the regulatory affairs department.
• Assists with and coordinates training of appropriate staff to ensure quality care, compliance, and fiscal responsibility.
• Instructs and guides interdisciplinary team (IDT) to promote effective performance and delivery of quality home care services and is always available during operating hours to assist clinicians as appropriate.
• Assists other disciplines in coordinating activities when necessary, assuming responsibility for continuity, appropriateness and quality of services delivered.
• Monitors and evaluates employee performance, including through evaluations. Holds employees accountable for the attainment of defined goals and objectives. Executes effective performance redirection and corrective action when needed. Develops employees through coaching, mentoring, and formal/on the job training and development opportunities.
• Works cooperatively with intermediate and executive management regarding 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.

Qualifications:

• Current, unencumbered license to practice as a Registered Nurse in the state of Texas.
• Minimum of Five years of supervisory and/or management experience as a Registered Nurse in a healthcare environment
• RN experience in a Hospice or Palliative care preferred
• Admissions experience nice to have
• Current CPR certification