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RN Clinical Manager

Company: Amedisys
Location: Columbia
Posted on: January 15, 2021

Job Description:

Job Description* Caregiving is our Calling * At Amedisys whether we're caring for patients directly or supporting those who do, each of us is a caregiver at heart. Every team member contributes to our mission of providing exceptional, clinically distinct care in the home to thousands of patients and families every day. In home health, you'll be a true advocate engaging patients throughout their coordinated health care journey all while maintaining autonomy and independence to support their needs. If you're looking for a home with a Nationwide Company where you can put your skills and experience to work, make a difference every day and pursue your goals for the future, join our team. * What You Will Do * Responsible for the supervision, management, coordination and provision of quality patient care while demonstrating fiscal responsibility and maintaining the highest standards of care and ensuring compliance with all policies, procedures, and regulatory requirements. Accountable for measuring, monitoring, and managing quality of patient care, achievement of key performance indicators and organizational clinical performance. Participates in interviewing and hiring of clinical staff and responsible for management/development of the clinical staff. Assist other disciplines in coordinating activities when necessary, assuming responsibility for continuity, appropriateness and quality of services delivered. * Develops, plans, implements, analyzes and organizes clinical operations for the care center. * Reviews requests for services and determines patient eligibility and suitability for home care services. Works with intake 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 to oversee the 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, supports the on-call process. * Participates in agency quality assurance activities designed to improve quality and continuity of patient care. Performs chart audits and other activities of data collection. * Responds to Additional Documentation Requests/Denials as directed by the regulatory affairs department. * Participates in the interviewing, hiring, training and development of clinical employees and patient services coordinator. * Assists with and coordinates training of appropriate staff to ensure quality care, compliance, and fiscal responsibility. * Instructs and guides clinicians to promote effective performance and delivery of quality home care services and is always available during operating hours to assist clinicians as appropriate. * Monitors and evaluates employee performance, including through on-site 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 the

Keywords: Amedisys, Columbia , RN Clinical Manager, Executive , Columbia, South Carolina

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