RN Manager of Clinical Practice (76516) at Spokane

Job Description

I believe that better care begins at home.Compassionate care, uncompromising service and clinical excellence – that’s what Gentiva® patients have come to expect fromour clinicians for over 40 years. Gentiva, America’s homecare and hospice leader, has set the clinical standard fortoday’s fastest-growing segment of healthcare – homecare. By creating innovative solutions that lead to high-qualitypatient outcomes, Gentiva’s patient-centered approach improves quality of life and independence. With Gentiva, greathealthcare has come home.I believe I can make a difference.With over 40 years of experience and more than 420 locations in 40 states, Gentiva Home Health and Hospice servesapproximately 80,000 patients daily. Gentiva is a company on the move – driving some of the most exciting newopportunities in home health and hospice. Financially and strategically, we are positioned to be a key player in theindustry for years to come. All of which make Gentiva the place to be.I believe in working for a company that cares as much as I do.

I believe my work is my calling.

As a RN Manager of Clinical Practice, you will:

• Review all Medicare and other episodic payers’ clinical records at the local level to assure appropriate documentation for reimbursement. This review includes verification of appropriate documentation, quality of care provided, visits utilization, appropriate contacts with physicians, adherence to the care plan, and evidence of communication between disciplines.
• Oversee the maintenance of clinical records and files to comply with Conditions of Participation (COPs), using measurements, as licensure, certification, and accreditation results.
• Audit charts for clinical oversight and compliance and adherence to the Medicare guidelines.
• Manage clinical activities, including patient assessments, care plan development, service level determination, on-site field visits, and the implementation/coordination/maintenance/evaluation of care plans.
• Be responsible for direct supervision of clinical staff. Participate in the recruitment, interviewing, selection, and orientation of team members; evaluate their performance relative to job goals/requirements; coach staff and recommends in-service education programs and ensure adherence to internal policies/standards. Manage the assignment of clinical associates.
• Ensure service quality and participates in care coordination to ensure proper communication between caregivers, patients, referral sources and payers. Discuss operational issues, update staff on new/changed regulations and review records/documentation to ensure regulatory and in-house compliance.
• Have oversight of clinical integrity of appropriate documentation, quality of care provided, visits utilization, appropriate contacts with physicians, adherence to the care plan, and evidence of communication between disciplines.
• Be accountable for financial responsibility related to budget goals through utilization, documentation, providing appropriate and accurate patient care, case mix weight, and appropriate utilization of delivery of patient care.
• Conduct and/or delegate the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to Company, physician, and/or health facility procedures/policies.
• Coordinate communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning and ensures compliance through review of documentation and care coordination activities.
• Participate in performance improvement activities, maintain ongoing clinical knowledge through internal/external training programs, provide interpretation of knowledge and direction to staff.
• Identify clinical problem areas and documents deficiency trends in a proactive approach.
• Educate administrative and clinical associate staff in the correction of these deficiencies.
• Assist with quality improvement and Medicare compliance training program. Utilize Gentiva Health Services approved reference materials to resolve inadequacies.
• Review OASIS documents for accuracy and completeness prior to locking and submitting data electronically. Explain and mentor clinicians and staff on COP’s and on billable skilled visits.
• Educate and mentor clinicians one on one (in person or over the phone) regarding concerns, questions, accuracy of OASIS data, and other related documents, that are being reviewed.
• Facilitate the ICD-9/10 coding of the Plan of Treatment based on OASIS data and patient assessment documentation that is assessed at the bedside.
• Collaborate with Branch leadership to ensure effective and efficient episodic management, utilizing Gentiva Health Services reports such as Projected vs. Actual, PPS Unbilled and Post Billing Adjustment, to identify trends.

Job Requirements

• Current Registered Nurse
• Minimum of three years clinical home care experience
• Minimum of one year in a clinical management role
• Knowledge of state and federal home health agency regulations/Conditions of Participation and Compliance standards and regulations
• Proven track record of clinical management, education and management of healthcare staff
• Outstanding leadership and managerial skills
• Knowledge of clinical policies and procedures and ability to implement
• OASIS certified or will be required to obtain OASIS certification within 1 year of hire as a MCP
• Good organization, communication, human relations skills and reliable transportation
• Must possess the ability to lead and manage clinicians and office staff for successful patient outcomes and clinical and branch performance

Gentiva offers our employees a unique employment package that includes: • Unprecedented opportunities for career growth. • Clinical ladder for professional credentialing and advancement. • Innovative specialties with cutting-edge training and development. • Flexible full-time, benefited pay- per- visit, part-time and PRN positions. • Comprehensive benefits which include competitive pay with direct deposit, medical, dental, vision, short and long term disability, life insurance, a generous PTO package, paid holidays, 401(k), tuition reimbursement and much more.

Keywords:

RN, Registered Nurse, Nurse, nursing, homecare, home care, healthcare, health care, home health, home healthcare, med surge, OASIS, ER, Emergency Room, ICU, intensive care unit, hospice, RN case manager, Medicare, visit nurse, admission nurse, skilled visit, case management, r.n., rn, acute care, Executive Director, homecare manager, home care manager, clinical director, clinical administrator, clinical supervisor, patient care manager, director of nursing, DON, DOCS, Field Case Manager, director of clinical services, RN manager, registered nurse manager, RN supervisor, Registered Nurse Supervisor, nurse management, nurse manager, RN director, Registered Nurse Director, QA RN, QA Nurse ~MON~

I believe the best is yet to come.As a Gentiva employee, we give you everything you need to make the most of your career, including advanced education and training, the latest resources and the industrys highest standards of clinical excellence. When you work for Gentiva, you can expect more: more opportunities, more challenges, more rewards. Thats why Gentiva is the employer of choice for some of todays most experienced and talented employees.

*Gentiva Health Services, Inc. is an Affirmative Action/Equal Opportunity Employer M/F/D/V encouraged to apply.
Country: USA, State: Washington, City: Spokane, Company: Gentiva Health Services, Inc..