What are the responsibilities and job description for the RN Clinical Manager position at CPA Recruiter Online?
Job Description
Responsible for the overall supervision and coordination of clinical services. Coordinates and supervises an interdisciplinary team of staff to assure the continuity of high quality care to home health patients assigned to the team's area in accordance with physician prescribed plan of care, and all applicable state and federal laws and regulations.
Qualifications
- Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals.
- Ensures patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance to physician orders.
- Coordinates all aspects of care with all disciplines, physicians, durable medical equipment providers, caregivers/family members, transferring facilities, and any other applicable healthcare providers.
- Assures payer change documentation is completed properly and timely, as required.
- Reviews clinician visit notes weekly to ensure timely, complete, appropriate, and accurate submission of all documentation by field staff. Takes necessary action to correct adverse findings and communicates trending to clinical director.
- Reviews, evaluates, and supervises service delivery to ensure appropriateness of care and utilization of services, equipment, and supplies through activities such as random patient visits, medical record reviews and case conferences.
- Provides direction and leadership to clinical team members in collaboration with the clinical director.
- Provides direct patient care, as necessary, in accordance to scope of practice and physician orders.
- Directs clinicians in utilizing best practice interventions when finalizing Plan of Care for all patients.
- Follows-up with On-Call events daily.
Additional Information
- Current RN licensure in state of New Jersey
- Current CPR certification required
- Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation
