Director, Patient Care Services - Care at Home

• Coordinates and supervises the delivery of home care services, activities and patient care provided by an interdisciplinary staff/team in the home setting.
• Ensures practices, services and operating procedures comply with administrative, legal and regulatory requirements of the Health Plan and governmental and accrediting agencies
• Ensures that quality, utilization, access, clinical care and financial standards/goals are achieved or exceeded. Integrates patient care services with departmental, service line and organizational/strategic goals and objectives.
• Participates and assures the development of quality and performance criteria, policies procedures and service standards. Monitors implementation and utilization for performance, tracking and trending.
• Staff may include RNs, PHNs, LVNs Social Workers, Physical/Occupational Therapists, Physical Therapy Assistants, Certified Occupational Therapy Assistants, Speech Language Pathologists, Home Health and Hospice Aides, Chaplains and Volunteers.
• Monitors and facilitates workflow, maximizing utilization of resources to provide the highest quality of care.
• Manages staff, provides clinical supervision/leadership and implements, delivers and evaluates/improves assigned programs and services.
• Ensures compliance in meeting all regulations and standards related to home health, Medicare, TJC, Title 22, and other federal, state, and local requirements.
• Ensures agency follows the change management process for implementation and development of new forms, policies and procedures.
• Ensures accuracy and completeness of patient records, including ensuring staff meet documentation standards through orientation, training and review
• Identifies service delivery/quality issues and assures that corrective actions/service recovery plans for improvement are adjusted, implemented, sustained, and revised as needed.
• Determines the appropriate staffing requirements and develops processes to interview, hire, train and maintain the competency of all department staff.
• Assesses professional development needs of staff and plans for training/continuing education of professional staff.
• Displays competency in navigating contracts and working in a Labor/Management Partnership environment.
• Serves as a role model for professional practices and development.
• Determines the appropriate staffing requirements and develops processes to interview, hire, train and maintain the competency of all department staff.
• Must be able to Interpret and explain the program benefits to all customers, including physicians, staff, members and caregivers
• Act as a liaison and provide resources to ensure monitoring, consultative expertise, orientation and continuing education
• Establishes, implements, and maintains patient care and service standards to meet member service needs and expectations.
• Acts as a liaison and provide resources to ensure monitoring, consultative expertise, orientation and continuing education to contract agencies.
• Establishes, implements, and maintains patient care and service standards to meet member service needs and expectations.
• Acts as patient advocate resolving patient care issues.
• Participates and/or leads special projects and committees.
• Attends and/or conducts meetings, committees in the department and medical center(s).
• In collaboration with the Area Home Care Administrator, Continuing Care Leaders and other appropriate medical and non-medical staff, evaluates clinical outcomes and performance of programs/services and makes appropriate recommendations for new modalities/programs or modification/improvement of existing programs.
• Conducts a quality management/improvement/assurance program to ensure compliance with standards for home health services/programs and external regulatory agency requirements.
• In collaboration with the Area Home Health/ Home health Administrator, Continuing Care Leaders and other appropriate medical and non-medical staff, evaluates clinical outcomes and performance of programs/services and makes appropriate recommendations for new modalities/programs or modification/improvement of existing programs.
• Performs other duties as assigned.

Qualifications:

• Minimum three (3) years of supervisory/management experience required in a licensed Medicare certified home health or Hospice agency within the last seven (7) years; OR


• Minimum five (5) years of home care consulting, accreditation supervisory/management experience in an inpatient, outpatient or chief nurse role.

• Bachelors degree in nursing or other health care related field.

• Registered Nurse License (California) required at hire

• Must have the aptitude and ability to learn and demonstrate ability to lead and obtain any necessary regulatory competencies needed within one year of employment.


• Demonstrated ability to utilize written and verbal communication skills, as well as management skills such as problem solving, budget/program planning, performance improvement, organizational planning, implementing and monitoring performance standards.


• Must be able to work in a Labor/Management Partnership environment.

• Five (5) years of supervisory/management experience in a home care setting.


• If additional competency is needed, a plan will be completed upon hire to solidify knowledge base identified (For example, OASIS training, additional Home Health or Hospice training / additional certification).


• Masters degree in nursing or other health care related field.