Pinnacle Senior Care Job - 31554116 | CareerArc
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Company: Pinnacle Senior Care
Location: St. Louis, MO
Career Level: Mid-Senior Level
Industries: Healthcare, Pharmaceutical, Biotech

Description

Clinical Manager

U.S. Medical Management (USMM) is an affiliate of a leading Fortune 100 company. A national organization built on a continuum of care with premier healthcare providers, clinicians and patient focused individuals working together. Our Mission Through Compassionate Patient-Centered Care in the Home; We will Provide Exceptional Outcomes across our Continuum of Services Visiting Physicians Association, Pinnacle Senior Care, Grace Hospice, Comfort Hospice, Home DME & our In Home Health Assessments (IHA).

Our Values of Integrity, Respect, Teamwork & Excellence are leading us to a better tomorrow for patient care. Our Purposes Centered on We are Unified in our Work through our Continuum of Services We can Find Comfort that We are Making a Difference for our Patients & We make a Broader Positive Impact on Society, allows USMM to be poised for a phenomenal future.

We are seeking candidates who desire the experience of delivering quality & compassionate healthcare within proven care models with patients at the forefront of everything we do.

Position Description

The Clinical Manager, in collaboration with the Clinical Supervisor, is responsible for the provision of high quality patient care for home health clients in one-two branches.

Essential Duties and Responsibilities

  • Provides feedback to all clinical staff about their performance
  • Responsible for completion of in-home annual competency and evaluations
  • Manages the clinical care teams
  • Assists Administrator with orientation of newly hired clinical staff; and assigns preceptors as needed
  • Ensures appropriate communication regarding case management with staff members, physicians and referral sources
  • Manages full time equivalent productivity expectation
  • Conducts concurrent audits of at least 10% of active census
  • Collects, compiles, and analyzes data, reports the findings to Administrator, creates, and implements Plan of Correction and monitors for change
  • Monitors OBQI and OBQM indicators, coordinating communication of agency results to care giving staff
  • Complies and analyzes data, reports findings to Administrator, creates and implements Plan of Correction and monitors for change
  • Timely submissions of Final Claims within 10 calendar days
  • Maintains open lines of communication with all members of the continuum care team
  • Facilitates Team Case Conference
  • Performs and documents intermittent skilled nursing visits as needed
  • Conducts staff development training as determined by agency needs
  • Attends management, staff and VPA meetings and in-services
  • Implements approved policies and procedures that reflect elements essential to rendering high quality care (Ensures that the professional standards of community nursing practice are maintained by all nurses providing care.)
  • Promotes staff development
  • Responsible for individual professional growth of team
  • Serves as a member of Performance Improvement and other committees as assigned
  • Coordinates OASIS submission to the State, reviews, and corrects OASIS errors as necessary, validates reports
  • Reviews visit notes for content, accuracy, and Medicare criteria
  • Timely submission and completion of RAPS within 7 calendar days
  • Follows agency policies and procedures
  • Performs these and all other duties as assigned by the Administrator
  • Able to lift 40 pounds from floor to shoulder
  • Repetitive walking, standing, sitting, bending and use of hands
  • Average hearing and vision
  • Able to drive a car 2-4 hours per day

Additionally, in the State of Texas, the Agency shall employ a Clinical Manager who:

  • The Clinical Manager shall not have been convicted of a felony or misdemeanor listed in 97.601(b)(2) of this title (relating to License Denial, Suspension, or Revocation)
  • A Newly appointed Clinical Manager must complete within 12 months of designation, 24 clocked hours of initial continuing education as outlined in TAC 97.259. Each 12 months following initial training, the Administrator will complete = or > 12 clocked hours of continuing education as outlined in TAC 97.259

REQUIRED Knowledge, Skills, and Experience

  • Is currently licensed in the state of practice or in accordance with the Board of Nurse Examiners rules for Nurse Licensure Compact (NLC)
  • A current drivers license with good driving history and proof of auto insurance
  • Three years of supervisory or leadership experience in an in-patient hospital, home care agency, or residential facility preferred
  • Prior experience in a certified home care agency, including OASIS
  • Demonstrated leadership skills and Home Care Clinical Knowledge, Medicare Regulations and Federal, State and Local Regulations
  • The ability to manage Agency resources
  • Excellent verbal and written communication skills and is able to read, write and comprehend English
  • The ability to assess patient needs and formulate individualized patient care plans to meet those needs
  • Proficiency in personal computer use, including e-mail, clinical, word processing, spreadsheet, and presentation software

ADDITIONAL FLORIDA REQUIREMENTS

  • Active CPR Certification

ADDITIONAL TEXAS REQUIREMENTS

  • The Clinical Manager shall not have been convicted of a felony or misdemeanor listed in 97.601(b)(2) of this title (relating to License Denial, Suspension, or Revocation)
  • A Newly appointed Clinical Manager must complete within 12 months of designation, 24 clocked hours of initial continuing education as outlined in TAC 97.259. Each 12 months following initial training, the Administrator will complete = or > 12 clocked hours of continuing education as outlined in TAC 97.259


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